Facial Feminization Surgery and Mental Health Resource Utilization: A Retrospective Institutional Review.

Objective: This study aims to assess the effects of facial feminization surgery (FFS) on mental health resource utilization among patients with gender dysphoria within an integrated multicenter health care system.

Study Design: A retrospective database review.

Setting: An equal-access, integrated health care system.

Chondrolaryngoplasty.

Chondrolaryngoplasty is a well-described surgical procedure most commonly performed as part of facial feminization surgery for transgender patients with a diagnosis of gender dysphoria. A complete understanding of relevant neck anatomy and laryngeal function is critical to optimizing surgical outcomes. The overall goal of the procedure is to maximally reduce the thyroid cartilage prominence while preserving laryngeal integrity and minimizing the risk of external scarring.

Psychological Effect of the COVID-19 Pandemic Among Facial Feminization Surgery Patients.

Background: The COVID-19 pandemic has disproportionately impacted mental health among the lesbian, gay, bisexual, transgender, queer community, with the delay of medical services as a factor. The pandemic's psychological effect on the transfeminine community pursuing facial feminization surgery remains unstudied.

Methods: Patients at our institution whose facial feminization surgeries were delayed due to the COVID-19 pandemic were included.

Quality of Life Outcomes After Facial Feminization Surgery.

Report a large single-institution cohort of quality of life (QOL) data before and after facial feminization surgery (FFS). Case series. Patients who underwent FFS at our institution between 2017 and 2019 and completed a pre- and postoperative QOL survey were included in this study.

Postoperative Pain and Opioid Use after Facial Feminization Surgery.

The objective of this study is to characterize surgical pain after facial feminization surgery (FFS) and delineate postoperative opioid usage. It is a retrospective cohort study. It was performed in a multicenter integrated health care system.

Initial Facial Feminization Surgery Experience in a Multicenter Integrated Health Care System.

Objective: There are few large studies on facial feminization surgery (FFS). We provide the largest comprehensive report to date of an FFS cohort regarding the safety of multilevel surgery, patient-specific considerations with FFS procedures, and complications of surgery.

Study Design: Retrospective cohort study.

Safety of modified coronal approach with dissection deep to temporalis fascia for facial nerve preservation.

Objective: To evaluate the safety of a modified coronal approach to the upper craniofacial skeleton with dissection deep to the temporalis fascia for enhanced preservation of the frontal branch of the facial nerve.

Study Design: Case series with chart review.

Setting: Tertiary academic medical center.

Fusobacterium necrophorum in a pediatric retropharyngeal abscess: A case report and review of the literature.

We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. Wound cultures grew Fusobacterium necrophorum, an uncommon pathogen that can cause pediatric deep neck space infections, especially when it is not associated with Lemierre syndrome.

Tracheotomy timing and outcomes in the critically ill.

Objective: To examine the impact of early tracheotomy in nontrauma patients on duration of mechanical ventilation (MV), intensive care unit (ICU) stay, and overall hospital stay.

Design: Case series with chart review.

Setting: Tertiary care medical center.

Don't hang your coat here.

Report 2 cases of coat hanger floor of mouth injuries in children. We describe 2 cases of children who presented with coat hanger impalement injuries of the floor of mouth and their management. Removal under anesthesia is safe with a period of observation postoperatively.

Bilateral central serous chorioretinopathy caused by intranasal corticosteroids: a case report and review of the literature.

The relationship between systemic corticosteroids and central serous chorioretinopathy (CSCR) has been well established; however, there also appears to be an association with intranasal corticosteroids. A search of the English literature revealed only three reported cases of CSCR linked to intranasal corticosteroid use, and in each, clinical improvement was observed after cessation of the steroid agent. We present an additional case of bilateral CSCR resulting from intranasal corticosteroid use and review the literature regarding this uncommon side effect.

Cytosolic Ras supports eye development in Drosophila.

Ras proteins associate with cellular membranes as a consequence of a series of posttranslational modifications of a C-terminal CAAX sequence that include prenylation and are thought to be required for biological activity. In Drosophila melanogaster, Ras1 is required for eye development. We found that Drosophila Ras1 is inefficiently prenylated as a consequence of a lysine in the A(1) position of its CAAX sequence such that a significant pool remains soluble in the cytosol.

Rapid risk stratification for obstructive sleep apnea, based on snoring severity and body mass index.

Objective: It is unclear whether all snoring patients require polysomnography, and there are no highly sensitive clinical predictors of sleep apnea. Our objective was to develop a simple clinical screening test for OSA in snoring patients.

Study Design: Prospective, IRB-approved study at a university sleep disorders center.