Riley Children's Health Annual Report 2022 – 2023

Board certified plastic surgeons at Riley Children’s Health provide a wide range of reconstructive surgical care to pediatric patients. Treating children across Indiana and regionally, our fellowship- trained surgeons are committed to providing advanced and compassionate care to restore patients to their best selves. PLASTIC SURGERY

RESEARCH HIGHLIGHTS

■ Impact of novel surgical procedures for Moebius syndrome (funded by the Moebius Syndrome Foundation) ■ Cellular basis for neurotrophic keratopathy ■ New ways to deliver drugs to injured nerves to improve regeneration and function (funded by the U.S. Department of Defense) Leading-edge technologies ■ Corneal neurotization to preserve vision in patients with neurotrophic keratopathy ■ Cultured epithelial autografts enabling greater survival from massive burns ■ Cross C7 nerve transfers to reconstruct severe brachial plexus injuries ■ Free functional muscle transplants for facial paralysis and eyelid animation ■ Distraction lengthening of mandible and cranial vault for severe airway compromise or craniosynostosis

Program distinctions

Our team performs distraction of the mandible with 3D visualization and planning to optimize outcomes, particularly for patients with underdeveloped mandibles that lead to functional issues and aesthetic concerns.

DIVISION CHIEF Gregory H. Borschel, MD, FAAP, FACS, FAAPS James Joseph Harbaugh, Jr. Professor of Plastic Surgery, IU School of Medicine > Connect with Dr. Borschel on Doximity.

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■ One of the few programs in the nation—and the first in Indiana—to perform corneal neurotization for neurotrophic keratopathy

■ Only facility in the state to offer microtia reconstruction, infant ear molding and jaw distraction

6 board certified physicians

See full team member list >

■ One of the few centers nationally to use spray skin burn coverage technology

NOTABLE PUBLICATIONS

■ Largest cleft and craniofacial care team in Indiana and the only program approved by the American Cleft Palate-Craniofacial Association

American Journal of Ophthalmology: May 2022 Minimally Invasive Corneal Neurotization Provides Sensory Function, Protects Against Recurrent Ulceration, and Improves Visual Acuity Cornea: September 2022 Bilateral Corneal Neurotization for Ramos-Arroyo Syndrome and Developmental Neurotrophic Keratopathy Plastic and Reconstructive Surgery: April 2022 Dynamic Reconstruction of Facial Paralysis in Craniofacial Microsomia Journal of Plastic, Reconstructive and Aesthetic Surgery: May 2022 Utilization of Techniques for Upper Extremity Amputation Neuroma Treatment and Prevention Journal of Burn Care and Research: September 2022 Five-Year Retrospective Analysis of a Vented Mobility Algorithm in the Burn ICU

Specialized programs

Corneal Neurotization Program Our team collaborates with Riley Ophthalmology to treat pediatric neurotrophic

Facial Paralysis Program Riley Children’s delivers leading-edge treatment to children with all forms of congenital and developmental facial paralysis, including acquired facial paralysis from tumors, trauma or other causes. Hand Program We provide operative solutions and treatment for all types of congenital and developmental hand conditions, as well as disabilities caused by trauma and other circumstances. Brachial Plexus Program Our multidisciplinary program provides total care for injuries to the brachial plexus that present significant surgical challenges to reconstruction; treatment methods include nerve surgery, rehabilitation, and joint and tendon rebalancing.

Riley Children’s is the busiest center worldwide for corneal neurotization.

keratopathy using nerve transfers and nerve grafts to provide new sensation to insensate corneas to reverse blindness. Pediatric Burn Center

Riley Children’s has the only pediatric burn center in Indiana certified by the American Burn Association. Established in 1971, the center includes a self- contained burn ICU and inpatient unit. Cleft and Craniofacial Program One of the first such programs established in the U.S., our comprehensive, multidisciplinary program defines the standard of care for facial reconstruction.

25 research publications in 2022

Refer a patient online

Annual Report 2022 – 2023

317.948.0345

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