Barbu Gociman
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View article: Sternal Cleft Reconstruction: A 12-year Follow-up and Technique Modification
Sternal Cleft Reconstruction: A 12-year Follow-up and Technique Modification Open
Summary: Management of sternal cleft defects presents a rare reconstructive challenge. The primary goals of surgical repair are to optimize pulmonary mechanics, protect mediastinal structures, maintain the growth potential of the chest wal…
View article: Transverse Mandibular Distraction Technique for Complex Craniofacial Reconstruction
Transverse Mandibular Distraction Technique for Complex Craniofacial Reconstruction Open
Summary: A very important method in the management of maxillomandibular discrepancies with pronounced hypoplasia of the upper or lower jaw is distraction osteogenesis. With distraction osteogenesis, it is possible to correct functional abn…
View article: Comprehensive Update on Keloid Management
Comprehensive Update on Keloid Management Open
Background: Keloids remain one of the most challenging conditions in cutaneous wound healing, marked by complex pathophysiology and notoriously high recurrence rates. Although a universally accepted standard of care is still lacking, recen…
View article: Molar Extraction and Bone Grafting to Optimize Bone Stock for Future Mandibular Distraction
Molar Extraction and Bone Grafting to Optimize Bone Stock for Future Mandibular Distraction Open
Summary: Mandibular distraction osteogenesis is a major modality in treating micrognathia associated with severe class II malocclusion. Shortcomings associated with mandibular distraction are often secondary to lack of adequate bone at the…
View article: Successful Grafting with Allogenic Bone Following Benign Pediatric Mandibular Tumor Removal
Successful Grafting with Allogenic Bone Following Benign Pediatric Mandibular Tumor Removal Open
Summary: The reconstruction of mandibular defects in pediatric patients presents a significant surgical challenge due to the unique anatomic and developmental considerations of the growing mandible. Advancements in bone tissue engineering …
View article: Modified “Posterior Cervical Lift” Correction of Webbed Neck Deformity
Modified “Posterior Cervical Lift” Correction of Webbed Neck Deformity Open
Summary: Pterygium colli (webbed neck) is a rare congenital deformity that continues to pose reconstructive challenges for the plastic surgeon. The primary goal of surgical management is to create a harmonious cervical profile while restor…
View article: Sports after single-suture synostosis surgery: a survey of Synostosis Research Group members
Sports after single-suture synostosis surgery: a survey of Synostosis Research Group members Open
OBJECTIVE Patients with a history of surgery for single-suture craniosynostosis (SSC) as an infant often wish to participate in sports later in childhood. However, there are no established guidelines from neurosurgeons and craniofacial sur…
View article: Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander
Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander Open
Summary: Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone…
View article: Cleft Lip and Palate Correction: The Utah Protocol
Cleft Lip and Palate Correction: The Utah Protocol Open
Background: Cleft repair remains a contentious issue in craniofacial surgery, especially regarding the optimal timing and techniques. This study aims to present our institutions’ current protocol for cleft lip and palate repair, including …
View article: Pectoralis Major and Abdominis Rectus Musculocutaneous Flap Reconstruction for Sternal Wound Closure in Ectopia Cordis
Pectoralis Major and Abdominis Rectus Musculocutaneous Flap Reconstruction for Sternal Wound Closure in Ectopia Cordis Open
Summary: Ectopia cordis is a rare congenital condition resulting in extrathoracic positioning of the heart. The severity of presentation may vary with partial or complete displacement through sternal or diaphragmatic defects. Operative man…
View article: Distraction Osteogenesis for Frontosphenoidal Craniosynostosis: a Novel Surgical Treatment Modality of a Rare Suture Fusion
Distraction Osteogenesis for Frontosphenoidal Craniosynostosis: a Novel Surgical Treatment Modality of a Rare Suture Fusion Open
Summary: Frontosphenoidal craniosynostosis (FSC) is a rare premature fusion of the frontosphenoidal suture that results in anterior plagiocephaly. When associated with severe cranial deformity, surgical treatment is beneficial. All previou…
View article: Pediatric Mandibular Fracture Management: Intraoperative Thermoplastic Splint Fabrication and Circummandibular Wires, without Maxillomandibular Fixation
Pediatric Mandibular Fracture Management: Intraoperative Thermoplastic Splint Fabrication and Circummandibular Wires, without Maxillomandibular Fixation Open
Summary: Management of mandibular fractures often involves the use of maxillomandibular fixation (MMF) to attain immobility of the fractured segments. This can be used as a primary treatment modality or as an adjunct in fracture management…
View article: Modifications to the WHISTLE Flap Procedure for Correction of Secondary Cleft Lip Deformities
Modifications to the WHISTLE Flap Procedure for Correction of Secondary Cleft Lip Deformities Open
Background: The whistle deformity, a deficiency of tissue in the central upper lip, is a consequential outcome of primary cleft lip repair. Among multiple described reconstructive options, the wide-hinged island swing transposition labial …
View article: Cleft Lip and Palate Correction: The University of Utah Protocol
Cleft Lip and Palate Correction: The University of Utah Protocol Open
View article: Early Results on the Efficacy of Demineralized Bone Matrix, Bone Morphogenic Protein, and Freeze-dried Bone Chips in Alveolar Cleft Repair
Early Results on the Efficacy of Demineralized Bone Matrix, Bone Morphogenic Protein, and Freeze-dried Bone Chips in Alveolar Cleft Repair Open
Background: Conventional treatment for alveolar cleft repair is done using autologous iliac crest alveolar bone graft (ABG). However, this method may not be ideal in all patients. Analysis of the efficacy of a mixture of demineralized bone…
View article: Novel Custom Maxillary Disimpaction Splint
Novel Custom Maxillary Disimpaction Splint Open
Summary: LeFort I, II, and III osteotomies are commonly used in complex craniofacial reconstruction. Patients requiring these procedures typically have a craniofacial cleft, other congenital craniofacial deformities, or severe facial traum…
View article: A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement
A Simple Surgical Solution for Functional Improvement of Deforming Vascular Malformations with Lip Involvement Open
Summary: The management of large, deforming facial arteriovenous malformations (AVMs) can be a daunting clinical challenge for patients and surgeons. Many patients delay treatment due to fear of surgical intervention and concern for unfavo…
View article: Modified Antia-Buch Flap Incorporating an Extended Temporal Scalp Incision
Modified Antia-Buch Flap Incorporating an Extended Temporal Scalp Incision Open
Background: The Antia-Buch flap is a popular reconstructive method for full-thickness ear defects involving the helical rim. However, scaphal or conchal resection is often required to prevent ear distortion. Noel et al described a modified…
View article: Masseter-to-facial nerve transfer for facial nerve reanimation
Masseter-to-facial nerve transfer for facial nerve reanimation Open
Smooth symmetric facial muscle function is important for social interactions. When lesions of the facial nerve occur, achieving complete restoration of balanced and spontaneous facial function can be challenging. In this video, the authors…
View article: Multimodal Management of Facial Keloid with Tissue Expansion, Excision, and Injection of 5-FU and Triamcinolone
Multimodal Management of Facial Keloid with Tissue Expansion, Excision, and Injection of 5-FU and Triamcinolone Open
Summary: Keloids are benign, fibroproliferative dermal growths that occur in response to injury of the skin. These hypertrophic scars can cause pain and discomfort and have been associated with negative effects on social well-being, prompt…
View article: A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla.
A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla. Open
A severely protruding premaxilla in a patient with bilateral cleft lip and palate prevents functional closure of the orbicularis oris muscle and acceptable reconstruction of the nasolabial components during primary cheiloplasty. This is ty…
View article: Mandibular Myofibroma and Severe Trismus: A Complex Case and Review of Complications
Mandibular Myofibroma and Severe Trismus: A Complex Case and Review of Complications Open
Summary: A female child was investigated for insidious onset of temporomandibular joint dysfunction and trismus in the setting of a mandibular myofibroma. Myofibromas, benign mesenchymal neoplasms composed of spindle cells, are rarely foun…
View article: Management of Large Pediatric Wound Defects Using a Continuous External Tissue Expander
Management of Large Pediatric Wound Defects Using a Continuous External Tissue Expander Open
Summary: Both internal and external tissue expanders take advantage of the innate adaptive mechanisms the skin exerts in response to mechanical tension, known as the stress-relaxation phenomenon. Internal tissue expander use is time-consum…
View article: Management of sagittal synostosis in the Synostosis Research Group: baseline data and early outcomes
Management of sagittal synostosis in the Synostosis Research Group: baseline data and early outcomes Open
OBJECTIVE Sagittal synostosis is the most common form of isolated craniosynostosis. Although some centers have reported extensive experience with this condition, most reports have focused on a single center. In 2017, the Synostosis Researc…
View article: Prosthetic Facial Reconstruction in a Blast Injury Case
Prosthetic Facial Reconstruction in a Blast Injury Case Open
Summary The management of blast and burn injuries to the facial soft tissue and craniomaxillofacial skeleton has been a challenge since the inception of reconstructive plastic surgery. These injuries continue to present complex reconstruct…
View article: Alveolar Bone Graft Stabilization with Custom Maxillary Splints
Alveolar Bone Graft Stabilization with Custom Maxillary Splints Open
Summary For secondary alveolar bone grafting in cleft patients, the success of bone graft take is dependent upon creating an ideal environment for both bony and soft tissue healing. This is particularly challenging in patients with existin…
View article: Layered Closure of Lumbosacral Myelomeningocele Defects with Bilateral Paraspinous Muscle and Composite Fasciocutaneous Flaps
Layered Closure of Lumbosacral Myelomeningocele Defects with Bilateral Paraspinous Muscle and Composite Fasciocutaneous Flaps Open
Summary: Robust, reliable, and reproducible closure of lumbosacral myelomeningocele defects remains a challenge. In infants with lumbosacral myelomeningocele defects, multiple methods of soft tissue coverage have been described. These incl…
View article: Abstract 25: The Synostosis Research Group (SynRG) Outcomes Study: Preliminary Results From A Multi-center, Prospective Consortium For The Study Of Craniosynostosis Diagnosis And Treatment
Abstract 25: The Synostosis Research Group (SynRG) Outcomes Study: Preliminary Results From A Multi-center, Prospective Consortium For The Study Of Craniosynostosis Diagnosis And Treatment Open
Purpose: Craniosynostosis (CS) treatment is complex and varies widely. Large-scale outcome studies are difficult given the practice variation, low incidence of disease, and long time between intervention and final outcome. Established in 2…
View article: Simultaneous Closure of Alveolus and Hard Palate with Concomitant Bone Grafting
Simultaneous Closure of Alveolus and Hard Palate with Concomitant Bone Grafting Open
INTRODUCTION: Classical repair of the cleft hard palate involves closure of nasal and oral mucosa without bony reconstitution. However, lack of bony support can lead to collapse of the maxillary arch, dental crowding and posterior cross-bi…
View article: Variation in the management of isolated craniosynostosis: a survey of the Synostosis Research Group
Variation in the management of isolated craniosynostosis: a survey of the Synostosis Research Group Open
OBJECTIVE The authors created a collaborative network, the Synostosis Research Group (SynRG), to facilitate multicenter clinical research on craniosynostosis. To identify common and differing practice patterns within the network, they asse…