Journal of Craniofacial Surgery最新文献_第9页

The Hand That Gives Form to an Idea. 赋予思想形式的手。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-29 DOI: 10.1097/SCS.0000000000013455

Kun Hwang

引用次数: 0

Fever Following Open Surgical Repair of Craniosynostosis. 颅缝闭合开放性手术修复术后发热。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-29 DOI: 10.1097/SCS.0000000000013423

Destin Groff, Ambroise Gilles, Madison Oxford, Andrea Hiller, Grace S Ryu, Allen Kunselman, Elias Rizk, Thomas Samson

{"title":"Fever Following Open Surgical Repair of Craniosynostosis.","authors":"Destin Groff, Ambroise Gilles, Madison Oxford, Andrea Hiller, Grace S Ryu, Allen Kunselman, Elias Rizk, Thomas Samson","doi":"10.1097/SCS.0000000000013423","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013423","url":null,"abstract":"Background: Postoperative fever is a known phenomenon in the acute phase following open surgical repair of craniosynostosis. However, its risk factors, etiology, and the utility of performing a workup are not well understood. The aim of this study is to evaluate the incidence, risk factors, and complications associated with fever following open surgical repair of craniosynostosis.Methods: A single-institution retrospective study was performed to assess all patients who underwent open surgical correction of craniosynostosis at Hershey Medical Center between January 2017 and December 2022. Postoperative fever was defined as a temperature above 38 °C during the first 4 days after surgery. Patient demographics and characteristics pertaining to craniosynostosis were collected, and fever curves were analyzed.Results: Of the 75 patients included, 23 (30%) developed postoperative fever. One child underwent an infectious work-up with no identifiable source. All children had fever resolution without antibiotics within an average of 14.75 hours from onset. There was no association with intraoperative durotomy (P=0.52), estimated blood loss (P=0.42), intraoperative blood administration (P=0.68), weight (P=0.39), or age (P=0.19). Fever development was not associated with postoperative complications, return to operating room, 30-day readmission (P=0.38), or hospital length of stay (P=0.20).Conclusions: Approximately 1 in 3 children developed postoperative fever following open surgical repair of craniosynostosis. These fevers resolved spontaneously and were not associated with intraoperative durotomy or with postoperative outcomes. These results support close clinical observation in otherwise well-appearing patients with prompt evaluation and treatment when clinically warranted.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074882","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

One-Stage 2-Vector Reconstruction for Facial Paralysis and Hypoplasia in Hemifacial Microsomia Using Dual Latissimus Dorsi Adipo-Muscular Flap Transfer. 双背阔肌脂肪肌瓣移植一期二载体重建面瘫和面神经发育不全。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013422

Yuji Kasahara, Mutsumi Okazaki, Shimpei Miyamoto, Jun Ooba, Jinwoo Chang

{"title":"One-Stage 2-Vector Reconstruction for Facial Paralysis and Hypoplasia in Hemifacial Microsomia Using Dual Latissimus Dorsi Adipo-Muscular Flap Transfer.","authors":"Yuji Kasahara, Mutsumi Okazaki, Shimpei Miyamoto, Jun Ooba, Jinwoo Chang","doi":"10.1097/SCS.0000000000013422","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013422","url":null,"abstract":"Hemifacial microsomia (HFM) is characterized by unilateral craniofacial hypoplasia and is frequently associated with facial paralysis. Dynamic reanimation, in addition to facial augmentation, is important for aesthetic and functional improvement. Most publications on dynamic reanimation have focused on oral commissure elevation during smiling. However, severe lower lip depressor paralysis, often observed in patients with HFM, also requires reconstruction to improve aesthetic symmetry. Here, we report the simultaneous reconstruction of oral commissure elevation, lower lip depression, and cheek augmentation in a patient with HFM. A 19-year-old woman with HFM presented with incomplete facial paralysis and cheek hypoplasia. She demonstrated mildly impaired oral commissure elevation and nearly absent lower-lip depression. Reconstruction was performed using a dual latissimus dorsi adipomuscular flap. Muscle A, including adipose tissue, was used for midfacial augmentation and oral commissure elevation and was innervated by the ipsilateral facial nerve. Muscle B, used for lower lip depressor reanimation, was dually innervated by the ipsilateral facial nerve and the contralateral marginal mandibular branch (CLMMB) of the facial nerve. The selective division of the CLMMB offered a motor source for muscle B while simultaneously attenuating the contralateral depressor. A fascia lata graft was used to prevent deviation of the lower lip. Six months postoperatively, the patient demonstrated satisfactory facial contour and lip symmetry both at rest and during smiling. To the best of our knowledge, this is the first report of simultaneous reconstruction combining 2-vector dynamic reanimation of lip elevation and depression with cheek augmentation in a patient with HFM.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069662","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

Subunit-Based Reconstruction of a Composite Upper Lip Defect After Dog Bite Using a Mucosal V-Y Advancement Flap and Nasolabial Fold Rotational Flap. 基于亚基的V-Y型粘膜推进瓣和鼻唇襞旋转瓣重建犬咬伤后复合上唇缺损。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013397

Bommie Florence Seo, Jeonghyun Kim, Junho Lee, Sung-No Jung

引用次数: 0

"The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair". 单侧唇裂鼻腭修复的鼻牙槽整形术

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013420

Percy Rossell-Perry

{"title":"\"The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair\".","authors":"Percy Rossell-Perry","doi":"10.1097/SCS.0000000000013420","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013420","url":null,"abstract":"Background: Cleft lip and palate is a highly prevalent birth defect affecting the upper lip and palate both aesthetically and functionally. Different techniques have been described throughout history, and during the last decades, pre- and postsurgical treatments have been added. The aim of this study is to evaluate the impact of the surgical treatment based on the surgical nasoalveolar molding method.Methods: A comparative cohort study has been done in 45 unilateral cleft lip and palate patients treated with 2 surgical techniques based on the surgical nasoalveolar molding principle and operated on by the author. The techniques used were V-Y-Z vestibular advance (group A), and the nasal vestibule Z plasty (group B), and no type of presurgical management was performed for any of the studied patients. Postoperative outcomes have been evaluated according to the nasal symmetry degree determined through anthropometric measurements, as well as the postoperative complications report.Results: During the follow-up, we observed 33% of nostril symmetry in group A and 37.5% in group B, which was not statistically significant. Major nasal revision was indicated in 9.5% (group A) and 8.3% (group B) without statistically significant differences between them. The number of associated postoperative complications was higher in group A.Conclusions: Surgical techniques based on the surgical nasoalveolar molding principle proposed by the author are an alternative for the treatment of the nasal deformity associated with the unilateral cleft lip and palate. These results should be confirmed with a longer follow-up period and experimental studies.Level of evidence: Level IV.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069623","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

Comparison of Surgical Effectiveness Between Conventional and Modified Maxillomandibular Advancement in Adult Patients With Obstructive Sleep Apnea. 成人阻塞性睡眠呼吸暂停患者常规与改良上颌骨前移手术效果比较。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013386

Seung-Hyun Son, Jin-Young Choi, Seung-Hak Baek

{"title":"Comparison of Surgical Effectiveness Between Conventional and Modified Maxillomandibular Advancement in Adult Patients With Obstructive Sleep Apnea.","authors":"Seung-Hyun Son, Jin-Young Choi, Seung-Hak Baek","doi":"10.1097/SCS.0000000000013386","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013386","url":null,"abstract":"The purpose of this study was to compare the surgical effectiveness of conventional maxillomandibular advancement (cMMA) and modified MMA (mMMA) in adult patients with obstructive sleep apnea (OSA). The subjects were 24 adult OSA patients who underwent either cMMA (n=11) or mMMA (n=13: extraction of maxillary and mandibular premolars, Le Fort I osteotomy with segmental osteotomy for advancement of the posterior maxillary segment, and bilateral sagittal split ramus osteotomy with segmental osteotomy for total advancement of the mandible). Polysomnographic (PSG) variables and cephalometric skeletodental, soft-tissue, hyoid/tongue, and upper-airway (UA) variables obtained before surgery (T0) and after surgery (T1) were statistically analyzed. At T0, the mMMA group exhibited higher apnea-hypopnea index (AHI) and respiratory disturbance index (RDI) values (both P<0.05), a more forward-positioned maxilla and mandible (SNA and SNB; both P<0.05), greater incisor proclination (U1 to SN, P<0.05; IMPA, P<0.01), more protrusive upper and lower lips (upper lip to E-plane and lower lip to E-plane, both P<0.05), a more forward-positioned genial tubercle (H-RGN, P<0.01), and a greater tongue length (TGL, P<0.05). At T1, no significant differences in the position of the maxilla and mandible, incisor inclination, or lip protrusion were found between the 2 groups. In addition, PSG parameters and UA variables did not differ between the 2 groups, indicating comparable surgical outcomes. These findings suggest that mMMA may be an effective surgical option for adult OSA patients with dentoalveolar and/or lip protrusion.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069656","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

Management Strategies for High-Flow Cerebrospinal Fluid Leaks: A Systematic Review. 大流量脑脊液泄漏的管理策略：系统综述。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013348

Ali M Alsudays, Khaled A Almanea, Homood M Almutairi, Ali G Alrashidi, Ali J Asiry, Yousif Alammar, Ahmad Alroqi, Saud Alromaih, Abdulaziz S Alrasheed, Saad A Alsaleh

{"title":"Management Strategies for High-Flow Cerebrospinal Fluid Leaks: A Systematic Review.","authors":"Ali M Alsudays, Khaled A Almanea, Homood M Almutairi, Ali G Alrashidi, Ali J Asiry, Yousif Alammar, Ahmad Alroqi, Saud Alromaih, Abdulaziz S Alrasheed, Saad A Alsaleh","doi":"10.1097/SCS.0000000000013348","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013348","url":null,"abstract":"Background: High-flow CSF leaks pose a great danger to patients and may even cause death. They are caused by cranial trauma, surgical interventions, and spontaneously formed defects in dura mater. Despite extensive scientific research on this subject, there is no consensus regarding treatment strategies.Objective: To determine the effectiveness of various approaches to CSF leak reconstruction to minimize the frequency of relapses and complications associated with high-flow CSF leaks, occurring mostly due to skull base surgeries.Methods: A systematic search in PubMed, Cochrane Library, Scopus, and Embase was conducted. Randomized and nonrandomized controlled trials (cohort studies and case series), including multilayer technique, hydroxyapatite material use, dural suturing, and lumbar drainage as additional procedures, were taken into account as the inclusion criteria. Recurrence and postoperative complications were considered to be the main outcomes of this review.Results: In summary, the probability of successful repair of CSF leaks using the total endoscopic method was 94.2% (95% CI: 91.5%-96.1%), with the incidence of relapse being equal to 5.1% (95% CI: 3.2%-7.9%). The frequency of postoperative meningitis and pneumocephalus was 2.6% and 1.4%, respectively. Among subgroups, similar efficiency was observed, while relapses occurred less often during spontaneous leaks.Conclusion: The findings showed that more complicated reconstructions utilizing hydroxyapatite along with dural sutures significantly reduced the likelihood of complications such as CSF leakage.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069618","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

Reconstruction of Complex Orbital and Midfacial Defects Using the Converse Scalping Forehead Flap. 逆反头皮前额皮瓣修复复杂眶面缺损。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013373

Mohammed A Alrazaq, Farah B Mahdi, Ali S Ghanem, Hassanien A Aljumaily

{"title":"Reconstruction of Complex Orbital and Midfacial Defects Using the Converse Scalping Forehead Flap.","authors":"Mohammed A Alrazaq, Farah B Mahdi, Ali S Ghanem, Hassanien A Aljumaily","doi":"10.1097/SCS.0000000000013373","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013373","url":null,"abstract":"The achievement of satisfactory functional and aesthetic results with sufficient defect coverage and tension-free closure following massive oncological resection of the head and neck region remains a constant challenge to the reconstructive surgeon. The scalping forehead flap provides generous tissue volume with a robust blood supply needed to reconstruct such defects. In this case series, we reviewed 8 consecutive patients who underwent complex midfacial and orbital reconstructions using the scalping forehead flap due to the wide local excisions of various carcinomas. The donor site defect on the forehead was managed using a split-thickness graft. To reduce anesthetic burden, the second stage was done under local anesthesia. The scalping forehead flap provided sufficient tissue along with a robust axial blood supply that was useful in closing the residual defects after oncological resection with a skin color and texture that matched the surrounding facial tissue, with no signs of marginal necrosis, pedicle thrombosis, or infection. The classic Converse scalping forehead flap remains an invaluable option in the modern era. It successfully achieves secure, tension-free closure for aggressive malignancies with long-term aesthetic and functional outcomes.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069631","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

Discharge Opioid Prescribing After Primary Cleft Lip and Palate Repair: A National Analysis of Prevalence, Predictors, and Safety. 原发性唇腭裂修复后的出院阿片类药物处方：一项全国性的患病率、预测因素和安全性分析。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-28 DOI: 10.1097/SCS.0000000000013457

Martin Kauke-Navarro, Albert L Rancu, Moritz Milewski, Victoria Kong, Omar Allam, William Bai, Ali-Farid Safi, Kerry A Morrison, Michael Alperovich

{"title":"Discharge Opioid Prescribing After Primary Cleft Lip and Palate Repair: A National Analysis of Prevalence, Predictors, and Safety.","authors":"Martin Kauke-Navarro, Albert L Rancu, Moritz Milewski, Victoria Kong, Omar Allam, William Bai, Ali-Farid Safi, Kerry A Morrison, Michael Alperovich","doi":"10.1097/SCS.0000000000013457","DOIUrl":"https://doi.org/10.1097/SCS.0000000000013457","url":null,"abstract":"Opioid stewardship has changed surgical prescribing yet discharge opioid use after cleft lip and palate repair remains poorly described. No prior study has tied the prescribing habits to postoperative complications. Using the 2023 to 2024 NSQIP-Pediatric files, we identified primary cleft lip and palatoplasty cases and characterized the prevalence, predictors, and 30-day safety of discharge opioid prescribing after primary cleft repair. Predictors of discharge opioid receipt were assessed with multivariable logistic regression. For each 30-day complication, the association with prescribing was estimated 3 ways: covariate-adjusted regression, propensity-score matching, and inverse-probability weighting, with correction for multiple comparisons. Among 7758 children (3431 cleft lip; 4327 palatoplasty), 43.8% and 51.7% received a discharge opioid, respectively. Higher ASA class and longer operative time increased the odds of opioid prescribing. Black children undergoing palatoplasty had lower adjusted odds than White children (OR 0.59, P<0.001). No complication differed by opioid status after correction. Wound dehiscence and reoperation, the outcomes most tied to protecting the repair, were nearly identical between prescribed and nonprescribed children. Discharge opioid prescribing after primary cleft repair varied widely by surgeon specialty and by race but was not associated with 30-day complications, readmission, or reoperation. Because lower prescribing was not accompanied by higher rates of dehiscence, reoperation, or readmission, opioid-sparing discharge protocols are unlikely to compromise surgical outcomes and offer a route toward more consistent and equitable prescribing.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069705","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 Role of Cannabis in Recurrent Adolescent Gynecomastia. 大麻在青少年复发性男性乳房发育症中的作用。

IF 1.1 4区医学

Journal of Craniofacial Surgery Pub Date : 2026-09-25 DOI: 10.1097/SCS.0000000000013447

Mark Ashamalla, Kathryn McDermid, Jugpal S Arneja

引用次数: 0