Utilization of Artificial Intelligence to Improve Equitable Healthcare Access for Breast Implant Patients.

Recently, mandated FDA patient decision checklists were developed with the goal of improving the informed decision-making process for patients considering breast implants. However, these checklists are written at reading levels far higher than recommended by the National Institutes of Health and the American Medical Association. This study aims to improve the accessibility, and therefore, the utility of the mandated FDA patient literature for the average breast implant patient using the assistance of artificial intelligence (AI).

Surgical Technique Selection in the Management of Pediatric Gynecomastia.

Introduction: Although the majority of pubertal onset gynecomastia is self-resolving in nature, persistent deformity may require surgical intervention. This study aims to identify patient factors associated with surgical technique selection and proposes an algorithm for the surgical management of pediatric gynecomastia.

Methods: A retrospective analysis was performed of all surgically managed pediatric gynecomastia patients operated on at a single institution from 2012 to 2022.

Practice Trends in the Management of Asymptomatic Breast Reconstruction Patients with Textured Implants: A Survey Analysis.

Unlabelled: Despite the increasing prevalence of breast implant associated anaplastic large cell lymphoma, there remains a paucity of literature guiding management of asymptomatic patients with textured breast implants. This risk can be anxiety provoking in breast reconstruction patients given their history of cancer or increased future risk. The purpose of this study is to evaluate current practice trends when managing the concerned asymptomatic patient following textured implant-based breast reconstruction.

Pediatric Juxtaepiphyseal Phalangeal Fractures Are Distinct from Salter-Harris Type II Fractures and More Frequently Need Operative Fixation.

Background: Salter-Harris type II fractures are the most common pediatric phalangeal fracture. A juxtaepiphyseal fracture is a distinct fracture pattern that, although similar in radiographic appearance, occurs 1 to 2 mm distal to the growth plate. Although subtle, there are important differences in the behavior and management of these fracture types.

Detailed Anatomy and Reconstructive Approach of a Wassel VI Thumb Duplication.

Thumb duplication is a congenital hand difference that occurs in 0.08 of every 1000 live births and is categorized by level of duplication by the Wassel classification system. The anatomy and reconstruction of type VI thumb duplication is not well described, likely due to its rarity.

Defining Ideal External Female Genital Anatomy via Crowdsourcing Analysis.

Background: Despite existing anthropometric data in the literature regarding the variation of female external genital anatomy, the ideal aesthetic characteristics have yet to be defined.

Objectives: The authors utilized crowdsourcing to better evaluate preferred anatomic characteristics of external female genitalia.

Methods: Fifty-six total images were digitally created by altering the proportions of the labia minora, labia majora, and clitoral hood.

Pediatric Trigger Digit Presenting in the Setting of Trauma.

Background: Pediatric trigger digit is a relatively rare condition with incompletely understood etiology. In our practice, we noted a series of children presenting with pediatric trigger digit after an associated local trauma to the hand, which has not been previously described. The aim of this study was to analyze the nature of presentation of trigger digits, the accuracy of initial diagnosis, and the impact on treatment strategies used.

Pediatric craniofacial pseudoaneurysm with a variable history of antecedent trauma.

A pseudoaneurysm (PA) is a vascular lesion occurring along an artery most often associated with previous trauma. It presents clinically as a compressible, pulsatile mass, which can be painful, growing, and associated with headaches. We report a series of 4 pediatric patients referred for management of a "cyst" who had superficial craniofacial PAs arising in a variety of different locations with a variable history of antecedent trauma.

Understanding the unfavorable result after otoplasty: an integrated approach to correction.

The correction of an unfavorable outcome after otoplasty requires a thorough understanding of the anatomy of prominent ear and recognition of the spectrum of secondary deformities and their origin. The goal of this article is to describe the causes of postotoplasty deformity, including both undercorrection and overcorrection. The latter presents the more complicated reconstructive problem, as both skin shortage and permanent cartilage disruption need to be addressed.

Pediatric frontal mucocele secondary to a bifid frontal sinus septum.

A mucocele is a mucus-containing sac lined with epithelium that arises within a sinus when its drainage is compromised. The frontal sinus is the most common location, with frontal mucocele development occurring when the nasofrontal duct becomes obstructed because of polyps, bone tumors, prior surgery, sinusitis, trauma, or anatomic variation. We report an unusual case of a sterile pediatric frontal mucocele presenting as a slowly enlarging forehead mass due to a bifid frontal sinus septum.

Outcome analysis of our first 75 spring-assisted surgeries for scaphocephaly.

Background: Spring-assisted surgery (SAS) has demonstrated promising results for the treatment of sagittal craniosynostosis. The purpose of this study was to assess the outcomes of the first 75 cases compared with a prospectively collected group of patients treated with cranial expansion (cranial vault remodeling [CVR]).

Methods: Seventy-five children with scaphocephaly have completed this institutional review board-approved study.

Subatmospheric pressure wound therapy and the vacuum-assisted closure device: basic science and current clinical successes.

This article reviews the development, current theories behind the mechanism of action and clinical use of subatmospheric pressure wound therapy with the vacuum-assisted closure device. An evolving list of indications for subatmospheric pressure therapy is discussed including its use in chronic wounds, traumatic wounds and orthopedic salvage, infected sternal wounds, management of the open abdomen, enterocutaneous fistulae, burn wounds, skin grafts and dermal substitutes, as well as systemic disease processes, such as myoglobinuria. The vacuum-assisted closure device Instill system is also reviewed, in which subatmospheric pressure therapy has been combined with the instillation of therapeutic solutions for the treatment of difficult infected wounds.