Journal of Cranio-Maxillofacial Surgery最新文献_第5页

MEST: Modified electrosclerotherapy to treat AVM (Extracranial Arterio-venous malformations). Better than BEST.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-23 DOI: 10.1016/j.jcms.2025.01.004

Giacomo Colletti, Linda Rozell-Shannon, Riccardo Nocini

{"title":"MEST: Modified electrosclerotherapy to treat AVM (Extracranial Arterio-venous malformations). Better than BEST.","authors":"Giacomo Colletti, Linda Rozell-Shannon, Riccardo Nocini","doi":"10.1016/j.jcms.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.004","url":null,"abstract":"Arteriovenous Malformations (AVM) can present themselves in an ample clinical spectrum. They worsen over time, creating local complications such as ulceration, destruction, infection, pain, and severe bleeding. Small focal AVMs can effectively be cured by surgery and/or endovascular techniques, whereas larger ones are of difficult management. Accordingly, S3 AVMs (according to SECg staging) are particularly troublesome. Here, endovascular treatment is only episodically curative while surgery leads to significant structural and functional damage. Electrochemotherapy is an established means to manage selected neoplasms. Recently it was successfully used to treat sclerotherapy-resistant or extensive low-flow vascular malformations (electrosclerotherapy, EST). EST was only anectodically tried with AVMs. A conventional EST is unlikely to effectively have an AVM responding. We conceived the Modified EST (MEST) protocol and started a pilot study. Modification of conventional EST was done by administering bleomycin locally, under ultrasound guidance, in the tissues around the nidus. After 8 min, electroporation was started and covered the entire involved area. MEST was adopted in 10 patients with S3 AVMs of the cervicofacial region. Most patients received 2 sessions of MEST. The response was significant, and the patients all had a complete or near-complete reduction in the size of the AVM. Excellent aesthetic results were achieved. On follow-up imaging the AVMs were not detectable. Side effects were minor and easily managed. Results were stable. The results of the present study suggest that MEST may be the treatment of choice in selected AVMs. However, a longer follow-up is needed to further evaluate the risk of recurrence.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043378","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

Feasibility of the preauricular transparotid approach in open reduction and internal fixation of intracapsular mandibular condyle fracture.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-23 DOI: 10.1016/j.jcms.2025.01.008

Hojin Park, Su Bin Lee, Byung-Il Lee

{"title":"Feasibility of the preauricular transparotid approach in open reduction and internal fixation of intracapsular mandibular condyle fracture.","authors":"Hojin Park, Su Bin Lee, Byung-Il Lee","doi":"10.1016/j.jcms.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.008","url":null,"abstract":"Mandibular condyle fractures pose surgical challenges owing to their proximity to the facial nerve and the complex temporomandibular joint anatomy. Traditional approaches limit exposure and hinder effective fracture management. The preauricular transparotid approach is a potential alternative. We aimed to assess the feasibility of this approach and the postoperative complications. A retrospective analysis of 45 patients who underwent open reduction/internal fixation (OR/IF) for intracapsular condylar fractures using a preauricular transparotid approach was conducted. Patient demographics, surgical procedures, radiological assessments, and postoperative complications were analyzed. The preoperative computed tomography analysis revealed the fractured segment's location: 17.0 ± 2.6 mm anteriorly, 24.0 ± 4.0 mm medially, and 17.8 ± 3.7 mm inferiorly from the remaining condyle end. A cubic space of 17-24 mm from the condylar stump is necessary to reach the fractured segment end. Postoperative facial nerve weakness occurred in 14 patients but resolved within 4.5 weeks. At 5.5 months of follow-up, the mean interincisional mouth opening measured 40.5 ± 5.1 mm, without malocclusion. The approach enhances visualization, facilitates precise fixation, and results in inconspicuous scarring during OR/IF of intracapsular condylar fractures. It requires careful surgical techniques and increases the risk of transient facial nerve weakness. Further research should compare its outcomes with those of traditional approaches and optimize surgical outcomes.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043376","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

Can protrusive movements during TMJ arthrocentesis improve final results?

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-23 DOI: 10.1016/j.jcms.2025.01.020

Eduardo Grossmann, Rodrigo Lorenzi Poluha

{"title":"Can protrusive movements during TMJ arthrocentesis improve final results?","authors":"Eduardo Grossmann, Rodrigo Lorenzi Poluha","doi":"10.1016/j.jcms.2025.01.020","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.020","url":null,"abstract":"This study aimed to evaluate and compare the efficacy of single-puncture techniques in temporomandibular joint (TMJ) arthrocentesis for the management of disk displacement without reduction (DDwoR). A total of thirty-six patients diagnosed with DDwoR were randomly and blindly assigned to two treatment groups (N = 18 each): Group 1 underwent TMJ arthrocentesis using a concentric needle-cannula system with protrusive movements, while Group 2 received TMJ arthrocentesis with a concentric needle-cannula system but without protrusive movements. The following variables were recorded and compared between the groups: maximal interincisal distance (MID - mm), patient pain perception (visual analogue scale - VAS [0-10]), and operation duration (OP - minutes). Patients in Group 1 exhibited significantly greater MID values after 1 year compared to Group 2 (p<0.001). Both techniques of TMJ arthrocentesis significantly reduced pain perception, with no significant difference between the groups. Additionally, no significant difference in OP was observed between the groups. TMJ arthrocentesis, with or without protrusive movements, significantly improves maximal interincisal distance. However, the inclusion of protrusive movements led to a greater final MID, though it did not significantly impact other measured variables. This suggests a potential benefit of incorporating protrusive movements in TMJ arthrocentesis.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043429","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

Changes in computed tomography values and morphology of the condyle and glenoid fossa before and after orthognathic surgery in female jaw deformity patients.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-23 DOI: 10.1016/j.jcms.2025.01.016

Koichiro Ueki, Karen Gomi, Kunio Yoshizawa, Akinori Moroi, Young-Min Shin

{"title":"Changes in computed tomography values and morphology of the condyle and glenoid fossa before and after orthognathic surgery in female jaw deformity patients.","authors":"Koichiro Ueki, Karen Gomi, Kunio Yoshizawa, Akinori Moroi, Young-Min Shin","doi":"10.1016/j.jcms.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.016","url":null,"abstract":"This study aimed to investigate the computed tomography (CT) values and morphology of the temporomandibular joint (TMJ), specifically the condyle and glenoid fossa, in female patients with jaw deformities before and after orthognathic surgery. The maximum CT values were measured on the condylar and glenoid fossa surfaces. In addition, the height, length, and area of the glenoid fossa in the sagittal plane were evaluated for the bilateral TMJs, preoperatively and one year postoperatively. The ramus height, condylar square, ramus angle, and gonial angle were also measured. A total of 148 TMJs from 74 patients were analyzed. Both condylar and ramus heights decreased one year after surgery in class II and class III patients (P < 0.05). The glenoid fossa area significantly increased one year after surgery in class II (P = 0.0005). Significant postoperative increases in CT values were observed at the 0°, 135°, and 180° points on the condylar surface and at the 135° and 180° points on the glenoid fossa surface in class II patients (P < 0.05). These findings suggest that in class II patients, substantial morphological and CT value changes occurred in the condyle and glenoid fossa one year following orthognathic surgery.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043430","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 morphometric analysis of the cranial base in trigonocephaly.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-22 DOI: 10.1016/j.jcms.2024.12.020

Courtney Barnes, Anil Madaree, Lelika Lazarus

{"title":"A morphometric analysis of the cranial base in trigonocephaly.","authors":"Courtney Barnes, Anil Madaree, Lelika Lazarus","doi":"10.1016/j.jcms.2024.12.020","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.12.020","url":null,"abstract":"Trigonocephaly occurs when the metopic suture fuses prematurely. Few studies have documented the morphometry of the entire anterior cranium in trigonocephaly and not on the morphometric changes to the cranial fossae alone. Thus, this study aimed to determine and compare the dimensions of the anterior cranial fossa (ACF) in trigonocephaly and control groups. Additionally, volumetric assessments of the middle and posterior cranial fossae (MCF and PCF) were analysed to determine the amount of compensatory growth in these regions. Anatomical landmarks were used to measure the morphometry of the ACF, and volumes of the MCF and PCF on preoperative two-dimensional computed tomography scans of fifteen non-syndromic, isolated trigonocephaly patients between 2012 and 2023, and eight controls. Comparative assessment of the ACF revealed larger dimensions in younger more severe trigonocephaly patients when compared to the control cohort. Smaller ACF dimensions were recorded in older patients who presented with moderate and severe trigonocephaly compared to the control cohort. The volume of the MCF was found to be significant (p = 0.05), and the volume of the PCF was larger in trigonocephaly patients compared to controls. The PCF showed the largest incidence of compensatory growth (30.4%) in trigonocephaly patients. The frontal angle (FA) (p = 0.004) and endocranial bifrontal angle (EBA) were used to categorise the severity of trigonocephaly. The morphometric data obtained could assist craniofacial surgeons in understanding the changes that occur in the ACF to decide which type of corrective treatment is most suitable.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030290","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

Change of lip-line canting following bimaxillary surgery in patients with class III skeletal patterns with increased vertical proportions and asymmetry.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-22 DOI: 10.1016/j.jcms.2025.01.010

YoungDae Kim, Seung Il Song, Sarah Kim, Jain Seo, Vania Chan, Yun Pyo Ahn, Jeong Won Shin, Young Ho Kim, Hwa Sung Chae

引用次数: 0

3D planning in orthognathic surgery: A retrospective study analyzing the bone resection in maxillary impaction.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-22 DOI: 10.1016/j.jcms.2025.01.009

S Morand, F Bettega, G Bettega, R Lartizien

引用次数: 0

Nasolabial flap with mucous membrane for repairing extensive lower lip tissue defect: A case report.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-22 DOI: 10.1016/j.jcms.2025.01.002

Huihui Yang, Yitong Zhao, Xingwu Zheng, Zhujiajun Cui, Tianyu Zhang, Yongzhen Fu, Qilin Liu

{"title":"Nasolabial flap with mucous membrane for repairing extensive lower lip tissue defect: A case report.","authors":"Huihui Yang, Yitong Zhao, Xingwu Zheng, Zhujiajun Cui, Tianyu Zhang, Yongzhen Fu, Qilin Liu","doi":"10.1016/j.jcms.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.002","url":null,"abstract":"The structural integrity of the lips is essential for both aesthetic appeal and oral functionality. Defects in this region, which may arise from a variety of causes, can significantly affect a patient's physical and psychological well-being. This case report introduces a novel surgical technique designed for the repair of substantial defects in the lower lip. The procedure utilizes a nasolabial flap in conjunction with the facial artery myomucous flap. This innovative approach addresses considerable lip-related defect challenges effectively. The report delineates the surgical steps implemented and highlights the successful reconstruction of the lower lip. Following the surgery, the patient demonstrated a positive recovery trajectory, marked by significant improvements in both lip symmetry and functionality, with no notable complications. The integration of the nasolabial flap with the mucous membrane has proven effective in the repair of extensive lip defects, particularly in the skin and mucous membrane areas adjacent to the corners of the mouth. This procedure not only facilitates the restoration of appearance and function but also reduces the risk of further surgical trauma. Additionally, the report underscores the necessity of thorough preoperative planning to mitigate complications at the donor site.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030376","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

Fronto-orbital advancement: Comparison of syndromic and nonsyndromic craniosynostosis patients.

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-22 DOI: 10.1016/j.jcms.2025.01.015

Suleyman Yildizdal, Guven Ozan Kaplan, Burak Akca, Arda Kucukguven, Ilkay Işikay, Ibrahim Vargel

{"title":"Fronto-orbital advancement: Comparison of syndromic and nonsyndromic craniosynostosis patients.","authors":"Suleyman Yildizdal, Guven Ozan Kaplan, Burak Akca, Arda Kucukguven, Ilkay Işikay, Ibrahim Vargel","doi":"10.1016/j.jcms.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.jcms.2025.01.015","url":null,"abstract":"Craniosynostosis causes functional and aesthetic problems that require fronto-orbital advancement in patients to correct the cranial deformity and to prevent functional problems due to increased intracranial pressure (ICP). In this study, demographic information, operative details, preoperative clinical findings, and postoperative outcomes were reviewed for 106 craniosynostosis patients with at least 1 year of follow-up. Many factors such as functional losses due to increased ICP before surgery, resynostosis, fronto-orbital relapse, surgical complications and aesthetic results were compared in syndromic and non-syndromic patients. Among 106 patients, 77 (73%) were nonsyndromic, while 29 (27%) were syndromic. The rate of functional losses was higher in syndromic patients before the surgery. We divided the complications into two groups: treatable and untreatable. In both groups, complication rates were higher in syndromic patients than in non-syndromic patients. There were no differences between syndromic and non-syndromic patients in terms of resynostosis and fronto-orbital relaps. Acceptable aesthetic appearance was determined in 83% of syndromic patients and 90% of nonsyndromic patients. Surgical complication rate is higher in syndromic cases than nonsyndromic, but the success rate of surgery is high, and the aesthetic outcomes are acceptable both syndromic and nonsyndromic patients in this study.","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030374","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

Letter to the editor. 给编辑的信。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-01-13 DOI: 10.1016/j.jcms.2024.11.018

Jörg Wiltfang, Jürgen Hoffmann, Henning Schliephake, Marco Kesting, Bilal Al-Nawas, Bernd Lethaus

引用次数: 0