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Pediatric plastic surgery

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https://www.readbyqxmd.com/read/27895538/syndactyly-release
#1
REVIEW
Tara L Braun, Jeffrey G Trost, William C Pederson
Syndactyly is one of the most common congenital hand anomalies treated by pediatric plastic surgeons. Established principles of syndactyly separation dictate the timing and order of syndactyly release, with the goals of surgery being the creation of an anatomically normal webspace, tension-free closure of soft tissue, and return of function to the fingers. Numerous surgical methods have been described, many of which involve the use of local flaps to reconstruct the commissure and full-thickness skin grafts for coverage of raw areas...
November 2016: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/27854071/staged-laparotomies-based-on-the-damage-control-principle-to-treat-hemodynamically-unstable-grade-iv-blunt-hepatic-injury-in-an-eight-year-old-girl
#2
Takashi Kobayashi, Masayuki Kubota, Yuhki Arai, Toshiyuki Ohyama, Naoki Yokota, Kohei Miura, Hirosuke Ishikawa, Daiki Soma, Kazuyasu Takizawa, Jun Sakata, Masayuki Nagahashi, Hitoshi Kameyama, Toshifumi Wakai
BACKGROUND: Severe blunt hepatic injury is a major cause of morbidity and mortality in pediatric patients. Damage control (DC) surgery has been reported to be useful in severely compromised children with hepatic injury. We applied such a technique in the treatment of a case of hemodynamically unstable grade IV blunt hepatic injury in an eight-year-old girl. This case is the first to use multimodal approaches including perihepatic packing, temporary closure of the abdominal wall with a plastic sheet, transarterial embolization (TAE), and planned delayed anatomical hepatic resection in a child...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27834621/repeat-surgery-for-focal-cortical-dysplasias-in-children-indications-and-outcomes
#3
Matthew F Sacino, Cheng-Ying Ho, Matthew T Whitehead, Amy Kao, Dewi Depositario-Cabacar, John S Myseros, Suresh N Magge, Robert F Keating, William D Gaillard, Chima O Oluigbo
OBJECTIVE Focal cortical dysplasia (FCD) is a common cause of medically intractable epilepsy that often may be treated by surgery. Following resection, many patients continue to experience seizures, necessitating a decision for further surgery to achieve the desired seizure outcomes. Few studies exist on the efficacy of reoperation for intractable epilepsy due to FCD in pediatric cohorts, including the definition of prognostic factors correlated with clinical benefit from further resection. METHODS The authors retrospectively analyzed the medical records and MR images of 22 consecutive pediatric patients who underwent repeat FCD resection after unsuccessful first surgery at the Children's National Health System between March 2005 and April 2015...
November 11, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27826065/image-features-of-lens-opacity-in-pediatric-cataracts-using-ultrasound-biomicroscopy
#4
Daoman Xiang, Lihong Chen, Lanxiang Hu, Shengfang Song, Wanhua Xie, Jingji Long
PURPOSE: To study lens opacity in pediatric cataract images captured using ultrasound biomicroscopy (UBM). METHODS: The medical records of patients operated on from September 2012 to October 2013 were reviewed retrospectively. Prior to surgery, patients were placed in the supine position under sedation with oral chloral hydrate for UBM imaging. Lens morphology was evaluated by UBM examination with a 50 MHz probe that was equipped with a water bag instead of the standard plastic shell...
December 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27810844/effects-of-cartilage-scoring-in-correction-of-prominent-ear-with-incisionless-otoplasty-technique-in-pediatric-patients
#5
Süheyl Haytoğlu, Tahir Gökhan Haytoğlu, Gökhan Kuran, İlhami Yıldırım, Osman Kürşat Arıkan
OBJECTIVE: The aim of this study was to investigate the efficacy, complication rates, patient satisfaction, and recurrence risks of the incisionless otoplasty technique performed with or without cartilage scoring for correcting the prominent ear in pediatric patients. MATERIAL AND METHODS: A total of 49 patients with prominent ears were operated with incisionless otoplasty. In Group 1, 44 ears of 24 patients were operated with incisionless otoplasty without cartilage scoring...
August 1, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27731507/remembrance-and-time-passed-memory-outcomes-4-11-years-after-pediatric-epilepsy-surgery
#6
Klajdi Puka, Mary Lou Smith
OBJECTIVE: Little is known about the long-term cognitive outcomes following pediatric epilepsy surgery. Although the evidence for change within the first 2 years is not compelling, the plasticity of the immature brain may allow for improvements in the long term. This study examined memory function in a cohort of surgical and nonsurgical patients at baseline and 4-11 years after. METHOD: Participants were 88 patients (mean age 20.05, standard deviation [SD] 4.21 years) with childhood-onset intractable epilepsy; 53 had undergone resective epilepsy surgery...
November 2016: Epilepsia
https://www.readbyqxmd.com/read/27692346/the-operative-management-of-children-with-complex-perianal-crohn-s-disease
#7
Natashia M Seemann, Sebastian K King, Abdul Elkadri, Thomas Walters, Joel Fish, Jacob C Langer
BACKGROUND/PURPOSE: Perianal Crohn's disease (PCD) can affect both quality of life and psychological wellbeing. A subset of pediatric patients with complex PCD require surgical intervention, although appropriate timing and treatment regimens remain unclear. This study aimed to describe a large pediatric cohort in a tertiary center to determine the range of surgical management in children with complex PCD. METHODS: A retrospective review of children requiring operative intervention for PCD over 13 years (2002-2014) was performed...
September 15, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27687179/-principles-of-plastic-pediatric-surgery-thirty-years-of-surgical-practice
#8
G Magalon
In this document, Pr Guy Magalon presents a reflection on the plastic pediatric surgery drawn from 30 years of surgical practice. His thinking is supported by several examples of plastic surgery results from children reviewed in adulthood. These cases highlight the evolution of surgical practices and the need for continuing education for surgeons to adapt to technical progress. Professor Magalon honors his masters and shares his personal vision of the principles of pediatric plastic surgery.
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27651982/the-influence-of-temperament-and-character-profiles-on-specialty-choice-and-well-being-in-medical-residents
#9
Martin Sievert, Igor Zwir, Kevin M Cloninger, Nigel Lester, Sandor Rozsa, C Robert Cloninger
BACKGROUND: Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. METHODS: 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI) and the Satisfaction with Life Scale (SWLS)...
2016: PeerJ
https://www.readbyqxmd.com/read/27651051/citation-rate-predictors-in-the-plastic-surgery-literature
#10
Joseph Lopez, Nicholas Calotta, Ankur Doshi, Ashwin Soni, Jacqueline Milton, James W May, Anthony P Tufaro
BACKGROUND: The purpose of this study is to determine and characterize the scientific and nonscientific factors that influence the rate of article citation in the field of plastic surgery. DESIGN: Cross-sectional study. SETTING: We reviewed all entries in Annals of Plastic Surgery and Journal of Plastic, Reconstructive, and Aesthetic Surgery from January 1, 2007 to December 31, 2007; and Plastic and Reconstructive Surgery from January 1, 2007 to December 31, 2008...
September 16, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27606586/pediatric-hand-injuries
#11
Matthew A Sullivan, Charles J Cogan, Joshua M Adkinson
Pediatric hand injuries are extremely common. Although many hand injuries are adequately managed in the emergency department, some may need evaluation and treatment by a pediatric hand surgeon to ensure a good functional outcome. This article discusses the diagnosis and management of the most common pediatric hand maladies: fingertip injuries/amputation, tendon injuries, and phalangeal and metacarpal fractures. The plastic surgery nurse should be familiar with hand injuries that require intervention to facilitate efficient management and optimal postoperative care...
July 2016: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/27590300/confidentiality-breaches-in-clinical-practice-what-happens-in-hospitals
#12
Cristina M Beltran-Aroca, Eloy Girela-Lopez, Eliseo Collazo-Chao, Manuel Montero-Pérez-Barquero, Maria C Muñoz-Villanueva
BACKGROUND: Respect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice. METHODS: By means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital...
2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27569109/decline-in-consultant-availability-in-massachusetts-emergency-departments-2005-to-2014
#13
Jason L Sanders, Ali S Raja, Kohei Hasegawa, Jane Bittner, Janice A Espinola, Brianna Olamiju, Ashley F Sullivan, Carlos A Camargo
STUDY OBJECTIVE: Emergency department (ED) consultation is a common practice. There are few data on consultant availability or changes in availability over time, which may hinder resource planning and allocation. We conduct serial surveys of Massachusetts EDs to investigate these trends. METHODS: We surveyed ED directors in Massachusetts in 2006 (n=61 EDs), 2009 (n=63), and 2015 (n=63) about ED characteristics in the previous year, including specialty-specific consultant availability in person (yes/no) and continuous consultant availability (yes/no)...
October 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27545657/-features-of-skin-graft-in-pediatric-plastic-surgery
#14
C Depoortère, C François, A Belkhou, V Duquennoy-Martinot, P Guerreschi
Skin graft is a skin tissue fragment transferred from a donor site to a receiving site with a spontaneous revascularization. Basic process of plastic surgery, skin graft known in children, specific, warnings and refinements. It finds its indication in many pediatric cases: integumental diseases (neavus, hamartoma), acute burns and scars, traumatic loss of substance or surgically induced, congenital malformations of the hands and feet, etc. Specific skin graft techniques in children are developed: donor sites, sampling technique and procedure, early postoperative care...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27530889/validation-of-an-inanimate-low-cost-model-for-training-minimal-invasive-surgery-mis-of-esophageal-atresia-with-tracheoesophageal-fistula-ae-tef-repair
#15
Maximiliano Alejo Maricic, María Marcela Bailez, Susana P Rodriguez
UNLABELLED: We present the results of the validation of an inanimate model created for training thoracoscopic treatment of esophageal atresia with lower tracheoesophageal fistula (EA/TEF). MATERIALS AND METHODS: We used different domestic materials such as a piece of wood (support), corrugated plastic tubes (PVC) of different sizes to simulate ribs, intercostal spaces, trachea and spine and tubular latex balloons to simulate the esophagus and lungs to make the basic model...
September 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27524426/impact-of-clinical-fellowships-on-academic-productivity-in-departments-of-surgery
#16
Nakul P Valsangkar, Tiffany W Liang, Paul J Martin, John S Mayo, Carlo Maria Rosati, David V Feliciano, Teresa A Zimmers, Leonidas G Koniaris
BACKGROUND: Research and innovation are crucial to advancements in medicine and improvements in patient care. The contribution of surgical fellowships to scholarly productivity is unclear. The objective of this study was to determine the impact of subspecialty fellowships on academic output in departments of surgery. METHODS: This cross-sectional study examined fellowships offered at the top 50 university-based National Institutes of Health-funded and top 5 academically prolific hospital-based departments of surgery...
December 2016: Surgery
https://www.readbyqxmd.com/read/27499255/-contribution-of-the-physical-and-rehabilitation-medicine-in-pediatric-plastic-surgery
#17
L Gottrand, F Devinck, V Martinot Duquennoy, P Guerreschi
Physical, non-painful processes guide the scar reshaping in children in order to prevent growth anomalies due to cutaneous shrinkage. The objective of the surgical treatment, coordinated with the reeducation care, is to improve the physical abilities of the skin, to restore the function and avoid the deformations. Reeducation uses various techniques (i.e. sensitive-motility, massage and mobilizations) with or without physical agent (water, aspiration and touch-drive technique). Posture and positioning rely on the small or major aids, from orthosis to prosthesis...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27478417/common-pediatric-skin-lesions-a-comprehensive-review-of-the-current-literature
#18
REVIEW
Faryan Jalalabadi, Jeffrey G Trost, Joshua A Cox, Edward I Lee, Crystal Y Pourciau
The timely diagnosis and treatment of dermatologic disease in the pediatric population can be challenging. A basic, yet comprehensive knowledge of common lesions is essential for a successful practice in plastic surgery. In this article, the authors describe vascular, cystic, and pigmented cutaneous lesions that are commonly encountered in the pediatric population. Epidemiology, pathogenesis, clinical course, and management options are discussed for each.
August 2016: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/27465167/ethical-issues-in-pediatric-face-transplantation-should-we-perform-face-transplantation-in-children
#19
Alexandre Marchac, Tomasine Kuschner, John Paris, Arnaud Picard, Marie Paule Vazquez, Laurent Lantieri
BACKGROUND: In 2005, face transplantation ceased to be fiction and became a scientific reality. Today, 10 teams from six different countries have performed 32 face transplantations. Immunosuppressive treatments are similar to other solid organ transplants, and patients have experienced a significant functional improvement. The authors are logically considering expanding face transplantation to children; however, children are not simply small adults. METHODS: The authors searched for pediatric patients in need of restoration of fundamental functions of the face, such as orbicularis oris or oculi muscle closure by, first, selecting cases from a pediatric plastic surgery reference center and, second, analyzing the feasibility of face transplantation in those patients...
August 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27418803/trends-in-ophthalmology-resident-surgical-experience-from-2009-to-2015
#20
Nisha Chadha, Ji Liu, Jessica S Maslin, Christopher C Teng
BACKGROUND: Resident procedure minimums have been established in surgical training programs to ensure adequate training experience. However, achievement of these minimums may fluctuate. Review of resident experience is essential for maintaining successful training curricula. OBJECTIVE: To evaluate trends in ophthalmology resident surgical experience from 2009 to 2015. METHODS: This was a database study reviewing Accreditation Council for Graduate Medical Education ophthalmology resident surgical case logs...
2016: Clinical Ophthalmology
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