Journal of Craniofacial Surgery最新文献

{"title":"Modified Infrabrow Blepharoplasty for Periorbital Rejuvenation in Asia Women.","authors":"Mengmeng Luo, Qingfang Zhao, Wenjing Liu, Jinghong Xu, Zhigang He","doi":"10.1097/SCS.0000000000011030","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011030","url":null,"abstract":"<p><strong>Objective: </strong>The infrabrow blepharoplasty is a common surgical operation indicated in Asians for periorbital rejuvenation. This operation alone is difficult to achieve the correction of crow's feet. Therefore, the authors elucidate the authors' experiences of applying infrabrow blepharoplasty combined with the subcutaneous undermining of the lateral periorbital region to treat upper eyelid dermatochalasis with lateral hooding deformity and alleviate crow's feet, including its indications, operative procedures, and postoperative outcomes.</p><p><strong>Methods: </strong>Retrospective review of patients undergoing infrabrow blepharoplasty incorporated with subcutaneous undermining of the lateral periorbital region between January 2019 and December 2023. Thirty-nine patients who were well followed up were retrospectively reviewed. The surgical procedure is described in depth. Frontal and lateral view photographs were obtained to evaluate the curative effect. The following data were collected preoperatively and at postoperative 6 months: distance between the pupil centre and the supratarsal fold, distance between the pupil centre and lower margin of eyebrow, distance between the lateral canthus and the supratarsal fold, distance between the lateral canthus and lower margin of eyebrow, the rating of Crow's Feet Grading Scale (CFGS) at rest and at a maximum smile.</p><p><strong>Results: </strong>The study included 78 eyelids of 39 patients ranging in age from 37 to 56 years, with a mean age of 46.25 years. The mean follow-up for the patients was 6.7 months. Compared with the postoperation with the preoperation, distance between the pupil centre and the supratarsal fold increased from 5.45 ± 1.31 to 5.98 ± 1.62 mm, distance between the lateral canthus and the supratarsal fold increased from 3.93 ± 1.24 to 6.13 ± 1.87 mm, no evidence of significant changes in distance between the pupil centre and lower margin of eyebrow and distance between the lateral canthus and lower margin of eyebrow. The average change in the rating of CFGS was -0.62 ± 0.11 at maximum contraction and -0.24 ± 0.08 at rest. No significant complications occurred in any patient postoperatively.</p><p><strong>Conclusion: </strong>The combination of infrabrow blepharoplasty with the subcutaneous undermining of the lateral periorbital region was effective in addressing moderate dermatochalasis with lateral hooding and improve crow's feet in middle-aged Chinese patients, resulting in a rejuvenated periorbital area and flattening of the eyebrow is not noted at the same time. The anthropometric measurement of the upper eyelid and CFGS facilitate operation outcome assessment.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864396","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}

{"title":"Retrobulbar Hematoma: Presentation, Management, and Visual Outcomes.","authors":"Magdi Elghannam, Bashar A Hassan, Nawal Shams, Shannath L Merbs, Paul N Manson, Michael P Grant","doi":"10.1097/SCS.0000000000010924","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010924","url":null,"abstract":"<p><p>Retrobulbar hematoma (RH) is a diagnostic and therapeutic emergency that may cause permanent vision loss. Lateral canthotomy and cantholysis (LCC) is typically performed when IOP is elevated or vision is compromised. The authors describe the outcomes of the largest cohort of patients with RH to date. Patients who presented with acute facial trauma and RH to the R. Adams Cowley Shock Trauma Center (2014-2022) were analyzed to describe their presentation, management, and visual outcomes. In 41 eyes (39 patients) with RH, the most common presenting ocular symptoms and signs were orbital pain [19 (46%)] and subconjunctival hemorrhage [33 (81%)], respectively. LCC was performed in half the cases (n=20). The median (IQR) intraocular pressure (IOP) was significantly higher in the LCC group versus observation: 33 mm Hg (26-44) versus 18 mm Hg (15-21) (P=0.001). Compared with the observation group, patients treated by LCC were significantly more likely to have no light perception (NLP) vision [0 (0%) versus 6 (50%), P=0.004] and higher IOP [median [IQR] 16 mm Hg (15-21) versus 33 mm Hg (23-44), P=0.001] at presentation. Although 1 of the 6 NLP patients managed by LCC regained some vision, LCC was not associated with significantly different odds of restoration of normal vision [aOR (95% CI) 0.32 (0.04-2.98)]. Visual acuity (VA) at presentation was the only significant predictor of visual acuity after follow-up (B=0.64, P=0.016). LCC is indicated for elevated IOP, as it effectively reduces IOP and improves intraocular perfusion. VA at presentation is the most reliable predictor of VA on follow-up.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864402","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}

{"title":"Technology-assisted Pain Management in Pediatric and Adolescent Burn Care: A Systematic Review and Meta-analysis.","authors":"Anjani Larasati, Ni Made Sarastri Widyani, Felicitas Tania","doi":"10.1097/SCS.0000000000010970","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010970","url":null,"abstract":"<p><strong>Objective: </strong>Burn injuries are one of the leading causes of disability in the pediatric and adolescent population globally. Current practice in pediatric burn management uses opioid analgesics as acute pain management. Technology-assisted pain management, including the application of video games and virtual reality (VR), offers an attractive alternative that can be used to help alleviate pain and anxiety in pediatric and adolescent patients with burns. This systematic review and meta-analysis aim to update and collate the most recent evidence on the effectiveness of said technologies in reducing pain and anxiety in pediatric and adolescent burn patients.</p><p><strong>Methods: </strong>The authors conducted a systematic search in the following databases: PubMed, Cochrane, Scopus, and ProQuest. Studies that applied any form of technology assistance and VR with participants 18 years or younger of age were included. Ten randomized controlled trials were included in the final analysis and were assessed with the primary outcome being the objective assessment of pain experienced by patients in said studies.</p><p><strong>Results: </strong>From the literature search conducted, 1224 articles were identified. Three reviewers independently screened titles and abstracts. Out of 1224 articles, 42 were included for full-text screen and review, and 32 were then excluded because they did not satisfy the inclusion and exclusion criteria. Nine randomized controlled trials and one quasi-experimental pilot study were included in the final systematic review and meta-analysis.</p><p><strong>Conclusion: </strong>Findings from this study demonstrate that VR and other forms of technological assistance are promising and effective in reducing pain in pediatric and adolescent patients with burns.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864408","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}

{"title":"Depilation Before, During, or After Scalp Flap Expansion for Facial Reconstruction Using a Long-pulse 800-nm Diode Laser.","authors":"Jianke Ding, Zhengqiang Cang, Xing Fan, Liwei Dong, Yue Yin, Ping Xue, Xianjie Ma, Qing Yang","doi":"10.1097/SCS.0000000000011009","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011009","url":null,"abstract":"<p><p>Following facial reconstruction with a scalp flap, unwanted hair is a common esthetic problem. Reports on the safety, effectiveness, and differences in laser hair removal before, during, and after tissue expansion are lacking. The authors aimed to assess the efficacy of 800-nm diode laser hair removal before, during, and after flap expansion. A total of 366 patients who underwent long-pulse 800-nm diode laser hair removal from the scalp flap were included in this study. The patients were divided into 3 groups based on the timing of laser hair removal: nonexpansion, expander, and expanded. Participants received 1 to 8 treatment sessions at intervals of 25 to 30 days. To assess the effectiveness and differences in the treatment of each group, 2 independent observers compared the photographs and measured the reduction in the terminal hair count after treatment. The hair reduction rate was significantly higher with fewer treatment sessions when laser hair removal was performed during tissue expansion compared with after surgery or before surgery. Two cases of blisters were reported in the expanded group, all of which healed after aspiration and dressing changes. No severe adverse events were reported. Hair removal during or after scalp flap expansion is safe and effective when using an 800-nm diode laser. The depilation process during tissue expansion should be extremely accurate and well-designed. Depilation of the scalp before surgery is not recommended because of its low efficiency and long treatment duration.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854259","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}

{"title":"Sagittal Split Ramus Osteotomy Without Segmental Fixation in Skeletal Class II.","authors":"Shun Narahara, Rena Shido, Takamitsu Koga, Emi Moriuchi, Tomohiro Yamada, Seigo Ohba, Tatsuo Shirota","doi":"10.1097/SCS.0000000000011016","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011016","url":null,"abstract":"<p><p>The new orthognathic treatment strategy of non-segmental fixation (non-fix) sagittal split ramus osteotomy (SSRO) with jaw exercise initiation on the second postoperative day, the so-called physiological positioning strategy (PPS), induces good skeletal stability with few temporomandibular joint (TMJ) symptoms after surgery in skeletal class III. This study aimed to clarify whether non-fix SSRO with modified PPS can be applied to skeletal class II. This retrospective study included skeletal class II patients who underwent non-fix SSRO to correct mandibular retrognathia. Jaw exercise was initiated within 10 postoperative days. Cephalometric analyses were performed before (T1), immediately after (T2), and more than 6 months after (T3) surgery. Skeletal and dental stability, and TMJ symptoms were evaluated. Twelve patients (2 men, 10 women; mean age 22.9±7.1 y) were included. The mean mandibular advancement was 6.8±1.8 mm. angle between S-N and N-B. was 73.6±4.5, 77.1±3.9, and 75.1±4.4 degrees at T1, T2, and T3, meaning 60.5% relapse. The Menton moved forward by 6.3 mm from T1 to T2 and relapsed by 4.6 mm at T3. The duration of intermaxillary traction showed a moderate negative correlation with angle between S-N and N-B. relapse (r=-0.42, P=0.1787). Only 2 TMJ symptoms (2/24, 8.3%) developed postoperatively. This study suggests that non-fix SSRO with modified PPS is a suitable method for skeletal class II malocclusion. Further research with a larger sample size and detailed analysis of the effect of intermaxillary traction on skeletal stability after surgery is needed.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854302","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}

{"title":"Gender and Age Differences in Corpus Callosum Morphology: High-Altitude Adaptations in Native Tibetan Populations.","authors":"Ke Zeng, Zhan-Fei Wang, Ming-Ran Su, Yu Wang, Zhi-Ying Zhang, Hua Zhong","doi":"10.1097/SCS.0000000000011010","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011010","url":null,"abstract":"<p><strong>Background and aims: </strong>The corpus callosum is recognized as the largest interhemispheric white matter structure, coordinating distinct functions of the brain. High-altitude environments may influence the structure of the corpus callosum. This study aims to evaluate the morphologic characteristics of the corpus callosum in Tibetans residing on the Qinghai-Tibet Plateau while investigating the effects of sex, age, and high-altitude exposure on its morphology.</p><p><strong>Materials and methods: </strong>The study comprised 262 healthy native Tibetan adults, including 113 men and 149 women. The length, height, area, and thickness of each subregion of the corpus callosum were measured, with the data normalized according to brain length and mid-sagittal cortical brain area. Statistical analyses were conducted utilizing nonparametric tests and partial correlation analysis.</p><p><strong>Results: </strong>Most normalized morphologic measurements indicated significant sex differences, particularly in the thickness of the rostrum (z=-3.199, P=0.001), genu (z=-3.133, P=0.002), body (z=-3.612, P<0.001), splenium (z=-2.279, P=0.02), and callosal length (z=-2.722, P=0.006), and area (z=-2.179, P=0.03). The callosal area (R2=0.084, P<0.001) demonstrated an inverted U-shaped trajectory throughout the lifespan, peaking at ∼40 years of age.</p><p><strong>Conclusions: </strong>This study identified pronounced sex differences in the corpus callosum morphology among Tibetans. Despite living at high altitudes, the age-related trajectory of the callosal area resembled patterns observed in other populations, although peak ages differed by sex.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854261","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}

{"title":"Isolated Sagittal Craniosynostosis and Open or Endoscopic Cranial Vault Remodeling: An Evaluation of Developmental Outcomes.","authors":"Ethan D Paliwoda, Mason J Horne, Ishan Patel, Avi A Gajjar, Christina Rudolph, Matthew A Adamo, Stephanie M C Bray","doi":"10.1097/SCS.0000000000010983","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010983","url":null,"abstract":"<p><strong>Background: </strong>Craniosynostosis, a condition involving the premature fusion of cranial sutures, can impair brain development and potentially lead to developmental delays. This study compares open cranial vault remodeling versus endoscopic strip craniectomy treatment for isolated sagittal craniosynostosis, primarily focusing on development outcomes.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at a tertiary pediatric surgery center, involving all 45 patients treated surgically for isolated sagittal craniosynostosis from 2013 to 2024. Patients were categorized into 2 groups based on surgical intervention: open cranial vault remodeling (n=17) and endoscopic strip craniectomy (n=28). Data collected included patient demographics, intraoperative specifics, and postoperative outcomes. Developmental outcomes were assessed using postoperative progress notes.</p><p><strong>Results: </strong>Of the 45 patients, those undergoing open surgery were older (10.7 mo and 9.4 kg versus 3.3 mo and 6.4 kg, P<0.001) and experienced higher use of intraoperative drains (65% versus 0%, P<0.001), more prolonged procedures (189 versus 58 min, P<0.001), more significant blood loss (102 versus 62 mL, P=0.009), longer stays (3.3 versus 2.6 d, P=0.011), and higher opioid prescription rates (82% versus 43%, P=0.013) compared to the endoscopic group. Within 12 months postoperatively, social delays were more common in the open group (19 versus 0%, P=0.049), and, postoperatively in general, cognitive delays were more common in the open group (31% versus 4%, P=0.023) when compared to the endoscopic group.</p><p><strong>Conclusions: </strong>Endoscopic cranial vault remodeling produces preferentially better hemodynamic, postoperative, and hospital stay outcomes. Although inferences into long-term developmental delay outcomes were limited due to sample size, a preferential benefit toward endoscopic intervention may exist.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854270","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}

{"title":"Are Bone Expansion Techniques Effective for Implant Placement in Narrow Alveolar Ridges?","authors":"Omar Rizk, Sherif Ashraf, Ahmed Hany Zaki, Karim Mohamed AbdelMohsen","doi":"10.1097/SCS.0000000000011013","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011013","url":null,"abstract":"<p><p>Because of the fact that sufficient alveolar ridge bone is essential for the success of implant placement, the authors often face a challenge with augmenting residual maxillary alveolar ridges. The aim of the study was to compare the amount of ridge gain by the Osseodensification method with the manual bone expanders method for healed edentulous sites in the maxilla at different time intervals (immdiate postoperative and 6 mo postoperative). Two groups were equally and randomly divided with a total of 14 implants (Biohorizons) placed in the maxillary arch for 8 patients, osseodensification was used for 1 group (group 1), whereas manual threaded expanders (bone spreaders) was used for the other group (group 2). Results suggest that the expanders group (group 2) yielded greater immediate postoperative expansion at some points along the length of placed implants; however, most of the expansion gain at the immediate Post-operative stage underwent continuous remodeling 6 months postoperative. The authors recommend using expansion techniques only when other more predictable techniques for horizontal bone augmentation are not feasible.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854194","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}

{"title":"The Legacy of Suzanne Noël: A Historical Perspective on the First Female Plastic Surgeon and the Intersection of Plastic Surgery and Feminism.","authors":"Victoria A Dahl, Wrood Kassira, Seth R Thaller","doi":"10.1097/SCS.0000000000010947","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010947","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854309","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}

{"title":"Declining Blowout Fracture Cases and Rising Costs in South Korea (2010-2023).","authors":"Daihun Kang","doi":"10.1097/SCS.0000000000011023","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011023","url":null,"abstract":"<p><strong>Objective: </strong>Blowout fractures are a significant component of maxillofacial trauma care, but their incidence appears to be declining in South Korea. This study aims to investigate the trends in blowout fracture cases from 2010 to 2023 and assess the implications for plastic and reconstructive surgery, as well as the financial burden on patients.</p><p><strong>Methods: </strong>A retrospective observational study was conducted using data from the Health Insurance Review and Assessment Service in South Korea. Patients diagnosed with orbital fractures (International Classification of Diseases, 10th Revision code S02.3) between 2010 and 2023 were included. Variables such as patient demographics, National Health Insurance (NHI) payments, and patient out-of-pocket expenses in United States dollars were analyzed. Time-series forecasting was performed using the Auto-Regressive Integrated Moving Average (1,1,1) model to predict future trends.</p><p><strong>Results: </strong>A total of 163,146 patients were diagnosed with blowout fractures from 2010 to 2023. The number of cases decreased by 48.0%, from 18,340 in 2010 to 9534 in 2023 (P < 0.001). Despite the decline in cases, the average NHI payment per patient increased by 135.5%, and patient out-of-pocket expenses rose by 127.5% (P < 0.01). Strong negative correlations were found between patient numbers and per-patient costs for both NHI payments (r = -0.933) and patient expenses (r = -0.929). The Auto-Regressive Integrated Moving Average model forecasts suggest that case numbers may stabilize, but health care costs will continue to rise through 2028.</p><p><strong>Conclusion: </strong>The declining trend in blowout fracture cases poses challenges to the sustainability of this subspecialty in plastic and reconstructive surgery. Concurrently, the increasing financial burden on patients highlights limitations in the current health care coverage. Plastic and reconstructive surgeons must adapt by diversifying skills and fostering interdisciplinary collaboration. Policy reforms are necessary to reduce the financial burden on patients and ensure equitable access to care.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854254","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}