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  • Aesthetic
  • Aesthetic Outcomes
  • Wojciech Dec

    Prominent publications by Wojciech Dec

    KOL Index score: 8872

    BACKGROUND: Nasoalveolar molding was developed to improve dentoalveolar, septal, and lower lateral cartilage position before cleft lip repair. Previous studies have documented the long-term maintenance of columella length and nasal dome form and projection. The purpose of the present study was to determine the effect of presurgical nasoalveolar molding on long-term unilateral complete cleft nasal symmetry.

    METHODS: A retrospective review of 25 consecutively presenting nonsyndromic ...

    Also Ranks for: Nasal Symmetry |  nasoalveolar molding |  cleft palate |  complete unilateral |  surgical correction
    KOL Index score: 7760

    The incidence of postoperative complications in cleft care is low. In this 19-year retrospective analysis of cleft lip and palate patients treated with preoperative nasoalveolar molding, we examine the incidence of postoperative oronasal fistulae. The charts of 178 patients who underwent preoperative nasoalveolar molding by the same orthodontist/prosthodontist team and primary cleft lip/palate repair by the same surgeon over a 19-year period were reviewed. Millard, Mohler, Cutting, or ...

    Also Ranks for: Nasoalveolar Molding |  cleft repair |  oronasal fistula |  postoperative complications |  lip palate
    KOL Index score: 5311

    BACKGROUND: The application of distraction osteogenesis is an effective treatment for mandibular deficiencies. A priori, a horizontal vector of distraction was hypothesized to produce horizontal movement of the mandible and a vertical vector of distraction to produce primarily downward vertical elongation of the ramus. This study was designed to test this hypothesis.

    METHODS: A retrospective clinical and radiographic review was conducted of all patients who underwent bilateral, uniplanar ...

    Also Ranks for: Mandibular Distraction |  external device |  mandible osteogenesis |  facial asymmetry |  counterclockwise rotation
    KOL Index score: 4957

    BACKGROUND: Unilateral craniofacial microsomia is characterized by soft-tissue and bony deficiencies. Mandibular distraction osteogenesis can be used to augment the hypoplastic skeleton and improve facial symmetry. The aim of this study was to determine how the vector of unilateral mandibular distraction affects treatment outcomes.

    METHODS: A retrospective chart and radiographic review was conducted of all patients treated with external mandibular distraction osteogenesis between October ...

    Also Ranks for: Mandibular Distraction |  mandible osteogenesis |  retrospective studies |  facial asymmetry |  cephalometry child
    KOL Index score: 4311

    Preoperative nasoalveolar molding (NAM) in combination with primary gingivoperiosteoplasty (GPP) reduces the need for secondary alveolar bone grafting by 60% in patients with unilateral cleft lip and palate (CL/P). Herein, we investigate the efficacy of NAM and primary GPP in patients with bilateral CL/P. All patients (n = 38) with bilateral CL/P who underwent NAM and primary GPP from 1988 to 1998 with at least 14 years of follow-up were included in this study. Panoramic and periapical ...

    Also Ranks for: Presurgical Nasoalveolar Molding |  bone grafting |  gpp patients |  follow studies |  cleft lip
    KOL Index score: 4306

    Although recent studies indicate that regional dura mater influences the fate of the overlying cranial suture, little is known about the assembly of extracellular matrix (ECM) molecules within the patent and fusing murine cranial suture complexes. Confocal laser scanning microscopy was used to study ECM assembly within patent and fusing cranial suture complexes. Coronal sections (20 microm thick) of patent sagittal (SAG) and fusing posterior frontal (PF) sutures from postnatal 8-, 14-, ...

    Also Ranks for: Cranial Sutures |  frontal bone |  suture fusion |  imaging dimensional
    KOL Index score: 3266

    Background: Achieving excellent aesthetic outcomes in reconstruction of large or ptotic breasts is especially challenging. Incorporating a Wise pattern into the mastectomy design is effective in reducing the excess breast skin, however it increases the risk of mastectomy skin necrosis. The aim of this study is to describe surgical maneuvers which optimize aesthetic outcomes, anticipate flap volume requirements, and limit mastectomy skin necrosis in autologous reconstruction in patients ...

    Also Ranks for: Aesthetic Outcomes |  breast reconstruction |  wise pattern |  mastectomy skin |  incision design
    KOL Index score: 3043

    The decision to replant a severed part is based on the numerous factors that influence survival of the part and the functional and aesthetic benefits gained from replanting. Not all amputees will benefit from or are candidates for replantation. The decision to proceed is therefore made by the surgeon who must consider the mechanism and extent of injury, the age of the patient, the presence of other medical or surgical conditions, the likely functional outcomes, and the patient's ...

    Also Ranks for: Digit Replantation |  success rates |  functional outcomes |  factors amputation |  finger injuries
    KOL Index score: 2871

    BACKGROUND: The need to restore both the missing breast volume and breast surface area makes achieving excellent aesthetic outcomes in delayed breast reconstruction especially challenging. Autologous breast reconstruction can be used to achieve both goals. The aim of this study was to identify surgical maneuvers that can optimize aesthetic outcomes in delayed breast reconstruction.

    METHODS: This is a retrospective review of operative and clinical records of all patients who underwent ...

    Also Ranks for: Breast Reconstruction |  aesthetic outcomes |  patient characteristics |  underwent unilateral
    KOL Index score: 2859

    The ability to affect gene expression via topical therapy has profound therapeutic implications for conditions characterized by open wounds including cutaneous neoplasms, thermal injury, skin disorders and dysfunctional wound healing. Specifically targeting local gene expression avoids systemic toxicity and simplifies treatment. We have developed a new method of topical matrix-based short interfering RNA application to precisely and effectively silence local gene expression in nondelimited wounds.

    Also Ranks for: Gene Expression |  topical therapy |  skin disorders |  wound healing |  interfering rna
    KOL Index score: 2199

    Despite significant advances in cleft lip and palate treatment, anatomical controversies remain. Some have proposed that the width of the cleft is due to alveolar segmental displacement. Others suggest that the width is due to palatoalveolar hypoplasia. Improving our understanding of cleft anatomy may have implications for presurgical orthopedics and tissue engineering therapies. Palatoalveolar impressions of 17 noncleft children and 11 children with complete (alveolar, primary, and ...

    Also Ranks for: Cleft Palate |  dental models

    Best Face Forward

    KOL Index score: 1473

    Craniofacial vascularized composite allotransplantation is especially challenging when bony components are required. Matching the complex three-dimensional anatomy of the donor and recipient craniofacial skeletons to optimize bony contact and dental occlusion is a time-consuming step in the operating room. Currently, few tools exist to facilitate this process. The authors describe the development of a virtual planning protocol and patient-specific device design to efficiently match the ...

    Also Ranks for: Dental Occlusion |  facial transplantation |  computer simulation |  humans imaging |  donor recipient
    KOL Index score: 1240

    Breast reconstruction that leaves no visible scars on the breast is possible for a subset of patients. This article reviews a cohort of 10 patients who underwent 14 autologous breast reconstructions. To achieve a reconstruction without visible breast scars, the mastectomy and autologous reconstruction are carried out through a periareolar incision. At the completion of the reconstruction, a small skin paddle is externalized through the mastectomy incision and in a subsequent stage ...

    Also Ranks for: Breast Reconstruction |  mastectomy incision
    KOL Index score: 1171

    Background Management of craniofacial and cranial base tumors is a challenge due to the anatomic intricacies associated with the calvarium, the pathological diversity of lesions that present, and the potential complications. Clinical outcomes in laparoscopically harvested omentum free flaps for cranial base and craniofacial reconstruction are presented in this paper, in the largest case series to date. Methods A retrospective single-center experience for over 10 years with ...

    Also Ranks for: Anterior Skull Base |  free flap |  methods retrospective
    KOL Index score: 1158

    BACKGROUND: Patients undergoing autologous breast reconstruction are at high risk of perioperative venous thromboembolic events. The efficacy of chemoprophylaxis in decreasing venous thromboembolic events is well established, but the timing of chemoprophylaxis remains controversial. The authors compare the incidence of bleeding following preoperative versus postoperative initiation of chemoprophylaxis in microvascular breast reconstruction.

    METHODS: A retrospective chart review was ...

    Also Ranks for: Postoperative Chemoprophylaxis |  venous thromboembolism |  humans mammaplasty |  blood transfusion |  breast reconstruction


    Wojciech Dec: Influence Statistics

    Sample of concepts for which Wojciech Dec is among the top experts in the world.
    Concept World rank
    mastectomy incision design #2

    Key People For Aesthetic Outcomes

    Top KOLs in the world
    Scott L Spear
    breast reconstruction acellular dermal matrix capsular contracture
    Andrea L Pusic
    breast reconstruction reported outcome quality life
    Peter G Cordeiro
    breast reconstruction tissue expander free flap
    Amy K Alderman
    breast reconstruction plastic surgeons united states
    Maurice Y Nahabedian
    breast reconstruction acellular dermal matrix capsular contracture
    Edwin G Wilkins
    breast reconstruction acellular dermal matrix autologous fat grafting

    Wojciech Dec:Expert Impact

    Concepts for whichWojciech Dechas direct influence:Aesthetic outcomes,  Breast reconstruction,  Nasoalveolar molding,  Nasal symmetry,  Mandibular distraction,  Preoperative planning,  Cranial sutures,  Mastectomy incision design.

    Wojciech Dec:KOL impact

    Concepts related to the work of other authors for whichfor which Wojciech Dec has influence:Nasoalveolar molding,  Cleft lip,  Digital replantation,  Mandibular distraction,  Hemifacial microsomia,  Nasal symmetry,  Palate patients.



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    From the, Lenox Hill Hospital, New York, N.Y. | Manhattan Eye Ear and Throat Hospital, New York, N.Y. | Department of Plastic Surgery, Lenox Hill Hospital, New York, N.Y. | Department of Plastic Surgery, Northwell Health Lenox Hill Hospital, New York