Archives of Craniofacial Surgery最新文献

{"title":"Is chitosan-based dressing more effective than gauze pressure in achieving early hemostasis after dental extractions in patients with deranged coagulation profiles?","authors":"Satnam Singh Jolly, Vidya Rattan","doi":"10.7181/acfs.2024.0082","DOIUrl":"https://doi.org/10.7181/acfs.2024.0082","url":null,"abstract":"<p><strong>Background: </strong>Chitosan, a cationic polysaccharide, exerts hemostatic activity by promoting platelet adhesion and aggregation. This clinical study aimed to evaluate the effectiveness of chitosan-based dental dressing in achieving early local hemostasis, in comparison to gauze packs, after dental extractions in patients with deranged coagulation profiles.</p><p><strong>Methods: </strong>: This study included 102 patients (204 extraction sites), of whom 86 were on anticoagulant therapy,15 had liver cirrhosis, and one with thrombocytopenic purpura required two or more tooth extractions. These sites were randomly divided into test and control sites. Patients with deranged coagulation profiles, including an international normalized ratio of 1.5-4, altered prothrombin time, activated partial thromboplastin time, and decreased platelet counts, were selected. Hemostasis was assessed at 10, 30, and 60 minutes post-extraction. Patients were evaluated on days 1, 3, and 7 for dry sockets and other adverse effects.</p><p><strong>Results: </strong>Hemostasis was achieved in 83.1% of test sites within 10 minutes, compared to only 18.8% of control sites. By 30 minutes, an additional 16.8% of test sites had achieved hemostasis versus an additional 16.7% of control sites. By 60 minutes, a further 5.9% of test sites had achieved hemostasis, compared to 63.7% of control sites. The mean postoperative hemostasis times were 15.10± 12.88 minutes for test sites and 45.20± 20.62 minutes for control sites. Dry socket incidence was slightly higher in test sites, but this tendency was not statistically significant (p>0.05).</p><p><strong>Conclusion: </strong>: The study suggests that chitosan-based dental dressing facilitates early local hemostasis after tooth extraction in anticoagulated patients or patients with bleeding disorders.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639796","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}

{"title":"Detection of concha bullosa using deep learning models in cone-beam computed tomography images: a feasibility study.","authors":"Shishir Shetty, Auwalu Saleh Mubarak, Leena R David, Mhd Omar Al Jouhari, Wael Talaat, Sausan Al Kawas, Natheer Al-Rawi, Sunaina Shetty, Mamatha Shetty, Dilber Uzun Ozsahin","doi":"10.7181/acfs.2024.00283","DOIUrl":"10.7181/acfs.2024.00283","url":null,"abstract":"<p><strong>Background: </strong>Pneumatization of turbinates, also known as concha bullosa (CB), is associated with nasal septal deviation and sinonasal pathologies. This study aims to evaluate the performance of deep learning models in detecting CB in coronal cone-beam computed tomography (CBCT) images.</p><p><strong>Methods: </strong>Standardized coronal images were obtained from 203 CBCT scans (83 with CB and 119 without CB) from the radiology archives of a dental teaching hospital. These scans underwent preprocessing through a hybridized contrast enhancement (CE) method using discrete wavelet transform (DWT). Of the 203 CBCT images, 162 were randomly assigned to the training set and 41 to the testing set. Initially, the images were enhanced using a CE technique before being input into pre-trained deep learning models, namely ResNet50, ResNet101, and MobileNet. The features extracted by each model were then flattened and input into a random forest (RF) classifier. In the subsequent phase, the CE technique was refined by incorporating DWT.</p><p><strong>Results: </strong>CE-DWT-ResNet101-RF demonstrated the highest performance, achieving an accuracy of 91.7% and an area under the curve (AUC) of 98%. In contrast, CE-MobileNet-RF recorded the lowest accuracy at 82.46% and an AUC of 92%. The highest precision, recall, and F1 score (all 92%) were observed for CE-DWT-ResNet101-RF.</p><p><strong>Conclusion: </strong>Deep learning models demonstrated high accuracy in detecting CB in CBCT images. However, to confirm these results, further studies involving larger sample sizes and various deep learning models are required.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607264","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}

{"title":"Current concepts in genioplasty: surgical techniques, indications, and future perspectives.","authors":"Seungjun Lee, Baek-Kyu Kim","doi":"10.7181/acfs.2025.00045","DOIUrl":"10.7181/acfs.2025.00045","url":null,"abstract":"<p><p>Genioplasty is a crucial procedure in maxillofacial and craniofacial surgery for both aesthetic and functional chin correction. The procedure is performed using various techniques-including sliding genioplasty, advancement, setback, vertical augmentation, and narrowing genioplasty-with each approach offering specific benefits tailored to patient needs. Advances in virtual surgical planning, pre-bent absorbable plates, and three-dimensional printing technology have enhanced the precision of genioplasty, leading to improved functional and aesthetic outcomes. This review examines the historical evolution, contemporary techniques, clinical outcomes, and future directions of genioplasty, with a focus on technological advancements that increase procedural accuracy and patient satisfaction.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607262","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}

{"title":"Coexistence of neuroendocrine carcinoma and squamous cell carcinoma of the skin after kidney transplantation: a case report.","authors":"Woohyuk Yoon, Jong Im Lee, Joon Ho Lee","doi":"10.7181/acfs.2025.00661","DOIUrl":"10.7181/acfs.2025.00661","url":null,"abstract":"<p><p>Neuroendocrine carcinoma (NEC) is a rare aggressive tumor of the skin with a shared phenotype of both endocrine and neuronal features. Its behavior includes rapid progression, common local recurrence, frequent metastasis to local lymph nodes, and occasional systematic involvement. The risk factors for NEC are similar to those for other skin cancers and mainly include ultraviolet light exposure, older age, T-cell immunosuppression, fair skin, and male sex. NEC is seen more frequently in the immunosuppressed population, and we report a rare case of NEC combined with squamous cell carcinoma (SCC) in a patient who underwent kidney transplantation. A 66-year-old man was referred with a brownish plaque on left cheek, and a punch biopsy result indicated SCC in situ. Wide excision was performed, and the defect was reconstructed using a bilobed flap. The final biopsy confirmed SCC combined with carcinoma with neuroendocrine differentiation, and positron emission tomography-computed tomography confirmed the absence of lymph node metastasis or systemic involvement. The patient showed no evidence of recurrence or other postoperative complications.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607260","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}

{"title":"The diagnostic accuracy of depth prediction for lipomas by preoperative imaging with distribution according to anatomical site in Korea: a retrospective analysis.","authors":"Geon Hwi Kim, Jong Hun Lee","doi":"10.7181/acfs.2024.00535","DOIUrl":"10.7181/acfs.2024.00535","url":null,"abstract":"<p><strong>Background: </strong>Lipomas are common benign connective-tissue tumors that usually present as slow-growing, painless, subcutaneous masses. Deeper variants, such as intramuscular, intermuscular, and submuscular lipomas, are larger and rarer. Accurate preoperative depth determination is crucial for planning appropriate surgical resection.</p><p><strong>Methods: </strong>We retrospectively reviewed 190 lipoma cases treated at a single medical center from January 2013 to August 2023. The accuracy of preoperative imaging techniques-ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI)-in predicting lipoma depth was assessed.</p><p><strong>Results: </strong>USG, CT, and MRI showed accuracies of 72.5%, 56.5%, and 79.3%, respectively, with MRI showing the highest predictive accuracy. The trunk was the most common site for lipomas (49.5%), followed by the upper (20.5%) and lower extremities (13.2%). USG was more accurate for lipomas in the lower extremities and neck, whereas CT was less accurate for lipomas in the trunk.</p><p><strong>Conclusion: </strong>MRI is preferable for the preoperative depth assessment of lipomas, especially those located in the trunk. Accurate imaging is essential for guiding surgical planning and avoiding complications. Further studies with larger sample sizes are required to validate our findings.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607227","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}

{"title":"Navigation-guided orbital medial wall fracture reconstruction.","authors":"Jae Hyung Jeon, Hong Bae Jeon, Hyonsurk Kim, Dong Hee Kang","doi":"10.7181/acfs.2024.00542","DOIUrl":"10.7181/acfs.2024.00542","url":null,"abstract":"<p><strong>Background: </strong>Orbital medial wall fractures, which are more common than inferior wall fractures, have traditionally been difficult to diagnose with conventional radiography. As the fracture extends deep into the bony orbit, accurately visualizing internal structures becomes challenging, increasing the risk of optic nerve compression. In a previous study, the author introduced a technique for treating medial orbital wall fractures using a combined transethmoidal and transcaruncular approach. In this study, the authors hypothesized that the use of surgical navigation could enhance precision, safety, and anatomical reconstruction in this approach and employed navigation during surgery for medial orbital wall fractures and evaluated whether it improved postoperative functional and anatomical outcomes while minimizing complications.</p><p><strong>Methods: </strong>From September 2021 to November 2023, 48 patients with isolated medial wall fractures underwent surgical treatment using a combined transcaruncular approach and transethmoidal packing to repair the orbital fracture. Of these patients, 23 underwent surgery with the use of intraoperative navigation, while the other 25 did not. Intraoperative navigation was employed to facilitate precise fracture reduction and reduce the risk of optic nerve injury. The outcomes were compared by dividing the patients into two groups. Preoperative and postoperative assessments included ophthalmologic evaluations, Hertel exophthalmometry, and computed tomography-based orbital volume measurements.</p><p><strong>Results: </strong>The surgical approach with intraoperative navigation was successfully performed in all patients. Postoperative outcomes showed full recovery without residual symptoms or complications. Orbital volume measurements indicated a significant reduction in the preoperative orbital volume ratio from 109.03% to 104.80% postoperatively (p< 0.001). However, changes in the Hertel scale were not statistically significant (p = 0.086).</p><p><strong>Conclusion: </strong>The integration of intraoperative navigation in medial orbital wall fracture surgery enhances the precision of medial orbital wall restoration and minimizes postoperative complications, supporting its use in the surgical management of medial orbital fractures.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607266","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}

{"title":"An inflammatory myofibroblastic tumor of the soft tissue of the neck: a case report and literature review.","authors":"Yahia Awad Alkahtani, Mahmoud Rezk Abdelwahed Hussein, Mubarak Mohammed Al-Shraim, Shahd Saeed Dalboh Asiri, Sultan Khalid Saeed Kadasah","doi":"10.7181/acfs.2024.00500","DOIUrl":"10.7181/acfs.2024.00500","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumor (IMT) of the soft tissues of the neck is a rare pathological entity. We present the case of a 32-year-old patient who had a painful, slowly enlarging mass in the neck's soft tissues. Radiological examination revealed a well-defined, dense lesion. The mass was surgically removed through local excision. Immunohistological analysis confirmed the diagnosis of IMT. After nearly 2 years of follow-up, there was no evidence of recurrence or distant metastases. In conclusion, although IMT of the soft tissues of the neck is uncommon, it should be considered in the differential diagnosis of neck tumors. Further research is necessary to understand the pathogenetic mechanisms of IMT, which could lead to the development of more effective treatments for this tumor.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607259","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}

{"title":"Surgical extraction of a cannula tip embedded in the neck after liposuction at an external facility: a case report.","authors":"Hye Gwang Mun, Yu Jin Kim","doi":"10.7181/acfs.2024.00311","DOIUrl":"10.7181/acfs.2024.00311","url":null,"abstract":"<p><p>Liposuction is a widely performed aesthetic plastic surgery procedure used for various purposes. The use of advanced liposuction techniques has reduced the risk of complications. Nevertheless, they can still occur unexpectedly. Herein, we report a rare case of a 44-year-old patient who experienced a broken cannula tip lodged in her neck during cervicofacial liposuction. This case highlights the need for vigilance in preventing such complications through rigorous preoperative equipment inspections and proper instrument maintenance. Additionally, when attempting to remove a broken instrument tip, it is crucial to perform imaging examinations both before and during the procedure to precisely locate and extract the fragments, ensuring patient safety and a successful outcome.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 1","pages":"34-37"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607225","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}

{"title":"Sublingual hematoma as a complication of mandibular midline osteotomy: a case report and literature review.","authors":"Meghana Anishetty, Radhika Menon, Elavenil Panneerselvam, Shri Krishna Prasanth B, Krishnakumar V B Raja","doi":"10.7181/acfs.2024.00402","DOIUrl":"10.7181/acfs.2024.00402","url":null,"abstract":"<p><p>Sublingual hematoma is a serious complication associated with anterior mandible surgery. It presents considerable risk due to the potential for airway obstruction, which can be life-threatening and necessitates prompt diagnosis and intervention. This case report describes the occurrence of sublingual hematoma following mandibular midline osteotomy and the subsequent management of this condition. Mandibular midline osteotomy is performed to correct skeletal or dental discrepancies in the transverse plane. Sublingual hematoma as a complication of a midline osteotomy has not been previously documented in the literature. This article provides a comprehensive review of the various etiologies associated with sublingual hematoma, along with its management modalities.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":" ","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632413","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}

{"title":"Quality of life after prosthodontic rehabilitation in patients with bilateral total maxillectomy due to COVID-19-associated mucormycosis of the maxilla.","authors":"Gunjan Chouksey, Vikas Gupta, Rupali Choure, Abhijit P Pakhare, Aman Dev, Bhimsen Kumar","doi":"10.7181/acfs.2024.00486","DOIUrl":"10.7181/acfs.2024.00486","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19)-associated mucormycosis of the maxilla emerged as a significant concern in India during the second wave of the pandemic, necessitating surgical interventions such as maxillectomy. This study investigated the quality of life following prosthodontic rehabilitation with interim obturators in patients who underwent bilateral total maxillectomy due to COVID-19-associated mucormycosis of the jaws.</p><p><strong>Methods: </strong>The study was conducted using questionnaire-based interviews administered by a single investigator employing the Oral Health Impact Profile-14 (OHIP-14) and Obturator Functioning Scale (OFS) questionnaires. Responses were evaluated on a Likert scale. All statistical analyses were performed using SPSS version 21.0 for Windows. A significance level of 5% was applied to all tests. The Wilcoxon signed-rank and chi-square tests were utilized to compare categorical and quantitative variables across groups. Responses to the questionnaires were recorded on numerical Likert scales ranging from 1 to 5 for OFS and 0 to 4 for OHIP-14. The mean OHIP-14 and OFS scores were compared between the pre-rehabilitation and post-rehabilitation stages.</p><p><strong>Results: </strong>A comparison between the pre-rehabilitation and post-rehabilitation scores from the OHIP-14 questionnaire revealed a significant difference (p= 0.001). The OFS results indicated significant improvements across all domains following the use of obturators.</p><p><strong>Conclusion: </strong>Interim obturators play a vital role in improving speech, swallowing, and mastication during the recovery period for patients who have undergone bilateral total maxillectomy. Despite the altered anatomy resulting from the resection, patients adapted effectively and exhibited improvements in their social, psychological, and mental health.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"25 6","pages":"285-291"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933505","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}