Journal of Craniofacial Surgery最新文献

{"title":"From Fusion to Function: Clinical Insights and Therapeutic Strategies in Syngnathia.","authors":"Saranda Ombashi, Jop C G Wagemans, Victor R van Roey, Jeanne Amiel, Eva Galliani, Roman H Khonsari, Víctor Zafra Vallejo, Michael Krimmel, Krzysztof Dowgierd, Eppo B Wolvius","doi":"10.1097/SCS.0000000000011451","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011451","url":null,"abstract":"<p><strong>Background: </strong>Syngnathia is a very rare craniofacial anomaly, referring to different forms of fusion of the upper and lower jaw, with or without involvement of the temporomandibular joint (TMJ). Due to its rarity, limited knowledge is available about the clinical manifestation and, in specific, about treatment strategies. The aim of the study is to map out the clinical manifestation and the currently used treatment options by collecting information systematically in a case series.</p><p><strong>Methods: </strong>Within the European Reference Network of Craniofacial Anomalies and ENT disorders, a call was sent out to identify cases of syngnathia. In several meetings, a clinical checklist was developed and approved by all involved centers. Data was collected through the checklist, and a comparison with previous literature was made.</p><p><strong>Results: </strong>A total of 12 cases of syngnathia were identified. Cases included bony and fibrous syngnathia, as well as a combination. The majority of the cases were diagnosed directly after birth. Most cases were associated with additional (craniofacial) anomalies and syndromes occurred in 4 of the cases. In 6 cases, the TMJ was involved. Treatment strategies varied and timing of the first surgery differed between 4 days and 9 years. In all cases, feeding problems occurred. The need for a tracheal stoma was reported in 8 cases.</p><p><strong>Conclusion: </strong>This study presents the largest case series of syngnathia so far, emphasizing the high occurrence of oral health problems in the population. Suggestions for adjustment of a clinical classification system are made. Concerning treatment decisions, caution should be taken with early release operations.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020226","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":"Analysis and Evolution of Disney Princess Facial Features.","authors":"Rahul Varman, Hannah Daniel, Kevin Choi, Christina Zhu, Joshua Demke","doi":"10.1097/SCS.0000000000011471","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011471","url":null,"abstract":"<p><strong>Background: </strong>Animated Disney princesses are desirable cultural icons that influence our standard of beauty. Trends in aesthetic surgery can mirror trends in societal preferences or ideals.</p><p><strong>Objective: </strong>To evaluate features and evolution of Disney princess faces across the recent decades and to compare pre and post-2000 trends in facial depiction.</p><p><strong>Methods: </strong>In this cross-sectional study, facial analysis was performed on Disney princesses. Analysis included measures of Fitzpatrick skin tone, quantitative measures of eye, nose, lip size, and characterization of eye, nose, lip shape.</p><p><strong>Results: </strong>A total of 15 Disney princesses were identified between the years 1937 and 2021. The most common Fitzpatrick score of pre-2000 princesses was 2 (n=4), compared with post-2000 being more evenly distributed. Eye enlargement of Caucasian princesses is noted from the pre-2000 to post-2000 era, with the round shape more common than the almond shape. The nose is most commonly a celestial shape and pointy, with ethnic princesses having more acute nasolabial angles. Lips were commonly heart-shaped in the pre-2000 era, and now more princesses have fuller and wider lips.</p><p><strong>Conclusion: </strong>Disney princesses show evolving trends of facial features across the decades, both quantitatively and qualitatively. Continued studies of mass media changes and influence on the idea of facial beauty can help us understand influences on society and on the medical field.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968089","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":"Office-based Surgically Assisted Rapid Maxillary Expansion Under Simple Local Anesthesia (LIGHT SARPE).","authors":"Mirco Raffaini, Francesco Arcuri","doi":"10.1097/SCS.0000000000011487","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011487","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluates a novel technique for surgically assisted rapid maxillary expansion (SARPE) performed under local anesthesia, termed LIGHT SARPE, with the aim of minimizing morbidity and improving patient comfort. Traditional SARPE methods, involving chisels and general anesthesia, can cause significant postoperative discomfort and complications. The LIGHT SARPE technique, performed in an office setting, uses a minimally invasive approach involving piezoelectric surgery for osteotomies and a temporary anchorage device for maxillary expansion.</p><p><strong>Materials and methods: </strong>A retrospective analysis of 30 patients who underwent this procedure at the Face Surgery Center in Parma, Italy, between 2020 and 2023 was conducted.</p><p><strong>Results: </strong>The average surgery time was 21 minutes, and postoperative complications were minimal. Key outcomes showed a mean maxillary expansion of 7.2 mm in the anterior maxillary distance, with no significant correlation between expansion degree and complications. The procedure was well tolerated, with most complications, such as palatal mucosa dehiscence and temporary sensory impairment, resolving without further intervention. LIGHT SARPE demonstrated advantages over conventional SARPE, including reduced discomfort, shorter operative times, and fewer complications, while preserving periodontal integrity. The technique's effectiveness, minimal invasiveness, and adaptability for diverse clinical cases suggest its potential as a preferred treatment option for maxillary transverse deficiency in skeletally mature patients.</p><p><strong>Conclusion: </strong>The study concludes that LIGHT SARPE is a promising evolution of SARPE, offering significant improvements in predictability, efficacy, and patient outcomes with lower morbidity and costs.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003918","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":"Behavior and Endoscopic Dacryocystorhinostomy Outcomes in Acute Dacryocystitis Caused by Prolonged Nasolacrimal Duct Stent.","authors":"Mingling Wang, Shengjian Lu, Linjuan Wu, Zhixing Li, Xinyu Li, Guangming Zhou, Wencan Wu, Bo Yu","doi":"10.1097/SCS.0000000000011361","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011361","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the clinical profile and endoscopic dacryocystorhinostomy (En-DCR) outcomes in patients with acute dacryocystitis (AD) caused by prolonged placement of nasolacrimal duct stent (NDS).</p><p><strong>Methods: </strong>This investigation retrospectively reviewed the medical eye records of 15 patients with AD caused by the infection due to long-term NDS use in the lacrimal drainage system. The patient cohort was selected from June 2019 to February 2023. All the cases were treated with En-DCR with bi-canalicular silicone tube intubation, and the incarcerated stents were removed during the surgeries. Furthermore, patient's demographic data, clinical profiles, and treatment outcomes were recorded.</p><p><strong>Results: </strong>This research included 4 males and 11 females with an average age of 62.87 ± 7.58 years (48-76). Furthermore, it was observed that the time between the NDS intubation and AD occurrence was from 1.5 to 26 years. The time between AD initiation and En-DCR surgeries was 5 to 40 days. All patients presented with clinical manifestations of AD, and 4 patients had a cutaneous fistula. In addition, all patients underwent En-DCR, and the incarcerated stents were successfully removed. After a year of follow-up, the anatomic and functional success rate was 86.67% (13/15). The failure observed in 2 cases was because the scarring caused intranasal ostial closure. In addition, acute inflammation completely resolved in all the patients without recurrence.</p><p><strong>Conclusions: </strong>Long-term NDS use can induce AD onset, which needs clinical attention. En-DCR is an effective treatment for AD secondary to nasolacrimal stent intubation.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021196","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":"Immediate and Long-Term Outcomes of Autologous and Alloplastic Cranioplasty in Pediatric Population.","authors":"Alexander C Perry, Justin J Lee, Sebastian Kilcommons, Vivek Mehta, Curtis Budden","doi":"10.1097/SCS.0000000000011463","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011463","url":null,"abstract":"<p><p>Conventionally, alloplastic implants have been discouraged in pediatric cranioplasty due to concerns of infection and growth restriction. With the increasing development of patient-specific implants, this study compares the outcomes of pediatric cranioplasties using autologous grafts and alloplastic materials. A retrospective review was performed on all pediatric cranioplasties at a single institution between 2011 and 2024. The primary outcome measure was the conversion rate from autologous to alloplastic reconstruction. Secondary outcomes included assessment of age, sex, indication for surgery, defect size, location, operative time, medical history, and need for blood transfusion in cranioplasty groups. Over ∼13 years, 68 cranioplasties were identified in 57 patients. The mean patient age was 8.5 (range: 1.4-18.5). Twenty-nine cranioplasties were performed using autologous grafts (banked frozen bone flap or split thickness calvarial graft) and 39 used alloplastic implants, including titanium, polymethyl methacrylate, polyethylene titanium, and cadaveric allograft. The autologous cranioplasty group had a significantly greater complication rate (7/29), compared with the alloplastic group (3/39; P<0.05). The adjusted mean surface area defect was significantly greater in the alloplastic cranioplasty group, while no significant differences were observed in the location of the calvarial defect. When combined, the patients' age at the time of surgery was significantly higher in the cranioplasty group that had a complication compared with the cranioplasty group without any complications. The use of alloplastic implants in pediatric cranioplasties at our centre is not associated with a higher frequency of complications relative to autologous bone grafts.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007667","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":"Delayed Reconstruction of Ear Lobule With Conchal Cartilage Rotational Flap.","authors":"Sami Khoury, David Sahai, Corey Moore","doi":"10.1097/SCS.0000000000011458","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011458","url":null,"abstract":"<p><strong>Background: </strong>The earlobe plays a critical role in facial aesthetics and balance. Large, full-thickness defects of the earlobe present a unique reconstructive challenge due to the absence of cartilage and the need for long-term volume and contour maintenance.</p><p><strong>Objective: </strong>To describe a novel 2-phase surgical technique for earlobe reconstruction utilizing a cartilage graft.</p><p><strong>Methods: </strong>Between 2010 and 2019, 12 patients underwent earlobe reconstruction using this technique. In the first phase, a cheek flap was created, and a cartilage graft was harvested and implanted into the lobular defect. Six weeks later, the second phase involved refining the lobule with a V-Y advancement flap and grafting the posterior aspect with a full-thickness skin graft. Patient outcomes were evaluated based on patient satisfaction and complication rates.</p><p><strong>Results: </strong>The cohort included 12 patients aged 29 to 82 years, comprising congenital deformities (n=3), traumatic arteriovenous malformations (n=2), and post-resection defects from skin malignancies (n=7). The technique was successfully applied across all cases, achieving aesthetically pleasing results with no recorded complications.</p><p><strong>Conclusion: </strong>This 2-phase reconstruction technique offers a reliable and effective solution for large earlobe defects. Further studies with larger cohorts and extended follow-up periods are needed to validate these findings.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012329","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":"Evaluation of the Effectiveness of the Dual-Zone Bone Grafting Technique in Immediate Implant-Immediate Restorations.","authors":"Xiaotian Gao, Yanying Wang, Yanjie Zhang, Yang Li","doi":"10.1097/SCS.0000000000011212","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011212","url":null,"abstract":"<p><strong>Background: </strong>The traditional immediate implant technique may lead to massive resorption of the labial bone plate.</p><p><strong>Purpose: </strong>To study the evaluation of the dual-zone bone grafting technique for hard and soft tissue stability and aesthetic results in immediate implant-immediate restoration cases when faced with cases with thin labial bone plates.</p><p><strong>Study design, setting, sample: </strong>This study selected 60 cases of labial bone plate and compared the dual-zone bone graft technique with the traditional immediate implant technique at Tianjin Stomatological Hospital from January 2018 to January 2023. CBCT was performed preoperatively, immediately postoperatively, 5 months postoperatively, and 1 year after the final restoration was completed, and intraoral retention was performed.</p><p><strong>Predictor: </strong>Bone resorption;labial-lingual width.</p><p><strong>Main outcome variable: </strong>(1) Short-term retention rate of implants. (2) Pathologic movement. (3) Bone resorption. (4) Labial-lingual width. (5) Red aesthetic index score.</p><p><strong>Covariates: </strong>Gingival biotype; types of bone powder.</p><p><strong>Analysis: </strong>The dual-zone bone grafting technique can effectively maintain the stability of bone powder, promote bone formation and delay bone resorption.</p><p><strong>Results: </strong>(1) The short-term retention rate of implants was 100%. (2) The implants were stable and there was no pathological movement. (3) The amount of bone resorption in the dual-zone group was less than the traditional group after surgery. (4) The change in labial-lingual width in the dual-zone group was small. (5) The red aesthetic index score in the dual-zone group was higher than that in the traditional group. (6) The dual-zone group had better preservation of plaque index and gingival papilla.</p><p><strong>Conclusions and relevance: </strong>The dual-zone bone graft technique has more advantages in immediate implant placement and restoration.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968300","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 the Surgical Protocol Impact the Burden of Care of Patients With Cleft Lip and/or Palate?","authors":"Lisa Van Geneugden, Anne-Sophie Milants, Anna Verdonck, Greet Hens, Maria Cadenas de Llano-Pérula","doi":"10.1097/SCS.0000000000011377","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011377","url":null,"abstract":"<p><strong>Aim: </strong>To compare the burden of care in the first 7 years of life of patients with cleft lip and palate (CLP) treated with 2 different surgical protocols.</p><p><strong>Methods: </strong>The burden of care of patients with cleft palate (CP), unilateral (UCLP), and bilateral cleft lip and palate (BCLP), surgically treated with Protocol A (soft palate closure at 1 year with Veau-Wardill-Kilner pushback technique and hard palate closure between 5 and 7 years with Von Langenbeck procedure) and B (soft palate closure at 1 year with intravelar veloplasty by Sommerlad and hard palate closure using a vomer flap at time of lip repair) was compared. The burden of care was assessed from the patient's file from birth until 7 years old through the following disciplines: surgical, dental, audiological, logopedic, radiologic, and logistic. Group comparisons were performed using multivariable models with correction for confounders. Continuous and binary variables were analyzed with linear and logistic regression models respectively.</p><p><strong>Results: </strong>One hundred nineteen CLP patients were included (62 CP, 40 UCLP, and 17 BCLP). Sixty-eight were treated with protocol A and 51 with protocol B. Patients treated with protocol B spent less days in the hospital after surgery (P=0.628), had less postsurgical complications (P<0.001), lower need for secondary interventions (P=0.016), needed less orthodontic maxillary expansion (P=0.004), less ventilation tube insertions (P<0.001), less speech therapy (P<0.001), less extractions of deciduous teeth (P = 0.040), less consultations (P=0.008) and traveled less distance (P=0.019). Patients treated with protocol A were younger when their first orthopantomogram (P<0.001) and craniofacial x-rays (P<0.001) were taken, and these radiographs were taken more often (P=0.013 and <0.001, respectively).</p><p><strong>Conclusions: </strong>Patients treated with protocol B experience a significantly lower burden of care in the first 7 years of life.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003915","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 Plastic Surgeon's Plan for an Old Man of Dignity: Nestor, an Idealized Image of Aging in Greek Literature.","authors":"Kun Hwang","doi":"10.1097/SCS.0000000000011396","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011396","url":null,"abstract":"<p><p>I infer characteristics about the morphology of Nestor, the wise and seasoned warrior from The Iliad and The Odyssey, and develop treatment plans for a man who is aging gracefully and with dignity. Nestor might have lived beyond 100 years, with his active involvement in leadership, warfare, and governance. Descriptions and artwork from ancient Greece depict Nestor with features such as age and physical decline, white or gray hair, reliance on a staff, a dignified posture, and a thoughtful facial expression. His face, marked by wrinkles, would feature sharp, thoughtful eyes that mirror his extensive experience. His expression would convey calmness, authority, and a quiet strength derived from years of experience. For individuals like Nestor, the guiding principle should be to age gracefully and with dignity. The objective is not to make him appear young again, but to ensure he feels comfortable, functional, and vital, thereby honoring both his past and his future. If Nestor sought plastic surgery to enhance his appearance or address functional concerns, it would be essential to strike a balance between rejuvenation and the preservation of his dignity and identity. Key areas to consider include facial rejuvenation, blepharoplasty, and neck lift or jawline contouring. Like Nestor, my older male patients could benefit significantly from treatments that enable them to continue living vibrantly and fully in their roles without drastically altering their appearance. The objective is to maintain their identity as revered elders while alleviating any physical discomforts or limitations that might impact their quality of life.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987725","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":"Complications After Craniofacial Reconstruction With PEEK PSI Insertion: Pathological Comparison of PEEK and Titanium.","authors":"Hye Ju Han, Dong Yeon Kim","doi":"10.1097/SCS.0000000000011388","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011388","url":null,"abstract":"<p><p>This case report explores polyetheretherketone (PEEK) patient-specific implants (PSI) in craniofacial surgery. It highlights the advantages and challenges of this innovative material. While PEEK offers biocompatibility, mechanical strength, and precision in patient-specific implant manufacturing, challenges such as limited osseointegration capabilities and potential complications, including infections and fluid collection, persist. The report discusses two cases: one characterized by a postoperative infection following maxilla reconstruction, and the other involving a peri-implant fluid collection after orbit reconstruction utilizing a PEEK PSI. Histological comparisons showed distinct tissue reactions around PEEK and titanium implants during infections. This study underscores the need for careful consideration and further research to optimize PEEK applications in craniofacial surgery, emphasizing its unique pathological characteristics and potential complications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995893","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}