Journal of Craniofacial Surgery最新文献

Secondary Alveolar Bone Grafting in the Mixed Dentition Phase: Patients of Younger Age Associated With Enhanced Osteogenesis and Midfacial Skeletal Symmetry.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-02 DOI: 10.1097/SCS.0000000000011351

Siqi Wei, Zhilu Zhang, Guang Zhang, Qian Wu, Yongqian Wang

{"title":"Secondary Alveolar Bone Grafting in the Mixed Dentition Phase: Patients of Younger Age Associated With Enhanced Osteogenesis and Midfacial Skeletal Symmetry.","authors":"Siqi Wei, Zhilu Zhang, Guang Zhang, Qian Wu, Yongqian Wang","doi":"10.1097/SCS.0000000000011351","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011351","url":null,"abstract":"Introduction: Alveolar bone grafting during the mixed dentition period is a common treatment, but the optimal surgical timing remains unclear. This study aims to evaluate how age influences the outcomes of secondary alveolar cleft repair, focusing on bone formation and midfacial symmetry.Materials and methods: This study retrospectively analyzed patients who underwent autologous iliac cancellous bone grafting for alveolar cleft repair from January 2019 to August 2023. Preoperative and 1-year postoperative skull CT data were used to measure osteogenesis rate and midface bony structures, with statistical analysis conducted using R.Results: A total of 68 patients aged 8 to 12 years were included in the study, with no significant differences in baseline data. Autologous iliac bone grafting for alveolar cleft repair resulted in significant improvements in the symmetry of the midfacial skeletal structure, with younger patients showing more pronounced improvements. Univariate linear regression analysis revealed a linear relationship between age and osteogenesis rate, which was further confirmed by multiple linear regression analysis. Age was identified as the most significant factor influencing the osteogenesis rate (β=-0.037, P=0.003), while the deviation of the nasal septum was also found to significantly affect the osteogenesis rate (β=0.004, P=0.009).Conclusions: Age significantly impacts the outcomes of alveolar cleft repair using autologous iliac cancellous bone grafting. Younger patients have better bone formation and facial symmetry improvements, suggesting that earlier surgery may be more beneficial. Preoperative nasal septal deviation assessment is also essential for optimizing surgical planning.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Study of Incidence and Location of Latero-Orbital Foramen Along With Associated Clinical Implications in Adult Indian Dry Skulls.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-02 DOI: 10.1097/SCS.0000000000011350

Rajani Singh

{"title":"Study of Incidence and Location of Latero-Orbital Foramen Along With Associated Clinical Implications in Adult Indian Dry Skulls.","authors":"Rajani Singh","doi":"10.1097/SCS.0000000000011350","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011350","url":null,"abstract":"The frontal bone is an integral part of viscero-cranium. It forms the roof of the orbit and its lateral projection namely the zygomatic process of frontal bone forms part of the lateral wall of the orbit. There is a paucity of literature describing foramen in the zygomatic process of frontal bone. Hence the study was conducted. The aim of the study is to expound the incidence and location along with the clinical implications of the foramen on the zygomatic process of frontal bone designated as latero-orbital foramen. The study was conducted using 80 skulls (160 sides) of unknown age and sex. The presence of foramen was noted by visual inspection and its location was determined by measuring distances of this foramen from temporal crest and fronto-zygomatic suture by vernier caliper. The incidence and mean and SD were calculated using Microsoft Excel 2021. The number of latero-orbital foramina ranged between 0 and 3. The latero-orbital foramen was absent in 84.3% of sides. Single foramen was observed in 11.3 sides, double in 3.8% and triple in 0.6% sides. The mean distance of latero-orbital foramen from the temporal crest of the frontal bone on the right and left sides are 0.5±0.3 and 0.4±0.2 cm, respectively. The mean distance of the foramen under study from fronto-zygomatic suture on the right and left sides are 1.1±0.5 and 1.4±0.5 cm, respectively. The data related to latero-orbital foramen provided will be of paramount importance in carrying out uneventful surgeries along the lateral orbital wall and forehead.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immediate Implant Survival in Graftless Maxillary Sinus Lift Without Biological (Membrane) Barrier.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-02 DOI: 10.1097/SCS.0000000000011321

Sergio Olate, Víctor Ravelo, Marcelo Parra, José Valdivia

{"title":"Immediate Implant Survival in Graftless Maxillary Sinus Lift Without Biological (Membrane) Barrier.","authors":"Sergio Olate, Víctor Ravelo, Marcelo Parra, José Valdivia","doi":"10.1097/SCS.0000000000011321","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011321","url":null,"abstract":"The surgery for dental implants in atrophic sites is a constant challenge. The sinus lift has some recognized techniques; however, the use of low morbidity and low-cost techniques is a trend in surgery. This study aims to identify implant stability observed in dental implants installed in an atrophic maxillary sinus using the lateral window technique without bone graft or biological barrier. A clinical series included 20 patients with 25 conical design dental implants installed, with 1 year of follow-up performed. Bone height was analyzed in the preoperative stage and at 1 year of follow-up using panoramic radiography. All the implants were installed using a lateral window sinus lift, respecting a minimum insertion torque of 35N. Four months later, the second surgery installed the healing abutment and then the prosthetic abutment; the fixed prosthesis on the implant was performed conventionally. After 1 year of follow-up, only one implant was lost at the healing abutment installation stage, the remaining 24 implants were rehabilitated conventionally with no issues. All the implants were stable 1 year after surgery; an average bone gain of 4.9 mm was observed between the preoperative stage and the 1-year follow-up, a statistically significant increase (P > 0.05). The immediate implant with primary stability in maxillary sinus lift using the lateral window approach, without bone grafts or biological barriers, has a high survival rate and facilitates new bone formation around the implant.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology and Incidence of Pierre Robin Sequence in the Maltese Islands: A Population-Based Study.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011277

David Borg, Kurt Lee Chircop, Zane Attard, Juanita Parnis

{"title":"Epidemiology and Incidence of Pierre Robin Sequence in the Maltese Islands: A Population-Based Study.","authors":"David Borg, Kurt Lee Chircop, Zane Attard, Juanita Parnis","doi":"10.1097/SCS.0000000000011277","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011277","url":null,"abstract":"Background: Pierre Robin Sequence (PRS) is a congenital condition characterized by a triad of micrognathia, glossoptosis, and cleft palate. This study aims to investigate the incidence and epidemiology of PRS in the Maltese population, providing valuable insights into its prevalence, clinical characteristics, and surgical management.Method: A population-based retrospective analysis was conducted utilizing data from the years 2000 to 2019. Aggregate data were collected from the Maltese Public Health Department, capturing registered PRS cases in the Maltese population. Incidence rates were calculated, and demographic factors, gestational distribution, and associations with cleft palate were evaluated.Results: The incidence of PRS in the Maltese population was found to be 12.5 per 100,000 births, higher than global estimates. Among the registered cases, 63.6% were male. Gestational distribution analysis revealed a concentration of PRS cases born at 39 weeks. Furthermore, 90.9% of PRS cases were associated with cleft palate.Conclusion: This study highlights a higher prevalence of PRS in the Maltese population compared with global estimates, indicating a unique epidemiological profile specific to the Maltese Islands. The findings provide valuable insights for plastic surgeons and health care professionals involved in the management of PRS patients. Further research is needed to explore the underlying factors contributing to this increased prevalence and to optimize treatment strategies for PRS patients in the Maltese Islands.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is Airway-Related Pathology the Main Risk Factor for Difficult Intubation in Children Under 6 Years Old?

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011304

Sandra Galve-Navarro, Francisca Munar-Bauzá, Cristina Muro-Castro, Irene García-Martínez, Susana Manrique-Muñoz, Miriam de Nadal

{"title":"Is Airway-Related Pathology the Main Risk Factor for Difficult Intubation in Children Under 6 Years Old?","authors":"Sandra Galve-Navarro, Francisca Munar-Bauzá, Cristina Muro-Castro, Irene García-Martínez, Susana Manrique-Muñoz, Miriam de Nadal","doi":"10.1097/SCS.0000000000011304","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011304","url":null,"abstract":"Introduction: Evaluating pediatric airways is challenging, particularly in identifying those at risk for difficult intubation, which is often linked to craniofacial malformations. Limited cooperation from preschoolers further complicates this evaluation.Objective: To evaluate the predictive accuracy of the Arné Score in identifying risk factors for difficult intubation in preschool-aged children (under 6 y) and develop a model to prevent difficult laryngoscopy and intubation. Secondary objectives include determining the incidence of difficult intubation and the appropriate age for preanesthetic airway assessments.Methods: This retrospective observational study analyzed 1385 patients aged 0 to 16 years, all undergoing general anesthesia and tracheal intubation in 2018 at a tertiary hospital in Barcelona. Among them, 708 were under 6 years. Predictive tests included the Arné Score, with difficult intubation defined by Cormack-Lehane scores, intubation attempts, and alternative device use. Logistic regression analyzed predictors with significant odds ratios.Results: Unrecorded Mallampati test values were common in children under 6 years (99.04%). Of those without a history, 8.07% faced intubation difficulties, compared with 50% with a history. Relative risk was 6.23, and the odds ratio was 11.46. Among 202 classified with airway difficulties, 82.67% had no intubation issues. Statistically significant associations highlighted greater risks for those with a difficult intubation history.Conclusions: Arné Score tests are impractical for children under 6. If no history or airway pathology exists, there's a 95.14% chance of successful intubation. The history of difficult intubation increases risks more than airway pathology alone.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preconditioning Strategies for Skin Flap Survival: Clinical Observations and Experimental Insights.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011353

Wen-Tsao Ho

引用次数: 0

Gender-typing of Isolated Horizontal Facial Thirds Before and After Facial Feminization Surgery.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011319

Jose F Palacios, Kenneth Pessino, Nicole Schiraldi, Elisa K Atamian, Nissim Hazkour, Nicholas Bastidas

{"title":"Gender-typing of Isolated Horizontal Facial Thirds Before and After Facial Feminization Surgery.","authors":"Jose F Palacios, Kenneth Pessino, Nicole Schiraldi, Elisa K Atamian, Nissim Hazkour, Nicholas Bastidas","doi":"10.1097/SCS.0000000000011319","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011319","url":null,"abstract":"Objective: Evaluation of facial feminization surgery (FFS) outcomes in the published literature has taken a panfacial perspective. However, horizontal facial thirds analysis may elucidate current deficiencies in facial feminization. In this study, the authors surveyed the general public to determine how FFS influences gender typing of the upper, middle, and lower thirds of the face.Methods: Standardized frontal and lateral images of isolated horizontal facial thirds from 1 cis-man control, 1 cis-woman control, and 8 consecutive patients before and after FFS were prepared (n = 108 images). Reviewers were asked to determine whether segment images were of a man or woman, indicate their response confidence on a scale from 0 to 10, and specify whether a particular feature influenced their answer.Results: A total of 4182 image ratings were collected from 48 survey respondents. For all 3 segments, there was a significant increase in female gender typing after FFS (P < 0.001). Male gender typing of the upper segment was significantly higher than the middle and bottom segments regardless of FFS status (P < 0.001). Confidence in female gender typing increased significantly for only the middle (P = 0.045) and bottom (P = 0.041) segments after FFS. Male gender typing of the upper segment after FFS was mostly due to the hairline (49%) or forehead (23%).Conclusions: Facial feminization surgery increases female gender typing of isolated horizontal facial thirds. However, general public surveys attribute less effective feminization of the upper third to persistent masculine hairlines. Adjuncts such as hair transplantation may further decrease male gender typing after FFS.Level of evidence: Level IV.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Treatment of Intracranial Infection Caused by Chryseobacterium Indologenes Following Aneurysm Clipping.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011352

Yanrui Cai, Jiamin Liu, Di Tian, Yuting Wang

引用次数: 0

A Retrospective Analysis of 8457 Glossectomy Cases Over 15 Years-The Boon and Bane of Radical Neck Dissection.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011327

Leonard Knoedler, Helena Baecher, Michael Alfertshofer, Samuel Knoedler, Thomas Schaschinger, Benedikt Geldner, Ali-Farid Safi, Alexandre G Lellouch, Max Heiland, Kilian Kreutzer, Martin Kauke-Navarro, Steffen Koerdt

{"title":"A Retrospective Analysis of 8457 Glossectomy Cases Over 15 Years-The Boon and Bane of Radical Neck Dissection.","authors":"Leonard Knoedler, Helena Baecher, Michael Alfertshofer, Samuel Knoedler, Thomas Schaschinger, Benedikt Geldner, Ali-Farid Safi, Alexandre G Lellouch, Max Heiland, Kilian Kreutzer, Martin Kauke-Navarro, Steffen Koerdt","doi":"10.1097/SCS.0000000000011327","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011327","url":null,"abstract":"Background: Glossectomy is a commonly performed procedure in head and neck oncology, primarily for the treatment of squamous cell carcinoma of the tongue. Radical neck dissection (RND) is still being combined with glossectomy to manage lymph node metastases, yet its impact on postoperative outcomes in glossectomy patients remains largely underexplored.Methods: This study utilized data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to analyze 30-day postoperative outcomes in 8457 patients who underwent partial or extended glossectomy, with or without concurrent RND, between 2008 and 2022.Results: No significant differences in 30-day postoperative complications were found between partial and extended glossectomy groups (P=0.571). However, extended glossectomy with concurrent RND was associated with longer operative times (P<0.001), increased length of hospital stay (P=0.045), and higher complication rates (P=0.008). In partial glossectomy patients, concurrent RND was linked to higher 30-day mortality (P=0.022). Multivariable analysis identified smoking status, obesity, and inpatient setting as significant risk factors for postoperative complications across all subgroups.Conclusion: While the extent of glossectomy did not influence immediate postoperative outcomes, concurrent RND significantly increased complication risks in extended glossectomy patients. These findings emphasize the importance of individualized risk assessment and tailored surgical planning to enhance patient outcomes in glossectomy procedures.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Herpes Zoster Occurring After Injection of Botulinum Toxin and Hyaluronic Acid.

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-04-01 DOI: 10.1097/SCS.0000000000011239

Yutong Liang, Guyu Tan, Xueshang Su, Jun Zhuang, Ziming Zhang, Ronghao Ouyang, Jintian Hu

引用次数: 0