FACE Pub Date : 2023-12-15 DOI: 10.1177/27325016231215124

引用次数: 0

“Virtual Surgical Planning Facilitates Surgical Resection in Mandibular Osteoradionecrosis and Optimize Reconstructive Outcomes” "虚拟手术规划有助于下颌骨骨坏死的手术切除并优化重建效果

FACE Pub Date : 2023-12-15 DOI: 10.1177/27325016231218672

Patrick A. Palines, Hannah E. Doran, Harel G. Schwartzberg, Devin M. Melancon, Matthew J. Bartow, Rizwan Aslam, H. St. Hilaire, Mark W. Stalder

{"title":"“Virtual Surgical Planning Facilitates Surgical Resection in Mandibular Osteoradionecrosis and Optimize Reconstructive Outcomes”","authors":"Patrick A. Palines, Hannah E. Doran, Harel G. Schwartzberg, Devin M. Melancon, Matthew J. Bartow, Rizwan Aslam, H. St. Hilaire, Mark W. Stalder","doi":"10.1177/27325016231218672","DOIUrl":"https://doi.org/10.1177/27325016231218672","url":null,"abstract":"Mandibular osteoradionecrosis (ORN) is a devastating complication of radiotherapy for oropharyngeal malignancy. Despite advancements in ORN treatment, risk of ORN recurrence remains high following surgical resection. Virtual surgical planning (VSP) for ORN treatment is an evolving application that may not only inform bony reconstruction but also therapeutic surgical margins, which remain inconclusively defined in the literature. A retrospective review was performed of 25 cases in which patients underwent VSP-guided resection of mandibular ORN followed by immediate free fibula flap reconstruction. Surgical margins of 1-cm from radiologically evident disease were taken. VSP accuracy was quantified by comparing measured anatomic parameters between the virtually planned outcomes and the final outcomes on postoperative imaging. Statistical analyses were performed to assess associations between preoperative factors and postoperative complications including ORN recurrence. The mandibular body was most frequently affected by ORN in this series of patients. Among risk factors, only the presence of a preoperative orocutaneous fistula was predictive of a complication, specifically partial flap failure (β = 1.41; P = .013). Intended anatomic parameters were achieved with the exception of the intergonial distance (x difference = 0.53 cm; P = .03). Finally, there were no cases of ORN recurrence after a mean follow-up of 27.4 months. VSP of free fibula flaps for mandibular reconstruction following ORN is a valid tool for effecting accurate anatomical outcomes. Furthermore, we demonstrate that a 1-cm margin around radiographically evident ORN may effectively implement a curative outcome free from relapse.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"171 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139178813","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

Modified Lip Lift Technique for Pediatric Columellar Reconstruction: A Case Report 小儿结肠重建的改良提唇术：病例报告

FACE Pub Date : 2023-12-11 DOI: 10.1177/27325016231217946

Sarah A. Layon, Heather R. Burns, Daniel S. Wang, Edward P. Buchanan

{"title":"Modified Lip Lift Technique for Pediatric Columellar Reconstruction: A Case Report","authors":"Sarah A. Layon, Heather R. Burns, Daniel S. Wang, Edward P. Buchanan","doi":"10.1177/27325016231217946","DOIUrl":"https://doi.org/10.1177/27325016231217946","url":null,"abstract":"The nasal columella presents one of the most intricate challenges in facial reconstruction due to its unique contours and limited availability of adjacent tissue. Several surgical techniques exist for successful columellar reconstruction, and the choice of approach depends on factors such as the size of the defect, surgical expertise, and overall esthetic goals. In cases involving substantial columellar defects, or deformities affecting multiple nasal subunits, local or regional flaps are often necessary to achieve optimal reconstruction. In this report, the authors present a case of pediatric columellar reconstruction utilizing a modified local flap technique derived from the upper lip lift used in esthetic surgery for facial rejuvenation and lip enhancement. This method distinguishes itself from previous adaptations by remaining entirely subnasal, without extending beyond the width of the alar base, disrupting the philtrum, or disturbing the orbicularis oris muscle. This technique offers notable advantages for pediatric patients, such as its ability to minimize scarring, prevent additional deformities, and be performed in a single stage. Level IV, case study.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139184278","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

Esthetic Outcomes of Primary Cleft Lip Repair Utilizing 2-Octyl Cyanoacrylate Liquid and a Self-adhesive Polyester Mesh Tape 利用 2-辛基氰基丙烯酸酯液体和自粘性聚酯网胶带进行原发性唇裂修复的美学效果

FACE Pub Date : 2023-12-11 DOI: 10.1177/27325016231217152

Christina N. Canzoneri, James T. Thompson

{"title":"Esthetic Outcomes of Primary Cleft Lip Repair Utilizing 2-Octyl Cyanoacrylate Liquid and a Self-adhesive Polyester Mesh Tape","authors":"Christina N. Canzoneri, James T. Thompson","doi":"10.1177/27325016231217152","DOIUrl":"https://doi.org/10.1177/27325016231217152","url":null,"abstract":"The method of epidermal closure during cleft lip repair is important to consider, as it may affect complication rates, cosmetic outcomes, and patient comfort levels. Historically, this has most commonly been performed with permanent suture that requires subsequent removal, which is not well tolerated in infants. The purpose of this study is to compare the outcomes between 2-octyl cyanoacrylate liquid with a self-adhesive polyester mesh tape (2-OPMT) and typical suture closure techniques, which to our knowledge has never previously been investigated. In nine consecutive cleft lip repairs, the epidermal closure was performed with permanent suture, and in the subsequent nine consecutive cleft lip repairs, the epidermal closure was performed with 2-OPMT. Complication rates were compared between the groups. Esthetic scar outcomes were investigated via post-operative photograph analysis utilizing the Manchester Scar Scale. Statistical significance was determined with Fischer Exact Tests and Wilcoxon Rank-Sum tests. Subsequently, scar scores for 30 cleft lip repairs performed with 2-OPMT in our practice were compared to previously reported scores in the literature for 30 cleft lip repairs performed with typical suture technique. Three patients in the permanent suture group had documented scar-related complications and one patient in the 2-OPMT group had documented scar-related complications. No statistically significant difference was found in complication rates between the two groups. No statistically significant difference was found in esthetic scar scores between the two different closure techniques either within our practice or in comparison to reports in the literature. Overall, the use of 2-OPMT offers comparable esthetic outcomes and complication rates to the use of permanent suture in epidermal closure of cleft lip repairs.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"72 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139184256","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

Nerve Blocks Utilized in The Face: A Comprehensive Review 面部神经阻滞：全面回顾

FACE Pub Date : 2023-12-11 DOI: 10.1177/27325016231217153

Joshua Kohan, Armin Edalatpour, Allison J. Seitz, Daniel Y. Cho, Brian H. Gander

{"title":"Nerve Blocks Utilized in The Face: A Comprehensive Review","authors":"Joshua Kohan, Armin Edalatpour, Allison J. Seitz, Daniel Y. Cho, Brian H. Gander","doi":"10.1177/27325016231217153","DOIUrl":"https://doi.org/10.1177/27325016231217153","url":null,"abstract":"Facial nerve blocks are widely used techniques for analgesia to the face and utilized by surgeons to facilitate facial procedures. The aim of this review is to explore the different nerve blocks of the face. Therefore, a comprehensive literature search of PubMed, Scopus, Elsevier, and Web of Science was conducted to identify relevant literature related to facial blocks. For each block reported, the literature was screened for relevant information on indications, techniques, and complications. The facial nerve blocks identified in the current literature for facial surgery procedures were supraorbital and supratrochlear blocks, maxillary nerve block, inferior alveolar nerve block, lingual nerve block, mental nerve block, nerve block of the nose, and auricular nerve block. Success rates in both achieving anesthesia and postoperative pain control has been reported to be between 70% and 90%. The most frequent adverse effects of these blocks were allergic reaction, bleeding or hematoma, infection, and nerve damage due to nerve compression. On the other hand, few studies have investigated the efficacy and patient-reported outcomes. Variable levels of analgesia and anesthesia have been reported between the discussed facial nerve blocks, with each yielding a different advantage. Further studies are necessitated to report on the block duration and patient outcomes reported by each facial nerve block discussed in this review.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"114 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183376","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 Self-Perception and Peer-Perception in Adolescents With Secondary Cleft Lip Deformities Using Eye-Tracking 利用眼动跟踪探索继发性唇裂畸形青少年的自我认知和同伴认知

FACE Pub Date : 2023-12-11 DOI: 10.1177/27325016231218006

Imran Rizvi, Sarah Jackson, Alex A. Kane, R. Hallac

{"title":"Exploring Self-Perception and Peer-Perception in Adolescents With Secondary Cleft Lip Deformities Using Eye-Tracking","authors":"Imran Rizvi, Sarah Jackson, Alex A. Kane, R. Hallac","doi":"10.1177/27325016231218006","DOIUrl":"https://doi.org/10.1177/27325016231218006","url":null,"abstract":"Patients with cleft lip often have a secondary cleft-lip deformity (SCLD), resulting from the initial repair procedure for their congenital cleft. Patients with SCLD often undergo multiple surgeries to achieve symmetry of the lip and nose. However, little is known about how patients perceive their deformity, and if those deformities are noticeable to their peers. The purpose of this study is to use eye-tracking to evaluate how patients with cleft lip repair look at themselves and evaluate how this perception changes when the same photo is perceived by 2 different cohorts: patients who have undergone cleft-lip surgeries and control subjects who have no craniofacial pathology. Participants were divided into 4 cohorts: adolescents with SCLD viewing images of themselves (Cohort 1), adolescents with SCLD viewing images of peers with SCLD (Cohort 2), adolescents without SCLD viewing images of peers with SCLD (Cohort 3), and healthy adolescents without SCLD viewing images of themselves (Cohort 4). Surveys were conducted after the eye-tracking portion to determine correlations between objective gaze data and subjective opinions. Total fixation duration was highest in the eye region for all 3 cohorts, followed by the upper lip region. Cohort 2 fixated the longest on all areas of pathology, while Cohort 1 fixated the least on all areas of pathology. Cohort 4 spent significantly more time looking at the nose bridge compared to Cohort 1. The results provide insight into how adolescents with SCLD are perceived by themselves and others and can help to better understand the complexities of the roles different areas of pathology play in self-perception.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"56 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139184219","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

Juvenile Alexander Disease and Cleidocranial Dysplasia: A Rare Combination of Genetic Abnormalities in a Pediatric Patient 幼年亚历山大病和颅骨裂隙发育不良：一名小儿患者罕见的遗传异常组合

FACE Pub Date : 2023-11-28 DOI: 10.1177/27325016231213555

P. Annie Chen-Carrington, Christopher Henry, Adam Goodreau, Jennifer Rhodes

引用次数: 0

A Scoping Review of Adjuvant Perioperative Therapies for Primary Cleft Lip Repair 原发性唇裂修复术围手术期辅助疗法的范围界定综述

FACE Pub Date : 2023-11-25 DOI: 10.1177/27325016231212564

Melinda Lem, Jason T Pham, Jagmeet Arora, Shivang Trivedi, Omotayo A. Arowojolu, Ruben Castro, Joseph Mocharnuk, Raj Vyas, Miles J. Pfaff

{"title":"A Scoping Review of Adjuvant Perioperative Therapies for Primary Cleft Lip Repair","authors":"Melinda Lem, Jason T Pham, Jagmeet Arora, Shivang Trivedi, Omotayo A. Arowojolu, Ruben Castro, Joseph Mocharnuk, Raj Vyas, Miles J. Pfaff","doi":"10.1177/27325016231212564","DOIUrl":"https://doi.org/10.1177/27325016231212564","url":null,"abstract":"Background:To date, there is little guidance regarding current adjuvant therapies for primary surgical repair of cleft lip. There are studies on the effect of botulinum toxin type A, revision fat grafting, silicone gel and sheeting, intense pulsed light, and carbon dioxide lasers to ameliorate contracture and hypertrophic scar formation, but a comprehensive review of these options is lacking. The aim of this scoping review is to examine adjuvant techniques and therapies that modulate scar outcomes for primary cleft lip repair outcomes in the perioperative period. Methods: PROSPERO, PubMed/MEDLINE, SCOPUS, Cochrane Central Register of Controlled Trials, Web of Science, and ClinicalTrial.gov were searched for studies that evaluated adjuvant therapies for primary cleft lip repair. Results: The initial search resulted in 688 studies, with 48 studies including relevant key terms in the title and abstract screening. After the full-text screening, 11 studies were included in the final scoping review. These included 3 studies about use of botulinum toxin injection, 2 studies about fat grafting, 2 studies about nasal stents, and 4 studies about various topical treatments. In the Jadad quality index evaluation and MINORS assessment of the methodological quality of the included papers, there was a strong level of agreement among the 2 raters respectively (weighted κ = 1, κ = 0.817, both P-value < .0001). Conclusion: From this scoping review, adjuvant therapies such as utilizing botulinum toxin and immediate fat grafting intraoperatively and nasal stents and topical treatments including antibiotic ointment, lidocaine, hydrogen peroxide, and silicone gels postoperatively are worthwhile to consider as a combination of adjuvant treatments to prevent adverse scar formation in patients undergoing primary cleft lip repair. The most robust evidence lies with botulinum toxin use.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236972","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

Who Should Fill Out a Pediatric PROM? Psychometric Assessment From a Clinical Perspective in 567 Children With a Cleft 谁应该填写儿科 PROM？从临床角度对 567 名唇裂儿童进行心理计量评估

FACE Pub Date : 2023-11-25 DOI: 10.1177/27325016231209051

S. Ombashi, V. V. van Roey, Jolanda M. E. Okkerse, Mariska van Veen-van der Hoek, Esther E. B. van Oers-Hazelzet, A. B. Mink van der Molen, S. L. Versnel

{"title":"Who Should Fill Out a Pediatric PROM? Psychometric Assessment From a Clinical Perspective in 567 Children With a Cleft","authors":"S. Ombashi, V. V. van Roey, Jolanda M. E. Okkerse, Mariska van Veen-van der Hoek, Esther E. B. van Oers-Hazelzet, A. B. Mink van der Molen, S. L. Versnel","doi":"10.1177/27325016231209051","DOIUrl":"https://doi.org/10.1177/27325016231209051","url":null,"abstract":"Background:The CLEFT-Q is a questionnaire developed for patients with a cleft lip and/or palate (CL/P). Numerous scales have been implemented as part of the ICHOM Standard Set for CL/P. Although validated for completion by patients only, clinicians noted that caregivers are often involved in completion of the scales. Aim of the study was to promote further standardization of Patient Reported Outcome Measures (PROMs) in pediatric patients by examining the preferences of patients and parents concerning the reporter type. Moreover, possible discrepancies in outcomes between reporter types were explored. Methods: Data from 567 patients with CL/P and their caregivers that completed scales of the CLEFT-Q questionnaire were collected. Reporter group sizes and proportions were examined at the ages of 8, 12, and 15 years to determine the preferred manner of completion. Mean outcomes were analyzed per scale at the 3 ages, and compared between the 3 reporter groups: “patient,” “caregiver,” and “together.” Results: In all age-groups, the majority completed the PROMs together. Concerning the reporter types per age-group, an upward trend was seen in the proportion of patients that completed the scales alone. In the caregiver group, a downward trend was observed, and the highest proportion of parents that completed the scales was found at age 8. No significant differences were found between the reporter types in any of the scales. Conclusion: Even if a PROM questionnaire is validated for patient report only, it is recommended to record the reporter type when a pediatric PROM is completed. In order to capture outcomes that represent the patient’s voice validly and reliably, though with support of the caregiver, a pediatric PROM should be filled out by the patient alone and thereafter evaluated with the caregiver(s). Concerning the CLEFT-Q, there seems to be demand for a validated parent-version of the scales.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236317","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

Precise Prediction of Transitional Occlusion Using Reverse Engineering in Surgery-first Orthognathic Surgery Case 在首次正颌外科手术病例中利用逆向工程精确预测过渡咬合情况

FACE Pub Date : 2023-11-22 DOI: 10.1177/27325016231211921

Jaemin Ko, Xuanyu Lu, M. Urata, J. Hammoudeh, S. Yen

引用次数: 0

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