Journal of Craniofacial Surgery最新文献

{"title":"Intracranial Collision Tumor: Coexistence of Pituitary Adenoma and Craniopharyngioma.","authors":"Yuyang Zhao, Shuyue Song, Chong Zhang, Yongqian Ma, Guangxin Wei, Zhe Wang","doi":"10.1097/SCS.0000000000011190","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011190","url":null,"abstract":"<p><strong>Rationale: </strong>A collision tumor refers to the occurrence of 2 or more distinct types of tumors developing in the same anatomic location. Collision tumors are relatively rare, and intracranial collision tumors are even more uncommon. Reports of pituitary adenoma combined with craniopharyngioma are exceedingly scarce.</p><p><strong>Patient concerns: </strong>This article presents a case of a 75-year-old male patient diagnosed with a collision tumor consisting of a pituitary adenoma and craniopharyngioma in the sellar region.</p><p><strong>Diagnosis: </strong>After hospital admission, MRI examination revealed a mass in the sellar and suprasellar region, suggestive of a pituitary adenoma combined with a craniopharyngioma. The patient underwent trans-sphenoidal endoscopic tumor resection. Intraoperatively, a mass was observed in the sellar and suprasellar regions. Postoperative pathology confirmed a diagnosis of pituitary adenoma combined with craniopharyngioma.</p><p><strong>Interventions: </strong>The patient underwent endoscopic transnasal surgery, successfully resecting the tumor. Postoperatively, the patient received hormone replacement therapy and was regularly monitored.</p><p><strong>Outcomes: </strong>Postoperative MRI indicated that the majority of the tumor had been resected. The patient developed hormonal imbalances post-surgery, which improved after hormone replacement therapy. The patient's condition stabilized, was cured, and was dismissed from the hospital..</p><p><strong>Lessons: </strong>Early detection and timely surgical intervention remain the optimal management strategies. The principle of treatment is to maximize tumor resection while preserving critical anatomic structures, aiming to reduce the risk of recurrence.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608533","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":"Anatomical Study and Clinical Application of Cross-transferring the Contralateral Cervical 7 Nerve Through the Posterior Cervical Pathway for the Treatment of Spastic Paralysis of the Upper Limbs.","authors":"Zhengcun Yan, Wenmiao Luo, Jingyu Guan, Jiaxiang Gu, Hongjun Liu, Zhaoxiang Meng, Xiaodong Wang, Min Wei, Xingdong Wang, Yongxiang Wang, Hengzhu Zhang","doi":"10.1097/SCS.0000000000011616","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011616","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To investigate the anatomical basis and clinical effect of contralateral cervical 7 nerve transfer via the posterior cervical approach in the treatment of central upper limb spastic paralysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Five fresh head and neck anatomical specimens, including 3 males and 2 females, were selected to simulate cervical 7 nerve transfers through the posterior cervical approach. The cervical 7 nerve was separated and exposed under a microscope, the vertical distance between the cervical 7 nerve and the inner edge of the clavicle was measured, and the cervical 7 nerve root was incised. The lamina and cervical 7 nerve were exposed through the posterior cervical approach, a small hole was made in both inner rear walls of the bilateral intervertebral foramen, the cervical 7 nerve on the left side was extracted, and the cervical 7 nerve on the right was incised. The left extracted C7 nerve was transferred and sutured to the distal end of the C7 nerve at the right posterior wall hole of the intervertebral foramen through the spinous process gap. The length of the left cervical 7 nerve leading out through the posterior cervical approach and the shortest distance of the cervical 7 nerve transferring were measured, and the minimum width of the hole in the posterior wall of the intervertebral foramen was also measured. The clinical data of a patient who underwent cervical 7 nerve transfer surgery via a posterior cervical approach at Northern Jiangsu People's Hospital affiliated with Yangzhou University were analyzed. The patient was a 45-year-old male who was clinically diagnosed with spastic paralysis of the central upper limb after parietal hemorrhage. Cervical 7 nerve transfer surgery was performed through the posterior pathway. Changes in muscle tension and muscle strength on the healthy side and the affected side were observed after the operation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The cervical 7 nerve was located deep in the middle point of the clavicle. The vertical distance between the C7 nerve root and the medial edge of the clavicle was measured to be 1.8 to 2.5 (2.1±0.4) cm. The length of the cervical 7 nerve from the posterior cervical approach was 6.6 to 7.4 (7.1±0.4) cm. The shortest distance of cervical 7 nerve transfer was 3.9 to 4.3 (4.0±0.2) cm. The minimum width of the hole in the posterior wall of the intervertebral foramen was 4.6 to 5.3 (4.8±0.3) mm, and the ratio of the minimum hole width of the posterior wall of the intervertebral foramen to the facet joint distance was 33.6 to 38.2 (35.8±0.4)%. Anatomical studies have shown that the cervical 7 nerve transfer surgery can be performed through the posterior cervical approach without the need for bridging nerves. One patient with central upper limb paralysis underwent cervical 7 nerve transfer surgery via a posterior cervical approach. After the operation, the muscle strength of the healthy side of the upper limb was normal, accompanied by s","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591307","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":"A Meta-Analysis of the Diagnosis of Condylar and Mandibular Fractures Based on 3-dimensional Imaging and Artificial Intelligence.","authors":"Fan Wang, Xuejiao Jia, Zhao Meiling, Fahmi Oscandar, Hadhrami Ab Ghani, Marzuki Omar, Su Li, Li Sha, Junping Zhen, Yuan Yuan, Bin Zhao, Johari Yap Abdullah","doi":"10.1097/SCS.0000000000011622","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011622","url":null,"abstract":"<p><p>This article aims to review the literature, study the current situation of using 3D images and artificial intelligence-assisted methods to improve the rapid and accurate classification and diagnosis of condylar fractures and conduct a meta-analysis of mandibular fractures. Mandibular condyle fracture is a common fracture type in maxillofacial surgery. Accurate classification and diagnosis of condylar fractures are critical to developing an effective treatment plan. With the rapid development of 3-dimensional imaging technology and artificial intelligence (AI), traditional x-ray diagnosis is gradually replaced by more accurate technologies such as 3-dimensional computed tomography (CT). These emerging technologies provide more detailed anatomic information and significantly improve the accuracy and efficiency of condylar fracture diagnosis, especially in the evaluation and surgical planning of complex fractures. The application of artificial intelligence in medical imaging is further analyzed, especially the successful cases of fracture detection and classification through deep learning models. Although AI technology has demonstrated great potential in condylar fracture diagnosis, it still faces challenges such as data quality, model interpretability, and clinical validation. This article evaluates the accuracy and practicality of AI in diagnosing mandibular fractures through a systematic review and meta-analysis of the existing literature. The results show that AI-assisted diagnosis has high prediction accuracy in detecting condylar fractures and significantly improves diagnostic efficiency. However, more multicenter studies are still needed to verify the application of AI in different clinical settings to promote its widespread application in maxillofacial surgery.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583989","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":"Volumizing Thread (Sihler Volume Thread) Technique for Infraorbital Hollowness and Midcheek Groove.","authors":"Kyu-Ho Yi","doi":"10.1097/SCS.0000000000011571","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011571","url":null,"abstract":"<p><strong>Background: </strong>Infraorbital hollowness significantly impacts facial aesthetics, contributing to a tired and aged appearance. Traditional treatments, such as fillers and botulinum toxin, can lead to unnatural results. Volumizing threads offer a minimally invasive alternative for enhancing infraorbital and midcheek areas.</p><p><strong>Objective: </strong>This study aims to evaluate the efficacy and safety of using absorbable polydioxanone (PDO) volumizing threads in treating infraorbital hollowness and midcheek grooves.</p><p><strong>Methods: </strong>Three patients with infraorbital hollowness underwent treatment with PDO threads (Volume Thread, Sihler Inc., Seoul, Korea). Threads were inserted using a cross-technique under the orbicularis oculi muscle to enhance volume and firmness. Outcomes were assessed based on patient satisfaction, clinical improvement, and adverse effects over a 6-month follow-up period.</p><p><strong>Results: </strong>All patients showed significant improvement in infraorbital volume and skin firmness, with a natural appearance maintained. Minor adverse effects, such as bruising, resolved within a week. No major complications were reported.</p><p><strong>Conclusion: </strong>PDO volumizing threads are a safe and effective option for infraorbital hollowness and midcheek groove correction, providing natural results with minimal complications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584010","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":"Clinical Variables Affecting Successful Outcomes in OSAS Palatal Surgery.","authors":"Ebru Aydin, Zerrin Özergin Coşkun, Ünal Şahin, Özlem Çelebi Erdivanli, Metin Çeliker, Mehmet Birinci, Tuğba Yemiş, Oğuz Gül, Engin Dursun","doi":"10.1097/SCS.0000000000011625","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011625","url":null,"abstract":"<p><strong>Objectives: </strong>Obstructive sleep apnea impacts the entire body, leading to additional comorbidities that restrict life. In this study, the authors aimed to investigate the effectiveness of surgeries in patients who underwent palatal surgery for obstructive sleep apnea and examine the factors influencing surgical success by evaluating the clinical and polysomnography results of the patients.</p><p><strong>Methods: </strong>The data of patients who underwent palatal surgery for obstructive sleep apnea were analyzed retrospectively. Demographic data, physical examination findings, type of operation, postoperative follow-up periods, preoperative and postoperative polysomnography results, and sleep quality scale scores were evaluated. Patients were evaluated and compared in 2 groups as patients who had successful and unsuccessful surgery based on their surgical results. Surgical success criteria considered postoperative apnea as a decrease in the apnea-hypopnea index (AHI) by 50% or more compared with the preoperative value, along with a decrease in AHI below 15.</p><p><strong>Results: </strong>Of the 58 patients included in the study and evaluated according to the success criteria, 81% (n=47) were successful, and 19% (n=11) were unsuccessful. In the unsuccessful group, the sleep duration values of oxygen saturation below 90%, within the range of 80% to 90%, and within the range of 70% to 80% in preoperative PSG were significantly higher than those in the successful group. In addition, there was no significant difference in preoperative PSG data and clinical scores between the successful and unsuccessful groups. A significant positive correlation was identified between preoperative BMI and oxygen desaturation (sleep time below 90%) in preoperative PSG. A significant improvement was noted in all values of the successful group, except for sleep latency, during the postoperative period compared with the preoperative period.</p><p><strong>Conclusion: </strong>Although palatal surgeries appear to be an effective treatment for obstructive sleep apnea when performed with the appropriate indication and technique, the success of these surgeries is more significantly influenced by preoperative oxygen desaturation values than by preoperative AHI in PSG. If a possible new severity classification is developed for OSA in the future, our study supports including oxygen desaturation values in this classification alongside apnea and hypopnea numbers.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584061","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":"Understanding Craniofacial Injury Patterns in the Growing Sport of Pickleball: A 10-year Analysis of Emergency Department Visits.","authors":"Supriya Dadi, Rohan Mangal, Nicholas Mirsky, Seth Thaller","doi":"10.1097/SCS.0000000000011599","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011599","url":null,"abstract":"<p><strong>Introduction: </strong>Pickleball is one of the fastest-growing sports worldwide. As a result, there has been an accompanying rise in pickleball-related injuries. Despite craniofacial injuries accounting for 12% of all pickleball-related injuries, there is limited research analyzing how these injuries present in this region. This study analyzes the incidence, distribution, and characteristics of pickleball-related craniofacial injuries over the past decade.</p><p><strong>Methods: </strong>The US Consumer Product Safety Commission's National Electronic Injury Surveillance System Database (NEISS) was queried to perform a retrospective study of craniofacial injuries resulting from pickleball activities. Demographics, product codes, injury anatomic locations, and diagnoses related to craniofacial injuries associated with pickleball-related activity from 2014 to 2023 were assessed. All descriptive statistics were based on raw data from actual cases involving those treated in NEISS emergency departments.</p><p><strong>Results: </strong>In total, 80,597 craniofacial injuries were reported from 2014 to 2023, with a 54% increase reported over the decade. Most injuries occurred in males (59.2%), with the injury rate rising by 26.5% for males and 107% for females. Head injuries were most common (55.6%, n=47,255), followed by facial (27.47%, n=23,333), eyes (5.97%, n=5,070), mouth (4.87%, n=4,137), and neck (6.04%, n=5,133). Injury rates by location were similar across genders. Internal injuries made up the majority of head injuries (63.2%, n= 30,333) and experienced the largest increase (103%) over the past decade. Lacerations made up the majority of facial injuries, rising 52% over the past year, and were 2.04 times more common in males than in females. The highest injury prevalence was among individuals aged 10 to 14, followed by the 5 to 9 and 15 to 19 age groups, with a sharp decline in those aged 20 to 24. Injury data for all other ages were unavailable as they were likely lower than 1200.</p><p><strong>Conclusions: </strong>While pickleball injuries are most prevalent among older adults, studies show that craniofacial injuries are much more prevalent in younger individuals. Understanding trends in injury distribution by age, gender, and location can help inform targeted prevention strategies. These findings emphasize the need for optimized emergency department preparedness, increased access to craniofacial trauma specialists, and enhanced safety measures to mitigate injury risk as the sport expands.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584009","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":"Does Weight Loss Impact Voice Quality in Obese Individuals?","authors":"Erdi Özdemir, Ahmet Arslanoğlu, Kayra Göktaş, Derya Dalga Eren, Ahmet Adnan Cirik, Gürcan Sünnetçi, Berk Gürpinar, Yavuz Atar, Ziya Saltürk","doi":"10.1097/SCS.0000000000011605","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011605","url":null,"abstract":"<p><strong>Background: </strong>Obesity causes changes in the vocal tract.</p><p><strong>Aims and objectives: </strong>To investigate the impact of obesity and weight loss on voice.</p><p><strong>Methods: </strong>The study involved 12 obese and 8 nonobese participants. Weight, body mass index, and body fat percentage were assessed. Voice parameters were measured, including maximum phonation time, fundamental frequency (F0), jitter, shimmer, and the noise-to-harmonics ratio. The Voice Handicap Index-10 was utilized for self-assessment. After 3 months, voice parameters were reassessed, and the changes were correlated with body mass index.</p><p><strong>Results: </strong>The obese group demonstrated significant weight loss and decreased body fat percentage. Maximum phonation time was lower in the obese group but increased after weight loss. F0 did not differ between groups at baseline but increased in the obese group following weight loss. Jitter values were similar between groups but decreased in the obese group. Shimmer was higher in the obese group at both baseline and follow-up, but it showed a significant decrease. Voice handicap index-10 scores were significantly higher in the obese group and decreased markedly.</p><p><strong>Conclusions: </strong>Obesity is linked to changes in MPT and disturbance. Dietary intervention leads to enhancements.</p><p><strong>Significance: </strong>This is the first study evaluating the effect of losing weight with diet on voice.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584063","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":"Embarking on a Treatment Journey: Experiences of Caregivers of Young Children With Craniofacial Microsomia.","authors":"Alexis L Johns, Nicola M Stock, Danielle McWilliams, Muhammad Rahman, Bruna Costa, Canice E Crerand, Leanne Magee, Matthew Hotton, Kristin B Feragen, Melissa Tumblin, Amy Schefer, Amelia F Drake, Carrie L Heike","doi":"10.1097/SCS.0000000000011643","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011643","url":null,"abstract":"<p><p>Caregiver psychosocial adjustment can be impacted by their children's early treatment for craniofacial microsomia (CFM). A deeper understanding of caregiver early experiences is needed to advance family-centered clinical care. This study aimed to describe the range of caregiver experiences of CFM care for their young children to inform recommendations for providers. As part of the \"Craniofacial Microsomia: Accelerating Research and Education\" (CARE) program, health histories and narrative interviews were completed with a national sample of US caregivers (N=42) of children with CFM aged 3 to 17 years (mean=10.1, SD=4.5). Interviews (average 71 min) were in English (n=30) or Spanish (n=12) and primarily with mothers (93%). Thematic analysis was used to describe early care experiences. By age 3, 91% of children were diagnosed with hearing loss, 64% had participated in early developmental services, 38% had undergone at least one surgery, and 24% used hearing aids. Caregivers' experiences fit within themes of: (1) Burden of Care; (2) Adaptation; (3) Perceived Quality of Care; (4) Child's Physical Health; and (5) Early Surgical Interventions. CFM care in early childhood presented challenges for caregivers, which may be mitigated by health care providers reducing burdens of care, coordinating care, building trust, increasing CFM and hearing education, instilling hope, assisting with hearing aid access, referring to early interventions, screening for caregiver distress, linking caregivers to support services, promoting coping and social support, and preparing families thoroughly for surgeries.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584064","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":"Long-Term Outcomes of Percutaneous Balloon Compression for Trigeminal Neuralgia: A Retrospective Single-Center Study.","authors":"Bo Zhao, Dong-Mei Xu, Hao-Yu Dong, Bin Zhu, Xian-Bin Ning","doi":"10.1097/SCS.0000000000011629","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011629","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the long-term outcomes of percutaneous balloon compression (PBC) in individuals diagnosed with trigeminal neuralgia (TN) and to assess whether procedural modifications influence the durability of pain relief.</p><p><strong>Methods: </strong>This retrospective study included patients diagnosed with TN who underwent PBC at the Department of Neurosurgery, Affiliated Hospital of Beihua University, between January 2017 and December 2025. Two procedural protocols were compared. In group A (treated from January 2017 to December 2020), balloon compression was maintained at baseline pressure for 180 seconds after achieving the optimal \"pear shape.\" In group B (treated from January 2021 to December 2025), compression was maintained for 120 seconds at a pressure increased by 10% above baseline after pear shape formation. Postoperative pain relief, recurrence rates, and complication rates were compared between the 2 groups.</p><p><strong>Results: </strong>Immediate postoperative pain relief rates within 24 hours did not differ significantly between the 2 groups (90.7% versus 97.6%; P=0.109). However, the 5-year recurrence rate was significantly lower in group B (9.6%) compared with group A (22.4%; P=0.043). The incidence of complications, excluding numbness, showed no significant difference between the groups (22.2% versus 27.1%; P=0.522).</p><p><strong>Conclusions: </strong>A modified PBC technique involving an additional 10% increase in pressure for 120 seconds after optimal balloon positioning was associated with improved long-term pain control in patients with TN, without a corresponding increase in procedural complications. These findings suggest that procedural optimization may enhance the durability of therapeutic outcomes in PBC for this patient population.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584002","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 Treatment of Intracranial Rosai-Dorfman Disease.","authors":"Xinjun Yu, Jianzhi Chen, Baisheng Li, Haijing Hu, Jianqiu Chen","doi":"10.1097/SCS.0000000000011630","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011630","url":null,"abstract":"<p><p>Rosai-Dorfman disease (RDD) is a rare non-Langerhans histiocytosis characterized by systemic lymphadenopathy and extranodal involvement. Isolated central nervous system (CNS) involvement accounts for <5% of cases. Its clinical and radiological features often mimic meningioma, lymphoma, or metastatic disease, leading to frequent misdiagnosis. Treatment outcomes remain unpredictable. Here, we report a case of extensive intracranial RDD managed with surgical resection and corticosteroid therapy. Combined with a literature review, we summarize the radiological-pathological characteristics of CNS-RDD and propose that gross total resection (GTR) combined with steroid therapy is effective in reducing perilesional edema and improving clinical outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584008","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}