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Journal of Craniofacial Surgery

Rami R Hallac, Tochi Ajiwe, Maleeh Effendi, James R Seaward, Alex A Kane
BACKGROUND: Molding helmet therapy is used for the treatment of infants with deformational brachycephaly (DB). There is a lack of rigorous outcome measures of helmet therapy in patients with DB using 3-dimensional (3D) imaging, with most reports rely on either subjective or 2-dimensional analyses. Furthermore, the longitudinal assessment of head shape improvement over the course of helmet therapy has not been documented. Our goal was to assess the outcome of molding helmet therapy using 3D surface imaging, and to document the pace of improvement during treatment...
May 1, 2019: Journal of Craniofacial Surgery
Spencer Kitchin, Lynn Grames, Sybill D Naidoo, Gary Skolnick, Alyssa Schoenborn, Alison Snyder-Warwick, Kamlesh Patel
OBJECTIVE: The purpose of this study was to investigate the surgical, speech, and audiologic outcomes in patients with Van der Woude syndrome (VWS) and compare them to patients with nonsyndromic cleft palate with or without cleft lip (NS-CP ± L) treated at the same institution. DESIGN: Retrospective chart review. SETTING: A single children's hospital at a major academic institution. PATIENTS: The records of 18 patients with VWS who had been treated at a single institution from 1989 to 2017 have been retrospectively examined...
May 1, 2019: Journal of Craniofacial Surgery
Nevzat Demirbilek, Cenk Evren
AIM: The aim of this study was to investigate the effect of piezoelectric surgery (piezosurgery) on soft tissue in open septorhinoplasty. METHODS: A total of 30 patients (21 females, 9 males; mean age 29.16 ± 8.17 years; range, 18-43 years) who underwent open septorhinoplasty between January 2019 and February 2019 were randomly divided into 2 groups. After the nasal dorsum was opened in all groups, 1 mm tissue under the skin in radix region was taken as punch biopsy...
May 1, 2019: Journal of Craniofacial Surgery
Giulio Gasparini, Gianmarco Saponaro, Mattia Todaro, Piero Doneddu, Gianpiero Tamburrini, Giuseppe D'Amato, Roberto Boniello, Sandro Pelo, Alessandro Moro
The use of navigated surgery in the treatment of craniofacial malformations can help obtain optimal results. In this article, the authors will discuss a case of anterior plagiocephaly, corrected with frontorbital bandeau remodeling. Navigation was used during the osteotomy and the reposition phase to ensure the correct positioning of the osteotomy instruments. It was also used to ensure that the bandeau was correctly repositioned in accordance with the surgical plan determined during the virtual simulation phase of the surgery...
May 1, 2019: Journal of Craniofacial Surgery
Paolo Cariati, Miguel Perez de Perceval Tara, Jose Fernandez Solis, Ildefoso Martinez Lara
Dental implantology is the most popular choice for the treatment of partial or total edentulism. However, in spite of its apparent simplicity, it represents a procedure that requires adequate surgical knowledge and remarkable technical skills. There are a number of potential complications related to dental implant surgery and some of these can be particularly dangerous. The most common and early complications of implant surgery are infection, implant migration, and implant rupture, and the patient could even swallow drills and other surgical instruments...
May 1, 2019: Journal of Craniofacial Surgery
Glenn W Geelhoed
No abstract text is available yet for this article.
May 1, 2019: Journal of Craniofacial Surgery
Xiang Zhang, Wei Chen, Ting-Yuan Luo, Juan Ma, Zhen Dong, Gang Cao, Jin-Ke Xu, Bin-Yao Liu, Qi-Rui Zhang, Sen-Lin Zhang
The aim of this study was to investigate the clinical outcomes of orbital blowout fracture repair by using the three-dimensional (3D) printing-assisted fabrication of individual titanium mesh. Clinical and radiologic data were analyzed for 12 patients with orbital floor and/or medial wall fractures. Lower eyelid incision was used to expose the fractures. Preoperative computed tomographic data were input into an imaging software to rebuild a 3D orbit and mirror the unaffected side into the affected side to replace the demolished orbit...
May 1, 2019: Journal of Craniofacial Surgery
Marcello Augello, Manfred M Maurer, Isabelle Berg-Boerner, Hans-Florian Zeilhofer, Philippe Cattin, Philipp Juergens
PURPOSE: Several post-processing algorithms for 3D visualization of the skull in craniosynostosis with their specific advantages and disadvantages have been already described. The Finite Element Method (FEM) described herein can also be used to evaluate the efficacy of the cutting patterns with respect to an increase in the projected surface area under assumed uniform loading of the manipulated and cut bone segments. METHODS: The FEM analysis was performed. Starting with the classic cranial osteotomies for bifrontal craniotomy and orbital bandeau a virtually mirroring of the unaffected triangular shaped frontal bone was performed to achieve a cup-shaped sphere of constant thickness of 2...
May 1, 2019: Journal of Craniofacial Surgery
Wan-Hee Jang, Jake Minki Lee, Sam Jang, Hee-Dong Kim, Kang-Min Ahn, Jee-Ho Lee
A patient was diagnosed with squamous cell carcinoma of the maxillary sinus and consequently underwent a unilateral total maxillectomy and reconstruction using an anterolateral thigh (ALT) free flap. Soft tissue transplantation without a bone graft at the large maxillary defect site caused a midfacial collapse, which worsened, especially after radiotherapy. The 3-dimensional positioning of the composite flap for wide maxillary reconstruction is aesthetically important. To achieve ideal symmetry and aesthetics, a mirror image was created using the normal contralateral side...
May 1, 2019: Journal of Craniofacial Surgery
Sarah E Hammond, Erin Cohen, David Rosow
In recent years, gender affirmation surgery has broadened significantly from its previous focus on genital conformation only to include other areas of the body as well. As society reconsiders its interpretations of masculinity, femininity, and gender definitions, transgender individuals have realized that they will only be able to truly transition if they are recognized by the public in their chosen societal role. The authors review the literature and describe their own techniques for feminizing thyroid chondroplasty and laryngoplasty...
April 24, 2019: Journal of Craniofacial Surgery
Özge Özdal Zincir, Aylin Paşaoğlu Bozkurt, Selin Gaş
This present study aimed to evaluate the education of YouTube videos about wisdom tooth surgical removal for viewers. In this study, the term "wisdom tooth surgical removal" was searched on YouTube. After excluding duplicates, irrelevant videos, non-English-language videos; 92 relevant videos in English were independently examined by 3 reviewers. The videos were categorized as 'poor', 'moderate' and 'excellent' by scoring 9 points in order to evaluate the information they provided to the audience...
April 24, 2019: Journal of Craniofacial Surgery
Bryan C Luu, Larry H Hollier
No abstract text is available yet for this article.
April 24, 2019: Journal of Craniofacial Surgery
Binghong Chen, Hui Wu, Lilin Cheng, Yaomin Hu, Yu Liao, Yongming Qiu, Jiong Dai
A 52-year-old male who had chronic hypertension for several years presented with abrupt epistaxis. The CT scan revealed a 40 mm × 40 mm mass in the nasal cavity intended to the maxillary sinus and the base of skull. Nasal endoscope biopsy and serum/urinary catecholamine detection conformed an ectopic noradrenaline-secreting pheochromocytoma. The present research was to discuss the clinical characteristics of the rare pheochromocytoma and the palliative interventional embolization for it.
April 24, 2019: Journal of Craniofacial Surgery
Hadyn Kankam, Sarika Madari, Rajendra Sawh-Martinez, Karl C Bruckman, Derek M Steinbacher
PURPOSE: Orthognathic surgery for dentofacial deformities is typically preceded and followed by orthodontic treatment. Traditionally, orthodontic hardware is secured to the dentition to allow dental movement and stabilization. Clear-aligner therapy (eg, Invisalign) provides an aesthetic alternative, consisting of a series of transparent trays. Its use has not been described in complex triple-jaw orthognathic surgery. The purpose of this study is to evaluate perioperative outcomes and 3-dimensionally quantify postoperative edema in Invisalign patients undergoing triple-jaw orthognathic procedures, comparing this to patients treated with conventional fixed appliances...
April 24, 2019: Journal of Craniofacial Surgery
Saygo Tomo, Tamara Fernandes de Castro, Jéssica Araújo Figueria, Elisa Mattias Sartori, Glauco Issamu Miyahara, Luciana Estevam Simonato
No abstract text is available yet for this article.
April 24, 2019: Journal of Craniofacial Surgery
Samuel H Cole, Angela S Volk, Larry H Hollier
No abstract text is available yet for this article.
April 24, 2019: Journal of Craniofacial Surgery
Nicholas Cen, Larry H Hollier
No abstract text is available yet for this article.
April 24, 2019: Journal of Craniofacial Surgery
Sujata Mohanty, Ranjeet Bodh, Jitender Dabas, Saroj Kumari, Sanchaita Kohli
Postburn maxillofacial deformities, although rare, are a significant cause of morbidity. Since contracture scars have a potential role in deforming the maxillofacial skeleton, the focus of treatment should be on growing patients, where scar contractures can drastically influence growth and morphology of the maxillofacial units. There are certain aspects of severe facial burns and deformities, especially of the jaws, that deserve sincere attention to overcome aesthetic and functional disabilities such as inability to masticate and incompetent lips...
April 24, 2019: Journal of Craniofacial Surgery
Ui-Lyong Lee, Ji-Hye Nam, Won-Cheul Choi, Hye-Won Kim, Hye-Jin Kim, Young-Jun Choi
OBJECTIVES: The purpose of this study was to compare the lip line cant (LLC) changes after 1 and 2-jaw surgery, and to evaluate the correlations of the craniofacial factors affecting LLC. METHODS: The study subjects were selected (LLC amount within 1.5-6.0°) from among the patients diagnosed with Class III malocclusion who underwent one (n = 20) or 2-jaw surgery (n = 20). Cone beam computed tomography images were obtained immediately before the operation (T1) and 6 months after the operation (T2)...
April 24, 2019: Journal of Craniofacial Surgery
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