Pub Date : 2024-01-19DOI: 10.1177/27325016231225804
Vernucci Roberto Antonio, Gardini Kelly, Panetta Melissa, Mazzoli Valentina, Impellizzeri Alessandra, Cascone Piero, Di Giorgio Roberto, Barbato Ersilia, Galluccio Gabriella
To describe the orthodontic-surgical approach we used in a sample of patients affected by the horizontal type of Unilateral Condylar Hyperplasia (UCH), that is a progressive disease that leads to mandibular asymmetry and midline deviation. A retrospective observational cohort study was designed on 29 consecutive patients affected by horizontal UCH (23 females, 6 males; mean age, 22.4 y.o. ± 7.9) treated in the Units of Orthodontics and Maxillo-Facial Surgery. Descriptive statistics was performed. Correlations were tested between type of surgery and stage of skeletal maturation, presence of Temporo-mandibular Disorders, and condylar activity, evaluated with SPECT. Duration was correlated with type of surgery, and the mean duration of therapy was compared between patients who underwent condylectomy and those who underwent orthognathic surgery. Females were more affected than males and had higher mean age. Temporo-mandibular Disorders were present in 31% of the sample. All patients with positive SPECT (15) were treated with condylectomy, alone or associated with orthognathic surgery, followed by post-surgical orthodontics. Patients with negative SPECT were treated with orthognathic surgery if adult (12), condylectomy if in age of skeletal growth (2). The choice of the therapeutic approach has depended on skeletal maturation, condylar activity, and extent of dental compensations. Early condylectomy eliminates the etiologic cause of the Hyperplasia in patients with active condylar growth. In patients in age of growth, either if positive or negative to SPECT, early TMJ surgery eliminates the asymmetric growth and leads to symmetrization of the mandibular growth rate, acting as interceptive treatment.
{"title":"Orthodontic-surgical Management of the Horizontal Unilateral Condylar Hyperplasia","authors":"Vernucci Roberto Antonio, Gardini Kelly, Panetta Melissa, Mazzoli Valentina, Impellizzeri Alessandra, Cascone Piero, Di Giorgio Roberto, Barbato Ersilia, Galluccio Gabriella","doi":"10.1177/27325016231225804","DOIUrl":"https://doi.org/10.1177/27325016231225804","url":null,"abstract":"To describe the orthodontic-surgical approach we used in a sample of patients affected by the horizontal type of Unilateral Condylar Hyperplasia (UCH), that is a progressive disease that leads to mandibular asymmetry and midline deviation. A retrospective observational cohort study was designed on 29 consecutive patients affected by horizontal UCH (23 females, 6 males; mean age, 22.4 y.o. ± 7.9) treated in the Units of Orthodontics and Maxillo-Facial Surgery. Descriptive statistics was performed. Correlations were tested between type of surgery and stage of skeletal maturation, presence of Temporo-mandibular Disorders, and condylar activity, evaluated with SPECT. Duration was correlated with type of surgery, and the mean duration of therapy was compared between patients who underwent condylectomy and those who underwent orthognathic surgery. Females were more affected than males and had higher mean age. Temporo-mandibular Disorders were present in 31% of the sample. All patients with positive SPECT (15) were treated with condylectomy, alone or associated with orthognathic surgery, followed by post-surgical orthodontics. Patients with negative SPECT were treated with orthognathic surgery if adult (12), condylectomy if in age of skeletal growth (2). The choice of the therapeutic approach has depended on skeletal maturation, condylar activity, and extent of dental compensations. Early condylectomy eliminates the etiologic cause of the Hyperplasia in patients with active condylar growth. In patients in age of growth, either if positive or negative to SPECT, early TMJ surgery eliminates the asymmetric growth and leads to symmetrization of the mandibular growth rate, acting as interceptive treatment.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"4 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139525706","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 : 2024-01-10DOI: 10.1177/27325016231221111
Sharmi C. Amin, Hailey R. Tursak, R. Ulma, C. Vercler
Racial and socioeconomic factors persist as barriers to timely diagnosis and treatment for children with craniosynostosis, contributing to inequitable care. This scoping review aims to better understand how disparities influence differences in services, approach, and outcomes for patients undergoing surgical corrections for craniosynostosis. We conducted a PRISMA systematic review of all articles published between 2003 and 2023 within PubMed/Medline, Embase, and a Scopus cited review. Variables of interest included sociodemographic factors such as race, socioeconomic status (SES), and insurance status, and measurements of treatment access or outcomes within craniosynostosis surgical repair. The final analysis included 28 studies, of which 21 studies examined race, 13 examined insurance status, and 5 examined household income or other socioeconomic factors. Overall, non-White, minority patients, patients with Medicaid or government-funded insurance, and patients from lower SES were more likely to experience delays in diagnosis and presentation for surgery compared to White and privately-insured patients. Black and Hispanic patients and patients with public insurance were more likely to undergo open cranial vault reconstruction (CVR) at an older age and experience longer total surgery time, increasing perioperative complication risk, compared to patients who underwent endoscopic procedures. Sociodemographic factors including non-White race, lower SES, and being underinsured or uninsured predisposed patients to the more expensive CVR procedure, increased hospital length of stay (LOS), and a higher rate of readmission, accumulating to greater total cost of care. Significant disparities continue to exist in craniosynostosis management. It is still unknown whether these discrepancies in the type of operation lead to significant clinical differences in neurocognitive outcomes, revision operations, or patient/parent satisfaction with appearance. This study highlights gaps in the current body of knowledge to better inform future aeas of investigation to ensure the best outcomes for all children born with craniosynostosis regardless of patient demographic.
{"title":"Scoping Review of Healthcare Disparities in Treatment of Craniosynostosis: Assessing Impacts of Race, Insurance, and Socioeconomic Status","authors":"Sharmi C. Amin, Hailey R. Tursak, R. Ulma, C. Vercler","doi":"10.1177/27325016231221111","DOIUrl":"https://doi.org/10.1177/27325016231221111","url":null,"abstract":"Racial and socioeconomic factors persist as barriers to timely diagnosis and treatment for children with craniosynostosis, contributing to inequitable care. This scoping review aims to better understand how disparities influence differences in services, approach, and outcomes for patients undergoing surgical corrections for craniosynostosis. We conducted a PRISMA systematic review of all articles published between 2003 and 2023 within PubMed/Medline, Embase, and a Scopus cited review. Variables of interest included sociodemographic factors such as race, socioeconomic status (SES), and insurance status, and measurements of treatment access or outcomes within craniosynostosis surgical repair. The final analysis included 28 studies, of which 21 studies examined race, 13 examined insurance status, and 5 examined household income or other socioeconomic factors. Overall, non-White, minority patients, patients with Medicaid or government-funded insurance, and patients from lower SES were more likely to experience delays in diagnosis and presentation for surgery compared to White and privately-insured patients. Black and Hispanic patients and patients with public insurance were more likely to undergo open cranial vault reconstruction (CVR) at an older age and experience longer total surgery time, increasing perioperative complication risk, compared to patients who underwent endoscopic procedures. Sociodemographic factors including non-White race, lower SES, and being underinsured or uninsured predisposed patients to the more expensive CVR procedure, increased hospital length of stay (LOS), and a higher rate of readmission, accumulating to greater total cost of care. Significant disparities continue to exist in craniosynostosis management. It is still unknown whether these discrepancies in the type of operation lead to significant clinical differences in neurocognitive outcomes, revision operations, or patient/parent satisfaction with appearance. This study highlights gaps in the current body of knowledge to better inform future aeas of investigation to ensure the best outcomes for all children born with craniosynostosis regardless of patient demographic.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"12 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439748","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 : 2024-01-09DOI: 10.1177/27325016231223247
Pearl Shah, Asim Ahmed, Robert Moody, Kometh Thawanyarat, Yelissa Navarro, J. Collar, Kathryne Holmes, Jack C. Yu
We seek to evaluate the financial impact of the COVID-19 pandemic on pediatric craniomaxillofacial surgeries for cleft lip and/or palate. These surgeries are carefully timed for optimal outcomes, but the pandemic necessitated postponement or cancellation of elective procedures. Our study quantifies the decline in cases and associated charges at a single academic medical center before and after the pandemic. After receiving Institutional Review Board approval, we analyzed the financial billing data of 83 patients who underwent cleft lip and/or palate repair at an academic medical center. The caseload and charges incurred in the year before the COVID-19 pandemic (March 2019 to February 2020) were compared to the 2 years following the pandemic’s onset (March 2020 to February 2022). Statistical analysis was conducted using paired t-tests and the Wilcoxon signed-rank. In the year following the onset of the pandemic, we observed a significant decrease in the number of cleft lip and/or palate repairs performed per month (from 2.75 to 1.42 per month, P-value .021) and a decrease in per-month charges for these procedures ($13 334.75 to $7237.17 per month, P-value .036). However, when examining data over the 2 years post-COVID, these differences no longer remain statistically significant ( P-value .25 for cases and P-value .32 for charges), indicating a return to pre-COVID baseline. There was a statistically significant decrease in cleft lip/palate repair surgeries in the 12 months following the start of the COVID-19 pandemic. Both the caseload and total charges decreased after March 2020, with a subsequent return to baseline after 2 years. These findings emphasize that the pandemic had a transient impact on pediatric craniomaxillofacial surgical volume at our institution. While acknowledging our study’s external validity, we advocate for a nuanced approach, with flexible staffing crucial in facilitating a swift return to normal elective volumes.
{"title":"A Pandemic in Review: The Impact on Surgical Volume of Cleft Lip and Palate","authors":"Pearl Shah, Asim Ahmed, Robert Moody, Kometh Thawanyarat, Yelissa Navarro, J. Collar, Kathryne Holmes, Jack C. Yu","doi":"10.1177/27325016231223247","DOIUrl":"https://doi.org/10.1177/27325016231223247","url":null,"abstract":"We seek to evaluate the financial impact of the COVID-19 pandemic on pediatric craniomaxillofacial surgeries for cleft lip and/or palate. These surgeries are carefully timed for optimal outcomes, but the pandemic necessitated postponement or cancellation of elective procedures. Our study quantifies the decline in cases and associated charges at a single academic medical center before and after the pandemic. After receiving Institutional Review Board approval, we analyzed the financial billing data of 83 patients who underwent cleft lip and/or palate repair at an academic medical center. The caseload and charges incurred in the year before the COVID-19 pandemic (March 2019 to February 2020) were compared to the 2 years following the pandemic’s onset (March 2020 to February 2022). Statistical analysis was conducted using paired t-tests and the Wilcoxon signed-rank. In the year following the onset of the pandemic, we observed a significant decrease in the number of cleft lip and/or palate repairs performed per month (from 2.75 to 1.42 per month, P-value .021) and a decrease in per-month charges for these procedures ($13 334.75 to $7237.17 per month, P-value .036). However, when examining data over the 2 years post-COVID, these differences no longer remain statistically significant ( P-value .25 for cases and P-value .32 for charges), indicating a return to pre-COVID baseline. There was a statistically significant decrease in cleft lip/palate repair surgeries in the 12 months following the start of the COVID-19 pandemic. Both the caseload and total charges decreased after March 2020, with a subsequent return to baseline after 2 years. These findings emphasize that the pandemic had a transient impact on pediatric craniomaxillofacial surgical volume at our institution. While acknowledging our study’s external validity, we advocate for a nuanced approach, with flexible staffing crucial in facilitating a swift return to normal elective volumes.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443755","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 : 2024-01-09DOI: 10.1177/27325016231224411
Dani Stanbouly, F. Selvi, S. Chuang, Brian Kinard
Contemporary orthognathic surgery is safe and predicable. However, there are opportunities for further improvement. The purpose of this study was to estimate the frequency and identify risk factors for readmission following orthognathic surgery in the US. A retrospective cohort study was conducted using the Nationwide Readmissions Database (NRD) on patients who underwent orthognathic surgery in 2017 and 2018. There were multiple heterogenous predictor variables that were broadly comprised of patient characteristics and hospitalization characteristics. The primary outcome variable was readmission. Logistic regression analysis was used to determine risk factors for hospital readmission. A P-value less than .05 was considered statistically significant. The final study sample consisted of 8578 patients (mean age, 27.2 years), of whom 74 patients (0.9%) readmitted. Relative to a length of stay (LOS) of 0 to 2 days, a LOS of >2 days (OR 1.90, P < .05) was a risk factor for readmission. Patients with acute post procedural pain were 3 times more likely to readmit ( P < .05). Patients with an LOS of >2 days were at risk for readmission relative to patients with an LOS of 0 to 2 days. Post-procedural pain was also a significant risk factor for readmission. Finally, patients with mandibular hypoplasia were less likely to readmit.
{"title":"Orthognathic Surgery in the US. What are the Risk Factors for Readmission?","authors":"Dani Stanbouly, F. Selvi, S. Chuang, Brian Kinard","doi":"10.1177/27325016231224411","DOIUrl":"https://doi.org/10.1177/27325016231224411","url":null,"abstract":"Contemporary orthognathic surgery is safe and predicable. However, there are opportunities for further improvement. The purpose of this study was to estimate the frequency and identify risk factors for readmission following orthognathic surgery in the US. A retrospective cohort study was conducted using the Nationwide Readmissions Database (NRD) on patients who underwent orthognathic surgery in 2017 and 2018. There were multiple heterogenous predictor variables that were broadly comprised of patient characteristics and hospitalization characteristics. The primary outcome variable was readmission. Logistic regression analysis was used to determine risk factors for hospital readmission. A P-value less than .05 was considered statistically significant. The final study sample consisted of 8578 patients (mean age, 27.2 years), of whom 74 patients (0.9%) readmitted. Relative to a length of stay (LOS) of 0 to 2 days, a LOS of >2 days (OR 1.90, P < .05) was a risk factor for readmission. Patients with acute post procedural pain were 3 times more likely to readmit ( P < .05). Patients with an LOS of >2 days were at risk for readmission relative to patients with an LOS of 0 to 2 days. Post-procedural pain was also a significant risk factor for readmission. Finally, patients with mandibular hypoplasia were less likely to readmit.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"104 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139444698","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 : 2024-01-08DOI: 10.1177/27325016231220782
S. Obiri-Yeboah, Frank Nketia Boakye, Robert Nii Lamy Larmie, L. Gowans, Wilfred Sam-Awortwi, Tuffour Ampem Gyimah, Jonathan Olesu, Paul Frimpong, Richard Atuwo Ampoh, John Adabie Appiah, James Johnston, John H. Grant, Peter Donkor
Background:Craniofacial Trauma and Anomalies affect a substantial proportion of the global society, especially those in the low-and middle-income countries (LMICs). The literature stresses the concept of a team approach for craniofacial surgery and the need for the interaction of many specialists to provide optimal care for the patient. Craniofacial surgery is practiced mainly in the advanced countries of Europe and America. This report describes the establishment of craniofacial care in an African country. It reports on 6-year early outcomes of craniofacial surgery in a low-resourced country, counting the successes, challenges, and prospects. Methods: The establishment of an international collaboration that facilitated the training in craniofacial surgery is described. A 6-year retrospective review of craniofacial surgery cases managed by the Multidisciplinary Cleft and Craniofacial team at the Komfo Anokye Teaching Hospital (KATH) was done from January 2016 to December 2022. Results: Two Ghanaian surgeons were trained in Alabama, USA (a maxillofacial surgeon and a neurosurgeon), then returned to Kumasi to begin a Craniofacial practice with the help of the craniofacial team in Children of Alabama Birmingham Al, USA. A total of 646 procedures were performed (616 cases of orofacial cleft, 20 cases of craniofacial anomalies, and 10 cases of craniofacial trauma involving the cranial vault or base of the skull). Ninety percent of the cases were cleft lip and palate, with the remainder being a mixture of isolated and syndromic craniosynostosis, craniofacial trauma, encephalocele, and craniofacial fibrous dysplasia. Conclusion: The Commonest craniofacial procedure performed was cleft lip and palate repair. Other surgeries were for the repair of velopharyngeal incompetence (VPI) and atypical facial clefts. Complex craniosynostosis and encephaloceles are also now being repaired at KATH. The foundation for a sub-regional center of excellence in cleft and craniofacial surgery is being laid in Ghana at KATH.
{"title":"Craniofacial Surgery in a Low-Resource Setting: The Successes, Challenges, and Prospects","authors":"S. Obiri-Yeboah, Frank Nketia Boakye, Robert Nii Lamy Larmie, L. Gowans, Wilfred Sam-Awortwi, Tuffour Ampem Gyimah, Jonathan Olesu, Paul Frimpong, Richard Atuwo Ampoh, John Adabie Appiah, James Johnston, John H. Grant, Peter Donkor","doi":"10.1177/27325016231220782","DOIUrl":"https://doi.org/10.1177/27325016231220782","url":null,"abstract":"Background:Craniofacial Trauma and Anomalies affect a substantial proportion of the global society, especially those in the low-and middle-income countries (LMICs). The literature stresses the concept of a team approach for craniofacial surgery and the need for the interaction of many specialists to provide optimal care for the patient. Craniofacial surgery is practiced mainly in the advanced countries of Europe and America. This report describes the establishment of craniofacial care in an African country. It reports on 6-year early outcomes of craniofacial surgery in a low-resourced country, counting the successes, challenges, and prospects. Methods: The establishment of an international collaboration that facilitated the training in craniofacial surgery is described. A 6-year retrospective review of craniofacial surgery cases managed by the Multidisciplinary Cleft and Craniofacial team at the Komfo Anokye Teaching Hospital (KATH) was done from January 2016 to December 2022. Results: Two Ghanaian surgeons were trained in Alabama, USA (a maxillofacial surgeon and a neurosurgeon), then returned to Kumasi to begin a Craniofacial practice with the help of the craniofacial team in Children of Alabama Birmingham Al, USA. A total of 646 procedures were performed (616 cases of orofacial cleft, 20 cases of craniofacial anomalies, and 10 cases of craniofacial trauma involving the cranial vault or base of the skull). Ninety percent of the cases were cleft lip and palate, with the remainder being a mixture of isolated and syndromic craniosynostosis, craniofacial trauma, encephalocele, and craniofacial fibrous dysplasia. Conclusion: The Commonest craniofacial procedure performed was cleft lip and palate repair. Other surgeries were for the repair of velopharyngeal incompetence (VPI) and atypical facial clefts. Complex craniosynostosis and encephaloceles are also now being repaired at KATH. The foundation for a sub-regional center of excellence in cleft and craniofacial surgery is being laid in Ghana at KATH.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"55 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447506","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 : 2024-01-08DOI: 10.1177/27325016231219811
Guerrero Soto Emmanuel, Morales Pérez Miguel Angel
The chin represents an important component in facial aesthetics. A wide range of facial deformities may alter the chin’s position and may bring along aesthetic and functional implications. It is imperative to consider the current aesthetic ideals, while diagnosing and creating a patient’s treatment plan, instead of using the usual cephalometric analysis. The principal objective of this study was to evaluate the chin’s position in a group of male individuals considered to be facially attractive. Material and methods: This is an observational, longitudinal, and descriptive study, in which 100 high quality photographs of male individuals were collected. Images included a lateral facial view of the subject with the head oriented in a natural position and smiling until exposing at least the upper central incisive teeth. The models were described as facially attractive on specialized web site. Exclusion criteria included excessive facial hair and the presence of jewelry or accessories that made it difficult to identify facial landmarks. Two true vertical lines were traced in each photo, the first one passed through the Subnasale and the other one passed through the vestibular aspect of the upper central incisor, these lines were named “Aesthetic Chin Lines,” subsequently the position of the Pogonion was determined in relation to both lines. Results: In 84 cases (84%) the Pogonion was found between the Aesthetic Chin Lines. In 15 cases (15%) it was found behind the Upper Central Incisor line, and in 1 case (1%) it was found in front of the Subnasal line. Conclusion: With the results obtained in this study, we can determine that the “Aesthetic Chin Lines” described in this manuscript are a diagnostic resource than may help with the treatment plan of dentofacial and chin deformities in male patients.
{"title":"Aesthetic Chin Lines: A Novel Clinical Assessment for Diagnosis and Treatment of Chin Deformities","authors":"Guerrero Soto Emmanuel, Morales Pérez Miguel Angel","doi":"10.1177/27325016231219811","DOIUrl":"https://doi.org/10.1177/27325016231219811","url":null,"abstract":"The chin represents an important component in facial aesthetics. A wide range of facial deformities may alter the chin’s position and may bring along aesthetic and functional implications. It is imperative to consider the current aesthetic ideals, while diagnosing and creating a patient’s treatment plan, instead of using the usual cephalometric analysis. The principal objective of this study was to evaluate the chin’s position in a group of male individuals considered to be facially attractive. Material and methods: This is an observational, longitudinal, and descriptive study, in which 100 high quality photographs of male individuals were collected. Images included a lateral facial view of the subject with the head oriented in a natural position and smiling until exposing at least the upper central incisive teeth. The models were described as facially attractive on specialized web site. Exclusion criteria included excessive facial hair and the presence of jewelry or accessories that made it difficult to identify facial landmarks. Two true vertical lines were traced in each photo, the first one passed through the Subnasale and the other one passed through the vestibular aspect of the upper central incisor, these lines were named “Aesthetic Chin Lines,” subsequently the position of the Pogonion was determined in relation to both lines. Results: In 84 cases (84%) the Pogonion was found between the Aesthetic Chin Lines. In 15 cases (15%) it was found behind the Upper Central Incisor line, and in 1 case (1%) it was found in front of the Subnasal line. Conclusion: With the results obtained in this study, we can determine that the “Aesthetic Chin Lines” described in this manuscript are a diagnostic resource than may help with the treatment plan of dentofacial and chin deformities in male patients.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"15 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445498","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 : 2024-01-08DOI: 10.1177/27325016231223110
Nerone Douglas
{"title":"Answering the Call: I am a Black Man Aspiring to be a Plastic Surgeon","authors":"Nerone Douglas","doi":"10.1177/27325016231223110","DOIUrl":"https://doi.org/10.1177/27325016231223110","url":null,"abstract":"","PeriodicalId":508736,"journal":{"name":"FACE","volume":"42 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447471","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 : 2024-01-04DOI: 10.1177/27325016231221424
Wasim Ahmad, Akash Ganguly, G. S. Hashmi, Md Kalim Ansari, Tabishur Rahman, Mohammad Arman
The present review explores the existing documentation in the literature related to the fixation of mandibular fractures undertaken in maxillofacial surgery. English language articles were searched in various databases such as Pubmed, Scopus, Science Direct and Google Scholar. The keyword used for searching are “Mandible Fracture,” “Maxillomandibular fixation,” “Fixation” and “Recent Advancements.” Extended history into the pre-Christian era, early medieval, through the 17th, 18th and 19th, 20th, 21st centuries have been dealt in the narrative review. Emphasis on the present plating system with focus on present and future prospects like AI, virtual reality as well as Magnesium based plating systems have also been dealt here. The present review spotlights on understanding present, past, and future aspects of fixation of mandibular fractures. Currently, titanium plates are being used and the most popular materials though future holds good prospects for polymer based and magnesium based materials.
本综述探讨了与颌面外科下颌骨骨折固定相关的现有文献。本综述在 Pubmed、Scopus、Science Direct 和 Google Scholar 等多个数据库中检索了英文文章。搜索关键词为 "下颌骨骨折"、"下颌骨固定"、"固定 "和 "最新进展"。在叙述性综述中涉及的历史延伸至前基督教时代、中世纪早期，直至 17、18 和 19、20、21 世纪。此外，还重点介绍了当前的电镀系统，以及人工智能、虚拟现实和基于镁的电镀系统等当前和未来的发展前景。本综述重点介绍了下颌骨骨折固定的现状、过去和未来。目前，钛板是最常用的材料，但聚合物材料和镁基材料在未来具有良好的发展前景。
{"title":"Fixation in Maxillofacial Surgery—Past, Present and Future: A Narrative Review Article","authors":"Wasim Ahmad, Akash Ganguly, G. S. Hashmi, Md Kalim Ansari, Tabishur Rahman, Mohammad Arman","doi":"10.1177/27325016231221424","DOIUrl":"https://doi.org/10.1177/27325016231221424","url":null,"abstract":"The present review explores the existing documentation in the literature related to the fixation of mandibular fractures undertaken in maxillofacial surgery. English language articles were searched in various databases such as Pubmed, Scopus, Science Direct and Google Scholar. The keyword used for searching are “Mandible Fracture,” “Maxillomandibular fixation,” “Fixation” and “Recent Advancements.” Extended history into the pre-Christian era, early medieval, through the 17th, 18th and 19th, 20th, 21st centuries have been dealt in the narrative review. Emphasis on the present plating system with focus on present and future prospects like AI, virtual reality as well as Magnesium based plating systems have also been dealt here. The present review spotlights on understanding present, past, and future aspects of fixation of mandibular fractures. Currently, titanium plates are being used and the most popular materials though future holds good prospects for polymer based and magnesium based materials.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"52 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385726","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 : 2024-01-04DOI: 10.1177/27325016231222409
Anna J. Skochdopole, Sarah A. Layon, Ammar S. A. Hashemi, Nicholas H. Yim, Jacob H. McCarter, Daniel C. Chelius, William C. Pederson, Edward P. Buchanan
Pediatric cranio-orbital tumors have several etiologies and given the broad spectrum of pathology, it is difficult to predict the extent of resection. Reconstruction in children and adolescents is particularly challenging due to potential craniofacial growth and the relatively limited availability of donor sites. In this review, we analyze 10 pediatric and adolescent cases from a single institution, discuss the existing literature, and propose a reconstruction algorithm for managing these complex defects. A retrospective chart review was performed to identify pediatric and adolescent patients with cranio-orbital tumors who underwent tumor resection and reconstruction at our institution between January 2012 and July 2022. A total of 10 patients underwent oncoplastic reconstruction of defects of either the cranium alone or combination of cranium and orbit, with a mean age of 12.4 years (range: 2-20). The defects involved the parietal (n = 3, 30%), parietooccipital (n = 1; 10%), temporoparietal (n = 1; 10%), occipital (n = 1, 10%), and fronto-orbital (n = 4; 40%) regions. Cranioplasty was performed with split-thickness bone grafts, exchange cranioplasty, or alloplastic materials. A pericranial flap was used to isolate intracranial and extracranial contents in 2 cases. Free flaps were utilized for additional soft tissue coverage in 2 cases. Complications included free flap venous thrombosis, CSF leak, hardware exposure, sagittal sinus injury, superior sagittal sinus thrombosis, vertical diplopia, and hypertropia. The goals of oncoplastic reconstruction for cranio-orbital defects in pediatric and adolescent patients align with those in adults. However, reconstructive surgeons must consider age-specific differences, such as growth potential and limited donor sites. Effective reconstruction can be achieved through meticulous planning, clear communication, and a multidisciplinary approach.
{"title":"Cranio-Orbital Oncoplastic Reconstruction in Pediatric Population: Single-Institution’s Experience of 10 Cases","authors":"Anna J. Skochdopole, Sarah A. Layon, Ammar S. A. Hashemi, Nicholas H. Yim, Jacob H. McCarter, Daniel C. Chelius, William C. Pederson, Edward P. Buchanan","doi":"10.1177/27325016231222409","DOIUrl":"https://doi.org/10.1177/27325016231222409","url":null,"abstract":"Pediatric cranio-orbital tumors have several etiologies and given the broad spectrum of pathology, it is difficult to predict the extent of resection. Reconstruction in children and adolescents is particularly challenging due to potential craniofacial growth and the relatively limited availability of donor sites. In this review, we analyze 10 pediatric and adolescent cases from a single institution, discuss the existing literature, and propose a reconstruction algorithm for managing these complex defects. A retrospective chart review was performed to identify pediatric and adolescent patients with cranio-orbital tumors who underwent tumor resection and reconstruction at our institution between January 2012 and July 2022. A total of 10 patients underwent oncoplastic reconstruction of defects of either the cranium alone or combination of cranium and orbit, with a mean age of 12.4 years (range: 2-20). The defects involved the parietal (n = 3, 30%), parietooccipital (n = 1; 10%), temporoparietal (n = 1; 10%), occipital (n = 1, 10%), and fronto-orbital (n = 4; 40%) regions. Cranioplasty was performed with split-thickness bone grafts, exchange cranioplasty, or alloplastic materials. A pericranial flap was used to isolate intracranial and extracranial contents in 2 cases. Free flaps were utilized for additional soft tissue coverage in 2 cases. Complications included free flap venous thrombosis, CSF leak, hardware exposure, sagittal sinus injury, superior sagittal sinus thrombosis, vertical diplopia, and hypertropia. The goals of oncoplastic reconstruction for cranio-orbital defects in pediatric and adolescent patients align with those in adults. However, reconstructive surgeons must consider age-specific differences, such as growth potential and limited donor sites. Effective reconstruction can be achieved through meticulous planning, clear communication, and a multidisciplinary approach.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"58 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139386660","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 : 2023-12-25DOI: 10.1177/27325016231215835
Kelly A. Harmon, Brandon E. Alba, Reilly Frauchiger-Ankers, Alvaro A. Figueroa, Christina Tragos
In skeletally immature patients, costochondral grafts (CCG) are the standard of care for temporomandibular joint (TMJ) reconstruction; however, CCGs may undergo resorption or ankylosis, resulting in reoperation and a greater risk of surgical morbidity. While TMJ reconstruction with an alloplastic implant is done in skeletally mature patients, its use in pediatric patients has been limited, particularly in those with craniofacial conditions. Recent evidence has revealed that alloplastic TMJ replacement is safe and effective in skeletally immature patients without adversely affecting the natural growth of the joint, although studies investigating their use in younger patients is still limited. In this report, we present the case of an 8-year-old female with a history of TMJ ankylosis who underwent bilateral TMJ replacement with custom prosthetic joints.
{"title":"Expanding the Surgical Options for Young Craniofacial Patients: Bilateral Alloplastic Temporomandibular Joint Reconstruction","authors":"Kelly A. Harmon, Brandon E. Alba, Reilly Frauchiger-Ankers, Alvaro A. Figueroa, Christina Tragos","doi":"10.1177/27325016231215835","DOIUrl":"https://doi.org/10.1177/27325016231215835","url":null,"abstract":"In skeletally immature patients, costochondral grafts (CCG) are the standard of care for temporomandibular joint (TMJ) reconstruction; however, CCGs may undergo resorption or ankylosis, resulting in reoperation and a greater risk of surgical morbidity. While TMJ reconstruction with an alloplastic implant is done in skeletally mature patients, its use in pediatric patients has been limited, particularly in those with craniofacial conditions. Recent evidence has revealed that alloplastic TMJ replacement is safe and effective in skeletally immature patients without adversely affecting the natural growth of the joint, although studies investigating their use in younger patients is still limited. In this report, we present the case of an 8-year-old female with a history of TMJ ankylosis who underwent bilateral TMJ replacement with custom prosthetic joints.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"16 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139157664","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：