Pub Date : 2024-04-03DOI: 10.1097/scs.0000000000010112
Honglin Li, Grace Paka Lubamba, Gaowei Zhang, Chunjie Li, Bo Han, Ning Gao, Lei Wang, Yafei Chen, Bing Yan
Iatrogenic lip injury may occur during oral and maxillofacial surgical procedures. This study aimed to evaluate the effect of oral retractors on iatrogenic lip injury prevention during intraoral procedures of oral and maxillofacial surgery.
{"title":"Application of Oral Retractor for Lip Injury Protection in Oral and Maxillofacial Surgeries: A Randomized Controlled Trial.","authors":"Honglin Li, Grace Paka Lubamba, Gaowei Zhang, Chunjie Li, Bo Han, Ning Gao, Lei Wang, Yafei Chen, Bing Yan","doi":"10.1097/scs.0000000000010112","DOIUrl":"https://doi.org/10.1097/scs.0000000000010112","url":null,"abstract":"Iatrogenic lip injury may occur during oral and maxillofacial surgical procedures. This study aimed to evaluate the effect of oral retractors on iatrogenic lip injury prevention during intraoral procedures of oral and maxillofacial surgery.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-03DOI: 10.1097/scs.0000000000010099
J Ernesto Cantini, M Fernanda Vergel, Xiomara Tapiero, Viviana Gómez-Ortega
Fibrous dysplasia is a disorder in which normal bone is gradually replaced by immature fibro-osseous tissue, with an incidence of less than 7% of all benign bone tumors. The management of this disease is a challenge for plastic surgeons and neurosurgeons.
{"title":"Craniofacial Fibrous Dysplasia: Experience at San José Hospital, Bogotá, Colombia.","authors":"J Ernesto Cantini, M Fernanda Vergel, Xiomara Tapiero, Viviana Gómez-Ortega","doi":"10.1097/scs.0000000000010099","DOIUrl":"https://doi.org/10.1097/scs.0000000000010099","url":null,"abstract":"Fibrous dysplasia is a disorder in which normal bone is gradually replaced by immature fibro-osseous tissue, with an incidence of less than 7% of all benign bone tumors. The management of this disease is a challenge for plastic surgeons and neurosurgeons.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-29DOI: 10.1097/SCS.0000000000009710
Jiong Zhao, Simo Xia, Shijing Yue, Yi Luo, P. Shen, Chi Yang
This study aimed to investigate the correlation between mandibular deviation (MD) and possible clinical factors in patients with anterior disc displacement (ADD). This retrospective clinical study enrolled 296 patients with ADD, diagnosed using magnetic resonance imaging, from 2015 to 2018. The clinical symptoms and medical histories of these patients were carefully examined and recorded. Mandibular deviation was the primary outcome variable confirmed by a combination of clinical examination and facial photographs or posteroanterior cephalograms. The primary predictor variable was ADD staging. Secondary predictor variables included condylar height and distance of disc displacement. Other predictor variables were age, sex, disease course, oral parafunctions, depression, and bone mineral density. We used logistic regression to examine the correlation between the MD and all predictor variables. The χ2 test and analysis of variance were used to exclude the correlation between the predictor variables. In this study, the prevalence of MD was 77% among 278 patients with ADD. Bilateral ADD staging significantly contributed to MD on both sides. The odds ratio increased with the deterioration of disc displacement. The present study demonstrated that the ADD staging influences the condylar height and MD, and that articular disk position should be considered while treating MD.
{"title":"Factors Influencing Mandibular Deviation: A Retrospective Clinical Study","authors":"Jiong Zhao, Simo Xia, Shijing Yue, Yi Luo, P. Shen, Chi Yang","doi":"10.1097/SCS.0000000000009710","DOIUrl":"https://doi.org/10.1097/SCS.0000000000009710","url":null,"abstract":"This study aimed to investigate the correlation between mandibular deviation (MD) and possible clinical factors in patients with anterior disc displacement (ADD). This retrospective clinical study enrolled 296 patients with ADD, diagnosed using magnetic resonance imaging, from 2015 to 2018. The clinical symptoms and medical histories of these patients were carefully examined and recorded. Mandibular deviation was the primary outcome variable confirmed by a combination of clinical examination and facial photographs or posteroanterior cephalograms. The primary predictor variable was ADD staging. Secondary predictor variables included condylar height and distance of disc displacement. Other predictor variables were age, sex, disease course, oral parafunctions, depression, and bone mineral density. We used logistic regression to examine the correlation between the MD and all predictor variables. The χ2 test and analysis of variance were used to exclude the correlation between the predictor variables. In this study, the prevalence of MD was 77% among 278 patients with ADD. Bilateral ADD staging significantly contributed to MD on both sides. The odds ratio increased with the deterioration of disc displacement. The present study demonstrated that the ADD staging influences the condylar height and MD, and that articular disk position should be considered while treating MD.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":" 8","pages":"e28 - e31"},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139142400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-29DOI: 10.1097/SCS.0000000000009807
Hyeokjae Kwon, Bokeun Song, Yooseok Ha, Sunje Kim, Sang-Ha Oh, Y. Seo, S. Song
Background: A lower eyelid defect is a loss of skin, muscle, and underlying structures that can occur due to trauma, malignant or benign tumors, burns, or other causes. The conventional surgical treatment of lower lid defects has several limitations, including visible scarring, narrowing of the eye, and ectropion. Here, we combined the use of a customized mid-face lift with a free mucochondral graft to overcome the disadvantages of existing methods. Methods: Forty patients underwent reconstructive surgery using a customized mid-face lift with or without a free mucochondral graft for a lower lid defect between April 2013 and October 2020. Patients were discharged shortly after surgery and were expected to visit the outpatient clinic periodically for 12 months. Results: The causes of lower eyelid defects were malignancy, trauma, foreign body granuloma, and other causes. Four patients reported complications, including 2 cases of chemosis, 1 case of a hematoma, and 1 case of corneal abrasion, who reportedly performed well after 2 weeks of conservative therapy. No patient required revision during the average follow-up period. Conclusions: Customized reconstruction demonstrated a better aesthetic reconstruction of the lower eyelid. This method represents a good option for reconstructing lower lid defects.
{"title":"Customized Reconstruction of Lower Eyelid Defects","authors":"Hyeokjae Kwon, Bokeun Song, Yooseok Ha, Sunje Kim, Sang-Ha Oh, Y. Seo, S. Song","doi":"10.1097/SCS.0000000000009807","DOIUrl":"https://doi.org/10.1097/SCS.0000000000009807","url":null,"abstract":"Background: A lower eyelid defect is a loss of skin, muscle, and underlying structures that can occur due to trauma, malignant or benign tumors, burns, or other causes. The conventional surgical treatment of lower lid defects has several limitations, including visible scarring, narrowing of the eye, and ectropion. Here, we combined the use of a customized mid-face lift with a free mucochondral graft to overcome the disadvantages of existing methods. Methods: Forty patients underwent reconstructive surgery using a customized mid-face lift with or without a free mucochondral graft for a lower lid defect between April 2013 and October 2020. Patients were discharged shortly after surgery and were expected to visit the outpatient clinic periodically for 12 months. Results: The causes of lower eyelid defects were malignancy, trauma, foreign body granuloma, and other causes. Four patients reported complications, including 2 cases of chemosis, 1 case of a hematoma, and 1 case of corneal abrasion, who reportedly performed well after 2 weeks of conservative therapy. No patient required revision during the average follow-up period. Conclusions: Customized reconstruction demonstrated a better aesthetic reconstruction of the lower eyelid. This method represents a good option for reconstructing lower lid defects.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"23 5","pages":"233 - 236"},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139148008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Craniosynostosis results from premature fusion of the cranial sutures. There has been a continuous evolution of surgical correction techniques from an extensive open procedure to the minimally invasive technique.
颅缝过早融合导致颅骨发育不良。手术矫正技术不断发展，从广泛的开放手术到微创技术。
{"title":"Integrated Endoscopic Craniosynostosis Surgery and Cranial Orthosis Program.","authors":"Subhashree Ravi, Waseem Aziz, Mohammed AlOlama, Charl Stenger, Ghaith AlSaadawi, Carla Baldrighi, Anwar Ahmed, Derek Mendonca","doi":"10.1097/scs.0000000000009916","DOIUrl":"https://doi.org/10.1097/scs.0000000000009916","url":null,"abstract":"Craniosynostosis results from premature fusion of the cranial sutures. There has been a continuous evolution of surgical correction techniques from an extensive open procedure to the minimally invasive technique.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1097/scs.0000000000009880
Hannah Soltani, Sophia G Allison, Emily S Chwa, Umer Qureshi, Sofia Aronson, Akira Yamada
The authors present the case of a 15-year-old male who sustained a unilateral zygomaticomaxillary complex fracture and underwent open reduction and rigid internal fixation, for which a U-shaped elevator was utilized. The authors discuss techniques in reduction and fixation of zygomaticomaxillary complex fractures, focusing on the use of various elevators during reduction, including straight-type and curved elevators. The U-shaped elevator is a handheld tool with bilateral symmetrically curved ends that is seldom used, despite its specific benefits including nonslip serrated tips, symmetrical nature that allows for direct loading needed for accurate reduction, visualization of the fracture site, and avoidance of tissue compression during elevation.
作者介绍了一例 15 岁男性单侧颧颌面复合体骨折的病例，患者接受了切开复位和硬性内固定术，术中使用了 U 型提升器。作者讨论了颧颌面复合体骨折的复位和固定技术，重点是复位过程中各种提升器的使用，包括直型提升器和弧形提升器。U 形抬高器是一种双侧对称弯曲的手持工具，尽管它具有防滑锯齿状尖端、对称性可实现精确还原所需的直接加载、可视化骨折部位以及在抬高过程中避免组织受压等特殊优点，但却很少使用。
{"title":"Revisiting the U-Shaped Elevator for Zygomaticomaxillary Fracture: Study and Comparison of Elevators for Zygomaticomaxillary Fracture Reduction.","authors":"Hannah Soltani, Sophia G Allison, Emily S Chwa, Umer Qureshi, Sofia Aronson, Akira Yamada","doi":"10.1097/scs.0000000000009880","DOIUrl":"https://doi.org/10.1097/scs.0000000000009880","url":null,"abstract":"The authors present the case of a 15-year-old male who sustained a unilateral zygomaticomaxillary complex fracture and underwent open reduction and rigid internal fixation, for which a U-shaped elevator was utilized. The authors discuss techniques in reduction and fixation of zygomaticomaxillary complex fractures, focusing on the use of various elevators during reduction, including straight-type and curved elevators. The U-shaped elevator is a handheld tool with bilateral symmetrically curved ends that is seldom used, despite its specific benefits including nonslip serrated tips, symmetrical nature that allows for direct loading needed for accurate reduction, visualization of the fracture site, and avoidance of tissue compression during elevation.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The chin plays a fundamental role in facial attractiveness. Accordingly, several surgical procedures have been proposed for chin contouring. This study aimed to introduce "B-genioplasty" as a novel genioplasty technique and assess the clinical and cephalometric changes in long-face patients with retrognathia following the novel B-genioplasty.
{"title":"Clinical and Cephalometric Changes in Long-face Patients With Retrogenia Following the Novel B-genioplasty Technique.","authors":"Parsa Behnia, Hossein Behnia, Azita Tehranchi, Reza Tabrizi","doi":"10.1097/scs.0000000000009915","DOIUrl":"https://doi.org/10.1097/scs.0000000000009915","url":null,"abstract":"The chin plays a fundamental role in facial attractiveness. Accordingly, several surgical procedures have been proposed for chin contouring. This study aimed to introduce \"B-genioplasty\" as a novel genioplasty technique and assess the clinical and cephalometric changes in long-face patients with retrognathia following the novel B-genioplasty.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1097/scs.0000000000009920
Paul Serrato, Astrid C Hengartner, Sumaiya Sayeed, Alexandre J Prassinos, Michael Alperovich, Michael DiLuna, Aladine A Elsamadicy
Retrospective cohort study.
回顾性队列研究
{"title":"Associated Risk Factors for Extended Operative Time Following Cranial Vault Remodeling for Craniosynostosis: Analysis of the 2012 to 2021 NSQIP-Pediatric Database.","authors":"Paul Serrato, Astrid C Hengartner, Sumaiya Sayeed, Alexandre J Prassinos, Michael Alperovich, Michael DiLuna, Aladine A Elsamadicy","doi":"10.1097/scs.0000000000009920","DOIUrl":"https://doi.org/10.1097/scs.0000000000009920","url":null,"abstract":"Retrospective cohort study.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1097/scs.0000000000009919
Xue Jiang, Li Dong, Lihua Luo, Kai Zhang, Dongmei Li
The diagnosis of thyroid-associated ophthalmopathy (TAO) usually requires a comprehensive examination, including clinical symptoms, radiological examinations, and blood tests. Therefore, cost-effective and noninvasive methods for the detection of TAO are needed. This study aimed to establish a deep learning-based system to detect TAO based on retinal photographs.
{"title":"Retinal Photograph-based Deep Learning System for Detection of Thyroid-Associated Ophthalmopathy.","authors":"Xue Jiang, Li Dong, Lihua Luo, Kai Zhang, Dongmei Li","doi":"10.1097/scs.0000000000009919","DOIUrl":"https://doi.org/10.1097/scs.0000000000009919","url":null,"abstract":"The diagnosis of thyroid-associated ophthalmopathy (TAO) usually requires a comprehensive examination, including clinical symptoms, radiological examinations, and blood tests. Therefore, cost-effective and noninvasive methods for the detection of TAO are needed. This study aimed to establish a deep learning-based system to detect TAO based on retinal photographs.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.1097/scs.0000000000009917
Kevin J Nickel, Joshua J DeSerres, Gorman Louie
Pure and isolated LeFort I, II, and III fractures are rare. Typically, they occur at different levels on each side and may be incomplete in nature, which complicates management. The LeFort I osteotomy is a well-described technique in elective management of midface deformities. However, there is minimal literature on its use in acute trauma. This study describes the use of the LeFort I osteotomy as a surgical maneuver to aid in the reduction of complex midface fractures and the re-establishment of premorbid occlusion.
单纯和孤立的 LeFort I、II 和 III 型骨折非常罕见。通常情况下，骨折发生在两侧不同的位置，而且可能是不完全骨折，这就使治疗变得复杂。LeFort I 型截骨术是一种在选择性治疗中面部畸形方面应用广泛的技术。然而，有关其在急性创伤中应用的文献极少。本研究描述了 LeFort I 截骨术作为一种外科手术方法，可帮助减少复杂的面中部骨折，并重建骨折前的咬合。
{"title":"Utility of the LeFort I Osteotomy in the Acute Management of Midface Trauma.","authors":"Kevin J Nickel, Joshua J DeSerres, Gorman Louie","doi":"10.1097/scs.0000000000009917","DOIUrl":"https://doi.org/10.1097/scs.0000000000009917","url":null,"abstract":"Pure and isolated LeFort I, II, and III fractures are rare. Typically, they occur at different levels on each side and may be incomplete in nature, which complicates management. The LeFort I osteotomy is a well-described technique in elective management of midface deformities. However, there is minimal literature on its use in acute trauma. This study describes the use of the LeFort I osteotomy as a surgical maneuver to aid in the reduction of complex midface fractures and the re-establishment of premorbid occlusion.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138688203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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