Publications by authors named "Victoria Sears"

Objective: The pattern, rate, and natural history of bone flap resorption following cranioplasty with frozen, autologous bone flap has not been fully defined. The authors sought to quantify the progression and natural history of bone flap resorption.

Methods: Patients who had craniectomy and delayed cranioplasty with stored, frozen bone flap between 2012 and 2022 were included in this study.

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Background: With neck, aging the cervicomental angle becomes obtuse and may be influenced by hyoid bone aging. An understanding of hyoid position changes with aging will further our understanding of its role in neck contour changes.

Methods: A 3D volumetric reconstruction of 282 neck computed tomography scans was performed.

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Article Synopsis
  • The study investigates facial skeletal differences (dimorphism) in young white individuals undergoing gender-affirming surgery using statistical shape modeling (SSM), a new method that combines AI and 3D modeling.
  • Based on CT scans of 98 patients, results indicate that male mandibles are generally larger and have a squarer shape, while female mandibles have smoother transitions at key angles.
  • SSM proves to be an effective and automated tool for analyzing these gender differences in mandibular structure, potentially improving surgical planning and outcomes.
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  • Virtual surgical planning for head and neck reconstruction is increasingly using 3D-printed patient-specific titanium implants (PSIs), sparking debate over their effectiveness compared to traditional stock reconstruction plates.
  • The study aimed to evaluate and compare the volumetric accuracy of PSIs versus stock plates in patients undergoing VSP-guided mandibular fibular free flap reconstructions at Mayo Clinic from 2016 to 2023.
  • Surgical accuracy was measured by comparing preoperative plans and postoperative results, with lower root mean square error (RMSE) values indicating higher accuracy, while various patient characteristics were also considered in the analysis.
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Purpose: Three-dimensional (3D) printing has had a significant impact on patient care. However, there is a lack of standardization in quality assurance (QA) to ensure printing accuracy and precision given multiple printing technologies, variability across vendors, and inter-printer reliability issues. We investigated printing accuracy on a diverse selection of 3D printers commonly used in the medical field.

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Virtual surgical planning (VSP) and three-dimensional (3D) printing have become a standard of care at our institution, transforming the surgical care of complex patients. Patient-specific, anatomic models and surgical guides are clinically used to improve multidisciplinary communication, presurgical planning, intraoperative guidance, and the patient informed consent. Recent innovations have allowed both VSP and 3D printing to become more accessible to various sized hospital systems.

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Purpose: This study aims to define the process of designing and manufacturing 3D printed and glass models of the pulmonary artery (PA) and utilizing them in a test bed for evaluation of devices for mechanical thrombectomy of pulmonary embolism (PE).

Materials And Methods: Patient derived computed tomography angiography (CTA) images of the PA were digitally converted into a hollowed-out structure and translated into clear 3D printed and glass models. A test bed was created using a peristaltic pump and silicone tubing connected to the models.

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Disruption of the reparative process, often found in diabetic patients, results in chronic, non-healing wounds that significantly impact a patient's quality of life. This highlights the need of new therapeutic options to improve the healing of diabetic wounds. In this study, we focused on developing a cell-free hydrogel dressing loaded with mesenchymal stem cell (MSC)-conditioned media (CM) to potentially improve the healing of hard-to-heal wounds.

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The low engraftment and retention rate of mesenchymal stem cells (MSCs) at the target site indicates that the potential benefits of MSC-based therapies can be attributed to their paracrine signaling. In this study, the extracellular matrices (ECMs) deposited by bone marrow-derived human MSCs in the presence and absence of ascorbic acid was characterized. MSCs were seeded on top of decellularized ECM (dECM) and the concentrations of proangiogenic and antiangiogenic molecules released in culture (conditioned) media was compared.

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Cadmium (Cd) is a nephrotoxic environmental pollutant that causes insidious injury to the proximal tubule that results in severe polyuria and proteinuria. Cystatin C is a low molecular weight protein that is being evaluated as a serum and urinary biomarker for various types of ischemic and nephrotoxic renal injury. The objective of the present study was to determine if cystatin C might be a useful early biomarker of Cd nephrotoxicity.

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