Sliding Osseous Genioplasty and Coronoidectomy in a Patient with Treacher-Collins Syndrome

Contributors: Andrew Weaver and Kumar Patel, PA-C 18 y.o. female with Treacher-Collins syndrome (patients have micrognathia, underdeveloped facial bones, particularly the cheek bones, and a very small jaw and chin. She is only able to open her mouth to 20mm due to the interference of her coronoid process with her zygoma/ DOI: http://dx.doi.org/10.17797/959yiezvoo

Plastic Surgery Pearls for basic suturing: instruments & technique

Contributors: Kumar Patel, PA-C Basic plastic surgery suturing techniques geared towards medical students and residents, including starting position, basic simple suture, deep dermal suture, vertical mattress, horizontal mattress and running subcuticular. DOI: http://dx.doi.org/10.17797/udwdtpze6v

Cranioplasty for Sagittal Craniosynostosis

Cranioplasty with barrel stave osteotomies to treat sagittal suture craniosynostosis.

Keloid Excision

Bilateral ear keloid excision with steroid injection. DOI# 10.17797/rfealpdd24

Cranioplasty and Scar Revision

Contributors: Michael Golinko (MD) and Kumar Patel (PA) A six-year-old male with history of skull trauma acquired in an ATV accident underwent emergency craniotomy three years ago. He now presents with bone resorption, frontal bossing, scalloped bone, and a widened scar in the middle of his forehead from the previous surgery. DOI#:https://doi.org/10.17797/bysho32ez5

Fronto-Orbital Advancement and Cranial Vault Remodeling for Metopic Craniosynostosis

Contributors:Michael Golinko, MD, MA, Eylem Ocal, MD and Kumar Patel, PA Premature metopic suture fusion is corrected using fronto-orbital advancement and cranial vault remodeling to open the fused suture and allow for adequate brain growth. DOI#: https://doi.org/10.17797/hg9xbuxoms

Posterior Cranial Vault Remodeling for Shunt-Induced Crainiocerebral Disporpotion (CCD)

Contributors: Kumar Patel, PA-C and Gregory W. Albert Posterior cranial vault remodeling post shunt induced Crainiocerebral Disporpotion (CCD) Patient is a 5 y/o boy having frequent headaches which may be indicative of increased intra-cranial pressure in addition to a step-off deformity of his posterior calvarium. DOI#: http://dx.doi.org/10.17797/d03zxkvg2h

Alopecia Excision and Repair

Contributors: Michael Golinko  and Kumar Patel Removal of an approximately 5 cm congenital alopecia using an O to Z or yin-yang flap method. DOI: http://dx.doi.org/10.17797/rbbu00mhp0

Bilateral Sagittal Spilt Osteotomy and Genioplasty in Patient with Lymphatic Malformation

Contributors: Michael Golinko, MD,  John Jones, MD, DMD,  Kumar Patel, PA Bilateral sagittal split osteotomy and genioplasty in 5y/o girl with lymphatic malformation. DOI#: https://doi.org/10.17797/hlo056ep2r

LeFort I Osteotomy and Advancement in Patient with Maxillary Hypoplasia

Contributors: Michael Golinko, Kumar Patel and Bridget O'Leary LeFort I osteotomy and advancement in 18y/o female patient with maxillary hypoplasia DOI: https://doi.org/10.17797/1cu3tz50yf

Microtia Reconstruction Stage 2

This is the second stage of Microtia Reconstruction, the first stage was depicted in a prior video. The ear is elevated and lateralized to take its 3-dimensional form, and this is accomplished with use of an anteriorly based mastoid fascial flap as well as costal cartilage graft and full thickness skin graft. Editor Recruited By: Michael Golinko, MD

Rhomboid Flap Reconstruction of Necrotic Cheek Lesion

The patient had an unidentified dermal filler placed outside of the United States over a decade ago. She developed a subsequent severe reaction which left her with extensive subdermal fibrosis and epidermal necrosis. Pathologic analysis revealed almost entire replacement of the dermal-epidermal layer with a foreign body and granulomatous reaction. The location at the cheek lower lid junction and the available lateral skin laxity deemed the rhomboid flap as the best option for reconstruction. Editor Recruited By: Michael Golinko, MD

Le Fort I Osteotomy with placement of Distractor

Our patient is a 20 year old boy with severe maxillary hypoplasia with a history of bilateral cleft lip and palate. We performed a maxillary advancement with distraction osteogenesis. Nikhil Kamath, BS Aaron Smith, MD Michael S. Golinko, MD Kumar Patel, PA-C

Bilateral Subcranial Le Fort III Osteotomies with Midface Distraction – A Surgical Review

In this video, we showcase the bilateral subcranial Le Fort III osteotomies with midface distraction using Kawamoto distractors. The surgery was performed in a 4-year-old boy with Crouzon Syndrome to correct his severe proptosis, increase the nasopharyngeal airway space and improve his severe negative overjet. Internal distractors were chosen to achieve maximum correction at this age. The patient undergoing surgery had no intraoperative or postoperative complications. A full separation of his facial bones was achieved. The patient had an uneventful recovery period, and there was a significant improvement in his proptosis and malocclusion. Santiago Gonzalez, BS, BA (1); Michael Golinko, MD, MS (2) 1. University of Arkansas for Medical Sciences – College of Medicine 4301 W. Markham, #550 Little Rock, AR 72205 2. Vanderbilt University Medical Center, Department of Plastic Surgery 2900 Children’s Way, 9th Floor Doctor’s Office Tower Nashville TN 37232

Michael Golinko, MD

University of Arkansas for Medical Sciences

• Medical Director of Craniofacial Program, Arkansas Children’s Hospital
• Assistant Professor of Plastic Surgery, UAMS

Dr. Michael Golinko, M.D., is a Board Certified General Surgeon with clinical interests in Craniofacial, Cleft & Paediatric Plastic Surgery. Dr. Golinko is also Board Eligible with the American Board of Plastic Surgery, and is licensed in the states of Arkansas, and Georgia. Currently, Dr. Golinko serves as one of the Medical Directors of Arkansas Children’s Hospital Craniofacial Program, and is Assistant Professor of Plastic Surgery at the University of Arkansas Medical Sciences.

Dr. Golinko received his M.D. degree from University of South Florida (USF) in 2004, preceded by a M.A. in Medical Anthropology from Universiteit van Amsterdam (UVA) in 2002, and a B.Sc. in Physics from Massachusetts Institute of Technology (MIT) in 1998.

Dr. Golinko’s professional training includes General Surgery residencies at State University of New York (SUNY) and New York University (NYU), as well as a residency in Plastic & Reconstructive Surgery at Emory University School of Medicine, and he most recently served as a Fellow in Craniofacial Surgery/Pediatric Plastic Surgery at New York University (NYU).

From 1998 to 2008, Dr. Golinko held medical research positions at MIT, Massachusetts General Hospital, and completed Post-Doctoral Research Fellowships in the Department of Surgery, Division of Wound Healing at both Columbia University and New York University.

Dr. Golinko has contributed extensively to numerous peer-reviewed publications, book chapters, and abstracts. Moreover, Dr. Golinko has travelled the world to deliver numerous presentations, co-chair lectures and conferences, and media appearances.

Dr. Golinko has been awarded and recognized for the following: Operation Smile Regan Fellowship Recipient (2012), National Institute of Health (NIH) Loan Repayment Program Recipient (2007 – 2009), and Columbia University College of Physicians & Surgeons, Department of Surgery, Startup Grant (2006).

In the spirit of a true leader, Dr. Golinko served as past-President and Mission Leader of Project World Health, Managing Trustee of the Barry Golinko Trust of the Jewish Communal Fund, past-Surgery Department Representative of the Committee on Interns and Residents (CIR) and currently was selected to participate in the Arkansas Children’s Hospital Physician Leadership Development course.

Dr. Golinko currently belongs to several professional societies as follows: American Cleft Palate-Craniofacial Association, American Association of Wound Care, American College of Surgeons, and the Southeastern Society Of Reconstructive Plastic Surgeons.
In 2016, Dr. Golinko served on the American Society of Maxillofacial Surgeons/Plastic Surgery Foundation Combined Pilot Research Grant Committee. In addition to his professional work, Dr. Golinko has generously donated his time and many talents to numerous volunteer and humanitarian efforts all over the world.

Michael Golinko Was Live! Craniosynostosis: A Surgeon's Perspective

On February 14th, 2018 we were honored to have Michael S. Golinko MD, MA, FAAP, host our first Facebook Live. Dr. Golinko is one of our valued CSurgeries Section Editors for Plastic Surgery, Medical Director of the Craniofacial Anomalies Program at the Arkansas Children’s Hospital, and an Assistant Professor of Plastic Surgery for the University of Arkansas for Medical Sciences.
Dr. Golinko was a great presenter during the live event and shared his views on best practices for approaching craniosynostosis. His discussion on the subject provides information that both surgeons, medical students, and patients will find interesting and informative.

Topics Dr. Golinko covers include:

• What is craniosynostosis
• How common is craniosynostosis
• Types of craniosynostosis – sagittal, coronal, metopic, lambdoid
• Craniosynostosis vs. plagiocephaly
• Brain growth in the first year of life
• Facts about the development of the brain and development issues that might occur with craniosynostosis
• The importance of operating on the skull when an infant has craniosynostosis to allow for normal brain growth
• Common consults including flat head, closed soft spot, suture closure, and premature fusion
• Signs, symptoms, and risks of craniosynostosis
• Downstream effects of untreated craniosynostosis
• Treatment options for addressing craniosynostosis – cranial vault remodeling, spring assisted
• Survivor rates and complications

Watch the recorded Facebook Live here!

Dr. Golinko also walks us through his team’s published CSurgeries video Fronto-Orbital Advancement and Cranial Vault Remodeling for Metopic Craniosynostosis.  He discusses why he recommends CSurgeries as an educational tool for both surgeons and medical students and wraps up by answering questions on the topic.
Dr. Golinko shared his presentation here.
A special thanks to Dr. Michael Golinko for hosting such an informative Facebook Live.