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Craniofacial surgery

Britt I Pluijmers, Lara S van de Lande, Cornelia J J M Caron, Eppo B Wolvius, David J Dunaway, Bonnie L Padwa, Maarten J Koudstaal
INTRODUCTION: Patients with Craniofacial Microsomia (CFM) mandibles Types I/IIa benefit from combined LeFort 1 osteotomy and Mandibular Distraction Osteogenesis (LeFort + MDO); Type IIb from LeFort + MDO or Bimaxillary osteotomy (BiMax); and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis); as seen in Part 1. This leads to the question how maxillary and mandibular hypoplasia are correlated and influence the types of maxillary correction...
May 24, 2018: Journal of Cranio-maxillo-facial Surgery
Jordan C Deschamps-Braly
Facial feminization surgery was pioneered in the 1980s to provide options for trans women who were having difficulty with their outward appearance. This process presented a novel application of craniofacial surgery at the time. This text outlines the basic differences between male and female facial morphology, as well as the procedures we use to feminize the face.
July 2018: Clinics in Plastic Surgery
Emily D Wolodiger, Alice W Pope
OBJECTIVE: To examine the reciprocal relationships between parenting stress and psychosocial adjustment of children with congenital craniofacial anomalies (CFAs) at 2 time points: school entry and approximately 2.5 years later, after children had time to adjust to school. DESIGN: Retrospective review of medical charts of children with CFAs. SETTING: Department of reconstructive plastic surgery at an urban medical center. PARTICIPANTS: Parents of 42 children aged 3...
January 1, 2018: Cleft Palate-craniofacial Journal
Juan Guillermo Sánchez-Acuña, Laura Elena Franco-Garrocho, Omar Esteban Durán-Macías, Aarón Peralta-Mata
Lipoma is a benign entity with a poor incidence in craniofacial region. The most frequent tumors in the maxillo pharyngeal space are those that occur in the major and minor salivary glands, with a higher incidence of pleomorphic adenoma, also consider a benign entity. The transmandibular approach offers a great advantage in terms of visibility during the surgery. Achieving a lower morbidity, due to the fact that anatomic structures of anterior (prestyloid) and posterior (retrostyloid) compartments are involved...
March 2018: Revista Médica del Instituto Mexicano del Seguro Social
S M Balaji
No abstract text is available yet for this article.
May 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
Josep Rubio-Palau, Alejandra Prieto-Gundin, Leydi Mar de Abreu Graterol, Herman Vercruysse
Congenital maxillomandibular fusion or syngnathia is a rare craniofacial disorder with only 26 cases reported in the literature. We present a case of a congenital complex zygomatico-mandibular syngnathia associated with a palatal cleft, posterior maxilla and turbinate agenesia, mild hemifacial microsomia, and a disordered dental eruption. The patient has the highest age (15 years) at diagnosis described in the literature. 3D planning of the surgery was performed to study the patient's anatomy and design the necessary osteotomies to separate the jaws...
June 2018: Craniomaxillofacial Trauma & Reconstruction
Jenny Tzujane Chen, Brian Eisinger, Corinne Esquibel, Samuel O Poore, Kevin Eliceiri, John W Siebert
PURPOSE: Parry Romberg's Disease (PRD) is an enigmatic craniofacial disorder characterized by progressive facial atrophy. The pathogenesis and molecular mechanisms governing PRD have never before been described. The purpose of our current study was two fold; 1) to begin to elucidate the pathophysiology of this disease using next gen RNA sequencing and 2) evaluate the effect of surgical treatment on gene expression. METHODS: Patients with PRD underwent microvascular free tissue transfer (MVFF) to the face to address contour deformity in both active and burned out disease...
June 5, 2018: Plastic and Reconstructive Surgery
Michael S Golinko, John D Pemberton, James Phillips, Adam Johnson, Larry D Hartzell
Tessier No 3 facial cleft (oro-nasal-ocular clefts) is the rarest and most challenging of all the Tessier clefts. Reports on Tessier No 3 clinical findings, surgical techniques, and outcomes are varied due to the scarcity of patients and the wide range of phenotypic findings. The authors present our experience of 2 children born with Tessier No 3 clefts who were both managed at the Arkansas Children's Hospital. Our purpose is to add knowledge on this rare craniofacial cleft by providing detailed soft tissue findings, skeletal findings, operative techniques, early postoperative outcome, and suggestions of a treatment protocol...
June 5, 2018: Journal of Craniofacial Surgery
Othmane Alaoui
We report the case of a newborn male admitted on the first day of his life with temporo-occipital swelling detected at birth. Clinical examination showed conscious, hemodynamically and respiratory stable, afebrile, vigorous and responsive newborn; craniofacial examination objectified soft, mobile, temporo-occipital mass covered by the scalp measuring 10 cm along its longer left paramedian axis (A). Craniocerebral CT scan showed large heterogeneous left subgaleal parietal-temporal-occipital mass measuring 40/80 mm, suggesting a tumor of soft tissue components of the scalp (B)...
2018: Pan African Medical Journal
Daniel Thomas Ginat, Daniel Lam, Andrew Scott Kuhn, Russell Reid
Several surgical options are available for treating the different types of craniosynostosis, including fronto-orbital advancement and remodeling, total or subtotal cranial vault remodeling, barrel stave osteotomy with cranial remodeling, endoscopic suturectomy, monobloc advancement and cranioplasty, and revision cranioplasty. High-resolution, low-dose CT with 3D reconstructed images and volumetric analysis can be useful for evaluating the craniofacial skeleton following surgery. The various types of craniosynostosis surgery and corresponding imaging findings are reviewed in this article...
June 6, 2018: Pediatric Neurosurgery
Xu Gong, Weiran Li, Xuemei Gao
BACKGROUND: Craniofacial skeletal patterns change after orthognathic surgery. The present study aimed to investigate the effects of different craniofacial patterns on nasal respiratory function and the upper airway. METHODS: Forty-seven healthy subjects were selected and divided into 3 groups according to their mandibular position. Sixteen were in the skeletal Class I group, 15 were in the skeletal Class II group, and 16 were in the skeletal Class III group. Cone beam computed tomography was performed, and nasal airflow and nasal resistance were measured...
May 31, 2018: Journal of Craniofacial Surgery
Gabriel F Santiago, Jordan Terner, Amir Wolff, Jeffrey Teixeira, Henry Brem, Judy Huang, Chad R Gordon
INTRODUCTION: An irregular craniofacial contour along the temporal fossa, known commonly as 'temporal hollowing deformity,' (THD) can arise from multiple etiologies. In fact, up to half of all patients who undergo neurosurgical pterional dissections develop some form of temporal contour deformities. Unfortunately, temporal hollowing correction remains surgically challenging with many techniques resulting in high rates of failure and/or morbidity. METHODS: Herein, we describe anatomy contributing to postsurgical temporal deformity as well as time-tested prevention and surgical correction techniques...
May 31, 2018: Journal of Craniofacial Surgery
Danuta Lietz-Kijak, Edward Kijak, Marcin Krajczy, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak
BACKGROUND Orthognathic surgery (OGS) is associated with extensive surgical intervention within the soft and hard tissues of the facial region of the skull leading to inflammatory reactions. The presence of postoperative swelling indicates the accumulation of exudate or transudate; both these fluids occur in surgery. Massive swelling is a significant problem, because the tension of tissues intensifies pain sensations. The aim of the study was to evaluate the effectiveness of the kinesio taping method (KT) in patients after orthognathic surgery in the area of the facial skull in terms of eliminating postoperative swelling...
June 4, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Stav Brown, Amy Yao, Peter J Taub
BACKGROUND: Prevention of blood loss is a chief consideration in plastic and reconstructive surgery. The antifibrinolytic drugs tranexamic acid and ε-aminocaproic acid have emerged as promising agents to reduce both perioperative blood loss and transfusion requirements. However, published reports in the plastic surgery literature are lacking. The authors sought to summarize the current knowledge of the use of antifibrinolytics in plastic surgery by reviewing the existing literature for clinical outcomes and recommendations...
June 2018: Plastic and Reconstructive Surgery
Masaki Koh, Takuya Akai, Daina Kashiwazaki, Naoki Akioka, Takahiro Tomita, Shoichi Nagai, Satoshi Kuroda
PURPOSE: Ultrasound-aided fixation of a biodegradable cranial fixation system called SonicWeld Rx<sup>®</sup>, has been widely applied in the fields of craniofacial surgery and plastic surgery. However, there are few reports that denote its use in the field of neurosurgery. This study aimed to evaluate the usefulness of SonicWeld Rx<sup>®</sup> system in pediatric neurosurgery. METHODS: This study included 11 pediatric patients(10 boys, 1 girl), who underwent craniotomy for moyamoya disease, brain tumor, and arachnoid cyst...
May 2018: No Shinkei Geka. Neurological Surgery
Arjun V Pendharkar, Maryam N Shahin, Claudio Cavallo, Xiaochun Zhao, Allen L Ho, Eric S Sussman, Gerald A Grant
Craniosynostosis (CS) is defined as the premature fusion of one or more calvarial sutures. This carries several consequences, including abnormal/asymmetric cranial vault development, increased intracranial pressure, compromised neurocognitive development, and craniofacial deformity. Definitive management is surgical with the goal of protecting cerebral development by re-establishing normal cranial vault expansion and correcting cosmetic deformity. In today's practice, CS surgery has advanced radically from simple craniectomies to major cranial vault reconstructive (CVR) procedures...
May 22, 2018: Journal of Neurosurgical Sciences
Alaa Aldaadaa, Nazanin Owji, Jonathan Knowles
Three-dimensional printing technology is getting more attention recently, especially in the craniofacial region. This is a review of literature enlightening the materials that have been used to date and the application of such technology within the scope of maxillofacial surgery.
January 2018: Journal of Tissue Engineering
Hun Jun Lim, Eui Mook Lee, Won Ki Kim, Han Jong Kim, Bong Chul Kim, Jun Lee
Distraction osteogenesis a surgical procedure conducted to improve craniofacial deformities. Compared with conventional operations, this technique has advantages such as the ability to lengthen the soft tissue and hard tissue. Therefore, this method is used to treat severe craniofacial abnormalities.The major disadvantage of distraction osteogenesis is the long treatment period. If the consolidation period is not sufficiently long after the distraction period, complications such as discontinuity or contraction of newly formed bone may occur...
May 15, 2018: Journal of Craniofacial Surgery
Kristopher M Day, Narayanan M Nair, Larry A Sargent
INTRODUCTION: Liposomal bupivacaine (LB) is a long-acting local anesthetic reported to decrease postoperative pain in adults. The authors demonstrate the safe use of LB in pediatric patients with improved pain control following palatoplasty. MATERIALS AND METHODS: Retrospective patient series of all single-surgeon palatoplasty patients treated at a tertiary craniofacial center from August 2014 to December 2015 were included. All patients received 1.3% LB intraoperatively as greater palatal nerve and surgical field blocks in 2-flap V-Y pushback palatoplasty...
May 14, 2018: Journal of Craniofacial Surgery
Joe M Das
In this occasion of 125 years after the so-called "initial" use of bone wax (BW) by Sir Victor Horsley, a review of this age-old hemostatic agent deemed appropriate. The first use of BW for hemostasis is dated back to the 18th century when modeling or candle wax was used for hemostasis. Though the pioneers in the usage of BW in craniofacial surgeries were Belloq, Professor Khristian Khristianovich Salomon and François Magendie, its first successful use in neurosurgery was demonstrated by Henri Ferdinand Dolbeau in 1864, following the extirpation of a frontal osteoma...
May 9, 2018: World Neurosurgery
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