The Journal of Craniofacial Surgery最新文献_第2页

Treatment of Plagiocephaly With Orthotic Helmets: Prevalence, Costs, and Inequities in Massachusetts. 使用矫形头盔治疗头畸形：马萨诸塞州的发病率、成本和不公平现象。

The Journal of Craniofacial Surgery Pub Date : 2024-09-13 DOI: 10.1097/scs.0000000000010655

Jacob J Wood,Quynh Anh Phan,Jaime Phan,Jessica J Farzan,Alex Joo,Sara Geraghty,Janice F Lalikos

{"title":"Treatment of Plagiocephaly With Orthotic Helmets: Prevalence, Costs, and Inequities in Massachusetts.","authors":"Jacob J Wood,Quynh Anh Phan,Jaime Phan,Jessica J Farzan,Alex Joo,Sara Geraghty,Janice F Lalikos","doi":"10.1097/scs.0000000000010655","DOIUrl":"https://doi.org/10.1097/scs.0000000000010655","url":null,"abstract":"Positional plagiocephaly is a craniofacial condition resulting from infant positioning that applies pressure consistently to a part of the skull. This study analyzed the prevalence of, and costs associated with orthotic helmet treatment for positional plagiocephaly and assessed inequities in treatment between medically underserved areas (MUAs) and non-MUAs using health insurance claims data from the Center for Health Information and Analysis (CHIA) in Massachusetts for the years 2016-2021. The mean percentage of patients receiving orthotic helmet therapy was 4.3% (SD=0.49, 95% CI=3.88-4.91, P=0.44). MUAs contained 37.2% of patients with positional plagiocephaly and 2.9% of MUA patients were treated with helmets compared with 5.2% of non-MUA patients (P<0.01). There was a significant decline in the percentage of patients prescribed helmeting therapy over the course of the study (P<0.01). The average copay amount for public insurance was $0.00, and for private insurance, it was $559.8 (SD=160.7, 95% CI=529.1-590.5, P<0.01). Of 3295 claims for orthotic helmet treatment, 92 were fully denied (2.8%). Private insurers issued more fully denied claims (3.8%) than public insurance (1.1%) (P<0.01). We found that public insurance is favorable for patients seeking treatment due to a lower likelihood of full denial and lower copayments. In addition, we found that there is a significant disparity in the prevalence of helmet treatment in MUAs, and the percentage of patients treated with helmeting therapy has declined over time.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"207 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253809","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

Demystifying Velopharyngeal Dysfunction for Plastic Surgery Trainees Part 2: Speech Fundamentals and Perceptual Speech Assessment. 为整形外科学员解密会厌功能障碍第 2 部分：语音基础和感知语音评估。

The Journal of Craniofacial Surgery Pub Date : 2024-09-12 DOI: 10.1097/scs.0000000000010606

Joshua M Wright,Molly F MacIsaac,Jamilla Vieux,S Alex Rottgers,Jordan N Halsey

{"title":"Demystifying Velopharyngeal Dysfunction for Plastic Surgery Trainees Part 2: Speech Fundamentals and Perceptual Speech Assessment.","authors":"Joshua M Wright,Molly F MacIsaac,Jamilla Vieux,S Alex Rottgers,Jordan N Halsey","doi":"10.1097/scs.0000000000010606","DOIUrl":"https://doi.org/10.1097/scs.0000000000010606","url":null,"abstract":"Velopharyngeal dysfunction (VPD) is the inability to achieve proper closure of the velopharyngeal (VP) port, affecting speech and swallowing. The gold standard for diagnosis is auditory-perceptual speech evaluation by a specialized speech-language pathologist. This 3-part series provides a comprehensive discussion on (1) the anatomy and physiology of the velopharyngeal mechanism, (2) fundamental speech terminology and principles of perceptual speech assessment for VPD, and (3) techniques for objective evaluation of the VP port and surgical decision-making process. In part 2, the authros begin with the concepts and terminology required to understand the perceptual speech assessment of VPD, including resonance, articulation, and the differentiation between consonants and vowels. We review the types of speech samples used for evaluation such as single-word articulation tests, syllable repetition, sentence repetition, and spontaneous connected speech. Finally, we discuss the auditory-perceptual speech assessment for VPD, including the assessment of resonance, nasal air emission, articulation, and voice quality. The use of rating scales like the Pittsburgh Weighted Speech Scale (PWSS) and the Cleft Audit Protocol for Speech-Augmented-Americleft Modification (CAPS-A-AM) is highlighted. In addition, the significance of intraoral examinations, visual-tactile-auditory evaluations, and the assessment of voice quality are covered. Most textbook chapters discussing this topic assume a foundational knowledge of speech-language pathology, which a surgical trainee may lack. This study aimed to bridge the gap between surgical training and speech pathology, providing a comprehensive resource to enhance the understanding and management of VPD.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197281","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

Journal Metrics of the Journal of Craniofacial Surgery: An Analysis Based on the Journal Citation Report 2024. 颅面外科杂志》的期刊指标：基于《2024 年期刊引文报告》的分析。

The Journal of Craniofacial Surgery Pub Date : 2024-09-12 DOI: 10.1097/scs.0000000000010633

Mustafa Said Tekin,Yusuf M Durna,İlhan Bahşi

{"title":"Journal Metrics of the Journal of Craniofacial Surgery: An Analysis Based on the Journal Citation Report 2024.","authors":"Mustafa Said Tekin,Yusuf M Durna,İlhan Bahşi","doi":"10.1097/scs.0000000000010633","DOIUrl":"https://doi.org/10.1097/scs.0000000000010633","url":null,"abstract":"OBJECTIVESThis study aims the analysis of the journal metrics of Journal of Craniofacial Surgery based on 2024 Journal Citation Reports (JCR) data.METHODSIn the Journal Citation Reports 2024, shared by Clarivate Analytics on June 20, 2024, the journal metrics of the Journal of Craniofacial Surgery were examined in detail.RESULTSAccording to the reports published by Clarivate Analytics in 2024, the journal's impact factor in 2023 was determined as 1.0 and the impact factor excluding self-citations was calculated as 0.8. These values show that the impact factor of the journal has increased in recent years. Also, it is seen that the Journal of Craniofacial Surgery, which has been in the fourth quartile (Q4) among the journals in the \"Surgery\" category for the last 10 years, has risen to the third quartile (Q3) this year.CONCLUSIONSThe increase in the impact factor and ranking of the Journal of Craniofacial Surgery shows that the journal has strengthened its position in the scientific field and is moving toward higher levels. However, it is suggested that other metrics should be taken into consideration in addition to the impact factor.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197282","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

A prospective study of Acupuncture Combined With Modified Blood and Vessel Expelling Blood Stasis Tang in Treating Poststroke Facial Paralysis With Insomnia. 针刺联合改良活血化瘀汤治疗中风后面瘫伴失眠的前瞻性研究

The Journal of Craniofacial Surgery Pub Date : 2024-09-12 DOI: 10.1097/scs.0000000000010623

Ran Sun,Zefei Jiang,Yiming Sun

{"title":"A prospective study of Acupuncture Combined With Modified Blood and Vessel Expelling Blood Stasis Tang in Treating Poststroke Facial Paralysis With Insomnia.","authors":"Ran Sun,Zefei Jiang,Yiming Sun","doi":"10.1097/scs.0000000000010623","DOIUrl":"https://doi.org/10.1097/scs.0000000000010623","url":null,"abstract":"OBJECTIVEThis study aimed to assess the clinical efficacy of acupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang in the treatment of poststroke patients experiencing facial paralysis and insomnia.METHODSA total of 120 patients with poststroke facial paralysis and insomnia were selected from the Department of Acupuncture and Moxibustion at the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine between January 2021 and January 2023. They were randomly assigned to either a control group or a study group, with 60 patients in each group. The control group received conventional treatment, while the study group received acupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang. The neurological function, facial paralysis, and sleep quality of the patients in both groups were compared.RESULTSThe study group exhibited a significantly higher total effective rate compared with the control group (86.67% versus 66.67%). After treatment, both groups showed a significant reduction in National Institutes of Health Stroke Scale scores, with the study group demonstrating significantly lower scores than the control group. The Functional Disability Index scores for somatic functioning and social life functioning significantly improved in both groups after treatment, with the study group achieving significantly lower scores compared with the control group. The Sleep-Related Symptom Scale and Pittsburgh Sleep Quality Index scores significantly decreased in both groups after treatment, with the study group achieving significantly lower scores than the control group.CONCLUSIONSAcupuncture combined with modified Blood and Vessel Expelling Blood Stasis Tang effectively promotes recovery of neurological function and significantly improves facial paralysis and insomnia in patients with poststroke facial paralysis and insomnia. However, further research is warranted to validate these findings.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197280","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

Content Analysis of the Top 25 Most Cited Articles of the Journal of Craniofacial Surgery With ChatGPT-4o. 利用 ChatGPT-4o 对《颅面外科杂志》被引用次数最多的 25 篇文章进行内容分析。

The Journal of Craniofacial Surgery Pub Date : 2024-09-12 DOI: 10.1097/scs.0000000000010619

Yusuf Muhammed Durna,Mustafa Said Teki N,Yaşar Kemal Duymaz,Ahmet Mahmut Teki N,İlhan Bahşi

{"title":"Content Analysis of the Top 25 Most Cited Articles of the Journal of Craniofacial Surgery With ChatGPT-4o.","authors":"Yusuf Muhammed Durna,Mustafa Said Teki N,Yaşar Kemal Duymaz,Ahmet Mahmut Teki N,İlhan Bahşi","doi":"10.1097/scs.0000000000010619","DOIUrl":"https://doi.org/10.1097/scs.0000000000010619","url":null,"abstract":"OBJECTIVESince 1990, the Journal of Craniofacial Surgery has been an important resource for clinicians and basic scientists. The journal addresses clinical practice, surgical innovations, and educational issues. This study aims to evaluate the contribution of these articles to clinical practice innovations and surgical procedures by analyzing the content of the 25 most cited articles published in the journal. It also aims to demonstrate the potential of artificial intelligence tools in academic content analysis.METHODSAll articles published in the Journal of Craniofacial Surgery on June 13, 2024, were searched using the Web of Science Database, and the 25 most cited articles were identified. The full texts of these articles were saved in PDF format and metadata were saved as plain text files. Content analysis of these 25 articles was performed using ChatGPT-4o.RESULTSAs a result of the analysis, some articles stood out in terms of clinical importance. It also appeared that ChatGPT could be used to compare multiple articles.CONCLUSIONIn this study, the authors analyzed the content of the 25 most cited articles published in the Journal of Craniofacial Surgery using ChatGPT-4o. These articles were evaluated according to the criteria of innovations in clinical practice and compliance with surgical procedures. This study presents interesting findings in terms of the use of artificial intelligence tools in academic content analysis. The authors thought that this study could be a source of inspiration for future studies.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"2013 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197277","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

A Cross-Sectional Analysis of American Insurance Coverage of Upper and Lower Lid Blepharoplasty. 上下眼睑整形手术美国保险覆盖范围的横断面分析。

The Journal of Craniofacial Surgery Pub Date : 2024-09-11 DOI: 10.1097/scs.0000000000010562

Beita Badiei,Kevin Schlidt,Michael Ha,Caroline Simon,Chinenye Onyima,Jessica El-Mallah,Vivekka Nagendran,Yvonne M Rasko

{"title":"A Cross-Sectional Analysis of American Insurance Coverage of Upper and Lower Lid Blepharoplasty.","authors":"Beita Badiei,Kevin Schlidt,Michael Ha,Caroline Simon,Chinenye Onyima,Jessica El-Mallah,Vivekka Nagendran,Yvonne M Rasko","doi":"10.1097/scs.0000000000010562","DOIUrl":"https://doi.org/10.1097/scs.0000000000010562","url":null,"abstract":"OBJECTIVEDermatochalasis is a common condition that can cause obstruction of peripheral visual fields and impairment of daily activities. These effects can be addressed with a blepharoplasty, which may be considered a cosmetic procedure by American health insurers. The authors assessed insurance coverage of all indications of blepharoplasty and their medical necessity criteria.METHODSA cross-sectional analysis was conducted of 70 insurance policies for blepharoplasty. The insurance companies were selected based on their state enrollment and market share. A web-based search and telephone interviews were utilized to identify the policies. Medically necessary criteria were extracted from the publicly available policies.RESULTSOf the 70 insurance policies assessed, 67 (96%) provide coverage for blepharoplasty. There were 7 indications for coverage, the most common being dermatochalasis causing functional visual impairment (n = 56, 80%), prosthesis difficulties in an anophthalmic socket (n = 44, 63%), and congenital ptosis (n = 38, 54%). Of companies that indicated coverage for dermatochalasis, 95% required visual field loss testing to qualify for coverage. Significantly more companies required a 30% loss in the superior visual field for coverage versus the literature-recommended amount of 24% loss (n = 14 versus n = 3, 26% versus 6%, P= 0.0067).CONCLUSIONThere is a great discrepancy in insurance policy criteria for coverage of blepharoplasty, especially regarding requirements for visual field testing. Unfortunately, this disparity does not reflect the current literature as to whom may gain significant functional benefit from blepharoplasty.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197302","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

Clinical Efficacy of Bionic Blepharoplasty Using the Flexible Suspension and Semiflexible Suspension Double-Insurance Methods. 使用柔性悬吊和半柔性悬吊双保险法进行仿生眼睑成形术的临床疗效。

The Journal of Craniofacial Surgery Pub Date : 2024-09-11 DOI: 10.1097/scs.0000000000010614

Zhigang He,Xianbin Gu,Lisha Chen,Wenjing Liu,Yangyan Yi,Juanmin Yang

{"title":"Clinical Efficacy of Bionic Blepharoplasty Using the Flexible Suspension and Semiflexible Suspension Double-Insurance Methods.","authors":"Zhigang He,Xianbin Gu,Lisha Chen,Wenjing Liu,Yangyan Yi,Juanmin Yang","doi":"10.1097/scs.0000000000010614","DOIUrl":"https://doi.org/10.1097/scs.0000000000010614","url":null,"abstract":"OBJECTIVETo investigate the clinical effect of the double insurance method of flexible suspension and semiflexible suspension in bionic blepharoplasty.METHODSBetween January 2020 and January 2022, a total of 115 patients (230 eyes) underwent double eyelid plastic surgery with flexible suspension and semiflexible suspension. Herein, we present a new type of double eyelid surgery that preserves the orbicular muscle of the anterior tarsus without removing the tissue. First, the loose fatty fascia layer between the anterior tarsus and the orbicularis oculi muscle was completely removed to a distance of 2 mm from the base of the eyelashes, leaving the compact pretarsal levator aponeurosis. Then, the anterior tarsus orbicularis oculi muscle and the upper levator aponeurosis were sutured and fixed (flexible suspension). Finally, the skin and the upper levator aponeurosis were sutured in the flexible suspension space (semiflexible suspension).RESULTSSix months after surgery, the patient's double eyelid shape had recovered well, and the satisfaction rate reached 97.3%. Among the unsatisfied patients, 1 patient had a single-focused shallow eyelid line which was associated with postoperative hematoma, and 2 patients felt that the double eyelid line was narrow. All 3 patients achieved satisfactory results after reoperation.CONCLUSIONSThe bionic double eyelid method with flexible suspension and semiflexible suspension can restore the natural double eyelid anatomy very well by reconstructing the connection between the orbicularis oculi muscle or skin and the upper palpebral levator aponeurosis. After the operation, the incisions healed quickly and smoothly. The eyelid depression and fleshy feeling were not obvious when the eyes were closed. Consequently, the patient's satisfaction was very high.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197303","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

Caregivers' Perception of Child Weight and Its Implications on Children's BMI: Examining the Role of Weight Concern and Pressed Eating Behaviors as Mediators. 照顾者对儿童体重的看法及其对儿童体重指数的影响：研究体重担忧和压迫性进食行为的中介作用。

The Journal of Craniofacial Surgery Pub Date : 2024-09-10 DOI: 10.1097/scs.0000000000010630

Wei Wang,Ying Wang

{"title":"Caregivers' Perception of Child Weight and Its Implications on Children's BMI: Examining the Role of Weight Concern and Pressed Eating Behaviors as Mediators.","authors":"Wei Wang,Ying Wang","doi":"10.1097/scs.0000000000010630","DOIUrl":"https://doi.org/10.1097/scs.0000000000010630","url":null,"abstract":"OBJECTIVEThis study aims to investigate the relationship between caregivers' perception of child weight, their concern about children's weight, pressed eating behaviors, and children's BMI.METHODSA Child Feeding Questionnaire was administered to 442 primary caregivers of school-aged children (6-12 y old) in Hangzhou, China.RESULTSSignificant differences were observed in age, family average monthly income, and family care type among children with different weight statuses (P<0.05). Caregivers' perception of child weight was positively correlated with children's BMI. Caregivers' perception of child weight and children's BMI were negatively correlated with pressed eating behaviors. Caregivers' perception of the child's weight, BMI, and pressed eating behaviors were positively correlated with caregivers' weight concerns. Caregivers' perception of child weight not only had a direct positive predictive effect on children's BMI but also influenced children's BMI through three paths: via the independent mediation of children's weight concern, the independent mediation of pressed eating behaviors, and the chain mediation of children's weight concern and pressed eating behaviors.CONCLUSIONSCaregivers need to rectify perception biases regarding child weight, adopt reasonable feeding strategies, nurture children's self-regulation abilities regarding diet, and prevent the occurrence of childhood overweight and obesity.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197285","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

Full Thickness Nasal Reconstruction With Paired Pericranial and Paramedian Forehead Flaps. 使用成对的颅周和额旁皮瓣重建全厚鼻腔

The Journal of Craniofacial Surgery Pub Date : 2024-09-10 DOI: 10.1097/scs.0000000000010609

Nathan Farias,Corey Moore

{"title":"Full Thickness Nasal Reconstruction With Paired Pericranial and Paramedian Forehead Flaps.","authors":"Nathan Farias,Corey Moore","doi":"10.1097/scs.0000000000010609","DOIUrl":"https://doi.org/10.1097/scs.0000000000010609","url":null,"abstract":"PURPOSEThe reconstruction of full-thickness nasal defects poses a significant challenge following oncologic resection. This study aims to share a technique using paired pericranial forehead flap (PCF) with contralateral paramedian flap (PMF) for such defects. Patient outcomes were reviewed, and the advantages and disadvantages of the reconstructive technique are discussed.METHODSA retrospective review of a single surgeon practice was done between 2019 and 2024. Cases of nasal reconstruction with a paired PCF and PMF following oncologic resection were reviewed. Defect characteristics, reconstructive technique, and postoperative complications were evaluated. A literature review summarizing the evolution of this technique from inception to April 2024 was conducted using PubMed.RESULTSThe literature review identified 7 reports describing the use of a paired PCF and PMF for nasal reconstruction. The modifications and enhancements described in each study are summarized. The case series included 13 patients requiring oncologic resection for squamous cell carcinoma (8 patients) or basal cell carcinoma (5 patients). Every case required reconstruction of at least 2 nasal subunits, primarily involving the nasal tip, alae, and columella. Reconstruction was performed with the ipsilateral PCF, contralateral PMF, and structural grafts. Auricular cartilage grafts were universally used for structural support, with additional costal cartilage grafts and a split calvaria bone graft in select cases. The technique showed good functional and esthetic outcomes without any notable graft failures or donor site complications.CONCLUSIONSThe combination of an ipsilateral PCF and contralateral PMF is an effective strategy for reconstructing full-thickness nasal defects involving multiple nasal subunits.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197300","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

Initial Frontal Sinus and Orbit Tumor Signaling Late Distant Metastasis in Kidney Cancer. 肾癌晚期远处转移的额窦和眼眶肿瘤初始信号

The Journal of Craniofacial Surgery Pub Date : 2024-09-10 DOI: 10.1097/scs.0000000000010626

Bojan Pavlovic,Sasa Jakovljevic,Katarina Jovanovic

{"title":"Initial Frontal Sinus and Orbit Tumor Signaling Late Distant Metastasis in Kidney Cancer.","authors":"Bojan Pavlovic,Sasa Jakovljevic,Katarina Jovanovic","doi":"10.1097/scs.0000000000010626","DOIUrl":"https://doi.org/10.1097/scs.0000000000010626","url":null,"abstract":"Although metastases to the paranasal sinuses are exceedingly rare, when they do occur, renal clear cell carcinoma is the most frequent primary tumor involved. The aim of this work was to present a case of metastatic clear cell renal carcinoma in the frontal sinus and orbit region, 7 years after the initial diagnosis and treatment. The patient was referred to our clinic due to drooping of the left eyelid and displacement of the left eyeball. Computed tomography revealed an expansive lesion in the left frontal sinus and orbit, causing destruction of its anterior, lateral, and roof walls. Profuse bleeding from the tumor and left orbit hindered a comprehensive assessment of tumor extension into the orbit and residual tumor size. Therefore, complete tumor removal was not possible; instead, reduction was achieved. Subsequent histopathologic and immunohistochemical analysis confirmed the lesion as a metastasis of renal cell carcinoma in the sinonasal tract. Unfortunately, 10 weeks later, the patient passed away. Treatment of metastatic clear cell renal carcinoma depends on the localization of the disease as well as the overall condition of the patient. If there is a solitary metastatic lesion, as in the case of the sinonasal region, surgical treatment is recommended. Metastasis of clear cell renal carcinoma to the sinonasal region is a rare occurrence; however, it is essential to consider it in cases of rapidly growing tumor masses, typically presenting with symptoms such as epistaxis and nasal obstruction.","PeriodicalId":501649,"journal":{"name":"The Journal of Craniofacial Surgery","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142225144","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