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Efficacy and Safety of Endoscopic Surgery Versus Craniotomy for Hypertensive Putamen Hemorrhage. 内窥镜手术与开颅手术治疗高血压性普特曼出血的有效性和安全性对比。
Pub Date : 2024-04-09 DOI: 10.1097/scs.0000000000010105
Anshuo Wang, Zikang Sun, Wen Zhang, Hu He, Fei Wang
This study aimed to evaluate the efficacy and safety of neuroendoscopy for treating hypertensive putamen hemorrhage (HPH), compared with traditional craniotomy.
本研究旨在评估神经内镜与传统开颅手术相比,治疗高血压性普鲁卡因脑出血(HPH)的有效性和安全性。
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引用次数: 0
Correcting Different Degrees of Droopy Nose, an Overview of Techniques and Strategies at Tertiary Facial Plastic Center. A Retrospective Analysis. 矫正不同程度的鼻下垂,三级面部整形中心的技术和策略概览。回顾性分析。
Pub Date : 2024-04-09 DOI: 10.1097/scs.0000000000010106
Abdulaziz Saud Alenazi, Hamad F Alrabiah, Sameer Bafaqeeh
The variety of noses in the mixed Saudi population keeps rhinoplasty surgeons on their toes. The main treatment goal for drooping nose tips is the first rotation of the nasal tip superiorly. Although droopy nose is a common disease in Saudi Arabia, none of the previous studies recognized the general features of droopy nose.
沙特混血儿的鼻子千奇百怪,这让鼻整形外科医生时刻保持警惕。鼻尖下垂的主要治疗目标是鼻尖首次向上方旋转。虽然鼻尖下垂在沙特阿拉伯是一种常见病,但以前的研究都没有认识到鼻尖下垂的一般特征。
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引用次数: 0
Visualization Mapping and Current Trends of Facial Contouring Procedures: A Bibliometric Analysis Based on Web of Science. 面部轮廓整形手术的可视化映射和当前趋势:基于科学网的文献计量分析。
Pub Date : 2024-04-09 DOI: 10.1097/scs.0000000000010119
Xin Li, Yucheng Luo, Yan Zhang
Facial contouring procedures become popular in recent years, but there has been no bibliometric analysis focused on this field.
面部轮廓整形手术近年来很受欢迎,但还没有针对这一领域的文献计量分析。
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引用次数: 0
An Innovative Technique of Presurgical Lip, Alveolus, and Nose Approximation (PLANA) for Infants with Clefts. 针对唇裂婴儿的创新性唇、齿槽和鼻接近术(PLANA)。
Pub Date : 2024-04-08 DOI: 10.1097/scs.0000000000010107
Pradip R Shetye
The innovative technique of "presurgical lip, alveolus, and nose approximation" (PLANA) offers a new approach within the domain of presurgical infant orthopedics for infants born with cleft lip and palate. Presurgical lip, alveolus, and nose approximation introduces the utilization of the NoseAlign device in conjunction with medical adhesive tapes, designed to approximate and support displaced soft tissue nasolabial structures in patients with cleft, without an intraoral plate. The NoseAlign device, constructed from medical-grade silicone, consists of 2 tubular portions that fit into the nostrils, connected by a columella band. Notably, it also features a wave-shaped and curved horizontal lip band, resting on the upper lip, with elastic clasps for secure attachment to the face with medical adhesive tapes. Presurgical lip, alveolus, and nose approximation therapy employs the NoseAlign device to support the collapsed nasal alar rim and cartilage, the displaced columella, the deviated nasal septum, and the displaced nasal alar base. This innovative approach minimizes the need for frequent office visits, making it particularly suitable for patients residing at a distance from specialized cleft centers. The prefabricated NoseAlign device offers effective support to nasal structures, making it suitable for unilateral and bilateral clefts. Importantly, the absence of an intraoral plate ensures it does not interfere with feeding. Presurgical lip, alveolus, and nose approximation therapy, initiated as early as 1 to 2 weeks, leverages the plasticity of nasal soft tissue and cartilage to achieve the desired nasal form before primary surgery. Although presurgical lip, alveolus, and nose approximation therapy does have some limitations, particularly in cases of medially collapsed alveolar segments, its simplicity, universal applicability, and patient-friendliness make it a promising technique in the presurgical infant orthopedics field.
创新的 "手术前唇、肺泡和鼻近似"(PLANA)技术为先天性唇腭裂婴儿的手术前矫形领域提供了一种新方法。唇、齿槽和鼻近似术采用 NoseAlign 装置与医用胶带相结合的方式,旨在近似和支撑唇裂患者移位的鼻唇软组织结构,而无需口内钢板。NoseAlign 装置由医用级硅胶制成,由两个管状部分组成,管状部分与鼻孔相吻合,并由鼻翼带连接。值得注意的是,它还有一个波浪形弯曲的水平唇带,位于上唇,带有弹性扣,可通过医用胶带牢固地固定在面部。术前唇部、鼻小柱和鼻部近似治疗采用 NoseAlign 设备来支撑塌陷的鼻甲边缘和软骨、移位的鼻小柱、偏曲的鼻中隔和移位的鼻甲基底。这种创新方法最大限度地减少了频繁就诊的需要,因此特别适合居住在距离专业裂隙中心较远的患者。预制的 NoseAlign 装置可为鼻腔结构提供有效支撑,因此适用于单侧和双侧鼻裂。重要的是,由于没有口内板,因此不会影响进食。手术前的唇部、肺泡和鼻部近似治疗最早可在 1 到 2 周内开始,利用鼻部软组织和软骨的可塑性,在初次手术前达到理想的鼻部形态。虽然手术前唇、肺泡和鼻近似疗法有一些局限性,特别是在肺泡内侧塌陷的情况下,但其简便性、普遍适用性和对患者的友好性使其成为婴儿矫形外科手术前的一项有前途的技术。
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引用次数: 0
How to Safely Use the Perforator-based Keystone Island Flap in the Scalp: Basal Cell Carcinoma of the Scalp With Local Invasion to Calvarium. 如何在头皮安全使用基于穿孔器的 Keystone 岛状皮瓣?局部侵犯颅骨的头皮基底细胞癌。
Pub Date : 2024-04-08 DOI: 10.1097/scs.0000000000010104
Tae Hwan Park, Ju Hyung Lee, Jae Hyung Kim
Scalp reconstruction has always been a challenging problem for even the most experienced surgeon to provide good aesthetic and functional results. This is mainly because the scalp is less mobile and tight, requiring a much larger dissection for the size of the original defect. We hypothesized that the omega variant perforator-based keystone island flap at the subgaleal plane provides a versatile and easily reproducible reconstructive option for scalp reconstruction after wide skin cancer excision. We reviewed all patients who underwent reconstruction with the keystone flap or its modification to repair scalp defects following wide resection of skin cancer in the scalp abutting calvarium from May 2021 to July 2023. We designed the flap width 50% wider than original keystone flap design first introduced by Dr. Behan. We reconstructed medium- to large-sized scalp defects ranging from 2×2 to 5×5 cm2 using an omega variant perforator-based keystone island flap. All patients were satisfied with the aesthetic outcomes without complications. Keystone flaps are a versatile option for reconstructing the scalp after cancer resection. This strategy obviates the need for skin grafting, myocutaneous flap or free flap after cancer removal in the scalp.
头皮重建一直是一个具有挑战性的问题,即使是最有经验的外科医生也无法提供良好的美学和功能效果。这主要是因为头皮的活动度较小,而且较紧,需要对原始缺损的大小进行更大的剥离。我们推测,以欧米茄变异穿孔器为基础的关键石岛瓣可为广泛皮肤癌切除术后的头皮重建提供一种多功能、易复制的重建选择。我们回顾了 2021 年 5 月至 2023 年 7 月期间,所有在头皮邻近颅骨的皮肤癌大范围切除术后,使用钥匙石皮瓣或其改良版修复头皮缺损而进行重建的患者。我们设计的皮瓣宽度比Behan博士首次提出的原始匙形皮瓣设计宽50%。我们使用基于Ω变体穿孔器的匙形岛状皮瓣重建了 2×2 至 5×5 平方厘米的中大型头皮缺损。所有患者均对美学效果感到满意,且无并发症。基底岛状皮瓣是癌症切除术后重建头皮的多功能选择。这种方法避免了头皮癌症切除后植皮、肌皮瓣或游离皮瓣的需要。
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引用次数: 0
Orthognathic Surgery Trending: Retrospective Ten Years Cases Analysis in Nineveh Province, Iraq. 正颌外科趋势:伊拉克尼尼微省十年病例回顾分析。
Pub Date : 2024-04-08 DOI: 10.1097/scs.0000000000010109
Rawaa Y Al-Rawee, Bashar A Tawfeeq, Zaid S Tawfek
The study aimed at analyzing patient's case sheets in regard to the incidence of skeletal discrepancy present in cases and its relation with the demographic profile of the sample. All these are chronicled for more than 10 years periods.
这项研究旨在分析患者病例表中出现的骨骼差异发生率及其与样本人口统计学特征的关系。所有这些都记录在案,时间跨度超过 10 年。
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引用次数: 0
The Evaluation of Condylar Position Change in the Asymmetric Mandible Following Sagittal Split Osteotomy. 评估矢状分割截骨术后不对称下颌骨髁状突位置的变化
Pub Date : 2024-04-05 DOI: 10.1097/scs.0000000000010110
Reza Tabrizi, Ehsan Amini, Behnoush Hormozi, Parsa Behnia, Samir Aboul Hosn Centenero
The change of condyle position following orthognathic surgery affects the stability of treatments. This study aims to assess the correlation between the amount of condyles' position change and the severity of mandibular asymmetry following BSSO.
正颌手术后髁突位置的变化会影响治疗的稳定性。本研究旨在评估髁突位置变化量与 BSSO 术后下颌不对称严重程度之间的相关性。
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引用次数: 0
Prediction of Permanent Enophthalmos Using 3-Dimensional Integral Model in Blowout Fractures. 利用三维积分模型预测井喷断裂中的永久性眼球。
Pub Date : 2024-04-05 DOI: 10.1097/scs.0000000000010092
Jun Hyun Kim, Yean Su Choi, Ho Seong Shin
The objective of this study is to validate the possibility of setting volumetric surgical indications by predicting permanent enophthalmos using a simplified formula.
本研究的目的是通过使用简化公式预测永久性眼球凹陷,验证确定体积手术适应症的可能性。
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引用次数: 0
The Prevalence of Difficult Airway and Associated Risk Factors in Pediatric Patients: A Cross-sessional Observational Study. 儿科患者气道困难的发生率及相关风险因素:一项跨学科观察研究。
Pub Date : 2024-04-05 DOI: 10.1097/scs.0000000000010114
Chen Shen, Yun Shi
Difficult airway remains a great challenge in pediatric anesthesia practice. Previously published data show the prevalence of difficult airways in pediatric population varies in a wide range. However, there is a lack of studies in the Asian region.
困难气道仍然是儿科麻醉实践中的一大挑战。以往发表的数据显示,困难气道在儿科人群中的发生率差异很大。然而,亚洲地区却缺乏这方面的研究。
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引用次数: 0
Postoperative Intermaxillary Elastic Traction Contributes to the Stability of Absorbable Plates Fixation for Bilateral Mandibular Fracture. 术后颌间弹性牵引有助于双侧下颌骨骨折可吸收钢板固定的稳定性
Pub Date : 2024-04-03 DOI: 10.1097/scs.0000000000010100
Yuxin Lin, Kun Lv
The use of absorbable plates can be challenging for mandibular fractures involving bilateral dentition. Chewing and mouth opening movements may cause loosening or breakage of absorbable materials, leading to displacement of bone segments and resulting in malocclusion. The use of absorbable materials for bilateral mandibular fracture surgery itself raises concerns for surgeons. Timely intermaxillary elastic traction is essential for these patients after surgery to maintain correct occlusion. The surgical approaches were performed with intraoral mandibular sulcus incisions. During the surgery, intermaxillary fixation screws were implanted and steel wires were used for intermaxillary ligation and fixation to restore the occlusal. After the fractured segments were sequentially reduced, they were fixed with inion 2.0 absorbable plates. The patient underwent intermaxillary elastic traction for 1 week. Elastic mask was used to assist in stabilizing the position of the jawbone and maintaining occlusion. After discharge, the patient continued traction at home for 3 weeks before removing the intermaxillary fixation screws. The patient recovered well after surgery without any complications. The postoperative occlusal relationship is good. Postoperative CT showed good reduction of the fractured segments. For the case reported in this article, elastic traction was promptly implemented after surgery. We emphasize that restoring occlusion is always the treatment goal for jawbone fractures. We believe that keeping the intermaxillary fixation screws for a month is a wise choice to be prepared for unexpected needs.
对于涉及双侧牙齿的下颌骨骨折,使用可吸收钢板可能具有挑战性。咀嚼和张口运动可能会导致可吸收材料松动或破损,从而导致骨段移位,造成错颌畸形。使用可吸收材料进行双侧下颌骨骨折手术本身就会引起外科医生的担忧。这些患者术后必须及时进行颌间弹性牵引,以保持正确的咬合。手术方法采用口内下颌沟切口。手术中植入颌间固定螺钉,使用钢丝进行颌间结扎和固定,以恢复咬合。在依次缩小骨折部分后,用 Inion 2.0 可吸收钢板进行固定。患者接受了为期一周的颌间弹性牵引。弹性面罩用于辅助稳定颌骨位置和维持咬合。出院后,患者在家继续牵引了3周,然后取出了颌间固定螺钉。患者术后恢复良好,未出现任何并发症。术后咬合关系良好。术后 CT 显示骨折断端缩小良好。对于本文报告的病例,术后及时实施了弹性牵引。我们强调,恢复咬合始终是颌骨骨折的治疗目标。我们认为,将颌间距离固定螺钉保留一个月是一个明智的选择,以备不时之需。
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The Journal of Craniofacial Surgery
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