Comparative Outcomes Assessment of Velopharyngeal Dysfunction and Oronasal Fistula: Implications of Muscle Repair in Palatoplasty.

Objective: To shed light on a clinical concern common to surgeries performed on muscles namely does more extensive muscle dissection during palatoplasty lead to excessive scarring, which would impair rather than improve subsequent muscle function?

Design: Retrospective cohort study.

Setting: Cleft lip and palate clinic within a single tertiary care academic institution.

Participants: Nonsyndromic infants with cleft lip and palate or cleft palate only undergoing primary palatoplasty by 3 fellowship-trained craniofacial surgeons, assisted by plastic surgery resident physicians between 2001 and 2021 were reviewed.

Koro Syndrome: Epidemiology, Psychiatric and Physical Risk Factors, Clinical Presentation, Diagnosis, and Treatment Options.

Koro syndrome is a multi-tiered disease presenting as an overwhelming belief that one's sex organs are shrinking into their body. Moderate to severe anxiety attacks are associated with the condition, along with a fear of imminent death. Koro is often culturally related and is most seen as an epidemic form in East and Southeast Asia, although it can present anywhere worldwide in its sporadic form.

Opioids in Urology: How Well Are We Preventing Opioid Dependence and How Can We Do Better?

Urologic procedures (both open and minimally invasive) can cause pain due to the surgery itself, devices placed, and post-operative issues. Thus, pain management is important for every post-procedure recovery period. Opioid use post-surgery is common and often over-prescribed contributing to persistent use by patients.