Archives of Craniofacial Surgery最新文献

{"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":"The agreement of panoramic radiography with cone-beam computed tomography in classifying impacted lower third molars: a systematic review.","authors":"Husni Mubarak, Andi Tajrin, Nurwaida","doi":"10.7181/acfs.2024.00304","DOIUrl":"10.7181/acfs.2024.00304","url":null,"abstract":"<p><strong>Background: </strong>This systematic review aimed to determine whether cone-beam computed tomography (CBCT) and panoramic radiography (PR) yield consistent results in determining the degree of impacted lower third molar teeth based on existing classification parameters.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted of PubMed, Embase, Cochrane, and PLOS One, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Additionally, a manual search was also carried out. There were no restrictions on publication dates, allowing a broader scope of literature. Only articles published in English were eligible for inclusion. Furthermore, all studies that compared the outcomes of CBCT and panoramic images concerning the position of impacted teeth, according to the Winter and the Pell & Gregory classifications, were included.</p><p><strong>Results: </strong>Four studies met the inclusion criteria. One study used the Pell & Gregory classification to assess differences, finding a significant result (P< 0.001). Two studies used both the Winter and the Pell & Gregory classifications. In these assessments, one study found no significant differences in the Winter classification (p= 1.000) or the Pell & Gregory assessment (p= 0.500). However, another study identified significant differences using both the winter and the Pell & Gregory classifications (P< 0.001). One study conducted an assessment using only Winter classification and found no significant differences between PR and CBCT (P> 0.05).</p><p><strong>Conclusion: </strong>There are inter-modality differences in the agreement concerning the degree of impaction of the third molar when using CBCT compared with panoramic imaging across various classification levels. Improved assessment methods are necessary to determine the most appropriate imaging modality for therapeutic management.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":" ","pages":"263-269"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649500","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":"Retrospective data analysis of referral letters for orofacial vascular anomalies to a tertiary center.","authors":"Zaridah Zainal Abidin, Juanna Bahadun","doi":"10.7181/acfs.2024.00437","DOIUrl":"10.7181/acfs.2024.00437","url":null,"abstract":"<p><strong>Background: </strong>Vascular anomalies are disorders of the vascular system. These anomalies are classified as either vascular tumors or vascular malformations, with each possessing distinct characteristics. This study was performed to analyze vascular anomaly referrals to a tertiary center, identify patterns of misdiagnosis, and create a proforma to ensure the comprehensiveness of clinical information.</p><p><strong>Methods: </strong>We retrospectively analyzed vascular anomaly referral letters received by Hospital Tunku Azizah from 2018 to 2023. Specifically, we descriptively analyzed the inclusion of vascular anomaly characteristics, the demographic profiles of referrers and patients, and basic clinical findings. Subsequently, we developed a redesigned proforma.</p><p><strong>Results: </strong>Overall, 47 referral letters were analyzed. The patients comprised 25 boys and 22 girls, with ages ranging from birth to 14 years. Patient name, sex, and date of birth, along with the referrer's name and address, were satisfactorily documented. The review revealed that 44 (93.6%) of the letters included the patient's presenting problem, 43 (91.5%) contained clinical findings, 37 (78.7%) reported diagnostic investigations, and 29 (61%) referenced medical history. Regarding characteristics of vascular conditions, over half of the letters detailed time of appearance (n= 40, 85%), growth (n= 24, 66%), complications (n= 25, 53.2%), color (n= 32, 68%), and shape (n= 34, 72%). However, fewer than half mentioned compressibility (n= 7, 14.8%), pulsation (n= 7, 14.7%), and associated conditions (n= 2, 4.3%), and none referenced involution.</p><p><strong>Conclusion: </strong>Although demographic data were generally well-documented, critical medical history information was frequently omitted, including a lack of adequate pre-referral investigations. Key characteristics of vascular anomalies, namely compressibility, pulsation, associated conditions, and involution, were frequently overlooked. Accurate documentation of these features is crucial for determining treatment urgency. A standardized proforma must be implemented to ensure that vital information is captured, thus facilitating diagnosis and optimizing patient care.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"25 6","pages":"270-278"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933507","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}