Journal of Cranio-Maxillofacial Surgery最新文献_第3页

Perioperative care in orthognathic surgery - A systematic review and meta-analysis for enhanced recovery after surgery 正颌外科手术的围手术期护理 - 促进术后恢复的系统回顾和荟萃分析。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.014

Anne-Kathrin Bär , Richard Werkmeister , Joseph C. Dort , Bilal Al-Nawas

{"title":"Perioperative care in orthognathic surgery - A systematic review and meta-analysis for enhanced recovery after surgery","authors":"Anne-Kathrin Bär , Richard Werkmeister , Joseph C. Dort , Bilal Al-Nawas","doi":"10.1016/j.jcms.2024.08.014","DOIUrl":"10.1016/j.jcms.2024.08.014","url":null,"abstract":"<div><div>The aim of this study was to determine whether implementing ERAS (Enhanced Recovery After Surgery) elements/protocols improves outcomes in orthognathic surgery (OGS) compared to conventional care. To achieve this, ERAS-specific perioperative elements were identified and literature on ERAS for OGS was systematically reviewed. Using PRISMA methodology and GRADE approach, 44 studies with 49 perioperative care elements (13 pre-, 15 intra-, 21 postoperative) were analyzed. While 39 studies focused on single elements, only five presented multimodal protocols, with three related to ERAS. Preoperative elements included antimicrobial and steroid prophylaxis and prevention of postoperative nausea and vomiting. Intraoperative aspects, especially anesthesiological, showed high evidence. Outcome parameters were heterogeneous: complications and postoperative pain were well-investigated with high evidence, while length of stay (LOS) and patient satisfaction received low to medium evidence. ICU LOS, healthcare costs, and readmission rates were underreported. The meta-analysis revealed significant results for pain reduction and trends towards fewer complications and shorter LOS in the ERAS group. Overall, ERAS protocols are not established in OMFS, particularly OGS. Further research is needed in pre- and postoperative care and standardized multimodal analgesia. The next step should be developing a comprehensive OGS protocol through a consensus conference and implementing it in clinical practice.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1244-1258"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In vivo endocultivation of CAD/CAM hybrid scaffolds in the omentum majus in miniature pigs 在微型猪的大网膜中对 CAD/CAM 混合支架进行体内内培养。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.04.012

Juliane Wagner , Lennart Bayer , Klaas Loger , Yahya Acil , Sascha Kurz , Johannes Spille , Matthias Ahlhelm , Lena-Christin Ingwersen , Anika Jonitz-Heincke , Sam Sedaghat , Jörg Wiltfang , Hendrik Naujokat

{"title":"In vivo endocultivation of CAD/CAM hybrid scaffolds in the omentum majus in miniature pigs","authors":"Juliane Wagner , Lennart Bayer , Klaas Loger , Yahya Acil , Sascha Kurz , Johannes Spille , Matthias Ahlhelm , Lena-Christin Ingwersen , Anika Jonitz-Heincke , Sam Sedaghat , Jörg Wiltfang , Hendrik Naujokat","doi":"10.1016/j.jcms.2024.04.012","DOIUrl":"10.1016/j.jcms.2024.04.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Correction of bony mandibular defects is a challenge in oral and maxillofacial surgery due to aesthetic and functional requirements. This study investigated the potential of a novel hybrid scaffold for bone regeneration and degradation assessment of the ceramic within the omentum majus over 6 months and the extent to which <em>rh</em>BMP-2 as a growth factor, alone or combined with a hydrogel, affects regeneration.</div></div><div><h3>Materials and methods</h3><div>In this animal study, 10 Göttingen minipigs each had one scaffold implanted in the greater omentum. Five animals had scaffolds loaded with a collagen hydrogel and <em>rh</em>BMP-2, and the other five animals (control group) had scaffolds loaded with <em>rh</em>BMP-2 only. Fluorochrome injections and computed tomography (CT) were performed regularly. After 6 months, the animals were euthanized, and samples were collected for microCT and histological evaluations.</div></div><div><h3>Results</h3><div>Fluorescent and light microscopic and a CT morphological density evaluation showed continuous bone growth until week 16 in both groups. Regarding the ratio of bone attachment to the Zr02 support struts, the <em>rh</em>BMP-2 loaded collagen hydrogel group showed with 63% a significantly higher attachment (p > 0.001) than the <em>rh</em>BMP-2 control group (49%).</div></div><div><h3>Conclusion</h3><div>In this study, bone growth was induced in all omentum majus specimens until post-operative week 16. Furthermore, hydrogel and <em>rh</em>BMP-2 together resulted in better bone-scaffold integration than <em>rh</em>BMP-2 alone. Further studies should investigate whether implantation of the scaffolds in the jaw after an appropriate period of bone regeneration leads to a stable situation and the desired results.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1259-1266"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcome of isolated and combined direct feminization laryngochondroplasty: Our first 20 cases 孤立和联合直接女性化喉软骨成形术的效果：我们的前 20 个病例

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.03.022

Yael Oestriecher-Kedem , Narin Nard Carmel Neiderman , Guy Levenberg , Yotam Lior , Anat Kidron , Clariel Ianculovici , Shlomi Kleinman , Shimrit Arbel

{"title":"Outcome of isolated and combined direct feminization laryngochondroplasty: Our first 20 cases","authors":"Yael Oestriecher-Kedem , Narin Nard Carmel Neiderman , Guy Levenberg , Yotam Lior , Anat Kidron , Clariel Ianculovici , Shlomi Kleinman , Shimrit Arbel","doi":"10.1016/j.jcms.2024.03.022","DOIUrl":"10.1016/j.jcms.2024.03.022","url":null,"abstract":"<div><div>This retrospective study describes the surgical outcomes of our first 20 transgender women to undergo feminization thyroid laryngochondroplasty (FLC) by a direct transvestibular FLC (DTV-FLC) approach from December 2019 to October 2023. The medical records of all patients were retrieved and reviewed. Data on the operative, postoperative, and follow-up courses, complications, and functional and cosmetic outcomes were retrieved. The cosmetic results were evaluated by four independent facial plastic surgeons. Thirteen patients underwent DTV-FLC combined with genioplasty or genioplasty with mandibular angle reduction and seven underwent isolated DTV-FLC. DTV-FLC was feasible in all planned cases. Complications (skin flap perforation, thyroid cartilage fracture, mental hypoesthesia, hematoma, dehiscence of the vestibular incision, vestibular scar adhesions, and anemia) were minor and resolved spontaneously. The preoperative grade of thyroid cartilage protrusion was 1.9 ± 0.9 on a scale from 1 to 3. The postoperative cosmetic results of 18 patients were judged as having improved (a score of 2.1 ± 0.8 on a scale from −1 to 3). Eighteen patients were satisfied with the cosmetic result, one was dissatisfied (the revision surgery patient), and one was lost to follow-up. In conclusion, DTV-FTLC is a valid surgical approach for FLC, yielding high patient satisfaction and good cosmetic results.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1206-1210"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057333","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

Saving lives and restoring hope: Enhancing outcomes through comprehensive understanding of maxillofacial surgery in disaster medicine 拯救生命，重燃希望：通过全面了解颌面外科在灾难医学中的应用来提高疗效。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.03.019

Ricardo Grillo , Sahand Samieirad , Yunus Balel , Alexandre Meireles Borba , Philippi Machado dos Reis , Fernando Melhem-Elias

{"title":"Saving lives and restoring hope: Enhancing outcomes through comprehensive understanding of maxillofacial surgery in disaster medicine","authors":"Ricardo Grillo , Sahand Samieirad , Yunus Balel , Alexandre Meireles Borba , Philippi Machado dos Reis , Fernando Melhem-Elias","doi":"10.1016/j.jcms.2024.03.019","DOIUrl":"10.1016/j.jcms.2024.03.019","url":null,"abstract":"<div><div>This article delves into the profound impact of various types of disasters, examining some specific contexts. It provides insights into the unique challenges posed by different disasters, ultimately highlighting the invaluable role of maxillofacial surgery in addressing the critical healthcare needs of affected populations.</div><div>A comprehensive review of the literature was conducted to analyze the role of maxillofacial surgery in disaster management. Relevant studies were examined to gather evidence supporting the criticality of maxillofacial surgeons in disaster response.</div><div>Continuous training, coordination, and international collaboration among maxillofacial surgeons were reported as key factors in enhancing preparedness and improving post-disaster recovery. Sharing experiences, implementing best practices, and staying updated with advancements in the field seemed crucial for maximizing the impact of maxillofacial surgery in disaster medicine.</div><div>By prioritizing the inclusion of maxillofacial surgeons in disaster response teams, lives can be saved, functional outcomes can be improved, and hope can be restored in affected communities. Understanding the intricacies and patterns associated with various types of disasters can be crucial details for successful rescue operations.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1199-1205"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057336","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

Comprehensive analysis of alar base inclination and lip line cant following orthognathic correction of maxillomandibular asymmetry: A retrospective study 上颌下颌不对称正颌矫正术后的颏底倾斜度和唇线倾斜度综合分析：回顾性研究

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.018

Onur Koç, Salih Eren Meral, Emre Tosun, Hakan Hıfzı Tüz

{"title":"Comprehensive analysis of alar base inclination and lip line cant following orthognathic correction of maxillomandibular asymmetry: A retrospective study","authors":"Onur Koç, Salih Eren Meral, Emre Tosun, Hakan Hıfzı Tüz","doi":"10.1016/j.jcms.2024.08.018","DOIUrl":"10.1016/j.jcms.2024.08.018","url":null,"abstract":"<div><div>This paper examines the relationship between roll rotation of the jaws and changes in alar base or lip line asymmetry in the coronal plane following orthognathic correction. The study involved patients with preoperative frontal alar base and lip line asymmetries greater than 0.5° (because it corresponds to the minimum asymmetry perception threshold) and underwent bimaxillary orthognathic surgery without (Group I) or with (Group II) genioplasty. The alar base angle (ABA), lip line cant angle (LLCA), maxillary cant angle (MxCA), and mandibular cant angle (MnCA) were measured using preoperative and 12 months postoperative cone beam computed tomography (CBCT) images. Thirty-four patients were included in the study. Significant correlations were found between changes in MxCA and ABA besides between changes in MnCA and LCA in Groups I (<em>P</em> = 0.016, <em>P</em>˂0.001, respectively) and II (<em>P</em> = 0.002, <em>P</em>˂0.001, respectively). The mean of the change in ABA/the change in MxCA and the change in LLCA/the change in MnCA ratios for Group I were 0.59 ± 1.57 and 0.73 ± 0.94, respectively, while those for Group II were 0.46 ± 3.70 and 0.39 ± 2.00, respectively. Angular measurements from jugular and mental foramina points, aligned with the bony midline, offer a convenient tool for predicting alar base and lip symmetry during bimaxillary orthognathic surgery planning.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1293-1298"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134522","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

Patient satisfaction after conservative treatment of anterior wall frontal sinus fractures 前壁额窦骨折保守治疗后的患者满意度。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.002

Marlous Marianne Beate Cardinaal , Omid Daqiq , Bram Barteld Jan Merema, Baucke van Minnen

{"title":"Patient satisfaction after conservative treatment of anterior wall frontal sinus fractures","authors":"Marlous Marianne Beate Cardinaal , Omid Daqiq , Bram Barteld Jan Merema, Baucke van Minnen","doi":"10.1016/j.jcms.2024.08.002","DOIUrl":"10.1016/j.jcms.2024.08.002","url":null,"abstract":"<div><div>This study aims to determine patient forehead aesthetics satisfaction after conservative treatment of non-dislocated and dislocated anterior wall frontal sinus fractures.</div><div>Prospectively, patients older than 15 years of age with a frontal sinus fracture, treated conservatively between the period of 2010–2020, were analysed. The Face-Q questionnaire was used to assess patient satisfaction, and the fracture dimensional properties were measured using computed tomography. The results were compared with a matched non-fractured control group.</div><div>The mean total Face-Q questionnaire score was 114.77 (SD = 17.38) versus 114.23 (SD = 15.23) (research-versus control group, respectively), with a mean difference of 0.55 (SD = 4.85), which was not significant (p = 0.91). The size of impression area did not appear to have a linear relationship with patient satisfaction within the entire population (p = 0.87; r = 0.00). Presence of a scar in the fracture site was a significant predictor of patient satisfaction, contributing to 31% of the entire population's overall score (p = 0.01) and 57% in the dislocated fracture population (p = 0.003).</div><div>The conservatively treated patients’ satisfaction score was comparable to the control group. A higher satisfaction score after a conservative treatment is associated with the absence of a scar on the fracture site, even with dislocations up to 6 mm at the deepest impression point.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1228-1234"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osteosynthesis for mandibular reconstruction with fibula free flap: Which type and why? A French national survey 使用腓骨游离瓣进行下颌骨重建的骨合成术：哪种类型？法国全国调查。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.03.018

Hugo Poncet, Frédéric Lauwers, Franck Delanoë, Alexandra Roux-Trotobas, Alice Prevost

{"title":"Osteosynthesis for mandibular reconstruction with fibula free flap: Which type and why? A French national survey","authors":"Hugo Poncet, Frédéric Lauwers, Franck Delanoë, Alexandra Roux-Trotobas, Alice Prevost","doi":"10.1016/j.jcms.2024.03.018","DOIUrl":"10.1016/j.jcms.2024.03.018","url":null,"abstract":"<div><div>We explored the most suitable osteosynthesis type for mandibular reconstruction using fibula free flap (FFF) given the lack of robust data available. For this, an anonymous survey was e-mailed to 853 head-and-neck surgeons (France) asking about their practices and criteria guiding their osteosynthesis material and method choices. Questions assessed: (1) the most frequently used osteosynthesis type, (2) the explanatory variables related to surgeon career status/surgical specialty, and (3) justifications for osteosynthesis type (scientific, technical, \"misuse\"). Multivariate logistic regression was performed to test for associations of explanatory variables with plate type or misuse. Overall, 118 (13.8%) surgeons responded, among which flexible non-locking osteosynthesis was preferred (59%). Career status and surgical specialty were significantly associated with material choice. University professors/senior lecturers (OR 5.96 vs academic clinical associates; p = 0.02), but not ear-nose-throat/reconstructive plastic surgeons (OR 0.22 vs maxillofacial surgeons; p = 0.04), were more likely to opt for rigid locking osteosynthesis. Private practitioners preferred flexible non-locking osteosynthesis (OR = 5.03; p = 0.04). Only 18% of surgeons scientifically justified their choices. We considered misuse among 65% of surgeons and this was significantly associated with irregular practice of FFF surgery (OR 2.28 vs > 10 surgeries/year; p = 0.04). Overall, >50% of surgeons mainly rely on habits without scientific arguments assisting in decision-making.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1354-1359"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142193756","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

Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair 内侧切口法用于 Veau II 兔裂修复的改良小双对位 Z 形成形术

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.06.005

Rafael Denadai , Nobuhiro Sato , Hyung Joon Seo , Dax Carlo Go Pascasio , Chi-Chin Lo , Pang-Yung Chou , Lun-Jou Lo

{"title":"Medial incision approach in modified small double-opposing Z-plasty for Veau II cleft repair","authors":"Rafael Denadai , Nobuhiro Sato , Hyung Joon Seo , Dax Carlo Go Pascasio , Chi-Chin Lo , Pang-Yung Chou , Lun-Jou Lo","doi":"10.1016/j.jcms.2024.06.005","DOIUrl":"10.1016/j.jcms.2024.06.005","url":null,"abstract":"<div><div>An encouraging outcome was described for the use of modified Furlow small double-opposing <em>Z</em>-plasty (sDOZ) using the medial incision (MIsDOZ) approach in repair of Veau type I cleft palate. This retrospective study assessed early results of using extended indication criterion of MIsDOZ for the management of consecutive non-syndromic patients with Veau II cleft palate treated by a single surgeon. Bardach two-flap plus sDOZ (two-flap approach) or medial incision approach with a tension-driven stepwise application of lateral palatal incisions (soft palate only, von Langenbeck type, or two-flap type) were applied. Surgical (age, cleft width, operative time, hospital stay, and complication)- and auditory-perceptual assessment-related data were collected. Two-flap approach (n = 21) demonstrated a significantly (<em>p</em> < 0.001) increased operative time (132.8 ± 12.2 versus 114.8 ± 19.9 min, respectively) and higher use of lateral incisions (100% versus 44.4%) than medial incision approach (n = 27), with no significant (<em>p</em> > 0.05) difference for age at surgery (13.0 ± 6.1 versus 13.6 ± 5.8 months), cleft width (8.5 ± 4.1 versus 8.7 ± 3.8 mm), hospital stay (1.0 ± 0 versus 1.0 ± 0 day), and complication (0% versus 0%) and hypernasality (9.5% versus 7.4%) rates. In conclusion, the medial incision approach for Veau II cleft repair resulted in reduced need for lateral palatal incision with no increase of complication or hypernasality rates.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1325-1333"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702694","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

Long-term outcomes of nonsyndromic isolated unilateral lambdoid craniosynostosis 非综合症孤立性单侧羊角颅畸形的长期预后。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.006

Jinggang J. Ng, Ashley E. Chang, Benjamin B. Massenburg, Dominic J. Romeo, Meagan Wu, Jessica D. Blum, Jordan W. Swanson, Jesse A. Taylor, Scott P. Bartlett

{"title":"Long-term outcomes of nonsyndromic isolated unilateral lambdoid craniosynostosis","authors":"Jinggang J. Ng, Ashley E. Chang, Benjamin B. Massenburg, Dominic J. Romeo, Meagan Wu, Jessica D. Blum, Jordan W. Swanson, Jesse A. Taylor, Scott P. Bartlett","doi":"10.1016/j.jcms.2024.08.006","DOIUrl":"10.1016/j.jcms.2024.08.006","url":null,"abstract":"<div><div>This study combined qualitative and quantitative approaches to evaluate outcomes of isolated nonsyndromic unilateral lambdoid synostosis at the Children's Hospital of Philadelphia. Volumetric, linear, and angular analyses were performed on long-term postoperative and normal control scans. Preoperative and postoperative clinical photographs were evaluated for the presence of dysmorphic frontofacial features. Among 26 included patients, median age of surgery was 10 months and mean postoperative follow-up was 5.9 ± 5.7 years. Two (7.7%) patients underwent secondary cranial vault procedures. At most recent follow-up, 2 (7.7%) subjects reported intermittent headaches. Twenty (90.9%) of 22 patients were assigned Whitaker grade I. Among 9 subjects with long-term imaging at age 11.5 ± 5.3, posterior vault asymmetry, posterior fossa deflection angle, cranial base angle, and ear position asymmetry all remained greater than in the control group. Of subjects included in the frontofacial feature analysis (n = 10), 50% had resolution of all dysmorphic frontofacial features present preoperatively. Overall, most subjects who underwent PVR did not require revisional surgery and had good outcomes both aesthetically and functionally. Despite residual abnormalities in the cranial base and posterior vault, most had resolution of parietal bossing and facial scoliosis. Ear position asymmetry was the most common dysmorphic feature at long-term follow-up.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1235-1243"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057331","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

Cleft lip re-repair: How does it affect the nasolabial appearance? 唇裂修复：唇裂对鼻唇沟外观有何影响？

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.013

Markus Merkl , Vasco Starke , Michala Ivanic-Sefcikova, Marc Brommer, Wolfgang Zemann, Michael Schwaiger

{"title":"Cleft lip re-repair: How does it affect the nasolabial appearance?","authors":"Markus Merkl , Vasco Starke , Michala Ivanic-Sefcikova, Marc Brommer, Wolfgang Zemann, Michael Schwaiger","doi":"10.1016/j.jcms.2024.08.013","DOIUrl":"10.1016/j.jcms.2024.08.013","url":null,"abstract":"<div><div>Cleft lip re-repair is a procedure frequently endorsed to enhance a compromised nasolabial appearance. However, the actual effect of such revision surgery on the nasolabial appearance has scarcely been studied. Therefore, the aim of this study was to critically review surgical outcomes of patients that underwent surgical re-do of their cleft lip, using well-validated objective and subjective methods and standardised outcome measures.</div><div>20 patients with at least 6 months follow-up after cleft lip re-repair were assessed. Standardised pre- and postoperative photographs were analysed. The objective assessment was carried out using the SymNose-software. Furthermore, a subjective evaluation of the nasolabial area was conducted by ten examiners who rated seven parameters using a Likert-scale ranging from 1to5. The objective evaluation showed substantial improvement regarding symmetry values. Significant postoperative decrease in labial asymmetry from 26.42% (±8.13) to 18.77% (±6.28) (p < 0.001) and upper lip asymmetry in relation to the facial midline (26.91% (±8.03) vs. 18.27% (±5.17) (p < 0.001)) was observed. Similar results were corroborated in the subjective analysis. Differences regarding the ratings were detected considering the examiners’ professional background and level of expertise. Cleft re-repair was found to significantly improve upper lip symmetry and lead to a more harmonious nasolabial appearance.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1267-1273"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0