Dr. Brian S. Pan Β· A new face for Zakary | Cincinnati Children's
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Video3 minΒ·Published Jun 2026

A new face for Zakary | Cincinnati Children's

With Dr. Charles Stevenson & Dr. Velika Riegel & Dr. Hector Pan Β· Dr. Brian S. Pan
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What the experts said4 expert statements Β· 9 host summaries
Dr. Charles Stevenson knew following delivery that complex reconstruction of the face and nasal bridge would be required.
ClinicalCharles Stevenson
Dr. Stevenson consulted Dr. Hector Pan because complex facial reconstruction would be needed.
ClinicalCharles Stevenson
At birth, the growth covered from Zachary's eyes down to his mouth; only a little mouth was visible.
ClinicalVelika Riegel
The surgical steps involved exposing the forehead, exposing the defect, amputating the tissue, preserving the normal brain, and reconstructing the normal layers or barriers which had not formed.
ClinicalCharles Stevenson
A fetal MRI detected an encephalocele midway through Velika Riegel's pregnancy.
Host summary
Zachary had a large opening in the bone between his eyes through which tissue escaped.
Host summary
Until Zachary was born, it was unknown whether the encephalocele was cancerous.
Host summary
The surgeons had seen a case like this only once before.
Host summary
Zachary was delivered December 29th, 2016.
Host summary
Zachary needed a feeding tube and supplemental oxygen.
Host summary
Zachary spent 4.5 months in newborn intensive care at Cincinnati Children's before he grew enough to have the operation.
Host summary
The operation was successful and the tissue was found not to be a cancerous tumor.
Host summary
Zachary and Velika moved to the area to be closer to Cincinnati Children's.
Host summary