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    For The Tenth Time

    For The Tenth Time

    Photo By Petty Officer 2nd Class Erwin Jacob Miciano | 200605-N-VI515-1186 SAN DIEGO (June 5, 2020) Landon Oprandy post-craniofacial...... read more read more



    Story by Petty Officer 2nd Class Erwin Jacob Miciano 

    Naval Medical Center San Diego

    SAN DIEGO –Landon Oprandy underwent a craniofacial reconstructive surgery at Naval Medical Center San Diego (NMCSD), June 5.
    Born in Iwakuni, Japan, Landon was diagnosed with Muenke syndrome, a form of syndromic craniosynostosis, where parts of his skull had closed too early as an infant.
    Landon’s father, Matthew Oprandy, was stationed in Iwakuni as a Marine Corps air traffic controller until two days after Landon’s birth, Aug. 8, 2012. Landon and his family were then transported to San Diego under the Department of Defense's Exceptional Family Members Program (EFMP) to receive the special medical care to meet their needs. Landon had an initial cranial vault surgery when he was less than one-year-old, a procedure to correct an abnormal head shape and give the brain enough room in the skull to grow.
    “Due to hydrocephalus, a condition of abnormal accumulation of brain fluid, Landon’s skull had not healed in the correct fashion,” said Cmdr. Eamon O’Reilly, NMCSD’s Plastic Surgery department head. “[Landon] has had multiple, remodeling procedures to address his skull shape. He has been followed by the multidisciplinary craniofacial team, to include neurosurgery and plastic surgery.”
    In December 2019, Capt. Arnett Klugh, NMCSD’s senior pediatric neurosurgeon, felt Landon was ready for an additional surgery, his tenth. The goal was to address areas on the sides of Landon’s head and forehead. He underwent preoperative 3-D CT scan modeling and had custom, 3-D-printed polyether ether ketone (PEEK) plates printed for this surgery.
    “The PEEK plates would fit lock-in-key to the defects of his skull," said O’Reilly. “The plates would function to protect his brain and improve his appearance.”
    After giving a short goodbye to his dad, Landon was wheeled into the operating room and falled under anesthesia. He underwent surgery for over five hours. The operating room, equipped with five surgeons, two nurses, two hospital corpsmen and one technical representative, functioned smoothly as the sound of cauterizers took over the room in the beginning. The surgeons fit and installed the PEEK plates labeled with Landon’s name onto his skull. The craniofacial team then finished the procedure and transported him to the pediatric intensive care unit (PICU) for recovery.
    “It's been easier on us as parents the more procedures we do, especially compared to his first operation,” said Landon’s dad. “But at the same time, it has becoming harder for Landon to explain to his friends why he can’t play for two weeks every time he goes through [surgery].”
    Landon Oprandy was discharged from NMCSD’s PICU, June 7.
    “The past seven years, we have been receiving the best treatment we can get for Landon,” said the father. “We’ve been sticking to Dr. Klugh’s vision, and we’re very grateful for him.”
    NMCSD’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMCSD employs more than 6,000 active duty military personnel, civilians and contractors in Southern California to provide patients with world-class care anytime, anywhere.
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    Date Taken: 06.05.2020
    Date Posted: 07.27.2020 15:02
    Story ID: 372164
    Location: SAN DIEGO, CA, US 

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