Pediatric Dog Bites: A Review of 1422 Cases Treated at a Level One Regional Pediatric Trauma Center.

Background: Children under the age of 14 account for over 40% of the almost 900,000 annual hospital visits associated with dog bites. Care for dog bites ranges from simple wound irrigation to complex surgical reconstruction. Due to a number of factors, children frequently sustain dog bites to highly vulnerable regions, often necessitating intervention by plastic surgeons.

Pre-Pectoral One-Stage Breast Reconstruction with Anterior Coverage Using Superior Anterior Biological Acellular Dermal Matrix (ADM) and Inferior Anterior Dermal Sling Support.

The use of acellular dermal matrix (ADM) implants has enhanced breast reconstruction. ADM is a biotechnologically designed human tissue of bovine or porcine origin in which tissue processing removes cellular antigens. In this case report, we describe the use of ADM in one-stage prepectoral breast reconstruction.

Submental Intubation.

Acquisition of a secure airway is an essential element of the operative management of maxillofacial trauma. Of the options available, submental intubation is an alternative to tracheostomy. The access should be accomplished via a midline approach rather than lateral through the mylohyoid, an armored endotracheal tube utilized to prevent kinking, and the passage facilitated by use of wound dilators obtained from a percutaneous tracheostomy set.

Gene expression analysis to identify mechanisms underlying heart failure susceptibility in mice and humans.

Genetic factors are known to modulate cardiac susceptibility to ventricular hypertrophy and failure. To determine how strain influences the transcriptional response to pressure overload-induced heart failure (HF) and which of these changes accurately reflect the human disease, we analyzed the myocardial transcriptional profile of mouse strains with high (C57BL/6J) and low (129S1/SvImJ) susceptibility for HF development, which we compared to that of human failing hearts. Following transverse aortic constriction (TAC), C57BL/6J mice developed overt HF while 129S1/SvImJ did not.

Excision and Fat Grafting of Nasal Tip Dermoid Cysts Through an Open Rhinoplasty Approach.

Nasal tip dermoid cysts that are present in pediatric patients can be complicated by mass effect causing compression and distortion of underlying cartilaginous structures. The purpose of this report is to describe a single surgeon's technique and results of nasal tip dermoid cyst excision in pediatric patients through an open rhinoplasty approach followed by tip reconstruction and immediate fat grafting. A series of 3 pediatric patients presented with 1 to 1.

Combined contraction and distraction of the facial skeleton in staged treatment of an atypical facial cleft using distraction devices.

The purpose of this clinical report was to present a case of a rare Tessier 2/12 craniofacial cleft, which was treated by using mandibular distractors in a reverse manner for the reapproximation of the craniofacial skeleton allowing for closure of the soft tissue component and palate of this cleft. The changes in the bony portions of the cleft were accomplished without osteotomies taking advantage of the mobility of the facial bones involving both normal bony sutures and the cleft bone. The bone movement allowed for easier adhesion of the midline lower facial soft tissue during the first year of life.

Percutaneous computed tomography-guided resection of non-spinal osteoid osteomas in 54 patients and review of the literature.

Background: Osteoid osteoma is a benign osteoblastic tumor with a nidus of <20 mm in maximum diameter. There are several treatment options, all of them aiming either to resect or to eliminate the nidus.

Purpose: To report and to describe the benefits of treating non-spinal osteoid osteoma by percutaneous computed tomography-guided resection, according to our experience.

Hip labral cyst caused by psoas impingement.

Hip labral impingement can cause labral tears and secondary paralabral cyst formation. Femoroacetabular impingement is the main cause of labral impingement, but other conditions such as iliopsoas tendon impingement are described. There is no description of labral cyst resulting from psoas impingement treated arthroscopically in the literature.

Low-dose steroid alters in vivo endotoxin-induced systemic inflammation but does not influence autonomic dysfunction.

Severe injury and infection are associated with autonomic dysfunction. Diminished heart rate variability (HRV) is also observed as a component of autonomic dysfunction and is induced by endotoxin administration to healthy subjects. It is established that low-dose glucocorticoid administration diminishes the systemic inflammatory manifestations of endotoxinemia but the influence of this anti-inflammatory intervention on overall autonomic dysfunction and HRV responses to endotoxin is unknown.

Resumption of sexual activity after plastic surgery: current practice and recommendations.

Background: Information on sexual counseling and practice guidelines after plastic surgery is quite limited and poorly documented as part of clinical care after surgery. The aim of this study was to assess board-certified plastic surgeons' current practices and to make clinical recommendations for resumption of sexual activity in the postoperative period.

Methods: A descriptive mailed survey of randomly chosen American Society of Plastic Surgeons' members was designed to evaluate plastic surgeons' methods of screening for sexual concerns, the frequency of postoperative discussions with patients, and clinical recommendations for safe sexual positions.

Increasing prevalence of gastroschisis repairs in the United States: 1996-2003.

Purpose: Local and state registries have shown recent increases in the prevalence of gastroschisis in the United States and abroad. The purpose of this study was to use a nationally representative database to identify national trends in the prevalence of gastroschisis repairs.

Methods: Records of infants undergoing gastroschisis repair were identified in the Nationwide Inpatient Sample from 1996 to 2003.

Polymorphisms of heat shock protein-70 (HSPA1B and HSPA1L loci) do not influence infection or outcome risk in critically ill surgical patients.

Heat shock proteins (HSP) are induced in various stress conditions and have many cytoprotective effects, including formation of protein complexes for antigen presentation, stabilizing intracellular proteins, and facilitating protein folding. The HSP-70 gene exhibits polymorphisms at the HSPA1B and HSPA1L loci that reportedly influence cytokine levels and clinical outcomes in critically ill patients. These HSP variations also have been linked to TNF-beta polymorphisms associated with poor outcomes.

Evaluation of a Bayesian decision network for diagnosing pyloric stenosis.

Purpose: Most infants undergoing an ultrasound to rule out pyloric stenosis will have a negative study, suggesting the low accuracy of clinical assessment. The purpose of this study was to evaluate the feasibility of using a Bayesian network to improve the accuracy of diagnosing pyloric stenosis.

Methods: Records of 118 infants undergoing an ultrasound to rule out pyloric stenosis were reviewed.