The Cleft & Craniofacial Program at Vanderbilt: Multi-Disciplinary …€¦ · Chief of...

The Cleft & Craniofacial Program at Vanderbilt:

Multi-Disciplinary Team & Craniofacial Distraction

Michael Golinko MD FAAP FACS

Chief of Pediatric Plastic Surgery

Director: Cleft & Craniofacial Program

ISPAN 2019

Vanderbilt University Medical Center

Disclosures

All patient families and patients

have photographic consent

The Vanderbilt Cleft & Craniofacial Team

at Monroe Carrel Jr. Children’s Hospital “Operate, innovate, educate”

October 2019

Dr Brinkley Sandvall

Pediatric hand,

microsurgery,

Facial re-animation

General Peds Plastics

Dr Blair Summit & Stephane Braun

Laser & Fetal surgery, Cleft surgery Dr Golinko & Kelly

Craniofacial , Cleft & Jaw surgery

Clare Gargaro PA Amanda Bailey NPVanderbilt University Medical Center

Plastic Surgery

Neurosurgery

Oral Maxillofacial

Jim Phillips MDSam McKenna MD, DDSStephane Braun MD

From “pre-natal to

Prom”

Twice Monthly

CME 1.0 credits ‘round-

table conference

immediately following

Surgery

Speech & Audio

Genetics

Dentistry

Social Work

Who & When to refer to Team

Any new patient of any age

that is new to Nashville with a

Newborn primary cleft lip and

palate

Newborn ear deformities

Pierre Robin sequence as soon

as diagnosed

As son as clinical suspicion

raised

Craniofacial Microsomia

Treacher-Collins

Complex Craniosynostosis,

Apert, Pfeiffer, Crouzon

Clare Gargaro PA-C

HOW to refer

https://www.childrenshospitalvanderbilt.org

/program/cleft-craniofacial

Team day video

3 month post-op

Cleft Lip & Palate 1 in 500-1000 births, most common facial birth difference

1.5 year follow-up

3 year follow-up

Craniosynostosis 1/1000-2000 births

Distraction

osteogenesis

Skeletal Distraction

Day 1 : Placement of device , then latency

Day 2-5: Device Activation, then consolidation

Days 60-90: Device removal

Pierre-Robin Sequence:

micrognathia glossoptosis cleft palate ( 1 in 9K-

Obstructive sleep apnea

Skull base – Matthews Device

LeFort I level

Cranial Vault Distraction to

expand intra-cranial volume

LeFort III Level- Crouzon

Hemi-facial or

Craniofacial

microsomia

Trauma

Gunshot to the face-initial CT

ORIF mandible + DBX/BMP bone

graft 8mm gap

Severe MicrognathiaSevere Micrognathia

Plastic Surgery

Neurosurgery

Oral Maxillofacial

Jim Phillips MDSam McKenna MD, DDSStephane Braun MD

THANK YOU

Vandy NP team

Dora, Erin &

Amanda !

“Helping children face the world”

The Cleft & Craniofacial Program at Vanderbilt: Multi-Disciplinary …€¦ · Chief of...

Documents

ROLE OF ORTHODONTIST IN CLEFT PALATE CRANIOFACIAL TEAMbds007.yolasite.com/resources/ortho/clefts.pdf · 2012-10-26 · Introduction Dictionary meaning of cleft is a crack, fissure,

The Cleft-Craniofacial Center - Albany Medical College · The Cleft-Craniofacial Center is a regional resource where families can receive care for their children with treating specialists

Cleft & Velopharyngeal Dysfunction · Craniofacial Anomalies and Cleft Lip & Palate Team Topics Objectives Charleston named Top U.S. City for the 4th consecutive year! Condé Nast

Caring for Kids with Clefts or Craniofacial Differences · Caring for Kids with Clefts or Craniofacial Differences ... Prenatal Diagnosis – Cleft lip and palate 33.3% ... soon as

UCM CLEFT AND CRANIOFACIAL NEWSLETTER

Craniofacial Surgery for Craniosynostosis: Challenges in ... Final 2010... · dealing with cleft lip-palate and craniofacial deformities (i.e., craniosynostosis) at The Tawanchai

Cleft lip & Cleft palate

Cleft Sentences - Cleft Sentences

The Cleft-Craniofacial Center

Evaluation and Management of Cleft Lip and Palate · vii Preface This book is intended to be a concise, practical, and evidence-based text on cleft lip and palate and related craniofacial

Volume 3 / Issue 2 / July-December 2016 - cleft- · PDF file3 Issue 2 July-December 2016 Pages 61-?? ... Journal of Cleft Lip Palate and Craniofacial Anomalies July-December 2016

FEEDING YOUR BABY - CleftlineFeeding Your Baby is also available on CD-Rom. Contact the American Cleft Palate-Craniofacial Association at 1.800.24.CLEFT (1-800-242-5338) to request

Case Report Unilateral Cranio-Facial Cleft with an Open ... fileUnilateral Cranio-Facial Cleft with an Open Encephalocele Key Words: Craniofacial, ... developmental zones of the face

Treating Complex Craniofacial Forest Park Medical Center ......and cleft surgery. His surgical practice at the world-class Forest Park Medical Center revolves around the treatment

Management of Cleft Lip/Palate and Craniofacial Concerns ...Management of Cleft Lip/Palate and Craniofacial Concerns in Infants and Children: The Integration of Medicine and Therapy

Cleft Lip v.1: Pre-Operative - Seattle Children's Patient Visit (s) PHASE I Inclusion Criteria Patients with unrepaired cleft lip (with or without cleft palate) referred to Craniofacial

Rehabilitative treatment of cleft lip and palate ... · Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP

10th ANNUAL C S of HAND THERAPISTS · PDF fileChildren’s Hospital. ... with both the Universities of Western Ontario and McMaster. ... pediatric, cleft, craniofacial, and cosmetic

The IAOMS Foundation Spotlight March 2019.pdfMaxillofacial Oncologic and Microvascular Reconstructive Surgery and Cleft Lip and Palate and Craniofacial Surgery. KLS Martin Cleft Lip

Theresa M. Snelling, MA, CCC-SLP Pediatric Speech-Language Pathologist Clinical Coordinator Rose Cleft Palate and Craniofacial Center Denver, Colorado