Journal of Cranio-Maxillofacial Surgery最新文献

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Surgical treatment of 89 patients with craniofacial microsomia in a craniofacial national reference centre in Finland 芬兰颅面国家参考中心89例颅面短小症的手术治疗。

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01 DOI: 10.1016/j.jcms.2025.11.016

Laura Kaprio , Junnu Leikola , Anne Saarikko , Anu Kiukkonen

This study aims to evaluate surgical treatments for craniofacial microsomia (CFM) at a national reference centre in Finland, focusing on the age of treatment and the number of surgeries performed. The aim was to describe surgical strategies, explore treatment variations, and assess intervention timing.

This retrospective cohort study reviewed the medical records of 191 patients diagnosed with CFM at the Helsinki Cleft Palate and Craniofacial Centre from 2010 to 2022. After excluding patients with insufficient data, 89 patients were included. Patients were classified using the Pruzansky–Kaban system, and their surgeries were categorized by type, indication, and age.

Of the 89 patients included, 64 patients (72 %) had undergone surgical treatment. Ear reconstruction surgeries were the most common (41 patients or 46 %), followed by soft tissue surgeries in 29 patients (33 %) and cleft-related surgeries in 21 patients (24 %). Hard tissue surgeries, including orthognathic procedures, were performed on nine patients (10 %), primarily those with severe CFM. The median age for surgeries ranged from 0.8 years for cleft surgery to 21.6 years for lipofilling. No significant gender predominance was found.

This study highlights the variety of surgical approaches required for treating CFM, with severity influencing the number and type of surgeries. A shift towards conservative treatments for younger patients and a preference for alloplastic implants over autologous grafts were observed. Further research is needed to standardize surgical protocols and treatment outcomes for CFM.

本研究旨在评估芬兰国家参考中心颅面短小症（CFM）的手术治疗，重点关注治疗年龄和手术次数。目的是描述手术策略，探索治疗变化，并评估干预时机。本回顾性队列研究回顾了2010年至2022年在赫尔辛基腭裂和颅面中心诊断为CFM的191例患者的医疗记录。在排除资料不足的患者后，共纳入89例患者。采用Pruzansky-Kaban系统对患者进行分类，并按手术类型、适应证和年龄进行分类。在纳入的89例患者中，64例（72%）接受了手术治疗。耳部重建手术最为常见（41例或46%），其次是软组织手术29例（33%）和唇裂相关手术21例（24%）。包括正颌手术在内的硬组织手术对9例（10%）患者进行，主要是严重CFM患者。手术的中位年龄从唇裂手术的0.8岁到脂肪填充手术的21.6岁不等。未发现明显的性别优势。本研究强调了治疗CFM所需的多种手术入路，其严重程度影响手术的数量和类型。观察到年轻患者向保守治疗的转变，以及对同种异体植入物的偏好超过自体移植物。需要进一步的研究来规范CFM的手术方案和治疗结果。

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引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2026-01-01

引用次数: 0

Photon-counting CT in the diagnostic workup of OSCC and OPSCC: A prospective evaluation of tumour conspicuity using virtual monoenergetic imaging 光子计数CT在OSCC和OPSCC诊断中的应用：虚拟单能成像对肿瘤显著性的前瞻性评价

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2025-12-31 DOI: 10.1016/j.jcms.2025.104429

Martin Scheer , Fiona Willenberg , Alexey Surov , Benedikt Passmann , Julius Niehoff , Jan Borggrefe

Computed tomography (CT) is an essential tool for staging head and neck cancer. PCCT-detectors can convert the incoming photons directly into electrical signals. This study investigated the potential of PCCT in OSCCs and OPSCCs. The study population comprised 26 patients with an average age of 65.1 years, all of whom were receiving therapy for OSCC (n = 21) or OPSCC (n = 5). PCCT images were analysed using virtual monoenergetic reconstructions (VMIs) with energies ranging from 40 to 100 keV. Blinded VMIs were analysed using a Likert scale. Optimal tumour delineation and image quality were observed at low energies (40–45 keV). Conversely, infiltration into adjacent structures, notably the mandible, was most effectively visualized at an average energy of 80 keV. The effective dose was found to be 1.46 mSv for PCCT representing an almost 50 % reduction compared to conventional CT. However, artefacts caused by metallic restorations remain problematic in PCCT. Nevertheless PCCT has the capacity to enhance soft tissue contrast, thereby facilitating higher spatial resolution and improved diagnostic quality when staging OSCC.

计算机断层扫描（CT）是头颈癌分期的重要工具。pcct探测器可以将入射光子直接转换为电信号。本研究探讨了PCCT在OSCCs和OPSCCs中的潜力。研究人群包括26例患者，平均年龄为65.1岁，所有患者均接受OSCC （n = 21）或OPSCC （n = 5）的治疗。PCCT图像分析使用虚拟单能重建（vmi），能量范围从40到100 keV。采用李克特量表分析盲法VMIs。在低能量（40-45 keV）下观察到最佳的肿瘤描绘和图像质量。相反，浸润到邻近结构，特别是下颌骨，在平均能量为80千伏特时最有效地观察到。发现PCCT的有效剂量为1.46毫西弗，与传统CT相比减少了近50%。然而，金属修复引起的伪影在PCCT中仍然存在问题。然而，PCCT有能力增强软组织对比度，从而促进更高的空间分辨率，提高OSCC分期的诊断质量。

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引用次数: 0

Orthognathic surgery practices in Italy: a comparative analysis with the existing literature 意大利正颌外科实践：与现有文献的比较分析

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery

Pub Date : 2025-12-29 DOI: 10.1016/j.jcms.2025.104430

Laura Tognin , Michela Bergonzani , Louis Brochet , Giuseppe Pedrazzi , Pierre Corre , Marilena Anghinoni , Andrea Varazzani

Recent advancements in orthognathic surgery have introduced innovations in surgical techniques and in preoperative and postoperative care, with an increasing emphasis on patient-centered approaches. Our study described the current practice patterns in Italy, and compared our findings with the existing literature, particularly a recent survey conducted in France.

The questionnaire from the French study was translated into Italian, and a 46-item electronic survey was distributed. In total, 66 responses were received. Of the respondents, 78.8 % were male, and 60.6 % reported over 20 years of practical experience. The primary indication for surgery was that of occlusal disorders (92.4 %). An intermediate splint was used for surgical transfer by 90.9 % of surgeons, while virtual planning was used by 40.9 %. A maxilla-first approach was adopted by 71.2 % of surgeons. For bimaxillary surgery combined with genioplasty, the most frequently reported operating time was 3–4 h (57.6 %), and the typical hospital stay duration was 3–4 nights (53 %). Physiotherapy was primarily advised for temporomandibular joint movement re-education (69.7 %). The most commonly reported complication was trigeminal hypoesthesia (53 %).

Current orthognathic surgery practices in two European countries and the USA were compared. Further studies are needed to comprehensively enrich the existing dataset and support the development of unified European guidelines.

最近在正颌手术方面的进展已经引入了手术技术和术前和术后护理方面的创新，并越来越强调以患者为中心的方法。我们的研究描述了意大利目前的实践模式，并将我们的发现与现有文献，特别是最近在法国进行的一项调查进行了比较。来自法语研究的问卷被翻译成意大利语，并分发了一份包含46个项目的电子调查。共收到66份答复。在受访者中，78.8%为男性，60.6%的人有20年以上的实践经验。手术的主要指征是咬合障碍（92.4%）。90.9%的外科医生使用中间夹板进行手术转移，40.9%的外科医生使用虚拟计划。71.2%的外科医生采用上颌优先入路。双颌手术联合颏成形术，最常报道的手术时间为3-4小时（57.6%），典型住院时间为3-4晚（53%）。颞下颌关节运动再教育以物理治疗为主（69.7%）。最常见的并发症是三叉神经感觉减退（53%）。目前正颌手术的做法，在两个欧洲国家和美国进行比较。需要进一步的研究来全面丰富现有的数据集，并支持统一的欧洲指导方针的发展。

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