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Journal of Craniofacial Surgery

Tae Suk Oh, Woo Shik Jeong, Taik Jin Chang, Kyung S Koh, Jong Woo Choi
BACKGROUND: It is difficult to restore original orbital contours because of their complex 3-dimensional structure. Moreover, slight implant malpositioning can result in enophthalmos or other complications. The authors describe our experience of using individualized prebent titanium-Medpor mesh implants and stereolithographic modeling in a series of patients who underwent orbital wall reconstruction. METHODS: A consecutive series of 104 patients with orbital fractures received computer simulation-designed prebent titanium-Medpor mesh implants insertion...
October 14, 2016: Journal of Craniofacial Surgery
Michael Alperovich, Lawrence E Brecht, Stephen M Warren
No abstract text is available yet for this article.
October 14, 2016: Journal of Craniofacial Surgery
Branko Harnik, Richard J Miron, Daniel Buser, Reinhard Gruber
Angiogenesis is essential for the consolidation of bone allografts. The underlying molecular mechanism, however, remains unclear. Soluble factors released from demineralized freeze-dried bone target mesenchymal cells; however, their effect on endothelial cells has not been investigated so far. The aim of the present study was therefore to examine the effect of conditioned medium from demineralized freeze-dried bone on human umbilical endothelial cells in vitro. Conditioned medium was first prepared from demineralized freeze-dried bone following 24 hours incubation at room temperature to produce demineralized bone conditioned media...
October 14, 2016: Journal of Craniofacial Surgery
Firas A Jamil, Sahar Shakir Al-Adili
Many treatment modalities have been introduced for correction of deficient alveolar ridge width. Bone expansion through the ridge split procedure is one of them. This technique was initiated in order to overcome many problems that usually associated with grafting procedures. The present study evaluated the effectiveness of piezoelectric device in performing ridge split using single-stage approach and assessed the outcomes during a period of about 4 months after surgery. A total of 23 patients ages in range between 18 and 60 years underwent ridge split procedure with immediate insertion of dental implants...
October 14, 2016: Journal of Craniofacial Surgery
Man Koon Suh, Kyo Ho Lee, Aram Harijan, Hyung-Gu Kim, Euicheol C Jeong
BACKGROUND: Alloplastic materials are a mainstay in Asian rhinoplasty. However, the outline of alloplastic implants can become conspicuous over time in rhinoplasty patients, which is a significant cause for revision. In revision rhinoplasty, alloplastic materials can remain a viable and affordable option in Asian patients. The acellular dermal matrices (ADM) are often used to interface between the silicone material and the skin envelope. This study assesses histologic changes following implantation of ADM-covered silicone material in rats...
October 14, 2016: Journal of Craniofacial Surgery
Xiaona Lu, Fei Fan, Huan Wang, Jianjun You
BACKGROUND: Secondary nasal deformities and retardation of development due to treatment of nasal hemangioma during infancy are a challenge when it comes to nasal reconstruction. In order to evaluate nasal repair and reconstruction in these patients, the authors compared the ease and outcomes of using expanded forehead, nasolabial sulcus, and medial upper arm tube flaps. METHODS: According to the deformities and patients' wishes, flaps were selected; using autogeneic rib cartilage, auricle cartilage, or silica gel as a scaffold or without framework; the inner lining were made by the residual scar tissue or the distal end of transferred flap...
October 14, 2016: Journal of Craniofacial Surgery
Alyssa R Golas, Jamie P Levine, Justin Ream, Eduardo D Rodriguez
An accurate and comprehensive understanding of lower extremity arterial anatomy is essential for the successful harvest and transfer of a free fibula osteoseptocutaneous flap (FFF). Minimum preoperative evaluation includes detailed history and physical including lower extremity pulse examination. Controversy exists regarding whether preoperative angiographic imaging should be performed for all patients. Elevation of an FFF necessitates division of the peroneal artery in the proximal lower leg and eradicates its downstream flow...
October 14, 2016: Journal of Craniofacial Surgery
Teun Wllem Floris Pappot, John J A Brouns, John Joosten
Synovial chondromatosis is a benign, usually monoarticular synovial disease characterized by osteocartilaginous loose body formation within the synovium and joint space. The authors present a patient with an unusually extensive form of this disease, and discuss clinical impact and patient care.
October 14, 2016: Journal of Craniofacial Surgery
Kuauhyama Luna-Ortiz, Mario Alonso-Calamaco, Ramses U Ortiz-Leyva
Osteosarcoma in the craniofacial region is rare. A 43-year-old female, the patient, self-detected a 3-cm tumor of the right frontoparietal region 4 months before. An incisional biopsy was performed and a osteosarcoma was reported. At admission, a 4 × 5 cm tumor was present on the right frontoparietal region, without extending to the orbital region but the patient underwent surgery 2 months after admission. The delay was due to 2 episodes of upper respiratory tract infection that required resolution. At the time of surgery the tumor measured 8 × 9 cm...
October 14, 2016: Journal of Craniofacial Surgery
Kun Hwang, Seong Kyung Yoo
The aim of this study was to analyze eyebrow shapes as represented in the British edition of "Vogue" over the last century (1916-2015). Photographs containing distinguishable eyebrows were selected from a book entitled "Vogue 100: A Century of Style." A total of 120 frontal pictures in which the eye and eyebrows were identifiable were included and analyzed. The relative width of the eyebrow (REW), as well as relative medial (RMH), midpupillary (RPH), and lateral (RLH) eyebrow height were measured in reference to the length of the palpebral fissure...
October 14, 2016: Journal of Craniofacial Surgery
Da-Yong Xia, Ming-Feng Zhu, Ce-Gang Liu, Yi Dai, Zhen-Bao Li, Xiao-Chun Jiang, Shan-Shui Xu
Syphilitic gumma involvement of the central nervous system is extremely rare and frequently misdiagnosed. The authors report a patient of a cerebral syphilitic gumma resembling a malignant brain tumor in a 62-year-old male. He was first suspected of a malignant brain tumor, but the pathological diagnosis was cerebral syphilitic gumma. This patient with unusual findings illustrates the clinical manifestations, imaging, and therapeutic aspects of cerebral syphilitic gumma.
October 14, 2016: Journal of Craniofacial Surgery
Shao-Rui Liu, Xue-Fei Song, Zheng-Kang Li, Qin Shen, Xian-Qun Fan
OBJECTIVE: With orbital floor fracture incidence rates increasing year by year, many patients require surgical treatment to improve diplopia, limitation of extraocular muscle movement (EOM), enophthalmos, and midface appearance. With the use of high-density polyethylene, titanium screws, titanium plate, and titanium mesh to repair an orbital floor fracture, enophthalmos and midfacial deformity correction procedures have made great progress. However, attenuating diplopia and the limitation of EOM are still difficult problems to prevent...
October 14, 2016: Journal of Craniofacial Surgery
Dario Bertossi, Claudia Corega, Armando Boccieri, Pasquale Procacci, Carmen Mortellaro, Pierfrancesco Nocini
: Secondary cleft lip nasal deformities corrective procedures are still a major concern for the maxillofacial surgeons. OBJECTIVE: The aim of this study was twofold, to present a new "anatomical balance" correction for the correction of secondary cleft nose deformities and to evaluate it through a long-term follow-up study. PARTICIPANTS: One hundred twenty patients with cleft lip and palate and secondary nasal tip deformities were recruited for this study...
October 14, 2016: Journal of Craniofacial Surgery
Mansher Singh, Raquel Minasian, Matthew Jackson, E J Caterson
BACKGROUND: Surgical resection of ocular malignancies can result in complex craniofacial defects that can be difficult to reconstruct with conventional reconstruction techniques. Craniofacial prosthesis supported by bone-anchored implants has evolved as a reliable alternative in such scenarios. METHODS: The authors describe a patient who underwent extensive facial resection secondary to squamous cell carcinoma resulting in significant facial deformities. A bone-anchored osseointegrated implant was used to perform facial reconstruction...
October 14, 2016: Journal of Craniofacial Surgery
Muhsin Nuh Aybay, Ibrahim Guler, Ozgur Oner, Suleyman Baktik, Ali Fuat Tekin
Hydatid cyst is an endemically seen parasitic disease and caused by the larval form of Echinococcus parasites. The disease is mostly seen in liver and lung, and the other involvement is rarely seen. Head and neck involvement is extremely rarely seen and its frequency in the literature is reported as less than 1%. It is usually asymptomatic and the symptoms are related to the compression to the adjacent structures. In this paper, the authors report a patient of hydatid cyst localized in the posterior cervical region...
October 14, 2016: Journal of Craniofacial Surgery
Jing Cheng, Qiang Shao, Zhiyong Pan, Jin You
OBJECTIVE: To investigate the relationship between the operative approach, clinical pathological factors, and curative effect of the surgical treatment in the patients with craniopharyngioma; to provide a theoretical basis for determining the prognosis and reducing the recurrence rate during the long-term postoperative follow-up in children. METHODS: This was a retrospective analysis of the clinical data of 92 children who underwent surgical treatment in our department from May 2011 to January 2005...
October 14, 2016: Journal of Craniofacial Surgery
Yunfeng Xue, Larry H Hollier
No abstract text is available yet for this article.
October 14, 2016: Journal of Craniofacial Surgery
Paolo Ghensi, Alessandro Cucchi, Luca Creminelli, Cristiano Tomasi, Barbara Zavan, Carlo Maiorana
INTRODUCTION: The purpose of this prospective randomized controlled clinical trial was to evaluate the effect of oral administration of bromelain on discomfort after mandibular third molar surgery. MATERIALS AND METHODS: Eighty-four consecutive patients requiring surgical removal of a single mandibular impacted third molar under local anesthesia were randomly assigned to receiving no drug (control group, Group A), postoperative 40 mg bromelain every 6 hours for 6 days (Group B), preoperative 4 mg dexamethasone sodium phosphate as a submucosal injection (Group C), and preoperative 4 mg dexamethasone sodium phosphate as a submucosal injection plus postoperative 40 mg bromelain every 6 hours for 6 days (Group D)...
October 14, 2016: Journal of Craniofacial Surgery
Matthew R Louis, Larry H Hollier
No abstract text is available yet for this article.
October 14, 2016: Journal of Craniofacial Surgery
Shintaro Sukegawa, Takahiro Kanno, Daiki Nagano, Akane Shibata, Yuka Sukegawa-Takahashi, Yoshihiko Furuki
INTRODUCTION: In recent years, bioresorbable plates have undergone remarkable development. However, there has been no attendant improvement in their strength, because strength requires thickness, and complications such as palpability are related to the thickness of bioresorbable plate systems. In this clinical study, we compared the surgical management of zygomatic fractures using newly developed thinner bioresorbable materials or conventional titanium miniplates. METHODS: Twelve patients with zygomatic fractures were randomly divided equally into 2 groups (6 with new bioresorbable osteosynthesis materials and 6 with standard titanium miniplates)...
October 14, 2016: Journal of Craniofacial Surgery
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