Journal of Craniofacial Surgery最新文献

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Ex Vivo Evaluation of Skin Permeability Enhancement Using TargetCool in Human-Derived Skin Tissue Models. TargetCool在人体皮肤组织模型中增强皮肤渗透性的离体评价。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-05 DOI: 10.1097/SCS.0000000000012829
Kyu-Ho Yi, Jin-Hyun Kim, Chan Yeong Heo, Suk Bae Seo, Gun-Ho Kim
{"title":"Ex Vivo Evaluation of Skin Permeability Enhancement Using TargetCool in Human-Derived Skin Tissue Models.","authors":"Kyu-Ho Yi, Jin-Hyun Kim, Chan Yeong Heo, Suk Bae Seo, Gun-Ho Kim","doi":"10.1097/SCS.0000000000012829","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012829","url":null,"abstract":"<p><strong>Background: </strong>The stratum corneum presents a significant barrier to transdermal delivery. TargetCool is a cooling-assisted delivery device developed to enhance skin penetration, with potential synergistic effects when combined with microneedling systems such as the Turtle pin (0.5 mm) and MTS (1.5 mm).</p><p><strong>Objective: </strong>This study aimed to evaluate the effect of TargetCool on the permeability of Acetyl Hexapeptide-8-FITC in an ex vivo human skin model, comparing its performance alone and in combination with microneedling devices.</p><p><strong>Methods: </strong>Facial skin samples from Korean female donors aged 50 to 70 years were prepared into 2 × 2 cm sections and assigned to 6 groups: control (topical application only), Turtle pin 0.5 mm, MTS 1.5 mm, Turtle pin 0.5 mm plus TargetCool, MTS 1.5 mm plus TargetCool, and TargetCool alone. Samples were cultured for 24 hours in a Transwell system following treatment with Acetyl Hexapeptide-8-FITC, then processed for H&E and DAPI staining. Optical and fluorescence microscopy were used to assess tissue structure, fluorescence intensity, and penetration depth, with quantitative analysis performed using ImageJ.</p><p><strong>Results: </strong>No structural damage was observed in any group. Compared with the control, fluorescence intensity increased by 504% with Turtle pin, 700% with MTS, 1272% with Turtle pin plus TargetCool, 1000% with MTS plus TargetCool, and 492% with TargetCool alone. Penetration depth increased by 19.01%, 33.10%, 36.88%, 47.75%, and 35.86%, respectively.</p><p><strong>Conclusion: </strong>TargetCool, particularly in combination with microneedling, substantially enhanced the skin penetration and depth of Acetyl Hexapeptide-8-FITC in ex vivo human skin without inducing structural damage. These findings support its potential clinical application in improving transdermal delivery for dermatologic and aesthetic treatments.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838550","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
Manuka Honey in Craniofacial Wound Management: A Narrative Review. 麦卢卡蜂蜜在颅面伤口治疗中的应用综述。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-05 DOI: 10.1097/SCS.0000000000012854
Daihun Kang
{"title":"Manuka Honey in Craniofacial Wound Management: A Narrative Review.","authors":"Daihun Kang","doi":"10.1097/SCS.0000000000012854","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012854","url":null,"abstract":"<p><strong>Background: </strong>Craniofacial wounds present unique management challenges owing to the aesthetic significance of the facial region, proximity to vital structures, risk of contamination from oral flora, and the frequent presence of exposed bone or hardware. Manuka honey, derived from the Leptospermum scoparium plant, possesses well-documented antimicrobial, anti-inflammatory, and wound healing properties attributable primarily to its methylglyoxal content, osmotic activity, and low pH. However, no review has specifically addressed its application in the craniofacial context.</p><p><strong>Methods: </strong>A narrative review was conducted using PubMed, Scopus, and Web of Science databases. Search terms combined honey-related keywords with craniofacial and head-and-neck terminology. Clinical studies, case reports, randomized controlled trials, and relevant general wound care reviews were included. The Scale for the Assessment of Narrative Review Articles (SANRA) was used as a quality framework.</p><p><strong>Results: </strong>Evidence supporting the use of Manuka honey in the craniofacial region was identified across several wound categories, including scalp defects with exposed calvarium, head and neck oncologic reconstruction wounds, oral and maxillofacial infections, partial flap necrosis, facial surgical wounds, and burns. In vitro data also suggest selective cytotoxicity against tumor cells, raising the possibility of a dual wound healing and antitumor role in postoncologic surgical wounds. Most available evidence remains at the level of case reports and small series, with only one randomized controlled trial conducted specifically in head and neck wounds.</p><p><strong>Conclusions: </strong>Manuka honey represents a safe, cost-effective, and promising adjunctive wound care modality for the craniofacial surgeon. Registered medical-grade products are ideal where available, but UMF-certified commercial Manuka honey with verified antimicrobial ratings offers a scientifically rational alternative in regions where medical-grade products are not accessible. Prospective studies evaluating Manuka honey in specific craniofacial wound types are warranted.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838606","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
Identifying Anthropometric Age-Based Trends of the Sagittal Orbital-Globe Relationship in the Pediatric Population. 确定儿童矢状面-眶-球关系的人体测量年龄趋势。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-05 DOI: 10.1097/SCS.0000000000012801
Vamsi C Mohan, Nilesh K Desai, Benjamin D W Belfort, Amjed Abu-Ghname, Betty Tung, Edward P Buchanan
{"title":"Identifying Anthropometric Age-Based Trends of the Sagittal Orbital-Globe Relationship in the Pediatric Population.","authors":"Vamsi C Mohan, Nilesh K Desai, Benjamin D W Belfort, Amjed Abu-Ghname, Betty Tung, Edward P Buchanan","doi":"10.1097/SCS.0000000000012801","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012801","url":null,"abstract":"<p><strong>Background: </strong>The sagittal orbital-globe relationship (SOGR) and anthropometric measurements of the orbitale superius (os), orbitale inferius (oi), orbitale laterale (ol) and nasion (n) relative to the anterior cornea (ac) were first described by Dr Mulliken in 1996. Understanding the relationships between these landmarks is crucial for identifying and managing upper and midface pathologies; however, there remains a paucity of literature depicting the SOGR in the normal population. The purpose of this study is to describe how these measurements change from 0 to 18 years of age.</p><p><strong>Methods: </strong>A retrospective chart review of all maxillofacial computed tomography (CT) scans over a 14-year period was conducted, and patients without pertinent medical history, surgical history, and a negative CT scan and corresponding physical exam were included. The averages and changes of the differences between the right and left bone and soft-tissue oi, ol, os, and n, with the ac (oi-ac, ol-ac, os-ac, n-ac) were performed.</p><p><strong>Results: </strong>From 0-1 to 16-18 years, the average right bone and soft-tissue ol-ac increased from -11.65 to -17.11 mm and from -7.69 to -13.58 mm for males, respectively. For females, the average right bone ol-ac increased from -12.26 to -17.46 mm and the soft tissue increased from -8.15 to -13.54 mm.</p><p><strong>Conclusions: </strong>The data depicting the normal values in conjunction with the distance ratios of the anterior cornea to each of the bone anthropometric landmarks can provide further understanding of the normal sagittal orbit-globe relationship in the pediatric population.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838632","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
Algorithm-Based Reconstruction for Pediatric Mandibular Desmoid Tumors: Two Decades From a Single Institution. 基于算法的儿童下颌硬纤维瘤重建:来自单一机构的二十年。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-05 DOI: 10.1097/SCS.0000000000012808
Meryem Guler, Caroline Kreh, Artur Manasyan, Anika Kim, Marvee Turk, Priyanka Naidu, Mark Urata, Jeffrey Hammoudeh
{"title":"Algorithm-Based Reconstruction for Pediatric Mandibular Desmoid Tumors: Two Decades From a Single Institution.","authors":"Meryem Guler, Caroline Kreh, Artur Manasyan, Anika Kim, Marvee Turk, Priyanka Naidu, Mark Urata, Jeffrey Hammoudeh","doi":"10.1097/SCS.0000000000012808","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012808","url":null,"abstract":"<p><p>Pediatric mandibular desmoid tumors are rare, locally aggressive lesions that can create composite defects in a growing craniofacial skeleton. We retrospectively reviewed biopsy-proven pediatric desmoid tumors involving the mandible region treated at a tertiary children's hospital (2004-2024) and mapped each case to an institutional, algorithm-based reconstructive pathway (A-D) incorporating a mandibular resection index (RI; threshold 32%) and 2 modifiers (modifier 1: systemic therapy/radiotherapy; modifier 2: staged bony reconstruction for inadequate bone stock). We summarized pathway assignments, transitions over time, and cumulative operative burden. Eight mandibular cases were included in the algorithm analysis. Initial pathway assignments were A (n=4), B (n=3), C (n=1), and D (n=0). Modifier 1 was applied in 2/8 (25%) and modifier 2 in 4/8 (50%). During follow-up, 4/8 patients escalated to a higher pathway (A→B→C, B→C, B→D, C→D). Among 7 operative patients, median age at index reconstructive surgery was 5.1 years (range: 0.9-11.9), with mean cumulative hospitalization of 25.1±21.8 days and mean cumulative operative time of 18.4±12.7 hours. Patients requiring pathway escalation had higher cumulative burden (hospitalization 34.0±21.8 days; operative time 26.5±10.6 hours; median 5 operations). Algorithm-based pathway assignment captures the longitudinal reconstructive reality of pediatric mandibular desmoid tumors. Early recognition of predictable failure modes (infection, hardware compromise, and inadequate bone stock) may help teams select definitive reconstruction earlier in select patients and reduce cumulative surgical burden.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838456","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
Beneficial Effects of Photobiomodulation Therapy on Mandibular Movements in the Surgical Treatment of Mandibular Fractures: A Randomized Clinical Trial. 在下颌骨骨折手术治疗中,光生物调节疗法对下颌运动的有益影响:一项随机临床试验。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-04 DOI: 10.1097/SCS.0000000000012820
Caio Nogueira Cruz, João Gualberto C Luz
{"title":"Beneficial Effects of Photobiomodulation Therapy on Mandibular Movements in the Surgical Treatment of Mandibular Fractures: A Randomized Clinical Trial.","authors":"Caio Nogueira Cruz, João Gualberto C Luz","doi":"10.1097/SCS.0000000000012820","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012820","url":null,"abstract":"<p><strong>Background: </strong>The surgical treatment of mandibular fractures aims to improve patient rehabilitation and function. Complications, such as limitations in mandibular movements, can be observed during the postoperative period. This study aimed to evaluate the effects of photobiomodulation therapy (PBMT) after surgical treatment of mandibular fractures with longitudinal observation of mandibular movements as the outcome.</p><p><strong>Methods: </strong>In this randomized clinical trial, we compared a PBMT group (n = 18) with a control group (n = 15) of patients with mandibular fractures who underwent surgical intervention. The sessions were performed 24 hours after the surgical procedure, and repeated weekly for 5 weeks after hospital discharge. Maximum opening, laterality sum, and maximal protrusion were measured during the same periods in both groups. The Statistical Package for the Social Sciences (SPSS) version 25.0 (IBM Software Group) was used for statistical analyses. The level of significance was set at P≤0.050.</p><p><strong>Results: </strong>There was a progressive increase in mandibular movements in both groups, and significantly greater values, particularly in terms of mouth opening and protrusion, were observed in the PBMT group. In addition, when the fracture location was considered, a progressive increase in mouth opening was observed in most locations, whereas improvements were noted in the lateral movements of patients with condylar fractures. In addition, significant improvements in mouth opening were observed with both the intraoral and extraoral approaches.</p><p><strong>Conclusion: </strong>The PBMT resulted in better mandibular movement recovery after surgical treatment, mainly in terms of mouth opening, irrespective of surgical access, with a limited influence of the fracture location.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815765","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
Pedicled Scalp Reconstruction After Radiation Therapy. 放射治疗后带蒂头皮重建。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-04 DOI: 10.1097/SCS.0000000000012799
Jolly S Grewal, Malek H Bouzaher, Giovanni P Ortiz, Autin LaBanc, Boyu Ma, Yadranko Ducic
{"title":"Pedicled Scalp Reconstruction After Radiation Therapy.","authors":"Jolly S Grewal, Malek H Bouzaher, Giovanni P Ortiz, Autin LaBanc, Boyu Ma, Yadranko Ducic","doi":"10.1097/SCS.0000000000012799","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012799","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of large scalp defects in patients who have previously received external beam radiation therapy (EBRT) is technically challenging due to radiation-induced vascular compromise and poor wound healing. While free tissue transfer is commonly used, pedicled scalp flaps may offer a simpler, more reliable alternative in certain patients. The objective of the study is to evaluate the outcomes of pedicled scalp flap reconstruction in a large cohort of irradiated patients with substantial scalp defects and to identify risk factors associated with flap complications.</p><p><strong>Methods: </strong>The authors conducted a retrospective review of 216 patients treated by a single surgeon from January 1998 to December 2024. Inclusion criteria were prior EBRT to the scalp, a defect size ≥15 cm2, use of pedicled scalp flaps, and a minimum follow-up of 6 months. Data collected included demographics, prior scalp surgeries, indication for reconstruction, flap design, complications, flap survival, and need for reoperation.</p><p><strong>Results: </strong>Of the 216 patients (143 men, 73 women; mean age: 79.4 and 77.8 y, respectively), 149 had prior scalp surgery (including skin grafts, biologics, or previous flaps). Indications were recurrent/persistent malignancy in 187 and necrotic or exposed calvarium in 29. Complete healing without complications occurred in 189 patients (87.5%). Sixteen patients developed wound breakdown managed with local flaps; 8 had partial flap loss (≤50%) requiring further scalp flap in 5 or free flap in 3; and 3 had major flap loss (>50%) necessitating free-flap reconstruction. All patients with partial or major flap loss had a history of prior scalp flaps.</p><p><strong>Conclusions: </strong>Pedicled scalp flaps, when designed and executed with careful respect to vascular principles, provide a reliable reconstructive option even in radiated patients with large defects. A history of prior scalp flap significantly increases the risk of flap loss. These findings support the continued use of pedicled scalp flaps in this demanding population and suggest that prior flap history must factor into risk stratification and planning.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815776","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
Mandibular Marginal Osteomyelitis Secondary to Second Molar Pericoronitis in a Pediatric Patient. 一名儿童患者继发于第二磨牙冠周炎的下颌边缘骨髓炎。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-04 DOI: 10.1097/SCS.0000000000012847
Xudong Fan, Wenkai Xia, Pingping Gan, Ruohuang Lu
{"title":"Mandibular Marginal Osteomyelitis Secondary to Second Molar Pericoronitis in a Pediatric Patient.","authors":"Xudong Fan, Wenkai Xia, Pingping Gan, Ruohuang Lu","doi":"10.1097/SCS.0000000000012847","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012847","url":null,"abstract":"<p><p>Pediatric osteomyelitis of the jaw is predominantly non-odontogenic in origin, typically arising from hematogenous spread. This case report presents a rare case of mandibular marginal osteomyelitis secondary to second molar pericoronitis in a child, clinically manifesting as facial swelling, induration, and trismus. The pediatric patient was treated with a combined regimen of systemic antimicrobial therapy and localized surgical intervention. At the 12-month follow-up, near-anatomical remodeling of the affected mandible was achieved, accompanied by restoration of mouth opening to physiological limits. This case report indicates that early diagnosis and intervention of pediatric mandibular marginal osteomyelitis arising from second molar pericoronitis are critical to prevent mandibular deformities, pathological fractures, and facial asymmetry. Furthermore, prophylactic extraction of third molar tooth germs and contralateral pericoronal pocket excision during surgery may reduce recurrence.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815762","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
Robot-Assisted Incision and Drainage for a Polymicrobial Brain Abscess. 多微生物性脑脓肿的机器人辅助切开引流。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-04 DOI: 10.1097/SCS.0000000000012848
Chun Gui, Jiajia Li, Qiqi Wang, Lang Chen, Qiang Shao
{"title":"Robot-Assisted Incision and Drainage for a Polymicrobial Brain Abscess.","authors":"Chun Gui, Jiajia Li, Qiqi Wang, Lang Chen, Qiang Shao","doi":"10.1097/SCS.0000000000012848","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012848","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical utility of robot-assisted incision and drainage in the management of a polymicrobial brain abscess located in the central region.</p><p><strong>Methods: </strong>We retrospectively analyzed a case of polymicrobial odontogenic brain abscess in a 71-year-old male who presented with stroke-like symptoms. The patient was admitted due to progressive right-sided weakness, initially mimicking an acute ischemic stroke. Gadolinium-enhanced T1-weighted magnetic resonance imaging (MRI) revealed ring-enhancing lesions in the left precentral gyrus and the right temporal lobe, with corresponding high signal on diffusion-weighted imaging (DWI), highly suggestive of a brain abscess. Following empirical antibiotic therapy (vancomycin and meropenem), the patient clinically deteriorated, and a repeat MRI demonstrated enlargement of the left central abscess. During the Remebot robotic navigation, the abscess was incised and drained, yielding thick, yellowish-white purulent material. Postoperative metagenomic next-generation sequencing (mNGS) of the pus identified a polymicrobial infection comprising Fusobacterium nucleatum, Streptococcus constellatus, Parvimonas micra, and Porphyromonas gingivalis.</p><p><strong>Results: </strong>Based on the microbiological findings, the antibiotic regimen was tailored to a triple combination of vancomycin, meropenem, and metronidazole for 2 weeks, followed by vancomycin plus meropenem for an additional 4 weeks, complemented by rehabilitation and hyperbaric oxygen therapy. The patient demonstrated remarkable neurological recovery. One month post-surgery, right limb muscle strength had returned to grade 5, with only mild residual impairment in fine-motor coordination of the right hand. Three-month follow-up MRI revealed complete resolution of the previously observed intracranial ring-enhancing lesions.</p><p><strong>Conclusion: </strong>For eloquent-area brain abscesses that progress despite medical management, robot-assisted incision and drainage offers a safe, precise, and efficacious minimally invasive surgical option. Integration of mNGS technology for pathogen identification enables targeted antimicrobial therapy, a pivotal step toward achieving favorable outcomes in complex infections.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815760","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
Clinical Application of Moist Wound Healing Technique in the Repair of Facial Traumatic Wounds. 湿润创面愈合技术在面部创伤修复中的临床应用。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-04 DOI: 10.1097/SCS.0000000000012860
Wei Ran, HongYu Chi, Aliya Abudoula, Xianglin Dong
{"title":"Clinical Application of Moist Wound Healing Technique in the Repair of Facial Traumatic Wounds.","authors":"Wei Ran, HongYu Chi, Aliya Abudoula, Xianglin Dong","doi":"10.1097/SCS.0000000000012860","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012860","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical efficacy of moist wound healing technique in the repair of facial traumatic wounds, and to evaluate its impact on the wound healing process, incidence of complications, as well as long-term scar formation and pigmentation, so as to provide clinical evidence for standardized wound care of facial traumatic injuries.</p><p><strong>Methods: </strong>A total of 60 patients with facial trauma admitted to our hospital from January 2024 to March 2025 were retrospectively enrolled as study subjects. They were divided into the observation group (moist wound healing group, n=30) and the control group (conventional dry wound healing group, n=30) according to the wound management protocol. The control group received conventional wound care with povidone-iodine disinfection combined with dry dressing, while the observation group was treated with a standardized wound care regimen based on the concept of moist wound healing. The wound healing time, epithelial migration rate, incidence of complications, as well as the occurrence of scar hyperplasia, pigmentation, and wound hyperemia after surgery were compared between the 2 groups.</p><p><strong>Results: </strong>The wound healing time of the observation group was significantly shorter than that of the control group, and the epithelial migration rate of the wound at 3 days after surgery was significantly faster than that of the control group, with statistically significant differences (P<0.001). The total incidence of complications, including wound infection, delayed healing, subscab pus accumulation, and wound dehiscence after suture removal, was 10.00% in the observation group, which was significantly lower than 33.33% in the control group (P<0.05). During the postoperative follow-up of 6 to 12 months (mean: 10 mo), the Vancouver Scar Scale (VSS) scores of the observation group were significantly lower than those of the control group, and the incidence rates of hyperpigmentation and wound hyperemia were lower than those of the control group.</p><p><strong>Conclusion: </strong>The application of moist wound healing technique in facial trauma repair can effectively accelerate the re-epithelialization process of wounds, reduce the risk of wound complications, significantly diminish long-term scar hyperplasia, and reduce the incidence of postoperative hyperpigmentation and wound hyperemia, thus improving the facial aesthetic prognosis of patients. It is a safe, effective, and cost-effective regimen for facial trauma repair, which is worthy of widespread clinical promotion.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838453","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
Commentary on "A Modified Le Fort I Osteotomy Designed to Minimize Nasal Changes Associated With Maxillary Advancement Performed for Maxillary Hypoplasia". “上颌发育不全患者采用改良的Le Fort I型截骨术,以减少上颌前移引起的鼻腔变化”。
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2026-05-01 DOI: 10.1097/SCS.0000000000012844
Yusuf Tamer
{"title":"Commentary on \"A Modified Le Fort I Osteotomy Designed to Minimize Nasal Changes Associated With Maxillary Advancement Performed for Maxillary Hypoplasia\".","authors":"Yusuf Tamer","doi":"10.1097/SCS.0000000000012844","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012844","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815796","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
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