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Todd Ponsky, MD
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Todd Ponsky, MD

@tponsky
#PediatricSurgeon, Professor of Surgery, Dir. of Clinical Transformation @CincyChildrens, CEO of @GlobalCastMD, Creator of @StayCurrentMD Ped trauma surgeon
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  • Pinned
    user avatar
    Todd Ponsky, MD
    @tponsky
    May 13, 2022
    The mission statement behind @GlobalCastMD 's app, @StayCurrentMD where medical content is aggregated into one platform to make it easy & accessible for doctors all over the world. StayCurrent download: gcmd.co/3LQ5itD #pedsurg #pediatricsurgery #SoMe4PedSurg
    Image
    00:00
  • PedSurg
    user avatar
    Todd Ponsky, MD
    @tponsky
    Aug 21
    More information:cincinnatichildrens.org/service/c/cran…
    user avatar
    StayCurrentMD
    @StayCurrentMD
    Aug 21
    Craniosynostosis: refer before 3 months and a suturectomy + helmet may suffice. Wait, and it's open vault remodeling or distraction. Timing is the intervention. — Dr. Scott Rapp, CCHMC More information:cincinnatichildrens.org/service/c/cran… #PedSurg #MedEd Made possible by @CincyChildrens
    An infographic on a blue-gradient background with a light blue tag in the top left corner that reads "Craniofacial." In the top right corner is a white logo block reading "Made possible by Cincinnati Children's, changing the outcome together." 

Centered white text reads: "DID YOU KNOW" separated by a light blue line from "Two babies, both with craniosynostosis." 

Below, a bright blue rounded button contains the white text: "WHY MIGHT THEY GET DIFFERENT OPERATIONS?" 

At the bottom left, it reads "1/5," and a white arrow points to the right in the bottom right corner.
    An educational graphic on a blue background, labeled "Craniofacial" and "Made possible by Cincinnati Children's." 

The main text reads:
"THE ANSWER: THEIR AGE. THE YOUNGER THE BABY, THE SIMPLER THE OPERATION."

Below this, a large quote in white text reads: 
"Zero to three months: a suturectomy with cranial orthosis afterwards."

At the bottom left, a square portrait shows Scott Rapp, MD, FACS, a smiling man with short brown hair wearing a dark suit and white shirt. Beside his photo, his title is listed as: "Scott Rapp, MD, FACS, Associate Professor, UC Department of Surgery, Cincinnati Children's."
    An informational graphic with a blue and purple gradient background about craniofacial treatments based on age. 

At the top left, a light blue tag reads "Craniofacial." At the top right, a white box says "Made possible by Cincinnati Children’s." 

The main text reads:
"AGE DRIVES IT
UNDER 3 MONTHS
The small fix: a minimal suturectomy plus a molding helmet.

3 TO 6 MONTHS
A bigger operation: distraction or open vault remodeling."

At the bottom left, the page number reads "3/4" next to a white arrow pointing to the right at the bottom right corner.
    An informational graphic with a blue and purple gradient background. 

At the top left, a light blue pill-shaped badge reads "Craniofacial." In the top right, a white box says "Made possible by" above the Cincinnati Children's logo. 

The main text of the graphic, in white, reads:
"THE TAKEAWAY
SO REFER EARLY
The younger the baby, the smaller the operation.
Catch craniosynostosis early and the gentlest options stay open."

At the bottom left, it reads "4/4" in white. Large, faint purple-blue background graphics spell out "Craniofacial" at the top and "GO" at the bottom.
  • user avatar
    Todd Ponsky, MD
    @tponsky
    Aug 21
    More information:cincinnatichildrens.org/service/c/cran…
    user avatar
    StayCurrentMD
    @StayCurrentMD
    Aug 21
    Craniosynostosis: refer before 3 months and a suturectomy + helmet may suffice. Wait, and it's open vault remodeling or distraction. Timing is the intervention. — Dr. Scott Rapp, CCHMC More information:cincinnatichildrens.org/service/c/cran… #PedSurg #MedEd Made possible by @CincyChildrens
    An infographic on a blue-gradient background with a light blue tag in the top left corner that reads "Craniofacial." In the top right corner is a white logo block reading "Made possible by Cincinnati Children's, changing the outcome together." 

Centered white text reads: "DID YOU KNOW" separated by a light blue line from "Two babies, both with craniosynostosis." 

Below, a bright blue rounded button contains the white text: "WHY MIGHT THEY GET DIFFERENT OPERATIONS?" 

At the bottom left, it reads "1/5," and a white arrow points to the right in the bottom right corner.
    An educational graphic on a blue background, labeled "Craniofacial" and "Made possible by Cincinnati Children's." 

The main text reads:
"THE ANSWER: THEIR AGE. THE YOUNGER THE BABY, THE SIMPLER THE OPERATION."

Below this, a large quote in white text reads: 
"Zero to three months: a suturectomy with cranial orthosis afterwards."

At the bottom left, a square portrait shows Scott Rapp, MD, FACS, a smiling man with short brown hair wearing a dark suit and white shirt. Beside his photo, his title is listed as: "Scott Rapp, MD, FACS, Associate Professor, UC Department of Surgery, Cincinnati Children's."
    An informational graphic with a blue and purple gradient background about craniofacial treatments based on age. 

At the top left, a light blue tag reads "Craniofacial." At the top right, a white box says "Made possible by Cincinnati Children’s." 

The main text reads:
"AGE DRIVES IT
UNDER 3 MONTHS
The small fix: a minimal suturectomy plus a molding helmet.

3 TO 6 MONTHS
A bigger operation: distraction or open vault remodeling."

At the bottom left, the page number reads "3/4" next to a white arrow pointing to the right at the bottom right corner.
    An informational graphic with a blue and purple gradient background. 

At the top left, a light blue pill-shaped badge reads "Craniofacial." In the top right, a white box says "Made possible by" above the Cincinnati Children's logo. 

The main text of the graphic, in white, reads:
"THE TAKEAWAY
SO REFER EARLY
The younger the baby, the smaller the operation.
Catch craniosynostosis early and the gentlest options stay open."

At the bottom left, it reads "4/4" in white. Large, faint purple-blue background graphics spell out "Craniofacial" at the top and "GO" at the bottom.
  • PedSurg
    user avatar
    Todd Ponsky, MD
    @tponsky
    Aug 21
    Full text: pubmed.ncbi.nlm.nih.gov/41995823/?utm_…
    user avatar
    StayCurrentMD
    @StayCurrentMD
    Aug 21
    New infographic by @lizzyPAC8 “Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis" Takajo D et al. Full text: pubmed.ncbi.nlm.nih.gov/41995823/?utm_… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
    An infographic titled "Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis." 

The graphic summarizes a retrospective, single-center study from 2015–2023 of 56 patients with biventricular pulmonary vein stenosis, comparing catheter-based intervention versus surgical pulmonary vein repair. 

Key findings include:
* Catheter-based treatment became the preferred initial approach over time.
* Surgery was reserved for the most complex patients: multiple severely narrowed pulmonary veins, bilateral disease, and associated congenital heart defects.
* 92% of surgical patients needed another procedure, with most repeat procedures occurring within the 1st year.
* There was no significant difference in mortality between the surgical and catheter-based groups.

Conclusion: Consider catheter-based intervention first when anatomy allows. Reserve surgical repair for complex or extensive disease. Repeat procedures are common in both strategies.
  • user avatar
    Todd Ponsky, MD
    @tponsky
    Aug 21
    Full text: pubmed.ncbi.nlm.nih.gov/41995823/?utm_…
    user avatar
    StayCurrentMD
    @StayCurrentMD
    Aug 21
    New infographic by @lizzyPAC8 “Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis" Takajo D et al. Full text: pubmed.ncbi.nlm.nih.gov/41995823/?utm_… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
    An infographic titled "Surgical and Catheter-Based Intervention in Pediatric Pulmonary Vein Stenosis." 

The graphic summarizes a retrospective, single-center study from 2015–2023 of 56 patients with biventricular pulmonary vein stenosis, comparing catheter-based intervention versus surgical pulmonary vein repair. 

Key findings include:
* Catheter-based treatment became the preferred initial approach over time.
* Surgery was reserved for the most complex patients: multiple severely narrowed pulmonary veins, bilateral disease, and associated congenital heart defects.
* 92% of surgical patients needed another procedure, with most repeat procedures occurring within the 1st year.
* There was no significant difference in mortality between the surgical and catheter-based groups.

Conclusion: Consider catheter-based intervention first when anatomy allows. Reserve surgical repair for complex or extensive disease. Repeat procedures are common in both strategies.
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