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Journal of Craniofacial Surgery

Gabriela Edith Castillo Mariqueo, Eduardo Enrique Almeida Arriagada, Teresita Del Pilar Iturriaga Bustos, Sergio Muñoz Navarro, Gerardo Enrique Espinoza Espinoza
BACKGROUND: Cleft lip and palate develops during embryogenesis due to an alteration in the fusion of the tissues which will form the upper lip and palate. The rate of occurrence in Chile is 1.6 per 1000 live births. The object of the present study was to determine the effectiveness of the Grayson nasoalveolar molding appliance in reducing the gap between the alveolar segments in cases of unilateral cleft lip and palate by sex, age at start of treatment, initial gap between the alveolar segments, and number of checkups...
June 25, 2018: Journal of Craniofacial Surgery
Gökhan Polat, Hayri Ogul
An 51-year-old female presented with a headache, nausea, vomiting, and weakness. The lesion resembling a hemorrhagic mass was observed in the brain tomography and magnetic resonance imaging of the patient. However, thrombosis was suspected in the cerebral venules adjacent to the lesion. Magnetic resonance spectroscopy and magnetic resonance perfusion data excluded neoplastic lesions. Thus, the patient was treated for venous infarction. Hemorrhagic venous infarcts may mimic hemorrhagic masses. For this reason, the distinction of the lesions is important for the treatment procedure...
June 25, 2018: Journal of Craniofacial Surgery
Cassio Eduardo Raposo-Amaral
No abstract text is available yet for this article.
June 25, 2018: Journal of Craniofacial Surgery
Cassio Eduardo Raposo-Amaral, Rafael Denadai, João Carlos Pereira-Filho, Pedro Henrique Vieira, Enrico Ghizoni, Cesar Augusto Raposo-Amaral
BACKGROUND: There is a paucity of studies that report complication rates following a subcranial Le Fort III advancement using distraction osteogenesis. The purpose of this study was to identify and describe serious postoperative complications following Le Fort III advancement with distraction osteogenesis, and provide strategies to assist in the resolution of these complications. METHODS: An observational retrospective study was performed on consecutive patients with Apert, Crouzon, or Pfeiffer syndromes (n = 16) who underwent Le Fort III advancement using distraction osteogenesis between 2008 and 2017...
June 25, 2018: Journal of Craniofacial Surgery
Mohammed Elmusrati, Nureddin Ashammakhi
No abstract text is available yet for this article.
June 25, 2018: Journal of Craniofacial Surgery
Denys Montandon
No abstract text is available yet for this article.
June 25, 2018: Journal of Craniofacial Surgery
Elidon Mici, Evaristo Belli
Fibrous dysplasia is a benign tumor of the skeleton. Mostly 2 forms are described: a monostotic and a poliostotic form. The maxilla and the mandible are the most interested of the facial district. The authors report a patient of a huge maxillary fibrous dysplasia. A 63-year-old patient was treated for a 20-year progressive left maxillary neoformation. A total maxillectomy was performed. The defect was reconstructed with a custom-made midface implant associated with a temporal and a pericranial flap.
June 25, 2018: Journal of Craniofacial Surgery
Ana Maria Hoyos Cadavid, Wladimir Gushiken de Campos, Ana Cecília Correa Aranha, Celso Augusto Lemos-Junior
The purpose of this study was to analyze the effectiveness of Nd: YAG laser photocoagulation in the treatment of vascular malformations in the oral and perioral area; 93 patients (104 lesions) were evaluated in an Ambulatory of Oral Medicine (2006-2013). The sample consisted of 57 women (61%) and 36 men (39%), aged 8 to 85 years. The lesion size was smaller than 3 cm in most patients. The lesions were located on the lips, jugal mucosa, tongue, palate, gingiva, and retromolar trigone. All patients were treated on an outpatient basis using local anesthesia and Nd: YAG laser (Power Laser C ) with a wavelength of 1064 nm and a fiber optic diameter of 400 μm...
June 25, 2018: Journal of Craniofacial Surgery
Ilaria Giovannacci, Paolo Vescovi, Cristina Magnoni, Domenico Corradi, Luigi Corcione, Alberta Greco Lucchina, Carmen Mortellaro, Samir Nammour, Marco Meleti
Auto-fluorescence (AF) of healthy bone tissue has recently been described. Loss of AF (LAF) has, on the contrary, been reported in necrotic bone. Further, the use of LAF as a possible guidance to distinguish viable from necrotic bone during surgical treatment of osteonecrosis has been proposed. The aim of this study is to detail 8 patients of medication-related osteonecrosis of the jaws treated through an AF-guided surgical resection. The authors also provide the histopathologic description of hypo-fluorescent and hyper-fluorescent bone in each patient...
June 25, 2018: Journal of Craniofacial Surgery
Jieliang Shi, Yunhai Tu, Wencan Wu
PURPOSE: The aim of this study is to describe a minimally invasive technique of en bloc resection of malignant tumors from lacrimal drainage system (LDS). METHODS: This was a noncomparative, retrospective chart review of the clinical and pathologic findings of patients presenting with a LDS malignant tumor who underwent endoscopic prelacrimal recess approach with a small external incision for en bloc excision of the LDS. RESULTS: A total of 12 patients from April 2010 to July 2017 were reviewed in this study...
June 25, 2018: Journal of Craniofacial Surgery
Dong Hoon Lee, Woo Youl Jang, Tae Mi Yoon, Joon Kyoo Lee, Shin Jung, Sang Chul Lim
OBJECTIVE: The purpose of this study was to review the clinical characteristics, treatment methods, and surgical outcomes of sphenoid sinus mucocele after transsphenoidal pituitary surgery. PATIENTS AND METHODS: A total of 404 patients who underwent transsphenoidal pituitary surgery between January 2010 and December 2016 were identified. Among them, 5 patients with sphenoid sinus mucocele were included in this study. In our hospital, a single-nostril endonasal endoscopic wide sphenoidotomy is routinely used for pituitary tumor surgery...
June 25, 2018: Journal of Craniofacial Surgery
Amir Wolff, Gabriel Santiago, Jon Weingart, Judy Huang, Chad R Gordon
OBJECTIVE: Patients with cranioplasty in need of skull reconstruction are at increased risk of complications when presenting with abnormally thin scalps. As such, the authors sought to develop and investigate a new technique for scalp augmentation using autologous rectus fascia grafts (ARFGs) for prevention of implant extrusion and long-term scalp durability. METHODS: A retrospective review of our database, consisting of 450 consecutive cranial reconstructions from 2012 to 2017, was performed under institutional review board approval...
June 25, 2018: Journal of Craniofacial Surgery
Giuseppe Visconti, Domenico Pagliara, Alessandro Bianchi, Giuseppe La Rocca, Alessandro Olivi, Marzia Salgarello
Pneumocephalus is an air collection in cranial cavity caused by accidental exposition of intracranial compartment after trauma or surgery. Skull base reconstruction with free flap is a useful surgical tool to avoid cerebral herniation or intracranial infection. The authors describe a patient of pneumocephalus following anterior skull base meningioma resection, unsuccessfully treated with 2 attempts of fascia lata grafts harvested from both thighs. A free-style chimeric anterolateral thigh free flap was performed using middle third of rectus femoris muscle to fill the planum spheno-ethmoidalis defect and adipocutaneous paddle for postoperative monitoring and for favoring a tension free skin closure...
June 25, 2018: Journal of Craniofacial Surgery
Rosane de Oliveira Fortes Kaizer, Patrick Henry Machado Alves, Guida Paola Genovez Tereza, Gisele da Silva Dalben, Karin Hermana Neppelenbroek, Simone Soares, Ana Lúcia Pompéia Fraga de Almeida
OBJECTIVE: To compare the efficacy of dental plaque removal between manual and powered toothbrushes in individuals with syndactyly. MATERIAL AND METHODS: Seventeen patients with Apert syndrome aged 11 to 30 years. The efficacy of toothbrushing was evaluated by the O'Leary plaque index at 2 periods: initial (before toothbrushing) and final (immediately after toothbrushing), using manual toothbrush (Colgate Twister) and powered toothbrush (Colgate Actibrush). Means were compared by the ANOVA test at a significance level of 5%...
June 25, 2018: Journal of Craniofacial Surgery
Liangbo Chen, Chengrui Guo, Xuefei Song, Chenxi Yan, Xiaojie Hu
BACKGROUND: Neurofibromatosis (NF) is an autosomal dominant genetic disorder, and NF type 1 (NF1) is one of the most common forms. Plexiform neurofibroma (PNF) is one of the characteristic expressions of NF1. The proper treatment for patients with craniofacial PNF is surgery. The evaluation methods for the surgical outcome of these patients are still controversial. As a consequence, a one-stage surgical technique and an appropriate evaluation method for patients with craniofacial PNF were discussed in this article...
June 25, 2018: Journal of Craniofacial Surgery
Gabriele Canzi, Giuseppe Talamonti, Fabio Mazzoleni, Alberto Bozzetti, Sozzi Davide
PURPOSE: Autogenous bone represents the best material in pediatric reconstructive cranioplasty because of its compatibility with growth; however, its availability is limited. Alternative use of alloplastic materials would have the advantage of unlimited amount, but shows an increased risk of complications and incompatibility with growth. Fresh frozen banked cadaveric bones could be ideal for the reconstruction of large cranial defects in growing patients, because it offers unlimited amount of structural grafts with biomechanics properties quite similar to the autologous bones...
June 25, 2018: Journal of Craniofacial Surgery
Luis Monasterio, Bruno Villalobos, Luis F Monasterio
BACKGROUND: The nose deformity associated with cleft lip is difficult to solve in the primary and secondary surgery. In an adult patient, many techniques are used including mobilization, suspension, fixation and trimming the alar cartilages, septoplasty, nasal bones osteotomies, and dorsal bone and cartilage resection. Different types of cartilage grafts are commonly used. METHODS: A septal cartilage graft was used in 75 adult patients with mild to severe cleft lip deformities...
June 25, 2018: Journal of Craniofacial Surgery
Seyed Amirhossein Astani, Hanife Nuray Yilmaz, Sirin Nevzatoglu, Arzu Ari Demirkaya, Zeynep Ahu Acar
Patients with cleft lip and palate (CLP) have commonly reduced nasal airways and are more prone to snoring, mouth breathing and hypopnea during sleep. Therefore, the morphometric evaluation of pharyngeal airway in patients with CLP is crucial. The purpose of this study is to evaluate the pharyngeal airway volumes of patients with CLP who underwent nasoalveolar molding (NAM) and to compare them with a well-matched control group without NAM. The study consisted of 40 patients with CLP divided into 2 main groups (26 with NAM; 14 without NAM) and 4 subgroups (15 unilateral CLP [UCLP] with NAM, mean age: 10...
June 25, 2018: Journal of Craniofacial Surgery
Ela Cömert, Caner Kiliç, Ayhan Cömert
BACKGROUND: This study was designed to define the detailed anatomical relations of the jugular bulb with the facial nerve, sigmoid sinus, otic capsule, and internal acoustic canal allowing the safe management of the jugular bulb. METHODS: Thirty-five formalin-perfused cadaveric temporal bones that had well mastoid and petrous pneumatization without any neurovascular variations on computed tomography scan were selected for the study. The bones were dissected via translabyrinthine approach...
June 25, 2018: Journal of Craniofacial Surgery
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