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The latest information about the 2019 Novel Coronavirus, including vaccine clinics for children ages 6 months and older.

La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para niños de 6 meses en adelante.

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Karl Bruckman, MD, DDS

  • Karl Craig Bruckman
  • “I am honored to use my abilities to help children lead happy, healthy and active lives.”

As both a plastic surgeon and an oral and maxillofacial surgeon, I combine research and leading-edge clinical care to create a personalized treatment plan for patients with craniofacial conditions. I optimally restore both function (normal bite) and form (facial aesthetics), thus improving the quality of life for my patients. When surgery is needed, I intervene at just the right stage in a child's growth to ensure a successful outcome. I take a team-based approach to patient care, partnering with the family in all aspects of treatment.

Especialidades médicas y/o especialidades quirúrgicas

Plastic Surgery

Oral & Maxillofacial Surgery

Trabajo y educación

Educación

Thomas Jefferson University Office of the Registrar, Philadelphia, PA, 06/02/2011

Columbia University School of, New York, NY, 05/21/2008

Últimos años de residencia

The Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, NY, 06/30/2018

Thomas Jefferson University Hospital, Philadelphia, PA, 06/30/2012

Thomas Jefferson University Hospital, Philadelphia, PA, 06/30/2014

Thomas Jefferson University Hospital, Philadelphia, PA, 06/30/2015

Subespecialidad

Yale University Pediatric Surgery, New Haven, CT, 06/30/2019

Certificado(s) de especialidad

Oral & Maxillofacial Surgery, American Board of Oral & Maxillofacial Surgery

Plastic & Reconstructive Surgery, American Board of Plastic Surgery

Experiencia

Cleft Lip/Cleft Palate

Congenital Anomalies

Facial Fractures

Hemifacial Microsomia

Jaw Deformities

Jaw Surgery

Jaw Tumors/Cysts

Microsomia

Obstructive Sleep Apnea

Skin Lesions

Temporomandibular Joint (TMJ) Disorders

Velopharyngeal Dysfunction/Insufficiency

Todo Publicaciones

Epistaxis After Orthognathic Surgery: Literature Review and Three Case Studies. Craniomaxillofacial trauma & reconstruction Girard, A., Lopez, C. D., Chen, J., Perrault, D., Desai, N., Bruckman, K. C., Bartlett, S. P., Yang, R. 2022; 15 (2): 147-163

Abstract

This is a literature review with 3 case studies.Intraoperative and postoperative bleeding are the most common complications of orthognathic surgery and have the potential to become life-threatening. The rarity of severe postoperative epistaxis has resulted in limited characterization of these cases in the literature. The purpose of this study is to 1) differentiate various presentations of epistaxis following orthognathic surgery in the literature, 2) identify management approaches, and 3) to synthesize a treatment algorithm to guide future management of postoperative epistaxis.A literature search of PubMed was conducted and 28 cases from 17 studies were assessed.Bleeding within the first week may indicate isolated epistaxis, often resolved with local tamponade. Half of cases were attributed to pseudoaneurysm rupture (n = 14), with epistaxis onset ranging from postoperative day 6 to week 9. Angiography was used in most cases (n = 17), often as the primary imaging modality (n = 11). Nasal endoscopy is a less invasive and effective alternative to angiography with embolization. Proximal vessel ligation was used in 3 cases but is not preferred because collaterals may reconstitute flow through the defect and cause rebleeding. Repeat maxillary down-fracture with surgical exploration was described in 4 cases.As outlined in our management algorithm, nasal packing and tamponade should be followed by either local electrocautery or vascular imaging. Angiography with embolization is the preferred approach to diagnosis and management, whereas surgical intervention is reserved for cases of embolization failure or unavailability.

View details for DOI 10.1177/19433875211008086

View details for PubMedID 35633764

View details for PubMedCentralID PMC9133520

A Systematic Review of Mandibular Distraction Osteogenesis Versus Orthodontic Airway Plate for Airway Obstruction Treatment in Pierre Robin Sequence. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association Abbas, D. B., Lavin, C., Fahy, E. J., Choo, H., Truong, M. T., Bruckman, K. C., Khosla, R. K., Lorenz, H. P., Momeni, A., Wan, D. C. 2021: 10556656211011886

Abstract

OBJECTIVE: Mandibular distraction osteogenesis (MDO) is frequently performed to address airway obstruction in patients with Pierre Robin sequence (PRS), though more recently the technique of orthodontic airway plating (OAP) has gained traction. We aimed to evaluate OAP compared to MDO for airway obstruction in PRS.DESIGN: A systematic literature search across PubMed, Embase, and Google Scholar identified all studies published in English, which involved MDO or any form of OAP as treatments for PRS. All relevant articles were reviewed in detail and reported on, adhering to PRISMA guidelines.MAIN OUTCOME MEASURES: Airway (tracheostomy avoidance, decannulation rate), feeding (full oral feeding tolerance).RESULTS: Literature search identified 970 articles, of which 42 MDO studies and 9 OAP studies met criteria for review. A total of 1159 individuals were treated with MDO, and 322 individuals were treated with OAP. Primary outcomes appear similar for MDO and OAP at face value; however, this must be interpreted with different pretreatment contexts in mind.CONCLUSIONS: Orthodontic airway plating may be considered for airway obstruction in PRS, as some airway-related and feeding-related outcomes appear similar with MDO, per existing evidence in the literature. However, since PRS severity differed between studies, OAP cannot be uniformly considered a replacement for MDO. Further research is required to more comprehensively assess these treatment modalities inclusive of metrics that allow for direct comparison.

View details for DOI 10.1177/10556656211011886

View details for PubMedID 34075816

Readability of Online Patient Information Relating to Cleft Palate Surgery. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association Lavin, C. V., Fahy, E. J., Abbas, D. B., Griffin, M., Deleon, N. M., Lee, D. K., Khosla, R. K., Bruckman, K., Lorenz, H. P., Wan, D. C. 2021: 10556656211013177

Abstract

OBJECTIVE: It is important for health care education materials to be easily understood by caretakers of children requiring craniofacial surgery. This study aimed to analyze the readability of Google search results as they pertain to "Cleft Palate Surgery" and "Palatoplasty." Additionally, the study included a search from several locations globally to identify possible geographic differences.DESIGN: Google searches of the terms "Cleft Palate Surgery" and "Palatoplasty" were performed. Additionally, searches of only "Cleft Palate Surgery" were run from several internet protocol addresses globally.MAIN OUTCOME MEASURES: Flesch-Kincaid Grade Level and Readability Ease, Gunning Fog Index, Simple Measure of Gobbledygook (SMOG) index, and Coleman-Liau Index.RESULTS: Search results for "Cleft Palate Surgery" were easier to read and comprehend compared to search results for "Palatoplasty." Mean Flesch-Kincaid Grade Level scores were 7.0 and 10.11, respectively (P = .0018). Mean Flesch-Kincaid Reading Ease scores were 61.29 and 40.71, respectively (P = .0003). Mean Gunning Fog Index scores were 8.370 and 10.34, respectively (P = .0458). Mean SMOG Index scores were 6.84 and 8.47, respectively (P = .0260). Mean Coleman-Liau Index scores were 12.95 and 15.33, respectively (P = .0281). No significant differences were found in any of the readability measures based on global location.CONCLUSIONS: Although some improvement can be made, craniofacial surgeons can be confident in the online information pertaining to cleft palate repair, regardless of where the search is performed from. The average readability of the top search results for "Cleft Palate Surgery" is around the seventh-grade reading level (US educational system) and compares favorably to other health care readability analyses.

View details for DOI 10.1177/10556656211013177

View details for PubMedID 33960204

Nonsurgical Orthodontic Airway Plate Treatment for Newborns With Robin Sequence. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association Choo, H., Khosla, R. K., Meister, K. D., Wan, D. C., Lin, H. C., Feczko, R., Bruckman, K., Hopkins, E., Truong, M. T., Lorenz, H. P. 2021: 10556656211007689

Abstract

Despite promising outcomes for >50 years, nonsurgical orthodontic airway plates (OAP) are only infrequently offered for babies with Robin sequence in a few parts of the world. This article demonstrates possibility of providing functional improvement using an OAP to help these babies overcome their functional and structural difficulties on their own. Two consecutively treated cases are presented exemplifying that OAP treatment that had originated from Europe is reproducible and effective in an institution in the United States.

View details for DOI 10.1177/10556656211007689

View details for PubMedID 33845627

Epistaxis After Orthognathic Surgery: Literature Review and Three Case Studies CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION Girard, A., Lopez, C. D., Chen, J., Perrault, D., Desai, N., Bruckman, K. C., Bartlett, S. P., Yang, R. 2021