Journal of Craniofacial Surgery最新文献

{"title":"Application of the Sausage Technique With Simultaneous Implant Placement in the Aesthetic Zone.","authors":"Yanying Wang, Ji Zhang, Shuo Zhang, Xiaotian Gao","doi":"10.1097/SCS.0000000000012063","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012063","url":null,"abstract":"<p><p>This study aimed to assess the clinical effectiveness of the sausage technique with simultaneous implant placement in the aesthetic zone. A total of 28 patients with horizontal bone defects and consecutive loss of multiple teeth in the maxillary anterior region were included in this retrospective study. Bone augmentation was performed using the sausage technique, and the conventional guided bone regeneration (GBR) technique served as the control. Cone-beam computed tomography (CBCT) was performed preoperatively, postoperatively, and after 6 months of bone healing. The horizontal bone width and bone volume were measured from CBCT images. The changes in horizontal width and bone volume, along with the corresponding resorption rates, were calculated. After 6 months of bone healing, the average bone width increased from 3.18 mm to 7.82 mm, with an increase of 4.64 mm in the sausage technique group. Meanwhile, the horizontal bone width, horizontal bone gain, and bone augmentation volume were significantly higher in the sausage technique group than in the conventional GBR group (P<0.05). The sausage technique resulted in more horizontal bone gain compared with the conventional technique in the cases with horizontal bone defects and consecutive loss of multiple teeth in the anterior maxillary region. When combined with simultaneous implant placement for horizontal bone augmentation, the sausage technique achieves favorable clinical outcomes in the aesthetic zone.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308173","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 Effect of Midface Suspension in Zygomaticomaxillary Complex Fractures.","authors":"Etkin Boynuyogun, Sinan Kadir Altunal, Gunes Sonmez Bayram, Ugur Kocer","doi":"10.1097/SCS.0000000000012065","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012065","url":null,"abstract":"<p><p>Accurate reduction and fixation are commonly employed in the treatment of zygomaticomaxillary complex (ZMC) fractures. Facial asymmetry and midfacial sagging caused by dissection are among the most common complications of surgery. This study aimed to evaluate the long-term effects of midface suspension sutures to a plate positioned at the infraorbital rim and compare them with unsuspended participants using both objective and subjective parameters. The efficacy of the suspension technique was analyzed through Schoenrock analysis and radiological assessment at the 1-year postoperative follow-up. A total of 38 patients were included in the study, with 16 in the suspension group and 22 in the control group. The postoperative soft tissue projection ratio was significantly higher in the suspension group (1.068 ± 0.082) compared with the control group (0.892±0.118) (P<0.001). According to Schoenrock's analysis, the mean ratio for the suspension group (0.978±0.038) was higher than that of the control group (0.838±0.086) (P<0.001). The results of our study demonstrate improvements in postoperative malar projection compared with control group methods by suspending the soft tissue to a plate placed at the infraorbital rim following ZMC fracture repair.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308177","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":"Soft Tissue Asymmetry in Patients With Cleft Lip and Palate Using Stereoscopic Photography.","authors":"Lijuan Zhou, Yang Cao, Guangxu Sun, Meichao Wang, Xue Zhang","doi":"10.1097/SCS.0000000000012062","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012062","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the long-term facial soft tissue asymmetry of unilateral cleft lip with alveolar cleft (UCLA) and unilateral complete cleft lip and palate (UCLP) in patients with cleft lip and palate.</p><p><strong>Methods: </strong>Three-dimensional photography (3dMD) was used to scan 21 UCLA and 18 UCLP patients, generating 3D digital models. Bilateral facial symmetry indices were analyzed using paired t-tests. Further, as a demonstration, symmetrical mirror image analysis was conducted on one patient from each group to assess asymmetry distribution and severity.</p><p><strong>Results: </strong>There were significant differences in nostril, nasal alar, and upper lip measurement indices between the 2 sides in both patient groups. These included the base of the nostril width, nasal alar projection length, depth of midface, and all of the lip indices in both groups. The nasal lateral length was different in the UCLA group, whereas the axial length of the nostril was different in the UCLP group. According to the mirror image analysis, the facial asymmetry of UCLA patients was identified principally in the ala, nostril, and cheilion, which was considered as mild asymmetry. Patients with UCLP showed severe asymmetry, including the entire midface.</p><p><strong>Conclusions: </strong>Three-dimensional evaluation revealed facial soft tissue deformities in both groups, primarily in the nasolabial area. UCLP patients exhibited greater asymmetry and a broader range of deformity than UCLA patients. Further treatment is needed to improve facial malformations in both groups.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308195","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":"Incidence Along With Clinical Implications of Various Morphological Forms of Genial Tubercles in Adult Mandibles.","authors":"Rajani Singh","doi":"10.1097/SCS.0000000000012078","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012078","url":null,"abstract":"<p><p>Mandible possesses body and ramus. Body of mandible consists of outer and inner surfaces. The inner surface of mandible encompasses bony projections known as genial tubercles in the midline. Standard textbooks of Anatomy describe 4 genial tubercles occurring in pairs. But these differ in number, incidence, and morphology as observed in various studies in the literature. The varied Anatomy of genial tubercles is used as an anatomical landmark clinically before implant surgeries, which makes study important. Aim of study is to elaborate incidence of varied morphological forms of genial tubercle and correlate with clinical implications. The study was conducted in the Department of Anatomy using 40 mandibles. Only adult mandibles were included in the study. The genial tubercles were observed by visual inspection, and incidences were calculated using Microsoft Excel 2021. The genial tubercles are classified into 5 types in the literature. According to this classification, the most common type was type III, followed by type IV. The least common type was type II. The number of genial tubercles ranges between 0 and 4. The information will be of paramount importance to maxillofacial surgeons, radiologists, prosthodontists, and general dentists in averting preoperative and postoperative complications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308189","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":"Shedding Light on Rhinoplasty: Optimal Headlight Angle and Cervical Positioning for Illumination of the Surgical Field.","authors":"Joseph Byorth, John Auden, Rahul Varman, Joshua Demke","doi":"10.1097/SCS.0000000000012035","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012035","url":null,"abstract":"<p><p>Optimal visualization during rhinoplasty is essential for surgical success, yet improper headlight angle and cervical neck positioning can reduce illumination and contribute to work-related musculoskeletal disorders (WMSDs) in surgeons. This study aimed to determine the ideal combination of headlight angle and cervical flexion that maximizes lighting of the surgical field while minimizing physical strain. A 3D-printed nasal model was used to simulate surgical conditions, and illumination was measured using a PerfectPrime LM531 LED lux meter. Headlight angles of 20, 25, 30, 35, and 40 degrees were tested in combination with cervical neck flexion angles of 0, 15, 30, and 45 degrees, using a Ronin X6 surgical headlight positioned at both brow and mid-forehead levels. Measurements were taken in a light-controlled testing chamber, and angles were precisely measured using anatomic landmarks and protractors. The highest illumination (3240 lux) was recorded with a 40-degree headlight angle and 30-degree cervical flexion at the mid-forehead position. A similar lux value (3020) was achieved with a 35-degree headlight angle and 26-degree cervical flexion. Illumination declined significantly at the extremes of flexion and extension, and higher flexion angles were associated with increased reports of musculoskeletal fatigue during testing. Based on these findings, a headlight angle of 35 degrees and cervical flexion of 25 degrees provided optimal lighting while minimizing physical strain and may serve as a recommended starting point for trainees and experienced surgeons. These results offer practical guidance for improving ergonomics and visualization during rhinoplasty and have potential applications in surgical education and setup standardization.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308193","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":"How to Review a Literary Paper or a Scientific Paper?","authors":"Kun Hwang","doi":"10.1097/SCS.0000000000012069","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012069","url":null,"abstract":"<p><p>Reviewing, whether of literary essays or scientific manuscripts, is a discipline that extends beyond the application of formal scoring rubrics. Having engaged in both domains-as a referee of student essay competitions and as a reviewer for scientific journals-the author reflects on the common principles and distinct challenges that underlie these processes. Literary works are judged for authenticity, emotional resonance, and aesthetic depth, while scientific manuscripts are evaluated for novelty, rigor, and utility. Despite these differences, both forms of writing share essential foundations: clarity, honesty, and structural coherence. In the current publishing climate, the responsibilities of reviewers are amplified by the proliferation of more than 19,000 new journals worldwide. Alongside opportunities for knowledge dissemination come significant ethical challenges, including fabricated data, plagiarized content, and the growing presence of AI-generated manuscripts. Reviewers must now act not only as evaluators but also as guardians of integrity. Principles of good practice include careful attention to originality, internal consistency of data and methods, awareness of suspicious or formulaic text, impartiality, and timely communication of ethical concerns to editors. The essay also addresses the dilemma faced when a paper that has been reviewed is later retracted. Such events should not be viewed solely as failures of the review process but as demonstrations of the corrective mechanisms inherent in scholarly publishing. Ultimately, the reviewer's role is to ensure that literature-whether literary or scientific-remains a trustworthy medium for meaning, truth, and human connection.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300940","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 Printing Guide Plate-Guided Surgery Versus Computed Tomography-Guided Surgery for Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis.","authors":"Chenwang Wang, Yihuan Chen, Jingyi Bai, Yifeng Fan","doi":"10.1097/SCS.0000000000012071","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012071","url":null,"abstract":"<p><strong>Objective: </strong>Computed tomography-guided intracerebral hematoma puncture is associated with issues such as significant localization errors and the need for multiple punctures. This study conducted a meta-analysis to systematically evaluate the differences in safety and accuracy between 3D printing guide plate localization and CT localization techniques in intracerebral hematoma evacuation procedures, providing evidence for primary care hospitals to adopt precise puncture techniques.</p><p><strong>Methods: </strong>A systematic search was conducted across 12 databases, including PubMed, the Cochrane Library, Web of Science, Embase, Scopus, and the China National Knowledge Infrastructure (CNKI). The quality of studies was assessed using the Newcastle-Ottawa Scale or the Methodological Index for Non-Randomized Studies, depending on the study design. Data analysis was performed using statistical software.</p><p><strong>Results: </strong>A comprehensive analysis of 28 clinical studies involving 2319 patients revealed that 3D printing guide plate localization technology offers significant advantages over CT localization in intracerebral hematoma puncture treatment, including higher puncture accuracy (P ˂ 0.05), better postoperative neurological function recovery (postoperative Glasgow Coma Scale scores, P < 0.05), superior clinical efficacy (P ˂ 0.05), and higher single-puncture success rates (P ˂ 0.05). Although there were no significant differences between the two groups in terms of long-term outcomes (Glasgow Outcome Scale, P = 0.81), hematoma evacuation rate (P = 0.06), and complication incidence (P = 0.92), 3D printing technology significantly reduced mortality (P ˂ 0.05) and hospitalization costs (P ˂ 0.05).</p><p><strong>Conclusions: </strong>Current evidence suggests that 3D printing plate localization technique is a safer, more precise, and cost-effective approach for intracerebral hematoma puncture, especially applicable in primary care hospitals.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300875","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":"Influence of the Inferior Turbinate on the Accuracy of Superior Maxillary Repositioning in Le Fort I Osteotomy With/Without Adjunctive Technique.","authors":"Daisuke Yamamoto, Nobuyoshi Tomomatsu, Taishi Nakamura, Namiaki Takahara, Yasuhiro Kurasawa, Hiroyuki Yoshitake","doi":"10.1097/SCS.0000000000012064","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012064","url":null,"abstract":"<p><p>Previously, the authors reported that the amount of bony tissue inside the inferior nasal turbinate affects the precision of maxillary superior repositioning in conventional Le Fort I osteotomy (LFI) cases. Therefore, the authors conducted a retrospective study to examine whether adjunctive techniques such as horseshoe osteotomy or partial inferior turbinate resection could avoid interfering with the inferior nasal turbinate and nasal floor while improving the accuracy of maxillary superior repositioning in patients with well-developed bony tissue in the inferior nasal turbinate. Of the 163 patients with facial deformities who underwent conventional LFI (with maxillary elevation of 4.0-6.0 mm), most of whom also underwent bilateral sagittal split ramus osteotomy. The conventional LFI group included 54 cases in the large bone subgroup and 73 cases in the small bone subgroup, and LFI with adjunctive technique included 15 cases in the large bone subgroup and 21 cases in the small bone subgroup. The planned or actual amount of superior repositioning was compared three-dimensionally. The accuracy of the actual maxillary repositioning was significantly better in the small bone subgroup than in the large bone subgroup in conventional LFI group (P = 0.025). In addition, the presence of an adjunctive technique influences the accuracy of maxillary superior repositioning. For patients undergoing maxillary superior repositioning (>4.0 mm) with well-developed bony tissue of inferior nasal turbinate, an adjunctive technique (horseshoe osteotomy or partial inferior turbinectomy) should be considered. This prevents interference between the inferior nasal turbinate and the maxillary bone fragments, achieving greater accuracy in maxillary repositioning.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300884","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":"Surgical Management of Large Symptomatic Retropharyngeal Lipoma.","authors":"Jersey Chen, Hari Magge, Ankona Ghosh","doi":"10.1097/SCS.0000000000012072","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012072","url":null,"abstract":"<p><p>We report a rare case of a giant retropharyngeal lipoma presenting with progressive neck swelling and compressive symptoms in a 41-year-old man with obesity, obstructive sleep apnea, and hypertension. Computed tomography imaging revealed a well-circumscribed, homogenous fat-density mass measuring 12×9×18 cm extending from the retropharyngeal space into the superior mediastinum. Transcervical excision was performed followed by dissection out adjacent structures and removing en bloc. Histopathology confirmed benign lipomatous mass. Postoperatively, the patient experienced rapid improvement in airway patency and dysphagia with no recurrence at follow-up. This case underscores the importance of including deep cervical lipoma in the differential diagnosis of a large anterior neck mass, the role of advanced imaging in excluding malignancy, and complete excision in treating symptomatic neck lipomas.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300960","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":"Current Research Progress in Cranioplasty and Related Repair Materials.","authors":"Tianpeng Zhang, Xinxu Wu, Fangqi Hu, Yunsong Pan, Rui Zhang, Fengyu Cheng, Hui Zhou, Hui Shi","doi":"10.1097/SCS.0000000000012073","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012073","url":null,"abstract":"<p><p>Skull defect is a common and challenging clinical problem in the field of neurosurgery, which can be caused by a variety of reasons, such as brain trauma, brain tumor resection, intracranial hemorrhage, cerebral infarction, cerebral edema, skull fracture, or infection. Skull defect not only weakens the protection of brain tissue, increasing the risk of potential neurological deficits and seizures, but also seriously affects the patient's appearance and quality of life. Therefore, from the patient's perspective, the repair of skull defects is often driven by the dual needs of aesthetics and functional recovery. This review deeply explores the history, pathophysiology, indications, and complications of cranioplasty through an extensive literature search. In addition, we will also analyze the research progress of traditional and new biomaterials currently used in cranial repair. Specifically, we will delve into recent research on emerging technologies and cranial bone regeneration, providing valuable references for future clinical practice and research.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145300879","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}