Journal of Craniofacial Surgery最新文献

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Organization of Prenatal Care in Orofacial Clefts and Suspected Robin Sequence: A European Survey.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-27 DOI: 10.1097/SCS.0000000000011312
Shirley van de Velde, Christine L van Velzen, Peter G Scheffer, Aebele B Mink van der Molen
{"title":"Organization of Prenatal Care in Orofacial Clefts and Suspected Robin Sequence: A European Survey.","authors":"Shirley van de Velde, Christine L van Velzen, Peter G Scheffer, Aebele B Mink van der Molen","doi":"10.1097/SCS.0000000000011312","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011312","url":null,"abstract":"<p><p>Advances in prenatal imaging and genetic testing have improved the detection of orofacial anomalies, allowing for early diagnosis and comprehensive counseling. This study aims to provide an overview of current prenatal care practices for orofacial clefts and/or suspected Robin sequence (RS) across European countries and to identify disparities to inform future improvements. A cross-sectional survey was distributed to health care professionals affiliated with the European Reference Network CRANIO, collecting data on prenatal imaging, genetic testing, counseling, and termination of pregnancy. Responses were obtained from 31 health care professionals in 27 hospitals across 17 European countries. All participating countries have some sort of prenatal screening program. Ultrasound examination was performed at 1 or 2 timepoints during pregnancy, with varying techniques used to assess orofacial structures. Fetal MRI was performed in 59% of centers, primarily for multiple (severe) anomalies. Centers utilizing specific imaging techniques reported fewer missed diagnoses. Prenatal genetic testing was available in 96% of centers, with array-based copy number variation and whole-exome sequencing performed in 59% and 52% of centers, respectively. Nearly half of the centers provided multidisciplinary counseling, with team composition and session frequency varying widely. Pregnancy termination for orofacial clefts or micro-/retrognathia was not legal in 7 countries. Termination rates and trends differed across centers. In conclusion, variability exists in prenatal care for orofacial clefts and/or suspected RS across Europe, particularly in imaging techniques, genetic testing, and pregnancy termination practices. These findings highlight the need for standardized guidelines and equitable access to multidisciplinary care to optimize outcomes for affected pregnancies.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin Replacement Epicanthoplasty and Concomitant Septoaponeurosis Junctional Thickening Double Eyelidplasty for Cosmetic Blepharoplasty in Asians.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-27 DOI: 10.1097/SCS.0000000000011263
Ninghua Liu, Jing Zhang, Nan Song
{"title":"Skin Replacement Epicanthoplasty and Concomitant Septoaponeurosis Junctional Thickening Double Eyelidplasty for Cosmetic Blepharoplasty in Asians.","authors":"Ninghua Liu, Jing Zhang, Nan Song","doi":"10.1097/SCS.0000000000011263","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011263","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate the clinical effect of skin replacement epicanthoplasty combined with SAJT (septoaponeurosis junctional thickening) double eyelidplasty.</p><p><strong>Methods: </strong>This retrospective study included 114 patients (2 males, 112 females) who underwent skin replacement epicanthoplasty combined with SAJT double eyelidplasty between July 2015 and June 2021. Surgical outcomes were measured using intercanthal distance (ICD)/interpupillary distance (IPD) ratios, and postoperative upper eyelid morphology. The subjective satisfaction and incidence of complications were also documented.</p><p><strong>Results: </strong>After 12 months of postoperative follow-up, the postoperative ICD ratio significantly reduced from 0.58 preoperatively to 0.53 postoperatively (P<0.05). The Vancouver Scar Scale (VSS) score averaged 1.1 ± 0.4, and no hypertrophic scarring was observed. The majority of patients (98.2%) were \"very satisfied\" or \"satisfied\" with the cosmetic outcomes. There were no significant complications.</p><p><strong>Conclusion: </strong>This study demonstrates the safety and efficacy of skin replacement epicanthoplasty combined with SAJT double eyelidplasty, with high patient satisfaction and minimal postoperative complications.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of Orbital Septal Fat Repositioning Combined With SVF-Gel Fillers in Lower Blepharoplasty.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-27 DOI: 10.1097/SCS.0000000000011289
Huahui Zhang, Yuxiang Zhang, Zhihao Lu, Jiange Qian, Zhaoming Ye, Xiaohui Long
{"title":"Application of Orbital Septal Fat Repositioning Combined With SVF-Gel Fillers in Lower Blepharoplasty.","authors":"Huahui Zhang, Yuxiang Zhang, Zhihao Lu, Jiange Qian, Zhaoming Ye, Xiaohui Long","doi":"10.1097/SCS.0000000000011289","DOIUrl":"10.1097/SCS.0000000000011289","url":null,"abstract":"<p><strong>Background: </strong>Lower blepharoplasty is a widely used cosmetic surgical procedure to improve under-eye bags and tear trough deformities, aiming to enhance facial aesthetics and achieve a more youthful appearance. The formation of these deformities is often associated with factors such as aging, skin laxity, and fat displacement. Traditional surgical methods include orbital septal fat repositioning and fat grafting, each with its own advantages and limitations. Transconjunctival blepharoplasty avoids external incisions by performing the surgery through the conjunctiva, thereby reducing postoperative scarring and recovery time. However, orbital septal fat repositioning alone is often insufficient to completely address issues of inadequate orbital septal fat and lax tear trough ligaments. Therefore, a combined approach of orbital septal fat repositioning and SVF-gel injection has been proposed to achieve more lasting and satisfactory results.</p><p><strong>Objective: </strong>This study aims to investigate the advantages and rationality of combining orbital septal fat repositioning with SVF-gel injection in lower blepharoplasty, to assess the improvement in tear trough deformities and lower eyelid skin quality, to define its indications, and to achieve personalized treatment.</p><p><strong>Methods: </strong>This study involved 42 patients who underwent transconjunctival blepharoplasty combined with fat repositioning and SVF-gel injection from January to December 2023. The surgical steps included donor site selection, fat harvesting, SVF-gel preparation, blepharoplasty, and SVF-gel injection. Postoperative follow-ups were conducted to evaluate the effectiveness and complications through gray value measurements and patient satisfaction surveys.</p><p><strong>Results: </strong>The study results demonstrated that 92.9% of patients were very satisfied with the surgical outcomes, with only 2.4% of patients experiencing mild tear trough indentation postoperatively. Gray value measurements indicated a significant improvement in postoperative gray values, suggesting a reduction in lower eyelid pigmentation.</p><p><strong>Conclusion: </strong>This study confirms that the combined use of orbital septal fat repositioning and SVF-gel injection can effectively improve tear trough deformities and lower eyelid skin quality, enhancing patient satisfaction. This combined technique demonstrates good adaptability and long-lasting effects, providing new options for personalized treatment. Further research is needed to optimize the surgical techniques and long-term outcomes.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Craniosynostosis and Chiari I Malformation Managed With Middle 1/3 Calvarial Vault Expansion.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-27 DOI: 10.1097/SCS.0000000000011281
Evangeline Bambakidis, Jitsupa Sirinit, Howard D Wang, Krystal L Tomei
{"title":"Craniosynostosis and Chiari I Malformation Managed With Middle 1/3 Calvarial Vault Expansion.","authors":"Evangeline Bambakidis, Jitsupa Sirinit, Howard D Wang, Krystal L Tomei","doi":"10.1097/SCS.0000000000011281","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011281","url":null,"abstract":"<p><p>Multisutural syndromic craniosynostosis is strongly associated with secondary Chiari malformation. Although less commonly described, single suture synostosis can also be associated with secondary Chiari malformation due to craniocephalic disproportion. These children have traditionally been treated with posterior vault expansion; however, in patients with sagittal synostosis, increasing only the posterior vault volume can worsen the scaphocephalic deformity. In addition, treating a Chiari malformation with a decompression without addressing the craniocephalic disproportion during a period of continued skull growth can be insufficient for the future neurodevelopment of the patient. Our study describes 3 cases of craniosynostosis (2 isolated sagittal, 1 sagittal with partial lambdoid-upper 1/3 of the suture) with concurrent Chiari malformation that were successfully treated with middle 1/3 vault expansion using the Pi-Hung Span procedure. As this procedure avoids a craniotomy over the torcular and transverse sinus, this method also decreases the risk of sinus injury during surgery. All 3 patients, with 6 to 18 months of follow-up, experienced both symptomatic improvement and radiographic improvement of tonsillar herniation. Supratentorial vault expansion should be considered as a viable surgical treatment for children with Chiari malformation secondary to craniosynostosis to prevent worsening scaphocephaly and to provide a complete reconstruction for the overall anatomic disproportion in the setting of continued skull growth.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research on the Effects of Internet Technology and Mobile Phone WeChat Applet Management Mode on Oral Health Behavior Intervention in Patients With Periodontitis.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011230
Yang Liu, Shanshan Chen, Yuping Jiang, Weijun Sha, Hui Wang, Yan Zhang
{"title":"Research on the Effects of Internet Technology and Mobile Phone WeChat Applet Management Mode on Oral Health Behavior Intervention in Patients With Periodontitis.","authors":"Yang Liu, Shanshan Chen, Yuping Jiang, Weijun Sha, Hui Wang, Yan Zhang","doi":"10.1097/SCS.0000000000011230","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011230","url":null,"abstract":"<p><strong>Objective: </strong>To study the influence of a management model using Internet technology and the WeChat applet on the oral health behavior of patients with periodontitis.</p><p><strong>Methods: </strong>Medical records of 80 patients with periodontitis, diagnosed during June 2020 to December 2022 in our hospital, were retrospectively grouped according to intervention modes. In the control group, conventional management was used, whereas in the observation group, Internet technology combined with the WeChat applet management was used. Oral health self-efficacy, oral health behavior, relevant knowledge mastery, oral health-related quality of life, and improvement in periodontal symptoms were compared between the groups.</p><p><strong>Results: </strong>After the intervention, patients in the observation group exhibited significantly higher scores in a balanced diet, correct brushing, and dental visits than the control group (P<0.05). These patients also displayed significantly better scores in various indexes of oral hygiene behaviors, disease-related knowledge, and quality of life dimensions than the control group (P<0.05). In addition, they had statistically significantly lower scores in plaque index, gingival index, and depth of tooth probing than the control group (P<0.05).</p><p><strong>Conclusions: </strong>Internet technology and mobile WeChat applet management can assist patients with periodontitis develop good oral health behaviors, improve their periodontal symptoms, and enhance their quality of life. This approach should be promoted and applied in clinical practice.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extramedullary Plasmacytoma of the Head and Neck Region in a Single Institution.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011261
Dong Hoon Lee, Sujung Yeom, Sang Chul Lim, Juhyun Song
{"title":"Extramedullary Plasmacytoma of the Head and Neck Region in a Single Institution.","authors":"Dong Hoon Lee, Sujung Yeom, Sang Chul Lim, Juhyun Song","doi":"10.1097/SCS.0000000000011261","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011261","url":null,"abstract":"<p><strong>Objective: </strong>The authors analyzed the clinical characteristics and treatment methods of patients with extramedullary plasmacytoma treated by the same treatment team at a single institution for 24 years and identified factors affecting the prognosis of patients.</p><p><strong>Patients and methods: </strong>The study enrolled 10 patients with a final diagnosis of extramedullary plasmacytoma of the head and neck region in a single institution from January 2001 to December 2024.</p><p><strong>Results: </strong>Of the 10 patients with extramedullary plasmacytoma (57.9±21.9 y, 8 male), 7 had tumors in the nasal cavity and 1 each in the tonsil, larynx, and hard palate. The mean tumor size was 3.4±2.7 cm (range, 1.4-9.0 cm). According to the staging system, 7 patients had stage 1 tumor, 3 had stage 3, and none had stage 2. Combination treatment with radiotherapy and surgery was the most common (70%). The mean dose of radiotherapy was 46.7±5.5 Gy. The 5-year relapse-free survival rate and 5-year survival rate of extramedullary plasmacytoma of the head and neck regions were 60% and 80%. The only statistically significant finding was that higher-stage extramedullary plasmacytoma was associated with worse overall survival.</p><p><strong>Conclusion: </strong>The authors recommend the combination of radiotherapy and surgery for extramedullary plasmacytoma of the head and neck region when there are no major cosmetic or functional concerns associated with surgery.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Efficacy of Postoperative Helmet Therapy After Open Cranial Vault Remodeling for Nonsyndromic Craniosynostosis.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011279
Sasha Lasky, Idean Roohani, Tayla Moshal, Marah Jolibois, Artur Manasyan, Erin M Wolfe, Naikhoba C O Munabi, Jeffrey A Hammoudeh, Mark M Urata
{"title":"The Efficacy of Postoperative Helmet Therapy After Open Cranial Vault Remodeling for Nonsyndromic Craniosynostosis.","authors":"Sasha Lasky, Idean Roohani, Tayla Moshal, Marah Jolibois, Artur Manasyan, Erin M Wolfe, Naikhoba C O Munabi, Jeffrey A Hammoudeh, Mark M Urata","doi":"10.1097/SCS.0000000000011279","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011279","url":null,"abstract":"<p><p>Postoperative helmet therapy (PHT) is commonly utilized after endoscopic craniosynostosis repair to guide cranial reshaping and symmetry. Our institution routinely offers PHT to patients undergoing open calvarial vault remodeling (CVR) with unicoronal and lambdoid craniosynostosis. This study aims to determine if PHT is effective in improving residual asymmetry after open CVR for patients with unicoronal or lambdoid synostosis. Patients with non-syndromic craniosynostosis who underwent open CVR+PHT between 2016 and 2023 were reviewed retrospectively. Suture types with <4 cases were excluded. Pre-helmet and post-helmet measurements were assessed. Outcomes of interest included cephalic index (CI) and cranial vault asymmetry index (CVAI). Paired t tests compared pre-helmet and post-helmet measurements for each suture type. One sample t tests compared post-helmet measurements to normocephalic CI and CVAI values. Multivariate linear regression assessed contributors toward improvement in CI and CVAI following PHT. Of 284 patients who underwent open CVR, 35 met the inclusion criteria (21 unicoronal and 14 lambdoid). The average follow-up time was 2.1±1.7 years. Comparing pre-helmet and post-helmet measurements in patients who underwent open CVR, PHT improved CI for patients with unicoronal (P<0.001) and lambdoid synostosis (P<0.001). PHT also significantly improved CVAI for patients with unicoronal (P<0.001) and lambdoid synostosis (P=0.004). For both unicoronal and lambdoid synostosis, the average CI and CVAI at PHT completion were equivalent to normocephalic CI and CVAI values (P>0.05). PHT improved cranial shape and symmetry in patients who underwent open CVR with unicoronal or lambdoid synostosis. PHT should not be limited to treating patients who undergo endoscopic suturectomy.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of Cognitive Functions in Children With Craniosynostosis With and Without Surgical Treatment.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011275
Agnieszka Rożek, Dawid Larysz, Patrycja Larysz
{"title":"Development of Cognitive Functions in Children With Craniosynostosis With and Without Surgical Treatment.","authors":"Agnieszka Rożek, Dawid Larysz, Patrycja Larysz","doi":"10.1097/SCS.0000000000011275","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011275","url":null,"abstract":"<p><strong>Objective: </strong>Craniosynostosis is a congenital malformation caused by premature fusion of one or more cranial sutures, leading to an abnormal skull shape. Children with craniosynostosis may experience various neurodevelopmental and cognitive disorders. The study's first aim was to examine intelligence quotient and the level of cognitive functioning such as working memory, fluid reasoning, visual-spatial functions, counting, and the scope of knowledge in children with craniosynostosis. The second goal was to compare the level of cognitive abilities of the group of children who were surgically treated with the group of children who did not undergo surgery. Another purpose was to compare cognitive disorders depending on the type of craniosynostosis.</p><p><strong>Patients and method: </strong>A group of 365 patients (255 boys and 110 girls) aged between 4 and 15 years old (M=7.5; SD=2.2), including 275 treated for single-suture (133 metopic, 116 sagittal, 26 unicoronal) and 90 for complex craniosynostosis, were examined for cognitive disorders. A total of 240 children in the group had skull surgery, while 125 had not been surgically treated. Intellectual and cognitive abilities were assessed with the standardized Stanford-Binet Intelligence Scales, Fifth Edition (SB-5). The test was performed using both nonverbal and verbal scales.</p><p><strong>Results: </strong>In all, 27.40% (n=100) of patients covered by the study showed significantly lower scores than normative population averages on Full Scale IQ, including 15.06% (n=55) of children with mild to moderate impaired or delayed. Complex and surgically untreated craniosynostosis is associated with an increased occurrence of cognitive disorders.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Talk the Talk: The Role of Primary Language in Velopharyngeal Insufficiency.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011245
Marina Shenouda, Kylie Swiekatowski, Stephanie M Johnson, Matthew R Greives, Phuong D Nguyen
{"title":"Talk the Talk: The Role of Primary Language in Velopharyngeal Insufficiency.","authors":"Marina Shenouda, Kylie Swiekatowski, Stephanie M Johnson, Matthew R Greives, Phuong D Nguyen","doi":"10.1097/SCS.0000000000011245","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011245","url":null,"abstract":"<p><p>Velopharyngeal insufficiency (VPI) may occur after primary cleft palate repair. The contributory role of language to VPI is unknown. This study seeks to determine the incidence of VPI in Spanish-speaking versus English-speaking patients after cleft palate repair and evaluate patient-reported speech outcomes. Patients from the Texas Cleft-Craniofacial Team at UTHealth who had primary cleft palate repair from 2004 to 2019 were identified and divided into primary language groups: English (EN) or Spanish (SP). A retrospective analysis of VPI incidence and a prospective patient-reported survey of speech outcomes were conducted. Of the 228 patients included in the study, 46 (20%) were SP and 182 (80%) were EN. There was no statistical difference in the Veau class or type of primary palate repair performed in SP and EN patients. There was a greater incidence of VPI in SP patients compared with EN patients (52% versus 38%, P=0.04). Average median income was significantly lower in the SP group ($55,638±$23,195) compared with the EN group ($81,278±$33,869, P<0.001). Forty patients and their parents were surveyed. SP patients CLEFT-Q trended lower than EN patients in Speech Function (58±18.19 versus 68±20.61, P=0.17) and Speech Distress (64±17.30 versus 70±18.16, P=0.43). There was a statistically significant greater incidence of VPI in Spanish-speaking patients compared with English-speaking patients. Median income was lower in the Spanish group. Further research is needed to investigate contributing factors such as sociodemographics with the goal of achieving equitable outcomes in these groups.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping the Evolving Trend of Research on Skeletal Class II Malocclusion Treated With Orthognathic Surgery: A Bibliometric and Visualized Analysis.
IF 1 4区 医学
Journal of Craniofacial Surgery Pub Date : 2025-03-26 DOI: 10.1097/SCS.0000000000011314
Yuhan Wang, Pin Lv, Pengfei Diao, Bi Zhao, Yuan Yao, Jie Cheng
{"title":"Mapping the Evolving Trend of Research on Skeletal Class II Malocclusion Treated With Orthognathic Surgery: A Bibliometric and Visualized Analysis.","authors":"Yuhan Wang, Pin Lv, Pengfei Diao, Bi Zhao, Yuan Yao, Jie Cheng","doi":"10.1097/SCS.0000000000011314","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011314","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to provide visual knowledge maps highlighting the evolving trends and key focus areas in treating skeletal Class II malocclusion with orthognathic surgery, using a comprehensive bibliometric analysis.</p><p><strong>Material and methods: </strong>Papers on skeletal Class II malocclusion treated with orthognathic surgery, published between January 2000 and December 2023, were retrospectively sourced from the Web of Science Core Collection. The analysis assessed and visualized the distribution of papers, journals, countries/regions, institutions, authors, and keywords using CiteSpace software.</p><p><strong>Results: </strong>A total of 290 relevant publications were included in the analysis. The annual number of publications showed a steady increase, with a significant rise over the past few years. Concerning output and citations, the leading journal is the American Journal of Orthodontics and Dentofacial Orthopedics. The USA and Centre Hospitalier Universitaire de Lille were the most prolific countries and institutions. Furthermore, orthognathic surgery, malocclusion, and stability were identified as the keywords with the most frequencies. Research interests gradually shifted from orthognathic surgery, malocclusion, and stability to quality of life, orthodontic-orthognathic therapy, and temporomandibular joint.</p><p><strong>Conclusions: </strong>Our results provide knowledge maps of that illustrate advancing research trends and key topics about skeletal Class II malocclusion treated with orthognathic surgery, which are anticipated to provide valuable guidance for future research.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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