Archives of Craniofacial Surgery最新文献

{"title":"Comment on \"Proposal for a modified classification of isolated zygomatic arch fractures\".","authors":"Andrea Frosolini, Simone Benedetti, Paolo Gennaro, Guido Gabriele","doi":"10.7181/acfs.2023.00192","DOIUrl":"https://doi.org/10.7181/acfs.2023.00192","url":null,"abstract":"143 Ltter To the Editor: We read with interest the article by Jung et al. [1], entitled “Proposal for a modified classification of isolated zygomatic arch fractures,” in which existing classifications for zygomatic arch fractures are compared and a new functional tool for clinical and research purposes in the field of maxillofacial traumatology is proposed. As stated by the authors, a textbook classification of zygomatic fractures has not yet been established. Recent systematic reviews have highlighted the existence of considerable variation in classifications, outcome definitions and data collection; therefore, there is an urgent need for standardization to provide high-quality data [2]. In particular, no consensus exists regarding the treatment strategy or the best surgical approaches, including the number and modality of open-access reductions and internal fixations. To overcome these limits, in our opinion, a useful grading system should be applied more clearly to evaluate the outcomes of interventions, which appear to be a neglected aspect in the current classifications [1]. Radiology, particularly computed tomography (CT), is an important tool in maxillofacial surgical planning and postoperative evaluation. CT scans can provide detailed images of the bones and soft tissues in the facial region, allowing surgeons to accurately plan and perform procedures [3]. In cases of zygomatic fractures, CT scans can be used to measure changes in the affected area after surgery. In the study of Wang et al. [4], standard maxillofacial CT was preliminarily applied using a specific region of interest (ROI) calculator to compare preand postoperative zygomatic measures; this technique was shown to be sensitive enough to detect significant differences on the fractured side and nonsignificant differences on the healthy side in five patients. Moreover, computer-aided design and computer-aided manufacturing (CAD/CAM) tools, derived from orthognathic surgery, have been proposed in the recent guidelines of the Chinese Stomatological Association to compare the preoperative and postoperative results of zygomatic fractures. These tools may provide even greater accuracy and precision in measuring changes in facial structures; thus, in the future, new interesting prospective data are expected [5]. Traditional CT scans are widely available in many healthcare settings and are considered to be relatively affordable, especially compared to other advanced imaging technologies such as magnetic resonance imaging or positron emission tomography. ROI calculators and CAD/CAM tools are more specialized technologies that may not be available in all healthcare settings; however, as this technology continues to evolve and become more widely adopted in the medical field, it is possible that these costs will steadily decrease. In addition, there may be opportunities to access these technologies through clinical research studies and collaborations with academic medical centers, which ma","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"143-144"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/2c/acfs-2023-00192.PMC10365901.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876456","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":"Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report.","authors":"Jung Kwon An,&nbsp;Seong Oh Park,&nbsp;Lan Sook Chang,&nbsp;Youn Hwan Kim,&nbsp;Kyunghyun Min","doi":"10.7181/acfs.2023.00129","DOIUrl":"https://doi.org/10.7181/acfs.2023.00129","url":null,"abstract":"<p><p>Scalp defects necessitate diverse approaches for successful reconstruction, taking into account factors such as defect size, surrounding tissue, and recipient vessel quality. This case report presents a challenging scenario involving a temporal scalp defect where ipsilateral recipient vessels were unavailable. The defect was effectively reconstructed utilizing a transposition flap and a latissimus dorsi free flap, which was anastomosed to the contralateral recipient vessels. Our report underscores the successful reconstruction of a scalp defect in the absence of ipsilateral recipient vessels, emphasizing the importance of employing appropriate surgical interventions without necessitating vessel grafts.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/af/acfs-2023-00129.PMC10365903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246368","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":"Exercise rehabilitation for recurrent extraocular muscle movement limitation after pediatric blowout fracture surgery: a case report.","authors":"Jeong Do Park,&nbsp;Syeo Young Wee,&nbsp;Se Young Kim","doi":"10.7181/acfs.2023.00178","DOIUrl":"https://doi.org/10.7181/acfs.2023.00178","url":null,"abstract":"<p><p>White-eyed blowout fractures with extraocular muscle (EOM) entrapment necessitate emergency surgical intervention. However, even after surgery, diplopia or EOM motion limitations may persist due to the incomplete reduction of soft tissue herniation caused by inadequate dissection or unresolved muscle strangulation. In this report, we present a case of postoperative EOM movement limitation in a 5-year-old girl who experienced recurrent restriction in the upward gaze of her right eye 14 days after surgery. Instead of revision surgery, the patient was treated with targeted EOM exercises focusing on the inferior rectus muscle and inferior oblique muscle. The patient was instructed to slowly move her pupils from the central point to the upper and outer sides, then in a straight line from the central point to the lower and inner sides before returning to the center point. On the 28th postoperative day, 2 weeks after initiating the exercises, the patient's EOM motion fully recovered. This case highlights the effectiveness of EOM exercises as a non-surgical treatment approach for improving recurrent EOM movement limitations in the absence of soft tissue herniation following surgical management of blowout fractures in children.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/91/acfs-2023-00178.PMC10365905.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869031","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":"Cleft lip and palate surgery during COVID-19 pandemic in Indonesia: a 36-month experience at the Bandung Cleft Lip and Palate Center.","authors":"Ali Sundoro,&nbsp;Dany Hilmanto,&nbsp;Hardisiswo Soedjana,&nbsp;Ronny Lesmana,&nbsp;Kevin Leonard Suryadinata","doi":"10.7181/acfs.2023.00213","DOIUrl":"https://doi.org/10.7181/acfs.2023.00213","url":null,"abstract":"<p><strong>Background: </strong>In Indonesia, the prevalence of cleft lip and palate increased from 0.08% to 0.12% between 2013 and 2018. Children with cleft deformities typically undergo staged surgery. However, the coronavirus disease 2019 (COVID-19) pandemic has had negative impacts on the healthcare sector, including the suspension of elective procedures; this has raised concerns about the safety of performing surgery and the functional consequences of delaying treatment, the latter of which is associated with poor prognosis. The purpose of this study was to report the characteristics of clefts treated by the Bandung Cleft Lip and Palate Center team during the pandemic period.</p><p><strong>Methods: </strong>This brief comparative study based on a chart review was conducted at the Bandung Cleft Lip and Palate Center. We statistically evaluated data from all patients treated between September 2018 and August 2021. Frequency analysis was performed to analyze the average number of each procedure by age before and during the COVID-19 pandemic.</p><p><strong>Results: </strong>Data from 18-month periods before (n = 460) and during (n = 423) the pandemic were compared. Cheiloplasty procedures were examined (pre-pandemic, n = 230; pandemic, n = 248); before the pandemic, 86.1% were performed according to the treatment protocol (patient < 1 year old), and this proportion non-significantly dropped to 80.6% during the pandemic (p = 0.904). Palatoplasty procedures were also compared (pre-pandemic, n = 160; pandemic, n = 139); the treatment protocol (patient 0.5-2 years old) was followed for 65.5% of procedures before the pandemic and 75.5% during the pandemic (p = 0.509). Additionally, 70 (mean age, 7.94 years) revision and other procedures were performed before the pandemic and 36 (mean age, 8.52 years) during the pandemic.</p><p><strong>Conclusion: </strong>The cleft procedures performed at the Bandung Cleft Lip and Palate Center did not significantly change during the COVID-19 pandemic.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/2a/acfs-2023-00213.PMC10365898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246364","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 outcomes of suprafascial and subfascial radial forearm free flaps in head and neck reconstruction.","authors":"Sae Hwi Ki,&nbsp;Tae Jun Park,&nbsp;Jin Myung Yoon","doi":"10.7181/acfs.2023.00171","DOIUrl":"https://doi.org/10.7181/acfs.2023.00171","url":null,"abstract":"<p><strong>Background: </strong>Conventional radial forearm free flaps (RFFFs) are known to be safe, but can result in donor site complications. Based on our experiences with suprafascial and subfascial RFFFs, we evaluated the safety of flap survival and surgical outcomes.</p><p><strong>Methods: </strong>This was a retrospective study of head and neck reconstructions using RFFFs from 2006 to 2021. Thirty-two patients underwent procedures using either subfascial (group A) or suprafascial (group B) dissection for flap elevation. Data were collected on patient characteristics, flap size, and donor and recipient complications, and the two groups were compared.</p><p><strong>Results: </strong>Thirteen of the 32 patients were in group A and 19 were in group B. Group A included 10 men and three women, with a mean age of 56.15 years, and group B included 16 men and three women, with a mean age of 59.11 years. The mean defect areas were 42.83 cm² and 33.32 cm², and the mean flap sizes were 50.96 cm² and 44.54 cm² in groups A and B, respectively. There were 13 donor site complications: eight (61.5%) in group A and five (26.3%) in group B. Flexor tendon exposure occurred in three patients in group A and in none in group B. All flaps survived completely. A recipient site complication occurred in two patients (15.4%) in group A and three patients (15.8%) in group B.</p><p><strong>Conclusions: </strong>Complications and flap survival were similar between the two groups. However, tendon exposure at the donor site was less prevalent in the suprafascial group, and the treatment period was shorter. Based on our data, suprafascial RFFF is a reliable and safe procedure for reconstruction of the head and neck.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/78/acfs-2023-00171.PMC10365904.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246369","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":"Lymphaticovenular anastomosis for Morbihan disease: a case report.","authors":"Jung Hyun Hong,&nbsp;Changryul Claud Yi,&nbsp;Jae Woo Lee,&nbsp;Yong Chan Bae,&nbsp;Ryuck Seong Kim,&nbsp;Joo Hyoung Kim","doi":"10.7181/acfs.2022.01067","DOIUrl":"https://doi.org/10.7181/acfs.2022.01067","url":null,"abstract":"<p><p>Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper twothirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"124-128"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/6d/acfs-2022-01067.PMC10365902.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865032","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":"A comprehensive review of surgical techniques in unilateral cleft lip repair.","authors":"Tae-Suk Oh, Young Chul Kim","doi":"10.7181/acfs.2023.00268","DOIUrl":"10.7181/acfs.2023.00268","url":null,"abstract":"<p><p>Unilateral cleft lip is a common congenital anomaly that affects the appearance and function of the upper lip and nose. Surgical repair of cleft lip aims to restore the normal anatomy and functionality of the affected structures. In recent years, several advances have been made in the field of cleft lip repair, including new surgical techniques and approaches. This comprehensive review discusses the surgical management of patients with unilateral cleft lip and palate and provides step-by-step instructions for the surgical procedures.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 3","pages":"91-104"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/8a/acfs-2023-00268.PMC10365900.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227562","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":"Periorbital cutaneous angiomyolipoma: a case report","authors":"Young Jun Kim, Min Hyub Choi, Ji Seon Cheon, Woo Young Choi","doi":"10.7181/acfs.acfs.2022.01088","DOIUrl":"https://doi.org/10.7181/acfs.acfs.2022.01088","url":null,"abstract":"Angiomyolipomas are usually found in the kidneys of patients with tuberous sclerosis. They occur less frequently in organs such as the liver, the oral cavity, the nasal cavity, the heart, the large intestines, and the lungs. Angiomyolipomas of the skin are extremely rare, and cutaneous angiomyolipomas generally occur on the elbow, the ends of digits, the ear, and the glabella. Herein we present a rare case of angiomyolipoma occurring on the face—specifically, the right upper eyelid. We propose that upper eyelid angiomyolipoma is a hamartomatous, rather than neoplastic, lesion. Although angiomyolipoma in the periocular area is rare, it should be considered in the differential diagnosis of clinically benign masses. and regular follow-up is warranted.","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135663725","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":"Micropipette tip intubation in rats as a replacement for conventional endotracheal tube intubation.","authors":"Myung-Good Kim,&nbsp;Eong-Ho Ryu,&nbsp;Dong Min Lee,&nbsp;Tae-Seo Park,&nbsp;Ji-An Choi","doi":"10.7181/acfs.2022.01081","DOIUrl":"https://doi.org/10.7181/acfs.2022.01081","url":null,"abstract":"<p><p>Endotracheal intubation is often necessary in the course of animal experiments, especially in craniofacial surgery. However, endotracheal intubation can be a major burden in this context. The authors performed simple and cost-saving method using a 200 μL yellow micropipette tip, and the success of this method was demonstrated by X-ray and autopsy. We used a total of 30 rats. After the rats were fixed with a plaster, the trachea and vocal cords were visualized with the tongue pulled back. Under direct visualization of the vocal cords, a curving micropipette tip was advanced into the trachea. This method can be learned quickly and applied successfully by general experimenters. We successfully intubated all 30 rats without any complications. The success rate of micropipette tip intubation was 100%. This procedure was performed by one experimenter within 2 to 3 minutes after induction of anesthesia. We demonstrated its superiority by X-ray and autopsy. Herein, we describe endotracheal intubation of rats using micropipette tips. To the best of our knowledge, this method is novel and represents the simplest and most efficient means of intubation in rats, providing an alternative to conventional endotracheal intubation.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 2","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/30/acfs-2022-01081.PMC10165241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431267","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 treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review.","authors":"Inho Kang, Gyu Yong Jung, Min Jun Yong, Yujin Ahn, Joon Ho Lee","doi":"10.7181/acfs.2023.00115","DOIUrl":"10.7181/acfs.2023.00115","url":null,"abstract":"<p><p>Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0± 9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions and drainage, the symptoms only temporarily improved and continued to recur. On physical examination, chronic scars and sinus tracts were observed around the lesion. Postauricular HS was diagnosed, and surgical treatment was performed. We performed a wide excision and reconstructed the defect using a posterior auricular artery perforator-based keystone flap. Histological examination confirmed the diagnosis of HS. The reconstruction was successful, and there was no recurrence for 2 years after surgery. HS is difficult to diagnose without specific attention. Although the postauricular region is not a typical site of HS, it can occur in this area. Therefore, if a patient presents with recurrent abscesses in the postauricular region, HS should be considered. Additionally, if HS is diagnosed in the postauricular region, wide excision with reconstruction using a posterior auricular artery perforator-based keystone flap can lead to a favorable outcome.</p>","PeriodicalId":52238,"journal":{"name":"Archives of Craniofacial Surgery","volume":"24 2","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/74/acfs-2023-00115.PMC10165240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431265","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}