Maxillofacial Plastic and Reconstructive Surgery最新文献

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Exploring the evolution of facial feminization and masculinization surgery: a bibliometric analysis and visualization study. 探索面部女性化和男性化手术的演变:文献计量分析和可视化研究。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-06-05 DOI: 10.1186/s40902-024-00424-x
Omer Uranbey, Omer Faruk Kaygisiz, Ferhat Ayrancı, Saim Yanik
{"title":"Exploring the evolution of facial feminization and masculinization surgery: a bibliometric analysis and visualization study.","authors":"Omer Uranbey, Omer Faruk Kaygisiz, Ferhat Ayrancı, Saim Yanik","doi":"10.1186/s40902-024-00424-x","DOIUrl":"10.1186/s40902-024-00424-x","url":null,"abstract":"<p><strong>Background: </strong>This study aims to conduct a bibliometric analysis of the current literature related to facial feminization surgery (FFS) and facial masculinization surgery (FMS) to understand the patterns, trends, and evolution of research topics. In addition, it aims to objectively identify the important articles that constitute the primary backbone of the FFS/FMS literature and provide a resource for education and new studies in this emerging field.</p><p><strong>Results: </strong>Using the principles of the Leiden Manifesto, 384 publications from the Web of Science from 1987 to 2023 were analyzed. The analysis included cross-country collaboration, keyword trends, affiliations, co-citation networks, and clustering. The results showed an increasing trend in FFS/FMS publications, with the USA leading in both publications (n = 238) and citations (n = 2420). The most cited journal was the Journal of Plastic and Reconstructive Surgery. The results indicate a high growth rate, with an H-index of 34 and an average citation of 11.41 per article. Co-occurrence analysis revealed evolving keywords such as \"forehead\" (n = 52) and \"quality of life\" (n = 44). The timeline view illustrated the terms reflecting current areas of interest such as #patient satisfaction and #gender-affirming care.</p><p><strong>Conclusion: </strong>The study reveals the influence of countries, institutions, authors, and emerging trends, supporting the anticipation that FFS/FMS will be a critical field of study in the future. The findings contribute to understanding the global landscape of FFS/FMS research, facilitating informed decision-making for researchers, and clinicians in the field of maxillofacial surgery.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"19"},"PeriodicalIF":2.3,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11153480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Growth characteristics and classification systems of hemifacial microsomia: a literature review. 半面小畸形的生长特征和分类系统:文献综述。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-05-11 DOI: 10.1186/s40902-024-00427-8
Joonyoung Huh, Ji-Song Park, Buyanbileg Sodnom-Ish, Hoon Joo Yang
{"title":"Growth characteristics and classification systems of hemifacial microsomia: a literature review.","authors":"Joonyoung Huh, Ji-Song Park, Buyanbileg Sodnom-Ish, Hoon Joo Yang","doi":"10.1186/s40902-024-00427-8","DOIUrl":"10.1186/s40902-024-00427-8","url":null,"abstract":"<p><strong>Background: </strong>Hemifacial microsomia is characterized by the hypoplasia of the mandible and temporomandibular joint, involving a variety of abnormalities of the craniofacial area. Since it gradually worsens as patients grow, it is necessary to understand the characteristics of facial bone growth and facial deformity in hemifacial microsomia patients in order to determine appropriate treatment timing and treatment methods.</p><p><strong>Main body: </strong>Appropriate classification of hemifacial microsomia would facilitate accurate diagnosis, selection of treatment methods, and prognosis prediction. Therefore, in this article, we review previously published hemifacial microsomia classification and provide an overview of the growth of the facial skeleton and the characteristics of hemifacial microsomia-related facial deformities. The OMENS system is the most comprehensive classification method based on the characteristics of hemifacial microsomia deformity, but it needs to be improved to include malar/midface abnormalities and nerve involvement. In hemifacial microsomia, growth is progressing on the affected side, but to a lesser degree than the unaffected side. Therefore, surgical intervention in growing patients should be performed selectively according to the severity of deformity.</p><p><strong>Conclusion: </strong>Understanding growth patterns is important to develop appropriate treatment protocols for correcting asymmetry in adult patients and to minimize secondary anomalies in growing patients.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"18"},"PeriodicalIF":2.3,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term survival rates of tapered self-tapping bone-level implants after immediate placement: a positional effective rationale. 锥形自攻骨水平植入体即刻植入后的长期存活率:位置有效原理。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-05-10 DOI: 10.1186/s40902-024-00428-7
Yoon Thu Aung, Mi Young Eo, Buyanbileg Sodnom-Ish, Myung Joo Kim, Soung Min Kim
{"title":"Long-term survival rates of tapered self-tapping bone-level implants after immediate placement: a positional effective rationale.","authors":"Yoon Thu Aung, Mi Young Eo, Buyanbileg Sodnom-Ish, Myung Joo Kim, Soung Min Kim","doi":"10.1186/s40902-024-00428-7","DOIUrl":"10.1186/s40902-024-00428-7","url":null,"abstract":"<p><strong>Background: </strong>Immediate implant placement has gained popularity due to its several advantages. However, immediate placement has its challenges, including concerns about primary stability and bone formation around the implant. The aim of the present study is to evaluate the clinical outcomes of tapered, sand-blasted, and acid-etched internal submerged dental implants in various regions of the jaw bones and to provide a positional rationale for immediate implant placement.</p><p><strong>Methods: </strong>Between 2009 and 2018, a single surgeon at Seoul National University Dental Hospital in Seoul, Korea, immediately inserted 49 dental implants with tapered bone-level design after extraction, in a total of 34 patients. The clinical outcomes were collected and evaluated, focusing on location of implant placement and marginal bone loss (MBL), with consideration of other parameters such as implant diameter and length.</p><p><strong>Results: </strong>Of 49 immediately installed Luna® (Shinhung Co., Seoul, Korea) dental implants, 23 were placed in the mandible, and 26 were set in the maxilla. The mean age of patients at the time of installation was 65.91 years, ranging from 40 to 86 years. The average follow-up period was 7.43 years, with a range of 5 to 14 years. After a 5-year retrospective evaluation of tapered, sand-blasted, and acid-etched internal submerged dental implants for immediate implant placement, the cumulative survival rate was 93.88%, with 100% survival rate in the mandible and premolar region of both the maxilla and mandible.</p><p><strong>Conclusions: </strong>After a 5-year evaluation, tapered, sand-blasted, and acid-etched internal submerged dental implants demonstrated good efficacy for immediate placement in various locations within the dental arches, exhibiting effective clinical performance.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"17"},"PeriodicalIF":2.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11087388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The current techniques in dorsal augmentation rhinoplasty: a comprehensive review 当前的隆鼻技术:全面回顾
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-04-28 DOI: 10.1186/s40902-024-00418-9
Nariman Nikparto, Amir Yari, Saeed Hasani Mehraban, Meysam Bigdelou, Amirali Asadi, Amirmohammad Arabi Darehdor, Sayna Nezaminia, Mehdi Khani, Lotfollah Kamali Hakim, Fateme Eskandari, Maryam Erfani, Hamid Tebyaniyan
{"title":"The current techniques in dorsal augmentation rhinoplasty: a comprehensive review","authors":"Nariman Nikparto, Amir Yari, Saeed Hasani Mehraban, Meysam Bigdelou, Amirali Asadi, Amirmohammad Arabi Darehdor, Sayna Nezaminia, Mehdi Khani, Lotfollah Kamali Hakim, Fateme Eskandari, Maryam Erfani, Hamid Tebyaniyan","doi":"10.1186/s40902-024-00418-9","DOIUrl":"https://doi.org/10.1186/s40902-024-00418-9","url":null,"abstract":"An essential aspect of rhinoplasty is the enhancement of the nasal dorsal contour by performing dorsal augmentation (DA) rhinoplasty. A wide range of techniques are available for DA as the demand for aesthetic nasal refinement grows. This review aims to provide a comprehensive overview of the current techniques used in DA rhinoplasty. Research articles on DA rhinoplasty techniques were identified through a comprehensive literature search. Scopus, PubMed, and Web of Science were used as electronic databases. Each database was searched for articles published since its inception. DA rhinoplasty techniques were examined in this literature review. Methodological quality was assessed for the selected studies, and data was extracted to examine materials used, surgical approaches, and reported outcomes for each technique. Various DA methods, including autologous grafts and synthetic implants, are examined in-depth in this review. Comparing approaches can help better understand their respective advantages and limitations. A wealth of techniques is available for DA rhinoplasty, each with advantages. Patients’ nasal anatomy, desired outcomes, and potential risks must be considered by surgeons when determining their surgical approach. DA methods continue to evolve rapidly, creating a need for a thorough understanding of the current landscape to make informed decisions.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"78 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140810678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective analysis on prognosis of oral cancer patients according to surgical approaches for effective cancer ablation: swing approach versus visor approach 根据有效消融癌症的手术方法对口腔癌患者预后的回顾性分析:摆动法与面罩法
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-04-22 DOI: 10.1186/s40902-024-00426-9
Yun-Ho Kim, Jae-Young Yang, Dong-Min Lee, Jae-Yeol Lee, Dae-Seok Hwang, Mi-Heon Ryu, Uk-Kyu Kim
{"title":"Retrospective analysis on prognosis of oral cancer patients according to surgical approaches for effective cancer ablation: swing approach versus visor approach","authors":"Yun-Ho Kim, Jae-Young Yang, Dong-Min Lee, Jae-Yeol Lee, Dae-Seok Hwang, Mi-Heon Ryu, Uk-Kyu Kim","doi":"10.1186/s40902-024-00426-9","DOIUrl":"https://doi.org/10.1186/s40902-024-00426-9","url":null,"abstract":"For the surgical treatment of oral cancer, it is sometimes necessary to expand intraoral access within the oral cavity. The “swing approach” that involves lip splitting of the mandible and temporary mandibular osteotomy and the “visor approach” that does not split the lower lip and mandible are mainly used. This study analyzed postoperative outcomes such as complications, recurrence rate, and survival rate by these two approaches. The goal of this study is to evaluate the surgical outcomes of patients using these two approaches, to propose effective perioperative management for oral cancer surgery, and to compare the prognosis of oral cancer patients. From 2005 to 2020, 29 patients who underwent surgery at the Department of Oral and Maxillofacial Surgery of Pusan National University Dental Hospital for oral cancer lesions occurred in the mandible, floor of mouth, and tongue were selected for the study. Based on the surgical approach used, a chart review was conducted on various prognostic clinical factors such as the patients’ sex and age, primary site, TNM stage, histopathologic grade, recurrence and metastasis, postoperative survival rate, adjuvant chemo-radiation therapy, satisfaction with aesthetics/function/swallowing, length of hospital stay, tracheostomy and its duration, and neck dissection and its type. Statistical analysis was conducted using SPSS 25.0 (SPSS Inc., Chicago, IL) through Fisher’s exact t-test. There was no statistically significant difference between two groups in terms of clinical and pathological findings, such as survival rate, the need for adjuvant therapies, and the local recurrence rate. Although better outcomes were observed in terms of function, aesthetics, and postoperative complications in the group with visor approach, there was still no statistically significant difference between two groups. However, the duration of hospital stay was shorter in the visor approach group. There was no statistically significant difference in clinical prognostic factors between the swing approach and the visor approach. Therefore, when choosing between the two approaches for the ablation of oral cancer, it is considered to select the surgical priority approach that can be easy access based on the size and location of the lesion. The visor approach had advantages of aesthetics and healing period.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"95 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140635620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in alveolar bone grafting and ridge preservation: a narrative review on materials, techniques, and clinical outcomes 牙槽骨移植和牙嵴保存的进展:材料、技术和临床效果综述
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-04-16 DOI: 10.1186/s40902-024-00425-w
Suyoung Kim, Seong-Gon Kim
{"title":"Advancements in alveolar bone grafting and ridge preservation: a narrative review on materials, techniques, and clinical outcomes","authors":"Suyoung Kim, Seong-Gon Kim","doi":"10.1186/s40902-024-00425-w","DOIUrl":"https://doi.org/10.1186/s40902-024-00425-w","url":null,"abstract":"This narrative review systematically explores the progression of materials and techniques in alveolar ridge preservation (ARP). We commence by delineating the evolution from traditional ARP methods to cutting-edge alternatives, including platelet-rich fibrin, injectable bone repair materials, and hydrogel systems. Critical examination of various studies reveals these innovative approaches not only accelerate bone healing but also significantly improve patient-reported outcomes, such as satisfaction, pain perception, and overall quality of life. Emphasis is placed on the correlation between advanced ARP techniques and enhanced patient comfort and clinical efficacy, underscoring their transformative potential in dental implantology. Highlighting the effectiveness of ARP, the implant survival rate over a span of 5 to 7 years was high, showcasing the reliability and success of these methods. Further, patients expressed high aesthetic satisfaction with the soft tissue outcome, evidenced by an average visual analog scale (VAS) score of 94. This positive aesthetic appraisal is linked to the clinical health of implants, potentially due to the employment of tooth-supported surgical guides. The economic analysis reveals a varied cost range for bone graft substitutes ($46.2 to $140) and socket sealing materials ($12 to $189), with a noteworthy correlation between the investment in barrier membranes and the diminished horizontal and vertical ridge resorption. This suggests that membrane usage significantly contributes to preserving ridge dimensions, offering a cost-effective strategy for enhancing ARP outcomes. In conclusion, this review illuminates the significant advancements in ARP, highlighting the shift towards innovative materials and techniques that not only promise enhanced bone regeneration and reduced healing times but also improve patient satisfaction and aesthetic outcomes. The documented high implant survival rate and the beneficial economic implications of membrane use further validate the effectiveness of contemporary ARP strategies, paving the way for their broader adoption in dental implantology.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"50 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early oral feeding and its impact on postoperative outcomes in head and neck cancer surgery: a meta-analysis. 早期口服喂养及其对头颈部癌症手术术后效果的影响:一项荟萃分析。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-28 DOI: 10.1186/s40902-024-00421-0
Yomna E Dean, Karam R Motawea, Bdoor Ahmed A Bamousa, Jose J Loayza Pintado, Sameh Samir Elawady, Mohammed Soffar, Jaffer Shah, Kailyn Wilcox, Hani Aiash
{"title":"Early oral feeding and its impact on postoperative outcomes in head and neck cancer surgery: a meta-analysis.","authors":"Yomna E Dean, Karam R Motawea, Bdoor Ahmed A Bamousa, Jose J Loayza Pintado, Sameh Samir Elawady, Mohammed Soffar, Jaffer Shah, Kailyn Wilcox, Hani Aiash","doi":"10.1186/s40902-024-00421-0","DOIUrl":"10.1186/s40902-024-00421-0","url":null,"abstract":"<p><strong>Background: </strong>Early oral feeding has been previously postulated to contribute to developing postoperative complications following head and neck reconstructive surgeries using free flaps. This study assessed the association between the timing of oral feeding (early vs. late) and postoperative complications and length of hospital stay among these patients.</p><p><strong>Method: </strong>PubMed, Scopus, Cochrane, and Web of Science were searched using terms such as \"oral feeding\" and \"head or neck cancer.\" We utilized RevMan software version 5.4 for the analysis. The study defined early oral feeding as feeding within 5-day post-operation, while late oral feeding was defined as feeding after the fifth postoperative day. Five papers that met the inclusion criteria were included in the analysis, with 1097 patients.</p><p><strong>Results: </strong>The results showed that early feeding was not significantly associated with postoperative fistulas (RR 0.49, 95% CI 0.23 to 1.05, p-value = 0.07), hematoma/seroma (RR 0.71, 95% CI 0.33 to 1.51, p-value = 0.38), or flap failure (RR 0.84, 95% CI = 0.38 to 1.87, p-value = 0.67). However, early oral feeding was significantly associated with shorter hospital stays than late oral feeding (MD -3.18, 95% CI -4.90 to -1.46, p-value = 0.0003).</p><p><strong>Conclusion: </strong>No significant difference exists between early and late oral feeding regarding the risk of postoperative complications in head and neck cancer (HNC) patients who underwent free flap reconstruction surgery. However, early oral feeding is significantly associated with a shorter hospital stay than late oral feeding. Thus, surgeons should consider implementing early oral feeding after free flap reconstruction in HNC patients.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"11"},"PeriodicalIF":2.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of skeletal muscle mass on postoperative complications in oral cancer surgery. 骨骼肌质量对口腔癌手术术后并发症的影响。
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-28 DOI: 10.1186/s40902-024-00417-w
Arisa Fujii, Taiki Suzuki, Katsuhiko Sakai, Nobuyuki Matsuura, Keisuke Sugahara, Akira Katakura, Takeshi Nomura
{"title":"Impact of skeletal muscle mass on postoperative complications in oral cancer surgery.","authors":"Arisa Fujii, Taiki Suzuki, Katsuhiko Sakai, Nobuyuki Matsuura, Keisuke Sugahara, Akira Katakura, Takeshi Nomura","doi":"10.1186/s40902-024-00417-w","DOIUrl":"10.1186/s40902-024-00417-w","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia is characterized by a progressive and generalized loss of skeletal muscle mass and strength. The aim of this retrospective study was to investigate the impact of skeletal muscle mass on adverse events in free-flap reconstruction for defects after oral cancer resection.</p><p><strong>Results: </strong>Of 120 patients, recipient-site adverse events occurred in 56 patients (46.7%), and recipient-site surgical site infections occurred in 45 patients (37.5%). Skeletal muscle index was significantly associated with recipient-site adverse events in univariate analysis (P < 0.05). Lower body mass index and skeletal muscle index were significantly associated with recipient-site surgical site infection in univariate analysis (P < 0.05). In the multiple logistic regression model, a lower skeletal muscle index was a significant risk factor for recipient-site adverse events and surgical site infections (adverse events odds ratio; 3.17/P = 0.04; surgical site infection odds ratio; 3.76/P = 0.02).</p><p><strong>Conclusions: </strong>The SMI at level Th12 was an independent factor for postoperative AEs, especially SSI, in OSCC patients with free-flap reconstruction.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"12"},"PeriodicalIF":2.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced revision rhinoplasty with processed costal cartilage guided by preoperative computed tomography and 3D scanning 在术前计算机断层扫描和三维扫描的引导下,使用处理过的肋软骨进行强化翻修鼻整形术
IF 2.3
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-28 DOI: 10.1186/s40902-024-00422-z
Pawel Szychta
{"title":"Enhanced revision rhinoplasty with processed costal cartilage guided by preoperative computed tomography and 3D scanning","authors":"Pawel Szychta","doi":"10.1186/s40902-024-00422-z","DOIUrl":"https://doi.org/10.1186/s40902-024-00422-z","url":null,"abstract":"Revision rhinoplasty presents unique challenges, particularly in achieving structural integrity and aesthetic harmony. This study explores the efficacy of costal grafts in addressing these challenges, focusing on anatomical corrections and patient outcomes. A prospective analysis was conducted on patients undergoing revision rhinoplasty with costal grafts. An algorithmic approach was applied to tailor the surgical technique to individual anatomical needs, documented through pre- and postoperative assessments, including CT imaging and 3D scanning. A total of 34 patients were included. Significant improvements were noted in nasal structure and function post-surgery. The mean NOSE score improved from 94.47 ± 5.48 preoperatively to 12.59 ± 13.43 postoperatively, and the mean ROE score increased from 18.44 ± 10.02 to 92.65 ± 13.00, indicating substantial enhancement in both nasal airway function and patient satisfaction. The use of costal grafts facilitated effective corrections for a broad spectrum of nasal deformities, with a complication rate of 2.94%. Costal grafts in revision rhinoplasty offer a versatile and effective solution for complex nasal deformities. The algorithmic approach used in this study enhances repeatability and outcomes, suggesting a promising avenue for achieving desired aesthetic and functional results in revision cases. Further research is warranted to optimize techniques and evaluate long-term outcomes. II.","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"27 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140316379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing precision rhinoplasty: comprehensive preoperative planning with nasal computed tomography for functional and aesthetic enhancement. 优化精准鼻整形术:利用鼻部计算机断层扫描进行全面的术前规划,以增强功能和美感。
IF 2
Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-25 DOI: 10.1186/s40902-024-00423-y
Pawel Szychta
{"title":"Optimizing precision rhinoplasty: comprehensive preoperative planning with nasal computed tomography for functional and aesthetic enhancement.","authors":"Pawel Szychta","doi":"10.1186/s40902-024-00423-y","DOIUrl":"10.1186/s40902-024-00423-y","url":null,"abstract":"<p><strong>Background: </strong>The evolving field of rhinoplasty increasingly recognizes the importance of clinical expertise over routine preoperative nasal computed tomography (CT) for planning surgical interventions. This study evaluates the clinical utility of preoperative nasal CT in enhancing the precision of open structured rhinoplasty, focusing on both functional and aesthetic outcomes without compromising patient safety through unnecessary radiation exposure. The study aimed to assess the impact of preoperative nasal CT on surgical planning and intraoperative maneuvers.</p><p><strong>Methods: </strong>A prospective cohort study involved patients undergoing open structured rhinoplasty with or without preoperative nasal CT. Participants were divided into a study group, receiving preoperative nasal CT, and a control group, undergoing rhinoplasty without such imaging. Surgical modifications were tailored based on CT findings, with outcomes evaluated through postoperative nasal airflow and aesthetic satisfaction.</p><p><strong>Results: </strong>The study included 205 patients in the CT group and 514 in the control group, with comparable demographics. The CT group demonstrated significant improvements in nasal breathing and higher aesthetic satisfaction postoperatively, with a notable decrease in the NOSE score and an increase in the ROE score compared to the control group. Minor complications were observed in a small percentage of the CT group, showcasing a nuanced approach to addressing individual anatomical variations.</p><p><strong>Conclusions: </strong>Preoperative nasal CT in open structured rhinoplasty significantly enhances surgical precision, optimizing functional and aesthetic outcomes. This study underscores the utility of preoperative CT in individualized surgical planning, suggesting its pivotal role in the advancement of rhinoplasty practices. Future research should explore long-term benefits and further validate these findings across diverse populations.</p>","PeriodicalId":18357,"journal":{"name":"Maxillofacial Plastic and Reconstructive Surgery","volume":"46 1","pages":"10"},"PeriodicalIF":2.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140288427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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