Archives of Craniofacial Surgery最新文献

{"title":"Nodular scalp mass as the first presentation of pulmonary large cell neuroendocrine carcinoma: a case report.","authors":"Hong Won Lee,&nbsp;Young Joong Hwang,&nbsp;Sung Gyun Jung,&nbsp;In Pyo Hong","doi":"10.7181/acfs.2023.00304","DOIUrl":"10.7181/acfs.2023.00304","url":null,"abstract":"<p><p>Metastasis of lung cancer to the skin is uncommon, presenting in 0.22% to 12% of lung cancer patients, and it is extremely rare for skin metastasis to be the first clinical manifestation of lung cancer. In the few cases where skin metastasis has been reported as the first sign of lung cancer, the patients were typically heavy smokers or had preexisting respiratory diseases and symptoms. This prompted clinicians to consider skin metastasis of a pulmonary malignancy. Large cell neuroendocrine carcinoma (LCNEC) is a rare type of lung cancer that accounts for approximately 3% of lung cancers. LCNEC mainly metastasizes to visceral organs, such as the liver, bone, and brain, and it only shows metastasis to the skin in very rare cases. Herein, we report an unusual case of a metastatic skin lesion as the first sign of primary pulmonary LCNEC, in a 63-year-old woman with no pulmonary symptoms or personal history of smoking or pulmonary disease.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 5","pages":"240-243"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429020","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":"Concurrent presentation of porocarcinoma and basal cell carcinoma arising on a capillary malformation: a case report.","authors":"Sunkyu Park,&nbsp;Jong-Ho Kim","doi":"10.7181/acfs.2023.00388","DOIUrl":"10.7181/acfs.2023.00388","url":null,"abstract":"<p><p>Porocarcinoma (PC) and basal cell carcinoma (BCC) are distinct skin cancers. Few studies have documented the occurrence of two concurrent types of skin cancers, and to the best of our knowledge, this represents the inaugural report of such a coexisting lesion arising from a capillary malformation. Herein, we report a case of concurrent PC and BCC presenting with capillary malformation. A 93-year-old woman visited our hospital with a protruding mass in her right nasal ala that appeared as a capillary malformation. A biopsy was performed on the skin lesion, and BCC was diagnosed. A wide excision was performed. Permanent biopsy revealed that the skin lesion was a PC with basal cells and squamous differentiation. The safety margin of the deep tissue margin was < 0.1 cm; however, considering the advanced age of the patient, further excision was deemed to not possess any benefits. This case illustrates the importance of recognizing the possibility of multiple skin cancers, even in patients with benign lesions such as capillary malformations. The rarity of this presentation highlights the importance of thorough investigation and histopathological examination of skin lesions in guiding appropriate surgical excision.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 5","pages":"236-239"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429018","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":"Removal of an intraosseous hemangioma of the frontal bone through an anterior hairline incision: a case report.","authors":"Myung-Good Kim,&nbsp;Jeong-Ho Ryu,&nbsp;Dong Min Lee,&nbsp;Tae-Seo Park,&nbsp;Ji-An Choi,&nbsp;Keun-Cheol Lee,&nbsp;Song-Hee Han","doi":"10.7181/acfs.2023.00150","DOIUrl":"https://doi.org/10.7181/acfs.2023.00150","url":null,"abstract":"<p><p>An intraosseous hemangioma of the frontal bone is typically removed via a coronal incision. This procedure, while effective, can be lengthy and may result in complications such as a prominent scar and hair loss. An alternative approach involves a direct incision in the forehead, which leaves a less noticeable scar and allows a quicker recovery. However, in this specific case, the patient declined both coronal surgery and surgery through a direct forehead incision due to cosmetic concerns. Therefore, we proposed an anterior hairline incision. A 35-year-old woman presented with a firm, non-mobile, palpable mass on her right forehead. Preoperative non-contrast computed tomography revealed a heterogeneous osteolytic lesion. We performed an excisional biopsy through the anterior hairline. Postoperative non-contrast computed tomography was conducted 2 and 6 months after surgery. The wound was clean and free of complications, and there was no local recurrence. Partial resection can reduce scarring for patients who are concerned about cosmetic outcomes. However, the potential for recurrence remains a significant concern. We present this case of an anterior hairline incision for a hemangioma located in the forehead, evaluated using serial computed tomography for both preoperative and postoperative imaging.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"189-192"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/c1/acfs-2023-00150.PMC10475701.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160960","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":"Basal cell adenoma of parotid gland: two case reports and literature review.","authors":"Sungyeon Yoon,&nbsp;Yesol Kim,&nbsp;Suk-Ho Moon","doi":"10.7181/acfs.2023.00227","DOIUrl":"https://doi.org/10.7181/acfs.2023.00227","url":null,"abstract":"<p><p>Most of salivary tumors are benign in nature and are typically diagnosed and classified based on their histopathological presentation. Basal cell adenoma of the salivary glands is a rare, benign disease accounting for 1% to 3% of salivary gland tumors. Despite its low incidence, basal cell adenoma is the third most common benign tumor of the salivary gland after pleomorphic adenoma and Warthin's tumor. It usually appears as a firm and slow-growing mass. Due to the prognosis, differential diagnosis with basal cell adenocarcinoma, adenoid cystic carcinoma and basaloid squamous cell carcinoma is required. In this report, we present two cases; a 62-year-old woman who presented with an asymptomatic, and slow-growing mass and a 64-year-old woman with a static-sized mass in the parotid gland. In both cases, the mass was completely excised, postoperative pathology reports confirmed the diagnosis of basal cell adenoma. We also review the literature and discuss this rare entity.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"179-184"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/d7/acfs-2023-00227.PMC10475702.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160958","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 cover of an ear thermometer probe as a split-thickness skin graft mold in external auditory canal reconstruction.","authors":"Chae Rim Lee,&nbsp;Sungyeon Yoon,&nbsp;Ji Hun Kim,&nbsp;Jangyoun Choi,&nbsp;Kyoung Ho Park,&nbsp;Deuk Young Oh","doi":"10.7181/acfs.2023.00157","DOIUrl":"https://doi.org/10.7181/acfs.2023.00157","url":null,"abstract":"<p><p>Maintaining the patency of the external auditory canal (EAC) during reconstruction is important because of its physiological role in hearing and immunological protective functions. The curved shape of the EAC presents a challenge when performing a skin graft. One of the key points for a successful skin graft is to ensure compression on the wound bed, and many novel methods, including prefabricated ear molds, have been reported for this purpose. In this study, we present a case of a skin graft performed to reconstruct a skin defect following excision of actinic keratosis in the EAC, using the cover of an ear thermometer probe as a mold for the graft to match the curvature of the EAC. This is an economical and practical method for secure compression dressing of a skin graft in the EAC.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"198-201"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/64/acfs-2023-00157.PMC10475699.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160961","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":"Diagnosis of split fractures of the mandible in adults.","authors":"Taesik Kim,&nbsp;Sung Gyun Jung,&nbsp;In Pyo Hong,&nbsp;Young Joong Hwang","doi":"10.7181/acfs.2023.00290","DOIUrl":"https://doi.org/10.7181/acfs.2023.00290","url":null,"abstract":"<p><strong>Background: </strong>Mandibular split fractures, in which the fracture occurs exclusively in the posterior wall, are uncommon. This study aimed to enhance clinicians' understanding of mandibular split fractures and offer insights for future research.</p><p><strong>Methods: </strong>This study included six patients who visited our hospital between January 2020 and June 2023 and were diagnosed with mandibular split fractures. We retrospectively collected data from patients' medical records on their age, sex, symptoms, mechanism, impact site, associated injuries, and treatment method, as well as the location, pattern, and number of fractures observed on computed tomography (CT) and panoramic images. The frequency of split fractures among all mandibular fractures was calculated.</p><p><strong>Results: </strong>The six patients included three men (50%) and three women (50%), ranging in age from 20 to 71 years (mean age, 49.8 years). The split fractures were located in the symphysis in one patient (16.7%), symphysis to parasymphysis in two patients (33.3%), parasymphysis in one patient (16.7%), and parasymphysis to the body in two patients (33.3%). Four patients (66.7%) had condylar head fractures, while two patients (33.3%) had single split fractures. The mechanism of trauma was a slip-down incident in four cases (66.7%), while two cases (33.3%) were caused by motorcycle traffic accidents. Four patients (67%) underwent intermaxillary fixation, while two patients (33%) improved with conservative treatment. Split fractures were diagnosed in all six patients on CT, whereas the fracture line was not clearly visible on panoramic images. Mandibular split fractures accounted for 5.6% of all mandibular fractures.</p><p><strong>Conclusion: </strong>This study provides insights into the clinical characteristics of rare mandibular split fractures and the diagnostic imaging findings. Furthermore, CT scans and three-dimensional image synthesis-instead of panoramic images-may be essential for accurately diagnosing mandibular fractures, including mandibular split fractures, in the future.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"167-173"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/86/acfs-2023-00290.PMC10475697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10216748","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":"Intramuscular epidermal cyst in the masticator space: a case report.","authors":"Sang Woo Han,&nbsp;Jiye Kim,&nbsp;Sug Won Kim,&nbsp;Minseob Eom,&nbsp;Chae Eun Yang","doi":"10.7181/acfs.2023.00136","DOIUrl":"https://doi.org/10.7181/acfs.2023.00136","url":null,"abstract":"<p><p>An epidermal cyst, also known as an epidermoid cyst or epidermal inclusion cyst, is the most prevalent type of cutaneous cyst. This noncancerous lesion can appear anywhere on the body, typically presenting as an asymptomatic dermal nodule with a visible central punctum. In the case presented herein, an epidermal cyst with uncommon features was misdiagnosed as a lymphatic malformation based on preoperative magnetic resonance imaging (MRI). A 61-year-old man came to us with a swollen left cheek that had been present for 11 months. The preoperative MRI revealed a 3 × 3.8 × 4.6 cm lobulated cystic lesion with thin rim enhancement in the left masticator space. The initial differential diagnosis pointed toward a lymphatic malformation. We proceeded with surgical excision of the lesion via an intraoral approach, and the specimen was sent to the pathology department. The pathological diagnosis revealed a ruptured epidermal cyst, indicating that the initial diagnosis of a lymphatic malformation based on preoperative MRI was incorrect. Epidermal cysts located under the muscle with no visible central punctum are uncommon, but should be considered if a patient presents with facial swelling.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"193-197"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/ee/acfs-2023-00136.PMC10475696.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160959","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 of vascular anomalies.","authors":"Tae Hyung Kim,&nbsp;Jong Woo Choi,&nbsp;Woo Shik Jeong","doi":"10.7181/acfs.2023.00332","DOIUrl":"https://doi.org/10.7181/acfs.2023.00332","url":null,"abstract":"<p><p>Vascular anomalies encompass a variety of malformations and tumors that can result in severe morbidity and mortality in both adults and children. Advances have been made in the classification and diagnosis of these anomalies, with the International Society for the Study of Vascular Anomalies establishing a widely recognized classification system. In recent years, notable progress has been made in genetic testing and imaging techniques, enhancing our ability to diagnose these conditions. The increasing sophistication of genetic testing has facilitated the identification of specific genetic mutations that help treatment decisions. Furthermore, imaging techniques such as magnetic resonance imaging and computed tomography have greatly improved our capacity to visualize and detect vascular abnormalities, enabling more accurate diagnoses. When considering reconstructive surgery for facial vascular anomalies, it is important to consider both functional and cosmetic results of the procedure. Therefore, a comprehensive multidisciplinary approach involving specialists from dermatology, radiology, and genetics is often required to ensure effective management of these conditions. Overall, the treatment approach for facial vascular anomalies depends on the type, size, location, and severity of the anomaly. A thorough evaluation by a team of specialists can determine the most appropriate and effective treatment plan.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"145-158"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/46/acfs-2023-00332.PMC10475703.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10216749","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":"Simultaneous diagnosis and resection of orofacial rhabdomyosarcoma with frozen section biopsy: a case report.","authors":"Youngwoong Choi,&nbsp;Ki Pyo Sung,&nbsp;Soo Hyang Lee","doi":"10.7181/acfs.2023.00052","DOIUrl":"https://doi.org/10.7181/acfs.2023.00052","url":null,"abstract":"<p><p>Rhabdomyosarcoma is the most common soft tissue sarcoma in children, accounting for 4.5% of all cases of cancer in childhood. Although the head and neck are the most common sites of rhabdomyosarcoma, oral lesions are relatively rare and account for only 10% to 12% of head and neck rhabdomyosarcoma cases. This is a case report of a girl aged 2 years and 1 month who initially presented with an upper lip mass that invaded the oral mucosa, oral skin, and nostril skin, causing narrowing of the airway. Through our case, we show that rapidly growing small round cell malignancies, especially rhabdomyosarcoma, can be effectively diagnosed and treated at the same time using primary resection with intraoperative frozen section biopsy and that the time spent waiting for the results of preoperative biopsy can be saved in this way, particularly when the patient's symptoms are intensifying rapidly and require immediate operation.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"185-188"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/e1/acfs-2023-00052.PMC10475698.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160956","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":"Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction.","authors":"Beom Jin Lim,&nbsp;Jin Yong Shin,&nbsp;Si-Gyun Roh,&nbsp;Nae-Ho Lee,&nbsp;Yoon Kyu Chung","doi":"10.7181/acfs.2023.00325","DOIUrl":"https://doi.org/10.7181/acfs.2023.00325","url":null,"abstract":"<p><strong>Background: </strong>Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure.</p><p><strong>Methods: </strong>This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021.</p><p><strong>Results: </strong>During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery.</p><p><strong>Conclusion: </strong>Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 4","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f6/91/acfs-2023-00325.PMC10475704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160955","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}