Surgeons in the Division of Plastic and Reconstructive Surgery provide the full spectrum of both reconstructive and cosmetic surgery services for children and adults.

Expertise is provided in reconstructive and cosmetic breast surgery to include breast reconstruction following mastectomy, breast augmentation, and breast reduction. Multidisciplinary teams provide care for craniofacial problems to include congenital anomalies, cleft lip and palate, maxillofacial trauma and orthognathic surgery. Acquired and congenital hand deformities are also treated, including carpal tunnel syndrome, degenerative changes in the hand and wrist and adult and pediatric hand trauma.

Research interests of Delora Mount, MD, include distraction osteogenesis, outcomes and indications for free flap reconstruction of craniofacial defects in children and clinical outcomes of cleft surgical repair on skeletal growth, dentition, and speech.

Examples of past projects

Regional Distribution of Cleft Lip and Palate Births in Wisconsin from 1997 to 2006, by Allison Derrick

Orofacial clefts present a significant public health problem due to the complex etiology and considerable morbidity faced by patients and families. Current literature suggests that orofacial clefting is the result of a multifactorial process involving both environmental and genetic factors. The objective of this study was to evaluate the incidence of orofacial cleft births in the Fox River Valley with respect to the rest of Wisconsin and to examine the overall spatial distribution for potential associations between environmental factors and orofacial clefts.

The Wisconsin vital records provided crude counts of orofacial cleft births from the years 1997 to 2006. Incidence rates were then calculated for individual counties using denominator data of the total number of births per county obtained from the Wisconsin Interactive Statistics on Health (WISH) Database. As a comparison, incidence rates were also calculated from data supplied by the Wisconsin Birth Defects Registry from the years 2005 and 2006.

A geostatistical representation of orofacial clefting in the state of Wisconsin from the years 1997 to 2006 was developed from the Wisconsin vital records data. This analysis summarizes the geographical distribution of orofacial cleft births within the state of Wisconsin and indicates a relative increased incidence within the Fox River Valley area between 1997 and 2006.

By geographically assessing the incidence of orofacial clefting throughout Wisconsin, we can examine potential relationships among orofacial clefting and various environmental exposures. This information serves as a foundation for generating further hypotheses and evaluations of the geographic differences of orofacial cleft births within Wisconsin.

UW Cleft Lip and/or Palate Study, by Grace Nam

Cleft lip and/or palate are some of the most common of all congenital birth defects affecting live births, caused by the non-fusion of the upper and/or the roof of the mouth in utero. This affects about one out of 1000 live births, with slightly increased incident in pocket populations.

A preliminary study conducted in Wisconsin showed that there is a significantly increased risk of being born with a cleft lip and/or palate if born in the fox valley region. This area is known for their paper mills and high levels of pollutants in their water supply. Given this background information, a case-controlled study was created to look into finding an association between prenatal water exposure in both the Fox Valley region and Dane County with the development of cleft lip and/or palate.