Archives of Craniofacial Surgery最新文献

Comparison of packing-free treatment with and without Kirschner wire splinting for nasal bone fracture: a retrospective analysis in Korea. 无填充物与无克氏针夹板治疗鼻骨骨折的比较：韩国回顾性分析。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2024.0083

Jeong Min Ji, Soo Hyang Lee

{"title":"Comparison of packing-free treatment with and without Kirschner wire splinting for nasal bone fracture: a retrospective analysis in Korea.","authors":"Jeong Min Ji, Soo Hyang Lee","doi":"10.7181/acfs.2024.0083","DOIUrl":"10.7181/acfs.2024.0083","url":null,"abstract":"Background: Nasal bone fractures are among the most common facial injuries. This study aimed to compare the clinical outcomes of a no-packing approach with and without Kirschner wire (K-wire) splinting in the treatment of less severe nasal bone fractures.Methods: We conducted a retrospective study comparing cases of simple fractures classified as type II-III according to Higuera's classification that were treated surgically with closed reduction. Patients were divided into two groups: the control group (no packing, no K-wire splint) and the experimental group (no packing with K-wire splint). We calculated the difference in the distance (mm) between the centerline of the triangle and the apex on facial bone on computed tomography scans immediately after surgery and at a mean of 3.6 months after surgery, assessing postoperative symptoms at 3 days after surgery.Results: The experimental group (no packing with K-wire splint) showed no statistically significant difference in radiological outcomes compared to the control group. The distance from the apex to the centerline of the triangle was 0.009± 0.012 mm in the control group and 0.008± 0.009 mm in the experimental group. However, the control group reported fewer postoperative symptoms, including nasal obstruction and dry mouth.Conclusion: The packing-free approach without K-wire splinting may reduce postoperative discomfort without compromising surgical outcomes compared to K-wire splinting without packing.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 4","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978071","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}

引用次数: 0

Familial predisposition to flap necrosis after palatoplasty: a case report of two siblings with bilateral cleft palate. 腭裂术后皮瓣坏死的家族性易感性：双侧腭裂兄弟姐妹一例报告。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2025.0027

Chi Hyun Lee, Yong Chan Bae

{"title":"Familial predisposition to flap necrosis after palatoplasty: a case report of two siblings with bilateral cleft palate.","authors":"Chi Hyun Lee, Yong Chan Bae","doi":"10.7181/acfs.2025.0027","DOIUrl":"10.7181/acfs.2025.0027","url":null,"abstract":"Mucoperiosteal flap necrosis is a rare but serious complication following cleft palate repair, often resulting in the formation of oronasal fistulas. Although several factors-such as excessive flap tension, pedicle injury, infection, and hematoma-have been implicated in its pathogenesis, the precise mechanisms remain poorly understood. Herein, we report two nonsyndromic siblings with complete bilateral cleft lip and palate, both of whom developed anterior mucoperiosteal flap necrosis on postoperative day 5 after primary palatoplasty performed with a same two-flap technique incorporating a vomer flap. Neither case involved intraoperative complications, but flap necrosis occurred at the same anatomical site. The underlying cause remains unclear to date. This series raises the question of whether factors beyond surgical technique-such as congenital anatomical variations or genetic predisposition-may contribute to the development of flap necrosis. Recognizing such patient-specific risks may help surgeons anticipate complications in familial cleft cases and better tailored preoperative planning or intraoperative modifications. Further investigations may clarify whether specific subgroups of patients with cleft lip and palate possess an inherent susceptibility to flap necrosis after primary repair.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 4","pages":"169-173"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978217","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}

引用次数: 0

Pre-lacrimal window maxillary sinus surgery: a computed tomography analysis and classification. 泪前窗上颌窦手术：计算机断层分析与分类。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2025.0023

Mohammad Waheed El-Anwar, Mohamed Kamel Alawady, Mohamed Alshawadfy, Mohamed Mohamed Rabea, Atef Hussein Elsayed

{"title":"Pre-lacrimal window maxillary sinus surgery: a computed tomography analysis and classification.","authors":"Mohammad Waheed El-Anwar, Mohamed Kamel Alawady, Mohamed Alshawadfy, Mohamed Mohamed Rabea, Atef Hussein Elsayed","doi":"10.7181/acfs.2025.0023","DOIUrl":"10.7181/acfs.2025.0023","url":null,"abstract":"Background: The pre-lacrimal window (PLW) approach is a promising technique for accessing otherwise inaccessible maxillary sinus lesions. The objective of this study was to determine the computed tomography (CT) dimensions, measurements, and grading of the PLW.Methods: One hundred paranasal CT scans were included in the study. For all subjects, axial images were obtained, and multiplanar reformats were used to obtain detailed views in the coronal and sagittal planes. The width of the PLW, the width of the nasolacrimal duct (NLD), and the angle between the axis of the NLD and the hard palate were measured and graded.Results: In 100 CT scans (200 sides), the mean PLW width was 5.6± 2.4 mm (range, 0-11.15 mm), the mean NLD width was 6.38± 1.84 mm (range, 1-11 mm), and the mean angle between the axis of the NLD and the hard palate was 68.6°± 6.77° (range, 54°-83°). There were no significant differences between sides or genders for any of the measurements.Conclusion: The CT dimensions of the PLW should be carefully evaluated when considering different endoscopic approaches to, or through, the anterior aspect of the maxillary sinus. The current study enhances surgeon and radiologist awareness of PLW measurements and their variations, ultimately improving the application of the PLW approach.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 4","pages":"141-146"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978163","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}

引用次数: 0

Correction: Clinical trial registration number omission. 更正：临床试验注册号遗漏。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-11 DOI: 10.7181/acfs.2025.00001.c

引用次数: 0

Sarcomatoid squamous cell carcinoma arising in a post-acupuncture keloid scar: a case report and literature review. 针刺后瘢痕形成的肉瘤样鳞状细胞癌：1例报告及文献复习。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2025.0016

Minwoo Park, Sug Won Kim, Jiye Kim

引用次数: 0

Pott puffy tumor following upper facial feminization surgery: a case report and literature review. 上面部女性化手术后的肿块1例报告及文献复习。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2026.0005

Amanda Fazzalari, Uriel Sanchez-Rangel, Alexis Buckley, Branko Bojovic

引用次数: 0

Molecular-targeted therapy in ameloblastoma: a systematic review. 分子靶向治疗成釉细胞瘤：系统综述。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2025.0018

Lilies Dwi Sulistyani, Vera Julia, Dwi Ariawan, Mohammad Adhitya Latief, Yudy Ardilla Utomo, Aboy, Annisa Ghaisani, Dinda Fadhliana, Nurul Waqiah Mas'ud

{"title":"Molecular-targeted therapy in ameloblastoma: a systematic review.","authors":"Lilies Dwi Sulistyani, Vera Julia, Dwi Ariawan, Mohammad Adhitya Latief, Yudy Ardilla Utomo, Aboy, Annisa Ghaisani, Dinda Fadhliana, Nurul Waqiah Mas'ud","doi":"10.7181/acfs.2025.0018","DOIUrl":"10.7181/acfs.2025.0018","url":null,"abstract":"Background: Ameloblastoma is a benign odontogenic tumor that predominantly occurs in the mandible and is frequently associated with the BRAFV600E mutation, which activates the mitogen-activated protein kinase (MAPK) signaling pathway. These mutations indicate potential targets for molecular therapies. This systematic review evaluated the effectiveness of molecular-targeted therapies, particularly BRAF inhibitors such as dabrafenib and vemurafenib, in the treatment of ameloblastoma and their effects on clinical outcomes and quality of life.Methods: In accordance with PRISMA guidelines (PROSPERO: CRD42024627944), a comprehensive search of databases including PubMed/MEDLINE and Scopus identified 4,620 studies, of which eight case reports met the inclusion criteria for analysis.Results: The selected case reports involved patients aged 13 to 85, most of whom had experienced prior surgical recurrences. Treatment with BRAF/MEK (mitogen-activated protein kinase kinase) inhibitors resulted in significant tumor regression and improved quality of life, although some manageable side effects were observed.Conclusion: BRAF inhibitors demonstrate promising efficacy in the management of ameloblastoma, especially in patients harboring BRAFV600E mutations. These therapies may reduce the necessity for extensive surgical procedures and enhance patient outcomes. Further research is needed to establish standardized treatment protocols and to assess long-term effects on recurrence and quality of life.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 4","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978228","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}

引用次数: 0

Midface defects caused by mucormycosis with a new classification: a retrospective study. 毛霉病所致中脸缺损的新分类：回顾性研究。

Archives of Craniofacial Surgery Pub Date : 2025-08-01 Epub Date: 2025-08-20 DOI: 10.7181/acfs.2025.0002

Hamid Reza Fathi, Mohammad Mohammadi Arbati, Seyed Mousa Sadrhosseini, Mohammad Hadi Molseghi, Mahammad Davudov

{"title":"Midface defects caused by mucormycosis with a new classification: a retrospective study.","authors":"Hamid Reza Fathi, Mohammad Mohammadi Arbati, Seyed Mousa Sadrhosseini, Mohammad Hadi Molseghi, Mahammad Davudov","doi":"10.7181/acfs.2025.0002","DOIUrl":"10.7181/acfs.2025.0002","url":null,"abstract":"Background: The most complex and debated aspect of head and neck reconstructive surgery is the management of midface defects caused by malignant or non-malignant diseases. This study proposes a new classification system for patients with midface defects arising from non-malignant and non-traumatic diseases.Methods: In this study, 107 patients with midface defects resulting from mucormycosis were evaluated according to the anatomical locations of involvement and the differences between the affected areas.Results: Diabetes was identified as the most common underlying disease, while the paranasal sinuses were the most frequently involved sites in cases of mucormycosis. Fourteen patients developed mucormycosis without any associated risk factors, and one patient exhibited brain tissue involvement.Conclusion: To the best of our knowledge, this study is the first to present a comprehensive classification system for patients presenting with midface defects due to mucormycosis.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 4","pages":"147-153"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978235","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}

引用次数: 0

Telepractice-based articulation therapy for children with cleft lip and palate: a clinical study using the Application for Articulation Therapy-Thai. 基于远程练习的儿童唇腭裂发音治疗：应用发音治疗的临床研究。

Archives of Craniofacial Surgery Pub Date : 2025-06-01 Epub Date: 2025-06-20 DOI: 10.7181/acfs.2024.0092

Sasalaksamon Chanachai, Sumita Duangprasert, Benjamas Prathanee

{"title":"Telepractice-based articulation therapy for children with cleft lip and palate: a clinical study using the Application for Articulation Therapy-Thai.","authors":"Sasalaksamon Chanachai, Sumita Duangprasert, Benjamas Prathanee","doi":"10.7181/acfs.2024.0092","DOIUrl":"10.7181/acfs.2024.0092","url":null,"abstract":"Background: Compensatory articulation disorders are the most common issues among children with cleft palates with or without cleft lips (CP ± L). To improve their speech, these children typically require consistent, long-term speech therapy. During situations such as the COVID-19 pandemic or similar epidemics that necessitate social distancing, speech therapy becomes particularly challenging. Telemedicine or telepractice could serve as a strategy to facilitate speech therapy under these conditions. The aim of this study was to determine the effectiveness of telepractice using an application for articulation therapy in improving the percentage of correct consonants (PCC).Methods: Eighteen children with CP ± L (aged 5-13 years) were enrolled in a therapy program lasting 5 months. The Thai Speech Parameters for Patients with Cleft Palate in a Universal Reporting System test was administered to assess PCC before and after therapy. A total of 20 speech therapy sessions, comprising 15 telepractice sessions and five face-to-face sessions, were delivered using the Application for Articulation Therapy-Thai (AAT-T). The paired t-test was used to compare mean differences (MDs) in PCC scores before and after intervention.Results: Post-intervention analysis demonstrated significant increases in mean PCC scores at both word and sentence levels (word level: MD, 17.20; standard deviation [SD], 17.37; 95% confidence interval [CI], 8.56-25.83; sentence level: MD, 20.90; SD, 16.51; 95% CI, 12.69-29.11). These results indicate meaningful improvements in speech production accuracy.Conclusion: Telepractice using the AAT-T was an effective strategy for articulation therapy in children with CP ± L, particularly in situations requiring social distancing.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 3","pages":"102-108"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585607","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}

引用次数: 0

Assessment of upper airway and temporomandibular joint changes in growing patients with Class II Division 1 malocclusion, treated with the Twin Block appliance: a retrospective cone-beam computed tomography study. 使用Twin Block矫治器治疗II类1类错牙合成长期患者上呼吸道和颞下颌关节变化的评估：回顾性锥束计算机断层扫描研究

Archives of Craniofacial Surgery Pub Date : 2025-06-01 Epub Date: 2025-06-20 DOI: 10.7181/acfs.2024.0093

Ioannis Anagnostopoulos, Snigdha Pattanaik, Ahmed Zaky, Ahmed El-Motayam, Shishir Ram Shetty, Mais M Sadek

{"title":"Assessment of upper airway and temporomandibular joint changes in growing patients with Class II Division 1 malocclusion, treated with the Twin Block appliance: a retrospective cone-beam computed tomography study.","authors":"Ioannis Anagnostopoulos, Snigdha Pattanaik, Ahmed Zaky, Ahmed El-Motayam, Shishir Ram Shetty, Mais M Sadek","doi":"10.7181/acfs.2024.0093","DOIUrl":"10.7181/acfs.2024.0093","url":null,"abstract":"Background: The Twin Block (TWB) appliance is widely employed for treating Class II malocclusion in children and adolescents. This study aimed to evaluate the three-dimensional treatment effects of the TWB on the upper airway and temporomandibular joint (TMJ), and to investigate the association between airway changes and TMJ alterations.Methods: This retrospective study examined 24 cone-beam computed tomography (CBCT) scans from 12 patients (mean age, 12.30 ± 1.24 years) diagnosed with Class II Division 1 malocclusion and treated with the TWB appliance. CBCT scans were acquired both at pretreatment (T0) and posttreatment (T1). Romexis 6.2.1 imaging software was used to assess changes in the upper airway and TMJ. The paired t-test was used to compare the pretreatment and posttreatment measurements, while Pearson correlation coefficient analysis evaluated the relationship between the upper airway and TMJ measurements.Results: A statistically significant increase was observed in the upper airway volume, condylar volume, and condylar dimensions after treatment. No significant correlation was detected between the upper airway and TMJ measurements at T0, T1, or in the net changes (T1-T0) during TWB therapy.Conclusion: Growing patients treated with the TWB appliance demonstrated a statistically significant increase in upper airway volume. In addition, there was a significant increase in condylar volume, width, and length, with the condyle repositioned more anteriorly within the glenoid fossa. However, no statistically significant correlation was found between the TMJ and upper airway measurements.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 3","pages":"92-101"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585602","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}

引用次数: 0