Journal of Craniofacial Surgery最新文献

{"title":"Review of \"Mindfulness-Based Interventions for Surgeons\" by Ari S. Coopersmith. Annals of Surgery, 2025;281:542-548.","authors":"Diego M Quirarte, Swosti Thapa, Larry H Hollier","doi":"10.1097/SCS.0000000000011674","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011674","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":"144642694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal Visualization and Measurement of the Extracranial Middle Meningeal Artery in CTA.","authors":"Jianfei Hou, Xuefei Hu, Lifeng Yu, Ruiyang Wang, Wei Li, Han Meng, Xue Bai, Jing Gao, Ping Wang","doi":"10.1097/SCS.0000000000011667","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011667","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to optimize the visualization and measurement of the extracranial middle meningeal artery (exMMA) using head and neck CT angiography (CTA) to enhance trans-exMMA embolization therapy.</p><p><strong>Methods: </strong>CTA images from 80 patients (40 males, 40 females; aged 21-80 y) were analyzed. Imaging postprocessing techniques, including plain view, multiplanar reconstruction (MPR), and 3D volume rendering (3DVR), were used to optimize exMMA visualization. The optimal window length (WL) was determined by calculating the average Hounsfield unit (HU) from 160 exMMAs. A 95% CI for window width (WW) was established based on measured HU values.</p><p><strong>Results: </strong>Within the 95% CI range (38-574 HU) of WW, and using the optimal WL (168 HU), exMMAs were clearly visualized. A quintisected division of the 95% CI of WW was applied, resulting in 5 different WW settings for exMMA diameter measurement: 78, 156, 234, 312, and 390 HU. At the optimized WL/WW setting (168/78), the average diameters of the exMMA were measured as follows: 1.62±0.57 mm in the plain view, 1.56±0.46 mm in the 3DVR view, and 1.51±0.45 mm in the MPR view (P=0.020 compared to the plain view).</p><p><strong>Conclusions: </strong>ExMMA diameters decreased as WW values increased, while the observation rate of exMMA decreased with higher WW values. Optimized WL/WW settings (168/78) in plain view provided the most accurate exMMA measurements.</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":"144642691","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":"Beauty Constrained, Aestheticized Suffering, and Post-Traumatic Survival: A Case of a War-Prize.","authors":"Kun Hwang","doi":"10.1097/SCS.0000000000011675","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011675","url":null,"abstract":"<p><p>This paper reinterprets the figure of Briseis in Homer's Iliad as a powerful archetype of constrained beauty and post-traumatic survival. Traditionally framed within the male heroic narrative, Briseis has been reduced to a voiceless prize-her beauty both praised and possessed, yet never her own. Through classic sources and modern cultural parallels, this editorial explores how beauty, when aestheticized under violence and captivity, becomes a double-edged symbol: it both elevates and silences the sufferer. Briseis exemplifies this paradox, where her appearance becomes currency in the economy of war, while her suffering is softened into an ornament. This tension resonates with modern experiences-from war photography to reconstructive surgery-where beauty remains a potent but problematic framework for interpreting trauma. Drawing on contemporary texts such as The Silence of the Girls and Autobiography of a Face, the article highlights how female survivors of violence and injury navigate identity reconstruction in ways that resist the expectations imposed upon them. The paper argues that Briseis's survival, long overshadowed by her subjugation, can be reclaimed as a narrative of endurance, not passivity. Briseis becomes a symbol for clinicians, writers, and readers grappling with the ethics of beautifying pain. Her myth challenges us to consider how the authors represent and respond to suffering: can the authors witness pain without aestheticizing it? Can survival be beautiful without being ornamental? As the authors confront trauma in modern contexts-on operating tables, in literature, or cultural memory-Briseis reminds us that true resilience lies not in being idealized, but in being heard.</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":"144642674","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":"Sebaceous Carcinoma of the Nose Reconstructed With a Superiorly Based Folded Nasolabial Flap.","authors":"Tae Hui Bae, Woo Ju Kim, Soo Hyun Woo, Shin Hyuk Kang, Han Koo Kim","doi":"10.1097/SCS.0000000000011663","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011663","url":null,"abstract":"<p><p>Sebaceous carcinoma is a rare and aggressive malignant tumor that originates from sebaceous glands, most commonly in the periocular region. Extraocular manifestations, particularly on the nose, are exceptionally uncommon. A 91-year-old female patient presented to the plastic surgery clinic with a painless nodular mass on the nose. A punch biopsy confirmed sebaceous carcinoma, prompting a full-thickness lateral alar resection with immediate reconstruction using a superiorly based folded nasolabial flap. The surgical wound healed without complications, achieving favorable functional and aesthetic outcomes. This case underscores the need to consider sebaceous carcinoma among the differential diagnoses for nasal tumors to enable timely identification and treatment.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637094","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 Effects of Minimally Invasive Facial Plastic Surgery Applications on Well-Being of Individuals.","authors":"Erdi Özdemir, Nuray Bayar Muluk, Gürcan Sünnetci, Ahmet Arslanoğlu, Mustafa Yazir, Furkan Kaya, Cemal Cingi","doi":"10.1097/SCS.0000000000011658","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011658","url":null,"abstract":"<p><strong>Objectives: </strong>The authors aimed to investigate the impact of minimally invasive procedures on individuals' quality of life and well-being.</p><p><strong>Methods: </strong>The study group consisted of patients who had undergone minor facial interventions. There are 3 main interventions: Botulinum Toxin injections, volumizing with fillers, and transcutaneous suture lifts. The control group consisted of healthy subjects who did not undergo minor facial interventions. Two questionnaires were administered to the study and control groups: the self-assessment of well-being and the PERMA Well-being Score.</p><p><strong>Results: </strong>In the minor intervention group, the mean self-assessment well-being scores ranged from 8 to 10 on a 0 to 10 scale, compared with 6 in the control group. In the minor intervention group, the mean PERMA Well-Being Scores ranged from 110 to 160 on a 0 to 230 scale, whereas they were 90 in the control group. Minor interventions led to greater well-being among patients, including Botulinum Toxin injections in the periorbital region (160), Transcutaneous Suture Lifts for the lower face and mandibular definition (150), Volumizing with fillers in the lips (140), and Botulinum Toxin injections in the forehead (130).</p><p><strong>Conclusions: </strong>As a result of minor facial plastic interventions, patient satisfaction and well-being levels may improve. In particular, neurotoxin applications are procedures that contribute to a positive patient experience. Midface fillers aim to uplift the lower face and enhance mandibular definition. It seems that humans are keen on their appearance and continuously try to improve it. Satisfaction with the procedure and self-esteem vary widely among individuals, highlighting the importance of careful patient selection.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637180","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":"PET/MR Whole-body Screening and Health Prediction After Multiple Cancer Resections.","authors":"Xiang Huang, Zheng Chen, Huiyun Li, Hui Tang, Yufei Sang","doi":"10.1097/SCS.0000000000011671","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011671","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637093","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":"National Analysis of Socioeconomic and Demographic Predictors of Physical Abuse Among Geriatric Individuals With Facial Fractures.","authors":"Thomas M Johnstone, Daniel Najafali, Farrah C Liu, Dylan Singh, Halley Darrach, Kristan Staudenmayer, Rahim S Nazerali, Clifford C Sheckter","doi":"10.1097/SCS.0000000000011561","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011561","url":null,"abstract":"<p><strong>Introduction: </strong>Elder abuse significantly increases the risk of life-threatening injuries, leading to loss of functional independence and diminishing quality of life. Identifying patterns of facial fractures resulting from abuse can inform initial assessments and public policy initiatives.</p><p><strong>Objectives: </strong>To investigate which socioeconomic, demographic, and fracture characteristics indicate likely physical abuse among geriatric patients presenting with facial fractures.</p><p><strong>Methods: </strong>Data were obtained from the 2019 to 2020 Nationwide Emergency Department (ED) Sample, representing 20% of annual encounters at hospital-owned EDs in the United States. ICD-10 codes were used to identify geriatric patients presenting with facial fractures. Patient demographics, causes of injury, concomitant injuries, comorbidities, and socioeconomic data were summarized. A multivariable logistic regression was performed to determine predictors of physical assault-related fractures.</p><p><strong>Results: </strong>There were 46,829 geriatric facial fractures, 876 (1.9%) of which were assault related. Assaulted patients were younger (mean age: 71 versus 78 years, P<0.001) and predominantly male (84% versus 16% female, P<0.001). Patients living in zip codes with the lowest income quartile accounted for 45% of fractures caused by elder abuse. Black patients had the highest risk of assault (OR: 4.27, 95% CI: 3.50-5.18) and assault-related fractures were more likely on weekends (OR: 1.24, 95% CI: 1.07-1.44). Patients with orbital (OR: 1.54, 95% CI: 1.29-1.84), nasal (OR: 1.28, 95% CI: 1.08-1.51), maxillary (OR: 1.25, 95% CI: 1.03-1.52), zygoma (OR: 1.57, 95% CI: 1.26-1.95), or mandibular fractures (OR: 2.57, 95% CI: 2.00-3.28) were significantly more likely to have been assaulted. Tooth fractures (OR: 0.58, 95% CI: 0.38-0.86) and skull base fractures (OR: 0.60, 95% CI: 0.44-0.81) were associated with a decreased likelihood of assault.</p><p><strong>Conclusions: </strong>Elder abuse has a distinct indefinable pattern of injury among geriatric patients with facial fractures. These were more prevalent among patients who were younger, male, of lower socioeconomic status, from racial minority groups, and with fractures in specific anatomic regions. Understanding these findings can improve prevention strategies and effective support for geriatric patients with facial fractures from assault.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637092","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":"Application of 3-Dimensional Printing in Brain Surgery From 2015 to 2024: A Bibliometric Analysis.","authors":"Yihuan Chen, Chenwang Wang, Jingyi Bai, Yifeng Fan","doi":"10.1097/SCS.0000000000011668","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011668","url":null,"abstract":"<p><strong>Objective: </strong>This study uses bibliometric analysis and knowledge mapping methods to systematically explore the emerging research frontiers and development trajectories of 3-dimensional (3D) printing technology in the application of brain surgery, and provides new clues and research directions for future research by exploring hotspots and new topics.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted through the Scientific Citation Index Core Collection (WoSCC) database on March 21, 2025 to identify relevant articles and reviews published between January 2015 and December 2024 on the application of 3D printing technology in brain surgery. For data analysis and visualization, we used CiteSpace and VOSviewer software to conduct rigorous bibliometric analysis and build knowledge domain maps.</p><p><strong>Results: </strong>The authors' analysis covered 2982 papers contributed by 5550 authors from 1174 institutions in 90 regions, published in 236 journals. The authors have observed a steady increase in the number of publications annually, with Europe, Asia, North America, and Oceania leading the way in research output. The United States is in a leading position in research in this field. The University of London became the leading research institution in this field. The Journal of Craniofacial Surgery has made significant contributions to this field, with Tillinger Florian M being the most published and cited author. The most influential research hotspots focus on virtual surgical planning, tissue engineering, 3D printing and finite element analysis. The latest hotspots and research frontiers include 3D printing, augmented reality and reconstructive surgery.</p><p><strong>Conclusions: </strong>3D printing technology has made significant progress in the field of brain surgery and has become a research frontier for continuous development in the field of medical innovation.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637178","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":"Fatal Case of Acute Epidural Hematoma in an Infant With Concurrent Breath-Holding Spells.","authors":"Shaohua Cui, Shengwei Zhang, Lixia Geng","doi":"10.1097/SCS.0000000000011661","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011661","url":null,"abstract":"<p><strong>Objective: </strong>The coexistence of acute epidural hematoma and breath-holding spells (BHS) is infrequently encountered in clinical settings. This report presents a rare case of an infant who developed both conditions concurrently, resulting in fatality.</p><p><strong>Case presentation: </strong>A female infant, aged 4 months and 25 days, presented to the emergency department with persistent vomiting for 15 hours and loss of consciousness for 5 hours. Computed tomography of the head indicated a substantial epidural hematoma involving the left frontal, parietal, and temporal lobes. The patient was promptly admitted to the intensive care unit for resuscitative measures and surgical preparation. Emergency decompressive surgery was performed, and postoperative supportive management, including fluid resuscitation and antimicrobial therapy, was initiated. Postoperatively, the infant demonstrated clinical improvement sufficient for ventilator weaning. However, cardiac arrest occurred within one minute of extubation. Despite immediate cardiopulmonary resuscitation, the patient did not survive.</p><p><strong>Conclusions: </strong>The concurrence of acute epidural hematoma and breath-holding spells is a rare and potentially fatal clinical entity in infants. Mortality related to BHS remains uncommon. Early recognition, comprehensive parental education, prompt multidisciplinary intervention, and heightened clinical awareness are essential for improving prognoses in pediatric patients presenting with craniocerebral trauma complicated by BHS.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637179","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 Zeeman Scaphocephaly Cranial Vault Remodelling Technique: Let the Brain Guide You.","authors":"Rehumile Amando Nkoane, Nick Kairinos, Arnold Douglas","doi":"10.1097/SCS.0000000000011391","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011391","url":null,"abstract":"<p><strong>Background: </strong>Scaphocephaly is the most common craniosynostosis resulting from premature closure of the sagittal suture, resulting in esthetic and functional implications. This paper describes a novel total cranial vault technique that has been in use at Tygerberg Hospital, Cape Town.</p><p><strong>Method: </strong>A 10-year retrospective analysis of scaphocephaly cases reconstructed using the Bennie Zeeman (BZ) technique is reviewed, and the technique is described and compared with the Melbourne technique and its modifications from Boston Children's Hospital and Great Ormond Street.</p><p><strong>Results: </strong>The BZ method is conceptually easier, addresses all the scaphocephaly esthetic stigmata, and compares favorably with regard to procedure length, blood transfusion volume, and cranial index (CI) changes relative to the other procedures.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637096","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}