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Journal of Craniofacial Surgery

Leonardo Matos Santolim Zanettini, Fabrício Vieira, Guilherme Genehr Fritscher, Rogério Miranda Pagnoncelli, Cláiton Heitz
Cases of severely atrophic edentulous maxilla require reconstruction techniques employing bone grafts to promote adequate bone dimension for the successful placement of dental implants for prosthetic rehabilitation that reestablishes the patient's function and aesthetics. This study aims to present a severely atrophic edentulous maxilla reconstruction with the off-label use of recombinant human bone morphogenetic protein type 2 (rhBMP-2) associated with lyophilized particulate bovine bone xenograft for the prosthetic rehabilitation with osseointegrable dental implants...
September 10, 2018: Journal of Craniofacial Surgery
Hakan Uzun, Ozan Bitik, Umut Sinan Ersoy, Burçak Bilginer, Ali Emre Aksu
Composite scalp and cranium defects, which require microsurgical reconstruction, result from tumor resection, radiation, trauma, severe burn injuries, and rarely vasculitic disorders. In the current study, the authors aim to compare the outcomes of the fasciocutaneous flaps and musculocutaneous free flaps used for the reconstruction of extensive composite scalp and cranium defects. From 2010 to 2017, 21 patients who underwent composite scalp and cranium defect reconstruction with a free flap were retrospectively identified...
September 10, 2018: Journal of Craniofacial Surgery
Gianmarco Saponaro, Giulio Gasparini, Roberto Boniello, Sandro Pelo, Piero Doneddu, Mattia Todaro, Giuseppe D'Amato, Umberto Garagiola, Cristina Grippaudo, Alessandro Moro
What is considered attractive may not fall into the "norm," and it can vary from culture to culture and depending on the historical time, for this reason the standard cephalometric and antropometric references may not be sufficient in these cases.Lately some techniques have arose to popularity that are aimed to changing the frontal and lateral aspect of the facial lower third, such as V-line or the Chin-Wing Osteotomy technique, but no reference system exists at the moment to define to which extent a modification of the lower third falls within what is considered beautiful, and everything is left to the patient's will or to the surgeon's sensitivity...
September 10, 2018: Journal of Craniofacial Surgery
Suha Ertugrul
Laryngeal trauma is a rare but potentially life-threatening injury. Damage to larynx structures may occur in forms of a simple contusion, fractures of the laryngeal cartilage, and may even result in laryngotracheal disjunction depending on the ossification level of the larynx and the severity of the trauma. However, in almost all cases, damaged laryngeal tissue is also observed in the trauma area. Because thyroid cartilage protects the endolaryngeal tissues like a shield against trauma. Epiglottis prevents escape of the food to respiratory tract and directs food to digestive system...
September 5, 2018: Journal of Craniofacial Surgery
Joo Ho Kim, Kun Hwang, Bumjin Park
Redraping is an increasingly common epicanthoplasty method. However, hooding usually remains at the medial part of the upper eyelid. The authors innovated a modification of redraping epicanthoplasty using excision, resulting in a boomerang-shaped defect that does not lead to hooding of the medial upper eyelid.Medial line (M-line) was drawn at the most medial point of the palpebral fissure. The canthus point (C-point) was marked approximately 1 to 3 mm laterally from the M-point, depending on the amount of widening needed...
September 5, 2018: Journal of Craniofacial Surgery
Ali-Farid Safi, Sema Safi, Marco Timmer, Roland Goldbrunner, Martin Kauke
The authors present a novel biological nonliving epineurial nerve coaptation training model, which allows cost-efficient practicing on organic mammal nerves and offers an objective performance control on the basis of successful suturing and respecting the 3R model.Anatomic dissection of 40 rat cadavers was performed. Four residents without prior microneurosurgical experience were included. Each trainee performed 20 epineurial nerve coaptations. The number of successful sutures served as qualitative variable and operation time as a quantitative variable for efficiency control...
September 5, 2018: Journal of Craniofacial Surgery
Su Youn Suh, Jeong A Yeom, Jung Hyo Ahn
Orbital implants are commonly used to repair orbital blowout fractures, to restore the functional and anatomical structure of the orbit. Porous polyethylene implants are a type of alloplastic implant and are widely used for orbital reconstruction as micropores facilitate the growth of fibers and blood vessels through the material. Rare complications associated with porous polyethylene implants used to treat blowout fractures include delayed orbital inflammation and osteomyelitis. The authors describe a 68-year-old man who presented with a 5-year delayed porous polyethylene implant infection and cicatricial ectropion with osteomyelitis after an orbital blowout fracture repair...
September 5, 2018: Journal of Craniofacial Surgery
Berkay Başağaoğlu, Ashley Steinberg, Irene T Tung, Shola Olorunnipa, Renata S Maricevich
Delayed repair of orbital trapdoor fractures can jeopardize the viability of entrapped contents and prolong recovery. Variation in presentations, both clinically and radiographically, complicate prompt diagnosis. The oculocardiac reflex may be the only indication of fracture with entrapped orbital contents, but, unfortunately, the reflex has variable onset patterns and can mimic common diagnoses. Therefore, the authors present the case of a 14-year-old male with a right orbital floor fracture, who presented with delayed symptoms secondary to an oculocardiac reflex...
September 5, 2018: Journal of Craniofacial Surgery
Najah K Mohammad, Akmam H Al-Mahdi, Omar Majid Mohammed
: Midfacial trauma commonly causes ocular injuries of varying degrees. Eye injuries account for approximately 10% of all battle injuries. Severity of injuries may range from a subconjunctival haemorrhage to optic nerve injury and globe laceration and rupture. AIM OF STUDY: Is to evaluate the associated ophthalmic injuries in maxillofacial trauma due to war and to emphasize the need for proper ophthalmic examination to exclude and manage any associated ophthalmic injuries. MATERIALS AND METHODS: A total of 66 patients with maxillofacial trauma due to war were considered in this study and underwent classification of the fractures to know patterns of fractures and to specify the ophthalmic injuries which might be associated with each fracture...
September 5, 2018: Journal of Craniofacial Surgery
Natalie D Godfrey, Mustafa Akyurek
Traumatic facial soft tissue injury often creates both aesthetic and functional deficits. In complete lip avulsions, microvascular replantation is a reconstructive option that has the potential to fulfill both of these goals. However, lip replantations remain rare and there are few reports in the literature. The authors aim to present a clinical report of a young male who sustained a human bite injury and underwent microvascular replantation of a completely avulsed lower lip and to review the literature and management of these complex injuries...
September 5, 2018: Journal of Craniofacial Surgery
Shinnosuke Nogami, Kensuke Yamauchi, Gian Battista Bottini, Atsumu Kouketsu, Yoshio Otake, Yuko Sai, Yoshihiro Kataoka, Hitoshi Miyashita, Tetsu Takahashi
INTRODUCTION: The relationship between impacted mandibular third molars with angle and condylar fractures is subject of many publications, yet their conclusions differ widely, hence the authors wanted to investigate this topic in their patients. METHODS: The authors designed a retrospective study including 241 patients who presented with angle and/or mandibular condyle fractures over a 13-year period at the authors' institution. The study variable was the presence/absence of third molars...
September 5, 2018: Journal of Craniofacial Surgery
Şahin Öğreden, Hasan Deniz Tansuker, A Buğra Cengiz, Alper Tabaru, Cemal Özyilmaz, Özcan Oğur, Fahrettin Katkat
OBJECTIVE: In this study, the authors aimed to investigate whether septoplasty has an effect on cardiopulmonary functions in the patients with nasal obstruction. METHODS: A total of 53 patients with nasal obstruction due to septum deviation were included in the study. All the patients were performed septoplasty operation. Echocardiography and spirometric analysis were performed to assess cardiopulmonary functions before and after the operation (6 months postoperatively)...
September 5, 2018: Journal of Craniofacial Surgery
Thair A Lateef, Auday M Al-Anee, Muntasser T Fattah Agha
Surgical treatment in patients with facial bone surgeries governs a meaningful extent of tissue trauma prompting prevalent postoperative portents of pain, facial swelling, and inconvenience. Beneficial effects of local cold therapy following surgery, facial swelling, pain, and inflammation have been discussed. The aim of study is to evaluate the efficacy of hilotherm cooling system in reducing postoperative pain and edema in patients following maxillofacial trauma and orthognathic surgeries.A clinical prospective study was done in the postoperative period for patients with facial trauma or those subjected to orthognathic surgery, 34 patients divided randomly into 2 groups; study group treated with the hilotherm cooling system and control group without...
September 5, 2018: Journal of Craniofacial Surgery
Wen-Jie Wu, Xiao-Ming Lv, Jian-Guo Zhang, Lei Zheng
Maxillary reconstruction is one of the most challenging areas of reconstructive surgery. This report describes a case of a 33-year-old male with osteoblastic osteosarcoma of the maxillary. The patient received radical resection and reconstruction with a deep circumflex iliac artery perforator flap (DCIAPF). The flap was harvested with a 4 × 2 cm osseous flap and a 6 × 8 cm skin island supplied by terminal perforators from the deep circumflex iliac artery. Anastomosis was accomplished on the ipsilateral facial vessels with deep circumflex iliac vessels through an intraoral approach...
September 5, 2018: Journal of Craniofacial Surgery
Mohammad Waheed El-Anwar, Hazem S Amer, Sherif M Askar, Ahmed Elsobki, Ali Awad
OBJECTIVE: To study the role of nasal surgery as a part of multilevel surgery for management of obstructive sleep apnea (OSA). METHODS: All patients underwent multilevel surgery for relieving OSA symptoms and they were classified according to type of surgical intervention into: group A (20 patients), who underwent hyoid suspension (Hyoidthyroidpexy), tonsillectomy, suspension (El-Ahl and El-Anwar) sutures and nasal surgery (inferior turbinate surgery). Group B (20 patients), who underwent hyoid suspension (Hyoidthyroidpexy), tonsillectomy and suspension sutures...
August 30, 2018: Journal of Craniofacial Surgery
Gabriela Aguilo-Seara, Christopher Michael Runyan
Ganglion cysts within the temporomandibular joint (TMJ), although uncommon, typically present with swelling, pain, trismus, and difficulty with mastication. The authors report an unusual case of a ganglion cyst in the TMJ of a 52-year-old man who presented with chief complaints of severe headaches and dizziness that had not subsided following treatment with medication, trigger point injections, or sphenopalatine ganglion blocks. The cyst appeared as a nonenhancing, T2 hyperdensity adjacent to the left TMJ condyle on magnetic resonance imaging, supported by the presence of chronic erosion and remodeling of the anterior aspect of the left condylar head on computed tomography...
August 30, 2018: Journal of Craniofacial Surgery
Virginie Tourreil, Guillaume Giran, Nadia Benmoussa, Giovanna Paternoster, Patrick Conan, Philippe Charlier, Roman Hossein Khonsari
The Musée Dupuytren was a Parisian pathology museum established in 1835. This museum hosted 3 skulls with severe craniofacial lesions initially tagged as aggressive forms of tinea capitis. The aim of this study was to investigate these specimens and discuss the initial diagnosis. Historical investigations were conducted based on the biographic data from the tags of the 3 skulls and entries on the catalog of the museum. Age was determined using dentition and the patency of cranial base synchondroses. The computed tomography scans were performed using standard medical devices...
August 30, 2018: Journal of Craniofacial Surgery
Koji Imajo, Tomohisa Nagasao, Niyazi Aizezi, Tadaaki Morotomi, Motoki Tamai, Minoru Miyake
PURPOSE: Fracture of the frontal bone can be accompanied by damage to the optic canal. The present study uses finite element analysis to identify fracture patterns, suggesting the involvement of the optic canal. METHODS: Ten finite-element skull models were generated from computer tomography data of 10 persons. Then, dynamic analyses simulating collision of a 2-cm-radius brass ball to 6 regions on the frontal bone in the 10 models were performed. Fracture patterns presented by the frontal bone in the 60 experiments were observed, and all those involving the optic canal were selected...
August 28, 2018: Journal of Craniofacial Surgery
Yefeng Ji, Hongbing Jiang, Linzhong Wan, Hua Yuan
Foreign bodies retained in oral and maxillofacial regions include different types and properties. Road traffic accident is one of the major causes of the maxillofacial trauma. Foreign bodies can cause direct or indirect damage to the body, even life-threatening. It is a demanding procedure to detect the accurate position and implement surgical removal of the embedded fragments in the soft tissue in clinic.Usually, foreign bodies are close to important structures such as the head and neck region with limited intraoperative visibility and anatomical intricacies...
August 28, 2018: Journal of Craniofacial Surgery
Babak Alinasab, Ola Fridman-Bengtsson, Ola Sunnergren, Pär Stjärne
BACKGROUND: To approach isolated anterior frontal bone fracture, coronal incision is the common surgical access of choice. This approach has complications such as aesthetically undesirable scarring and alopecia along the incision line. An alternative approach to these fractures is through a supratarsal incision. The aim of the present study was to correct the frontal bone fracture, through supratarsal approach. METHODS: Six consecutive patients with frontal bone fracture were operated through supratarsal incision and evaluated regarding: patient cosmetic satisfaction, forehead contour, scarring, sensibility and motility in forehead and upper eyelids...
August 28, 2018: Journal of Craniofacial Surgery
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