Journal of Craniofacial Surgery最新文献

{"title":"Sap Anthropometric Landmark: A Morphometric Orientation Point of the Nasal Tip.","authors":"Nigar Sultanova, Leslie G Farkas","doi":"10.1097/SCS.0000000000011076","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011076","url":null,"abstract":"<p><p>The aim of the present study is to introduce a new anthropometric landmark (sap), parameter (sap-sap) for measuring a width of nasal tip and 7 new proportion indexes. For determinate data mean with standard deviation, 200 healthy individuals (100 men and 100 women) were included in the study. The authors determined and pointed 9 paired cranio-facial anthropometric landmarks: sap, al, ac, mf, en, ex, zy, ch, go. Measurement of the head and face included 9 linear horizontal parameters. Proportion indices expressed as the ratio of: nasal tip width/nose width index: sap-sap ×100/al-al; nasal tip width/nasal base width index: sap-sap ×100/ac-ac; nasal tip width/nasal root width index: sap-sap ×100/mf-mf; nasal tip width/biocular width index: sap-sap ×100/ex-ex; nasal tip width/intercanthal width index: sap-sap ×100/en-en; nasal tip width/face width index: sap-sap ×100/zy-zy; nasal tip width/mouth width index: sap-sap ×100/ch-ch. Statistical analysis of the data was carried out using the Student t test. The identification of the new anthropometric landmarks of the nasal tip, the measurements of the width between them, the calculation of proportions will help to evaluate the nasal tip.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006304","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 Evaluation of the Pterygomaxillary Separation Pattern in Le Fort I Osteotomy Using Cone Beam Computed Tomography.","authors":"Mustafa M Faisal, Salwan Y Bede","doi":"10.1097/SCS.0000000000011088","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011088","url":null,"abstract":"<p><p>Pterygomaxillary separation (PMS) is an important step in Le Fort I osteotomy procedure, without which complete mobilization of the maxilla cannot be achieved. The aim of this study was to evaluate PMS patterns and their relationship with the anatomic measurements in Le Fort I osteotomy. In this prospective observational study cone beam computed tomography (CBCT) was used to measure the anatomic variables of the pterygomaxillary junction (PMJ) region including thickness, width, the distance between the most concave point at the lateral surface of PMJ and the greater palatine foramen (C-GPF), and the angle preoperatively, and the separation patterns postoperatively divided into the clean-cut type, maxillary sinus type, and the pterygoid fracture type. Twenty-seven patients (54 sides) were included in this study. Nineteen females (70.4%) and 8 males (29.6%) with a mean (standard deviation) of 22.1 (5.5) years. The mean PMJ thickness, width, C-GPF, and angle were 5.6 mm, 8.6 mm, 6.55 mm, and 91.5 degrees, respectively. The most common PMS pattern was the clean-cut type (38/54, 70.4%), followed by the pterygoid plate fracture type (10/54, 18.5%), and the maxillary sinus type (6/54, 11.1%). There were non-significant relationships between the anatomic variables of PMJ and PMS patterns (thickness P=0.179, width P=0.234, C-GPF P=0.174, and angle P=0.792). There were non-significant relationships between PMS patterns and age, sex, and skeletal classification of the patients (P= 0.941, 0.211, and 0.519, respectively).</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006307","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 Use of Coronoid Process as a Free Graft for Condylar Reconstruction in a Patient With Condylar Osteoma: A Condylar Reconstruction Technical Note (Technical Strategy).","authors":"Mahmoud Yehia, Mostafa Ezz Elarab Ahmed, Mahmoud Abd El Aziz El Fadly","doi":"10.1097/SCS.0000000000011084","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011084","url":null,"abstract":"<p><p>Osteoma is a rare, asymptomatic, and slowly growing benign tumor of bone. Upon reviewing the literature, only 21 cases were previously reported in the mandibular condyle. A 19-year-old male patient presented to the Department of Oral and Maxillofacial Surgery of Ain Shams University complaining of hypomobility and facial asymmetry involving the lower jaw. He stated that he was involved in a road traffic accident (RTA) and sustained a traumatic injury to the head a few years ago. Upon examination, it was noticed that the chin deviated to the right side with some discomfort during function. Computed tomography scans revealed the presence of a hyperdense mass medial to the right condylar pole. Condylectomy was carried out using a preauricular approach. A diagnosis of osteoma was confirmed histopathologically. The defect was reconstructed using the coronoid process as an autogenous-free graft.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006320","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":"Comparison the Cosmetic Outcome of the Triangular Flap Insertion Versus Direct Linear Resection in Correction of Dog Ear Deformities on the Face-A Prospective and Randomized Controlled Trial.","authors":"Jipeng Song, Xiwei Cui, Jincai Fan, Hu Jiao","doi":"10.1097/SCS.0000000000011027","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011027","url":null,"abstract":"<p><strong>Background: </strong>Compared with direct linear resection, the triangular flap insertion method is a correction method that purportedly reduces the incision tension of dog ears deformity. Randomized clinical trials comparing these 2 methods seem to be limited or absent.</p><p><strong>Objective: </strong>A randomized study was planned to compare the cosmetic effect and scar in the defect area between the triangular flap insertion method and direct linear resection in the repair of dog ear deformities after the suture of the facial circular defect.</p><p><strong>Methods: </strong>The authors' study was prospective, 2-arm, randomized, evaluator-blinded clinical trial in a single-center outpatient academic plastic surgery center. Patients were eligible if they or their parents were able to provide informed consent and had dog ear deformity higher than 8 mm at both ends of the incision after suture of a circular or oval facial defect. Each dog ear deformity at the ends of the incision, half accept direct linear random resection, the other half to accept triangular flap insert. At 3-month and 6-month follow-up, each patient and 2 blinded observers evaluated the wound using the Patient Observer Scar Assessment Scale (POSAS).</p><p><strong>Results: </strong>In all, 52 subjects completed the study. At the 3-month follow-up, there was a statistically significant difference in the mean total POSAS scores for both the blinded observer and patients, indicating a preference for the side with the triangular flap insertion method. However, at the 6-month follow-up, this difference was lost.</p><p><strong>Conclusion: </strong>Three months after surgery, the triangular flap insertion method resulted in a better scar outcome than direct linear resection in correction of dog ear deformities on the face. At 6 months' follow-up, this difference diminished, with scars for both sides appearing similar.</p><p><strong>Level of evidence: </strong>Level II.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006300","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":"Three-dimensional Finite Element Analysis of Implant Prosthesis After Mandibular Reconstruction by Upper Distal Free Double-Barrel Fibula.","authors":"Ming Su, Shifeng Wu, Haibin Sun, Yang Yang, Ning Xu, Zhengxue Han","doi":"10.1097/SCS.0000000000011068","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011068","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the biomechanics of implant prostheses and peri-implant bone among 6 different mandibular reconstruction models based on patient data involving the use of an upper free-end double-barrel fibula.</p><p><strong>Methods: </strong>This study was an observational study. Five models were reconstructed using fibular-supported and implant-supported partial dentures. Two of these models were double-barrel fibula models with different gaps between the upper and lower segments. The other 2 were single-layered fibular models (the fibula was placed at the inferior or superior mandibular borders). The fifth model was a double-barrel fibula with a free distal end on the upper segment. In addition, a typical mandibular model was created for comparison. Two fixed partial-denture models were used in this study. The von Mises stress and strain of the models were analyzed.</p><p><strong>Results: </strong>The maximum stress decreased with increasing gap between the upper and lower fibula. The distal free-end double-barrel fibula showed a potential to reduce the maximum stress around the implant apex while increasing it around the implant neck compared with a fixed distal-end double-barrel fibula.</p><p><strong>Conclusions: </strong>Utilizing a free distal end on the upper fibula may be a viable option for mandibular reconstruction, especially when the fibula length is limited.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006322","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 Reference Strategy for the Selection of Surgical Treatment for Nonsyndromic Sagittal Craniosynostosis: A Systematic Review and Network Meta-Analysis.","authors":"Jing Duan, Bin Yang","doi":"10.1097/SCS.0000000000011043","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011043","url":null,"abstract":"<p><strong>Objective: </strong>There is a lack of comprehensive comparative evidence regarding the effectiveness, intraoperative management, and safety of different surgical procedures for treating nonsyndromic sagittal synostosis. This study aims to evaluate existing clinical studies to provide evidence-based guidance for clinical practice.</p><p><strong>Methods: </strong>The authors performed a comprehensive search of 5 databases up to August 2024. Key outcomes included clinical effectiveness, measured by cephalic index (CI), and intraoperative management and safety indicators, such as intraoperative blood loss, operative time, and length of hospital stay. Direct and indirect effects, along with treatment rankings, were assessed using Bayesian pairwise and network meta-analysis models.</p><p><strong>Results: </strong>Fifteen studies with 1436 patients were included, and 4 network meta-analysis models were used to compare 5 surgical techniques: open strip craniectomy (OSS), calvarial vault remodeling (CVR), spring-mediated cranioplasty (SMC), endoscopic strip craniectomy (ESC), and endoscopic spring-mediated cranioplasty (ESMC). No significant differences in postoperative CI were found between the surgical methods. However, CVR was associated with significantly greater blood loss, longer operative time, and longer hospital stays compared with OSS, SMC, and ESC.</p><p><strong>Conclusions: </strong>Current evidence does not demonstrate a clear superiority of one surgical method over another, with comparable treatment outcomes overall. However, CVR carries higher risks, and the choice of surgical approach should be individualized based on patient-specific factors and clinical judgment.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978607","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":"Education on the Importance of Doctor-patient Communication in Orthodontic Clinical Teaching.","authors":"Shan Zhou, Yun Qu, Yu-Jia Song, Jing-Chao Wang, Ling-Bo Zhao, Na-Ri-Su Hu","doi":"10.1097/SCS.0000000000010845","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010845","url":null,"abstract":"<p><p>In the process of orthodontic clinical teaching, it is very important to teach medical students how they are expected to communicate effectively with patients and their families, as this has a direct impact on patient compliance throughout the process of diagnosis and treatment and on patient satisfaction after treatment. Doctor-patient communication is therefore an essential skill for medical students to gain before taking up clinical work. In view of the problems that are often encountered in each stage of orthodontic treatment, the present paper discusses the specific content of doctor-patient communication education in clinical teaching. The discussion is given in both theoretical and practical terms to lay a solid foundation for improving the overall quality of medical service provided by medical students in teaching hospitals and establishing a harmonious medical environment.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978608","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":"Using Transorbital Sonography for Assessing Traumatic Brain Injury in Patients With Periorbital Hematoma.","authors":"Yi-Ping Bao, Tian-Yu Shen, Zi-Wei Lou, Yang Zhou, Ling Zhang","doi":"10.1097/SCS.0000000000011073","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011073","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to assess the comparative effectiveness of transorbital sonography (TOS) and the pupillary penlight visual assessment method in patients with traumatic brain injury (TBI) and periorbital hematoma.</p><p><strong>Methods: </strong>A total of 140 patients with traumatic brain injury (TBI), meeting the inclusion and exclusion criteria, were selected from a tertiary hospital in Zhejiang Province between January 2022 and December 2023. Pupillary function in all patients was assessed using both TOS and the pupillary penlight visual assessment method on the first, third, and seventh day after admission. The stability and consistency of the measurement results were compared. Stability was determined using the coefficient of variation, whereas consistency was assessed using the intraclass correlation coefficient.</p><p><strong>Results: </strong>The coefficients of variation for the pupillary transverse diameter values measured by TOS were 29.84% (left) and 29.55% (right) on day 1, 27.81% (left) and 26.88% (right) on day 3, and 26.80% (left) and 25.51% (right) on day 7. These values were consistently lower than those obtained through the pupillary penlight visual assessment method, indicating superior stability with the TOS measurement. In addition, the intraclass correlation coefficient analysis demonstrated consistency between the 2 methods, with values ranging from 0.562 to 0.809 (P<0.05), indicating good consistency.</p><p><strong>Conclusion: </strong>TOS represents an innovative tool for neurological assessment. It has been validated that the presence or absence of eyelid edema does not compromise the accuracy of ultrasound-based pupillary function measurements. The 2 methods of measurement exhibit good consistency, with the TOS method demonstrating superior stability in monitoring data. This approach provides a more accurate means of assessing pupillary function in patients with TBI who have periorbital hematoma or facial swelling, particularly when opening the eyelid is challenging, thereby addressing a significant clinical nursing challenge.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978610","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":"Endoscopic Dacryocystorhinostomy in Nasolacrimal Duct Obstruction With and Without Dacryocystitis: A Comparative Study.","authors":"Jinfei Wei, Xinyu Li, Guangming Zhou, Wencan Wu, Bo Yu","doi":"10.1097/SCS.0000000000011080","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011080","url":null,"abstract":"<p><strong>Aim: </strong>This research was designed to make a comparison of the treatment outcomes of endoscopic dacryocystorhinostomy (En-DCR) in nasolacrimal duct obstruction (NLDO) with and without chronic dacryocystitis.</p><p><strong>Methods: </strong>NLDO (obstruction group) and chronic dacryocystitis (dacryocystitis group) patients treated with En-DCR in the Eye Hospital of Wenzhou Medical University from March 2021 to February 2022 were retrospectively analyzed. According to CT dacryocystography, patients in each group were assigned into the high obstruction group (obstruction located in the lacrimal sac) and the low obstruction group (obstruction located at or below the junction of the nasolacrimal duct and dacryocystis). The surgery outcomes of patients in the 2 groups were compared 12 months postoperation.</p><p><strong>Results: </strong>One hundred four patients (104 eyes: obstruction group: 49 eyes; dacryocystitis group: 55 eyes) were recruited. Patients with high obstruction accounted for 61.2% in the obstruction group and 32.7% in the dacryocystitis group. There were significantly more high obstruction patients in the obstruction group versus the dacryocystitis group (P<0.05). At 12 months postoperative follow-up, the total anatomic and functional success rate was 83.7% and 80.8%, respectively. Higher anatomic success rate (90.9%) and functional success rate (89.1%) were noted in the dacryocystitis group versus the obstruction group (75.5% and 71.4%, respectively, P<0.05).</p><p><strong>Conclusions: </strong>The obstruction site is higher in the obstruction group in comparison to that in the dacryocystitis group. En-DCR is effective in the treatment of NLDO and chronic dacryocystitis, and its efficacy on chronic dacryocystitis is better than that on NLDO.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978609","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":"Comparison of Carbon Dioxide Laser and Surgical Excision for the Treatment of Eyelid Margin Benign Tumors: A Prospective, Randomized, and Single-blind Study.","authors":"Ninghua Liu, Nan Song, Chunming Li, Jing Zhang","doi":"10.1097/SCS.0000000000011002","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011002","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the safety and efficacy between carbon dioxide (CO2) laser excision and surgical excision for the treatment of eyelid margin benign tumors.</p><p><strong>Methods: </strong>In this single-center, prospective, randomized, and single-blind study, 32 patients diagnosed with eyelid margin benign tumors were enrolled from February 2019 to February 2020 and randomly divided into 2 groups. The sexes, ages, tumor size (length×width), scar, procedure time, physicians' assessment score, patients' satisfaction score, and complications were recorded. Histologic analyses were obtained in all patients.</p><p><strong>Results: </strong>No significant difference in baseline data (sexes, ages, and tumor size) was found between the 2 groups. The mean scar length at 1-week post-treatment in the CO2 laser excision group was significantly shorter than surgical excision group (0.3±0.1 versus 0.5±0.1 cm, P<0.05), and procedure time in CO2 laser excision group was significantly shorter than surgical excision group (5.8±1.5 versus 26.7±6.4 min, P<0.05). There was no statistically significant difference in the physicians' assessment score and patients' satisfaction score between the 2 groups. During the follow-up period, no severe complications were observed.</p><p><strong>Conclusions: </strong>Compared with surgical excision, CO2 laser excision was a rapid procedure and associated with favorable cosmetic outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971037","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}