journal
https://read.qxmd.com/read/38975716/septoplasty-during-primary-cleft-lip-reconstruction-a-historical-perspective-and-scoping-review
#21
JOURNAL ARTICLE
Theodore Lam, Callum Munns, Matthew Fell, David Chong
BACKGROUND: Traditional surgical approaches excluded septoplasty at primary cleft lip reconstruction due to concerns about restricted nasal and midfacial growth. Modern opinion in the treatment of cleft lip has increasingly employed primary septoplasty; this scoping review and historical perspective aims to chronicle the evolution of septoplasty in patients born with cleft lip and palate and discuss current evidence. METHODS: The historical perspective explicitly contrasts American and European perceptions of septoplasty in cleft lip deformity and the competing anatomical theories of the role of the septum on midfacial and nasal growth...
July 8, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38975715/pediatric-anatomy-of-the-sternocleidomastoid-muscle-on-magnetic-resonance-imaging-views
#22
JOURNAL ARTICLE
Burhan Beger, Abdulaziz Yalinkiliç, Mehmet Zeki Erdem, Sevinç Mengi, Orhan Beger
OBJECTIVE: This study aimed to investigate morphologic features of the sternocleidomastoid muscle (SCM) in children for pediatric head-neck surgeries. METHODS: Magnetic resonance imaging images of 84 (46 males/38 females) pediatric patients aged ages 1 to 18 years (mean age: 9.38 ± 4.46 y) constituted the study universe. The size of SCM (including its height, width, and angulation) was measured, and the origin types of SCM were noted. RESULTS: All patients had SCM bilaterally...
July 8, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38968026/establishment-of-cephalic-index-by-computed-tomography-in-sampled-chinese-children
#23
JOURNAL ARTICLE
Qin-Chuan Liang, Xi Chen, Hui-Qing Liu, Ze-Yang Xia, Ping-Ping Gao, Nan Bao
OBJECTIVE: Cephalic Index (CI), the ratio of head width to length, is one of the indexes reflecting cranial morphological characteristics. Current norms were established by European and American countries. The purpose of the study was to study anthropometry of cranial parameters using computed tomography scans to establish the CI of the sampled Chinese Children. METHODS: The cross-sectional study was carried out on patients of age younger than 14 years old at Shanghai Children's Medical Center...
July 5, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38968005/successful-management-of-cherubism-patient-with-staged-bone-grafting-and-fat-grafting
#24
JOURNAL ARTICLE
Jonathan Butts, Kalyan Dadireddy, Jessica A Ching
Cherubism is a rare hereditary dysplasia of the craniofacial skeleton with unpredictable course and controversial management. The authors report a case managed at the onset with limited mandibular resection and primary autogenous bone grafting, as well as staged secondary fat grafting for contour definition. Over 5 years, the patient demonstrated no recurrence of deformity except for mild hypoplasia, which was improved with fat grafting. The advantages of this early treatment were the ability to address the social stigma and anxiety at a young age versus conservative management strategies with minimal comorbidity...
July 5, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38963242/auricular-deformational-anomalies-detected-in-human-fetal-cadavers
#25
JOURNAL ARTICLE
Özlem Elvan, Alev Bobuş Örs, Evrim Güneş
The aim of the study was to investigate the incidence and diversity of deformational auricular anomalies in human fetuses based on their morphologic appearances. A total of 100 auricles from 56 formalin-fixed fetuses (32 female and 24 male), gestational ages ranging from 17 to 36 weeks, were examined. The auricles were categorized according to the morphologic deformities outlined in existing literature. Of the samples analyzed, 67% exhibited auricular deformities, while the remaining 33% showed no auricle anomalies...
July 4, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38958985/advances-in-three-dimensional-printing-for-craniomaxillofacial-trauma-reconstruction-a-systematic-review
#26
JOURNAL ARTICLE
Mendy Hatibie Oley, Maximillian Christian Oley, Vania Sukarno, Muhammad Faruk
Craniomaxillofacial (CMF) fractures present significant challenges for plastic surgeons due to their intricate nature. Conventional methods such as autologous bone grafts have limitations, necessitating advancements in reconstructive surgery techniques. This study reviewed the use of three-dimensional printing for CMF trauma reconstruction using human studies. A systematic search of PubMed, EMBASE, and Google Scholar was conducted in February 2024 for case reports, case series, and clinical trials related to CMF trauma reconstruction using three-dimensional printing technology...
July 3, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38958956/endovascular-embolization-and-atorvastatin-therapy-for-recurrent-chronic-subdural-hematoma
#27
JOURNAL ARTICLE
Enzhen Lv, Xiaoli Xue, Zitao Xu
Recurrent chronic subdural hematoma poses a significant clinical challenge. While craniotomy effectively removes the hematoma membrane, it is an invasive procedure associated with significant trauma. Recently, endovascular embolization of the middle meningeal artery has emerged as a promising minimally invasive alternative, demonstrating efficacy and a low recurrence rate in treating chronic subdural hematoma. Furthermore, postoperative administration of oral atorvastatin calcium may enhance hematoma absorption, thereby improving patient outcomes during the early recovery phase...
July 3, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38958949/anatomical-comparison-of-endoscopic-and-microscopic-exposure-of-the-petroclinal-core-area-through-the-extended-middle-skull-base-approach
#28
JOURNAL ARTICLE
Guoqing Sun, Hu Wang, Yanguo Shang, Minggang Shi, Xuan Wang, Xiaoguang Tong
OBJECTIVE: To compare the range of endoscopic and microscopic exposure of the petroclival core area through the middle skull base and to observe the corresponding anatomical structures. METHODS: Ten intact adult cadaveric head specimens fixed with formaldehyde were craniotomized through an expanded middle skull base epidural approach on 20 sides. The distance from the greater superficial petrosal nerve to the petrous ridge was measured. When different degrees (1-3 degrees) of the Kawase triangle bone were removed, the exposed anatomical structure was observed, and the exposed core area of the rock slope was measured under an endoscope and microscope...
July 3, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38953587/custom-endoprosthesis-assisted-pediatric-microsurgical-jaw-reconstruction
#29
JOURNAL ARTICLE
Collean Trotter, Devon O'Brien, Eloise W Stanton, Idean Roohani, Pasha Shakoori, Mark M Urata, Jeffrey A Hammoudeh
Surgical treatment of pediatric maxillary and mandibular tumors can cause significant postresection disfigurement, mastication, and speech dysfunction. The need to restore form and function without compromising growth at the recipient and donor sites poses a particular reconstructive dilemma. This study evaluates outcomes of the custom endoprosthesis (CE) compared with noncustom reconstruction (NCR) and introduces an algorithm using CE to optimize available soft tissue reconstructive options. An Institutional Review Board-approved retrospective review of all patients undergoing maxillary or mandibular reconstruction between 2016 and 2022 was completed...
July 2, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38953586/quantification-of-cephalometric-changes-in-gonial-angle-morphology-following-facial-feminization-surgery
#30
JOURNAL ARTICLE
Jacqueline M Ihnat, Kevin G Hu, Neil Parikh, Mariana N Almeida, Mica Williams, Sacha C Hauc, Michael Alperovich
Facial feminization surgery (FFS) is a type of gender-affirming surgery aimed at bringing masculine facial features more in line with typically feminine characteristics. Specifically, mandibular contouring can create a softer jawline and help create a more round, feminine face. As the popularity of FFS continues to increase, improving surgical techniques and patient satisfaction is imperative. However, no quantitative measurement system currently exists to measure these changes. In this study, the authors describe the use of a novel segmentation technique using computerized tomography imaging to quantify the bony changes that occur during gonial angle reduction...
July 2, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38953585/it-s-time-to-say-goodbye-to-the-hypocritical-oath
#31
JOURNAL ARTICLE
Kun Hwang
No abstract text is available yet for this article.
July 2, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38953584/sports-related-mandibular-fractures-in-the-center-of-italy-a-retrospective-study
#32
JOURNAL ARTICLE
Matteo Gualtieri, Giulia Scivoletto, Francesca Pitino, Francesco Pisapia, Valentino Valentini
The main causes of injuries to the lower and middle third of the facial skeleton are traffic accidents, accidental falls, assaults, and sport. Regarding sports-related maxillofacial trauma, an 8-year retrospective study was conducted at the Department of Oral and Maxillofacial Surgery of the Policlinico Umberto I in Rome, Italy. In all, 329 patients were included, of which we analyzed 35 patients with sports-related mandibular fractures. Specifically, we assessed the type of mandibular fracture reported, age, gender, number of fracture lines, association with other maxillofacial fractures, and treatment options...
July 2, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38953580/a-new-method-in-dealing-with-children-s-condylar-fracture-by-botulinum-toxin-a-injection-in-lateral-pterygoid-muscle
#33
JOURNAL ARTICLE
Chenpei Lu, Yanfei Zhu, Wenbin Zhang, Bing Xu
Condylar is one of the most vulnerable sites to be traumatized in pediatric mandible fracture, while temporomandibular joint ankylosis might be the most severe complication of condylar fracture in children. There exists a long-time controversy on the treatment of condylar fractures in children. Considering the risk of facial nerve injury and a certain probability of absorption or even ankylosis after open reduction and internal fixation (ORIF) of condylar fractures, a series of nonsurgical approaches are preferred in cases without severe malocclusion or shortening of the ramus...
July 2, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949509/application-of-cross-groin-flap-for-coverage-of-large-skin-and-soft-tissue-defects-of-the-foot-and-ankle-in-children
#34
JOURNAL ARTICLE
Yungang Hu, Cong Zhang, Weili Du, Xiaozhuo Zhao, Yuming Shen
In children with large soft tissue defects of the foot and ankle, it is difficult to cover the wound completely using a local skin flap, and skin grafting of the donor area for repair causes secondary damage. Free skin flaps require good vascular anastomoses and are prone to vascular crises. The authors evaluated the effectiveness and safety of cross-inguinal flaps for the repair of large soft tissue defects of the foot and ankle in children. The records of 15 children who underwent cross-groin flap transplantation between June 2017 and June 2021 were analyzed retrospectively...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949496/evolution-of-virtual-surgical-planning-use-among-craniofacial-surgeons
#35
JOURNAL ARTICLE
Jake Moscarelli, Kevin G Hu, David Alper, Albert Rancu, Andrew Salib, Jacqueline M H Ihnat, Neil Parikh, John A Persing, Michael Alperovich
Virtual surgical planning (VSP) has benefits in craniofacial surgery with growing popularity. However, while specific use cases are highlighted in the literature, no studies exist providing an overview of VSP use among craniofacial surgeons, and little is known about the extent of exposure to VSP during plastic surgery training. This study surveyed members of The American Society of Maxillofacial Surgeons (ASMS) to better characterize both the landscape of VSP use among practicing craniofacial surgeons and the extent of exposure to VSP throughout surgical training...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949493/the-effects-of-presurgical-orthodontic-treatment-on-the-outcome-of-secondary-bone-graft-for-individuals-with-cleft-lip-and-palate
#36
JOURNAL ARTICLE
Moyu Lara Fu, Malak Aldosari, Archak Chakraborty, Jaemin Ko, Peggy Tahir, Snehlata Oberoi
BACKGROUND/OBJECTIVE: Alveolar bone graft (ABG) or repair has become a routine part of treatment protocols for individuals with cleft lip and/or palate. However, the necessity and potential benefits of presurgical orthodontic treatment in influencing the outcomes of secondary alveolar bone grafting remain inconclusive. This systematic review aimed to assess the impact of presurgical orthodontics on preparing patients for secondary alveolar bone grafts. STUDY DESIGN: The authors systematically searched for relevant articles in PubMed, Web of Science, and Embase databases spanning the period from January 1, 2000, to December 31, 2023, using keywords related to alveolar bone grafting and orthodontic treatment for patients with cleft lip and/or palate...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949262/mandibular-contouring-in-subjects-with-class-ii-or-class-iii-dentofacial-deformities-and-treatment-needs
#37
JOURNAL ARTICLE
Victor Ravelo, Marcelo Parra, Gonzalo Muñoz, J J Otero, Sergio Olate
Facial contouring relates to hard and soft structures that make up the face. Skeletal class II and III subjects present bone structure and position changes, significantly impacting the soft tissues. This study aims to analyze the morphology of the mandible at mandibular ramus and angle level in subjects with skeletal facial deformity class II and III who are candidates for orthognathic surgery and to define implications in facial contour. A cross-sectional study used cone beam computed tomography to compare the mandibular contour (mandibular angle and ramus region) in orthognathic surgery candidates...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949257/the-craniofacial-collaboration-uk-developmental-outcomes-in-7-and-10-year-old-children-with-sagittal-synostosis
#38
JOURNAL ARTICLE
Samuel Lloyd-White, Rosanna Samuel, Laura Edwards-Bailey, Katie Piggott, Sabrina Blighe, Amber Bassi, Matthew Hotton, Jo Horton, David Johnson, Christopher Parks, Anna Kearney
The Craniofacial Collaboration UK (CC-UK) protocol is a shared agreement across the 4 UK Highly Specialist Craniofacial Centres (HSCCs) to conduct robust neurodevelopmental and psychosocial clinical screening for children with craniosynostosis. This agreement allows for the analysis of outcomes of a homogenous sample of children with single suture craniosynostosis (SSC), a frequent limitation of the existing research. The current study is the latest analysis of CC-UK data on behavioral, cognitive, and psychosocial outcomes...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949256/the-applicability-of-polyetheretherketone-and-titanium-mesh-in-cranioplasty-a-retrospective-comparative-analysis
#39
JOURNAL ARTICLE
Yao-Nan Peng, Zhen-Zhen Liu, Liang Qiao
OBJECTIVE: To compare the clinical application effect and safety of polyetheretherketone (PEEK) and titanium mesh (TM) in cranioplasty. METHODS: Four-year retrospective comparison of patients (96 cases) undergoing synthetic cranioplasty with PEEK or TM. The patients were divided into the PEEK group (24 cases) and the TM group (72 cases) according to the implants, and the patient demographics, general conditions before the operation, postoperative complications, length of postoperative hospital stay, total costs, satisfaction with shaping and long-term complications were compared between the 2 groups...
July 1, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38949253/successful-management-of-velopharyngeal-insufficiency-in-wagr-syndrome-with-deletion-of-chromosome-11p14-3
#40
JOURNAL ARTICLE
I Zhen Ma, Rong-Min Baek, Baek-Kyu Kim
Deletions in the 11p region can lead to severe outcomes, such as WAGR (Wilms tumor, aniridia, genitourinary anomalies, and mental retardation) syndrome. However, velopharyngeal insufficiency is little known, and its treatment guideline is yet to be established. Here, we present a velopharyngeal insufficiency case of a Korean patient with a 493kb deletion of chromosome 11p14.3. The patient was successfully managed with a posterior pharyngeal flap. Posterior pharyngeal flap should be considered in velopharyngeal insufficiency patients with WAGR syndrome...
July 1, 2024: Journal of Craniofacial Surgery
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