Journal of Craniofacial Surgery最新文献_第9页

Simultaneous Traumatic Fracture of Nasal Bone and Silicone Implant: Indications for Early Open Revision Rhinoplasty. 外伤性鼻骨骨折及硅胶植入物：早期开放性鼻整形手术的指征。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-30 DOI: 10.1097/SCS.0000000000011650

Sae Bin Lee, Hyun Jin Min

{"title":"Simultaneous Traumatic Fracture of Nasal Bone and Silicone Implant: Indications for Early Open Revision Rhinoplasty.","authors":"Sae Bin Lee, Hyun Jin Min","doi":"10.1097/SCS.0000000000011650","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011650","url":null,"abstract":"Augmentation rhinoplasty with silicone implants is frequently performed in Asian populations. Nasal trauma in individuals with prior silicone-based augmentation may result in concurrent nasal bone and implant fractures, complicating management. The authors describe a case involving a 35-year-old man who sustained blunt facial trauma 5 years post-augmentation with an L-shaped silicone implant. CT imaging revealed fractures of both the nasal bone and implant. Early revision rhinoplasty was performed 10 days after trauma, comprising closed nasal bone reduction, implant removal, dorsal augmentation with an I-shaped implant, and tip plasty using septal and conchal cartilage grafts. At 6-month follow-up, outcomes were satisfactory with no complications. Early intervention enabled appropriate fracture management and successful structural reconstruction. This underscores the importance of evaluating both bone and implant integrity in facial trauma. Early surgical management may be appropriate when structural restoration is feasible. Current nasal bone fracture classification systems should incorporate implant fracture status to guide treatment planning in post-augmentation cases.","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":"144528207","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

Academic Productivity in the Shadow of Clinical Workload: Notes From a Plastic Surgeon. 临床工作量阴影下的学术生产力：来自整形外科医生的笔记。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011541

Ugur Horoz

引用次数: 0

Cough: A Reflex That Disrupts Interpersonal Communication. 咳嗽：一种破坏人际沟通的反射。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011632

Zehra Günay Yağci, Nuray Bayar Muluk, Imran Ozdemir, Tarik Yağci, Gürcan Sünnetci, Ahmet Arslanoğlu, Ayşe Karaoğullarindan, Erdi Özdemir, Cemal Cingi

{"title":"Cough: A Reflex That Disrupts Interpersonal Communication.","authors":"Zehra Günay Yağci, Nuray Bayar Muluk, Imran Ozdemir, Tarik Yağci, Gürcan Sünnetci, Ahmet Arslanoğlu, Ayşe Karaoğullarindan, Erdi Özdemir, Cemal Cingi","doi":"10.1097/SCS.0000000000011632","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011632","url":null,"abstract":"Objectives: The present study investigated the impact of chronic cough on the communication skills of patients.Methods: Two hundred adult patients with chronic cough (group 1, study group) and 196 healthy adult subjects without cough (group 2, control) were included in the study. The Leicester Cough Questionnaire (LCQ) and Communicative Competence Scale (CCS) were administered to both groups.Results: Leicester Cough Questionnaire scores for the chronic cough group were significantly lower than those of the control group (P < 0.000). Since higher scores indicate better QoL, Group 1's QoLs were worse than those of the control group. The Communicative Competence Scale (CCS) scores for the chronic cough group were also significantly lower than those of the control group (P < 0.000).Conclusion: The authors' results indicate that chronic cough is associated with lower communication values and a poorer quality of life (QoL) for patients. Chronic cough can lead to a decrease in communication skills, potentially resulting in social problems. A decline in quality of life (QoL) is also observed in these patients. Therefore, timely and effective treatment of the cough is essential.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505840","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

Precise Pressure Points in the Craniofacial Region: An Anatomist's View. 颅面区的精确压力点：解剖学家的观点。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011606

Zhenzhen Cao, Ruiyang Wang, Lifeng Yu, Wei Li, Liwen Sun, Ping Ma, Rui Yang, Minghai Gong, Zhi Chen, Dudu Wu, Ping Wang, Yong Bai

{"title":"Precise Pressure Points in the Craniofacial Region: An Anatomist's View.","authors":"Zhenzhen Cao, Ruiyang Wang, Lifeng Yu, Wei Li, Liwen Sun, Ping Ma, Rui Yang, Minghai Gong, Zhi Chen, Dudu Wu, Ping Wang, Yong Bai","doi":"10.1097/SCS.0000000000011606","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011606","url":null,"abstract":"Background: Applying pressure to key points proximal to craniofacial arteries can arrest bleeding in first aid, but precise locations are poorly defined. This study investigates the precise pressure points within the craniofacial region.Methods: The authors retrospectively reviewed CTA scans from 201 adults, 3D postprocessed in HOROS. The facial, superficial temporal, occipital, transverse facial, and posterior auricular arteries were analyzed. Three coordinate systems-anchored at the angulus oris, the porus acusticus externus, and the external occipital protuberance-were used to map the optimal compression site. The authors measured the linear distance from each landmark to its pressure point and recorded vessel diameters. All measurements were bilateral and averaged across the cohort; interindividual variability was also analyzed.Results: Ten bilateral pressure points were identified and found to lie consistently within reach of thumb or 2-finger compression. Points for the facial and occipital arteries sit farther from their landmarks-along the mandible and posterior scalp-than those for the superficial temporal, transverse facial, and posterior auricular arteries. The latter 3 cluster along the auricular contour, such that a single compressive gesture can address over 95% of these points. Although most subjects exhibited consistent arterial courses, anatomic variations in branching patterns of the facial, transverse facial, and occipital arteries may necessitate palpation for pulsation before applying pressure.Conclusions: This atlas of craniofacial pressure points offers practical, anatomically precise guidance for first-aid responders and can enrich hemorrhage-control training programs, with potential for incorporation into simulation and augmented-reality tools.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505849","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 Psychological Efficacy of Placing an Evil Eye Sticker on the Nasal Splint After Rhinoplasty. 鼻整形术后在鼻夹板上放置邪眼贴纸的心理效果。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011615

Tarik Yağci, Nuray Bayar Muluk, Mustafa Yazir, Cemal Cingi

{"title":"The Psychological Efficacy of Placing an Evil Eye Sticker on the Nasal Splint After Rhinoplasty.","authors":"Tarik Yağci, Nuray Bayar Muluk, Mustafa Yazir, Cemal Cingi","doi":"10.1097/SCS.0000000000011615","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011615","url":null,"abstract":"Objectives: In this study, the authors aimed to investigate whether sticking evil eye beads on the external nasal splint after rhinoplasty positively or negatively affects the patient's perception of their new nose.Methods: The study group was composed of 200 patients who had rhinoplasty surgery. They were randomly divided into two 100-case groups before surgery. The first group had evil-eye stickers on their nasal splint after nose surgery, while the second group of patients did not. A questionnaire related to the postoperative perception of rhinoplasty patients was prepared (Appendix) and applied to all patients.Results: Our findings are fascinating concerning the patient's general thoughts about evil eye protection and their attitude toward possessing it. Although they claim not to believe in it and do not carry one, they expressed happiness about having one on their newly done nose.Conclusion: The effectiveness of the evil eye bead placed on the nasal splint after the rhinoplasty operation of those who believe in the Evil Eye phenomenon and associate their symptoms and malaise with the concept is a new topic for research to a great extent. It is satisfactory and pleasing to feel the surgeon did a successful surgery, is happy with the outcome, and tries to protect this good result with an evil eye sticker. Any means to support the patient's psychology is valid and valuable in this early postoperative period.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505852","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

A Comparison of Maxillofacial and Axial/Appendicular Giant Cell Lesions in Pediatric Patients: Management Strategies and Outcomes. 小儿颌面部和轴尾巨细胞病变的比较：处理策略和结果。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011532

Asli Pekcan, Melanie Bakovic, Raina Patel, Valeria Mejia, Pasha Shakoori, Mark Urata, Rachana Shah, Jeffrey Hammoudeh

{"title":"A Comparison of Maxillofacial and Axial/Appendicular Giant Cell Lesions in Pediatric Patients: Management Strategies and Outcomes.","authors":"Asli Pekcan, Melanie Bakovic, Raina Patel, Valeria Mejia, Pasha Shakoori, Mark Urata, Rachana Shah, Jeffrey Hammoudeh","doi":"10.1097/SCS.0000000000011532","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011532","url":null,"abstract":"Although giant cell lesions (GCLs) of the maxillofacial (MF) and axial/appendicular (AA) skeleton are managed as distinct entities, the comparative outcomes of these approaches remain uncertain. The pediatric population is particularly understudied, despite unique management considerations and the need to minimize surgical morbidity. This study compares characteristics and long-term outcomes of MF and AA GCL management in a pediatric and adolescent population. A retrospective cohort study of patients with histologically confirmed GCLs from 2002 to 2024 was conducted. MF lesions were designated aggressive or nonaggressive by Chuong and colleagues' criteria; AA lesions were graded I to III using Campanacci's system. Outcomes included tumor recurrence and long-term remission. Overall, 29 patients met inclusion criteria (16 MF, 13 AA). Mean follow-up was 4.0±3.1 years. MF lesions more frequently received adjuvant pharmacologic therapy (P<0.001), whereas surgical adjuvants were more common in AA lesions (P=0.025). Recurrence occurred 6.2% of MF and 23.1% of AA lesions (P=0.19). Remission was achieved in 100% of MF lesions and 76.9% of AA lesions (P=0.13). All 5 grade III AA lesions either recurred or failed to achieve remission. Overall, MF GCLs were more likely to receive APT, whereas AA GCLs exhibited higher recurrence and lower remission rates. These findings highlight the importance of early identification of grade III AA lesions, which may require increased surveillance and the consideration of pharmacologic adjuvants. Ultimately, a tailored, multidisciplinary approach and the use of conservative surgical approaches with adjuvant therapy may reduce morbidity and optimize long-term outcomes.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505835","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

Letter to the Editor Bridging Clinical Distance With Art: A Reflection on FACE ME. 给编辑的信用艺术弥合临床距离：对《面对我》的反思。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011655

Pinar Algedik

引用次数: 0

Postoperative Complications of Percutaneous Tracheostomy in a Tertiary Anesthesia Intensive Care Unit: A 10-Year Retrospective Observational Study. 三级麻醉重症监护病房经皮气管切开术术后并发症：一项10年回顾性观察研究。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011602

Hakan Gokalp Tas

{"title":"Postoperative Complications of Percutaneous Tracheostomy in a Tertiary Anesthesia Intensive Care Unit: A 10-Year Retrospective Observational Study.","authors":"Hakan Gokalp Tas","doi":"10.1097/SCS.0000000000011602","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011602","url":null,"abstract":"Intensive care units (ICUs) frequently perform percutaneous tracheostomy (PDT) on patients who need continuous mechanical ventilation. Percutaneous dilatational tracheostomy has a number of postoperative complications that vary in intensity and time, although being less invasive than surgical tracheostomy. This retrospective observational study looked at complication rates in adult patients who had PDT in a tertiary anesthetic ICU between January 2015 and December 2024. Patients who spent <30 days in the hospital overall were not included. The mean age of the 647 patients who were included was 67.1 ± 17.1 years. A total of 139 patients (21.5%) experienced complications following surgery. Minor bleeding and subcutaneous emphysema were among the minor complications (12.2%). Pneumothorax, bleeding requiring transfusion, and deep tissue infection were among the major complications (10.5%). Life-threatening complications (2.3%) included tracheoesophageal and tracheoarterial fistulas. There were no documented deaths from the surgery. Early postoperative surveillance is crucial, as the majority of problems (89.9%) happened within 7 days of surgery. Patients who developed complications had prolonged ICU stays and more complex treatment requirements during hospitalization. The results highlight the necessity of systematic postoperative care and surveillance by confirming that, despite PDT's general safety, considerable morbidity can occur. These findings back up upcoming multicenter research aimed at improving patient outcomes and complication management procedures.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505848","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

Comparative 3-Dimensional Analysis of Isolated Unilateral Squamosal Craniosynostosis. 孤立性单侧鳞片颅缝闭锁的三维对比分析。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011627

Alexander Velazquez, Michael S Lebhar, Bradley Hathaway, Samantha Morin, Rana Gordji, Todd Nichols, Laura S Humphries, Ian C Hoppe

{"title":"Comparative 3-Dimensional Analysis of Isolated Unilateral Squamosal Craniosynostosis.","authors":"Alexander Velazquez, Michael S Lebhar, Bradley Hathaway, Samantha Morin, Rana Gordji, Todd Nichols, Laura S Humphries, Ian C Hoppe","doi":"10.1097/SCS.0000000000011627","DOIUrl":"https://doi.org/10.1097/SCS.0000000000011627","url":null,"abstract":"Purpose: Squamosal craniosynostosis (SQS) is a rare form of craniosynostosis involving the minor squamosal suture that runs laterally joining the temporal and parietal bones. Due to the limited reported incidence of the disease, the pathologic effects have not been thoroughly studied, and no standardized treatment plan has been established. This study strives to understand the effects squamosal craniosynostosis has on intracranial volume to determine a basis for targeted surgical intervention.Methods: A 3-dimensional analysis was performed on head computed tomography (CT) scans of 4 patients diagnosed with SQS at a single institution between 2018 and 2024. The CT scans were compared with age-sex-matched controls. Cranial indices (CI) and intracranial compartment volumes were analyzed with SyngoVia. Paired t tests examined differences between the patients and their control subjects.Results: While this study's data showed an overall trend of lower cranial indices and intracranial volumes in patients with squamosal craniosynostosis compared with their age-sex-matched control counterparts, only specific volumetric measurements demonstrated a clinically significant difference. The intracranial volumes of the middle and posterior compartments, and the total intracranial volume were significantly lower in patients with squamosal craniosynostosis (P=0.03, 0.006, 0.03, respectively).Conclusion: This study demonstrates a significant difference in intracranial volume distribution in patients with SQS compared with age-sex-matched controls. This decrease in intracranial volume is primarily observed in the middle and posterior compartments, suggesting potential anatomic regions to address with surgical intervention.","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505839","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

Depth or Breadth in Medical Specialization? An Evaluation Through Plastic Surgery. 医学专业的深度还是广度？通过整形手术进行评估。

IF 1 4区医学

Journal of Craniofacial Surgery Pub Date : 2025-06-27 DOI: 10.1097/SCS.0000000000011621

Ugur Horoz

引用次数: 0