Journal of Craniofacial Surgery最新文献

{"title":"Nasal Septal Deviation and Its Association With Maxillary Sinus Volume and Sinusitis: A Computed Tomography Study.","authors":"Osman Konukoglu, Murat Kaya, Baris Can Arslan","doi":"10.1097/SCS.0000000000011664","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011664","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study was to assess the potential impact of nasal septal deviation (NSD) on the volume of the maxillary sinuses and its association with the development of maxillary sinusitis.</p><p><strong>Methods: </strong>Patients who presented with sinonasal symptoms at our tertiary care center and underwent paranasal sinus CT scans were retrospectively evaluated. The study included individuals over the age of 18 who had no history of maxillofacial surgery or trauma and no facial masses. When evaluating the nasal septum, the convex portion of the septum was considered the direction of deviation.</p><p><strong>Results: </strong>Data from 470 participants were analyzed. Among the patients, 47.23% (n=222) were male, and 52.77% (n=248) were female. A straight nasal septum was observed in 27.66% (n=130) of the patients, while 34.89% (n=164) had right-sided deviation, and 37.45% (n=176) had left-sided deviation. A statistically significant relationship was found between NSD and gender (P=0.036). The presence of right or left deviation was associated with differences in maxillary sinus volumes (P=0.009 and P=0.003, respectively). However, no association was found between NSD and either bilateral or unilateral maxillary sinusitis (P>0.05).</p><p><strong>Conclusion: </strong>Nasal septal deviation affects the development of the maxillary sinus but is not associated with the incidence of maxillary sinusitis.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642689","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":"Metamorphosis of Aging Depicted in Ovid's Exile Poetry.","authors":"Kun Hwang","doi":"10.1097/SCS.0000000000011677","DOIUrl":"10.1097/SCS.0000000000011677","url":null,"abstract":"<p><p>Ovid (43 BCE-17/18 CE), the Roman poet known for Metamorphoses , offers in his later exile works a profound reflection on the experience of aging-particularly facial aging-as a form of mythic transformation. Written during his banishment to Tomis on the Black Sea, Tristia and Epistulae ex Ponto express physical deterioration, alienation from one's reflection, and the loss of erotic and poetic identity. These poems provide a unique literary anatomy of aging, bearing relevance for contemporary esthetic and reconstructive surgery. This study presents a close reading of selected exile poems, focusing on visual metaphors associated with facial change: furrowed foreheads, gray hair, trembling voices, sagging features, and mirror estrangement. Ovid's lines such as \"The mirror no longer belongs to me\" and \"This is not the face I once used to charm with\" reflect a deep psychological rupture between body and identity. His poetic renderings of facial aging are interpreted through a clinical lens, aligned with narrative medicine and patient-centered care. The findings highlight how Ovid's language anticipates emotional concerns in esthetic patients-anxiety over visible decline, grief over lost youth, and the desire for narrative restoration through cosmetic intervention. The poet's exile becomes a metaphor for exile from one's former face. By integrating classic literature with clinical insight, this paper underscores the value of humanistic reflection in esthetic medicine. Ovid's portrayal of aging as metamorphosis invites surgeons to see not only external signs of age but also the emotional and symbolic transformations patients endure-and to respond with empathy.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642678","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 Iconodiagnosis of Johann Friedrich I. von Sachsen (1503-1554)'s Facial Wound and Cause of Death.","authors":"Andreas G Nerlich, Oliver K Peschel, Andrei I Cucu, Amelian M Bobu, Antonio Perciaccante, Simon T Donell, Jason Payne-James, Raffaella Bianucci","doi":"10.1097/SCS.0000000000011666","DOIUrl":"10.1097/SCS.0000000000011666","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642696","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":"Botulinum Toxin-Induced Hemifacial Paralysis: A Case Study on Traditional Chinese Medicine Treatment.","authors":"Yutong Liang, Shunbing Lu, Xueshang Su, Jun Zhuang, Paer TuLe, Ziming Zhang, Qingqian Wei, Jintian Hu","doi":"10.1097/SCS.0000000000011684","DOIUrl":"10.1097/SCS.0000000000011684","url":null,"abstract":"<p><p>Botulinum toxin injections are frequently utilized in cosmetic procedures to diminish wrinkles and enhance facial aesthetics. Incorrect administration of botulinum toxin injections may result in facial muscle paralysis, commonly referred to as facial paralysis. This condition can arise due to inaccurate injection placement, excessive dosage, or improper technique during the procedure. Facial paralysis can lead to significant issues like distorted facial expressions, drooping mouth corners and an inability to close the eyes; ultimately impacting the patient's quality of life. Here, the authors present a case involving right hemifacial paralysis after botulinum toxin injection in the brow region effectively managed through traditional Chinese medicine (TCM) interventions. Traditional Chinese medicine (TCM) offers personalized treatment strategies tailored to the patient's constitution-specific condition and environmental influences; emphasizing holistic balance while significantly contributing to health promotion disease prevention and therapeutic support.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642675","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":"Review of \"Trends in Timely Access to High-Quality and Affordable Surgical Care in the United States\" By Mullens CL, et al. Annals of Surgery 2024;281:265-272.","authors":"Kala T Pham, Larry H Hollier","doi":"10.1097/SCS.0000000000011672","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011672","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642695","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":"Indication-Based Planning for Tracheostomy in Pediatric Intensive Care Units: A Comprehensive Approach.","authors":"Recep Gokce, Serkan Dedeoglu, Tayyar Kilinç, Serhat Samanci, Günay Kozan, Serdar Ferit Toprak","doi":"10.1097/SCS.0000000000011660","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011660","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy in pediatric intensive care units (PICU) is an important procedure that has become increasingly common in the last decade, reflecting advances in neonatal and pediatric intensive care.</p><p><strong>Methods: </strong>Main clinical diagnoses were grouped according to the organ system involved. Indications for tracheostomy were defined as the main reason for performing a tracheostomy. Patients were categorized into 4 categories according to the indications for tracheostomy. Namely, airway anomalies (AA), central nervous system (CNS) diseases, cardiopulmonary insufficiency (CPI), and neuromuscular diseases (NMD).</p><p><strong>Results: </strong>Nontraumatic neurological diseases were present in 30 patients (43.4%), genetic or metabolic diseases in 15 (21.7%), infection and sepsis in 9 (13%), malignancy in 6 (8.6%), cardiorespiratory disorders in 5 (7.2%), and trauma in 4 (5.7%). In group analysis, there was no difference in the frequency of early and late problems between newborns and older children.</p><p><strong>Conclusion: </strong>The timing of tracheostomy in the PICU is an important factor that has a significant impact on patient outcomes. The available literature provides valuable insight into the potential benefits of early tracheostomy in improving outcomes in critically ill pediatric patients.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642676","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":"One-Stage Full-Thickness Resection of Segmental Patterns Up-Lip Hemangiomas In Adults.","authors":"Si-Qi Mu, Ting Xie, Xin-Tong Jiang, Fan Feng, Jie Chen, Chang-Xin Jin, Xi Zhang, Heng-Xin Liu","doi":"10.1097/SCS.0000000000011662","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011662","url":null,"abstract":"<p><strong>Background: </strong>Hemangiomas are usually managed by a \"watch and wait\" approach in infancy. However, many adults are still left untreated for a variety of reasons. This can often have significant effects on the patient's mental health and positive social interaction, especially when the hemangioma is located on the face. It is particularly difficult to approach hemangiomas of the lips due to their high visibility and tendency to leave residual deformity even after resolution.</p><p><strong>Patients and methods: </strong>The authors performed a retrospective chart review of patients who underwent surgical excision of upper lip hemangiomas at the Department of Plastic Surgery, the First Affiliated Hospital, Air Force Medical University, between 2023 and 2024.</p><p><strong>Result: </strong>The authors identified 7 patients, with an average age of 25.6 months at the time of surgery. All patients were managed on an outpatient basis and improved in lip appearance. Overall, complications were minimal, and all results were ultimately deemed acceptable by the patients and surgeons.</p><p><strong>Conclusion: </strong>The authors conclude that many patients would benefit from excision, which can usually be performed with outpatient status. The ultimate goal of surgery is to restore the contour rather than the complete removal of the tumor.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642690","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":"Investigation of the Effect of Audiologists' Use of Masks on Speech Discrimination Scores.","authors":"Zerrin Özergin Coşkun, Tarik Yagci","doi":"10.1097/SCS.0000000000011646","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011646","url":null,"abstract":"<p><strong>Introduction: </strong>In this study, the authors aimed to evaluate whether communication between the audiologist and the patient during speech audiometry is disrupted by the use of face masks.</p><p><strong>Methods: </strong>This was a single-center, observational, prospective study. The audiologist obtained the speech discrimination test (SDT) while participants wore a single layer of surgical mask, an N95 mask, and also while not wearing a mask.</p><p><strong>Results: </strong>A total of 112 patients (224 ears) participated in the study. The SDT score measured by the audiologist while using a surgical mask was lower than the SDT score without any protective equipment (72.64±25.60 versus 73.32±25.59, P<0.001). The SDT score assessed with the N95 was 70.48±26.59; a significant reduction was observed in the measurement taken without a protective mask compared with the surgical mask (P<0.001). In the subgroup analyses, similar outcomes were noted in the groups without hearing loss as well as in those with severe hearing loss.</p><p><strong>Conclusion: </strong>The audiologist's use of protective equipment may impact the results of SDTs. For this reason, a retrospective re-evaluation of hearing tests performed during the recent pandemic may come to the fore.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642677","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":"Phenotypic Variations in Lower Eyelid Anatomy Across Ancestral Groups and Their Implications in Oculoplastic Surgery: A Narrative Review.","authors":"Antoinette T Nguyen, Annie McFarland, Emily D Duckworth, May X Li, Jeewon Chon, Anmar A Abu-Romman, Bradley A Melnick, Rolando C Fuentes, Tarifa H Adam, Rena A Li, Brigid M Coles, Robert D Galiano","doi":"10.1097/SCS.0000000000011644","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011644","url":null,"abstract":"<p><strong>Background: </strong>Phenotypic variations in lower eyelid anatomy across ancestral groups significantly influence aesthetic and functional outcomes in oculoplastic surgery. Differences in skin thickness, fat distribution, muscle morphology, and bony architecture necessitate population-specific surgical strategies to optimize results and minimize complications.</p><p><strong>Methods: </strong>A narrative review was conducted synthesizing anatomic and clinical data pertaining to lower eyelid structures across Asian, European, African, and Latin American ancestral groups. Key elements-including orbital malar ligament (OML) morphology, periorbital pigmentation, and fat pad dynamics-were systematically analyzed to identify clinically relevant variations and their implications for surgical planning.</p><p><strong>Results: </strong>Distinct anatomic patterns were observed. East Asians demonstrated a high-fusion point of the orbital septum with the capsulopalpebral fascia, robust OML, and early infraorbital fat protrusion. Europeans exhibited thin dermis, attenuated fat pads, and predisposition to tear trough deformities. African populations displayed a hypertrophied orbicularis oculi muscle and a robust OML. Latin American individuals demonstrated intermediate features. Pigmentation patterns and culturally specific aesthetic ideals, such as the \"aegyosal\" in East Asian populations, further modified clinical approaches.</p><p><strong>Conclusion: </strong>A nuanced understanding of ancestry-specific anatomic variations is essential for achieving culturally congruent and anatomically precise outcomes in lower eyelid surgery. Existing literature remains limited, particularly regarding deep retaining structures such as the OML. Future research integrating objective imaging and broader demographic representation is needed to advance personalized, inclusive oculoplastic care.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642692","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":"Retrospective Analysis of the Clinical Efficacy of Middle Meningeal Artery Embolization Combined With Burr-Hole Drainage in the Treatment of Chronic Subdural Hematoma.","authors":"Dayong Xia, Jiaqiang Liu, Fei Ding, Zhengqing Hu, Feiyun Qin, Zihuan Zhang, Niansheng Lai, Yuelong Jin, Zhenbao Li","doi":"10.1097/SCS.0000000000011669","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011669","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the therapeutic efficacy of middle meningeal artery (MMA) embolization combined with burr-hole drainage in chronic subdural hematoma (CSDH), to establish an evidence base for clinical decision-making.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 82 CSDH patients who underwent surgical intervention at The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital) between July 2021 and June 2023. Patients were divided into 2 groups: the control group (burr-hole drainage alone, n=56) and the study group (MMA embolization combined with burr-hole drainage, n=26). Preoperative hematoma volume, age, sex, platelet count (PLT), prothrombin time (PT), activated partial thromboplastin time (APTT), modified Rankin Scale (mRS) scores (preoperative and postoperative), and postoperative hematoma clearance rates were compared between the 2 groups.</p><p><strong>Results: </strong>No statistically significant differences were observed in baseline characteristics (age, sex, PLT, PT, APTT), preoperative hematoma volume, or preoperative mRS scores between the 2 groups (all P>0.05). The study group demonstrated significantly better postoperative mRS scores (≤2 points) compared with the control group (P<0.05). In addition, the study group exhibited superior hematoma clearance rates in both left-sided and right-sided CSDH (P<0.05).</p><p><strong>Conclusion: </strong>MMA embolization combined with burr-hole drainage is a safe and effective approach for CSDH treatment, reducing hematoma recurrence and improving patient prognosis.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642693","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}