12,603 results match your criteria reconstruction infants]

[Ventral penis curvature correction in children with hypospadias].

Urologiia 2021 May(2):74-77

Urological-andrological Department, Russian Childrens Hospital, Moscow, Russia.

Objective: Our study aims to improve hypospadias in children by successfully correcting ventral penile curvature.

Materials And Methods: From 2014 to 2018, 424 patients with ventral penile curvature of 15-60 degrees were treated. All patients were divided into 3 groups depending on the form of hypospadias: Group I consists of 303 patients with subcoronal and midshaft hypospadias; Group II - 48 patients with midshaft hypospadias who earlier underwent urethroplasty; Group III - 73 patients with chordee without hypospadias. Read More

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Psychoanalysis with adults inspired by parent-infant therapy: Reconstructing infantile trauma.

Int J Psychoanal 2020 Apr;101(2):320-339

Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.

This the first in a series of articles on how Psychodynamic Therapy with Infants and Parents (PTIP) can inspire work with adult therapy. PTIP helps infants and parents improve their relationship and facilitate child development. During sessions, developmental hazards are dramatized by parent and baby, giving the therapist first-hand impressions of how conflictual relationships impact on the well-being of mother and child. Read More

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Melanotic Neuroectodermal Tumour of Infancy: Clinical Courses and Therapeutic Options-A Review of Three Cases.

J Maxillofac Oral Surg 2021 Jun 2;20(2):219-226. Epub 2020 Jan 2.

Department of Oral and Maxillofacial Surgery and Plastic Operations, Klinikum Bremen-Mitte, School of Medicine of the University of Göttingen, Bremen, Germany.

Background: Melanotic neuroectodermal tumour of infancy (MNTI) is a rare benign neoplasm. MNTI appears most often during the first year of life, arises predominantly in the maxilla and tends to recur. We discuss possible therapeutic options given in the literature and within our experience in three cases. Read More

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Longitudinal infant fNIRS channel-space analyses are robust to variability parameters at the group-level: an image reconstruction investigation.

Neuroimage 2021 Apr 26:118068. Epub 2021 Apr 26.

Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, United Kingdom.

The first 1,000 days from conception to two-years of age are a critical period in brain development, and there is an increasing drive for developing technologies to help advance our understanding of neurodevelopmental processes during this time. Functional near-infrared spectroscopy (fNIRS) has enabled longitudinal infant brain function to be studied in a multitude of settings. Conventional fNIRS analyses tend to occur in the channel-space, where data from equivalent channels across individuals are combined, which implicitly assumes that head size and source-detector positions (i. Read More

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The impact of patient age and procedure type on postoperative opioid use following ambulatory pediatric urologic procedures.

Pediatr Surg Int 2021 Apr 27. Epub 2021 Apr 27.

Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

Purpose: The aim of this study is to determine whether patient age and procedure type are associated with duration of opioid use in pediatric patients undergoing ambulatory urologic procedures.

Methods: We retrospectively reviewed pediatric patients who underwent outpatient urologic procedures from 2013 to 2017. At postoperative visits, parents reported the number of days their child took opioid pain medication. Read More

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A traumatic ulnar artery aneurysm in an infant.

J Surg Case Rep 2021 Apr 14;2021(4):rjab098. Epub 2021 Apr 14.

Department of Plastic Surgery, Hyogo College of Medicine, Nishinomiya 663-8501, Japan.

Ulnar artery aneurysm is very rare in infancy. Only a few reports have been done. We report an 8-month-old baby with true ulnar artery aneurysm on her hypothenar eminence. Read More

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Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty.

Int Braz J Urol 2021 Jul-Aug;47(4):861-867

Division of Urology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Colombia.

Introduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause of genital virilization and current surgical techniques aim to restore female aspect of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical technique for clitoroplasty, completely preserving corporeal bodies, neurovascular bundles without dismembering the clitoris, in four patients with over a year follow up.

Materials And Methods: After IRB approval four patients with 46,XX CAH and Prader 5 and 3 external genitalia, underwent feminizing genitoplasty. Read More

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Ontogeny of cranial base during the first two years of life.

Morphologie 2021 Apr 8. Epub 2021 Apr 8.

Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France.

The integration of the growth of the brain and the cranial base suggests that each system may influence the other, notably during the first three years of life, although this influence has never been proven to be exclusive. The aim of our work was to analyse the dynamics of normal growth on the one hand, and the development and ontogenetic allometry of the cranial base in the infant on the other hand.

Material And Method: A total of 32 infants (17 males/15 femeles) having been included in the unexpected infant death french protocol were analyzed. Read More

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Brain volumetry in fetuses that deliver very preterm: An MRI pilot study.

Neuroimage Clin 2021 Mar 29;30:102650. Epub 2021 Mar 29.

Centre for the Developing Brain, King's College London, London, UK.

Background: Infants born preterm are at increased risk of neurological complications resulting in significant morbidity and mortality. The exact mechanism and the impact of antenatal factors has not been fully elucidated, although antenatal infection/inflammation has been implicated in both the aetiology of preterm birth and subsequent neurological sequelae. It is therefore hypothesized that processes driving preterm birth are affecting brain development in utero. Read More

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Cesarean Delivery in the Management of Pregnancy Complicated by Burn Injuries.

Ann Plast Surg 2021 Mar 31. Epub 2021 Mar 31.

From the JMS Burn and Reconstruction Center at Merit Central Hospital, Jackson, MS Burn and Reconstruction Center of America, Doctors' Hospital, Augusta, GA.

Abstract: Two cases of cesarean delivery in the management of burn injuries in 2 pregnant patients are presented to illustrate current utilization of cesarean delivery for infant rescue in maternal burn care. Read More

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A size-adaptive 32-channel array coil for awake infant neuroimaging at 3 Tesla MRI.

Magn Reson Med 2021 Apr 8. Epub 2021 Apr 8.

Institute of Medical Physics and Radiation Protection, Department of Life Science Engineering, TH Mittelhessen University of Applied Sciences, Giessen, Germany.

Purpose: Functional magnetic resonance imaging (fMRI) during infancy poses challenges due to practical, methodological, and analytical considerations. The aim of this study was to implement a hardware-related approach to increase subject compliance for fMRI involving awake infants. To accomplish this, we designed, constructed, and evaluated an adaptive 32-channel array coil. Read More

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Ear Abnormalities.

Pediatr Rev 2021 Apr;42(4):180-188

Division of Plastic Surgery, Nicklaus Children's Hospital, Miami, FL.

Congenital ear abnormalities present an aesthetic and psychosocial concern for pediatric patients and their parents. Diagnosis of external ear deformities is based on clinical examination and is facilitated by an understanding of normal ear anatomy. Ear anomalies can be categorized as malformations or deformations. Read More

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Sport participation and related head injuries following craniosynostosis correction: a survey study.

Neurosurg Focus 2021 Apr;50(4):E15

Departments of1Neurological Surgery and.

Objective: Craniosynostosis (CS) affects about 1 in 2500 infants and is predominantly treated by surgical intervention in infancy. Later in childhood, many of these children wish to participate in sports. However, the safety of participation is largely anecdotal and based on surgeon experience. Read More

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Cysto-Vaginoscopy of a 3D-Printed Cloaca Model: A Step toward Personalized Noninvasive Preoperative Assessment in Patients with Complex Anorectal Malformations.

Eur J Pediatr Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Pediatric Surgery, Medical University of Vienna, Vienna, Wien, Austria.

Introduction:  For the classification of the complexity of cloacal malformations and the decision on the operative approach, an exact anatomical assessment is mandatory. To benefit from using three-dimensional (3D)-printed models in preoperative planning and training, the practicability of these models should be guaranteed. The aim of this study was to evaluate the quality and feasibility of a real-size 3D-printed cloaca model for the purpose of cysto-vaginoscopic evaluation. Read More

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Posterior vault distraction osteogenesis: indications and expectations.

Childs Nerv Syst 2021 Mar 20. Epub 2021 Mar 20.

Division of Plastic and Reconstructive Surgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Cranial vault remodeling (CVR) in patients with craniosynostosis serves to correct abnormal skull morphology and increase intracranial volume to prevent or treat pathologic increases in intracranial pressure (Taylor and Bartlett, Plast Reconstr Surg 140: 82e-93e, 2017). Distraction osteogenesis is a well-established technique for bony repositioning and growth stimulation in the facial and long bones, in which the gradual separation of bony segments at an osteotomy site results in generation of new bone and subsequent bone lengthening (Greene, 2018). While initially described in the orthopedic literature, the relevance and applicability of distraction osteogenesis to craniofacial surgery has been well-studied and is now well-established (Steinbacher et al. Read More

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MRI evaluation of nerve root avulsion in neonatal brachial plexus palsy: understanding the presence of isolated dorsal/ventral rootlet disruption.

J Neurosurg Pediatr 2021 Mar 12:1-5. Epub 2021 Mar 12.

Departments of1Neurosurgery and.

Objective: The evaluation, treatment, and prognosis of neonatal brachial plexus palsy (NBPP) continues to have many areas of debate, including the use of ancillary testing. Given the continued improvement in imaging, it is important to revisit its utility. Nerve root avulsions have historically been identified by the presence of pseudomeningoceles or visible ruptures. Read More

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Unexpected death of an infant suffocated in the course of breastfeeding when the mother fell asleep.

Med Leg J 2021 Mar 10:25817220980677. Epub 2021 Mar 10.

Medicolegal Institute, Ibn Rochd University Hospital, Casablanca, Morocco.

Death following accidental suffocation due to overlaying is often overlooked, and still attributed to Sudden Infant Death Syndrome (SIDS). We report a case of sudden infant death following accidental suffocation due to breast overlaying during breastfeeding. We report the death of a two-month-old male baby, without medical history, who was found lifeless wedged under his mother's breast. Read More

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Melanotic Neuroectodermal Tumor of Infancy in the Ulna of an Infant: A Very Rare Tumor: A Case Report.

JBJS Case Connect 2021 03 8;11(1). Epub 2021 Mar 8.

Department of Orthopaedics, Aster Medcity, Kochi, Kerala, India.

Case: A 4-month-old boy presented with a nontender swelling of the right proximal forearm of 2 months' duration. Radiological evaluation showed lytic lesion surrounded by sclerotic bone in the ulna with soft-tissue extension. Histopathological examination showed tumor of round and epithelioid cells containing melanin, interpreted as melanotic neuroectodermal tumor. Read More

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[Anatomical reconstruction of lateral ligament complex with singletunnel pullout stutrue fixation for chronic lateral ankle instability].

Zhongguo Gu Shang 2021 Feb;34(2):143-7

Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.

Objective: To explore clinical effects of single-tunnel pullout structure fixation and anatomical reconstruction of lateral ligament complex in treating chronic lateral ankle instability.

Methods: From January 2016 to December 2018, clinical data of 23 patients with chronic lateral malleolus instability who underwent anatomical reconstruction of lateral malleolus ligament complex with single-tunnel pullout structure fixation, were retrospectively studied. Among them, including 7 males and 16 females, aged from 17 to 33 years old with an avergae of (26. Read More

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February 2021

The changing face of rhinology in the NHS: a study of septoplasty, septorhinoplasty and rhinoplasty hospital episode statistics.

Ann R Coll Surg Engl 2021 Apr 4;103(4):291-295. Epub 2021 Mar 4.

New Cross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, UK.

Introduction: In 2011, septorhinoplasty and rhinoplasty were reclassified as procedures of limited clinical value in the NHS. The criteria for funding these operations varies across England. We used hospital episode statistics and freedom of information requests to review the total number of rhinology procedures performed across the previous decade, looking at trends in practice related to time, demographics and commissioning policy. Read More

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Case of oculo-auriculo-vertebral spectrum: rare clinical features.

BMJ Case Rep 2021 Mar 3;14(3). Epub 2021 Mar 3.

Department of Pediatrics, All India Institute of Medical Sciences Jodphur, Jodhpur, India.

A 2-month-old boy presented to us with bilateral microtia, left lower motor neuron facial palsy, micrognathia, hemivertebra, bifid rib, bifid thumb and absent/hypoplastic right-sided depressor anguli oris. He had bilateral external auditory canal atresia, although response to loud sound was present. Brain stem evoked response audiometry (BERA) was advised at 3 months of age. Read More

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Nasoseptal Flap for Skull Base Reconstruction in a Three-Year-Old Child With Nasofrontal Meningoencephalocele.

Ear Nose Throat J 2021 Feb 27:145561321995017. Epub 2021 Feb 27.

Department of Otorhinolaryngology, Skull Base Center, 37734University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Congenital anterior skull base defects with meningoencephaloceles causing nasal obstruction and cerebrospinal fluid (CSF) rhinorrhea are rare clinical entities. Traditionally, skull base defects have been repaired via a bifrontal craniotomy. With the introduction of pediatric endoscopic instrumentation, more of these lesions are accessible via an intranasal endoscopic approach, even in the infant population. Read More

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February 2021

Midterm results of homografts in pulmonary position: a retrospective single-center study.

Indian J Thorac Cardiovasc Surg 2021 Mar 23;37(2):129-137. Epub 2020 Nov 23.

Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala 695011 India.

Objective: Valved conduits play a pivotal role in the right ventricular outflow tract (RVOT) reconstruction in patients with congenital heart disease (CHD), and valved homografts have become the most commonly used conduits in pediatric cardiac surgery. This study aimed to assess the midterm performance of aortic and pulmonary homografts used in pulmonary position in patients with CHD.

Methods: Ninety-eight patients underwent surgical RVOT reconstruction with a homograft from January 2012 to December 2017. Read More

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Auricular cartilage configuration: a histological study using late-stage human fetuses and adult cadavers.

Anat Rec (Hoboken) 2021 Feb 23. Epub 2021 Feb 23.

Department of Anatomy, Tokyo Dental College, Tokyo, Japan.

The auricular cartilage is considered to develop from a funnel-like arrangement of six embryonic hillocks. However, there is little information as to when and how the initial cartilage plate differentiates into the major three hollows or caves: the concha, the scapha and the triangular fossa. We examined semiserial histological sections from 42 human fetuses as well as from seven cadavers of elderly individuals. Read More

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February 2021

[Influencing factors and their predictive value of skin graft survival after Meek grafting in severe burn patients].

Zhonghua Shao Shang Za Zhi 2021 Mar;37(3):243-249

State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.

To investigate the influencing factors and their predictive value of skin graft survival after Meek grafting in severe burn patients. A retrospective case-control study was conducted in 115 severe burn patients (95 males, 20 females, aged 1-74 years) who met the inclusion criteria and received Meek grafting in the First Affiliated Hospital of Army Medical University (the Third Military Medical University) from January 2013 to December 2019. The patients were divided into good skin graft survival group with skin graft survival rate≥70% (68 cases) and poor skin graft survival group with skin graft survival rate<70% (47 cases). Read More

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Perioperative complications in cleft palate repair with Robin sequence following Tuebingen palatal plate treatment.

J Craniomaxillofac Surg 2021 Apr 12;49(4):298-303. Epub 2021 Feb 12.

Department of Oral and Maxillofacial Surgery, Tuebingen University Hospital, Germany; Interdisciplinary Centre for Cleft Palate and Craniofacial Malformations, Tuebingen University Hospital, Germany.

Our study aimed to evaluate perioperative complications following our institutional pre- and intraoperative management in cleft palate repair with Robin sequence (RS). RS patients who underwent cleft palate repair between 2000 and 2020 were retrospectively analysed. RS children with complete documentation and whose initial treatment involved the Tuebingen palatal plate (TPP) were included. Read More

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Severe chemosis and treatment following fronto-orbital advancement surgery for Crouzon syndrome: A case report.

Medicine (Baltimore) 2021 Feb;100(7):e24693

Department of Neurosurgery, The Maternal and Child Health Hospital of Hainan Province, Haikou, Hainan, China.

Rationale: Crouzon syndrome is a craniofacial malformation caused by premature fusion of fibrous sutures in infants. It is one of the most common craniosynostosis syndromes, and surgery is the only effective treatment for correcting it. Postoperative complications such as encephalocele, infections, hematoma have been reported. Read More

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February 2021

A new congenital cleft palate New Zealand rabbit model for surgical research.

Sci Rep 2021 Feb 16;11(1):3865. Epub 2021 Feb 16.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral Maxillofacial Surgery, West China School of Stomatology, Sichuan University, Chengdu, 610041, People's Republic of China.

Cleft palate repair is a challenging procedure for cleft surgeons to teach, and in research, it can be difficult to evaluate different techniques and develop new treatments. In this study, a congenital cleft palate New Zealand rabbit model has been described and could be beneficial in future studies concerning cleft palate repair. Pregnant New Zealand rabbits received 1. Read More

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February 2021

Role of plastic surgeons in the trauma center: national level I trauma center startup experience in South Korea.

Medicine (Baltimore) 2021 Feb;100(5):e24357

Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon-si, Republic of Korea.

Abstract: Although it is well recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I trauma center.This study included patients who presented to a single, regional, level I trauma center between March 1, 2016 and February 28, 2018. Read More

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February 2021

Complete laparoscopic choledochal cyst excision and hepaticojejunostomy with laparoscopic Roux-Y reconstruction using a 5-mm stapler: A case of a 2-month-old infant.

Asian J Endosc Surg 2021 Feb 15. Epub 2021 Feb 15.

Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.

Laparoscopic choledochal cyst excision and hepaticojejunostomy for choledochal in children is performed only at particular institutions because of the technical difficulty. Although choledochal cyst excision and hepaticojejunostomy are feasible, the small working space of infants makes intraabdominal Roux-Y reconstruction technically challenging. A 2-month-old girl diagnosed with a choledochal cyst underwent complete laparoscopic choledochal cyst excision and hepaticojejunostomy, including intraabdominal Roux-Y reconstruction with a 5-mm stapler. Read More

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February 2021