Journal of Craniofacial Surgery最新文献

{"title":"Composite Facial Defect Reconstruction With Patient-Specific Implant After Electrical Burn Injury.","authors":"Soham Shah, Tushar Patil, Raghav Shrotriya, Rahul Jain, Sanjay Mahendru","doi":"10.1097/SCS.0000000000012857","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012857","url":null,"abstract":"<p><strong>Background: </strong>Electrical facial burns are uncommon but devastating injuries that often combine skeletal and soft-tissue loss. Single-stage restoration of bone, lining, and cover remains challenging.</p><p><strong>Clinical report: </strong>A 27-year-old man presented with a left hemifacial composite defect after a high-voltage electrical burn. Reconstruction used virtual surgical planning (VSP) with a patient-specific polymethyl-methacrylate (PMMA) implant for skeletal contour and a chimeric anterolateral thigh (ALT) flap for coverage.</p><p><strong>Results: </strong>The procedure achieved stable implant fixation, complete flap survival, and satisfactory malar projection without any implant-related complications.</p><p><strong>Conclusion: </strong>Combining PSI using VSP with an ALT flap provides precise, reliable single-stage reconstruction in complex electrical burn-related facial defects.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838502","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":"An Exceptionally Large Mixed Laryngocele Presenting as a Cervical Mass.","authors":"Nikolaos Lazaridis, George Trikoilis, Frinta-Maria Aidoni, George Triantafyllou, Μaria Piagkou, Elpida Chochliourou","doi":"10.1097/SCS.0000000000012881","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012881","url":null,"abstract":"<p><p>Laryngoceles are rare benign dilatations of the laryngeal saccule that communicate with the laryngeal lumen and may present with variable clinical manifestations depending on their size and extent. Their presentation can range from incidental findings to clinically significant cervical masses or airway-related symptoms. The authors report a case of an unusually large mixed laryngocele in a 62-year-old male who presented with progressive right-sided cervical swelling, dysphagia, and throat discomfort. Computed tomography revealed a well-defined air-filled lesion arising from the laryngeal ventricle with extension into the right cervical region, consistent with a mixed laryngocele, resulting in displacement of the airway. The patient underwent successful surgical excision through an external transcervical approach. Histopathologic examination confirmed the diagnosis, demonstrating a cyst lined by pseudostratified ciliated respiratory epithelium. The postoperative course was uneventful, with complete resolution of symptoms on follow-up. This case is notable for the lesion's size and its prominent cervical presentation, both of which are uncommon in routine clinical practice. It emphasizes the importance of accurate diagnosis, exclusion of underlying malignancy, and appropriate surgical planning in achieving complete excision and favorable outcomes, particularly in large or combined laryngoceles.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838530","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":"Clinical Characteristics and Evaluation of Treatment Outcomes in Traumatic Eyelid Lacerations in the Geriatric Population.","authors":"Ömer Özer, Levent Doğan, Zeki Baysal","doi":"10.1097/SCS.0000000000012875","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012875","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to evaluate the demographic characteristics, etiology, clinical outcomes, treatment methods, complications, and functional outcomes of traumatic upper and lower eyelid lacerations in elderly individuals.</p><p><strong>Methods: </strong>At the presentation, the age, gender, affected eye and eyelids, etiology and place of trauma, type of trauma, and any accompanying adnexal injuries were recorded for all patients. Treatment outcomes were analyzed in the early postoperative period (first month) and the late postoperative period (sixth month). The primary endpoint is the restoration of eyelid integrity and the absence of lagophthalmos. Secondary endpoints include the presence of infection, scar formation, entropion or ectropion, and epiphora.</p><p><strong>Results: </strong>Eyelid integrity was achieved in 95.8% (n=46) of patients in the early postoperative period. The lagophthalmos observed in 1 (2.08%) patient in the early period resolved during follow-up. While no cases of entropion or ectropion were observed in patients during the early postoperative period, entropion/ectropion was observed in a total of 4 (8.33%) patients in the later period. Among the 15 (31.25%) patients with lacrimal system injury, epiphora observed in the early postoperative period persisted in 3 (6.25%) patients during follow-up.</p><p><strong>Conclusion: </strong>In conclusion, our study demonstrates that falls are the most common cause of traumatic eyelid injuries in older patients and that these injuries predominantly occur in the home and daily living environments. Developing fall-prevention strategies for elderly patients, performing careful anatomic assessment following trauma, and ensuring long-term follow-up are of great importance for improving both functional and aesthetic outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838547","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":"Evaluation of the Effectiveness Using the Modified Straight Line Closure Method in Unilateral Cleft Lip Patients From April 2015 to April 2025.","authors":"Abdoljalil Kalantar-Hormozi, Mohammad B Zeydabadi, Mehran Noori, Sakineh Khanamani Falahatipour, Ahmad E Zarch","doi":"10.1097/SCS.0000000000012545","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012545","url":null,"abstract":"<p><strong>Background: </strong>Unilateral cleft lip repair has evolved significantly, with ongoing debate regarding optimal surgical techniques that results on a good scar. While rotation-advancement methods remain prevalent, modern modifications of straight-line approaches offer potential advantages in scar concealment and anatomic preservation.</p><p><strong>Patients and methods: </strong>This prospective study evaluated a modified straight-line closure technique in 90 patients (40 male and 50 female) aged 3 to 24 months with complete (n=35) or incomplete (n=55) unilateral cleft lip. Key technical features included precise anatomic landmark identification, orbicularis oris muscle reconstruction, and alar base stabilization. No transverse or oblique incisions were used on the lip skin from the nostril to the Cupid bow. Outcomes were assessed at 6 months to 10 years postoperatively using anthropometric analysis of standardized photographs by 2 independent plastic surgeons.</p><p><strong>Results: </strong>The technique achieved good symmetry outcomes, with 94.4% of cases showing ≤2 mm philtral column discrepancy and 100% demonstrating ≤2 mm vertical lip height difference. Nasal symmetry was particularly notable (mean alar base discrepancy: 0.68±0.74 mm, P<0.001). Cupid bow proportions (0.27±0.04, P<0.001) and vermilion continuity (88.9% without notching) were well-maintained. No significant differences emerged between complete and incomplete clefts (P>0.05).</p><p><strong>Conclusion: </strong>The modified straight-line approach produces consistent, reproducible outcomes across cleft types, combining the simplicity of traditional straight-line repairs with refinements addressing historical limitations. Its ability to achieve simultaneous labial and nasal correction makes it a valuable alternative to rotation-advancement approaches, particularly when prioritizing scar quality and anatomic subunit preservation.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838578","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":"Geometric Morphometric-Based Estimation as an Aid for Naso-Orbito-Ethmoidal Trauma Management.","authors":"Ahmed M El Sergani, Seth M Weinberg","doi":"10.1097/SCS.0000000000012890","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012890","url":null,"abstract":"<p><p>The naso-orbito-ethmoid (NOE) region comprises complex anatomy, and as such, NOE fractures present with a challenge during reconstruction. Restoring the pretraumatic facial form is often challenging, and patients may experience re-deformities. We evaluated 2 computer-aided methods to estimate pretraumatic facial form in silico. A sample of 3D facial images of adult Caucasian males and females was utilized to evaluate 2 geometric morphometric-based facial landmark estimation methods in silico. These include thin-plate spline (TPS) and multivariate regression. Six anthropometric facial landmarks (nasion, pronasale, bilateral endocanthion, and bilateral alare) representing the regional anatomic projections were artificially removed and subsequently estimated based on the location of 18 other landmarks. Between-group principal component analysis was run with permutation testing to uncover impact on facial form between original and estimated landmark configurations. Thin-plate spline-based estimation presented with superior accuracy. Conversely, the regression-based method introduced a statistically significant artificial deformity and was thus excluded from further consideration. Estimation error in the TPS-based method was evaluated by measuring Euclidean distances between the estimated and original landmarks. Mean error was highest at nasion (up to 3.34±1.7 mm). Thin-plate spline-based estimation showed promising accuracy, and the computer-assisted pipeline is time-feasible and yields a 3D-printable aid to be used intraoperatively during reconstructive surgery. Given that the current in silico study that has not been clinically translated yet, our findings, therefore, await replication and future clinical translation.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838590","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":"Emergency Department Sudden Deafness: Clinical Features and Predictors of Advanced Imaging.","authors":"Muhammet Ali Erinmez, Fatma Örs, Mesut Yeşilova","doi":"10.1097/SCS.0000000000012851","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012851","url":null,"abstract":"<p><strong>Background: </strong>Sudden sensorineural hearing loss (SSNHL) is an otologic emergency that requires immediate evaluation and treatment. Recognizing presentation patterns and the use of imaging in emergency settings can improve diagnostic efficiency.</p><p><strong>Objective: </strong>To describe the demographic characteristics, clinical features, comorbidities, and factors predicting advanced imaging in patients presenting to the emergency department with sudden hearing loss in Mersin, Turkey.</p><p><strong>Methods: </strong>This retrospective analysis reviewed 2462 consecutive patients who presented to the emergency department with sudden hearing loss between 2022 and 2025. Data collected included the affected side of hearing loss, associated symptoms (tinnitus, vestibular dysfunction, and nausea), comorbidities (diabetes, hypertension, and infection), laboratory abnormalities (hypercholesterolemia, hyperlipidemia, and polycythemia), imaging studies (MRI and CT), and treatment options.</p><p><strong>Results: </strong>The cohort included 2462 patients. Unilateral hearing loss was the most common (75.8%), with left-sided cases slightly more frequent (50.9%) than right-sided (24.9%). Bilateral cases occurred in 24.2% of patients. Tinnitus was the most common associated symptom (77.9%), followed by balance problems (32.0%) and nausea (18.0%). At least 1 comorbidity was present in 43.5% of patients, with hypertension being the most common (22.0%), followed by infection (20.0%) and diabetes (10.0%). Dyslipidemia affected 30.0% of patients. Advanced imaging with MRI was performed in 64.9%, while CT scans were used in 20.0%. Patients with any comorbidity had slightly higher MRI use rates (66.1%) compared with those without (64.1%). Medical treatment alone was given to 99.6% of patients, with only 0.4% receiving additional hyperbaric oxygen therapy.</p><p><strong>Conclusion: </strong>This large emergency department cohort shows that sudden hearing loss primarily affects 1 ear, with a slight leftward bias. The high rates of tinnitus, vestibular symptoms, and cardiovascular comorbidities highlight the multifactorial nature of this condition. MRI imaging was used in about two-thirds of patients, with slight variation based on the patients' comorbidity burden. These findings offer insights into presentation patterns and help guide clinical decisions in the emergency management of sudden hearing loss in a Mediterranean population.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838580","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":"Optimal Condylar Seating in Concurrent High Condylectomy and Sagittal Split Osteotomy.","authors":"Nicole M Nishime, Ashtyn M Moser, Derek M Steinbacher","doi":"10.1097/SCS.0000000000012776","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012776","url":null,"abstract":"<p><p>Unilateral condylar hyperplasia is characterized by progressive overgrowth of the mandibular condyle, often producing facial asymmetry, malocclusion, and temporomandibular joint (TMJ) dysfunction. Definitive management typically involves high condylectomy performed concurrently with orthognathic surgery. A key challenge is accurate seating of the neocondyle, which requires posterior, superior, and oblique repositioning within the glenoid fossa. The authors present a technical strategy utilizing a preauricular post-tragal incision with superficial musculoaponeurotic system (SMAS) flap elevation to expose the TMJ. Following high condylectomy, screws are placed at the glenoid fossa and lateral neocondyle, connected with a wire loop to gently traction the proximal segment up and posteriorly. This maneuver enables direct visualization and controlled seating of the neocondyle and disc. The technique is combined with bilateral sagittal split osteotomy and Le Fort I osteotomy, allowing intraoral fixation while maintaining condylar position. This approach enables single-stage correction of condylar hyperplasia and associated deformity, improving symmetry while reducing overall operative time. Direct visualization provides reliable condylar seating and may decrease the risk of malposition, joint dysfunction, and relapse.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838074","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":"Salvage Strategies for Iatrogenic Rupture Complicating Stent-Assisted Coil Embolization in Middle Cerebral Artery Aneurysms.","authors":"Musheng Rao, Minmin Zhu","doi":"10.1097/SCS.0000000000012816","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012816","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the emergency management strategies and clinical outcomes of iatrogenic rupture, a rare and life-threatening complication, during the interventional treatment of intracranial aneurysms.</p><p><strong>Methods: </strong>We present the case of a 70-year-old female patient who underwent stent-assisted coiling for an unruptured right middle cerebral artery aneurysm. An iatrogenic intraprocedural aneurysm rupture occurred and was successfully managed with salvage therapy.</p><p><strong>Results: </strong>Upon the intraoperative observation of contrast agent extravasation, immediate comprehensive rescue measures were instituted. The core intervention was prompt and ongoing coil embolization to achieve dense packing, supplemented by urgent heparin reversal and controlled hypotension. Postoperatively, the patient developed transient minor neurological dysfunction, which significantly improved following active rehabilitation. One-month follow-up assessment indicated a favorable patient outcome, with a modified Rankin Scale score of 1.</p><p><strong>Conclusion: </strong>In the event of an iatrogenic rupture during stent-assisted coiling, the operator's composure, accurate judgment, and the implementation of rapid, standardized, comprehensive salvage measures are critical for averting catastrophic consequences and ensuring a favorable patient prognosis. Among these measures, prompt and sustained coil embolization is the most crucial technique for immediate sealing of the rupture site and hemorrhage control.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838325","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":"Evolution of the Hospitalization Burden of Cleft Lip and Palate in Chile: A Nationwide Population-Based Study (2001-2019).","authors":"Felipe Inostroza-Allende, Iris Delgado, José Farías, Carlos Giugliano-Villarroel, Maria Isabel Matute, Andrea Olea, Mirta Palomares-Aguilera, María Inês Pegoraro-Krook","doi":"10.1097/SCS.0000000000012584","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012584","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the evolution of the hospitalization burden associated with cleft lip and palate (CLP) in Chile between 2001 and 2019, analyzing demographic, geographic, and treatment-related patterns at the national level.</p><p><strong>Methods: </strong>This observational, descriptive, and retrospective study analyzed nationwide hospital discharge data from the Department of Statistics and Health Information of the Chilean Ministry of Health. Hospitalizations with a primary diagnosis of CLP were identified using ICD-10 codes (Q35, Q36, Q37). Variables included sex, age, region of residence, hospital location, health care system (public or private), type of hospitalization, length of hospital stay, and surgical procedures. Temporal trends were assessed using descriptive statistics and linear regression analysis.</p><p><strong>Results: </strong>A total of 23,883 CLP-related hospital discharges were recorded. Hospitalizations were predominantly concentrated in early childhood, with 46.5% occurring in patients under one year of age. The male-to-female ratio was 1.23:1 and remained stable over time. Geographically, 38.4% of discharges occurred in the Metropolitan Region followed by Biobío (10.4%) and La Araucanía (6.9%). Most hospitalizations took place in public health care facilities (69.7%), although a temporary increase in nonpublic discharges was observed. Surgical procedures were performed in 72.1% of hospitalizations, most frequently hard palate closure and/or oronasal fistula repair (14.1%) and unilateral primary cheiloplasty (9.5%). The medial length of hospital stay was 1 day. A decreasing trend in annual hospitalizations was observed but it was not statistically significant.</p><p><strong>Conclusion: </strong>The hospitalization burden of CLP in Chile remains concentrated in early infancy and in specific geographic regions, highlighting persistent regional inequalities and the need for decentralized, equitable, and interdisciplinary care strategies.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838556","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":"Recurrent Eyelid Ptosis as an Atypical Manifestation of Conjunctival Lymphoma.","authors":"Alvaro Ortiz, Jocelyn Alvarez, Fidel Nivelo","doi":"10.1097/SCS.0000000000012834","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012834","url":null,"abstract":"<p><p>A 67-year-old woman with a history of thyroid and ovarian cancer presented with recurrent right upper eyelid ptosis after 3 blepharoplasties. Slit-lamp exam revealed a superior subtarsal and subconjunctival lesion (25×15 mm). MRI showed eyelid and conjunctival involvement extending into the extraconal orbital space, lacrimal gland, and superior rectus muscle. Histopathology and immunohistochemistry confirmed extranodal marginal zone MALT lymphoma. She received 4 cycles of systemic R-CHOP immunochemotherapy, achieving complete lesion remission, though ptosis persisted. She remains under surveillance without recurrence. Conjunctival MALT lymphoma represents the most common malignant neoplasm of the conjunctiva. It generally exhibits an indolent clinical course and few symptoms, frequently resulting in delayed recognition. Recurrent eyelid ptosis is an uncommon presenting feature, underscoring the need for a high index of clinical suspicion. Definitive diagnosis depends on tissue biopsy followed by histopathologic and immunohistochemical characterization. Current therapeutic approaches include radiotherapy, chemotherapy, and biological agents, all of which achieve excellent rates of local control.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838345","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}