Journal of Craniofacial Surgery最新文献

{"title":"One-Piece Narrow Implants as the Last Option in Patients With Maxillofacial Deficiency.","authors":"Kezia Rachellea Mustakim, Mi Young Eo, Buyanbileg Sodnom-Ish, Yun Ju Cho, Soung Min Kim","doi":"10.1097/SCS.0000000000011617","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011617","url":null,"abstract":"<p><p>Augmentation procedures in medically compromised patients, particularly those with a history of cancer or radiation to the head and neck region or with antiresorptive medication, pose heightened risks of complications. Narrow-diameter implants (NDI) offer a promising approach to reduce the need for augmentation during implant insertion. Previous studies have demonstrated the favorable outcomes of one-piece titanium mini-implants with a diameter of 1.8 to 2.9 mm. In this study, the authors report the preliminary results of one-piece NDI using S-Mono implants (Shinhung Co., Seoul, Korea) in patients with maxillofacial deficiency. The study was conducted at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, between March 2019 and March 2023. A total of 21 implants were installed in 5 patients. One implant failed in 1 patient due to poor bone quality; however, successful reinstallation was achieved following bone healing with the same size of S-Mono implant. Although this study does not represent a final clinical report of all patients, our preliminary findings underscore the efficacy and necessity of S-Mono implants in enhancing patient survival and improving oral health-related and general quality of life, particularly in individuals with oral cancer and jaw pathologic conditions.</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":"144584003","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 Novel Virtual Prefabrication of Commercial Reconstructive Plate for Fibular Mandible Reconstruction: A Comparative Study With 3D Printing Plate.","authors":"Fan Xu, Dongqing Miao, Jinbo Wan, Yifeng Bian, Yuli Wang, Yifei Du","doi":"10.1097/SCS.0000000000011651","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011651","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the feasibility of a novel method of virtual prefabrication of commercial reconstructive plate for fibular mandibular reconstruction and to compare its accuracy with 3D printing plate.</p><p><strong>Materials and methods: </strong>Cases of mandibular segmental defects reconstructed with free fibular flap (FFF) were selected. The commercial reconstructive plate was scanned with CBCT and adjusted on the surface of fibular mandibular reconstruction by Rhino 7 software with \"Bend Along Curve Function\". The 3D model with plate hole landmarks was then designed and printed by Materialise Magic 22.0 software for pre-bending the commercial reconstructive plate, making sure all holes of the commercial reconstructive plate fitting in the hole landmarks. The pre-bent commercial reconstructive plate was used in the real surgery setting as prefabricated plate group. The model surgery of the same case was performed with 3D printing reconstructive plate as control group. The reconstruction deviations were characterized by comparing the reconstructed mandible of 2 groups with the virtually designed mandible using E-3D software with establishing a thermal imaging view and chromatography analysis.</p><p><strong>Results: </strong>A total of 10 cases were included in this study. The thermal imaging results of E-3D analysis displayed a wonderful image conformance both in prefabricated plate and 3D printing plate groups. The reconstructive deviations of overall, fibular segments and native mandible in prefabricated plate group is 1.542±0.648, 1.528±0.522, and 1.654±0.612 mm, showing no significant difference in contrast with 1.486±0.6, 1.483±0.605, and 1.620±0.644 mm in 3D printing plate group, respectively.</p><p><strong>Conclusions: </strong>On the basis of the novel method of virtual prefabrication, the commercial reconstructive plate was precise of directly completing the hole transferring from reconstructive plate to mandibular osteotomy and FFF cutting guides, which could reduce the arbitrariness of manual pre-bending and ensure the accuracy of fibular mandibular reconstruction.</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":"144584058","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":"Using Digested and Lyophilized Bone Matrices to Enhance Retention and Sustained Release of BMP-2 for Bone Regeneration.","authors":"Austin Stellpflug, Sameer Shakir, Kaleb Keener, Christopher Nguyen, Milan Patel, Kant Lin, Bo Wang","doi":"10.1097/SCS.0000000000011595","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011595","url":null,"abstract":"<p><strong>Background: </strong>Human recombinant bone morphogenetic protein 2 (rhBMP-2) is an FDA-approved growth factor that is shown to induce new bone formation but includes safety risks like inflammation and ectopic bone formation. Research indicates that a prolonged, controlled release of rhBMP-2 enhances bone healing with fewer side effects than short-term release. Collagen sponges, commonly used for this purpose, have drawbacks including poor structural stability and inadequate release profiles. Current research is focused on improving rhBMP-2 delivery strategies, particularly for pediatric patients where its use is considered off-label.</p><p><strong>Methods: </strong>The authors' previous study developed a sponge-like gellable bone matrix from decellularized, demineralized, and enzymatically digested porcine bone that demonstrated both biocompatibility and bone regenerative capabilities. This study expands our previous work by infusing synthetic BMP2 (sBMP2) into digested and lyophilized bone matrix (DLBM) and stabilizing it with glutaraldehyde (GL) crosslinking, referred to as DLBM/sBMP2/GL scaffold. The authors evaluate the release of sBMP2 in vitro from within the DLBM post stabilization, and the overall effectiveness of the DLBM/sBMP2/GL scaffold at stimulating bone growth in vivo using a nonhealing, surgically created tibial defect in a small animal model.</p><p><strong>Results: </strong>The DLBM/sBMP2/GL scaffold offers a prolonged and sustained release of sBMP2 in vitro and demonstrates biocompatibility and osteogenicity in vivo, resulting in substantial bone regeneration based on the gradual scaffold degradation with the sustained release of sBMP2.</p><p><strong>Conclusions: </strong>The resulting DLBM/sBMP2/GL scaffold provides a promising alternative grafting option for pediatric patients, offering improved safety and efficacy over existing methods. This innovative approach addresses the need for better rhBMP-2 delivery systems, potentially expanding its use in pediatric bone healing applications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560204","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":"Rhinoplasty and Neck Pain: Prevalence and Contributing Factors Among Otorhinolaryngologists.","authors":"Yavuz Sultan Selim Yildirim, Harun Yalçin, Nihat Susaman","doi":"10.1097/SCS.0000000000011649","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011649","url":null,"abstract":"<p><strong>Objectives: </strong>Neck pain is a prevalent occupational health issue among surgeons, particularly those performing long-duration or posture-intensive procedures. This study investigates the potential association between the practice of rhinoplasty and the prevalence of neck pain among otorhinolaryngologists.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 241 otorhinolaryngologists who attended the 9th ENT Meeting and 28th International Rhinocamp Congress. The questionnaire, designed by the researchers, included questions on demographics, engagement in rhinoplasty procedures, years of surgical experience, presence and severity of cervical region discomfort, related hospitalizations or surgeries, and MRI-confirmed neck pathologies (eg, disc bulging, protrusion). Responses were analyzed to determine associations between rhinoplasty practice and neck pain.</p><p><strong>Results: </strong>Of the participants, 40.6% (n=98) were female and 59.4% (n=143) were male. Overall, 62.6% (n=151) reported experiencing neck pain. The prevalence of neck pain was higher among surgeons performing rhinoplasty (71.0%, n=86) compared with those who did not (54.1%, n=65), with a statistically significant association (χ²=4.215; P=0.037). Moreover, a significant correlation was found between years of performing rhinoplasty and the frequency of neck pain (P=0.001).</p><p><strong>Conclusions: </strong>Neck pain is common among otorhinolaryngologists, especially those regularly performing rhinoplasty. Interventions such as ergonomic training, physical exercise, and proper surgical posture may reduce the risk of cervical musculoskeletal disorders and improve occupational well-being.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560191","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":"Artificial Intelligence in Rhinology.","authors":"Nuray Bayar Muluk, Erdi Özdemir, Ahmet Arslanoğlu, Gürcan Sünnetci, Mustafa Yazir, Cemal Cingi","doi":"10.1097/SCS.0000000000011654","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011654","url":null,"abstract":"<p><strong>Objectives: </strong>This paper aims to review the application of artificial intelligence (AI) in rhinology.</p><p><strong>Methods: </strong>A literature search was conducted using the PubMed and Medline databases from 2000 to 2025.</p><p><strong>Results: </strong>Within AI, machine learning (ML) represents a distinct subset that utilizes historical data to improve decision-making regarding future data. Rhinology uses various machine learning algorithms, with \"classification\" serving as a representative example of a supervised system where the algorithm predicts the category or class of an item. Deep learning (DL) algorithms assist in diagnosing sinusitis and quantifying sinus volumes from radiographic imaging. Recent research in surgical phase assessment aims to anticipate steps, prevent complications, and provide surgeons with feedback. The evolution in rhinology may involve the use of flexible, miniature instruments, advanced machine learning (ML) algorithms, and image-guidance systems, potentially paving the way for the introduction of robotic sinonasal surgery featuring multiple automation capabilities.</p><p><strong>Conclusions: </strong>AI is shaping the future of health care by enhancing its quality, reducing costs, and improving accessibility. Although many applications of AI necessitate well-equipped centers and environments, its unique capabilities extend even to the most underserved areas, where it can assume the diagnostic roles typically performed by health care professionals.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560188","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":"Endoscopic Vacuum-Assisted Closure for Radiation-Induced Laryngotracheoesophageal Fistula.","authors":"Mohammed F Alateeq, Sang-Wook Park, Ji Yong Ahn, Yoon Se Lee","doi":"10.1097/SCS.0000000000011653","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011653","url":null,"abstract":"<p><p>Radionecrosis can occur in any irradiated area of the head and neck, and when it involves the laryngotracheal region, it may lead to a laryngoesophageal fistula, causing dysphagia, aspiration, and life-threatening bleeding. A 45-year-old male with renal cell carcinoma (RCC) was referred due to prolonged dysphagia, recurrent aspiration, and hemoptysis after radiation therapy for a metastatic cervical spine lesion. Laryngoscopy and CT scan revealed destruction of the posterior cricoid cartilage and the membranous trachea, with a fistula formed between the laryngotrachea and pharynx. Due to extensive necrosis, wide debridement with reconstruction was initially considered. However, as the patient was receiving palliative treatment for multiple metastatic diseases, endoluminal vacuum-assisted closure (EVAC) was applied instead. EVAC, combined with antibiotics and nutritional support, successfully closed the fistula, allowing the patient to resume a normal diet. This case demonstrates that EVAC is a feasible method for treating laryngotracheal fistula while preserving laryngeal function with minimal complications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560190","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 Ethical Challenges of Laryngeal Transplantation: Present and Future Perspectives.","authors":"Douglas Henderson, Leonard Knoedler, Jakob Fenske, Curtis L Cetrulo, Alexandre G Lellouch","doi":"10.1097/SCS.0000000000011633","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011633","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560193","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 Accuracy of Maxillomandibular Clockwise Rotation Using Computer-Aided Surgical Planning in Skeletal Class III Patients.","authors":"Nam-Ki Lee, Bingshuang Zou, Pil-Young Yun, Ju-Heon Lee, Tae-Hyun Choi","doi":"10.1097/SCS.0000000000011568","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011568","url":null,"abstract":"<p><p>This retrospective study aimed to evaluate the 3-dimensional (3D) surgical accuracy by comparing the virtual movements of computer-aided surgical planning (CASP) with the outcomes of actual surgery (AS) in class III patients treated with clockwise rotation of the maxillomandibular complex. Twenty adult patients with skeletal class III malocclusion were included, all of whom received bimaxillary surgery using CASP, including LeFort I and bilateral sagittal split ramus osteotomies. The AS was performed using 3D surgical splints printed based on the CASP. Cone-beam computed tomography (CBCT) scans were taken before surgery (T0) and 1 month after surgery (T1). The virtual movements predicted by the CASP (CASP-T0) and the outcomes of AS (T1-T0) on 3D landmark coordinates were compared using paired t test or Wilcoxon signed-rank test. The maxillary landmarks at AS showed errors ranging from 0.02 to 0.68 mm compared with CASP in terms of advancement, impaction, and transverse movements. The impaction of posterior nasal spine at AS was significantly smaller than predicted by CASP (3.47 versus 4.15 mm; P<0.05). The mandibular landmarks at AS showed errors ranging from 0.06 to 1.16 mm compared with CASP in posterior, superior, and lateral movements. There was significantly less superior movement of the distal segment in AS. However, there were no changes in the condylar position and lateral ramal inclinations in AS. Application of CASP can help clinicians achieve predictable and accurate surgical outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560192","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 Impact of Different Factors on Postoperative Appearance and Quality of Life in Patients With Ear Injury: A Retrospective Study.","authors":"Chao Nian, Jun Zhuang, Zhiyao Lin, Huaizheng Wu, Danxia Jiang, Jiayi Wu, Jintian Hu","doi":"10.1097/SCS.0000000000011479","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011479","url":null,"abstract":"<p><strong>Background: </strong>The ear is a common site of facial injury, affecting facial aesthetics and patients' psychological well-being. Postoperative outcomes vary significantly, and this study aims to explore the influencing factors through retrospective analysis, providing references for clinical treatment.</p><p><strong>Methods: </strong>A total of 103 patients were included in this study. The severity of ear tissue damage was graded, and factors such as different degrees of injury, defects in auricular soft tissue, the degree of auricular laceration, and ear cartilage damage were analyzed to determine their impact on wound infection, healing of ear tissue, and patients' psychological health after surgical treatment.</p><p><strong>Results: </strong>The cause of ear injury, the extent of damage, and ear cartilage defects increase the likelihood of ear tissue infection after treatment. The depth of auricular injury, the loss of auricular soft tissue, and ear cartilage damage affect postoperative recovery outcomes. Only the degree of auricular laceration impacts patients' psychological health after surgery.</p><p><strong>Conclusion: </strong>Various factors influence the treatment outcomes of ear injuries. Understanding the risk factors for poor prognosis in ear injuries in advance can help clinicians improve treatment processes, thereby enhancing patient outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560194","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":"Comorbidity and Mortality Associated With Rhinomaxillary Fungal Osteomyelitis: A Retrospective Study.","authors":"Lt Gen Dr Nk Sahoo, Apoorva Mowar, Snigdha Singh, Himani Vaswani","doi":"10.1097/SCS.0000000000011640","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011640","url":null,"abstract":"<p><strong>Introduction: </strong>Fungal infections mostly affect immunocompromised individuals whose immune system lacks the ability to mitigate the fungi. In most cases, unless surgery and antifungal therapy are administered promptly, the condition deteriorates rapidly leading to death. The present retrospective study aims to find out the incidence and type of fungal moulds in the infection affecting the nasomaxillary complex and correlate its comorbidity and mortality associated with it.</p><p><strong>Methods: </strong>This retrospective study was conducted in a tertiary care referral center from January 2022 to December 2023 after obtaining necessary approval from the institutional ethical committee. Patients from both the sex in all age group with histopathologically proven fungal infection of nasomaxillary complex were included in the study.</p><p><strong>Results: </strong>Total there were 23 cases of which 16 were males and 7 were females. There were 4 deaths and 19 patients recovered from the disease. Of the 4 deaths, 2 patients were treated with total maxillectomy with orbital exenteration, 1 patient treated with hemimaxillectomy with debridement of sinuses and 1 with total maxillectomy. The associated comorbidities were diabetes mellitus (DM) in 14 cases, DM with hypertension (HTN) in 3 cases and chronic kidney disease (CKD) with DM and HTN in 6 cases.</p><p><strong>Discussion: </strong>In our study it was observed that all the 23 patients with fungal infections had associated comorbidities. Multiple comorbidities were observed in 4 cases of death. So, an inference can be made that the patients with rhinomaxillary fungal infections are mostly associated with comorbidities.</p><p><strong>Conclusion: </strong>In all the cases, fungal infection was associated with comorbidities namely DM, HTN, and CKD. This strengthens the fact that in medically compromised patients, mucormycosis spreads faster, causes extensive tissue involvement, and higher fatality as compared with other fungal elements like Aspergillus or Candidal species.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560189","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}