Journal of Craniofacial Surgery最新文献

{"title":"Recurrence of Noma: Fact or Fiction? A Clinical Review of 34 Patients From Noma Children Hospital, Sokoto, Nigeria.","authors":"Mujtaba Bala, Hakki Karagozoglu, Mohammed A S Abdullahi, Abubakar A Bello, Ramat O Braimah, Abdurrazaq O Taiwo, Seidu Bello","doi":"10.1097/SCS.0000000000011569","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011569","url":null,"abstract":"<p><strong>Objective: </strong>Noma is an infectious and potential lethal disease that destroys the orofacial structures in which the etiopathogenesis is not fully understood. Controversy exists about whether noma can recur. The aim of this retrospective study was to evaluate recurrence of noma in patients previously treated for acute phase of noma.</p><p><strong>Methods: </strong>The authors reviewed the medical records of 34 patients with symptoms of recurrent noma at the Noma Children Hospital, Sokoto, Nigeria. The study included 22 (64.7%) males and 12 (35.3%) females, aged between 3 and 15 years (mean±SD: 7.94±3.03 y).</p><p><strong>Results: </strong>All recurrences occurred at the same anatomic site as the initial presentation. The interval between initial treatment and recurrence ranged from 4 months to 5 years. The most common symptoms at recurrence were pain and ulceration in 12 (35.3%) patients. Necrotic bone was observed in 12 (35.3%) patients, while 22 (64.7%) patients had new fistulas through preexisting noma scars. Initial presentations showed 29 (85.3%) patients with hemoglobin (Hb) below 8 g/dL, compared with only 2 (5.9%) patients with hemoglobin (Hb) below 8 g/dL at recurrence. All patients responded well to antibiotics and wound debridement.</p><p><strong>Conclusion: </strong>This study highlights symptoms of recurrent noma at various intervals postinitial treatment. The findings suggest that while initial management is crucial, long-term follow-up is essential to monitor for recurrence and optimize patient outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540409","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":"Risk Factors and Prevention of Subcutaneous Fluid Collection After Polyetheretherketone Cranioplasty: A Retrospective Study.","authors":"Jianjun Wang, Yu Wang, Wei Sun, Shuang Chen, Jianyun Zhou","doi":"10.1097/SCS.0000000000011645","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011645","url":null,"abstract":"<p><strong>Background: </strong>Subcutaneous fluid collection is a common and clinically significant complication after cranioplasty, often necessitating puncture and aspiration. This condition is challenging to manage and may lead to infection and cranioplasty failure. The aim of this study is to determine the incidence of subcutaneous fluid collection after cranioplasty using polyetheretherketone (PEEK) implants, assess contributing factors, and identify preventive strategies.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients who underwent PEEK cranioplasty for cranial defects between 2019 and 2024. Clinical data and follow-up outcomes were evaluated.</p><p><strong>Results: </strong>A total of 216 patients with cranial defects who underwent PEEK cranioplasty with a minimum follow-up period of 1 year were included in this study. Subcutaneous fluid collection was observed in 35 patients, representing 16.6% of cases. The mean age of the cohort was 43.7 ± 15.7 years (range: 4-77 y). Multivariate analysis indicated that a maximum cranial defect diameter exceeding 120 mm was associated with a significantly higher incidence of subcutaneous fluid collection compared with smaller defects (P = 0.0003). The presence of intraoperative dural tears was also significantly associated with an increased risk of subcutaneous fluid collection (P = 0.018). In addition, a modified surgical procedure (dural suspension and flap fixation technique combined with negative-pressure bulb drainage) demonstrated a strong correlation with the incidence of subcutaneous fluid collection (P < 0.001).</p><p><strong>Conclusions: </strong>A larger cranial defect size, intraoperative dural tears, and modified surgical techniques were independently associated with an increased risk of subcutaneous fluid collection after PEEK cranioplasty. Further prospective studies are warranted to investigate the relationship between these risk factors and postoperative subcutaneous fluid collection in individuals undergoing cranioplasty.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540411","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":"Multicenter Investigation of Current Asthma Coexistence in Allergic Rhinitis Cases.","authors":"Erdi Özdemir, Nuray Bayar Muluk, İmran Özdemir, Tarik Yağci, Duygu Zorlu, Burcu Turan, Cengiz Bal, Gürcan Sünnetci, Ahmet Arslanoğlu, Cemal Cingi, Arzu Yorgancioğlu","doi":"10.1097/SCS.0000000000011635","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011635","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the prevalence of allergic rhinitis (AR) and asthma among the participants and assess the likelihood that any given participant would also have asthma.</p><p><strong>Methods: </strong>The study included 1200 patients with AR (599 men and 601 females) who met the inclusion criteria. These patients came from various locations across Turkey. All of the study's subjects had AR symptoms, such as stuffy nose, itching, sneezing, and runny nose. Whether the AR prick test is positive or negative is recorded as 0 for unavailable, 1 for negative, and 2 for positive. Following the GINA standards, they additionally assessed for asthma using the following survey questions: clinical asthma diagnosis, shortness of breath, wheezing, coughing, chest tightness, and asthma severity.</p><p><strong>Results: </strong>The results show that 32.3% of the patients with AR have asthma. Asthma is significantly more common in elderly people with AR. Males with AR are more likely to have asthma (55.4%) than females with AR (9.2%). The rate of positive asthma tests rises in correlation with the reduction of nasal discharge and sneezing. However, as nasal itching and obstruction increased, asthma prevalence increased. The total nasal symptom scores of patients with asthma (13.17 ± 1.76) are significantly lower than those without asthma (15.88 ± 3.47).</p><p><strong>Conclusion: </strong>Asthma was seen in 32.3% of the AR patients. Patients with allergic rhinitis should be closely monitored for the onset of asthma, and prompt diagnosis and treatment are crucial. Collaboration among allergy clinics, pulmonology departments, and otorhinolaryngology practices is vital.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540408","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 \"Factors Impacting Academic Productivity and Satisfaction of Surgeon-Scientists: A Nationwide Survey\" by Smith et al. Ann Surg. 2025;281:445-453.","authors":"Julian J Gonzales, Larry H Hollier","doi":"10.1097/SCS.0000000000011656","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011656","url":null,"abstract":"","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540410","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":"Tattoo Sticker: An Ideal Preoperative Planning Material for Flap Surgery.","authors":"Ni Zhan, Jingjing Liang, Min Wang, Yangmin Xia, Xinbao Hu, Bingjie Zhou, Siming Yuan, Yong Chen","doi":"10.1097/SCS.0000000000011597","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011597","url":null,"abstract":"<p><strong>Background: </strong>A successful surgery is guaranteed by the preoperative planning lineation. Existing line drawing materials often fade or vanish after sterilization. To avoid the disappearance and movement of the preoperative drawing line, the authors looked for an ideal marking material-tattoo stickers that could retain stability and precision following disinfection.</p><p><strong>Methods: </strong>Four groups-Methylene Blue, Tattoo Sticker, Black Whiteboard Pen, and Red Marker Pen-were created for a surgical line drawing model. The 4 materials were used to make straight lines on the skin. After drying, the Black Whiteboard Pen and Red Marker Pen lines were fixed with iodine tincture. Subsequently, the marked area was sterilized thrice with iodine tincture to observe the residual rate of the marked lines. ImageJ software was used to analyze residual rates among groups. The experiments were repeated 10 times for each group.</p><p><strong>Results: </strong>The residual rate was significantly higher in the Tattoo Sticker group than other groups. The differences between Methylene Blue and Tattoo Sticker groups, Black Whiteboard Pen and Tattoo Sticker groups, and Red Marker Pen and Tattoo Sticker groups were statistically significant (P<0.001).</p><p><strong>Conclusions: </strong>Tattoo stickers are ideal surgical line-drawing materials with good resistance to dissolution and stability, remaining visible even after surgical disinfection.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528208","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":"Commisuroplasty for Macrostomia in Tessier 7 Cleft Using Modified Vermillion Square Flap Technique.","authors":"Kristaninta Bangun, Reinhart Jonathan, Vika Tania, Jessica Halim, Clara Menna","doi":"10.1097/SCS.0000000000011572","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011572","url":null,"abstract":"<p><strong>Background: </strong>The transverse facial cleft, as described by Tessier, is a rare anomaly that affects both aesthetics and function. Various techniques for commissuroplasty have been discussed in the literature, often with inconsistent results. In this case series, the authors used a modified vermilion square flap technique to achieve satisfactory oral function and aesthetic outcomes.</p><p><strong>Methods: </strong>Five Tessier 7 cleft patients underwent reconstruction using vermilion square flap technique with W-plasty for the skin closure to help create a less noticeable scar. Evaluation was conducted at least 1 year postoperatively using a patient satisfaction questionnaire and subjective assessment by surgeons and laypeople based on frontal photographs.</p><p><strong>Results: </strong>Follow-up showed all patients had satisfactory aesthetic outcomes with no commissure contracture. The vermilion square flap produced a natural, rounded commissure, and the skin closure yielded cosmetically pleasing results.</p><p><strong>Conclusions: </strong>The modified vermilion square flap technique offers excellent results, particularly when orbicularis oris muscle approximation and meticulous skin closure are prioritized.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528204","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":"Concomitant Facial Fractures: A National Evaluation of Patients, Prevalence, and Fracture Patterns.","authors":"Anna D Lee, Skyler K Palmer, Jacob B Hammond, YooJin Yoon, Nayun Lee, Elliot L H Le, Diego A Gomez, Christodoulos Kaoutzanis, Jason W Yu, Brooke French, Phuong D Nguyen, David W Mathes, David Y Khechoyan","doi":"10.1097/SCS.0000000000011594","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011594","url":null,"abstract":"<p><strong>Background: </strong>Facial fractures may present with one or more additional facial fractures and result in significant morbidity. The authors evaluated the prevalence of concomitant facial fractures within the United States.</p><p><strong>Methods: </strong>The authors retrospectively reviewed patients in PearlDiver, a national deidentified claims database from 2010 through 2020, who had concomitant facial fracture surgery identified by Current Procedural Terminology (CPT) codes reported within 30 days of presentation. Fracture treatment interventions were further categorized by open reduction, open reduction internal fixation (ORIF), and closed reduction.</p><p><strong>Results: </strong>A total of 244,751 patients were identified in the database and included in the study. The average age was 39 years old, 45% were female, and 76% were commercially insured. The most common surgically treated fracture was nasal bone fracture with closed reduction (57%). A total of 32% of naso-ethmoidal (NOE) ORIFs had a concomitant malar fracture, whereas 2.5% of malar ORIFs were found to have a concurrent NOE. For Le Fort-type fractures, 28% of Le Fort I and 32% of Le Fort II ORIFs had a concomitant malar fracture. Similarly, 28%, 22%, and 30% of Le Fort I, II, and III ORIFs, respectively, had a concomitant orbital floor blow-out fracture. An estimated 20% of malar ORIFs had an orbital bone fracture, and 16% of all orbital bone ORIFs had a concomitant malar fracture.</p><p><strong>Conclusion: </strong>Le Fort-type, malar, and orbital fractures that require ORIF will likely have a second concomitant facial fracture. Surgeons should exercise a high index of suspicion for co-occurring fractures in these patients.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528205","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 Vestibular System by Masseter Vestibular Evoked Myogenic Potentials in Patients With Obstructive Sleep Apnea Syndrome.","authors":"Tarik Yagci, Selma Aktas, Burcu Turan, Bade Gülec, Halil I Altiner, Edanur Cinar","doi":"10.1097/SCS.0000000000011626","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011626","url":null,"abstract":"<p><strong>Objective: </strong>Obstructive Sleep Apnea Syndrome (OSAS) is a common sleep disorder characterized by respiratory arrests and is thought to affect vestibular system functions. In recent years, the Masseter VEMP test has become an alternative method for evaluating vestibular functions. This study aimed to assess the vestibular system through an mVEMP test in OSAS patients and determine the effects of the disease on vestibular functions.</p><p><strong>Methods: </strong>This prospective study included 36 patients (72 ears) and 36 healthy controls (72 ears) diagnosed with OSAS. All participants underwent the mVEMP test to evaluate the functions of the vestibular system. N1 latency, P1 latency, P1-N1 difference, mean EMG activity, and amplitude values were assessed.</p><p><strong>Results: </strong>N1 latency was significantly longer in the OSAS group compared with the control group (P=0.013). P1 latency and the P1-N1 difference did not differ significantly between the groups (P=0.273 and 0.098, respectively). The mean EMG activity was significantly lower in the OSAS group compared with the control group (P=0.010). Amplitude was significantly higher in the OSAS group compared with the control group (P=0.024). Significant differences were observed in N1 and EMG values between the groups based on the severity of OSAS.</p><p><strong>Conclusion: </strong>In this study, significant changes were observed in N1 latency, EMG activity, and amplitude during vestibular evaluation with mVEMP in patients with severe OSAS. It was noted that vestibular responses (N1 and EMG values) were more impacted in the severe OSAS group.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528206","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":"Temporal Vascularized Fascial Flap Combined With Bilayer Artificial Dermis for Scalp Reconstruction With Calvarial Exposure: A Bioengineering Strategy Integrating Angiogenesis and Dermal Regeneration.","authors":"Jiaxin Li, Caifeng Wu, Chao Xu","doi":"10.1097/SCS.0000000000011564","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011564","url":null,"abstract":"<p><p>The reconstruction of traumatic scalp defects with skull exposure presents multifaceted challenges, including compromised vascular reconstruction, periosteal defects, and high aesthetic demands. This study reports the case of a 57-year-old female patient with a post-traumatic right temporal scalp defect and skull exposure after a traffic accident. A staged protocol involving negative pressure wound therapy, pedicled fascial flap transfer, and bilayer artificial dermis grafting achieved complete wound closure within 15 days. At the 8-month follow-up, the Vancouver Scar Scale score was 1, demonstrating optimal aesthetic and functional restoration. This approach synergizes the vascularization advantages of fascial flaps with the regenerative properties of artificial dermis, effectively addressing limitations of traditional methods-such as flap bulkiness and donor site morbidity-and offers a novel paradigm for skull exposure defect reconstruction.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528209","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 Trauma in Cheerleading: National Trends and Injury Patterns Among Youth Athletes (2014-2023).","authors":"Christina Barrett, Rohan Mangal, Soumil Prasad, Nicholas Mirsky, Ruby Taylor, Seth Thaller","doi":"10.1097/SCS.0000000000011539","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011539","url":null,"abstract":"<p><strong>Objective: </strong>Cheerleading integrates dance, gymnastics, and acrobatic maneuvers. It has significantly grown in popularity, particularly among female athletes. Overall injury rates in cheerleading are mounting. Risk of sustaining severe craniofacial injuries remains notably high. Limited research specifically addresses craniofacial injuries within this sport, highlighting a critical gap in knowledge and potential to initiate appropriate safety measures.</p><p><strong>Methods: </strong>This retrospective study utilized data from the National Electronic Injury Surveillance System (NEISS) between January 2014 and December 2023. Database was filtered for cheerleading-related craniofacial injuries among athletes aged 5 to 19 years. Analysis included estimates to evaluate injury types, locations, and demographic trends.</p><p><strong>Results: </strong>Between 2014 and 2023, cheerleading resulted in an estimated 85,102 craniofacial injuries requiring emergency department visits. Predominantly, females (98.2%) were affected. Adolescents aged 15 to 19 accounted for the majority (56.0%) of cases. Internal organ injuries (30.3%) and concussions (25.9%) were the most common injury types. Fractures, despite being less common (3.5%), resulted in the highest hospitalization rates (5.5%). Head injuries predominated (59.4%), followed by injuries to the neck (21.1%). Injury rates notably decreased in 2020, correlating with reduced participation during the COVID-19 pandemic, with gradual increases thereafter.</p><p><strong>Conclusion: </strong>These findings underscore the ongoing risk of severe craniofacial injuries in cheerleading, despite overall lower injury frequencies compared with other sports. Enhancing safety regulations, particularly for high-risk stunts, and further targeted research on injury prevention and mechanisms are essential for safeguarding pediatric cheerleaders.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575532","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}