Journal of Craniofacial Surgery最新文献_第6页

Robotic-Assisted Microsurgery in Lymphatic Reconstruction. 淋巴重建中的机器人辅助显微手术。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-16 DOI: 10.1097/SCS.0000000000010608

Viola A Stögner, Dean M Pucciarelli, Bohdan Pomahac, Haripriya S Ayyala

{"title":"Robotic-Assisted Microsurgery in Lymphatic Reconstruction.","authors":"Viola A Stögner, Dean M Pucciarelli, Bohdan Pomahac, Haripriya S Ayyala","doi":"10.1097/SCS.0000000000010608","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010608","url":null,"abstract":"Lymphatic reconstruction entails microsurgery of the smallest human vessels with little microsurgical error tolerance. Surgical outcomes are therefore tightly tied to microsurgical performances and can be restricted by physiologic tremor or muscle tiring throughout extensive procedures. Recently introduced highly specialized microsurgical robots are promising to help overcome these human limitations, particularly relevant for lymphatic microsurgery. Ideal indications and setups for these robotic systems, however, are not yet well established. Reviewing the first 5 years of clinical experience with these microsurgical robots revealed a total of 204 robotically performed lymphatic anastomoses. Most reported use cases (84.4%) involved microsurgical reconstructions of lymphatic flow at the upper and lower extremities, of which 42% of patients were treated for breast cancer-related lymphedema. Considering rising cancer incidences and survival rates, these numbers highlight the potential of robotic-assisted microsurgery for this patient group, whereas the concept of robotic-assisted microsurgery per se can aid surgeons to achieve a new level of microsurgical excellence.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288319","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

Challenging Dogmas in Plastic Surgery. 挑战整形外科的教条。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-13 DOI: 10.1097/SCS.0000000000010625

Kun Hwang, Chan Yong Park

{"title":"Challenging Dogmas in Plastic Surgery.","authors":"Kun Hwang, Chan Yong Park","doi":"10.1097/SCS.0000000000010625","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010625","url":null,"abstract":"In medicine, dogmas are subject to evolution and refinement as new research and technologies emerge. The aim of this study was to search for dogmas which were challenged and potentially revised in the plastic surgery field. A search on PubMed for \"dogma and plastic surgery\" yielded 80 papers. The queries \"surgical dogma and craniofacial surgery\" and \"surgical dogma and flap\" returned 9 and 21 papers, respectively. \"Surgical dogma and hand\" and \"surgical dogma and wound healing\" produced 41 and 25 papers, respectively. Removing 35 duplicate papers, 141 abstracts were reviewed. Of these, 78 were excluded, leaving 63 papers for analysis. The dogmas being challenged within the field of plastic surgery were classified into various categories. The distribution of these challenged dogmas was as follows: wound healing: 14.29%, epinephrine use: 9.52%, flap surgery: 7.94%, breast reconstruction: 6.35%, rhinoplasty: 7.94%, hand surgery: 4.76%, pressure sores: 4.76%, chemical peel: 4.76%, and hand injuries: 3.17%. The widespread focus on improving wound healing techniques indicates a need for more effective treatments and faster recovery times. Significant attention has been directed toward the use of epinephrine, particularly in fingers, which may reflect ongoing debates about its safety. Innovations and improvements in flap surgery could lead to better reconstructive outcomes. Challenging existing dogma is a vital process and a driving force in the advancement of clinical science. These challenges and potential revisions reflect the dynamic nature of plastic surgery, where ongoing research, patient outcomes, and evolving societal norms drive continuous improvement and adaptation in practices and principles.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288311","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

The Role of CT Angiography in Designing a Hair-Bearing Superficial Temporal Artery Flap for Eyebrow Reconstruction. CT 血管造影在设计用于眉毛重建的带毛颞浅动脉皮瓣中的作用。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010566

Jinwoo Chang, Shimpei Miyamoto, Saaya Ishii, Mutsumi Okazaki

引用次数: 0

The Peripheral Reduction With Keyhole Tongue Reduction Technique for Macroglossia in Beckwith-Wiedemann Syndrome. 针对贝克维特-维德曼综合症巨舌症的周边缩舌与锁孔缩舌技术。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010621

Dominic J Romeo, Benjamin B Massenburg, Alexander T Wilson, Andrew George, Patrick Akarapimand, Theodor Lenz, Meagan Wu, Jinggang J Ng, Jennifer M Kalish, Jesse A Taylor

引用次数: 0

The Use of Bone Substitute Blocks in Minimally Invasive Orthognathic Surgery: Enhancing Jaw Stability and Healing. 在微创正颌外科手术中使用骨替代块：增强下颌稳定性和愈合。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010628

Jonathas Daniel Paggi Claus, Matheus Spinella Almeida, Hugo Jose Correia Lopes

引用次数: 0

A Method of Tumescent Anesthesia Based on Facial and Cervical Nerve Block for Face and Neck Liposuction. 基于面部和颈部神经阻滞的面部和颈部吸脂术膨胀麻醉方法。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010580

Jun Zhuang, Yi Chen, Cheng Wang, Xueshang Su, Qiaoyuan Zheng, Ziming Zhang, Qingqian Wei, Tun Liu, Jintian Hu

{"title":"A Method of Tumescent Anesthesia Based on Facial and Cervical Nerve Block for Face and Neck Liposuction.","authors":"Jun Zhuang, Yi Chen, Cheng Wang, Xueshang Su, Qiaoyuan Zheng, Ziming Zhang, Qingqian Wei, Tun Liu, Jintian Hu","doi":"10.1097/SCS.0000000000010580","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010580","url":null,"abstract":"Objective: Liposuction of the face and neck is a common treatment for fat deposition. If conventional methods are used for tumescent anesthesia, patients will experience pain, affecting their surgery experience. Using general anesthesia for liposuction of the face and neck can increase the cost to the patient and cause various adverse effects.Methods: The authors selected appropriate parts of the patient's neck, angle of the mandible, and face as needle entry points, and performed nerve block in different directions. Afterward, we performed facial liposuction on these patients and evaluated their level of pain.Results: This study included a total of 20 female participants who underwent facial liposuction after a nerve block. The Visual Analog Scale score of the 20 participants was 0.55 (±0.60). There were no significant adverse reactions during the treatment process, and all patients expressed satisfaction with this treatment.Conclusions: In this article, the authors present a method of tumescent anesthesia based on facial and cervical nerve block that significantly reduces the pain associated with facial and neck liposuction, eliminating the need for general anesthesia and enhancing the patient's comfort during the procedure.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154228","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

Head and Neck Airbag Penetrating Injuries. 头颈部安全气囊穿透伤。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010563

Valentina Terenzi, Alberto Dell'Aquila, Francesca Pitino, Giulio Pagliuca, Camilla Gallipoli, Valentino Valentini

{"title":"Head and Neck Airbag Penetrating Injuries.","authors":"Valentina Terenzi, Alberto Dell'Aquila, Francesca Pitino, Giulio Pagliuca, Camilla Gallipoli, Valentino Valentini","doi":"10.1097/SCS.0000000000010563","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010563","url":null,"abstract":"Background: Airbags have significantly decreased fatalities in frontal vehicle accidents, but their deployment can lead to more severe injuries and rarely death. The authors present a case of a penetrating injury causing tissue loss in the left cheek, an \"explosion\" of the zygomatic arch, and facial nerve damage, discussing the management in the contest of literature examining similar injuries in the head and neck region.Materials and methods: Reviewing English literature from 1995 to 2023, 9 patients experienced severe airbag-related penetrating head and neck injuries, in 3 cases resulting in death. In addition, we describe the case of a young male reporting a deep cheek laceration with facial nerve damage, tissue loss, and comminuted maxilla-zygomatic fracture; 48 hours after trauma, he underwent surgical reconstruction using a bilobed flap, direct suture of the resected masseter muscle, closed reduction of the comminuted zygomatic arch fracture, and direct neurorrhaphy of the lacerated facial nerve.Results: Five months after surgery, facial nerve function recovery was observed. Mouth opening was restored, but a mixed low-medium hearing loss persisted for high frequencies. In another case marginal nerve damage was reported, but management is not described.Conclusion: The use of seat belts and airbags has led to a significant reduction in the incidence of facial fractures and fatalities after motor vehicle accidents, but at the same time, in some cases, complex facial trauma and/or penetrating injury can be observed. In case of suspected or certain facial nerve damage, it is mandatory to perform exploration and eventual reconstruction within 72 hours.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154247","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

Temporoparietal Fascia Sandwich Technique in the Immediate Reconstruction of Human Bite Ear Amputation. 颞顶叶筋膜夹层技术在咬耳截肢即刻重建中的应用

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010632

Ahmed Ibrahim, Malek Elsayed, Ahmed Aboelnaga

{"title":"Temporoparietal Fascia Sandwich Technique in the Immediate Reconstruction of Human Bite Ear Amputation.","authors":"Ahmed Ibrahim, Malek Elsayed, Ahmed Aboelnaga","doi":"10.1097/SCS.0000000000010632","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010632","url":null,"abstract":"Background: Traumatic ear amputation is a rare injury. Ear replantation is the gold standard in dealing with amputated ears. However, this is not always feasible. In this case series, the authors discuss the immediate reconstruction of traumatic ear amputation using temporoparietal fascia with the same skin from the amputated ear, which provided a high esthetic result and patient satisfaction.Patients and methods: The authors present a case series of 3 patients from July 2018 to May 2020 who suffered from traumatic ear amputation due to a human bite and were successfully reconstructed using temporoparietal fascia and the same skin from the amputated ear as FTSG.The cartilage was sutured back, the temporoparietal fascia was raised and flipped over the exposed cartilage, and the FTSG previously harvested from the same amputated ear was put on the fascia. Quilting sutures were taken to ensure proper inset of the graft on the fascia. The authors measured the patient-reported outcome using an Ear-Q validated questionnaire.Results: All patients were males, with a mean age of 30.6 years. They were all smokers, and none of them had any comorbidities. No major complications occurred. However, partial graft loss occurred in one patient and healed properly with secondary intention. All patients had high satisfaction scores of more than 70 in the EAR-Q questionnaires.Conclusion: Traumatic human bite ear amputations can be reconstructed with good esthetic outcomes by using single-stage temporoparietal fascia and the same skin of the amputated ear as a full-thickness skin graft whenever replantation is not feasible.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154250","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

Concept of Rejuvenation in Greek Mythology and Modern Plastic Surgery. 希腊神话和现代整形外科中的年轻化概念。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010611

Kun Hwang

{"title":"Concept of Rejuvenation in Greek Mythology and Modern Plastic Surgery.","authors":"Kun Hwang","doi":"10.1097/SCS.0000000000010611","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010611","url":null,"abstract":"The aim of this study is to capture the enduring fascination with youth and transformation. These themes, epitomized by the myth of Medea, resonate in the context of modern plastic surgery and cosmetic enhancements. Book 7 of Metamorphosis was read and analyzed. Medea is a sorceress and daughter of King Aeëtes. Her magical abilities are highlighted in 2 notable stories: (1) her rejuvenation of Aeson and (2) her attempt to rejuvenate herself. Aeson, the father of Jason, had grown old and frail. Medea, eager to assist Jason's father, employed her magical abilities to restore Aeson's youth. Medea concocted a powerful potion that required a variety of rare ingredients and intricate rituals. This process involved herbs, incantations, and a cauldron for boiling the mixture. To prove her magical prowess to the onlookers, Medea performed a demonstration using an old ram. She dismembered the ram, boiled the pieces in her cauldron with her magical brew, and from the pot emerged a young lamb. Encouraged by this success, she then applied the same magical process to Aeson, rejuvenating him and restoring his vigor. Medea, having endured considerable personal loss and turmoil, resolved to use her magical abilities to restore her youth. She collected the required ingredients, conducted the rituals, and either drank the potion or bathed in it, which rejuvenated her. This act demonstrates her determination to transcend the constraints of mortality. These stories speak to the timeless human quest for youth and immortality while also exploring the themes of power, knowledge, and ethical boundaries.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154229","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

Innovative Endovascular Management of Giant Superficial Temporal Artery Pseudoaneurysm Presented With Periorbital Ulcerative Mass. 对伴有眶周溃疡性肿块的巨大颞浅动脉假性动脉瘤的创新性血管内治疗。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2024-09-09 DOI: 10.1097/SCS.0000000000010594

Miriam M Shao, Shayan Huda, Vinayak Narayan, Yafell Serulle, Netanel Ben-Shalom

{"title":"Innovative Endovascular Management of Giant Superficial Temporal Artery Pseudoaneurysm Presented With Periorbital Ulcerative Mass.","authors":"Miriam M Shao, Shayan Huda, Vinayak Narayan, Yafell Serulle, Netanel Ben-Shalom","doi":"10.1097/SCS.0000000000010594","DOIUrl":"https://doi.org/10.1097/SCS.0000000000010594","url":null,"abstract":"Objective: Superficial temporal artery (STA) pseudoaneurysms, characterized by arterial wall defects leading to blood leakage into perivascular tissues, present as pulsatile edematous masses, often originating from trauma or iatrogenic causes. Although rare (<1% of vascular lesions), anticoagulation agent use may contribute to their increasing incidence.Methods: Traditional surgical ligation and resection have been standard, but the advent of endovascular techniques offers minimally invasive alternatives that mitigate surgical risks, especially in patients with multiple medical comorbidities. This case report details the successful endovascular management of an STA pseudoaneurysm using n-butyl cyanoacrylate (n-BCA) glue embolization.Results: A 93-year-old female with renal failure, cardiac history, and anticoagulant therapy presented with large periorbital ecchymosis and edema after a fall. Computed tomography revealed a periorbital mass corresponding to her symptoms, and a repeat computed tomography conducted 2 months later indicated mass growth. Doppler ultrasonography suggested a partially thrombosed pseudoaneurysm from the right STA. Considering the patient's age and medical conditions, endovascular embolization using n-BCA glue was chosen over surgical ligation. The patient was discharged uneventfully, and follow-up confirmed spontaneous resolution.Conclusion: This case demonstrates the evolving role of endovascular techniques, particularly in cases unsuitable for surgery. Liquid embolic agents like n-BCA offer precise occlusion capabilities, solidifying their potential as a standalone treatment option for STA pseudoaneurysms.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154248","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