Journal of Craniofacial Surgery最新文献_第2页

Unexpected Oil Cyst Formation Following Lower Blepharoplasty Despite Adinizer-Assisted Microfat Grafting: Limitations of Fat Particle Size Reduction. 下睑成形术后意外油囊肿的形成，尽管有辅助微脂肪移植术：脂肪颗粒大小减少的局限性。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-15 DOI: 10.1097/SCS.0000000000013118

Min Choi, HyunJung Lee, Woo Young Choi, Ji Seon Cheon, Jeong Yeol Yang

{"title":"Unexpected Oil Cyst Formation Following Lower Blepharoplasty Despite Adinizer-Assisted Microfat Grafting: Limitations of Fat Particle Size Reduction.","authors":"Min Choi, HyunJung Lee, Woo Young Choi, Ji Seon Cheon, Jeong Yeol Yang","doi":"10.1097/SCS.0000000000013118","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013118","url":null,"abstract":"Oil cyst formation after periocular autologous fat grafting is infrequently reported but represents a clinically relevant complication because it may present as a palpable mass and mimic other eyelid lesions. Various fat-processing techniques, including mechanical microfragmentation, have been introduced to reduce fat particle size and improve graft survival. However, whether fat particle size reduction alone can prevent oil cyst formation in the periocular region remains unclear. We report 2 patients who developed periocular oil cysts following lower blepharoplasty with autologous fat grafting performed using a standardized protocol that included Adinizer-assisted mechanical microfragmentation and small-volume injection. A 47-year-old woman with diabetes mellitus developed a fluctuant lower eyelid nodule 3 months postoperatively, which required repeated aspiration but eventually resolved without surgical excision. A 55-year-old woman with hypertension developed a similar lesion 4 months postoperatively that resolved after a single aspiration. These cases demonstrate that periocular oil cysts may occur despite optimized fat-processing techniques, including Adinizer-assisted microfragmentation, suggesting that reduction of fat particle size alone may not be sufficient to prevent this complication. These findings suggest that recipient-site characteristics, surgical factors, and systemic vascular comorbidities may play a more important role than fat-processing methods in determining graft survival.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182246","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}

引用次数: 0

Canadian Ukraine Surgical Aid Program-Resurrection of the Temporalis Muscle Flap in War Injuries. 加拿大乌克兰外科援助计划-颞肌皮瓣在战争损伤中的复活。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-15 DOI: 10.1097/SCS.0000000000013403

Tara L Teshima, Katelyn Moore, Oleh Antonyshyn

{"title":"Canadian Ukraine Surgical Aid Program-Resurrection of the Temporalis Muscle Flap in War Injuries.","authors":"Tara L Teshima, Katelyn Moore, Oleh Antonyshyn","doi":"10.1097/SCS.0000000000013403","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013403","url":null,"abstract":"Background: The Canadian Ukraine Surgical Aid Program (CUSAP) was established to provide reconstructive craniofacial care to victims of war injuries in Ukraine. Operating under mission constraints-limited resources, staged follow-up by local surgeons, multidrug-resistant infections, and absent preoperative imaging or operative history-demands reconstructive techniques that are reliable, technically accessible, and manageable postoperatively without specialized equipment.Objective: To describe the anatomy, surgical technique, and versatile clinical applications of the temporalis muscle flap in the reconstruction of severe war-related craniofacial injuries encountered during a CUSAP surgical mission to Poland in September 2022.Methods: The authors present 4 cases of severe ballistic and blast craniofacial trauma treated using the temporalis muscle flap. Surgical technique, including flap elevation, zygoma osteotomy, and closure, is described in detail, along with strategies to prevent and manage donor-site temporal hollowing.Results: The temporalis muscle flap was successfully used across a range of reconstructive indications: globe support and orbital floor reconstruction, obliteration of midface dead space, nasal lining, oral-nasal fistula repair, skull base coverage, and a split-flap dynamic sling for oral competence. All flaps provided reliable vascularized soft-tissue coverage, and postoperative management was successfully transitioned to local Ukrainian surgeons.Conclusions: The temporalis muscle flap remains an invaluable, technically feasible reconstructive option for complex craniofacial war injuries, particularly in resource-limited and time-sensitive surgical mission settings where free tissue transfer is impractical. Its versatility, ease of teaching, and low equipment burden make it a critical tool for global surgical education and reconstruction in the setting of armed conflict.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182242","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}

引用次数: 0

Reconstruction of Divided Eyelid Nevus Using an Expanded Forehead Flap Supplied by the Supratrochlear Artery. 滑车上动脉供血扩张额瓣重建睑裂痣。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-15 DOI: 10.1097/SCS.0000000000013499

Shiqiang Liu, Yinke Tang, Yu Zhang, Ruoxue Bai, Ding Shi, Feifei Chu, Xianjie Ma

{"title":"Reconstruction of Divided Eyelid Nevus Using an Expanded Forehead Flap Supplied by the Supratrochlear Artery.","authors":"Shiqiang Liu, Yinke Tang, Yu Zhang, Ruoxue Bai, Ding Shi, Feifei Chu, Xianjie Ma","doi":"10.1097/SCS.0000000000013499","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013499","url":null,"abstract":"Purpose: Divided eyelid nevi pose significant challenges for affected individuals. Traditional surgical options often result in a suboptimal color or texture match. This study evaluates the outcomes of using an expanded forehead flap for the reconstruction of these complex defects.Methods: Between 2013 and 2024, 7 patients with divided eyelid nevi underwent staged reconstruction with an expanded forehead flap. The surgical technique involved 3 stages: (1) insertion and inflation of a tissue expander in the supraeyebrow region; (2) transfer of the expanded flap to the periorbital defect following lesion excision, with the flap pedicled on the supratrochlear artery; and (3) 3 weeks postoperatively, axial vessel ligation was performed for flap delay, followed by pedicle division and defect repair 1 week later. Clinical data, surgical details, and outcomes were recorded and analyzed.Results: All 7 flaps survived completely. Flap sizes ranged from 3.0×3.0 to 10.0×10.0 cm. Minor complications included 1 case of wound dehiscence near the expander port, which healed with conservative management. No cases of flap necrosis, venous congestion, brow ptosis, or ectropion were observed. The color, texture, and thickness of the flaps showed an excellent match with the recipient site. One patient underwent subsequent flap thinning for perceived bulkiness. During a follow-up period of 3 to 24 months, all patients expressed satisfaction with both the aesthetic and functional outcomes.Conclusions: The expanded forehead flap based on the supratrochlear and supraorbital vessels is a reliable and effective technique for reconstructing divided eyelid nevi.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182276","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}

引用次数: 0

Top 30 Most Cited Articles on Festoons, Malar Mounds, Malar Bags, and Malar Edema: A Bibliometric Analysis. 前30名最常被引用的文章，花饰，颧丘，颧袋，和颧水肿：一个文献计量分析。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-14 DOI: 10.1097/SCS.0000000000013475

Henry Chi, Ainsley Hanrahan, Anshumi Desai, Seth R Thaller

{"title":"Top 30 Most Cited Articles on Festoons, Malar Mounds, Malar Bags, and Malar Edema: A Bibliometric Analysis.","authors":"Henry Chi, Ainsley Hanrahan, Anshumi Desai, Seth R Thaller","doi":"10.1097/SCS.0000000000013475","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013475","url":null,"abstract":"Background: Festoons, malar mounds, malar bags, and malar edema are recognized sources of patient dissatisfaction after lower-eyelid and midface rejuvenation. Unfortunately, they remain treatment-resistant in periorbital aesthetics. No study has fully characterized the literature guiding the diagnosis and management of these conditions. This study identifies the 30 most-cited articles on this clinical finding. We employed citation frequency as a proxy for scholarly impact to highlight the field's most influential work and identify lacking information.Methods: A Web of Science Core Collection search using terms for the target entities yielded 1241 records, sorted by Times Cited in descending order. Two reviewers independently screened records against prespecified criteria, with disagreements resolved by reconciliation. The top 30 were retained as the final list. Each article was assigned a topic category, study design, level of evidence, and anatomic subfocus.Results: Thirty included articles were cited a combined 1066 times. Three citations were sufficient for entry to this list. Surgical correction was the most represented topic category (n=12). This was followed by injectable/sclerotherapy and anatomy/pathophysiology (n=6 each). Case series (n=10) and narrative reviews (n=5) were the most common. No article met Oxford Level I or II evidence; 60% were level IV, 37% level V, and 3% level III.Conclusions: Current literature on festoons, malar mounds, malar bags, and malar edema is dominated by low-level evidence. Citation threshold for entry to its most influential work is correspondingly low. Comparative study remains challenging due to the absence of standardized terminology and a validated severity scale.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182235","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}

引用次数: 0

Modified Distraction Lengthening Via a Cross-Nail Bed Approach for Aesthetic Reconstruction of Traumatic Fingertip Defects. 改良牵张延长经交叉钉床入路修复外伤性指尖缺损。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-14 DOI: 10.1097/SCS.0000000000013487

Lei Huang, Aiping Yu, Wenhai Sun

{"title":"Modified Distraction Lengthening Via a Cross-Nail Bed Approach for Aesthetic Reconstruction of Traumatic Fingertip Defects.","authors":"Lei Huang, Aiping Yu, Wenhai Sun","doi":"10.1097/SCS.0000000000013487","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013487","url":null,"abstract":"Objective: To report the clinical effect of distraction lengthening through a cross-nail bed incision for the correction of traumatic nail deformity.Methods: A retrospective case series of patients with traumatic short nail deformity who underwent distraction lengthening of the distal phalanx from March 2020 to March 2025 was conducted. A transverse osteotomy was made at the mid-portion of the residual distal phalanx. One screw was inserted on both the distal and proximal sides of the osteotomy line, followed by placement of a mini external fixator. Gradual distraction was performed postoperatively until the desired length was achieved. Surgical outcomes were evaluated using morphologic measurements and patient satisfaction.Results: A total of 28 patients (5 males, 23 females; mean age 35 y) were included. The affected digits included the thumb (6 cases), middle finger (15), index finger (5), and ring finger (2). Mean distraction duration was 22 days, and mean external fixation time was 80 days. Mean follow-up was 15 months. Averaged nail length increased from 8.5to 11.6 mm while nail width decreased from 13.0 to 10.5 mm. Distal phalanx length on X-ray increased from 10.6 to 16.9 mm. Finger distal length increased from 18.9 to 23.5 mm. No significant impairment of interphalangeal joint mobility was observed. Patient satisfaction rate was 82.1% (23/28).Conclusion: Distraction lengthening through a cross-nail bed incision effectively corrects traumatic short nail deformity with satisfactory aesthetic outcomes.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182294","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}

引用次数: 0

Comparative Analysis of Root Resorption in Surgery-first Approach vs Conventional Orthognathic Approach: A Cone Beam Computed Tomography Study. 手术先入路与传统正颌入路牙根吸收的比较分析：锥束计算机断层研究。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-13 DOI: 10.1097/SCS.0000000000013492

Jiaqi Zhou, Xiaoran Zhang, Zuping Wu, Xinyi Fang, Mengjie Wu, Xiaoxia Feng

{"title":"Comparative Analysis of Root Resorption in Surgery-first Approach vs Conventional Orthognathic Approach: A Cone Beam Computed Tomography Study.","authors":"Jiaqi Zhou, Xiaoran Zhang, Zuping Wu, Xinyi Fang, Mengjie Wu, Xiaoxia Feng","doi":"10.1097/SCS.0000000000013492","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013492","url":null,"abstract":"Objective: This retrospective clinical study aimed to compare root resorption between the surgery-first approach (SFA) and conventional orthognathic approach (COA) using cone-beam computed tomography (CBCT).Methods: Forty-one skeletal class III patients who underwent combined orthognathic surgery and non-extraction orthodontic treatment were included. According to surgical timing, participants were divided into the conventional orthognathic approach (COA) group (n=21) and the surgery-first approach (SFA) group (n=20). Root length and volume were measured on pre- and post-treatment CBCT scans. Intra-group changes in root dimensions were analyzed using paired t tests. Inter-group differences were evaluated using independent-samples t tests for tooth-specific analyses and a linear mixed model for overall assessment.Results: Root resorption was observed in both groups after treatment completion. Compared with the COA group, the SFA group exhibited a lower prevalence of mild-to-moderate root resorption and a higher proportion of unaffected teeth. Significant inter-group differences in root length reduction were observed across all maxillary teeth and mandibular incisors (P<0.05). The linear mixed model revealed a reduction of 0.21 mm in overall root resorption in the SFA group (P=0.002), although its clinical significance may be limited. Regarding volume loss, no significant differences were observed between the groups, except for the maxillary central incisors (P=0.037). Consistent with these findings, the linear mixed model demonstrated no significant difference in volume loss between the two groups (P=0.238).Conclusion: Compared with COA, SFA did not increase the risk of root resorption and might have a protective potential in non-extraction cases.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182222","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}

引用次数: 0

Management of Patients With Primary Cutaneous and/or Salivary Gland Malignancies With Trigeminal Nerve Involvement at Presentation. 原发性皮肤和/或唾液腺恶性肿瘤患者就诊时累及三叉神经的处理。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-13 DOI: 10.1097/SCS.0000000000013481

Malek H Bouzaher, Giovanny E Ortiz, Jolly S Grewal, Boyu Ma, Spiros Manolidis, Yadranko Ducic

{"title":"Management of Patients With Primary Cutaneous and/or Salivary Gland Malignancies With Trigeminal Nerve Involvement at Presentation.","authors":"Malek H Bouzaher, Giovanny E Ortiz, Jolly S Grewal, Boyu Ma, Spiros Manolidis, Yadranko Ducic","doi":"10.1097/SCS.0000000000013481","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013481","url":null,"abstract":"Advanced head and neck cutaneous and/or salivary carcinomas with cranial nerve involvement pose a complex therapeutic challenge with a lack of consensus regarding optimal management. The current study examines postoperative and oncologic outcomes following upfront surgical resection with a tailored approach depending on the extent of nerve involvement, followed by individualized adjuvant radiotherapy. A retrospective chart review was performed of patients with primary cutaneous or salivary malignancies demonstrating clinical and imaging evidence of trigeminal nerve involvement who underwent surgical resection between 1998 and 2023. Sixty-eight patients were identified, including 21 (30.9%) with cutaneous squamous cell carcinoma and 47 (69.1%) with salivary gland carcinoma. Fifteen patients (71.4%) with cutaneous malignancies and 21 (44.7%) with salivary malignancies had concomitant facial nerve involvement. At 36 months, 56.3% of patients with cutaneous carcinoma and 61.5% of patients with salivary carcinoma who completed treatment remained disease free. Active disease accounted for mortality in 31.3% of patients with cutaneous carcinoma and 41.9% of patients with salivary carcinoma. Cutaneous malignancies were associated with an approximately 3-fold increased likelihood of facial nerve involvement compared with salivary malignancies (odds ratio: 3.1, 95% CI: 0.99-9.7), while no significant differences in disease-free survival or mortality were observed between groups. Proactive surgical resection with cranial nerve sacrifice followed by adjuvant radiotherapy can achieve meaningful disease control with acceptable postoperative morbidity in appropriately selected patients with advanced head and neck malignancy with trigeminal nerve involvement.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182311","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}

引用次数: 0

Cadaveric Meniscal Cartilage for Ear Reconstruction. 尸体半月板软骨耳重建。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-12 DOI: 10.1097/SCS.0000000000013470

Michael Sturniolo, Samuel Testani, Andre D Rafizadeh, Katherine A Kozlowski, Kant Lin, Raymond O Schultz

引用次数: 0

Global Research Trends in Pediatric Craniofacial Trauma and Traumatic Brain Injury: A Bibliometric Analysis of 1271 Publications (2016-2026). 儿童颅面创伤和创伤性脑损伤的全球研究趋势：1271篇出版物的文献计量分析（2016-2026）。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-12 DOI: 10.1097/SCS.0000000000013494

Jiya Gandhi, Vedha Dande, Latha Ganti

{"title":"Global Research Trends in Pediatric Craniofacial Trauma and Traumatic Brain Injury: A Bibliometric Analysis of 1271 Publications (2016-2026).","authors":"Jiya Gandhi, Vedha Dande, Latha Ganti","doi":"10.1097/SCS.0000000000013494","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013494","url":null,"abstract":"Introduction: Pediatric craniofacial trauma, characterized by forceful blows or injuries to the facial bones or fragile skull of a child, can present symptoms of traumatic brain injury (TBI). TBI is a key player in the increased mortality rate of pediatric populations. Through a bibliometric analysis, this study aims to assess and understand the research landscape of pediatric craniofacial trauma and TBI.Methods: Using the Web of Science Core Collection, a search was conducted on June 15, 2026, for publications dated June 1, 2016, through June 1, 2026. The search combined pediatric, craniofacial-trauma, and traumatic-brain-injury concept blocks using Boolean operators. No restrictions other than publication date were applied. Web of Science was used to summarize annual publication output, authors, journals, and research categories, and VOSviewer was used for coauthorship and keyword network analyses.Results: A total of 1271 publications were identified. The bar graph from Web of Science determined that the peak year of publications regarding the topic of pediatric craniofacial trauma and TBI was in 2022. The country publication network outlines that the United States, England, and Canada were the leading countries of publication.Conclusion: Research on pediatric craniofacial trauma and TBI has continued to stay a topic of interest over the last 10 years, but continued collaboration and investment in longitudinal studies will further the knowledge into long-term effects and potential consequences.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170088","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}

引用次数: 0

Salivary Cutaneous Fistula Caused by Submandibular Sialolithiasis in an Adolescent. 青少年颌下腺石症引起的唾液皮瘘。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-10-12 DOI: 10.1097/SCS.0000000000013449

Sang Il Seok, Soo Y Lim, In C Koh

引用次数: 0