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Journal of Craniofacial Surgery

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https://www.readbyqxmd.com/read/30394977/trichoepithelioma-misdiagnosed-as-basal-cell-carcinoma
#1
Kyo Joon Kang, Bomie Florence Seo, Jongweon Shin, Ho Kwon, Jun Hee Byeon, Sung-No Jung
Trichoepithelioma is a benign tumor which can be easily confused with basal cell carcinoma. Since both tumors are histologically similar, it is important to distinguish them correctly as the courses for treatment are very different. Basal cell carcinoma is malignant; therefore, it requires total surgical excision, including a wide healthy margin. In contrast, trichoepithelioma requires only simple excision. A study involving a 69-year-old woman with a simple mass on the nasal tip was described in this study...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394976/tranexamic-acid-decreases-blood-transfusion-burden-in-open-craniosynostosis-surgery-without-operative-compromise
#2
Victor M Lu, Anshit Goyal, David J Daniels
In the surgical management of craniosynostosis, there is a high red blood cell (RBC) transfusion burden due to the small blood volume of the patients combined with significant blood loss that can occur with open surgery (OS). Tranexamic acid (TXA) is an antifibrinolytic which has been shown to decrease such a burden in particular surgeries. The aim of this study was to compare the operative outcomes of craniosynostosis OS which did and did not utilize TXA. Searches of 7 electronic databases from inception to February 2018 were conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394975/the-morphology-of-the-infraorbital-nerve-and-foramen-in-the-presence-of-an-accessory-infraorbital-foramen
#3
Carolina L Polo, Ahmed Z Abdelkarim, Thomas von Arx, Scott Lozanoff
BACKGROUND: The accessory infraorbital foramen (AIOF) is an anatomical variation associated with the infraorbital foramen (IOF) and nerve (ION). Its occurrence and neural contents have clinical implications regarding failure of loco-regional anesthesia and risk of neural damage during surgical interventions involving the maxillary region. Thus, morphologic characterization of the AIOF and neural contents as well as the spatial relationships to the IOF are potentially useful for optimizing surgical procedures...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394974/biological-aging-parameters-can-be-improved-after-autologous-adipose-derived-stem-cell-injection
#4
Hye-Youn Son, Hahn-Sol Bae, Youngsook Son, Sundong Kim, Hyun-Sook Hong, Ji-Ung Park
Biological aging (BA) is a comprehensive assessment tool for elderly persons. The authors aimed to develop a rat model that can be used to assess BA by evaluating various blood, biochemical, and hormonal parameters and demonstrate that the intravenous administration of autologous adipose-derived stem cells (ADSCs) improves BA. Twelve elderly (aged 20 months) male Sprague-Dawley rats were used in this study and divided into 2 groups: autologous ADSC administration (n = 6) and saline administration (n = 6)...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394973/a-patient-with-schimmelpenning-syndrome-and-mosaic-kras-mutation
#5
Benjamin J Mitchell, Gary F Rogers, Benjamin C Wood
Schimmelpenning syndrome is a neurocutaneous disorder characterized by craniofacial nevus sebaceus that fall along embryonic cutaneous lines and tend to be associated with neurological, ocular, skeletal, and vascular abnormalities. We report a child with extensive nevus sebaceus of the scalp, face, and thorax and other unusual physical findings who was found to have a mosaic mutation of KRAS c.35G>A p.12D pathognomonic of Schimmelpenning syndrome.
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394972/reconstructions-with-different-and-new-techniques-of-large-and-extensive-myelomeningocele-defects
#6
Ilteris M Emsen
BACKGROUND: Myelomeningocele and/or meningocele is a defect of spine and spinal cord, and it is congenital. Although meningocele is a mild form of spina bifida, myelomeningocele is a more complex and serious form. There is a sac in both forms at the back. Difference is that myelomeningocele contains neural structures or spinal cord elements, and meningocele does not contain these neural or spinal cord elements. METHODS: Between 2012 and 2018, 77 (45 females, 32 males) newborns with myelomeningocele were operated by mean age 35 days...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394971/full-thickness-skin-grafting-for-local-defect-coverage-following-scalp-adjacent-tissue-transfer-in-the-setting-of-cranioplasty
#7
Amir Y Wolff, Gabriel F Santiago, Micah Belzberg, Paul N Manson, Judy Huang, Henry Brem, Chad R Gordon
INTRODUCTION: Numerous techniques have been described to overcome scalp deficiency and high-tension closure at time of cranioplasty. However, there is an existing controversy, over when and if a free flap is needed during complex skull reconstruction (ie, cranioplasty). As such the authors present here our experience using full-thickness skin grafts (FTSGs) to cover local defects following scalp adjacent tissue transfer in the setting of cranioplasty. METHODS: By way of an institutional review board-approved database, the authors identified patients treated over a 3-year period spanning January 2015 to December 2017, who underwent scalp reconstruction using the technique presented here...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394970/the-external-jugular-vein-used-as-recipient-vessel-in-head-and-neck-free-flap-reconstruction-outcomes-compared-to-the-internal-jugular-vein
#8
Amir E Ibrahim, David M Adelman, Christopher Parham, Zhang Hong, Mark Villa, Fadel M Chahine, Fadi M Ghieh
BACKGROUND: Contradictory data exists on the success rates of employing the external jugular (EJ) vein as a recipient vessel for venous outflow in free flap head and neck reconstruction compared with the internal jugular (IJ) vein. The authors hereby present a retrospective study of prospectively collected data over a 14-year period. METHODS: Five hundred seventy-eight patients underwent 639 free flap head and neck over 14 years. Two hundred seventy-eight free flaps employed the EJ vein as the recipient vessel while 326 free flaps employed the IJ vein...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394969/multisuture-craniosynostosis-and-papilledema-in-pycnodysostosis-a-paradox
#9
Gregory P L Thomas, Shailendra A Magdum, Nad R Saeed, David Johnson
Pycnodysostosis (PYCD) is a rare autosomal-recessive skeletal disorder that typically presents with osteosclerosis of the majority of the postcranial skeleton and osteolysis of the calvarium, manifesting as persistent open cranial fontanelles and widely spaced cranial sutures. Craniosynsostosis in PYCD is a somewhat paradoxical feature, and has only been rarely reported. The authors present a unique case of a 6-year-old girl with PYCD, multisuture craniosynostosis involving the coronal and sagittal sutures, severe obstructive sleep apnoea, and raised intracranial pressure presenting as papilledema...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394968/preliminary-study-to-evaluate-marginal-bone-loss-in-cases-of-2-and-3-implant-supported-fixed-partial-prostheses-of-the-posterior-mandible
#10
Pnina Segal, Areej Makhoul, Michal Eger, Alberta Greco Lucchina, Ephraim Winocur, Eitan Mijiritsky
PURPOSE: The purpose of this study was to evaluate, by radiographic examinations, the marginal bone resorption around implants in cases of 2 and 3 implant-supported fixed partial prostheses (FPPs) at the posterior mandible. METHODS: A retrospective study of 41 patients (23 males, 18 females) of an average age of 67 years (range, 53-85), with 2 and 3 implants-supported FPPs in the posterior mandible that were treated during 2006 to 2015. The mean follow-up time was 6...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394967/gridding-microsurgical-anatomy-of-far-lateral-approach-in-the-three-dimensional-model
#11
Ke Tang, Zeng-Hui Qian, Xu Feng, Yang Li
OBJECTIVE: The far lateral craniotomy involves osteotomy of various portions of occipital condyle. Intracranial operation exposing clivus encounters complicated neurovascular anatomy. The aim of the present study was to make refinement for the anatomy of far lateral approach by gridding route in the 3-dimensional model. METHODS: Computed tomography and magnetic resonance imaging data were used to construct 3-dimensional model containing osseous and neurovascular structures of skull base...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394966/how-to-make-the-mesenchymal-stem-cells-therapy-more-targeted-more-accurate-and-more-efficient
#12
Hua-Jiang Dong, Dingwei Peng, Chong-Zhi Shang, Ziao-Hong Li, Gang Li, Ling Lin, Huipeng Meng, Keqiang Wang, Yuechen Luo, Lei Wang
No abstract text is available yet for this article.
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30394965/dental-implants-with-a-platform-switched-morse-taper-connection-and-an-osteo-growth-induction-surface
#13
Paolo Ghensi, Gianmarco Tonetto, Costanza Soldini, Elia Bettio, Carmen Mortellaro, Claudio Soldini
AIM: The aim of this study was to analyze the clinical outcomes after using an innovative implant system characterized by a modern platform-switched Morse taper connection and an osteo growth induction titanium surface (a particular type of SLA surface). Peri-implant bone loss (PBL) and implant success rate were examined after a 1- to 3-year follow-up. METHODS: The study was conducted as a cross-sectional analysis on all patients treated from January 2011 to December 2014 using CLC CONIC implants...
November 2, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376506/postsurgical-changes-in-osseous-dysmorphology-of-the-midface-and-mandible-in-unilateral-coronal-craniosynostosis
#14
Sally Jo, Gary B Skolnick, Sybill D Naidoo, Matthew D Smyth, Kamlesh B Patel
BACKGROUND: Early management of unilateral coronal synostosis (UCS) aims to treat the cranial abnormality with the hope of improving middle and lower facial morphology. This study analyzed osseous volume and 3-dimensional distances in the midface and mandible of patients with UCS to assess changes in facial symmetry following a cranial vault procedure. METHODS: Patients who underwent fronto-orbital advancement for UCS repair between 1981 and 2012 with follow-up of at least 3 years were included...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376505/a-standardized-perioperative-clinical-pathway-for-uncomplicated-craniosynostosis-repair-is-associated-with-reduced-hospital-resource-utilization
#15
Lawrence O Lin, Rachel A McKenna, Rosaline S Zhang, Ian C Hoppe, Jordan W Swanson, Scott P Bartlett, Jesse A Taylor
BACKGROUND: Hospital resource overutilization can significantly disrupt patient treatment such as cancelling surgical patients due to a lack of intensive care unit (ICU) space. The authors describe a clinical pathway (CP) designed to reduce ICU length of stay (LOS) for nonsyndromic single-suture craniosynostosis (nsSSC) patients undergoing cranial vault reconstruction (CVR) in order to minimize surgical disruptions and improve patient outcomes. METHODS: A multidisciplinary team implemented a perioperative CP including scheduled laboratory testing to decrease ICU LOS...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376504/endoscopic-approach-to-remove-a-dental-implant-with-simultaneous-laser-cystectomy
#16
Wilfried Engelke, Víctor Beltrán
BACKGROUND: Removal of dental implants from the maxillary sinus may require surgical treatment of comorbidities. METHOD: Canine fossa endoscopy with an additional laterobasal access originally has been used for flapless sinus floor augmentation. The combined technique is presented to remove a titanium screw from the maxillary sinus. The same portals served for dissection of a mucocele using a diode laser. CONCLUSIONS: The combination of canine fossa endoscopy and laterobasal access allows an appropriate instrumentation and triangulation of the scope for the endoscopically assisted implant removal and dissection of the mucocele...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376503/strategies-for-complex-scalp-reconstruction-in-patients-with-poor-recipient-vessels
#17
Lucian Fodor, Marius Fodor, Raluca Sobec, Laura Sita, Ioan Stefan Florian
Complex scalp defects with poor recipient vessels represent a challenge for plastic surgeons. In these cases, free flaps are the last resort for solving the problem. The authors present 5 difficult cases with complex large scalp and calvarium defects with unsuitable small recipient vessels for anastomoses. For these cases, the lesser saphenous vein was harvested and used as an interposition graft between the external carotid artery, the jugular vein, and the flap. Latissimus Dorsi, Anterolateral Thigh, and serratus anterior were the flaps used for reconstruction...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376502/treatment-of-the-prominent-ear-a-standardized-approach-without-intraoperative-measurements
#18
Zoe M MacIsaac, Lauren Zammerilla, Lorelei J Grunwaldt
BACKGROUND: Candidates for otoplasty have variable anatomy that may result in an aesthetically suboptimal appearance. The authors describe an algorithm to obtain ideal aesthetic position of the ear using a standardized suturing only technique. METHODS: A retrospective review was conducted at a major children's hospital. Pre- and postoperative distances from the mastoid to the posterior lateral helical rim were measured at 3 consistent points (upper helix, mid helix, and lobule)...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376501/improved-quality-of-life-for-children-with-beckwith-wiedemann-syndrome-following-tongue-reduction-surgery
#19
Takeshi Harada, Tadashi Yamanishi, Takayuki Kurimoto, Juntaro Nishio
Macroglossia is observed in the majority of patients with Beckwith-Wiedemann syndrome (BWS), a congenital condition with characteristic anomalies. In addition, sleep disordered breathing (SDB) associated with macroglossia has occasionally been noted in BWS patients, for which tongue reduction surgery is generally performed. However, macroglossia is related to various health problems, such as eating and articulation disorders, attention deficit disorder, enuresis, and thorax deformation, as well as aesthetic issues...
October 29, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30376500/aesthetic-and-functional-evaluation-of-large-full-thickness-vermilion-and-lower-lip-defects-reconstruction
#20
Guo Jun, Fei Wei, Liu Tong, Huang Yi, Zhou Hao, Li Shuang Jun
BACKGROUND: It is hardly to reconstruct a huge defect of lower lip by using of partial flap which brings no mouth closing functional problem. In this study, we would like to introduce our experience in large full-thickness vermilion and lower lip/chin defects reconstruction, and also focus on the evaluation of the surgery effects. METHODS: The large lower lip and chin (include vermilion) reconstruction were performed in Sichuan Provincial People's Hospital (2012-2015)...
October 29, 2018: Journal of Craniofacial Surgery
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