Journal of Cranio-Maxillofacial Surgery最新文献

A simple method to characterize upper airway in orthognatic surgery patients.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-15 DOI: 10.1016/j.jcms.2025.01.025

Kristine von Bischhoffshausen, Pablo Irarrazaval

{"title":"A simple method to characterize upper airway in orthognatic surgery patients.","authors":"Kristine von Bischhoffshausen, Pablo Irarrazaval","doi":"10.1016/j.jcms.2025.01.025","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.025","url":null,"abstract":"Orthognathic surgery is used to treat dentofacial deformities and causes upper airway dimension changes. Surgical planning includes the study of the upper airway in CT images. The most common geometry-associated parameters used for the analysis are the total volume and the minimal cross-sectional area. However, these measurements do not provide information about the entire airway, potentially allowing irregularities and shape changes to go unnoticed. As a result, obtaining measurements of the cross-sectional areas along the entire upper airway is desirable. This information will prove useful for clinicians to compare changes after surgery and between patients. In this work, we introduce a simple technique for quantifying the cross-sectional area of the upper airway. We began by segmenting CT images of the upper airway. Later, we established its central axis and defined oblique slices perpendicular to this axis for measuring the cross-sectional area. Furthermore, we propose plotting these areas along the central axis, providing clinicians with an easily interpretable overview of the airway. The method was applied to nine patients, comparing pre-operative and post-operative images, clearly demonstrating changes in the cross-sectional areas after surgery. This method will allow for a better understanding of the effects and has the potential to improve the planning of orthognathic surgery. Further research will show how the movements of the jaw and maxilla influence the dimensions of the upper airway.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assign a systematic traumatological status in orbital fracture patients - A prospective cohort study.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-13 DOI: 10.1016/j.jcms.2024.11.020

Anssi Lahtinen, Matti Nikunen, Miika Toivari, Jussi Furuholm, Johanna Snäll

{"title":"Assign a systematic traumatological status in orbital fracture patients - A prospective cohort study.","authors":"Anssi Lahtinen, Matti Nikunen, Miika Toivari, Jussi Furuholm, Johanna Snäll","doi":"10.1016/j.jcms.2024.11.020","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.11.020","url":null,"abstract":"The study aims to clarify the injury profile and the causes leading to missed injuries in isolated orbital fracture patients. The hypothesis was that orbital fracture patients are prone to underdiagnosis, especially regarding injuries to other body parts. Both injury profiles and causes leading to missed injuries in isolated orbital fracture patients were evaluated in a prospective cohort study. The patients were examined systematically by the oral and maxillofacial surgeon and an on-call orthopaedic traumatologist. The patients were also referred to ophthalmology for consultation. The study includes 213 patients. Associated injuries of other body parts and additional facial injuries were found in 26.2% and 25.8% of the 213 patients, respectively. The most common injuries outside the facial region were upper limb injuries (10.8%) and traumatic brain injuries (9.4%). In all, 18.8% of the patients had at least one injury that was not suspected or diagnosed primarily. More specifically, 28.6% of injuries outside the facial region were found later, and 25.5% of additional facial injuries were not detected or suspected primarily. Of eye injuries requiring further ophthalmological care, 66.7% were found only at the ophthalmologist's examination. Isolated orbital fracture patients require comprehensive examination by traumatologists focusing on orthopaedic and intracranial injuries as well as facial injuries. Additionally, close collaboration with ophthalmologists is recommended in the early stage after injury.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical decision-making regarding hearing and ear reconstruction in craniofacial microsomia: Exploring caregiver narratives.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-12 DOI: 10.1016/j.jcms.2025.01.019

Nicola M Stock, Beth Herring, Leanne Magee, Alexis L Johns, Canice E Crerand, Carrie L Heike, Amy Schefer, Amelia F Drake, Melissa Tumblin, Kristin Billaud Feragen

{"title":"Surgical decision-making regarding hearing and ear reconstruction in craniofacial microsomia: Exploring caregiver narratives.","authors":"Nicola M Stock, Beth Herring, Leanne Magee, Alexis L Johns, Canice E Crerand, Carrie L Heike, Amy Schefer, Amelia F Drake, Melissa Tumblin, Kristin Billaud Feragen","doi":"10.1016/j.jcms.2025.01.019","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.019","url":null,"abstract":"Treatment decision-making is an integral but complex part of healthcare, particularly in the context of craniofacial surgeries. The aim of the current study was to explore caregiver narratives to inform future surgical care delivery and best practice. 'Life Story' narrative interviews were conducted with US English- and Spanish-speaking caregivers (n = 62) of children aged 3-17 years with craniofacial microsomia (CFM). Extracts relating to treatment decision-making were inductively coded using Reflexive Thematic Analysis. Four themes were identified: 1) 'Grappling with Difference' exemplifies how participants dealt with having a child who was different; 2) 'Seeking Authoritative Guidance' illustrates how participants proactively pursued information about treatment options over several years; 3) 'In the Driving Seat' describes participants' beliefs about whether and how much to involve their child in treatment decisions; and 4) 'Post-Treatment Reflections' depicts participants' reflections of the decision-making experience. Surgeons and other healthcare providers are encouraged to use neutral and accessible language, to ensure families and children have a thorough understanding of all treatment pathways, and to engage in effective shared decision-making practices. Content predominantly focused on surgeries for ear reconstruction and hearing amplification. Future studies would benefit from examining other treatment decisions that caregivers are required to make.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-jaw patient-specific implants in bimaxillary orthognathic surgery: Randomized cross-controlled comparison between maxilla-guided and mandible-guided approach.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-10 DOI: 10.1016/j.jcms.2024.12.022

Mirko Bevini, Giulio Zavalloni, Lorenzo Federico, Marika Centra, Chiara Gulotta, Fiammetta Maria Clara Mirabile, Laura Cercenelli, Serena Incerti Parenti, Emanuela Marcelli, Achille Tarsitano, Giovanni Badiali

{"title":"Single-jaw patient-specific implants in bimaxillary orthognathic surgery: Randomized cross-controlled comparison between maxilla-guided and mandible-guided approach.","authors":"Mirko Bevini, Giulio Zavalloni, Lorenzo Federico, Marika Centra, Chiara Gulotta, Fiammetta Maria Clara Mirabile, Laura Cercenelli, Serena Incerti Parenti, Emanuela Marcelli, Achille Tarsitano, Giovanni Badiali","doi":"10.1016/j.jcms.2024.12.022","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.12.022","url":null,"abstract":"This randomized trial aims to compare the efficacy of Patient Specific Implants in bimaxillary orthognathic surgery via maxilla-guided or mandible-guided technique, focusing on the accuracy of pre-operative planning transfer in the operating room. Twenty patients with dentoskeletal dysmorphism were enrolled and virtual surgical planning (VSP) was performed. Subsequently, they underwent bimaxillary orthognathic surgery using either a maxilla-guided or a mandible-guided approach, as determined via a blind randomization process. Post-operative CBCT scans were conducted one month after surgery to assess maxillo-mandibular positioning. Finally, a roto-translational rigid body analysis was conducted to compare the initial VSP and the post-operative results. Results revealed high reproducibility with both techniques, maxilla-guided approach demonstrating an increased accuracy in vertical, antero-posterior and total translational repositioning of the maxilla, and the antero-posterior repositioning of the mandible compared to the mandible-guided approach. However, the mandible-guided approach offered greater flexibility in controlling the vertical dimension. The two methods have proven to be largely comparable in terms of mandibular rami positioning. Both techniques exhibited clinically equivalent precision in reproducing the VSP, with no surgical complications observed. In conclusion, while the maxilla-guided approach exhibited generally lower discrepancies in the reproduction of the VSP, both techniques were deemed equally effective in bimaxillary orthognathic surgery.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrospective analysis of external pin fixation of mandibular fractures: A 25-year single institution experience.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-07 DOI: 10.1016/j.jcms.2025.01.005

Matthew J Rose, Rabie M Shanti, Oreste Iocca, Michael Rasa, Vincent B Ziccardi

引用次数: 0

Orthognathic surgery satisfaction following FAB treatment.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-06 DOI: 10.1016/j.jcms.2025.01.023

Antonio D'Agostino, Lorenzo Trevisiol, Guido Lobbia, Manlio Galiè, Elisa Battaglini, Massimo Bersani, G William Arnett

{"title":"Orthognathic surgery satisfaction following FAB treatment.","authors":"Antonio D'Agostino, Lorenzo Trevisiol, Guido Lobbia, Manlio Galiè, Elisa Battaglini, Massimo Bersani, G William Arnett","doi":"10.1016/j.jcms.2025.01.023","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.023","url":null,"abstract":"The aim of this retrospective study is to evaluate long-term patient satisfaction after bimaxillary orthognathic surgery planned according to the Face-Airway-Bite (FAB) philosophy. A sample of 65 patients out of 80 consecutively treated between 2015 and 2017 met the inclusion criteria for the study. All patients suffered from different type of malocclusions and were treated with bimaxillary orthognathic surgery at the Unit of Maxillofacial Surgery, University of Verona. Each patient completed a 15-item ad hoc questionnaire investigating the reasons for undergoing treatment and evaluating presurgical and long-term postsurgical satisfaction with facial appearance, breathing, and chewing. Epworth sleepiness scale was administered before and after treatment. In the study group, 48% of patients underwent surgery to correct malocclusion, 22% to enhance facial appearance, 18% to resolve temporomandibular joint pain, and 12% for other reasons. Patients presenting for solely OSAS were excluded from the study to prevent skewing of the data. The mean score for long-term satisfaction was 9.06 ± 1.03/10. The mean facial appearance score was 5.26/10 before and 8.85/10 after surgery, respectively. The mean chewing score was 5.30/10 before and 8.81/10 after surgery. Although none of patients reported breathing problems before surgery, 65% of them referred postoperative breathing improvement. The mean follow-up period for questionnaire administration was 32months. Patients undergoing bimaxillary orthognathic surgery planned according to the FAB principles reported high satisfaction with treatment outcomes. Patients' outcome approval was primarily related to improvement in function and aesthetics; however, airway and pain complaints were additionally improved.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multicentre retrospective study on plate osteosynthesis for non-condylar mandibular fractures in paediatric patients with deciduous, mixed, and permanent dentition: A World Oral Maxillofacial Trauma (WORMAT) project.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jcms.2025.01.027

Federica Sobrero, Fabio Roccia, Valfrido Antonio Pereira-Filho, Luis Fernando de Oliveira Gorla, Anamaria Sivrić, Mario Kordić, Sajjad Abdur Rahman, Tabishur Rahman, Timothy Aladelusi, Karpal Singh Sohal, Emanuele Zavattero, Gian Battista Bottini, Maximilian Goetzinger, Petia Pechalova, Angel Sapundzhiev, Emil Dediol, Boris Kos, Sahand Samieirad, Marko Lazíc, Vitomir S Konstantinovic, Euan Rae, Sean Laverick, Aleš Vesnaver, Anže Birk, Constantinus Politis, Kathia Dubron

{"title":"Multicentre retrospective study on plate osteosynthesis for non-condylar mandibular fractures in paediatric patients with deciduous, mixed, and permanent dentition: A World Oral Maxillofacial Trauma (WORMAT) project.","authors":"Federica Sobrero, Fabio Roccia, Valfrido Antonio Pereira-Filho, Luis Fernando de Oliveira Gorla, Anamaria Sivrić, Mario Kordić, Sajjad Abdur Rahman, Tabishur Rahman, Timothy Aladelusi, Karpal Singh Sohal, Emanuele Zavattero, Gian Battista Bottini, Maximilian Goetzinger, Petia Pechalova, Angel Sapundzhiev, Emil Dediol, Boris Kos, Sahand Samieirad, Marko Lazíc, Vitomir S Konstantinovic, Euan Rae, Sean Laverick, Aleš Vesnaver, Anže Birk, Constantinus Politis, Kathia Dubron","doi":"10.1016/j.jcms.2025.01.027","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.027","url":null,"abstract":"Mandibular fractures are common maxillofacial injuries among children and adolescents, but treatment remains controversial. The aim of this study was to analyse the methods and outcomes of open reduction and internal fixation (ORIF) for non-condylar mandibular fractures in paediatric patients among 14 maxillofacial centres. Patients ≤16 years of age undergoing ORIF for non-condylar mandibular fractures between 2011 and 2022 were included. Age, gender, dentition stage, site and type of fracture, surgical approach, material, thickness, and number of plates, and outcome were recorded. 179 patients (mean age, 11.1 years) reported 120 single and 59 double fractures, 79% involving at least one displaced or comminuted site. Single fractures were preferentially treated with rigid osteosynthesis in all dentition groups (64%), while double fractures with non-rigid osteosynthesis in mixed and permanent dentition patients (59% and 43%) and mixed osteosynthesis in deciduous dentition patients (50%). Mean follow-up was 21 months. Surgical would infection was the most common complication (8.9%), followed by minor malocclusion (1.7%) and osteitis (1.7%). In conclusion, the centres opted for fixation patterns like those recommended for adults, favoring non-rigid or mixed osteosynthesis for double fractures. The low complication rate shows ORIF is effective and safe for non-condylar mandibular fractures in paediatric patients.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Zygomatic Osteotomy surgery design software based on skull CT scans - Self-supervised algo reduces workload.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jcms.2025.01.014

Xiaohui Qiu, Chi Zhong, Qiuyang Chen, Yingchao Zhao, Tong Yang, Jianda Zhou, Shenghui Liao, Jing Chen

{"title":"Zygomatic Osteotomy surgery design software based on skull CT scans - Self-supervised algo reduces workload.","authors":"Xiaohui Qiu, Chi Zhong, Qiuyang Chen, Yingchao Zhao, Tong Yang, Jianda Zhou, Shenghui Liao, Jing Chen","doi":"10.1016/j.jcms.2025.01.014","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.014","url":null,"abstract":"Background: The morphology of the zygomatic complex significantly influences facial appearance, leading to a focus on zygomatic osteotomy. The current technique, the \"L-shaped\" zygomatic osteotomy, requires a small incision and preoperative osteotomy design for an osteotomy guide. However, the use of multiple software programs in the design process makes it time-consuming and clinically challenging.Method: Artificial intelligence technology offers a solution by integrating digital medical technology into medicine. AI algorithms were developed based on point cloud models, using 2000 cases of three-dimensional CT data for training. Eighty CT data sets were randomly chosen for both AI and manual skull segmentation designs. The effectiveness, symmetry, safety, and aesthetic outcomes were compared.Result: The AI zygomatic osteotomy showed superior performance in symmetry and aesthetics compared to manual zygomatic osteotomy. The complex structure of the zygomatic arch highlights the advantages of AI-driven osteotomy design, especially in intricate cases. Additionally, the AI osteotomy scheme demonstrated no compromise in safety indicators compared to the manual approach.Conclusion: AI zygomatic osteotomy proves to be a safe and effective alternative to manual zygomatic osteotomy, showcasing enhanced symmetry and aesthetic outcomes. The efficiency and precision of AI-driven design in complex zygomatic osteotomies make it a promising advancement in this field.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrospective evaluation of velopharyngeal insufficiency treated with Orticochea pharyngoplasty in cleft palate patients.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jcms.2025.01.034

Arnaud Meon, Edouard Lange, Bruno Sarrodet, Arnaud Gleizal, Julie Chauvel-Picard

{"title":"Retrospective evaluation of velopharyngeal insufficiency treated with Orticochea pharyngoplasty in cleft palate patients.","authors":"Arnaud Meon, Edouard Lange, Bruno Sarrodet, Arnaud Gleizal, Julie Chauvel-Picard","doi":"10.1016/j.jcms.2025.01.034","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.034","url":null,"abstract":"This study evaluated the outcomes of perceptual speech, breathing, snoring, and nasal regurgitation following Orticochea pharyngoplasty, and investigated patient characteristics associated with the resolution or improvement of velopharyngeal insufficiency (VPI) in cleft patients. The study involved a retrospective review of consecutive patients who underwent Orticochea pharyngoplasty for VPI management between 2016 and 2024 in the Department of Maxillofacial Surgery, Woman-Mother-Child Hospital, Lyon, France. Demographic data, speech and breathing characteristics, and the presence of snoring and nasal regurgitation were recorded using a standardized protocol. Preoperative and postoperative VPI severity was assessed using the Borel-Maisonny scale. All 89 patients included in the study had at least minimal VPI preoperatively (stage IIB), with 83% graded as having moderate or severe VPI. Improvement was observed in 88.76% of the patients after one surgery, and in 98.9% following a second surgery. Orticochea pharyngoplasty improved physiological breathing rates by 22% and reduced nasal regurgitation in 75% of the cases. This indicated that Orticochea pharyngoplasty is a reliable, safe, and reproducible surgical technique.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Lefort III/ monobloc advancement on midface growth in children with syndromic craniosynostosis: A systematic review.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jcms.2025.01.001

Naveen Kumar Jayakumar, Sneha Pendem, Ravi Pavan Vudatha, M S Muthu

{"title":"Impact of Lefort III/ monobloc advancement on midface growth in children with syndromic craniosynostosis: A systematic review.","authors":"Naveen Kumar Jayakumar, Sneha Pendem, Ravi Pavan Vudatha, M S Muthu","doi":"10.1016/j.jcms.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.001","url":null,"abstract":"Syndromic craniosynostosis is a complex condition involving the craniofacial skeleton, often requiring surgical midface advancement (SMA) to address functional and aesthetic concerns. A systematic review of literature was conducted on the impact of Lefort III/monobloc advancement on midface growth of children with syndromic craniosynostosis. Comprehensive search of multiple databases yielded 21 studies that met the inclusion criteria. Data extraction and risk-of-bias assessment were performed using standardized tools. The review included 309 children who underwent SMA at a median age of 7-8 years. While some studies reported positive post-operative growth, others found no evidence of growth. The type of surgical intervention (osteotomy vs. distraction) and age at surgery did not consistently influence growth outcomes. Vertical growth of the midface was uninterrupted post-operatively, whereas sagittal growth was minimal. This systematic review highlights the variability in midface growth outcomes following LeFort III/monobloc advancement in children with syndromic craniosynostosis. Further research is needed to elucidate the factors influencing growth and to optimize surgical techniques for improved outcomes.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0