Craniomaxillofacial Trauma & Reconstruction最新文献

Evaluating Facial Trauma in the Amish: A Study of a Unique Patient Population 评估阿米什人的面部创伤：对一个独特患者群体的研究

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-06-14 DOI: 10.1177/19433875241259887

Bao Y. Sciscent, Hanel W. Eberly, Tonya S King, Richard Bavier, J. Lighthall

{"title":"Evaluating Facial Trauma in the Amish: A Study of a Unique Patient Population","authors":"Bao Y. Sciscent, Hanel W. Eberly, Tonya S King, Richard Bavier, J. Lighthall","doi":"10.1177/19433875241259887","DOIUrl":"https://doi.org/10.1177/19433875241259887","url":null,"abstract":"Retrospective Chart Review. The lifestyle of the Amish exposes them to unique mechanisms of injury, making them an important patient population from a facial trauma standpoint. This study analyzes the demographic and clinical risk factors of facial trauma in the Amish. This retrospective chart review identified all Amish patients presenting with facial trauma at a single institution between 2013-2023. There were 87 Amish facial trauma patients. The median age was 9 years old, and 67.8% were male. Most injuries occurred on the road (41.4%), farm (28.7%), or at home (25.3%). The most frequent mechanisms were buggies (27.6%), falls (26.4%), and animals (18.4%). Fifty-eight patients sustained facial fractures, with orbital (n = 40), maxillary (n = 25), and nasal (n = 19) fractures being the most prevalent. The most common cause of facial fractures was buggy injuries (n = 17). Facial reconstruction was performed in 54.2% of buggy injuries, 31.3% of animal injuries, and 8.7% of falls. Patients with buggy injuries presented with the lowest Glasgow Coma Scale (GCS) scores (median 13.5) and had the longest inpatient hospital stay (median 3 days). Increased injury prevention efforts, especially towards buggy injuries, are necessary.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"14 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141341389","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

Management of Atrophic Edentulous Mandible Fractures Utilizing Virtual Surgical Planning and Patient-Specific Implants 利用虚拟手术规划和特定患者植入物治疗萎缩性无牙下颌骨骨折

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-06-06 DOI: 10.1177/19433875241259808

Daniel P. Caruso, Vincent M. Aquino, J. Hajibandeh

{"title":"Management of Atrophic Edentulous Mandible Fractures Utilizing Virtual Surgical Planning and Patient-Specific Implants","authors":"Daniel P. Caruso, Vincent M. Aquino, J. Hajibandeh","doi":"10.1177/19433875241259808","DOIUrl":"https://doi.org/10.1177/19433875241259808","url":null,"abstract":"This paper presents a case series analysis of 5 patients with Luhr class III mandible fractures treated using virtual surgical planning (VSP) and patient-specific implants (PSI) between October 2020 and February 2023. The study focuses on evaluating the effectiveness of VSP and PSI in managing complex mandibular fractures, particularly in edentulous patients. The primary objective is to assess the outcomes of using VSP and PSI for reconstructive surgery in patients with Luhr class III mandible fractures. The study aims to determine the accuracy of these techniques in fracture reduction and their impact on surgical complications and overall patient outcomes. The methodology involves a detailed preoperative planning process using VSP to design customized implants tailored to the specific anatomical needs of each patient. The study tracks the surgical procedures, implant placements, and postoperative outcomes, comparing the preoperative plans with the actual surgical results to evaluate accuracy and effectiveness. The results indicate successful fracture reduction in all 5 patients, with a high degree of accuracy in implant placement and alignment compared to the preoperative virtual plans. The study highlights the benefits of VSP and PSI, including precise screw placement and enhanced potential for prosthetic rehabilitation. Despite the higher costs, the outcomes suggest significant advantages in terms of surgical precision and patient recovery. The use of VSP and PSI in the treatment of Luhr class III mandible fractures provides a tailored approach that enhances surgical accuracy and patient outcomes. While acknowledging the increased costs, the findings support the value of these advanced techniques in managing complex edentulous mandible fractures, advocating for their consideration in similar cases to improve surgical results and patient care. The study adds to the growing evidence of the benefits of VSP and PSI in reconstructive maxillofacial surgery.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"113 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141377672","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

Two Miniplates Versus Three Dimensional Plate in Management of Mandibular Condylar Fractures: A Systematic Review and Meta-Analysis 双微型钢板与三维钢板在下颌骨髁突骨折治疗中的对比：系统回顾与元分析

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-05-08 DOI: 10.1177/19433875241252979

Santhosh Kumar Kuna, Anuj Jain, Vishala Kuna

{"title":"Two Miniplates Versus Three Dimensional Plate in Management of Mandibular Condylar Fractures: A Systematic Review and Meta-Analysis","authors":"Santhosh Kumar Kuna, Anuj Jain, Vishala Kuna","doi":"10.1177/19433875241252979","DOIUrl":"https://doi.org/10.1177/19433875241252979","url":null,"abstract":"Systematic Review and Meta-analysis. This systematic review and meta-analysis aimed to compare the efficacy of 2 miniplates vs a three-dimensional plate in the management of mandibular condylar fractures. The primary objective was to assess key parameters, including intraoperative time, maximum mouth opening, complications, and functional outcomes, to determine potential differences between the 2 fixation methods. A comprehensive literature search was conducted to identify relevant studies. Inclusion criteria were applied, and the selected studies underwent systematic review. The key parameters were extracted and subjected to meta-analysis to quantify and compare the outcomes associated with the use of 2 miniplates and three-dimensional plates. The methodologies of the included studies were critically evaluated to address potential biases and confounding factors. The meta-analysis results indicated that there were no statistically significant differences between the 2 fixation methods in terms of intraoperative time, maximum mouth opening, complications, and functional outcomes. However, concerns were raised regarding the high risk of bias, confounding factors, and considerable heterogeneity observed across the reviewed studies. The findings suggest that both 2 miniplates and three-dimensional plates are viable options for the management of mandibular condylar fractures. Despite the lack of statistical significance in the observed differences, the study highlights the need for further prospective research with enhanced methodologies, standardized protocols, larger sample sizes, and reduced bias to refine our understanding and potentially influence clinical management protocols.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":" 64","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141000365","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

Epidemiology and Characteristics of Women With Facial Fractures Seeking Emergency Care in the United States: A Retrospective Cohort Study 美国面部骨折女性急诊患者的流行病学和特征：回顾性队列研究

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-05-07 DOI: 10.1177/19433875241252194

Heather Peluso, Lindsay Talemal, Civanni Moss, Sthefano Araya, Erica Kozorosky, Sameer A. Patel, Adam Walchak

{"title":"Epidemiology and Characteristics of Women With Facial Fractures Seeking Emergency Care in the United States: A Retrospective Cohort Study","authors":"Heather Peluso, Lindsay Talemal, Civanni Moss, Sthefano Araya, Erica Kozorosky, Sameer A. Patel, Adam Walchak","doi":"10.1177/19433875241252194","DOIUrl":"https://doi.org/10.1177/19433875241252194","url":null,"abstract":"Facial bone fractures in women are less common than in men in the United States. However, little is known about the epidemiology of women who sustain facial fractures. Our aim is to describe the patient population of women seeking emergency care for facial fractures in the United States and they type and cost of care received in this setting. This is a retrospective cohort study using the 2019 National Emergency Department Sample. The inclusion criterion was diagnosis of facial fracture. The primary outcome was patient characteristics. The secondary outcomes are emergency department (ED) characteristics, discharge disposition, total visit charges, and most common cause. Diagnoses and procedures were identified using ICD10-CM codes. Outcomes were compared to men. Thirty-seven percent of ED facial fractures were encountered in women. Both women and men were most likely adult, Caucasian, from the lowest median income quartile, sustained nasal bone fractures, and presented to a southern, metropolitan, private nonprofit, non-trauma ED. Women were older, more likely insured by Medicare and less likely by private insurance, discharged home, and had lower ED charges than their male counterparts. However, the financial burden of emergency care for facial fractures among women was $1.6 billion.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"90 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004089","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

Endoscopic Dacryocystorhinostomy Following Nasolacrimal Drainage System Trauma and Medial Orbital Wall Reconstruction 鼻泪管引流系统创伤和内侧眼眶壁重建后的内窥镜泪囊鼻腔造口术

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-24 DOI: 10.1177/19433875241250221

Laura Drayer Turner, Pav A. Gounder, Randolph Dobson, Saul N. Rajak

引用次数: 0

Innovations and Insights in Facial Reconstruction: From Gender Affirmation to Trauma Management 面部重建的创新与见解：从性别肯定到创伤管理

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-23 DOI: 10.1177/19433875241249256

Florian M. Thieringer, Mike Y. Y. Leung, Kathleen Fan

引用次数: 0

Isolated Orbital Fracture – Treatment and Outcomes in a Single Tertiary Care Centre 孤立性眼眶骨折 - 单个三级医疗中心的治疗和结果

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-19 DOI: 10.1177/19433875241247370

Mirko K. K. Maunula, Karin Blomgren, S. Sinkkonen, Kristofer Nyman, Laura K. Tapiovaara

{"title":"Isolated Orbital Fracture – Treatment and Outcomes in a Single Tertiary Care Centre","authors":"Mirko K. K. Maunula, Karin Blomgren, S. Sinkkonen, Kristofer Nyman, Laura K. Tapiovaara","doi":"10.1177/19433875241247370","DOIUrl":"https://doi.org/10.1177/19433875241247370","url":null,"abstract":"Retrospective, questionnaire survey. The literature lacks a consensus on treatment of isolated orbital fracture. Our aim was to explore treatment schemes and outcomes of patients with isolated orbital fracture treated at a single tertiary care centre. We performed a retrospective chart review and a cross-sectional questionnaire survey. We reviewed the medical records of all patients diagnosed with isolated orbital fracture at an outpatient referral clinic in an urban university hospital between 2010 and 2016. We included only patients with isolated inferior, medial, or inferomedial orbital fracture in the study cohort. We sent a questionnaire to these patients to assess the prevalence and severity of long-term symptoms. We included 246 patients in the study cohort, of which 96 (39%) were treated surgically and 150 (61%) non-surgically. Median time from injury to surgery was 11 days (range = 0–44, IQR = 8,15), and to sending the questionnaire 44 months (range = 16–93). The questionnaire was completed by 89 patients (36%), of whom 51 (57%) reported at least one mild long-term symptom, 24 (27%) at least one moderate long-term symptom, and 17 (19%) at least one severe long-term symptom. Patients with isolated orbital fracture treated at our unit reported severe long-term symptoms more frequently than would have been expected based on earlier research. Patients at our unit were treated surgically more often than in other similar units, which suggests that surgical treatment may be chosen over non-surgical treatment unnecessarily often at our unit.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":" January","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140682393","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

Orbital Floor Fractures: Treatment and Diagnostics – A Survey Among Swiss, German and Austrian Maxillofacial Units 眶底骨折：治疗与诊断--瑞士、德国和奥地利颌面外科的一项调查

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-18 DOI: 10.1177/19433875241245498

Thomas Burger, Kathleen Fan, Johannes Brokmeier, Florian M. Thieringer, B. Berg

{"title":"Orbital Floor Fractures: Treatment and Diagnostics – A Survey Among Swiss, German and Austrian Maxillofacial Units","authors":"Thomas Burger, Kathleen Fan, Johannes Brokmeier, Florian M. Thieringer, B. Berg","doi":"10.1177/19433875241245498","DOIUrl":"https://doi.org/10.1177/19433875241245498","url":null,"abstract":"N/A. This study investigated the different ways of orbital floor reconstruction with special focus on reconstruction materials, imaging modalities (intra-/ post-operative), 3D printing and navigation. The heads of all governmental-run or associated cranio-maxillofacial surgery units in Switzerland, Austria and Germany were asked in person or received an email link for an online survey with 12 questions. The return rate was 57%. The most often selected number of reconstructions was between 10 and 50 per year. Resorbable polydioxanone (PDS) foils (41%) and titanium mesh (18 %) were most often used to reconstruct the orbital floor. 31% use 3D Navigation intraoperative. Post-operative imaging was most often performed with CBCT (34.5%) in patients without complications, whereas CT scans were most often performed (63.3%) in patients with persisting complications. In total, 27% stated that they never use preformed orbital plates, and the remaining units use them more or less regularly. 48% have access to a 3D printer and 75% of the respondents use patient specific implants. The majority of the participating units prefer to use resorbable material for the reconstruction of the orbital floor defects. 3D printing facilities are not available in the majority of units, but it can be expected that the number of units with 3D printing facilities will rise in the near future.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690331","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

Face Ahead Abstract Book 面对面》摘要集

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-08 DOI: 10.1177/19433875241232784

引用次数: 0

FACE AHEAD 2024 Abstracts Supplement 2024 年面向未来》摘要补编

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-04-08 DOI: 10.1177/19433875241232805

引用次数: 0

Craniomaxillofacial Trauma &amp; Reconstruction最新文献

Craniomaxillofacial Trauma & Reconstruction最新文献