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Journal of Craniofacial Surgery

James C Price, Mark S Lloyd
This historical literature review of ear reconstruction differs from much of the published literature in that it focuses on the biographies of the innovators and evangelists of ear reconstruction rather than specific techniques. A biographical account of ear reconstruction demonstrates the importance of surgeons as artists, scientists, technicians, politicians, and most importantly carers of this special and fascinating group of patients who benefit from this technically challenging form of reconstruction.
January 10, 2019: Journal of Craniofacial Surgery
Chuangliang Ling, Qian Jiang, Xiaojun Ding
BACKGROUND: The goal of this study is to evaluate the morphologic characteristics of the posterior palatine region among the Chinese population, more specifically, the greater palatine grooves, crests, bridges, and torus palatinus structures and make comparisons between different ethnic groups and minorities. METHODS: A total of 323 cone-beam computed tomography (CBCT) scans were collected for analysis on the presence of grooves, crests, bridges, or torus palatinus (TP)...
January 10, 2019: Journal of Craniofacial Surgery
Conor T Williams, David J Segar, Sybill D Naidoo, Gary B Skolnick, Mark R Proctor, Matthew D Smyth, Kamlesh B Patel
BACKGROUND: Bilateral coronal craniosynostosis is the premature fusion of both coronal sutures. Traditionally, this condition is treated by frontal-orbital advancement (FOA). Endoscopic strip craniectomy with cranial orthotic therapy, which has gained popularity in treating single suture craniosynostosis, has recently been adapted for the treatment of bicoronal synostosis. There have been few studies documenting the outcomes of this treatment. The objective of this study is to compare the morphological outcomes of endoscopic strip craniectomy and FOA in patients with bicoronal synostosis...
January 10, 2019: Journal of Craniofacial Surgery
Patiguli Wusiman, Alifu Tayie, Wang Ling, Adili Moming
PURPOSE: The study proposed to determine the superiority between locking plate and nonlocking miniplate for mandibular fractures (MFs) treatment. METHODS: A comprehensive electronic search examining Medline-Ovid, Embase, and PubMed databases language without date was performed in February 2018. Inclusion criteria were studies in humans, including randomized controlled trials, controlled clinical trials, with the aim of comparing the 2 techniques. The quality of studies was assessed, and the relative risk (RR) with its corresponding 95% confidence interval (CI) was assessed to measure the effect size...
January 10, 2019: Journal of Craniofacial Surgery
Woong Gyu Na, Hyoseob Lim, Sung Hoon Koh
BACKGROUND: Open reduction followed by internal fixation has been regarded as the most effective technique for the surgical repair of zygomatic fractures. However, the ideal number and locations of internal fixation points to maintain stable reduction remain controversial. Using 3-dimensional computed tomography, we aimed to compare the stability of 2-point and 3-point fixation among patients who had undergone surgical repair of zygomatic bone fractures. METHODS: The study included 22 patients (17 men, 5 women) with unilateral zygomatic bone fractures who had undergone open reduction with 2-point or three-point fixation using biodegradable materials (11 patients in each group)...
January 10, 2019: Journal of Craniofacial Surgery
Hyo Jin Chung, In Seok Moon, Hyung-Ju Cho, Chang-Hoon Kim, Salma Saud Al Sharhan, Jung Hyun Chang, Joo-Heon Yoon
Selecting an appropriate surgical approach for resection of huge skull base tumors involving pterygopalatine and infratemporal fossa is challenging because of their rarity and high possibility of vital anatomical structure injuries. To suggest the guidance of selecting the appropriate approach by analyzing outcomes and satisfactions of known surgical approaches with our previous experience, the authors retrospectively analyzed skull base tumor cases experienced for 24 years, and condensed to 4 well-known surgical approaches: maxillary swing, infratemporal fossa type C, transzygomatic, and a combined transzygomatic-midfacial degloving approach: to review indications, advantages, and limitations of these approaches...
January 10, 2019: Journal of Craniofacial Surgery
Dane Harper Slentz, Lamise Rajjoub, Mark Domanski
Porous alloplastic materials such as titanium mesh and porous polyethylene allow for the ingrowth of fibrovascular tissues into the implant; stabilizing the implant and reducing the risk of extrusion and extrusion-related complications (such as hematoma formation). The literature contains 2 specific reports of delayed atraumatic orbital hematomas occurring 8 months and 3 years after orbital floor reconstruction with porous polyethylene implants. In this study, an atraumatic orbital hematoma occurring 16 years after orbital floor reconstruction with a porous polyethylene implant was presented...
January 10, 2019: Journal of Craniofacial Surgery
Satheesha B Nayak
Facial artery is known to show variations in its origin, course, termination, and branching pattern. One of its reported variant branch is called premasseteric branch. During our dissection classes, it was observed that an elderly male cadaver had 3 premasseteic branches arising from the facial artery. The first and second premasseteric branches passed deep to masseter under its anterior border, whereas the third premasseteric branch terminated by anastomosing with the infraorbital artery. This case could be of importance to maxillofacial surgeons, craniofacial surgeons, and plastic surgeons...
January 10, 2019: Journal of Craniofacial Surgery
Sabine A Egeler, Anna Rose Johnson, Ahmed M S Ibrahim, Alexandra Bucknor, Austin Chen, Masoud Malyar, Adam M Tobias, Samuel J Lin, Marc A M Mureau, Bernard T Lee
BACKGROUND: Defects following Mohs micrographic surgery (MMS) can range in size from small defects requiring linear closure to large defects needing flap coverage. Reconstruction is dependent on defect size and facial aesthetic unit involvement. The aim of this study was to review the types of facial reconstruction per aesthetic unit involvement and describe their outcomes. METHODS: All data were retrieved for patients ≥18 years who underwent multidisciplinary treatment including dermatological MMS and plastic surgical reconstruction at a single tertiary hospital center (2001-2017)...
January 10, 2019: Journal of Craniofacial Surgery
Katelyn G Bennett, Geoffrey E Hespe, Christian J Vercler, Steven R Buchman
BACKGROUND: Minimally invasive approaches for the treatment of single-suture craniosynostosis are sometimes touted as equivalent to cranial vault reconstruction. While techniques for sagittal synostosis have been reviewed previously, evidence regarding open and less invasive surgical techniques for metopic, coronal, and lambdoid synostosis has yet to be reviewed. METHODS: Systematic searches were performed using and PubMed. Included studies reported short- or long-term outcomes, compared at least 2 standard techniques, discussed single-suture coronal, metopic, or lambdoid craniosynostosis, and enrolled at least 20 study participants...
January 10, 2019: Journal of Craniofacial Surgery
Mustafa Kiliç, Songül Meltem Can, Burak Özdemir, Canan Tanik
OBJECTIVE: Craniopharyngiomas are one of the most challenging problems for neurosurgeons because of the high recurrence rates due to their localization and associated endocrinological disorders. This study reports the outcomes of surgeries and recurrence rates of 45 craniopharyngioma cases. METHOD: Patients who were diagnosed with craniopharyngioma in the authors' clinic between 1998 and 2016 evaluated retrospectively. RESULTS: A total of 45 patients (25 males and 20 females; age, 3-56 years) who had previously undergone surgery for craniopharyngioma were enrolled and followed up for 12 to 222 months (mean follow-up duration, 73...
January 10, 2019: Journal of Craniofacial Surgery
Katelyn G Bennett, Russell E Ettinger, Fan Liang, Peter C C Beck, Meike K Stoldt, Molly M McNeely, Syed R Nabi, Christian J Vercler, Steven R Buchman
BACKGROUND: A longstanding dictum exists to avoid surgical manipulation of the temporalis muscle out of concern for an exceedingly high rate of muscle atrophy and recurrent temporal hollowing. The authors challenge this surgical myth, considering such advice to be erroneous. The authors hypothesize that elevation of the temporalis muscle, if performed using standard muscle flap principles, will demonstrate excellent results. METHODS: To assess temporalis response to surgical manipulation, the authors reviewed patients who underwent calvarial vault remodeling by the senior author for craniosynostosis between 1988 and 2011...
January 10, 2019: Journal of Craniofacial Surgery
Anthony M Tolisano, Kevin Lin, Jacob B Hunter
Trochlear schwannomas typically present with diplopia and are extremely rare benign intracranial neoplasms that require the combined expertise of neurotologists and neurosurgeons for surgical excision. A combined petrosal approach offers a surgical route for removal of growing and/or symptomatic tumors. A study of a trochlear nerve schwannoma that demonstrated rapid growth but was otherwise asymptomatic was presented in this study.
January 10, 2019: Journal of Craniofacial Surgery
Xiao Yang, Dong Li, Hongyu Xue, Shanshan Du, Xin Yang, Jing Wang, Yang An, Dominik Duscher
In recent years, the perpendicular plate of the ethmoid (PPE) has emerged as a new autogenous grafting material in rhinoplasty and septoplasty of nasal deviation. However, no studies have outlined the precise size, shape, and morphologic features of the PPE. Therefore, this study aimed to provide detailed information on the anatomical and morphologic characteristics of the PPE to assist surgeons in performing surgeries that are more precise. About 104 Chinese patients who underwent paranasal computed tomography were assessed in this study...
January 10, 2019: Journal of Craniofacial Surgery
Michael R DeLong, Brad M Gandolfi, Meaghan L Barr, Neha Datta, Thomas D Willson, Reza Jarrahy
INTRODUCTION: Image-guided navigation has existed for nearly 3 decades, but its adoption to craniofacial surgery has been slow. A systematic review of the literature was performed to assess the current status of navigation in craniofacial surgery. METHODS: A Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) systematic review of the Medline and Web of Science databases was performed using a series of search terms related to Image-Guided Navigation and Craniofacial Surgery...
January 10, 2019: Journal of Craniofacial Surgery
Jian Zhang, Xianghui Liu, Jun Zhou, Zhiying Zhang, Meizhi Fu, Yunlin Guo, Gang Li
BACKGROUND: The aim of this study was to identify risk factors and explore the possible prevention measures for seizures following cranioplasty. METHODS: The authors performed a retrospective review of 142 consecutive patients who underwent cranioplasty following craniectomy for trauma or cerebral hemorrhage in Dezhou People's Hospital between January 2010 and January 2017. Patients who were diagnosed with aneurysms, arteriovenous malformations, cerebral infarction, and tumors (14), had seizures prior to cranioplasty (9) and those lost to follow-up (7) were excluded...
January 3, 2019: Journal of Craniofacial Surgery
Ugur Yildirim, Sinan Atmaca, Mehmet Koyuncu
Branchial cleft anomalies occur due to insufficient closure of cavities during embryogenesis. These anomalies consist of cysts, sinuses, and fistulas, with the rarest type being fistulas. A 29-year-old male presented at the authors' clinic with a right-sided complete third branchial cleft fistula. Fistula track excision surgery was successfully performed and no recurrence was observed in the 12-month follow-up after the surgery. While second branchial cleft fistula is the most common, third and fourth brancial cleft fistulas are extremely rare...
January 3, 2019: Journal of Craniofacial Surgery
Breno Dos Reis Fernandes, Gabriel Mulinari-Santos, Bruno Coelho Mendes, Roberta Okamoto, Eduardo Hochuli-Vieira, Rodrigo Dos Santos Pereira, Jonathan Ribeiro da Silva
No abstract text is available yet for this article.
January 3, 2019: Journal of Craniofacial Surgery
Mehmet Karataş, Hakan Taşolar
OBJECTIVES: This study aimed to assess the effect of nasal septoplasty in patients with marked nasal septal deviation (MNSD) on subjective perception of nasal patency, echocardiography, and hematologic parameters. METHODS: Seventy-nine consecutive patients (mean age, 29.9 ± 9.7 years; 57 men and 22 women) at least 18 years old were diagnosed as MNSD consistent with presenting symptom of chronic nasal obstruction lasting at least 3 months. Complete blood count measurement to assess mean platelet volume (MPV) and neutrophil to lymphocyte ratio (NLR), the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, and echocardiography were performed for all patients just before and at postoperative third month of septoplasty...
January 3, 2019: Journal of Craniofacial Surgery
Chenzhi Lai, Xiaolei Jin, Xianlei Zong, Guodong Song
BACKGROUND: Lower face contouring surgery has become a popular aesthetic surgery in East Asian countries. Various surgical methods have been used to improve lower face aesthetics. When a patient has a wide as well as long lower face, procedures like chin polishing or T-type osteotomy are traditionally performed, but these surgical methods have several disadvantages. The authors devised a simple and reliable method to correct the wide and long lower face, without the complications associated with the traditional methods...
January 3, 2019: Journal of Craniofacial Surgery
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