David C. Branch's Blog

Navigating the World of Cryptocurrency: A Beginner’s Guide to Investing in Digital Assets

Cryptocurrency has taken the financial world by storm, offering a new way to transact and invest. If you’re new to the world of digital assets, it can seem overwhelming and complex. However, with the right knowledge and approach, you can navigate the world of cryptocurrency and potentially benefit from this emerging market. In this blog post, we will provide a beginner’s guide to investing in digital assets and help you get started on your cryptocurrency journey.

The first step in investing in cryptocurrency is to educate yourself. Understand the basic concepts of blockchain technology, which is the foundation of cryptocurrencies. Blockchain is a decentralized ledger that records all transactions across a network of computers. Familiarize yourself with common terms such as wallets, private keys, and exchanges. Resources like online courses, books, and reputable cryptocurrency websites can provide valuable information to enhance your understanding.

Once you have a basic understanding, the next step is to choose a cryptocurrency exchange. An exchange is a platform where you can buy, sell, and trade cryptocurrencies. Look for a reputable and user-friendly exchange that aligns with your needs and location. Some popular exchanges include Coinbase, Binance, and Kraken. Research and compare their features, security measures, fees, and supported cryptocurrencies before making a decision.

Before diving into the cryptocurrency market, it’s important to establish a budget and set realistic expectations. Cryptocurrency prices can be highly volatile, and investing more than you can afford to lose is risky. Set aside an amount you’re comfortable with and consider it a long-term investment. Be prepared for fluctuations in value and potential losses, as the market can be unpredictable.

When selecting which cryptocurrencies to invest in, do thorough research. Consider factors such as the project’s team, technology, adoption, and potential for future growth. Bitcoin and Ethereum are two of the most well-known and established cryptocurrencies, but there are thousands of others to choose from. Diversification is key to managing risk, so consider spreading your investments across multiple cryptocurrencies.

Security is paramount in the world of cryptocurrency. Protect your digital assets by using a secure wallet to store your investments. There are different types of wallets, including hardware wallets, software wallets, and online wallets. Hardware wallets, like Ledger and Trezor, are considered one of the safest options as they store your private keys offline. Research and choose a wallet that suits your needs and provides strong security features.

Lastly, stay informed about market trends and developments in the cryptocurrency space. Follow reputable news sources, join online communities, and engage in discussions with experienced investors. Keep in mind that the cryptocurrency market operates 24/7, and staying up to date can help you make informed decisions and identify potential investment opportunities.

Avoiding Pitfalls in Dental M&A: Common Mistakes to Watch Out For

Dental mergers and acquisitions (M&A) can be complex and challenging. There are a number of factors to consider, from the legal and financial aspects of the deal to the potential impact on patient care and staff. Unfortunately, many dental practices fall into common pitfalls when it comes to M&A. In this blog, learn more about some of the most common mistakes to watch out for when engaging in dental M&A.

Not conducting due diligence

One of the biggest mistakes that dental practices can make when engaging in M&A is not conducting due diligence. Due diligence is the process of thoroughly researching and analyzing a potential acquisition target to ensure that there are no hidden risks or liabilities. Without due diligence, a dental practice may end up acquiring a practice that has significant financial or legal problems, which can be costly and damaging to both parties.

Overvaluing the practice

Another common mistake in dental M&A is overvaluing the practice being acquired. It’s important to remember that a practice’s value is not solely determined by its revenue or profit. Other factors, such as the quality of patient care, staff retention rates, and market competition, can also impact a practice’s value. Overvaluing a practice can lead to financial strain for the acquiring practice and may ultimately result in the failure of the acquisition.

Not considering the impact on staff and patients

When engaging in dental M&A, it’s crucial to consider the impact on staff and patients. Staff members may be worried about job security and changes to their roles and responsibilities, while patients may be concerned about changes to their care or providers. It’s important to communicate clearly with staff and patients throughout the M&A process and ensure that their concerns are addressed.

Ignoring legal and regulatory issues

Dental M&A can be complicated from a legal and regulatory perspective. There may be state or federal laws and regulations that need to be followed, such as those related to patient privacy or billing practices. Ignoring these issues can lead to costly fines and legal problems for both parties.

Rushing the process

Finally, one of the most common mistakes in dental M&A is rushing the process. M&A can be time-consuming and stressful, but it’s important to take the necessary time to ensure that the deal is beneficial for both parties. Rushing the process can lead to mistakes, oversights, and regrets down the line.

Dental M&A can be a great way for practices to grow and expand, but it’s important to avoid common pitfalls. By conducting due diligence, valuing the practice appropriately, considering the impact on staff and patients, addressing legal and regulatory issues, and taking the time to ensure a successful deal, dental practices can avoid costly mistakes and achieve their M&A goals.

How To Secure A Loan For Your Business

If you’re a small business owner looking to expand your operations, you might need to secure a loan to finance your growth. But how do you go about getting a loan for your business? Below are some steps you can take to secure the funding you need:

Determine how much money you need

Before applying for a loan, you need to clearly understand how much money you need to borrow. Be specific about the purpose of the loan and how you plan to use the funds. This will help you choose the right loan and lender for your business.

Check your credit score

Your credit score plays a crucial role in whether or not you’ll be approved for a loan. Before you apply, check your credit score and make sure it’s in good shape. If your score is too low, take steps to improve it before you apply for a loan.

Research lenders

Many different types of lenders offer loans to small businesses. Some lenders specialize in certain types of loans, such as SBA loans or equipment loans, while others offer a variety of loan options. Ensure that you research different lenders to find the best fit for your business.

Gather your financial documents

When you apply for a loan, you must provide documentation showing your business’s financial health. This may include tax returns, bank statements, financial statements, and other documents. Have all the necessary paperwork ready before you apply for a loan.

Prepare a business plan

Lenders want to see that you have a solid plan for how you’ll use the loan funds and how to repay the loan. Prepare a detailed business plan that outlines your growth strategy, financial projections, and repayment plan.

Apply for the loan

Once you’ve done your research and gathered all the necessary documents, it’s time to apply for the loan. Be prepared to answer questions about your business and your financial situation, and be honest about your ability to repay the loan.

Follow up with the lender

After you apply for the loan, stay in touch with the lender and provide any additional information or documentation they may need. Keep in mind that the loan approval process can take some time, so be patient and stay in contact with the lender throughout the process.

In conclusion, securing a loan for your business can be a complex process, but by following these steps, you can increase your chances of success. Remember to do your research, gather all the necessary documents, and be honest and transparent with your lender. With the right preparation and approach, you can secure the funding you need to take your business to the next level.

Retail Skincare Products: The Surgeon’s Secret Weapon for a Thriving Practice

Bridging the Gap between Surgical Procedures and Daily Care

When it comes to the world of plastic surgery, many may imagine a realm dominated by scalpels and sutures. Yet, unbeknownst to some, retail skincare products play a vital role in supporting plastic surgeons’ practices. By offering high-quality products that complement their expertise, plastic surgeons are able to elevate their patients’ experiences and overall satisfaction.

The Dynamic Duo: Surgical Procedures and Skincare Products

Skincare products and plastic surgery go hand in hand, like a finely crafted cocktail from a trendy Manhattan bar. Just as a skilled mixologist combines ingredients to create the perfect libation, the successful fusion of skincare and surgery provides a harmonious blend of rejuvenation and preservation.

A study from the American Med Spa Association reveals that skincare products can enhance the results of surgical procedures, extending the longevity and effectiveness of treatments. By offering retail products tailored to the specific needs of their patients, plastic surgeons create a more comprehensive care plan that bridges the gap between surgery and daily maintenance.

The Profitable Side of Skincare

In a world where information is exchanged at lightning speed, savvy plastic surgeons understand the value of diversifying their offerings. Retail skincare products not only support patients’ post-operative care but also contribute to the financial health of the practice.

Incorporating in-house retail sales can generate a substantial profit margin, with some products boasting markups of 100% or more. By offering a curated selection of skincare products, plastic surgeons can generate additional revenue streams while providing their patients with a one-stop shop for all their aesthetic needs.

Patient Loyalty through Personalized Care

At the intersection of surgical precision and luxurious skincare lies a powerful tool for fostering patient loyalty: personalization. By offering a tailored selection of skincare products, plastic surgeons demonstrate an understanding of their patients’ unique needs and desires.

This personalized approach not only helps patients feel understood and valued but also creates a sense of trust in the surgeon’s expertise. The American Med Spa Association emphasizes the importance of offering skincare products that are exclusive to the medical setting, further distinguishing the practice from ordinary retail outlets.

The Power of Skincare Education

The allure of expertise and knowledge cannot be underestimated when it comes to skincare. By educating patients on the science behind their chosen products, plastic surgeons empower them to make informed decisions about their own care. This, in turn, promotes long-term patient satisfaction and overall success for the practice.

The American Med Spa Association suggests that offering skincare consultations, workshops, or seminars can help bolster patient loyalty and satisfaction. By transforming their practices into skincare sanctuaries that combine education with high-quality products, plastic surgeons set themselves apart in a competitive industry.

The Skincare Renaissance in Plastic Surgery

Retail skincare products play an essential role in the modern plastic surgeon’s practice. This savvy fusion of science and luxury offers patients comprehensive care that extends beyond the operating table, fostering patient loyalty and generating additional revenue. By embracing the artful science of skincare, plastic surgeons are poised to thrive in an increasingly competitive landscape.

5 Key Trends & Developments to Follow in the Financial Industry

The world of finance is constantly evolving, driven by advancements in technology, changes in regulations, and shifts in consumer behavior. Over the most recent decades, the financial industry has seen a significant transformation in the financial industry, with the evolution of new technologies, such as blockchain, artificial intelligence, and machine learning. These developments have led to a significant disruption in the traditional financial landscape, paving the way for a more digital and decentralized future of finance.

We will explore some key trends and developments that will likely shape the future of finance.

1. Decentralization and Blockchain Technology

Blockchain technology has become one of the most innovative developments in the financial industry in recent years. It is a decentralized and distributed ledger, allowing for even more secure and transparent transactions without the need for intermediaries. This technology can potentially revolutionize many aspects of the financial industry, from payments and settlements to asset management and identity verification.

Decentralization is a key component of blockchain technology, as it eliminates the need for centralized authorities such as banks and financial institutions. Instead, transactions are verified and validated by a network of nodes, making them more secure and transparent.

2. Artificial Intelligence and Machine Learning

Artificial intelligence (AI) and machine learning (ML) are two technologies that can potentially transform the finance industry. AI can be used to automate and further optimize various financial processes, such as risk management, fraud detection, and customer service. Machine learning algorithms can analyze large data sets and identify patterns and trends, providing valuable insights into customer behavior and market trends.

3. Digital Currencies and Central Bank Digital Currencies (CBDCs)

Digital currencies such as Bitcoin, Ethereum, and Ripple have been gaining momentum in recent years, as more and more people use these payments and investments. Central banks are also exploring the idea of creating their own digital currencies, known as Central Bank Digital Currencies (CBDCs). CBDCs have the potential to offer many benefits, including increased efficiency, lower costs, and improved financial inclusion.

4. Open Banking and API Integration

Open banking is a new concept that allows customers to share financial data with third-party providers through Application Programming Interfaces (APIs). This allows for a more seamless integration of financial services, providing customers with a more personalized and customized experience. Open banking also creates opportunities for innovation, as fintech startups can leverage APIs to build new products and services.

5. Cybersecurity and Data Privacy

As more financial transactions occur online, cybersecurity and data privacy have become increasingly important. Cyber hacks and data breaches can lead to significant financial losses and damage to a company’s reputation. In the future, the industry is likely to see increased investment in cybersecurity measures and the development of new technologies to protect customer data and prevent fraud.

The future of the finance industry is likely to be characterized by decentralization, blockchain technology, AI and machine learning, digital currencies and CBDCs, open banking and API integration, and increased focus on cybersecurity and data privacy. These trends will likely drive significant innovation in the financial industry, leading to a more efficient, secure, and customer-centric financial ecosystem. As the industry continues to transform, it’s important for financial institutions to embrace these changes and adapt to the new realities of the digital age.

The post 5 Key Trends & Developments to Follow in the Financial Industry first appeared on David C. Branch | Finance.

from David C. Branch | Finance http://davidcbranch.com/5-key-trends-developments-to-follow-in-the-financial-industry/

The Entrepreneurial Dentist: 5 Ways Your Practice Can Thrive in Today’s Competitive Marketplace

In today’s competitive marketplace, it’s essential for dental practices to not only provide high-quality dental care but also have a strong business sense. As an entrepreneurial dentist, you need to be able to navigate the challenges of running a successful practice while also providing exceptional patient care. This blog post will explore five ways your dental practice can thrive in today’s competitive marketplace.

1. Embrace Technology

Technology is changing how dental practices operate, from patient management software to digital X-rays and 3D printing. Embracing new technology can help your practice stay ahead of the competition and provide better patient care. Investing in the latest technology can improve efficiency, accuracy, and patient satisfaction.

2. Focus on Patient Experience

Today’s patients have more choices than ever before regarding dental care. You must provide an exceptional patient experience to differentiate your practice from the competition. This means going beyond just providing high-quality dental care. You need to ensure that your patients feel valued, heard, and cared for throughout every stage of their treatment. From the moment they walk in the door to their follow-up appointment, every interaction with your practice should be focused on providing an exceptional patient experience.

3. Build a Strong Brand

Your practice’s brand is crucial to your success in today’s competitive marketplace. Building a strong brand means more than just having a logo and a website. It means having a clear mission, values, and a unique value proposition that sets your practice apart from the competition. Your brand should reflect your commitment to exceptional patient care, the latest technology, and a welcoming and comfortable environment.

4. Create a Culture of Learning and Innovation

To thrive in today’s competitive marketplace, creating a culture of learning and innovation is essential. Encourage your team to stay up-to-date with the latest advancements in dentistry, attend industry events, and invest in continuing education. Encourage innovation by seeking out new ideas and solutions to common challenges in your practice. By creating a culture of learning and innovation, entrepreneurs stay ahead of their competition and can provide exceptional patient care.

5. Implement Effective Marketing Strategies

Marketing is essential for any dental practice looking to thrive in today’s competitive marketplace. Develop a comprehensive marketing strategy that includes both online and offline tactics. This could include social media advertising, email marketing, search engine optimization (SEO), and local advertising. Your marketing efforts should be focused on reaching your target audience and conveying your practice’s unique value proposition.

As an entrepreneurial dentist, you must navigate the challenges of running a successful practice while providing exceptional patient care. By embracing technology, focusing on patient experience, building a strong brand, creating a culture of learning and innovation, and implementing effective marketing strategies, your practice can thrive in today’s competitive marketplace. By staying ahead of the competition, you can continue providing exceptional dental care while growing your practice and achieving your business goals.

The post The Entrepreneurial Dentist: 5 Ways Your Practice Can Thrive in Today’s Competitive Marketplace first appeared on David C. Branch | Plastic Surgery.

from David C. Branch | Plastic Surgery http://davidcbranch.org/the-entrepreneurial-dentist-5-ways-your-practice-can-thrive-in-todays-competitive-marketplace/

Oral Innovations Dentists Should Harness for their Practice

The world of dentistry and oral health is rapidly evolving thanks to advancements in technology and innovative approaches to dental care. These developments are revolutionizing how we approach dental care, providing patients with better outcomes and a more comfortable experience. This article will explore some amazing future possibilities for dentistry and oral health.

One of the most exciting innovations in dental care is the development of 3D printing. 3D printing technology is already used to create dental implants and other dental appliances that fit perfectly into a patient’s mouth. This technology allows for a more precise and accurate fit, reducing the risk of complications and improving overall outcomes. In the future, 3D printing may also be used to print teeth directly, eliminating the need for fillings, crowns, and other dental restorations.

Another exciting development in dental care is virtual reality (VR) technology. VR is being used to help patients overcome dental anxiety and phobia, which can be a significant barrier to seeking dental care. With VR, patients can immerse themselves in calming and relaxing environments, reducing anxiety and stress during dental procedures. This technology can also educate patients about their dental health and provide personalized treatment plans.

Artificial intelligence (AI) is another innovation area transforming dental care. AI is being used to improve diagnosis and treatment planning, allowing dentists to provide more precise and personalized care. AI can also identify early signs of dental disease, enabling preventative measures to be taken before the disease progresses.

In addition to these technological advancements, there are changes in how dental care is delivered. Tele-dentistry, for example, is becoming increasingly popular. This approach to dental care allows patients to receive consultations and treatment remotely without having to physically visit a dental office. This can be particularly beneficial for patients living in remote areas or with mobility issues.

Finally, regenerative medicine is another area of innovation in dental care. Regenerative medicine uses stem cells to regenerate damaged tissue, including teeth and gums. This approach can potentially revolutionize how we think about dental restoration, providing patients with more natural and long-lasting solutions.

In conclusion, the future of dentistry and oral health is exciting and full of possibilities. Technological advancements such as 3D printing, VR, and AI are transforming the way we approach dental care, providing patients with more precise, personalized, and comfortable experiences. Changes in how dental care is delivered, such as teledentistry, are making dental care more accessible to everyone. Finally, the use of regenerative medicine has the potential to provide patients with more natural and long-lasting dental restorations. As these innovations continue to develop, the future of dental care looks brighter than ever.

The post Oral Innovations Dentists Should Harness for their Practice first appeared on David C. Branch | Plastic Surgery.

from David C. Branch | Plastic Surgery http://davidcbranch.org/oral-innovations-dentists-should-harness-for-their-practice/

High BMI Linked to Longer Healing Time After Breast Reduction Surgery

For patients undergoing breast reduction surgery (reduction mammaplasty), higher body mass index (BMI) is a risk factor for delayed wound healing, reports a study in the April issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).

“While reduction mammaplasty is a safe procedure, our study suggests that patients in higher BMI categories may take longer to heal, with increased risk of wound healing times longer than two months,” says lead author Jesse Payton, MD, a plastic surgeon at Baylor Scott & White Medical Center, Temple, Texas. Older age is also identified as a risk factor for minor complications.

Age and Weight Impact Breast Reduction Complication Risk

Reduction mammaplasty is the standard of care for reducing physical symptoms (such as back and neck pain) and improving psychological well-being (such as poor body image and low self-esteem) in women with overlarge breasts (macromastia). Some previous studies have suggested that patients with higher BMI—a standard measure of body weight per height – are at higher risk of complications after breast reduction surgery. That’s an important consideration, as many patients with high BMI have macromastia-related symptoms.

To assess BMI and other possible risk factors for complications, Payton and colleagues reviewed their department’s experience with 277 patients undergoing reduction mammaplasty between 2014 and 2018. Average age was 36 years and average BMI 30 kilograms per square meter (kg/m²). Although most were at or above this high-BMI cutoff point, the patients were generally healthy, with low rates of other health problems.

Nearly half of patients experienced minor complications: a rate of 49.1%. The most common category of minor complications was superficial wound-healing problems, occurring in 42.1% of patients. Major complications were uncommon, occurring in 4.31% of patients. On initial analysis, BMI was unrelated to the risk of minor or major complications.

However, patients in higher BMI categories were more likely to have delayed wound healing, with healing times longer than two months. Higher-BMI patients also had longer surgical times and greater amounts of tissue removed at surgery (resection weights). Older age was also associated with an increased rate of minor complications.

Delayed Wound Healing Increases at Highest BMI Levels

After adjustment for age and resection rate, high BMI remained a significant risk factor for wounds requiring longer than two months to heal. For every 5 kg/m² increase in BMI, the estimated odds of delayed wound healing increased by 77%. High BMI was not related to the overall risk of minor or major complications, although there was a “positive trend“ in that direction.

Older age was an independent risk factor for minor complications in the adjusted analysis. For each decade of age, the estimated odds of minor complications increased by 22%.

The study adds to previous evidence that BMI is a risk factor for complications after reduction mammaplasty and is first to focus on wound healing times of longer than two months. The authors suggest that patients should be counseled about the BMI- and age-related increase in risks. For those in the highest BMI categories, steps to optimize patients’ health before surgery might help to reduce complication risks.

“Women with higher BMI are more likely to require larger resections, longer operative times and are at higher risk for wound healing requiring greater than two months,” Payton and coauthors conclude. They add: “While BMI is an important consideration for determining operative candidacy, the benefits of reduction may outweigh these risks in carefully selected patients.”

from Plastic Surgery Practice https://plasticsurgerypractice.com/client-objectives/aesthetics/breast-augmentation/reductions/high-bmi-linked-to-longer-healing-time-after-breast-reduction-surgery/

The Transformative Role of Retail Skincare in Plastic Surgery Practices

A New Approach to Patient Care

As plastic surgeons strive to deliver comprehensive care to their patients, incorporating retail skincare into their practices is emerging as a vital component. In recent years, the skincare industry has experienced tremendous growth, with many patients seeking professional guidance on products to enhance and maintain their surgical results. By integrating retail skincare, plastic surgeons can not only improve patient satisfaction, but also elevate their practice’s profitability and reputation.

The Rise of Retail Skincare in Plastic Surgery Practices

A growing number of plastic surgeons are recognizing the benefits of offering in-house skincare solutions tailored to their patients’ needs. These products, carefully selected by the surgeon, can help patients achieve their aesthetic goals and prolong the effects of surgical procedures. By providing access to medical-grade skincare products, plastic surgeons can ensure their patients receive the best possible care, both pre- and post-surgery.

The Retail Skincare Advantage: Quality and Trust

Retail skincare in plastic surgery practices goes beyond simply offering patients off-the-shelf products. By curating a selection of high-quality, scientifically-backed skincare products, surgeons can foster trust and patient loyalty. Patients are more likely to trust and purchase products recommended by their surgeon, as they feel confident in the expertise and knowledge of their medical professional.

Bridging the Gap: Educating Patients and Staff

To effectively integrate retail skincare into a plastic surgery practice, education is key. Surgeons should take the time to educate themselves and their staff about the products they offer, ensuring that everyone involved in the patient’s care is knowledgeable about the benefits and usage of each product. By providing patients with comprehensive information, surgeons can create a seamless and supportive patient experience.

The Impact on Practice Reputation and Revenue

Incorporating retail skincare into a plastic surgery practice can significantly enhance its reputation and profitability. By offering a range of targeted, high-quality products, surgeons can position themselves as leaders in the field, attracting new patients seeking comprehensive care. Additionally, the sales of skincare products can contribute to a practice’s bottom line, providing a new revenue stream that can be reinvested into further growth and development.

Embracing the Future: A Win-Win for Patients and Practices

As the role of retail skincare in plastic surgery practices continues to grow, both patients and practitioners stand to benefit. Patients receive expert guidance and access to quality products tailored to their needs, while practices can enjoy increased revenue and an enhanced reputation. By staying informed and adapting to the evolving landscape, plastic surgeons can ensure they remain at the forefront of the industry, providing unparalleled care to their patients.

A Pathway to Comprehensive Care

In a world where patients increasingly seek holistic solutions, incorporating retail skincare into plastic surgery practices is a natural evolution. By embracing this opportunity, surgeons can elevate the level of care they provide, ensuring that their patients achieve and maintain the best possible results. Through education and dedication to quality, plastic surgeons can pave the way for a brighter, more comprehensive future in patient care.

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Factors Linked to Cognitive Impact of Delayed Craniosynostosis Surgery

For infants with the skull deformity craniosynostosis, head reshaping surgery after age 12 months has long been linked to impaired cognitive and language development. Now, a new study suggests that the difference in developmental outcomes may reflect a range of other patient characteristics and clinical factors affecting age at surgery, reports the April issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).

“Multiple factors may affect cognitive outcomes in infants undergoing craniosynostosis surgery, regardless of patient age at the time of surgery,” says ASPS Member Surgeon Steven R. Buchman, MD, of the University of Michigan in Ann Arbor. “Our study suggests that children who undergo surgery later have characteristics that independently predispose them to both delayed surgery and impaired neurocognitive development.”

How Surgery Timing Affects Cognitive Development in Craniosynostosis

Craniosynostosis is a common skull deformity occurring when the joints (sutures) between the bones of the skull close prematurely. Craniosynostosis surgery is performed to correct the abnormal head shape and allow the growing brain room to expand normally.

In 1988, a research article suggested that children undergoing craniosynostosis surgery after 12 months of age were at risk of delayed neurocognitive development. Subsequent studies seemed to support this conclusion. However, few studies have evaluated other factors that might affect the risk of developmental delay after craniosynostosis surgery.

What’s the real effect of surgical timing on cognitive outcomes? Buchman and colleagues evaluated their center’s experience in 227 infants undergoing craniosynostosis surgery between 2009 and 2020. All patients had craniosynostosis involving a single skull suture, unrelated to any genetic syndrome.

Head reshaping surgery (cranial vault remodeling) was performed before age 12 months in 157 infants and after 12 months in 70 infants. Average age was 8 months in the early-surgery group versus 18 months in the late-surgery group.

Head Reshaping Delays Linked to Socioeconomic and Clinical Factors

Several patient characteristics differed between groups. Nineteen percent of children with delayed surgery were of non-white race/ethnicity, compared to nine percent of the early-surgery group. Children in the delayed-surgery group were more likely to qualify for need-based financial assistance such as Medicaid: 41% versus 21%.

There were also differences in key clinical factors. Children with delayed surgery were more likely to have preterm birth, 25% versus 10%; and had higher rates of other health problems (comorbidity), 40% versus less than 10%. On standard assessments of child development performed before surgery, 15% of children in the delayed-surgery group had cognitive delays, compared to three percent in the early-surgery group.

“These results demonstrate an association between patients who undergo surgery after 12 months of age and patients who identify with a minority race and/or experience socioeconomic disadvantage,” the researchers write. These and other differences in patient characteristics raise questions about how the timing of craniosynostosis surgery affects early-childhood cognitive development.

“The overarching purpose of this paper is to demonstrate that certain factors may predispose patients to delayed cranial vault remodeling and introduce selection bias toward slowed neurocognitive development,” Buchman and colleagues conclude.

They call for further studies in larger groups of children with craniosynostosis to determine which factors have the greatest impact on age at surgery and cognitive development.

from Plastic Surgery Practice https://plasticsurgerypractice.com/uncategorized/factors-linked-to-cognitive-impact-of-delayed-craniosynostosis-surgery/