archive-org.com » ORG » R » RCHSD.ORG

Total: 1052

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Patient Stories
    Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Plastic Surgery Cleft Palate Craniofacial Disorders Patient Stories Rady Children s Specialists Plastic Surgery Cleft Palate Craniofacial Disorders Patient Stories Plastic Surgery Cleft Palate Craniofacial Disorders Team Conditions Treated Advanced Procedures Fellowship Fresh Start Clinic Resources Locations Patient

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/patient-stories/ (2015-03-26)
    Open archived version from archive

  • Cleft Lip and Palate
    Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Plastic Surgery Cleft Palate Craniofacial Disorders Conditions Treated Cleft Lip and Palate Rady Children s Specialists Plastic Surgery Cleft Palate Craniofacial Disorders Cleft Lip and Palate Plastic Surgery Cleft Palate Craniofacial Disorders Team Conditions Treated Advanced Procedures Fellowship Fresh Start Clinic Resources Locations Patient Stories Cleft Lip and Palate Treatment of cleft lip and palate involves repair of a gap in the upper lip and or the roof of the mouth due to lack of fusion The skill and experience of the plastic surgeon is critical to maximizing aesthetic and functional outcomes while also minimizing surgery hospital stay and long term costs Approximately one in 700 children is born with a cleft lip and or cleft palate This condition may be associated with a number of difficulties in feeding and nutrition dentition facial growth speech and sleep or breathing Surgical treatment is carried out over a series of years to be timed with the patient s facial growth Craniofacial team

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/cleft-lip-and-palate/ (2015-03-26)
    Open archived version from archive

  • Vascular lesions
    occurring in 1 to 2 percent of all newborns Hemangiomas are generally not recognized until they begin to grow after several weeks or months of life Most occur as a single lesion and most occur on the head 60 percent A hemangioma is made up of endothelial cells the kind that forms the lining of blood vessels If close to the skin surface it will appear raised and crimson like a strawberry or raspberry If deep to the surface the skin may be smooth with a bluish hue Hemangiomas undergo a phase of proliferation or rapid growth until the child is 6 to 10 months old and then they slowly involute or disappear By age 5 to 7 years there may be little sign of the original growth in many children and in other children a fibrofatty mass with pale and wrinkled skin may be left Critical structures that may be involved include Eye orbit Eyelids Ear canal Mouth Airway Complications such as ulceration bleeding disfigurement and interference with vision hearing eating or breathing require active treatment In these complex cases steroid treatment laser surgery or reconstructive surgery may be needed Hemangiomas Patient 1 Before After Photos Hemangiomas Patient 2 Before After Photos Hemangiomas Patient 3 Before After Photos Hemangiomas Patient 4 Before After Photos Hemangiomas Patient 5 Before After Photos Hemangiomas Patient 6 Before After Photos Hemangiomas Patient 7 Before After Photos Vascular malformations Vascular malformations are diffuse lesions consisting of abnormal vessels which are present at birth and which grow in proportion to the child s growth Vascular malformations are classified by the type of vessel involved Capillary Venous Lymphatic Arterial Capillary venous and lymphatic malformations are often mixtures of two or three of these vessel types and there is a low flow rate through these vessels Capillary

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/vascular-lesions/ (2015-03-26)
    Open archived version from archive

  • Craniosynostosis
    Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Plastic Surgery Cleft Palate Craniofacial Disorders Conditions Treated Craniosynostosis Rady Children s Specialists Plastic Surgery Cleft Palate Craniofacial Disorders Craniosynostosis Plastic Surgery Cleft Palate Craniofacial Disorders Team Conditions Treated Advanced Procedures Fellowship Fresh Start Clinic Resources Locations Patient Stories Craniosynostosis Craniosynostosis is a congenital defect that prevents normal skull and brain growth This disorder falls into two categories non syndromic craniosynostosis in which the cause is usually unknown and syndromic craniosynostosis an inherited defect Both forms of craniosynostosis can be successfully treated with surgery Children who require surgery for craniosynostosis may need care in Rady Children s Pediatric Intensive Care Unit PICU which is consistently ranked one of the top PICUs in the country Fortunately almost all of our endoscopic and traditional surgical patients are transferred to a medical surgical floor with the latest monitoring equipment All patient data is carefully tracked in state of the art web based

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/craniosynostosis/ (2015-03-26)
    Open archived version from archive

  • Ear and nose deformities
    requires four operations Sculpturing rib cartilage into an ear framework Moving the ear lobe into proper position Elevating the new ear from the side of the head Creating a tragus and deeper conchal bowl In order for the rib cartilage to be large enough to sculpture an ear framework surgery is performed when the child reaches 6 years of age By performing one of the surgical stages every three months the ear reconstruction is completed in one year If both ears are affected CT scans are obtained and evaluated by an otologist specialized in reconstruction of the eardrum and middle ear Our pediatric craniofacial surgeons are very experienced and accomplished in the art of ear reconstruction and take special pleasure in treating each child with microtia Otoplasty Otoplasty is a surgical procedure used to correct prominent ears The most common cause of prominent ears is lack of an antihelical fold normally present just inside the rim of the ear A wide concha or bowl of the ear can also contribute to prominence of the ear Children become self conscious about their appearance at age 5 7 years therefore making this the most common time for otoplasty procedures Children can typically be treated any time after 4 years of age when the ear is nearly adult sized The technique of otoplasty uses an incision on the back of the ears that is hidden from view Through this incision the antihelical fold can be created and the height of the conchal bowl can be reduced Nicely positioned ears are symmetrical and their rims are between 15 and 20 mm from the side of the head The surgery itself is simple and reliable in most cases providing an expert carries out the operation Usually the child can go home on the day of surgery Our pediatric craniofacial plastic surgeons have tremendous experience with a wide range of ear operations and are well suited to handle this delicate procedure Nasal Reconstruction Nasal Reconstruction is often necessary for children and young adults with complex craniofacial disorders The nose may be small and underdeveloped cleft or divided in halves or missing on one side Soft tissue defects from bites or injuries may also lead to disfigurement requiring nasal reconstruction Nasal reconstruction can be complex due to the need for inside mucosal lining bony and cartilaginous skeletal support and outside skin covering all contoured to fit a child s individual face A variety of techniques including cranial bone grafting cartilage grafting and soft tissue reconstruction with techniques such as the forehead flap may be necessary Because a reconstructed nose may not grow in proportion to the child s face it is frequently necessary to touch up the reconstruction in the teen years Our pediatric craniofacial plastic surgeons are thoroughly familiar with soft tissue techniques and the latest types of cartilage and bone reconstruction These surgeons address some of the most complex cleft and craniofacial disorders and as a result they are very experienced with the associated complex

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/ear-and-nose-deformities/ (2015-03-26)
    Open archived version from archive

  • Malignant tumors
    Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Plastic Surgery Cleft Palate Craniofacial Disorders Conditions Treated Malignant tumors Rady Children s Specialists Plastic Surgery Cleft Palate Craniofacial Disorders Malignant tumors Plastic Surgery Cleft Palate Craniofacial Disorders Team Conditions Treated Advanced Procedures Fellowship Fresh Start Clinic Resources Locations Patient Stories Malignant tumors Malignant tumors of the head in infants and children appear as solid masses that enlarge rapidly Malignant solid tumors such as rhabdomyosarcoma and fibrosarcoma account for two thirds of the neoplasms in children Aggressive treatment requires an interdisciplinary team of specialists including Pediatric oncologist Radiation oncologist Diagnostic radiologist Surgical pathologist Craniofacial plastic surgeon Any new mass discovered in an infant or child should receive immediate medical evaluation to rule out a malignant tumor Most malignant tumors will be treated by a combination of modalities including chemotherapy radiation therapy or surgery Often these lesions are deeply located and difficult to access such as tumors inside the orbit or under the skull base In these children a pediatric craniofacial plastic surgeon and a pediatric oculoplastic or neurosurgeon will work together as

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/malignant-tumors/ (2015-03-26)
    Open archived version from archive

  • Sleep apnea and compromised airway
    Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Plastic Surgery Cleft Palate Craniofacial Disorders Conditions Treated Sleep apnea and compromised airway Rady Children s Specialists Plastic Surgery Cleft Palate Craniofacial Disorders Sleep apnea and compromised airway Plastic Surgery Cleft Palate Craniofacial Disorders Team Conditions Treated Advanced Procedures Fellowship Fresh Start Clinic Resources Locations Patient Stories Sleep apnea and compromised airway Sleep apnea and compromised airways can occur due to a variety of abnormal conditions such as Pierre Robin syndrome a disorder characterized by a small lower jaw cleft palate and poor oxygenation The cause of a compromised airway can be determined by careful examination and X ray studies Additionally a sleep study is often used to determine the severity of the airway problem Causes of sleep apnea and compromised airways include Choanal stenosis Enlarged tonsils and adenoids Enlarged tongue and small chin Underdeveloped upper jaw maxilla Underdeveloped lower jaw mandible Collapse of the larynx or trachea Specialists at Rady Children s include pediatric craniofacial plastic surgeons head and neck surgeons pulmonary doctors radiologists and sleep lab technicians As members of this pediatric

    Original URL path: http://www.rchsd.org/programs-services/craniofacial-disorders/conditions-treated/sleep-apnea-and-compromised-airway/ (2015-03-26)
    Open archived version from archive

  • Steven Cohen, M.D.
    career path He went on to complete his general surgery residency at Dartmouth his plastic surgery training at the University of Pennsylvania and Children s Hospital of Philadelphia and a fellowship in craniofacial and facial plastic surgery with Dr Henry Kawamoto at the University of California Los Angeles From 1990 to 1993 Dr Cohen founded and directed the Craniofacial Anomalies Program at the University of Michigan in Ann Arbor From 1993 to 1999 he was co director of the Center for Craniofacial Disorders at Children s Healthcare of Atlanta In 1999 Dr Cohen became the chief of craniofacial surgery and surgical director of the Craniofacial Center at Children s Hospital of San Diego and founded FACES one of the first comprehensive plastic surgery skin and laser centers in the United States Dr Cohen is known throughout the world for his contributions to the treatment of children with facial deformities including cleft lip and serious craniofacial skeletal malformations He was the first to treat infants with Pierre Robin syndrome with the distraction procedure now the procedure of choice for this condition Dr Cohen is also the inventor of one of the first internal distraction systems the MID system and holds a patent on the Macropore biodegradable distraction device He has helped develop a number of other new surgical techniques in conjunction with Macropore Biosurgery Inc and Stryker Leibinger Inc Dr Cohen is very involved in the plastic surgical training program at UC San Diego In addition to founding and securing funding for the UC San Diego Rady Children s Craniofacial Fellowship Dr Cohen started the UC San Diego Aesthetic Fellowship In 2001 2011 and 2014 Dr Cohen was selected as Teacher of the Year by the UC San Diego plastic surgery residents Formerly on the executive boards of the American Society of Craniofacial Surgery the American Society of Maxillofacial Surgeons and the American Cleft Palate Craniofacial Association Dr Cohen was also a founder of the Cell Society an international organization dedicated to educating physicians and the public on emerging treatments in regenerative medicine He has helped to pioneer new regenerative cell therapies in his own specialty as well as in orthopedic surgery sports medicine and cardiology Currently he works closely with Cytori Therapeutics Inc a leading provider of cell therapy solutions for cardiac musculoskeletal and soft tissue disorders Dr Cohen has been an invited speaker throughout the United States Europe Asia South America and Australia and is an honorary member of the Royal College of Australian Surgeons He has been an invited surgeon to a number of medical centers including Johns Hopkins Stanford and the University of California San Francisco to demonstrate and teach surgical techniques Dr Cohen has lectured and operated throughout the world demonstrating new surgical techniques in regenerative surgery most recently in Korea Japan Hong Kong and Spain He has written more than 150 articles for medical journals and served on the editorial board of Plastic Reconst ructive Surgery the Annals of Plastic Surgery and the Cleft Palate

    Original URL path: http://www.rchsd.org/doctors/steven-cohen-md/ (2015-03-26)
    Open archived version from archive



  •