Journal of Cranio-Maxillofacial Surgery最新文献_第2页

Deformity and revision rates after secondary unilateral cleft lip rhinoplasty with different cartilage grafts: A systematic review and meta-analysis. 使用不同软骨移植进行二次单侧唇裂鼻整形术后的畸形率和翻修率：系统回顾和荟萃分析。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-12 DOI: 10.1016/j.jcms.2025.02.030

Run Deng, Yiming Wang, Chong Zhang, Yonghuan Zhen, Jufeng Fan, Yang An

{"title":"Deformity and revision rates after secondary unilateral cleft lip rhinoplasty with different cartilage grafts: A systematic review and meta-analysis.","authors":"Run Deng, Yiming Wang, Chong Zhang, Yonghuan Zhen, Jufeng Fan, Yang An","doi":"10.1016/j.jcms.2025.02.030","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.030","url":null,"abstract":"Secondary unilateral cleft lip (UCL) rhinoplasty is challenging for plastic surgeons, and therefore there are still risks of complications and the need for revision. In this study, we performed a systematic review and meta-analysis for patients undergoing secondary UCL rhinoplasty to compare deformity and revision rates of rhinoplasty with different cartilage. The Medline, Embase, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) were systematically searched for relevant literature from the database inception to October 2022. Patients aged over 12 years old who underwent secondary UCL rhinoplasty using cartilage grafts to project the nasal tip were included. Random-effects meta-analysis, subgroup analysis, the Egger's test for funnel-plot asymmetry, and meta-regression were performed. Twenty-three studies were included and these studies comprised 842 participants, of whom 362 received septal cartilage grafts, 348 received costal cartilage grafts, and 132 received conchal cartilage grafts. When nasal septal, costal, and conchal cartilage grafts were compared, no significant difference (P = 0.755) in deformity rate (0.7%, 95% CI 0%-2.4%) was found, while there was a significant difference (P < 0.001) in revision rate (6.7%, 95% CI 0.8%-16.1%). The pooled rate of deformity was considerably low in secondary UCL rhinoplasty using cartilage grafts, while there was a relatively higher incidence of revision. Nevertheless, the current systematic review has limitations due to sample heterogeneity and limited sample size, necessitating future studies with larger patient cohorts, longer-term follow-up, and standardized surgical procedures to provide stronger evidence for clinical practice and improved patient outcomes.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627021","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

Presurgical three-dimensional palatal morphology in children with different cleft types compared to healthy controls.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-12 DOI: 10.1016/j.jcms.2025.03.008

Łukasz Wieprzowski, Maria Fernandez-Pose, Benito K Benitez, Zbigniew Surowiec, Yoriko Lill, Prasad Nalabothu, Andreas A Mueller, Andrzej Brudnicki

{"title":"Presurgical three-dimensional palatal morphology in children with different cleft types compared to healthy controls.","authors":"Łukasz Wieprzowski, Maria Fernandez-Pose, Benito K Benitez, Zbigniew Surowiec, Yoriko Lill, Prasad Nalabothu, Andreas A Mueller, Andrzej Brudnicki","doi":"10.1016/j.jcms.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.03.008","url":null,"abstract":"Palatal morphology in patients with clefts can be accurately assessed during the presurgical period, providing insights into how cleft type affect palatal development. These early observations are unbiased by treatment, making them broadly applicable. This study aimed to identify differences in palatal morphology among untreated patients with various cleft types before surgery. Primary outcomes included palatal size at the occlusal plane and palatal surface area, while secondary outcomes involved palatal width, length, and premaxilla rotation. Digital impressions from 150 patients (97 males, 53 females) were grouped by cleft type: cleft lip, soft palate cleft, complete cleft palate, unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), and non-cleft controls. Measurements were performed using 3D software, and statistical analysis using a generalized least squares model. Patients with BCLP had a larger palatal size due to the prominent premaxilla, but palatal surface area was similar across groups. The posterior palatal width was wider in UCLP and BCLP, while the width at the canine position was narrower in patients with isolated cleft palate. Palatal surface areas remain consistent across cleft types, indicating that surgical challenges arise from the need to cover wider clefts during repair, rather than from the management of tissue deficits.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627054","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

Cranial morphology in 3-dimensional laser scans before and after open craniectomy for scaphocephaly.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-12 DOI: 10.1016/j.jcms.2025.02.027

Eric Waltersbacher, Laura Müller, Jurek Schultz, Alexandra Wilke, Klaudia Lipinska, Guido Fitze, Christoph von Schrottenberg

{"title":"Cranial morphology in 3-dimensional laser scans before and after open craniectomy for scaphocephaly.","authors":"Eric Waltersbacher, Laura Müller, Jurek Schultz, Alexandra Wilke, Klaudia Lipinska, Guido Fitze, Christoph von Schrottenberg","doi":"10.1016/j.jcms.2025.02.027","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.027","url":null,"abstract":"Scaphocephaly occurs by premature synostosis of the sagittal suture and makes up 40% of all craniosynostoses. With various operative techniques available, the indication for surgery is mainly aesthetic, and the evaluation of postoperative results can vary severely. This study presents a modified open, butterfly-shaped craniectomy for the surgical correction of scaphocephaly. The cranial morphology before and after the surgery is assessed using 3-dimensional laser scans. We retrieved the clinical data of 41 patients operated on at our institution between 2012 and 2022. Pre- and postoperative 3-dimensional laser scans at the ages of 4.7 (preoperative), 8.5 (follow-up 1), and 13.5 months (follow-up 2) were compared to measure the effect of butterfly-shaped craniectomy on cranial morphology during infancy. Median age at surgery was 5.2 months. At follow-up 1, the cephalic ratio (CR) was significantly increased (p < 0.0001). While the skull continued to grow, the CR did not differ between follow-ups 1 and 2. Additionally, the anterior-posterior volume ratio (APVR), calculated by the ratio of the sum of the 2 two frontal quadrants over the sum of the 2 two posterior quadrants of a skull's volume, reduced significantly at both follow-ups. 3-dimensional head scans offer a feasible, radiation-free tool to assess postoperative cranial morphology after surgical correction of scaphocephaly. Butterfly-shaped craniectomy leads to a significant decrease of the CR during the first 3 months after the surgery, while corrective potential seems to be limited to this time frame postoperatively. The APVR may be a useful tool to indicate a shift of volume distribution from the frontal to the posterior cranial vault during the follow-up of these patients.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627014","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

In situ axial vascularization for regeneration of challenging mandibular defects, a feasibility trial and case report with long-term results.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-12 DOI: 10.1016/j.jcms.2025.02.031

Ahmad Eweida, Mohamed Morsi, Shady Abouelnaga, Naglaa Shokri, Matthias Schulte, Ulrich Kneser, Mona K Marei

{"title":"In situ axial vascularization for regeneration of challenging mandibular defects, a feasibility trial and case report with long-term results.","authors":"Ahmad Eweida, Mohamed Morsi, Shady Abouelnaga, Naglaa Shokri, Matthias Schulte, Ulrich Kneser, Mona K Marei","doi":"10.1016/j.jcms.2025.02.031","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.031","url":null,"abstract":"Reconstructing mandibular defects using tissue engineering and regenerative modalities as an alternative to free flap surgery is a challenging procedure especially after cancer resection, irradiation or multiple surgeries due to the suboptimal local vascularity. In such cases using a mandibular construct without a dedicated vascular supply carries the risk of central necrosis and failure. We present an in situ vascularization of a tissue engineered mandibular construct with long term results up to 60 months. A 46-year-old male presented with a large marginal mandibular defect following 4 previous resections of recurrent ameloblastoma complicated with mandibular fracture. Mandibular reconstruction was performed using a tissue engineered construct and in situ vascularized using an arteriovenous loop formed of a cephalic vein graft microsurgically anastomosed to the lingual artery and a tributary of the internal jugular vein. After 24 months, bone biopsies were obtained during insertion of the implants for dental rehabilitation and showed mature bone formation with upregulation of bone specific genes via PCR. Follow-up till 60 months confirmed a stable bone formation and functioning dental rehabilitation. The current study represents a step towards applying the modalities of regenerative medicine in complicated cases of craniofacial reconstruction otherwise requiring free flap surgery for bony reconstruction. CLINICAL TRIAL REGISTRATION NUMBER: NCT04001842.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627026","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

A retrospective comparison of mid-cheek tumor dissection between endoscopically assisted and conventional approach.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-10 DOI: 10.1016/j.jcms.2025.02.007

Chonghao Ji, Yong Wang, Ketao Wang, Mingyu Zhao, Hui Xu, Xiangyu Zhou, Liang Shi

{"title":"A retrospective comparison of mid-cheek tumor dissection between endoscopically assisted and conventional approach.","authors":"Chonghao Ji, Yong Wang, Ketao Wang, Mingyu Zhao, Hui Xu, Xiangyu Zhou, Liang Shi","doi":"10.1016/j.jcms.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.007","url":null,"abstract":"Background: Surgery for tumors in the mid-cheek area are challenging. Endoscopic-assisted dissection of benign mid-cheek tumors is gradually being reported. This study evaluated the indications, advantages and disadvantages of endoscopically assisted mid-cheek benign tumor resection using a single preauricular or transoral incision and compared it with the conventional approach.Methods: Fifty-four patients with benign mid-cheek tumors could be divided into three groups: a conventional (20 patients) parotidectomy access surgery group, another two endoscope-assisted tumor dissections groups through a single preauricular incision (17 patients) or transoral incision (17 patients). Their surgical approaches were introduced, and the tumor long-axis length, incision length, operative time, estimated intraoperative bleeding, postoperative drainage amount and time, aesthetic satisfaction, perioperative complications, and follow-up were recorded and analyzed.Results: The tumor long-axis lengths were comparable between the groups, and all surgical procedures were completed as planned. The endoscopic procedure group improved the incision size, intraoperative blood loss, drainage, perioperative complications, and cosmetic satisfaction. Meanwhile, aesthetic pleasure is highest with the transoral incision. No tumor recurrence was found during the 1-54-month of follow-up.Conclusion: Endoscopic-assisted preauricular or transoral incision for dissecting mid-cheek benign tumors is more aesthetic and minimally invasive than conventional surgical approaches with available results, reducing complications, narrowing the surgical incision, and obtaining satisfactory aesthetic results.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607175","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

The cranial base and midface characteristics in apert and Crouzon syndrome: A 3-dimensional analysis of morphological variations.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-10 DOI: 10.1016/j.jcms.2025.02.014

Lantian Zheng, Firdaus Hariri, Norlisah Mohd Ramli, Norli Anida Abdullah

{"title":"The cranial base and midface characteristics in apert and Crouzon syndrome: A 3-dimensional analysis of morphological variations.","authors":"Lantian Zheng, Firdaus Hariri, Norlisah Mohd Ramli, Norli Anida Abdullah","doi":"10.1016/j.jcms.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.014","url":null,"abstract":"The craniofacial morphology in patients with syndromic craniosynostosis varies from one spectrum to another. Our study aims to explore the craniofacial morphology and growth pattern in patients with Apert and Crouzon syndrome. This study involved 39 computed tomographic scans of skull (Apert = 11, Crouzon = 10, Control = 18), divided into 2 age subgroups. The non-parametric Mann-Whitney U test was performed to investigate the morphological characteristics between Apert, Crouzon and Control groups. The length of the middle cranial fossa decreased in both syndromes, but clivus length increased slightly in Apert syndrome and decreased in Crouzon syndrome. In Apert syndrome, midface height and width were control, and in Crouzon, the posterior height and width were slightly shorter, and the anterior side was control. The length of the midface was shortened in particular the upper segment. Zygomatic bone length and height as well as zygomatic arch length were developed close to control with a rotation in Apert syndrome. The zygomatic bones and arch in Crouzon syndrome were shortened in length and control in height without a rotation. The contributions of maxillary, zygomatic, and palatal deformities to midface malformation vary between two syndromes. Moreover, there was uneven severity of maxillary and zygomatic developmental deformities in both syndromes.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607176","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

How safe is intra-articular treatment agent injection into the temporomandibular joints with dehiscence of the roof of the glenoid fossa? A retrospective MR arthrography study.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-09 DOI: 10.1016/j.jcms.2025.02.019

Songül Cömert Kiliç, Elif Gözgeç

{"title":"How safe is intra-articular treatment agent injection into the temporomandibular joints with dehiscence of the roof of the glenoid fossa? A retrospective MR arthrography study.","authors":"Songül Cömert Kiliç, Elif Gözgeç","doi":"10.1016/j.jcms.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.019","url":null,"abstract":"The purpose of this retrospective study was to evaluate the possible leakage of intra-articular contrast solution into the cerebrospinal fluid (CSF) through dehiscence of the roof of the glenoid fossa (RGF-dehiscence) in patients with temporomandibular joint osteoarthritis (TMJ-OA) and RGF-dehiscence by magnetic resonance arthrography (MRA). 25 joints of 22 patients (mean age, 44.28 ± 17.09 years) were evaluated, and RGF dehiscence and protruded sac sizes were measured on sagittal and coronal sections. The intact dura mater and the leakage of contrast agent into CSF were also evaluated. The protruded sac was observed in four joints (16 %) (average size, 0.25 × 0.20 mm). Contrast agent leakage into the cerebrospinal fluid was visualized in three joints (12%) (one with protruded sac formation and two without sac formation). Numbness in the head, neck, and arm, tremors, and loss of strength in the arm were observed in the side, ipsilateral to the joint after MRAr shots, in patients with contrast agent leakage. The same complications were observed in the other two patients with protruded sacs, but no contrast material leakage into the CSF. Patients with TMJ-OA and RGF-dehiscence are prone to contrast material leakage into the CSF, and this risk increases in joints with protruded sacs.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598478","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

Corrigendum to "Morpho-functional analysis of the temporomandibular joint following mandible-first bimaxillary surgery with mandible-only patient-specific implants" [J Craniomaxillofac Surg 52 (2024) 570-577].

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-08 DOI: 10.1016/j.jcms.2025.02.029

Mirko Bevini, Chiara Gulotta, Ottavia Lunari, Laura Cercenelli, Emanuela Marcelli, Pietro Felice, Achille Tarsitano, Giovanni Badiali

引用次数: 0

Impact of intraoperative frozen section analysis on outcome in oral squamous cell carcinoma.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-08 DOI: 10.1016/j.jcms.2025.02.025

Leonardo Ferrari, Fernando Pérez Salazar, Paolo Cariati, José Fernández Solis, Rosa María Pulgar Encinas, Silvano Ferrari, Ildefonso Martínez Lara

{"title":"Impact of intraoperative frozen section analysis on outcome in oral squamous cell carcinoma.","authors":"Leonardo Ferrari, Fernando Pérez Salazar, Paolo Cariati, José Fernández Solis, Rosa María Pulgar Encinas, Silvano Ferrari, Ildefonso Martínez Lara","doi":"10.1016/j.jcms.2025.02.025","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.025","url":null,"abstract":"Introduction: The research is focused on the reliability of Intraoperative Frozen Section Analysis (IFSA) to detect positive margins during surgical extirpation of Oral Squamous Cell Carcinoma (OSCC).Material and methods: Seventy-eight patients who were surgically treated for OSCC in Virgen de las Nieves University Hospital between 2019 and 2023 were included in the study. For all patients IFSA was performed during the surgery and, after the surgery, every sample underwent a complete histological analysis. Data regarding localization, T, N, TNM stage, cervical and local recurrence were collected and studied in relation to IFSA status and surgical margins.Results: 25 patients out of 78 resulted as \"false negatives\", pointing out a sensitivity of 13,8 % and a specificity of 100 %; a statistical significant relation emerged regarding tumor dimension (T) and TNM in relation to IFSA and surgical margins, highlighting that reliability of IFSA decreases for advanced stage OSCC.Discussion: IFSA represents an interesting technique to assess margin status during surgical extirpation of OSCC mainly in early stages; an accurate planning of an extended surgical margin, above all in advanced stages, could improve the control of the tumor. Further multicenter studies are needed to clarify the reliability of this technique.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588329","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

The chimeric medial sural artery perforator free flap for individualized and three-dimensional reconstruction in hemiglossectomy defects.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-03-05 DOI: 10.1016/j.jcms.2025.02.009

Abdo Ahmed Saleh Mohamed, Zhaoyu Lin, Youyuan Wang, Lianxi Mai, Maged Ali Al-Aroomi, Safa Al-Hammadi, Guoxin Huang, Chaobin Pan

{"title":"The chimeric medial sural artery perforator free flap for individualized and three-dimensional reconstruction in hemiglossectomy defects.","authors":"Abdo Ahmed Saleh Mohamed, Zhaoyu Lin, Youyuan Wang, Lianxi Mai, Maged Ali Al-Aroomi, Safa Al-Hammadi, Guoxin Huang, Chaobin Pan","doi":"10.1016/j.jcms.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.02.009","url":null,"abstract":"The objective of this study was to describe the four types of Chimeric Medial Sural Artery Perforator Free Flap (CMSAPFF) in restoring the hemiglossectomy defect. This is a prospective study of patients who underwent hemiglossectomy reconstruction using CMSAPFF between February 2022 and July 2023. Special consideration was given to the distribution of the medial sural artery (MSA) perforators, the design of the chimeric flap, the survival rate, complications and functional outcomes. Flap survival was 94.6%. The CMSAPFF was harvested as the skin paddle and the muscle paddle, with four designs in all flaps. Eighteen CMSAPFFs were reported in this study: Type I (n = 3), Type II (n = 7), Type III (n = 6), and Type IV (n = 2). The number of MSAPs ranged from 1 to 4 (median: 2.0). The MSAP was mostly located between 6 and 13 cm distal to popliteal crease (median: 9.7cm). The skin was used to 3-dimensional reconstruction of the hemiglossectomy defect, whereas the muscle paddle was used either to reconstruct the floor of the mouth (n = 13) or to support the skin paddle (n = 5). The CMSAPFF offers flexibility during flap inset and provides bulk to three-dimensional defect. Furthermore, it provides a good watertight sealing in the floor of the mouth.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574623","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