Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
For Bethesda 3 thyroid nodules in pediatrics, lobectomy is recommended rather than molecular testing or repeat FNA because there is a higher rate of malignancy in those populations compared to adults — Ben Hamm, Nerve monitoring and risk stratification in pediatric thyroid surgery · 0:52
Nerve monitoring and risk stratification in pediatric thyroid surgery
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This video recaps key highlights from the 13th Annual Pediatric Surgery Update Course, focusing on nerve monitoring in pediatric thyroid surgery. Dr. Ben Ham discuss clinical scenarios, the utility of TI-RADS in children, and the role of in
podcast6:20 · Nov 2026
Interventions on branchial cleft cysts should be avoided until ready to resolve the issue definitively. — Douglas von Allmen, Branchial cleft cyst management: endoscopic cauterization versus open excision · 1:01
Branchial cleft cyst management: endoscopic cauterization versus open excision
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This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the management of branchial cleft cysts. It discusses a clinical scenario of a child with a painless neck swelling and delves into the congenital nat
podcast2:35 · Nov 2026
Gene panels now guide medical therapy for lymphatic malformations, particularly PIK3CA mutations, which suggest that alpelisib (a PI3K alpha inhibitor) can be useful. — Douglas von Allmen, Differentiating Lymphatic Malformations from Ranulas in Pediatric Neck Masses · 2:53
Differentiating Lymphatic Malformations from Ranulas in Pediatric Neck Masses
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This video, featuring Dr. Douglas von Allmen from Cincinnati Children's Hospital, explores the differential diagnosis and management of cystic neck masses in pediatric patients, specifically ranulas and lymphatic malformations. It presents
podcast3:55 · Nov 2026
Pediatric Surgery Literature Updates: Lymphatic Malformations, G-Tube Complications, and Cryptorchidism Timing
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We’re back with 25th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
podcast4:25 · Nov 2026
Dr. Skoch states that CT is the gold standard but most of the time it's not necessary for diagnosis, and CTs should not be obtained on patients who don't really need them. — Jesse Skoch, Understanding craniosynostosis: skull sutures, growth patterns, and diagnosis in infants · 8:18
Understanding craniosynostosis: skull sutures, growth patterns, and diagnosis in infants
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This educational video provides a comprehensive overview of craniosynostosis, detailing the anatomy of infant skull sutures and their role in brain growth. Dr. Jesse Skoch, a Pediatric Neurosurgeon at Cincinnati Children's, explains Virchow
podcast10:21 · Nov 2026
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Understanding craniosynostosis: skull sutures, growth patterns, and diagnosis in infants
Craniosynostosis occurs in roughly 1 in 2500 births.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position0:22 ↗
Most craniosynostosis cases involve a single suture with no underlying syndrome, and the sagittal suture is most often affected.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position0:31 ↗
A minority of craniosynostosis cases are syndromic (Apert, Crouzon, Muenke, and others) and tend to involve more than one suture.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position0:39 ↗
Infant skull bone does not expand from the middle but gets laid down at the edges, at the sutures, as the brain pushes outward.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position1:21 ↗
The dura mater signals the bone-forming edges of each suture, and the brain's growth is the trigger for skull expansion.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position1:29 ↗
The posterior fontanelle closes by around 2 to 3 months of age.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position1:45 ↗
The anterior fontanelle stays open until somewhere between 9 and 18 months.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position1:53 ↗
Dr. Jesse Skoch states that skull volume essentially doubles during the first year, representing an impressive change.
clinicalJesse Skoch2:19 ↗
The fastest skull growth is over by 12 months of age.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position2:26 ↗
The metopic suture runs down the midline of the forehead from the anterior fontanelle to the root of the nose and allows the forehead to widen.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position2:51 ↗
The coronal sutures run transversely, one on each side, separating the frontal bone from the parietal bones and allow the forehead and orbital rim to advance.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position3:09 ↗
The sagittal suture runs front to back down the midline between the two parietal bones and allows the skull to widen.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position3:20 ↗
The lambdoid sutures angle back from the midline, separating the parietals from the occipital bone, and allow the posterior skull to grow.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position3:27 ↗
According to Virchow's law, when a suture is fused, skull growth perpendicular to that suture will be arrested and growth will happen in the parallel direction.
clinicalJesse Skoch3:57 ↗
Dr. Skoch prefers a three-dimensional concept of Virchow's law, thinking of it as squeezing a balloon, which better predicts the resulting skull shape.
opinionJesse Skoch4:20 ↗
Trigonocephaly is the triangular head shape seen in metopic craniosynostosis.
clinicalJesse Skoch4:48 ↗
Virchow published his law in the 1850s and it remains the current framework for understanding craniosynostosis.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position4:56 ↗
The metopic suture is by far the earliest closing suture, typically closing between 3 to 9 months, while other sutures don't typically close until late adulthood.
clinicalJesse Skoch5:24 ↗
Dr. Skoch states that if a suture closes in the first year or two of life but isn't closed right at birth, patients can often do perfectly fine with very minimal deformity; prenatal closure is what truly warrants concern.
clinicalJesse Skoch5:55 ↗
Minor suture fusion usually does not cause significant deformity or risks to brain development.
clinicalJesse Skoch6:27 ↗
Head shape is more important than palpation findings (ridge, fontanelle size, prominent suture) in diagnosing craniosynostosis.
clinicalJesse Skoch6:49 ↗
Positional plagiocephaly is far more common than any fused suture and is caused by a baby lying the same way for long stretches, with all sutures remaining open.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position7:07 ↗
Positional molding produces a parallelogram shape from above, while lambdoid synostosis produces a trapezoid shape.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position7:29 ↗
Dr. Skoch states that with true lambdoid synostosis there is almost always a height differential of the ears with a lower-set ear on the affected side, whereas ear height is typically normal with positional plagiocephaly.
clinicalJesse Skoch7:38 ↗
In positional molding, the ear shifts forward but the two ears stay level.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position7:55 ↗
CT with three-dimensional reconstruction is the confirmatory study for craniosynostosis, showing the sutures directly.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position8:02 ↗
Dr. Skoch states that CT is the gold standard but most of the time it's not necessary for diagnosis, and CTs should not be obtained on patients who don't really need them.
guidelineJesse Skoch8:18 ↗
Ionizing radiation from CT in infants is associated with increased cancer risk in the future with large doses.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position8:32 ↗
In practice, the specialist orders CT once the exam has raised the question, usually to plan an operation rather than to make the diagnosis.
Host summaryThe host summarizes what Dr. Jesse Skoch said — not the host's own clinical position8:40 ↗
Dr. Skoch states that partially fused sutures are the real deal and deserve all the attention of a fully fused suture, comparing them to a partially locked door—if it's stuck, it's stuck, regardless of how much.
clinicalJesse Skoch8:56 ↗
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