Craniomaxillofacial Trauma & Reconstruction最新文献_第2页

Clinical Experience With a Less Invasive Surgical Transparotid Approach and Trapezoidal Plate for Neck and Base Condylar Fractures: A Retrospective Study 经颈静脉微创手术和梯形钢板治疗髁状突颈部和基底部骨折的临床经验：回顾性研究

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-03-29 DOI: 10.1177/19433875241242938

Carlos Cortez Fuentes, Felipe Astorga Mori, Salvador Valladares Pérez, Osvaldo Gahona Gutiérrez, Gerson Sepúlveda Troncoso, Matias Dallaserra Albertini, J. P. Vargas Buratovic

{"title":"Clinical Experience With a Less Invasive Surgical Transparotid Approach and Trapezoidal Plate for Neck and Base Condylar Fractures: A Retrospective Study","authors":"Carlos Cortez Fuentes, Felipe Astorga Mori, Salvador Valladares Pérez, Osvaldo Gahona Gutiérrez, Gerson Sepúlveda Troncoso, Matias Dallaserra Albertini, J. P. Vargas Buratovic","doi":"10.1177/19433875241242938","DOIUrl":"https://doi.org/10.1177/19433875241242938","url":null,"abstract":"This is a retrospective observational study. To evaluate the clinical outcomes after an open reduction and internal fixation (ORIF) of condylar neck and base fractures (CNBFs) with a trapezoidal shape plate in patients using a less invasive transparotid approach. Fifteen patients with condylar fractures were classified according to the Arbeitsgemeinschaft für Osteosynthesefragen Craniomaxillofacial (AOCMF) classification system, treated by ORIF with a trapezoidal plate. All patients were evaluated by clinical examination (pain, occlusion, and mandibular dynamics) and imaging through computed axial tomography. Postoperative evaluations considered a favourable clinical outcome of fragment stability, stable occlusion, absence of pain, and regular mouth opening ranges. In addition, any signs of local infection, malocclusion, facial nerve damage, or failure of the fixation system were recorded. According to the AOCMF classification for condylar fractures, eight fractures affected the condylar base and seven involved the condylar neck. No patients presented pain or joint sounds in the TMJ. All patients obtained a buccal opening greater than or equal to 35 mm. Two patients showed postoperative malocclusion which was corrected by intermaxillary elastics therapy. In addition, two patients had transient paresis during the postoperative period. One of them had paresis of the frontal and buccal branches of the facial nerve while the second patient had paresis of the zygomatic and buccal branches. Using trapezoidal miniplates provides functionally stable fixation for neck and base condylar fractures and allows for a less invasive surgical transparotid approach (2 cm extension). They also reduce the amount of osteosynthesis material and are easier to adapt and fix in the author’s opinion.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"48 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140365768","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

Pain Management in Surgical Treatment of Facial Fractures: Alternative Approaches to Opioid Use 面部骨折手术治疗中的疼痛管理：阿片类药物使用的替代方法

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-03-19 DOI: 10.1177/19433875241236869

Jacqueline Tucker, Madison Oxford, Dana Goldenberg, K. Ziai, J. Lighthall

引用次数: 0

Repair of Inferior Alveolar Nerve in Orthognathic Surgery Simulator (RIANOS): A Novel, Open-Source, Combined 3D Printed, and Ex-Vivo Chicken Sciatic Nerve Training Model 修复下牙槽神经正颌外科手术模拟器（RIANOS）：一种新型、开源、三维打印与活体鸡坐骨神经训练相结合的模型

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-03-14 DOI: 10.1177/19433875241236322

Alfonso Navia, Sebastian Tapia, Maria Fernanda Rojas, Francisco Rojas, Alex Vargas, Claudio Guerra, Álvaro Cuadra, Susana Searle, Hernan Ramírez, C. Teuber

{"title":"Repair of Inferior Alveolar Nerve in Orthognathic Surgery Simulator (RIANOS): A Novel, Open-Source, Combined 3D Printed, and Ex-Vivo Chicken Sciatic Nerve Training Model","authors":"Alfonso Navia, Sebastian Tapia, Maria Fernanda Rojas, Francisco Rojas, Alex Vargas, Claudio Guerra, Álvaro Cuadra, Susana Searle, Hernan Ramírez, C. Teuber","doi":"10.1177/19433875241236322","DOIUrl":"https://doi.org/10.1177/19433875241236322","url":null,"abstract":"Face and content validation of a surgical simulation model. Accidental transection of the inferior alveolar nerve (IAN) during bilateral sagittal split osteotomies (BSSO) has a reported incidence of up to 7%, determining important sensory disturbances in patients. Proper repair demands the need of microsurgical anastomosis skills. No previous training models have been described to simulate this. Therefore, we present a validated simulation model for intraoral repair of transected IAN. A CT scan of an orthognathic surgery patient was modified and a 3D model of a mandible with BSSO was printed. Chicken thigh anatomy was reviewed, and 2.5 mm sciatic nerves were dissected and mounted in the model. In order to simulate intraoral work depth, it was put inside a dental phantom or medical glove box. The model was tested by a group of experts (n = 12), simulating a transected IAN repair inside the mouth with both loupes and a double visor surgical training microscope. A survey was conducted to assess Face and Content validity. The model was named RIANOS after Repair of Inferior Alveolar Nerve in Orthognathic Surgery Simulator. The printing cost of each model was approximately US$3 and the design file is open-source and available for download. All experts “Strongly Agreed” that the model was useful for training inferior alveolar nerve microsurgical repair and would consider implementing it with their residents. We developed a low cost, reproducible, open-source simulator for IAN injury repair training during BSSO. Face and Content validity was achieved through evaluation by a group of experts.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"14 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140243911","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

Reconstruction of Composite Mandible Defects Using a Cellular Bone Allograft and Soft Tissue Free Flap Coverage 利用细胞骨异体移植和软组织游离瓣覆盖重建复合下颌骨缺损

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-03-06 DOI: 10.1177/19433875241237920

Kevin J. Carlson, Robert M. Liebman, Matthew J Bak, William M. Dougherty, Jonathan R Mark

{"title":"Reconstruction of Composite Mandible Defects Using a Cellular Bone Allograft and Soft Tissue Free Flap Coverage","authors":"Kevin J. Carlson, Robert M. Liebman, Matthew J Bak, William M. Dougherty, Jonathan R Mark","doi":"10.1177/19433875241237920","DOIUrl":"https://doi.org/10.1177/19433875241237920","url":null,"abstract":"Retrospective case series. Cellular bone allografts (CBAs) contain the components of a successful bone graft with no autologous component and have been used extensively outside the head and neck. Descriptions of their utilization for mandible reconstruction are limited. We review our experience utilizing a CBA, with no autologous component, for the reconstruction of mandible defects. Patients undergoing reconstruction of a composite mandible defect with a CBA, no added autologous component, within a patient-specific graft cage and soft tissue free flap coverage were retrospectively identified. Graft survival and defect management are assessed and results of post-operative imaging reported. Five subjects, aged 23–56 years, underwent reconstruction of mandible defects with the described technique. Defects resulted from gunshot wounds in 4 patients and the composite resection of a low-grade malignancy in one. The defect was definitively managed in 4 subjects, 3 of which had post-operative imaging demonstrating bone formation. The fifth experienced graft failure after developing an orocutaneous fistula and was successful salvaged with an osteocutaneous fibula free flap. Our early experience is promising that a CBA, with no autologous component, and soft tissue free flap coverage can be used for the reconstruction of composite mandible defects in select patients.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"12 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263102","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

Exploring Socioeconomic Disparities in Mandibular Trauma: A Retrospective Cohort Analysis of Patient Profiles and Treatment Outcomes 探索下颌骨创伤的社会经济差异：对患者概况和治疗结果的回顾性队列分析

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-02-29 DOI: 10.1177/19433875241236330

Dylan Kahler, Rebecca Gardella, Sai Reddy, Huaqing Zhao, Mykal Gerald, Christine Jones

{"title":"Exploring Socioeconomic Disparities in Mandibular Trauma: A Retrospective Cohort Analysis of Patient Profiles and Treatment Outcomes","authors":"Dylan Kahler, Rebecca Gardella, Sai Reddy, Huaqing Zhao, Mykal Gerald, Christine Jones","doi":"10.1177/19433875241236330","DOIUrl":"https://doi.org/10.1177/19433875241236330","url":null,"abstract":"Retrospective Chart Review. Mandible fracture is a life-altering event, and its complications can have devastating consequences for patients. Patients are therefore well-served if providers can identify their risk factors and engage strategies to reduce complication risk. The present study examines mandible trauma in an urban tertiary hospital serving an economically disadvantaged population. This review identified all patients undergoing operative repair of traumatic mandible fractures from January 2015 to December 2020. Patient risk factors, operative technique, and surgical complications (including infection, hardware failure, malunion, and mandible nonunion) were analyzed. Two hundred and seventy-two patients were identified with mandible fractures; 78.3% of these injuries were related to interpersonal violence; 83.4% of patients were male, and 55.5% were African American. Based on multivariable logistic regression models, increased rates of postoperative complications were observed in patients with increasing Area Deprivation Index (Odds Ratio 1.02), mandible body fracture (OR 3.11), tobacco use disorder (OR 3.75), history of hepatitis C infection (OR 7.35), and discharge to drug and alcohol rehabilitation (OR 23.42). For providers treating patients with mandible fractures, the effects of comorbid substance use—including tobacco use—and inadequate discharge disposition (a reflection of financial means and insurance status) should be identified early, and steps to mitigate their consequences should be taken. Providers must recognize that patients with these comorbidities require more patience, support, and attention than patients without these risk factors. Increased engagement with multidisciplinary services such as psychiatry, addiction medicine, primary care, and social work may improve outcomes for these vulnerable patients.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414080","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

Enophthalmos: Historical Perspective on Definitions, Measurement Devices, and Clinical Significance 眼球震颤：定义、测量设备和临床意义的历史视角

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-02-23 DOI: 10.1177/19433875241236343

John Mayo, Warren Schubert

引用次数: 0

Orbital Fractures Treated in Auckland From 2016 to 2020: Review of Patient Outcomes 2016 年至 2020 年奥克兰治疗的眼眶骨折：患者疗效回顾

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-02-20 DOI: 10.1177/19433875241235477

Darren Wang, Christopher M. Sealey

{"title":"Orbital Fractures Treated in Auckland From 2016 to 2020: Review of Patient Outcomes","authors":"Darren Wang, Christopher M. Sealey","doi":"10.1177/19433875241235477","DOIUrl":"https://doi.org/10.1177/19433875241235477","url":null,"abstract":"Orbital reconstruction is a complex procedure demanding accurate placement of implants to restore volume and anatomic shape to the orbits. Intra-operative computed-tomography (CT) and rapid-prototype (RP) biomodels have been recently introduced as surgical aids to improve outcomes. Investigation is required to determine if there is a reduction in post-operative ophthalmic complications. Retrospective cohort study. To evaluate the impact of intra-operative CT and RP biomodels on the incidence of post-operative diplopia, paraesthesia, cosmetic issues and ability to return to work following orbital reconstruction surgery. Adult (>18 years) patients treated at Counties Manukau District Health Board, Auckland, by the Department of Oral and Maxillofacial Surgery for isolated orbital fractures were retrospectively enrolled into this study. An audit of clinical records was undertaken to determine incidences of diplopia, altered sensation, cosmetic concerns and ability to return to work. These findings were compared against our previous audit which documented these findings in patients treated between 2010 and 2015, prior to the introduction of intra-operative CT and RP biomodels. Routine use of intra-operative CT and RP biomodels was associated with a reduced incidence of post-operative diplopia. No significant difference was observed with regards to paraesthesia and cosmetic deficits. The relatively low radiation exposure and cost associated with intra-operative CT and RP biomodels is justified with improved outcomes in subjective diplopia. Titanium as a material for orbital reconstruction was confirmed to be associated with low complication rates.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"240 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140447618","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

Frontal Sinus Fractures and Traumatic Brain Injury: Predictors of Mortality in Surgical Management 额窦骨折和创伤性脑损伤：手术治疗中的死亡率预测因素

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-01-22 DOI: 10.1177/19433875241229882

Eduardo Trejo, Patricio García, Diego A. Ortega, Karla C. González, Edgar Botello, Gamaliel Hernández, Jesús A. Morales, Ángel R. Martínez

{"title":"Frontal Sinus Fractures and Traumatic Brain Injury: Predictors of Mortality in Surgical Management","authors":"Eduardo Trejo, Patricio García, Diego A. Ortega, Karla C. González, Edgar Botello, Gamaliel Hernández, Jesús A. Morales, Ángel R. Martínez","doi":"10.1177/19433875241229882","DOIUrl":"https://doi.org/10.1177/19433875241229882","url":null,"abstract":"This is anobservational, retrospective, analytical study. The aim was todetermine a statistical basis for a future line of research based on the epidemiology of a center located in a developing country, as well as defining indirect mortality predictors. Clinical files were reviewed based on diagnosis of Traumatic Brain Injury (TBI), according to the International Classification of Diseases 10th Revision (ICD-10). Sociodemographic variables as well as treatment modality of the condition during hospitalization was recorded. The patient sample was divided into two groups. Student’s T-test was performed in variables with normal distribution and Chi-square test in independent random variables with standard normal distribution. For correlations, Pearson’s correlation coefficient was used, taking the P-value <.05 as statistically significant. A total of 150 participants were included in this study, from which 125 were male (83.3%). The average age was 28.58 ± 16.55 years. The median hospitalization time was 9 days. Forty-five patients (30%) were treated conservatively. Fifteen patients died during hospitalization. The factors considered as predictors of mortality in the general population corresponded to Motor Vehicle Accident, Frontonasal Duct Obstruction, Neuroinfection, Glasgow Coma Scale (GCS) at admission, as well as GCS at discharge. In the patients who underwent surgery, predictors of mortality corresponded to Motor Vehicle Accident, Bilateral Frontal Craniotomy, Surgical Bleeding >475 cc, Neuroinfection, as well as GCS at admission and discharge. The creation of adequate diagnostic and therapeutic algorithms in traumatic brain injury management is needed, especially in developing countries. More specific studies are needed, particularly analytical and multicentric studies, which may allow the development of these algorithms.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"17 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139608241","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

Deoxycholic Acid for Submental Convexity: A MAUDE Database Analysis 去氧胆酸治疗下凸：MAUDE 数据库分析

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-01-08 DOI: 10.1177/19433875231226034

A. C. Gibson, Anvesh Kompelli, Carissa Saadi, Vijay A. Patel, Robert A. Saadi, Tom Shokri

{"title":"Deoxycholic Acid for Submental Convexity: A MAUDE Database Analysis","authors":"A. C. Gibson, Anvesh Kompelli, Carissa Saadi, Vijay A. Patel, Robert A. Saadi, Tom Shokri","doi":"10.1177/19433875231226034","DOIUrl":"https://doi.org/10.1177/19433875231226034","url":null,"abstract":"The study was a retrospective cross-sectional database analysis. Deoxycholic acid (DOC) injections are a novel, in-office procedural alternative to submental liposuction or submentoplasty to address excess submental fat. Post-market safety data regarding this treatment is currently limited. The objective of this study is to analyze adverse events reported in the Manufacturer and User Facility Device Experience (MAUDE) database. The MAUDE database was queried for all reports related to adverse events involving deoxycholic acid using the search terms “KYBELLA” and “deoxycholic acid.” Reports were individually reviewed by 2 reviewers and categorized with special attention to adverse events. A total of 34 medical device reports were identified from the database query. Thirteen of these reports (21 total events) were included in the analysis after excluding duplicates, unrelated adverse events, or events associated with the off-label use of DOC. Reported adverse events include excessive swelling (n = 5, 24%), marginal mandibular nerve weakness (n = 4, 19%), unsatisfactory aesthetic outcome (n = 4, 19%), numbness (n = 3, 14%), dysphagia (n = 1, 5%), infection (n = 1, 5%), and skin necrosis (n = 3, 14%). Two patients required hospitalization for skin necrosis management; both had underlying systemic diseases. Adverse events following DOC injections included excessive swelling, dysphagia, numbness, infection, unsatisfactory aesthetic outcome, facial nerve weakness, and skin necrosis requiring hospitalization and/or surgery. Patient counseling regarding these adverse events should be discussed when offering DOC injections for submental convexity.","PeriodicalId":505353,"journal":{"name":"Craniomaxillofacial Trauma & Reconstruction","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446056","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

Craniomaxillofacial Trauma and Reconstruction in 2024: Navigating the Post-Pandemic World and Advancing Research Through Open Access 2024 年的颅颌面创伤与重建：驾驭流行病后的世界，通过开放获取推进研究

Craniomaxillofacial Trauma & Reconstruction Pub Date : 2024-01-08 DOI: 10.1177/19433875241227056

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

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Craniomaxillofacial Trauma &amp; Reconstruction最新文献

Craniomaxillofacial Trauma & Reconstruction最新文献