Juling Ong
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A combined machine learning and finite element modelling tool for the surgical planning of craniosynostosis correction Open
Craniosynostosis is a medical condition that affects the growth of babies’ heads, caused by an early fusion of cranial sutures. In recent decades, surgical treatments for craniosynostosis have significantly improved, leading to reduced inv…
Surgical management of raised ICP in craniosynostosis: experience-based selection of posterior vault expansion techniques Open
Objective To evaluate outcomes of three posterior vault expansion (PVE) techniques in children with craniosynostosis and confirmed raised intracranial pressure (ICP) and propose a practical framework to guide surgical technique selection b…
Anesthesia for Endoscopic Strip Craniectomy Repair: A Single‐Center Retrospective Cohort Study Open
Background and Objective Endoscopic strip craniectomy is a minimally invasive surgical technique offered to infants for craniosynostosis repair. We examine our institution's experience with infants undergoing this surgery with respect to p…
A combined Machine Learning and Finite Element Modelling tool for the surgical planning of craniosynostosis correction Open
Craniosynostosis is a medical condition that affects the growth of babies' heads, caused by an early fusion of cranial sutures. In recent decades, surgical treatments for craniosynostosis have significantly improved, leading to reduced inv…
The Anesthetic Management of Shone’s Complex Open
Shone’s complex is a rare congenital cardiac malformation characterized by four obstructive lesions affecting the left heart and aortic arch: supramitral membrane, parachute mitral valve, subaortic stenosis, and aortic coarctation, typical…
Assessing the Evidence for Nonobstetric Risk Factors for Deformational Plagiocephaly: Systematic Review and Meta-Analysis Open
Background Plagiocephaly is defined as an asymmetrical distortion of the skull, resulting in an oblique trapezoid or parallelogram head shape. Deformational plagiocephaly (DP) is caused by forces acting on one side of the back of the head,…
View article: Using a Disentangled Neural Network to Objectively Assess the Outcomes of Midfacial Surgery in Syndromic Craniosynostosis
Using a Disentangled Neural Network to Objectively Assess the Outcomes of Midfacial Surgery in Syndromic Craniosynostosis Open
Background: Advancements in artificial intelligence and the development of shape models that quantify normal head shape and facial morphology provide frameworks by which the outcomes of craniofacial surgery can be compared. In this work, t…
A computational modelling tool for prediction of head reshaping following endoscopic strip craniectomy and helmet therapy for the treatment of scaphocephaly Open
In conclusion, finite element models effectively predicted the ESCH cranial remodeling outcomes up to 8 months postoperatively. This computational tool offers valuable insights to guide and refine helmet treatment duration. This study also…
What can a morphometric study of unoperated children teach us about the natural history of metopic synostosis? Open
OBJECTIVE Outcomes of surgical repair of trigonocephaly are well reported in the literature, but there is a paucity of information on the natural history of unoperated children. The authors evaluated a group of unoperated children with met…
Spring-assisted posterior vault expansion: a parametric study to improve the intracranial volume increase prediction Open
Spring-assisted posterior vault expansion has been adopted at the London Great Ormond Street Hospital for Children to treat raised intracranial pressure in patients affected by syndromic craniosynostosis, a congenital calvarial anomaly cau…
Non-obstetric risk factors for deformational plagiocephaly: A systematic review and meta-analysis Open
Plagiocephaly is defined as asymmetrical distortion of the skull resulting in an oblique trapezoid or parallelogram head shape. In the absence of skull growth restriction due to craniosynostosis, deformational plagiocephaly (DP) is caused …
Facial deformation following treatment for pediatric head and neck rhabdomyosarcoma; the difference between treatment modalities. Results of a trans‐Atlantic, multicenter cross‐sectional cohort study Open
Background The four different local therapy strategies used for head and neck rhabdomyosarcoma (HNRMS) include proton therapy (PT), photon therapy (RT), surgery with radiotherapy (Paris‐method), and surgery with brachytherapy (AMORE). Loca…
Does the Mutation Type Affect the Response to Cranial Vault Expansion in Children With Apert Syndrome? Open
Most cases of Apert syndrome are caused by mutations in the FGFR2 gene, either Ser252Trp or Pro253Arg. In these patients, over the last decades, spring-assisted posterior vault expansion (SA-PVE) has been the technique of choice for crania…
Endoscopic strip craniectomy with molding helmet therapy versus spring-assisted cranioplasty for nonsyndromic single-suture sagittal craniosynostosis: a systematic review Open
OBJECTIVE Endoscopic strip craniectomy with postoperative molding helmet therapy (ESC-H) and spring-assisted cranioplasty (SAC) are commonly used minimally invasive techniques for correction of nonsyndromic sagittal craniosynostosis, but i…
1124 Assessing changes in the upper airway using 3-dimensional segmentation after craniofacial distraction surgery in children with syndromic craniofacial anomalies Open
Aims Craniofacial deformities are associated with functional morbidities, such as airway obstruction.1 Primary management involves fronto-facial distraction surgery, intending to normalise facial appearance as well as treating cephalocrani…
Correction of trigonocephaly after endoscopic strip craniectomy with postoperative helmet orthosis therapy: a 3D stereophotogrammetric study Open
OBJECTIVE Endoscopic strip craniectomy with postoperative helmet orthosis therapy (ESCH) has emerged as a less invasive alternative to fronto-orbital remodeling for correction of trigonocephaly. However, there is no standardized objective …
View article: Mechanical and morphological properties of parietal bone in patients with sagittal craniosynostosis
Mechanical and morphological properties of parietal bone in patients with sagittal craniosynostosis Open
Limited information is available on the effect of sagittal craniosynostosis (CS) on morphological and material properties of the parietal bone. Understanding these properties would not only provide an insight into bone response to surgical…
576 A systematic review and meta-analysis of the evidence for association of potential risk factors with deformational plagiocephaly Open
Background A number of potential risk factors may change the odds for developing deformational plagiocephaly. Understanding the evidence for the association of potential risk factors will improve the diagnosis and management of deformation…
Parametrizing the genioplasty: a biomechanical virtual study on soft tissue behavior Open
Purpose Sliding genioplasty is used to surgically correct a retruded or misaligned chin: in this procedure, an osteotomy is performed and the bony segment is repositioned. In this study we investigate the effect of surgical parameters (bon…
View article: 1173 Airway and Breathing Problems in Pierre Robin Sequence: A Systematic Review Protocol
1173 Airway and Breathing Problems in Pierre Robin Sequence: A Systematic Review Protocol Open
Aim The primary aim is to systematically review the specific airway and/or breathing problems which have been reported in Pierre Robin Sequence (PRS). Secondary aims are to understand the prevalence and severity of these airway and breathi…
Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins Open
Craniopagus conjoined twins are extraordinarily rare and present unique challenges to the multidisciplinary team. There is a paucity of literature on optimizing neuro-ophthalmologic evaluation in craniopagus twins. Herein, we present our e…
Multiparametric Imaging for Presurgical Planning of Craniopagus Twins: The Experience of Two Tertiary Pediatric Hospitals with Six Sets of Twins Open
Conjoined twins are rare and pose a challenge to radiologists and surgeons. Craniopagus twins, where conjunction involves the cranium, are especially rare. Even in large pediatric centers, radiologists are unlikely to encounter more than o…
116 Initial UK series of endoscopic suturectomy with post-operative helmet therapy for craniosynostosis: early report of peri-operative experience Open
Objective Endoscopic suturectomy for craniosynostosis with helmet therapy (ESCH) has emerged as a successful treatment for craniosynostosis initially in North America. We present early outcomes from the first cohort of ESCH patients treate…
31 Development of a web-based screening tool ‘CranioQ’ to support the identification of children with craniofacial defects Open
Many babies develop an asymmetric or unusual head shape in the first few months of life called deformational plagiocephaly, which will usually resolve without intervention. However, in a small number of children, this abnormality will be …
3D Printing for the Planning and Use in Complicated Surgical Procedures: An Interview with Juling Ong Open
is a Consultant Craniofacial and Plastic Surgeon at Great Ormond