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BACKGROUND For a population of adolescents, gynecomastia is a persistent problem. Occurring during a critical period in the formation of self-image and gender identity, this gender-incongruent process may disrupt normal psychological development. This study was designed to identify the prevalence of psychological disturbances in young male patients(More)
BACKGROUND Pediatric craniofacial fractures are anatomically distinct from their adult counterparts and must be managed with respect for future growth and development. These injuries must be approached as entities fundamentally different from adult craniofacial fractures. Here, the authors aim to provide context for practitioners managing pediatric facial(More)
BACKGROUND AND PURPOSE Alveolar bone grafting remains the standard for alveolar cleft repair. Compromised oral and/or nasal closure may impede healing and result in graft failure or persistent fistulae. Incorporating acellular dermal matrix into these repairs may protect the bone graft during mucosal healing by providing an additional layer of soft tissue(More)
BACKGROUND AND PURPOSE Some of the most problematic craniofacial injuries in pediatric plastic surgery are large calvarial defects in children who have passed the age of maximal dural osteogenic potential and yet are too young to yield split calvarial grafts. Porous polyethylene (Medpor; Porex) is an alloplastic material that can be customized to precisely(More)
BACKGROUND   The incidence, severity, and risk factors for the development of hyponatremia in patients undergoing craniosynostosis surgery are not well known. OBJECTIVE   To determine the incidence and severity of hyponatremia as a complication in surgical correction of craniosynostosis and to identify risk factors for postoperative hyponatremia. (More)
BACKGROUND Abdominal wall hernias frequently occur after open bariatric surgical procedures. Standard repair with synthetic mesh may be suboptimal, with a recurrence rate as high as 50 percent. Patients often seek hernia repair in conjunction with abdominal body contouring procedures following substantial weight loss. METHODS In 66 consecutive patients(More)
The recent article by Neumayer et al. in The New England Journal of Medicine reporting a comparison between laparoscopic mesh and open mesh inguinal hernia repairs [34] is an admirable contribution to the debate concerning these techniques, but it falls far short in its attempt to provide class I evidence for clinical therapy. Their terse conclusion as(More)
OBJECTIVE Despite the increasing popularity of propranolol for treatment of infantile hemangioma (IH), there is need for further evidence of efficacy and safety. This study is a retrospective review of one institution's experience treating IH with propranolol using a standard protocol. METHODS Between 2009 and 2014, patients with IH were evaluated for(More)
NRAS and BRAF mutations occur in congenital melanocytic nevi (CMN), but results are contradictory. Sixty-six prospectively collected CMN patients were analyzed for NRAS Q61 mutations using Sanger sequencing. Negative cases were evaluated for BRAF V600E mutation. NRAS Q61 mutations affected 51 patients (77.3%), and BRAF V600E was found in 5 (7.6%). NRAS Q61(More)