Archives of Craniofacial Surgery最新文献_第4页

Review on the impact of smoking on wound healing following facial procedures. 吸烟对面部手术后伤口愈合影响的研究综述。

Archives of Craniofacial Surgery Pub Date : 2026-02-01 Epub Date: 2026-02-20 DOI: 10.7181/acfs.2025.0102

Gunjan Chouksey, Amit Agrawal, Sudip Bhargava, Sunaina Tejpal Karna

{"title":"Review on the impact of smoking on wound healing following facial procedures.","authors":"Gunjan Chouksey, Amit Agrawal, Sudip Bhargava, Sunaina Tejpal Karna","doi":"10.7181/acfs.2025.0102","DOIUrl":"10.7181/acfs.2025.0102","url":null,"abstract":"Optimal aesthetic and functional outcomes in facial surgery depend on effective wound healing. Although the impact of cigarette smoking on postoperative healing has been widely studied, its specific influence in the context of facial procedures remains debated. This review evaluates how smoking compromises wound healing and increases the risk of postoperative complications by synthesizing current evidence on its influence in facial surgical procedures. This scoping review included original observational studies (cross-sectional, case-control, and cohort) published in English that examined associations between cigarette smoking and wound healing following facial procedures. Eligible participants included patients of any age or sex undergoing facial surgery or sustaining facial trauma. Exposure was defined as active smoking or a history of smoking and was compared with non-smokers or those with documented cessation. Primary outcomes included complications such as skin slough, wound dehiscence, infection, and flap or graft necrosis. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists. Of 129 screened records, nine studies met the inclusion criteria. Across various facial procedures, active smoking was consistently associated with impaired wound healing, with reported complication risks ranging from 1.8-fold to 12-fold higher among smokers. Commonly reported adverse outcomes included flap necrosis, infection, and wound dehiscence, although several studies reported no statistically significant association in specific procedural contexts. Smoking is strongly associated with poorer wound healing following facial surgery, particularly in flap-based procedures. These findings emphasize the importance of perioperative smoking cessation to improve healing and reduce preventable postoperative complications.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"27 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366913","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

Role of hyperbaric oxygen therapy in oral submucous fibrosis: a randomized comparative study from India. 高压氧治疗在口腔粘膜下纤维化中的作用：一项来自印度的随机比较研究。

Archives of Craniofacial Surgery Pub Date : 2026-02-01 Epub Date: 2026-02-20 DOI: 10.7181/acfs.2025.0039

Rukmini Sah, Vibha Singh, Uma Shanker Pal, Shadab Mohammad, Vijay Kumar, Veerendra Verma, Amiya Agrawal, Sandhya Pandey, Ranjana Singh

{"title":"Role of hyperbaric oxygen therapy in oral submucous fibrosis: a randomized comparative study from India.","authors":"Rukmini Sah, Vibha Singh, Uma Shanker Pal, Shadab Mohammad, Vijay Kumar, Veerendra Verma, Amiya Agrawal, Sandhya Pandey, Ranjana Singh","doi":"10.7181/acfs.2025.0039","DOIUrl":"10.7181/acfs.2025.0039","url":null,"abstract":"Background: To assess the effectiveness of hyperbaric oxygen therapy (HBOT) as an adjunct to standard treatment in early-stage oral submucous fibrosis (OSMF), focusing on mouth opening, burning sensation, pain, and systemic inflammation.Methods: A randomized comparative study was conducted on early-stage OSMF patients divided into two groups. Group 1 received HBOT along with intralesional triamcinolone, hyaluronidase, and oral antioxidants. Group 2 received only the standard intralesional therapy with antioxidants. Clinical parameters-interincisal distance, burning sensation, and pain-were recorded at baseline, first, and second follow-up. Serum C-reactive protein (CRP) levels were measured pre- and post-treatment. Statistical analysis included unpaired t-tests and chi-square tests.Results: Both groups improved clinically, but Group 1 showed significantly greater reductions in burning sensation (p= 0.020), pain, and CRP levels (p= 0.033). Although intergroup differences in mouth opening were not statistically significant, Group 1 showed greater improvement over time. Fibrotic band distribution remained unchanged in both groups. No complications were reported with HBOT.Conclusion: HBOT provides enhanced symptomatic relief and anti-inflammatory effects in early-stage OSMF when used alongside conventional therapy. While it may not reverse fibrosis, its safety and noninvasive nature support its role in multimodal OSMF management.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"27 1","pages":"10-17"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367145","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

Recurrent secondary milia after full-thickness skin graft using retroauricular donor skin for dog-bite defect: a case report. 耳后供皮全层植皮治疗犬咬伤缺损后复发继发粟疹1例。

Archives of Craniofacial Surgery Pub Date : 2026-02-01 Epub Date: 2026-02-20 DOI: 10.7181/acfs.2025.0082

Min Wook Kim, Chang Ryeol Keum, Kwang Sik Seo, Jung Yeol Seo

{"title":"Recurrent secondary milia after full-thickness skin graft using retroauricular donor skin for dog-bite defect: a case report.","authors":"Min Wook Kim, Chang Ryeol Keum, Kwang Sik Seo, Jung Yeol Seo","doi":"10.7181/acfs.2025.0082","DOIUrl":"10.7181/acfs.2025.0082","url":null,"abstract":"Full-thickness skin grafting (FTSG) is frequently used to reconstruct facial soft tissue defects because it provides favorable color and texture matching. Secondary cystic lesions, including milia or epidermal cysts, that develop after FTSG are rare. A 29-year-old woman sustained a dog-bite injury resulting in a 4.5× 2.5 cm defect involving the philtrum and upper lip. The philtrum was reconstructed using a full-thickness skin graft harvested from the retroauricular area, while the upper lip was repaired using a mucosal V-Y advancement flap. Ten months later, hypertrophic scarring developed, and a second FTSG was performed using contralateral retroauricular skin. Despite repeated intralesional triamcinolone injections, the grafted area became tender and pruritic, with the appearance of multiple milia-like lesions. Over the subsequent 9 months, three recurrent cystic nodules developed within the scar tissue and were serially excised. Histopathological examination confirmed the diagnosis of secondary milia. After complete excision, no recurrence was observed for over 3 years. We discuss possible contributing mechanisms, including adnexal survival within grafts and the role of remnant epidermis or ductal obstruction. Awareness of this complication may help guide donor-site selection and wound-bed preparation in perioral reconstruction.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"27 1","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366894","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

Collision of actinic keratosis and dermatofibrosarcoma protuberans within a single lesion as a diagnostic pitfall: a case report. 光化性角化病与隆突性皮肤纤维肉瘤在单一病灶内的碰撞诊断：1例报告。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0068

Yujin Ahn, Joon Ho Lee

引用次数: 0

Influence in infraorbital foramen involvement on the cheek in maxillary fractures: a prospective observational study. 上颌骨折眶下孔受累对脸颊的影响：一项前瞻性观察研究。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0058

Dong Wan Kim, Ho Jun Lee, Jun Ho Choi, Kwang Seog Kim, Seung Hyun Kim, Jae Ha Hwang

{"title":"Influence in infraorbital foramen involvement on the cheek in maxillary fractures: a prospective observational study.","authors":"Dong Wan Kim, Ho Jun Lee, Jun Ho Choi, Kwang Seog Kim, Seung Hyun Kim, Jae Ha Hwang","doi":"10.7181/acfs.2025.0058","DOIUrl":"10.7181/acfs.2025.0058","url":null,"abstract":"Background: Infraorbital nerve dysfunction frequently occurs after maxillary fractures. This study aimed to determine whether maxillary fractures involving the infraorbital foramen affect the recovery of infraorbital nerve function.Methods: In this prospective study, 60 patients who received treatment for unilateral maxillary fractures between January 2020 and December 2022 were analyzed, with a follow-up period of over 1 year. Computed tomography scans were employed to categorize the fractures into three types according to the location of the fracture line relative to the infraorbital foramen. Sensory changes in four predetermined areas, supplied by the infraorbital nerve, were evaluated preoperatively and at 1 week, 1 month, 3 months, 6 months and 1 year postoperatively using the two-point discrimination test and the monofilament test.Results: Paresthesia was observed in all patients with maxillary fractures. In the majority of instances, sensory deficits resolved spontaneously within 1 year. However, in patients whose fracture lines encroached upon the infraorbital foramen, the severity of paralysis was greater, and the rates of recovery were slower.Conclusion: The degree of infraorbital nerve function after a maxillary fracture was influenced by the involvement of the infraorbital foramen. Therefore, in the management of patients with maxillary fractures, computed tomography scans can serve as a predictive tool for the potential severity of paresthesia and the anticipated recovery rate.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 6","pages":"235-243"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12775842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913953","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 to "Giant cell tumor of the temporal bone: two case reports and literature review". 修正“颞骨巨细胞瘤：2例报告及文献复习”。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0026.c

Khansa Abderrahmen, Khalil Ghedira, Alia Zehani, Skander Kedous, Sofiene Bouali

引用次数: 0

Teratoma of the nasopharynx in a 46-day-old boy leading to airway obstruction: a case report and literature review. 46日龄男孩鼻咽畸胎瘤致气道阻塞1例报告及文献复习。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0042

Balaji Jayaraman, Triveni Palani, Davidson Rajiah, Sahana Bhaskar Holla, Shanmugapriyan Durairaj, Harish Suresh Kulkarni

{"title":"Teratoma of the nasopharynx in a 46-day-old boy leading to airway obstruction: a case report and literature review.","authors":"Balaji Jayaraman, Triveni Palani, Davidson Rajiah, Sahana Bhaskar Holla, Shanmugapriyan Durairaj, Harish Suresh Kulkarni","doi":"10.7181/acfs.2025.0042","DOIUrl":"10.7181/acfs.2025.0042","url":null,"abstract":"Nasopharyngeal teratomas are rare extragonadal germ cell tumors that occur infrequently in the head and neck region, with an incidence of 1 in 40,000 live births. These tumors, often detected at birth or in early infancy, consist of various tissues derived from multiple germ cell layers and can pose significant clinical challenges due to their propensity to obstruct the airway. We report a case of a 46-day-old boy who presented with respiratory distress due to a mature teratoma located in the right nasopharyngeal region. Following initial respiratory management and diagnostic workup, which included bronchoscopy and imaging, the patient underwent surgical debulking using a modification of the Loeb palatal incision by a multidisciplinary team to alleviate airway obstruction. Histopathology confirmed a mature teratoma, and postoperative care included intensive monitoring and metabolic management. This case underscores the critical need for early diagnosis, prompt intervention, and collaborative management to prevent life-threatening complications in neonates with nasopharyngeal teratomas. Surgical excision remains the primary treatment for these cases, with postoperative monitoring essential for ensuring patient stability. This case contributes to the literature on neonatal nasopharyngeal teratomas, emphasizing the role of a multidisciplinary approach in achieving favorable outcomes in complex presentations of this rare condition.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 6","pages":"255-260"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12775838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913974","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

Comparison of palatal lengthening and perioperative outcomes of Furlow's Z-plasty versus von Langenbeck's palatoplasty in children with complete, non-syndromic cleft palate: a randomized controlled trial in India. 在印度进行的一项随机对照试验：Furlow的z形腭成形术与von Langenbeck的腭成形术对完全性、非综合征性腭裂儿童腭延长和围手术期结果的比较。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2026.0013

Nishank Manohar, Altaf Mir, N Nasida Fathima, Madhubari Vathulya, Akshay Kapoor, Sudipta Bera, Taruna Singh, Debarati Chattopadhyay

{"title":"Comparison of palatal lengthening and perioperative outcomes of Furlow's Z-plasty versus von Langenbeck's palatoplasty in children with complete, non-syndromic cleft palate: a randomized controlled trial in India.","authors":"Nishank Manohar, Altaf Mir, N Nasida Fathima, Madhubari Vathulya, Akshay Kapoor, Sudipta Bera, Taruna Singh, Debarati Chattopadhyay","doi":"10.7181/acfs.2026.0013","DOIUrl":"10.7181/acfs.2026.0013","url":null,"abstract":"Background: Cleft palate results from incomplete fusion of the palatine shelves during embryonic development and varies in severity. It affects speech, hearing, and feeding, often leading to complications such as nasal regurgitation and recurrent infections. The condition is common worldwide and frequently coexists with cleft lip. Surgery remains the primary treatment, aiming to restore both palatal length and function. In this study, Furlow's double Z-plasty and von Langenbeck palatoplasty have been compared for their effectiveness in minimizing complications and improving outcomes.Methods: This study included 22 children aged 6 to 18 months with non-syndromic complete cleft palates, randomly assigned into two groups. Group A underwent von Langenbeck's palatoplasty with intravelar veloplasty, while Group B underwent Furlow's double opposing Z-plasty.Results: Preoperative palatal measurements were comparable between the two groups. Cleft width did not significantly affect surgical outcomes, and both techniques effectively achieved tension-free closure. Von Langenbeck's repair with intravelar veloplasty was as effective as Furlow's palatoplasty in achieving palatal lengthening, while offering the additional advantage of being an anatomically based repair associated with lower fistula rates.Conclusion: Von Langenbeck's repair with intravelar veloplasty is as effective as Furlow's palatoplasty in achieving palatal lengthening and provides the advantage of an anatomically sound repair with a reduced fistula rate.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 6","pages":"244-254"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12775840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913828","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

Skull base defects: outcomes and reconstruction from a tertiary center in India. 颅底缺损：印度某三级中心的结果与重建。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0036

Palak Gupta, Srinivas Chadaram, Vidhu Sharma, Kapil Soni, Bikram Choudhury, Amit Goyal

{"title":"Skull base defects: outcomes and reconstruction from a tertiary center in India.","authors":"Palak Gupta, Srinivas Chadaram, Vidhu Sharma, Kapil Soni, Bikram Choudhury, Amit Goyal","doi":"10.7181/acfs.2025.0036","DOIUrl":"10.7181/acfs.2025.0036","url":null,"abstract":"Background: Skull base defects, accidental or planned during tumor resections, present significant reconstructive challenges. Effective repair prevents cerebrospinal fluid (CSF) leaks, meningitis, and pneumocephalus.Methods: This retrospective observational study analyzed 26 patients with anterior or lateral skull base defects treated between 2018 and 2024 at a tertiary care center in Western India. Both planned iatrogenic and accidental intraoperative defects were included. Patient demographics, surgical approach, defect characteristics, reconstruction techniques, and postoperative outcomes were recorded. All patients underwent multilayered repair with tailored perioperative management, including selective lumbar drainage.Results: Among 26 patients, 14 (53.8%) had anterior and 12 (46.2%) had lateral skull base defects. Intraoperative CSF leak occurred in 11 patients (42.3%). Defects were repaired using combinations of autologous tissue (fat, fascia lata, muscle), allogenic grafts (DuraGen), and vascularized flaps. Seven patients (26.9%) required lumbar drains. All reconstructions were successful with no secondary failures. However, two major complications were observed: one case of pneumocephalus and one of postoperative vision loss following ossifying fibroma excision. No postoperative meningitis or recurrent CSF leaks were noted.Conclusion: Meticulous multilayered repair strategies and structured perioperative protocols provide excellent outcomes in skull base defect reconstruction. Differentiating between planned and accidental iatrogenic defects allows for better preoperative planning and individualized management. Despite a 100% repair success rate, rare but serious complications such as vision loss highlight the need for careful surgical technique near critical neurovascular structures.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"26 6","pages":"225-234"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12775843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913959","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

Seasonal Greetings from the Chairman of the KCPCA General Assembly 2026. 来自KCPCA 2026年大会主席的节日问候。

Archives of Craniofacial Surgery Pub Date : 2025-12-01 Epub Date: 2025-12-20 DOI: 10.7181/acfs.2025.0084

Young Cheon Na

引用次数: 0