{"title":"Shadow Casters.","authors":"Seth Thaller","doi":"10.1097/SCS.0000000000012022","DOIUrl":"10.1097/SCS.0000000000012022","url":null,"abstract":"<p><p>This was my presidential speech @ ASMS.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212384","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":"Research Progress on the Impact of Cranioplasty After Decompressive Craniectomy on Brain Function.","authors":"DaChuan Li, Xintong Sui, Xiangyu Ji, Xiaotian Li","doi":"10.1097/SCS.0000000000011836","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011836","url":null,"abstract":"<p><p>Decompressive craniectomy is a surgical procedure used to treat cerebral hemorrhage, traumatic brain injury, and brain herniation caused by elevated intracranial pressure. The primary purpose of decompressive craniectomy is to reduce intracranial pressure and alleviate compression on brain tissue. It is typically used in patients with brain tissue swelling or refractory intracranial hypertension. Cranioplasty is a surgical procedure performed to repair cranial defects. It not only restores the normal anatomic structure of the skull and improves the appearance of the patient's head but also helps to some extent in correcting complications that arise after decompressive craniectomy. This article reviews and analyzes the impact of cranioplasty on brain function from the perspectives of intracranial physiological conditions and clinical neurological manifestations.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212795","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}
Burak Erkmen, Mustafa Said Tekin, Şamil Şahin, Yaşar Kemal Duymaz, İlhan Bahşi
{"title":"Bibliometric Evaluation of the Journal of Craniofacial Surgery Based on Journal Citation Reports 2025 Data.","authors":"Burak Erkmen, Mustafa Said Tekin, Şamil Şahin, Yaşar Kemal Duymaz, İlhan Bahşi","doi":"10.1097/SCS.0000000000012053","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012053","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to conduct a comprehensive bibliometric evaluation of the Journal of Craniofacial Surgery based on the Journal Citation Reports (JCR) 2025 data, and to assess its current standing and performance trends within the \"Surgery\" category.</p><p><strong>Methods: </strong>The analysis was carried out using bibliometric indicators published by Clarivate Analytics in JCR 2025. Key metrics such as the 2024 impact factor, total citations, open access ratio, and citable item percentage were extracted and compared with the journal's data from previous years to evaluate longitudinal changes.</p><p><strong>Results: </strong>In 2024, the Journal of Craniofacial Surgery had an Impact Factor of 1.0 and an Impact Factor excluding self-citations of 0.9. It ranked 221st out of 312 journals in the \"Surgery\" category, positioning it in the third quartile (Q3). The journal achieved a record-high total citation count of 12,617. The proportion of open-access articles was relatively low at 6.64%, whereas the percentage of citable items was remarkably high at 99.76%.</p><p><strong>Conclusions: </strong>Although currently in the third quartile, the journal shows a positive trend in its impact factor ranking over recent years. Increasing open-access publications and promoting editorials and letters could enhance its citation potential and bibliometric visibility. These strategies may support the journal's academic growth and elevate its position within international surgical literature.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212861","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":"Review of \"Telesurgery: A Systematic Literature Review and Future Directions\" by Reddy et al. Ann Surg 2025;282(2):219-227.","authors":"Shreya Jain, Larry H Hollier","doi":"10.1097/SCS.0000000000012034","DOIUrl":"10.1097/SCS.0000000000012034","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212301","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}
Fernando Pérez Salazar, Paolo Cariati, Fernando Monsalve Iglesias, Lydia Fraile Ruiz, Carlos Hugo Martínez Martínez, Ildefonso Martínez Lara
{"title":"Sinus Reformation for Management of Maxillary Posterior Bone Atrophy.","authors":"Fernando Pérez Salazar, Paolo Cariati, Fernando Monsalve Iglesias, Lydia Fraile Ruiz, Carlos Hugo Martínez Martínez, Ildefonso Martínez Lara","doi":"10.1097/SCS.0000000000012048","DOIUrl":"10.1097/SCS.0000000000012048","url":null,"abstract":"<p><strong>Introduction: </strong>Implant rehabilitation in the posterior maxilla with critical residual bone height (≤6 mm) requires maxillary sinus floor augmentation techniques, although controversy exists regarding the necessity of heterologous bone grafts. Although some protocols consider grafting essential for osteogenesis, recent evidence suggests that modern implants, through a \"tent-pole\" effect, may eliminate this need, thereby avoiding its drawbacks (increased cost, surgical time, and risk of complications such as sinusitis). This retrospective study compares implant survival and complications between both techniques in patients with 4 to 6 mm of bone height undergoing immediate implant placement.</p><p><strong>Materials and methods: </strong>In this comparative retrospective study, 170 patients with posterior maxillary atrophy (4-6 mm residual bone height) undergoing lateral approach sinus lift with immediate implant placement were analyzed. Patients were divided into 2 groups: 80 patients without bone graft (group A) and 90 patients with heterologous bone graft (porcine-derived bone with collagen) (group B). Both groups exhibited homogeneous characteristics regarding controlled comorbidities. Patients were evaluated over 3 years, with periodic follow-ups and prosthetic loading at 4 to 6 months, analyzing implant survival and complications such as infections, sinusitis, and wound dehiscence.</p><p><strong>Results: </strong>After a 36-month follow-up, both groups showed similar implant survival rates (91.25% without graft versus 91.11% with graft), with 7 and 8 failures, respectively, distributed similarly over time. However, a notably different complication profile was observed: the graft group exhibited a significantly higher incidence of chronic sinusitis (5.56% versus 0%), twice the rate of local infections (5.56% versus 2.5%), and 3 times the rate of wound dehiscence (4.44% versus 1.25%).</p><p><strong>Discussion: </strong>Our study demonstrates that the sinus lift technique without bone graft offers equivalent implant survival to the conventional graft technique at 3 years, but with a markedly superior safety profile by significantly reducing postoperative complications, particularly chronic sinusitis. This advantage may be attributed to the \"tent-pole\" effect, where the implant itself maintains sinus membrane elevation, eliminating risks associated with graft material such as ostium obstruction, inflammatory reactions, and increased susceptibility to infections and dehiscence. In addition, omitting the graft reduces costs, simplifies the procedure, and eliminates risks linked to animal-derived materials, positioning it as a viable and safe alternative for patients with minimal residual bone height.</p><p><strong>Conclusions: </strong>The results indicate that sinus augmentation with immediate implant placement without bone graft is a viable and safe therapeutic alternative for patients with a minimum residual bone height of 4 mm","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212708","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}
Ricardo Augusto Conci, Roberto Ferreira Zanin, Fernando de Oliveira Andriola, Guilherme Genehr Fritscher, Claiton Heitz
{"title":"Finite Element Analysis (FEA) to Support a New Device to Treat Mandible Subcondylar Fractures.","authors":"Ricardo Augusto Conci, Roberto Ferreira Zanin, Fernando de Oliveira Andriola, Guilherme Genehr Fritscher, Claiton Heitz","doi":"10.1097/SCS.0000000000012002","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012002","url":null,"abstract":"<p><p>Mandibular fractures account for 42% of maxillofacial injuries, with condylar fractures representing 25%-35% of these cases. Despite the prevalence, the optimal method for treating condylar fractures remains debated, though internal rigid fixation is commonly used for stability. Recent focus has shifted to evaluating specific fixation methods for condylar fractures, including single miniplates, double miniplates, lag screws, and 3D plates, aiming to determine if a single miniplate can be as effective as or better than more complex systems. This study employs finite element analysis (FEA) to evaluate a novel fixation device for condylar fractures, which involves an intramedullary neck screw fixed with additional screws. Using 3D models of the mandible, miniplates, and screws, simulations were performed to assess stress distribution and displacement under varying loads. The analysis revealed that the fixation system provided stable results with minimal deformation and stress concentration in critical areas. The device demonstrated adequate stability, with no mechanical failures observed. The study concludes that the new fixation technique offers a viable alternative for treating mandibular condylar fractures, potentially simplifying the procedure and reducing costs compared with more complex fixation methods.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212779","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}
Camille F M Blackman, Devansh Saini, Sunjung Kim, Naji Bou Zeid, Stephanie L Taiberg, Farid Amirouche, Linping Zhao, Lee Alkureishi
{"title":"To Burr or Not to Burr: Preventing Unintended Fractures During Cranial Vault Reshaping.","authors":"Camille F M Blackman, Devansh Saini, Sunjung Kim, Naji Bou Zeid, Stephanie L Taiberg, Farid Amirouche, Linping Zhao, Lee Alkureishi","doi":"10.1097/SCS.0000000000011879","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011879","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates whether burr holes reduce fracture risk during craniosynostosis surgery by examining their effect on stress distribution at osteotomy endpoints.</p><p><strong>Methods: </strong>Sixteen macaque calvaria samples (mean age: 8.5 years) were sectioned into 30 × 19 mm pieces. The experimental group (n=8) included burr holes at osteotomy endpoints; the control group (n=8) did not. Finite element analysis optimized osteotomy and fixture hole placement. Mechanical testing utilized an MTS® 30/G universal testing machine. Groups were compared via independent samples t test.</p><p><strong>Results: </strong>The addition of burr holes did not significantly affect load-bearing capacity or displacement of the specimens. Mean peak load was 70.85 N (SD 22.30) in the burr-hole group versus 69.73 N (SD 20.12) in the control group (P=0.9175). Mean displacement was identical at 1.26 mm (burr-hole SD 0.27 mm; control SD 0.38 mm; P=0.9924). Fracture toughness (Kc) was also comparable between groups: burr-hole 583.1 kJ/m² (SD 165.6) versus control 584.7 kJ/m² (SD 147.9) (P=0.9840).</p><p><strong>Conclusion: </strong>Burr holes did not significantly impact load-bearing capacity, displacement, or fracture toughness in macaque calvarial bone, contrasting with isotropic materials (eg, steel) where stress relievers reduce fracture risk. Future research should explore alternative stress-relief osteotomy designs to minimize intraoperative fracture risks.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212766","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":"Craniofacial Injuries Associated With \"Mommy Bike\" Child Seats in Japan.","authors":"Miki Yamada, Shunsuke Hino, Yosuke Iijima, Takumi Takahashi, Nami Nakayama, Norio Horie, Takahiro Kaneko","doi":"10.1097/SCS.0000000000011993","DOIUrl":"10.1097/SCS.0000000000011993","url":null,"abstract":"<p><strong>Objective: </strong>Bicycles are used for a wide range of purposes, including leisure, sports, commuting, and daily shopping. In Japan, the use of \"mommy bikes\" (MB), equipped with front and rear child seats, is legally permitted, a practice uncommon in other countries. This study aimed to characterize the overview of craniofacial injuries sustained while riding in MB child seats.</p><p><strong>Methods: </strong>This retrospective study included children who presented to the Advanced Center for Emergency Medicine and Critical Care at Saitama Medical Center for MB child seat injuries between May 2010 and December 2021, and who subsequently visited the Department of Oral and Maxillofacial Surgery for oral injuries.</p><p><strong>Results: </strong>Twenty-one children sustained oral injuries. The sex distribution was 11 boys and 10 girls, with a mean age of 2 years and 3 months. With the exception of one case, all injuries occurred in the front seat. The bicycle was predominantly stationary at the time of injury (18 cases, 85.7%), significantly more than when in motion (1 case, 4.8%) or unknown (2 cases, 9.5%). Soft tissue injuries were the most common (15 cases, 71.4%), followed by tooth injuries (with and without soft tissue injury) (4 cases, 19.0%), mandibular fracture (1 case, 4.8%), and mandibular contusion (1 case, 4.8%). Head injuries were observed in 11 cases (52.4%), but all were managed with observation.</p><p><strong>Conclusion: </strong>MB child seat craniofacial injuries most frequently occurred in the front seats occupied by young children, and when the bicycle tipped over while stationary. While most oral injuries were minor, sporadic mandibular fractures were observed, indicating the need for ongoing vigilance.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199660","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 \"First Look\": Individuals' Initial Experiences of Viewing Their Appearance Following Craniofacial Surgery.","authors":"Debora Blaso, Laura Shepherd, Nicola M Stock","doi":"10.1097/SCS.0000000000012009","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012009","url":null,"abstract":"<p><p>Elective surgeries to improve facial appearance are frequently offered to adolescents and adults with craniofacial conditions. While some studies point to the psychosocial benefits of surgery, others have described patient distress and disappointment. The aim of this study was to explore individuals' experiences of viewing their appearance for the first time following craniofacial surgery. An existing questionnaire was adapted for the craniofacial population and disseminated online. Retrospective, mixed methods data from 31 adults with a range of craniofacial conditions were analysed using descriptive statistics, Pearson correlations and conventional content analysis. Seventy-one percent of participants were worried about looking in the mirror for the first time. Participants reported a moderate level of distress and satisfaction with the surgical results on average, yet ratings varied considerably between participants. Almost half felt more distressed than expected and perceived their immediate postsurgical appearance to be worse than they had imagined. A range of emotions were described in response to the \"first look,\" many of which were negatively valenced. Greater preparedness was significantly associated with feelings of relief and greater initial satisfaction with the surgical outcome, yet most participants felt that support at the time of the first look could have been improved. The findings represent a self-selected group of adults, some of whom underwent surgery several years ago. Nonetheless, patients' psychosocial experiences of the immediate postsurgical phase appear to be important. Preparing individuals for what they will look like and how they may feel after seeing themselves in the mirror for the first time is, therefore, an important consideration for craniofacial teams.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199567","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}
Melissa Koto Murai, Izabela Fornazari Delamura, Eduardo Francisco de Souza Faco, Ynara Maria Gomes de Sousa, Ana Paula Ribeiro Miranda, Francieli da Silva Flores, André Luis da Silva Fabris, Idelmo Rangel Garcia-Junior
{"title":"Orbital Emergency in a Child: Retrobulbar Hematoma Induced by Extensive Subgaleal Hemorrhage.","authors":"Melissa Koto Murai, Izabela Fornazari Delamura, Eduardo Francisco de Souza Faco, Ynara Maria Gomes de Sousa, Ana Paula Ribeiro Miranda, Francieli da Silva Flores, André Luis da Silva Fabris, Idelmo Rangel Garcia-Junior","doi":"10.1097/SCS.0000000000012015","DOIUrl":"https://doi.org/10.1097/SCS.0000000000012015","url":null,"abstract":"<p><p>Orbital and extracranial hematomas in children present diagnostic and therapeutic challenges due to atypical and rapidly evolving symptoms. Retrobulbar hematoma (RBH), though rare, is an ophthalmologic emergency with a high risk of vision loss. This report describes an unusual case of RBH associated with subgaleal hematoma in an 8-year-old boy following a fall. The patient showed proptosis, periorbital ecchymosis, and occipital swelling. CT confirmed the hematomas, and urgent surgical drainage preserved visual function. This case highlights the need for early diagnosis, imaging, and a multidisciplinary approach in pediatric craniofacial trauma.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199602","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}