One-Step Laryngotracheal Reconstruction With Prefabricated Corticoperiosteal Flap
In this report, we present a laryngotracheal reconstruction with a buccal mucosa–prefabricated medial femoral condyle free flap, after chondroma excision in a 1-step procedure. Functional results are promising and were confirmed by endoscopy and computed tomography examination 12 months postoperatively. This reconstruction-with-prefabrication technique, among others, may be used in the reconstruction of different regions like craniofacial bone defects, apart from larynx and trachea. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - April 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current status and applications of additive manufacturing in dentistry: A literature-based review
Publication date: Available online 16 April 2019Source: Journal of Oral Biology and Craniofacial ResearchAuthor(s): Mohd Javaid, Abid HaleemAbstractObjectiveTo study the current status and applications of additive manufacturing (AM) in dentistry along with various technologies, benefits and future scope.MethodsA significant number of relevant research papers on the additive manufacturing application in dentistry are identified through Scopus and studied using bibliometric analysis that shows an increasing trend of research in this field. This paper briefly describes various types of AM technologies with their accuracy, pro...
Source: Journal of Oral Biology and Craniofacial Research - April 17, 2019 Category: Dentistry Source Type: research

Comparison between N-butyl cyanoacrylate tissue adhesive and Ethilon nylon sutures in extraoral maxillofacial incisions: A randomized prospective study
ConclusionAdvantages of tissue adhesives over conventional wound closure techniques include easy to use, excellent bacteriostatic property, decreased repair time, elimination of recall visits and comparable short and long-term cosmetic outcome. Though tissue adhesives have many advantages over conventional wound closure techniques, they can be used as an alternative to sutures only in superficial small and tension free skin incisions or lacerations. (Source: Journal of Oral Biology and Craniofacial Research)
Source: Journal of Oral Biology and Craniofacial Research - April 17, 2019 Category: Dentistry Source Type: research

Functional Organ Preservation Surgery in Head and Neck Cancer: Transoral Robotic Surgery and Beyond
Conclusions In the span of a very short time—less than a decade—robotic head and neck surgery has transformed the management of the head and neck cancer, and it seems clear that the future of treatment for these cancers lies in a multimodal approach in which TORS is likely to play an important role. Nevertheless, it is important to keep in mind that the current indications for TORS are limited and long-term data on the safety and oncological outcomes are needed to better understand the true role of TORS in treatment of head and neck cancer. Nonetheless, the emergence of ever more advanced robotic instruments i...
Source: Frontiers in Oncology - April 17, 2019 Category: Cancer & Oncology Source Type: research

Systems Biology Approaches and Precision Oral Health: A Circadian Clock Perspective
Conclusion Most head and neck pathologies show a broad cellular heterogeneity making it difficult to achieve an accurate diagnosis and efficient treatment (Graf and Zavodszky, 2017; Lo Nigro et al., 2017). Single cell analysis of circadian omics (Lande-Diner et al., 2015; Abraham et al., 2018), may be a crucial tool needed in the future to fully understand the circadian control of head and neck diseases. It becomes more obvious that there is only a small genetic component but a largely unknown epigenetics and/or environmental component for most of the head and neck pathologies (Moosavi and Motevalizadeh Ardekani, 2016; He...
Source: Frontiers in Physiology - April 16, 2019 Category: Physiology Source Type: research

Evaluation of the relationship between stylohyoid complex morphology and maxillary/mandibular position using cone beam computed tomography.
Authors: Yılmaz D, Orhan K, Cesur E Abstract BACKGROUND: The aim of this study was to examine the morphologic features of the stylohyoid complex (SHC) and its relation to maxillomandibular position using three-dimensional cone beam computed tomography (CBCT) images. MATERIALS AND METHODS: CBCT images from 157 individuals (74 females, 83 males) were analyzed in this study. SHC length, width, and sagittal and transverse angles were measured. The subjects were grouped as skeletal Class I, II, and III in order to determine the relative positions of the maxilla and mandible in the sagittal plane and as hypodivergen...
Source: Folia Morphologica - April 12, 2019 Category: Anatomy Tags: Folia Morphol (Warsz) Source Type: research

Self-Assembly of an Organized Cementum-Periodontal Ligament-Like Complex Using Scaffold-Free Tissue Engineering
In this study, scaffold-free tissue constructs engineered using periodontal ligament cells (PDLCs), which contain a population of adult stem/progenitor cells, self-assembled into an organized multi-tissue structure comprising a mineralized cementum-like core enclosed within a periodontal ligament (PDL)-like tissue. Scaffold-free engineered constructs were formed by culturing human PDLCs to form a cell sheet on six-well dishes containing two minutien pins placed 7 mm apart. The cell sheet was contracted by the cells to roll into the pins forming a cylindrical construct anchored on either end by the pins. These tissues ...
Source: Frontiers in Physiology - April 11, 2019 Category: Physiology Source Type: research

Auricular Reconstructive Surgery Improvement to the Firmin Technique for Placing an Earring.
In conclusion, our modification for placing an earring is simple; it does not increase the surgical time and contributes to approach the perfection of auricular reconstructive surgery. PMID: 30974952 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 11, 2019 Category: ENT & OMF Authors: Parri F, Alonso V, Albert A, Bejarano M, Vicario F, Rubio-Palau J Tags: Cleft Palate Craniofac J Source Type: research

Craniofacial bone atrophy in Parry Romberg syndrome demonstrated using a Bayesian hierarchical model
ConclusionOur results indicated that that bone atrophy was most probably a primary process rather than a phenomenon secondary to soft tissue retraction. We have provided the first assessment of bone atrophy in PRS patients using Bayesian statistics. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - April 9, 2019 Category: ENT & OMF Source Type: research

High-Fidelity Anthropometric Facial Measurements Can Be Obtained From a Single Stereophotograph From the Vectra H1 3-Dimensional Camera.
CONCLUSIONS:: Linear anthropometric measurements taken from 3D surfaces generated from a single stereophotograph correlate closely with direct anthropometric measures. This improves workflow and applicability of anthropometric studies to our youngest patients. PMID: 30955356 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 7, 2019 Category: ENT & OMF Authors: Jodeh DS, Rottgers SA Tags: Cleft Palate Craniofac J Source Type: research

[CAD/CAM Revolution in Craniofacial Reconstruction].
This article intends to give you an insight into how our patients benefit from advanced technologies. PMID: 30940044 [PubMed - in process] (Source: Praxis)
Source: Praxis - April 5, 2019 Category: General Medicine Authors: Wagner M, Gander T, Blumer M, Valdec S, Schumann P, Essig H, Rücker M Tags: Praxis (Bern 1994) Source Type: research

Midfacial Bony Remodeling.
Abstract Craniofacial procedures to the midface in conjunction with work to the upper face and skull, and if needed the lower jaw, are a permanent and effective way to achieve feminization of the face in transgender patients. Although the surgery is more complex than other procedures, it should be considered for select patients. Further improvement of cosmesis may be considered a separate surgical entity and is not limited in scope or time by having undergone midface osteotomies. When carefully planned, bony surgery to the midface is safe and results in long-term predictive results and a favorable appearance as th...
Source: The Surgical Clinics of North America - April 4, 2019 Category: Surgery Authors: Lundgren KC, Koudstaal MJ Tags: Facial Plast Surg Clin North Am Source Type: research

Comprehension of Online Educational Material Regarding Orofacial Clefts.
CONCLUSIONS:: Despite containing content of varying reading-level difficulty, the literature posted on the ACPA and ASPS web sites concerning cleft lip and palate conveyed information equally well to the target parent demographic with high levels of comprehension. PMID: 30943779 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - April 4, 2019 Category: ENT & OMF Authors: Jodeh DS, Pringle AJ, Rottgers SA Tags: Cleft Palate Craniofac J Source Type: research

Reliability and accuracy of cone beam computed tomography versus conventional multidetector computed tomography for image-guided craniofacial implant planning: An in vitro study.
Authors: Dings JP, Verhamme L, Merkx MA, Xi T, Meijer GJ, Maal TJ Abstract PURPOSE: To assess the reliability and accuracy of linear measurements on three-dimensional (3D) cross-sectional images, both acquired with cone beam computed tomography (CBCT) and multi-detector row CT (MDCT). Bone thickness was evaluated with regard to image-guided planning of craniofacial implant surgery. MATERIALS AND METHODS: Five dry human skulls were used. Cuts were made with a circular bone saw at the ideal implant positions in the nasal, orbital, and temporal regions prior to acquisition of CBCT and MDCT scans. After imaging exa...
Source: International Journal of Oral and Maxillofacial Implants - April 3, 2019 Category: ENT & OMF Tags: Int J Oral Maxillofac Implants Source Type: research

Obstructive sleep apnea syndrome in the pediatric age: the role of the pneumologist.
CONCLUSIONS: Many pediatric patients continue to experience problems and symptoms such as hypersomnia and apnea after adenotonsillectomy and need CPAP/NIPPV treatment. Current knowledge is still incomplete, especially with regard to the mechanisms of pathogenesis of pediatric OSA, the factors affecting pediatric OSA, and the phenotypic variability of the disease. A better understanding of these aspects would contribute to the development of new therapies. PMID: 30920630 [PubMed - in process] (Source: European Review for Medical and Pharmacological Sciences)
Source: European Review for Medical and Pharmacological Sciences - March 29, 2019 Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research

Fat Grafting into Younger Recipients Improves Volume Retention in an Animal Model
Background: Soft-tissue deficits associated with various craniofacial anomalies can be addressed by fat grafting, although outcomes remain unpredictable. Furthermore, consensus does not exist for timing of these procedures. Whereas some advocate approaching soft-tissue reconstruction after the underlying skeletal foundation has been corrected, other studies have suggested that earlier grafting may exploit a younger recipient niche that is more conducive to fat graft survival. As there is a dearth of research investigating effects of recipient age on fat graft volume retention, this study compared the effectiveness of fat...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Symmetric Philtral Column Repair for Unilateral Cleft Lip
Conclusions: The symmetric philtral column repair of a unilateral cleft lip is an effective and safe repair. The repair is easy to understand and produces results that minimize the stigmata of a cleft lip deformity. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Symmetric Philtral Column Repair for Unilateral Cleft Lip
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

The Smile Index: Part 2. A Simple, Prognostic Severity Scale for Unilateral Cleft Lip
Background: There is no universally accepted classification system for unilateral cleft lip that objectively quantifies the spectrum of disease, making it difficult to evaluate postoperative outcomes in the context of preoperative severity. Methods: Anthropometric measurements and photographs were prospectively collected from unilateral cleft lip patients in Morocco, Bolivia, Vietnam, and Madagascar. Columellar angle, cleft width, nostril widths, vertical lip heights, and horizontal vermillion lengths were measured preoperatively and postoperatively. “Unacceptable” postoperative outcomes were defined as th...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Beware the Alar Base Optical Illusion in Assessment of Unilateral Cleft Lip Nasal Deformity
Background: After repair of unilateral cleft lip, lateral drift of the alar base is expected and may require revision. Although the alar base appears wider than on the noncleft side, by measurement it could be symmetric or narrow. Is this an optical illusion? Methods: This is a retrospective photographic evaluation of children who underwent repair of unilateral complete cleft lip and palate. On submental standardized photographs, raters judged whether the alar base position was wider, equal to, or narrower than on the noncleft side. The true alar base position was measured by photogrammetry and the frequency of alar b...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Headache in Postoperative Isolated Sagittal Synostosis
This study investigates the relationship between headache and the occurrence of signs associated with intracranial hypertension such as ophthalmic signs, restricted skull growth, and a vertex bulge in children who were operated on for sagittal synostosis. Methods: A total of 94 patients (aged 6 to 18 years) with sagittal synostosis were asked to indicate their headache frequency. Based on their age at referral, the patients had undergone either frontobiparietal remodeling or an extended strip craniotomy. Data on funduscopy, optical coherence tomography, occipitofrontal head circumference, and presence of vertex bulge on...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Headache in Postoperative Isolated Sagittal Synostosis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Autologous Ear Reconstruction for Microtia Does Not Result in Loss of Cutaneous Sensitivity
Background: Cutaneous sensitivity of microtia reconstruction has been sparsely documented. The purpose of this study was to evaluate whether there is a loss of cutaneous sensitivity following two-stage autologous ear reconstruction for unilateral microtia. Methods: A prospective study was performed including unilateral microtia patients who underwent two-stage autologous ear reconstruction performed by a single plastic surgeon between 2011 and 2016. Standardized sensory testing (i.e., temperature discrimination and Semmes-Weinstein monofilaments) was executed at 11 predefined anatomical points of the affected and unaf...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Foundation-Based Cleft Care in Developing Countries
Conclusions: Foundation-based cleft care prevents significant morbidity in developing countries and has provided valuable resources for capacity building. The surgical mission model should be considered as a transitory conduit for establishing the more effective and sustainable cleft care center model of care. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Prophylactic Use of Buccal Fat Flaps to Improve Oral Mucosal Healing following Furlow Palatoplasty
Summary: Furlow palatoplasty is increasingly used both for primary palatoplasty and for secondary correction of velopharyngeal insufficiency. Although Furlow palatoplasty offers the advantage of lengthening the palate, the most tenuous component of the oral mucosal repair is anterior transposition of the oral mucosal Z-plasty flap, with superficial separation of the oral mucosa observed in up to 53 percent of cases of secondary Furlow palatoplasty. To mitigate this problem, the authors prophylactically placed pedicled buccal fat pad flaps to provide an additional vascular layer to promote healing of the overlying oral mu...
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Ideas and Innovations Source Type: research

Predictors of transfusion outcomes in pediatric complex cranial vault reconstruction: a multicentre observational study from the Pediatric Craniofacial Collaborative Group
ConclusionClinical factors associated with increased allogeneic blood product transfusion in pediatric CCVR include: age ≤ 24 months, ASA status ≥ III, preoperative anemia, prolonged surgical duration, lack of intraoperative antifibrinolytic use, lack of intraoperative cell saver use, and the lack of transfusion protocols. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 29, 2019 Category: Anesthesiology Source Type: research

Primary Adenoid Cystic Carcinoma of the Frontal Sinus: Case Description of a Previously Unreported Entity and Literature Review.
We present a previously undescribed case of frontal sinus adenoid cystic carcinoma involving the subcutaneous tissue and the dura mater treated with an open technique, free flap reconstruction, and hadron therapy together with a summary of the state of the art. PMID: 30922111 [PubMed - as supplied by publisher] (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - March 28, 2019 Category: ENT & OMF Authors: Tirelli G, Capriotti V, Sartori G, Tofanelli M, Marcuzzo AV Tags: Ear Nose Throat J Source Type: research

Necrotizing fasciitis of the neck and head complicated with chronic osteomyelitis: Case report presentation
ConclusionsEarly diagnosis, adequate antibiotic therapy and aggressive surgical debridement of the necrotic tissue combined with VAC and hyperbaric oxygen therapy played an important role in the successful treatment of NF. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 27, 2019 Category: Surgery Source Type: research

Retrospective analysis of South Australian pediatric oral and maxillofacial pathology over a 16 ‐year period
ConclusionThe present study provides valuable understanding into the epidemiological features of, and the specialties involved in, oral and maxillofacial histopathology in an Australian pediatric population. (Source: Journal of Investigative and Clinical Dentistry)
Source: Journal of Investigative and Clinical Dentistry - March 27, 2019 Category: Dentistry Authors: Gwendolyn Huang, Lynette Moore, Richard M. Logan, Sumant Gue Tags: ORIGINAL ARTICLE Source Type: research

What are the characteristics of the upper airway in patients with Craniofacial Microsomia?
Obstructive sleep apnea (OSA) is a common problem in patients with craniofacial microsomia (CFM), however the exact pathophysiology in patients with CFM remains unclear. The first aim of this study is to evaluate upper airway volume and morphology in patients with CFM. The second aim is to identify risk factors for the presence of OSA. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - March 25, 2019 Category: ENT & OMF Authors: Yoram P. Klazen, Cornelia J.J.M. Caron, Sontje C. Schaal, Alessandro Borghi, M.P. Van der Schroeff, David J. Dunaway, Bonnie L. Padwa, Maarten J. Koudstaal Source Type: research

Self-experimentation or how Paul Tessier became Homo masticans
Paul Tessier (1917 - 2008) was a world renown and charismatic surgeon, the father of craniofacial surgery encompassing ENT, neurosurgery, orbital, maxillofacial and plastic surgery . Tessier was a pioneer developing new surgical techniques after lengthy studies of malformed skulls and self-criticism during surgery. He spent hours studying Crouzon malformations and other cranial malformations, amassing a vast cranium collection enabling him to devise new reconstructive techniques (the Tessier collection is currently preserved in Amiens, France). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - March 23, 2019 Category: Cosmetic Surgery Authors: Fran çois SIMON, Jean-François TULASNE, Roman Hossein KHONSARI Source Type: research

Computer guided temporomandibular joint reconstruction of Kaban III hemifacial microsomia with anotia: A case report
CONCLUSION, The use of computer guided surgery (simulation and rapid prototyping) for temporomandibular joint reconstruction in Kaban III hemifacial microsomia with anotia facilitates the surgical procedure, minimizes procedure time, increases precision, and reduces possible complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 21, 2019 Category: Surgery Source Type: research

Outcomes of primary powered endoscopic dacryocystorhinostomy in syndromic congenital nasolacrimal duct obstruction.
CONCLUSION: Primary powered endoscopic DCR has good outcomes in patients with a CNLDO associated with craniofacial syndromes. PMID: 30892112 [PubMed - as supplied by publisher] (Source: Orbit)
Source: Orbit - March 20, 2019 Category: Opthalmology Authors: Singh S, Selva D, Nayak A, Psaltis A, Ali MJ Tags: Orbit Source Type: research

Nerve Stimulation for Pain
Nerve stimulation is a reversible technique that is used successfully for the treatment of traumatic neuropathic pain, complex regional pain syndrome, and craniofacial neuropathic pain. Nerve field stimulation targets painful regions rather than a single nerve and has expanded indications, including axial low back pain. Appropriate patient education and motivation are crucial prior to surgery. Ongoing research is necessary to provide high-level evidence for the use of nerve stimulation. Most electrodes are primarily designed for spinal cord stimulation, hence the need to develop nerve electrodes dedicated for nerve stimula...
Source: Neurosurgery Clinics of North America - March 19, 2019 Category: Neurosurgery Authors: Mark Corriveau, Wendell Lake, Amgad Hanna Source Type: research

Computer guided tempromandibular joint reconstruction of Kaban III hemifacial Microsomia with anotia: a case report
CONCLUSION, The use of computer guided surgery (simulation and rapid prototyping) for temporomandibular joint reconstruction in Kaban III hemifacial microsomia with anotia facilitates the surgical procedure, minimizes procedure time, increases precision, and reduces possible complications. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 18, 2019 Category: Surgery Source Type: research

Pierre Robin Sequence, from conception to realization
Publication date: Available online 16 March 2019Source: Journal of Neonatal NursingAuthor(s): Katherine M. JamesonAbstractPierre Robin Sequence (PRS) comprises a combination of craniofacial defects, including micro/retrognathia, glossoptosis, and respiratory obstruction. Cleft palate is often associated with PRS, however it is not required for diagnosis. The diagnostic criteria for PRS is poorly defined with a large variation in phenotypic presentation. Multiple theories exist regarding the etiology and pathogenesis of PRS, including mechanical, neurological maturation, and rhombencephalic dysneurulation. PRS can be classi...
Source: Journal of Neonatal Nursing - March 17, 2019 Category: Perinatology & Neonatology Source Type: research

Influence of vomer flap on craniofacial growth in patients with cleft lip and palate: a systematic review
Publication date: Available online 15 March 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Lurian Minatel, Jessica Marcela de Luna Gomes, Cleidiel Aparecido Araujo Lemos, João Pedro Justino de Oliveira Limirio, Eduardo Piza PellizzerAbstractThe aim of this review was to evaluate the impact of the vomer flap on craniofacial growth in patients with cleft lip and palate. The review was conducted according to the PRISMA checklist and is registered in the International Prospective Register of Systematic Reviews (PROSPERO — CRD42018095714). Two investigators performed the research using the PubMed/MED...
Source: Journal of Cranio Maxillofacial Surgery - March 16, 2019 Category: ENT & OMF Source Type: research

Varied presentation of sinonasal phosphaturic mesenchymal tumour: report of a case series with follow-up
ConclusionDiagnosis of PMT of the paranasal sinuses causing oncogenous osteomalacia requires a high index of suspicion when there are no ENT symptoms. Appropriate biochemical tests and histopathology lead to the correct diagnosis. Total endoscopic surgical excision leads to a good outcome. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 16, 2019 Category: ENT & OMF Source Type: research

Longitudinal Sleep Outcomes in Neonates With Pierre Robin Sequence Treated Conservatively
Conclusions:These neonates with PRS and OSA, treated conservatively, had an improvement in OAHI with advancing age with the median age of OSA resolution at 15 months. Factors potentially responsible include craniofacial growth and maturational changes of respiratory control. Further studies are necessary to determine the long-term effects of conservative management on growth and neurodevelopmental outcomes in these infants.Citation:Ehsan Z, Kurian C, Weaver KN, Pan BS, Huang G, Hossain MM, Simakajornboon N. Longitudinal sleep outcomes in neonates with Pierre Robin sequence treated conservatively.J Clin Sleep Med. 2019;15(3...
Source: Journal of Clinical Sleep Medicine : JCSM - March 15, 2019 Category: Sleep Medicine Source Type: research

Extracraniofacial anomalies in craniofacial microsomia: retrospective analysis of 991 patients
Craniofacial microsomia (CFM) is characterized by unilateral or bilateral underdevelopment of the facial structures arising from the first and second pharyngeal arches, but extracraniofacial anomalies may also be present. This retrospective study provides an overview of the prevalence, types, and characteristics of extracraniofacial anomalies in patients with CFM. All patients diagnosed with CFM seen at four craniofacial centres were included. The patient charts were reviewed and data on patient characteristics and extracraniofacial anomalies were extracted. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - March 13, 2019 Category: ENT & OMF Authors: R.W. Renkema, C.J.J.M. Caron, E. Pauws, E.B. Wolvius, J.A.M. Schipper, W. Rooijers, D.J. Dunaway, C.R. Forrest, B.L. Padwa, M.J. Koudstaal Tags: Clinical Paper Source Type: research

Impact of endoscopic craniofacial resection on simulated nasal airflow and heat transport
ConclusionAverage HF was low in the CFR group compared with the nonoperative group. However, absence of ENS in most CFR patients may be due to large stimulated mucosal surface area, commensurate with the nonoperative cohort. Diffuse distribution of stimulated area may result from turbulent mixing after CFR. To better understand heat transport post ‐CFR, a larger cohort is necessary. (Source: International Forum of Allergy and Rhinology)
Source: International Forum of Allergy and Rhinology - March 12, 2019 Category: Allergy & Immunology Authors: Lauren F. Tracy, Saikat Basu, Parth V. Shah, Dennis O. Frank ‐Ito, Snigdha Das, Adam M. Zanation, Julia S. Kimbell Tags: ORIGINAL ARTICLE Source Type: research

Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis.
CONCLUSION AND CLINICAL IMPLICATIONS: The exclusive application of absorbable suture material enables stable and cost-effective osteosynthesis in craniofacial surgery without altering the osteotomy design. PMID: 30855700 [PubMed - as supplied by publisher] (Source: Neurologia i Neurochirurgia Polska)
Source: Neurologia i Neurochirurgia Polska - March 11, 2019 Category: Neurology Authors: Horn F, Kilipiris E, Pinzon J, Tsolakis I, Kabat M, Petrik M, Kuniakova D Tags: Neurol Neurochir Pol Source Type: research

Odontogenic Cysts and Tumors
Odontogenic cysts and tumors are mandibular and maxillary lesions that occur across all patient demographics across age, sex, race, and social economic status, as altered remnants of dental development. They may be incidental findings from routine imaging in any office or found through workup for craniofacial surgery or injury. Many of these patients present with asymptomatic lesions, whereas others may be symptomatic. In this article, we review the literature on the most common odontogenic tumors and cysts and discuss their presentation, their defining traits, and how to approach diagnosis and definitive management. (Sour...
Source: Annals of Plastic Surgery - March 9, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Breaking Symmetry: A Quantitative Analysis of Facial Skeleton Disharmony in Children Born with Bilateral Cleft Lip and Palate.
This article is protected by copyright. All rights reserved. PMID: 30851147 [PubMed - as supplied by publisher] (Source: Anatomical Record)
Source: Anatomical Record - March 9, 2019 Category: Anatomy Authors: Santana N, Starbuck JM Tags: Anat Rec (Hoboken) Source Type: research

Syndromic Craniosynostosis
Management strategies for syndromic craniosynostosis patients require multidisciplinary subspecialty teams to provide optimal care for complex reconstructive approaches. The most common craniosynostosis syndromes include Apert (FGFR2), Crouzon (FGFR2), Muenke (FGFR3), Pfeiffer (FGFR1 and FGFR2), and Saethre-Chotzen (TWIST). Bicoronal craniosynostosis (turribrachycephaly) is most commonly associated with syndromic craniosynostosis. Disease presentation varies from mild sutural involvement to severe pansynostoses, with a spectrum of extracraniofacial dysmorphic manifestations. Understanding the multifaceted syndromic present...
Source: Clinics in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Rajendra Sawh-Martinez, Derek M. Steinbacher Source Type: research

Pediatric Craniofacial Surgery: State of the Craft
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Edward P. Buchanan Source Type: research

Craniofacial Microsomia
Clinicians use different diagnostic terms for patients with underdevelopment of facial features arising from the embryonic first and second pharyngeal arches, including first and second branchial arch syndrome, otomandibular dysostosis, oculoauriculovertebral syndrome, and hemifacial microsomia. Craniofacial microsomia has become the preferred term. Although no diagnostic criteria for craniofacial microsomia exist, most patients have a degree of underdevelopment of the mandible, maxilla, ear, orbit, facial soft tissue, and/or facial nerve. These anomalies can affect feeding, compromise the airway, alter facial movement, di...
Source: Clinics in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Craig Birgfeld, Carrie Heike Source Type: research

The neurosurgical treatment of craniofacial pain syndromes: current surgical indications and techniques
AbstractCraniofacial pain syndromes are comprised of multiple pathological entities resulting in pain referred to the scalp, face, or deeper cranial structures. In a small subset of patients affected by those syndromes, pharmacological and physical therapies fail in alleviating pain. In some of those refractory patients surgical procedures aimed at relieving pain are indicated and have been adopted with variable results and safety profiles. In this review, the authors describe craniofacial pain syndromes that most commonly fail to respond to pharmacological therapies and may be amenable to tailored surgical procedures. In ...
Source: Neurological Sciences - March 5, 2019 Category: Neurology Source Type: research

Midfacial Bony Remodeling
Craniofacial procedures to the midface in conjunction with work to the upper face and skull, and if needed the lower jaw, are a permanent and effective way to achieve feminization of the face in transgender patients. Although the surgery is more complex than other procedures, it should be considered for select patients. Further improvement of cosmesis may be considered a separate surgical entity and is not limited in scope or time by having undergone midface osteotomies. When carefully planned, bony surgery to the midface is safe and results in long-term predictive results and a favorable appearance as the patient ages. &r...
Source: Facial Plastic Surgery Clinics of North America - March 2, 2019 Category: Cosmetic Surgery Authors: Kalle Conneryd Lundgren, Maarten J. Koudstaal Source Type: research

Supplemental Internal Wire Suspension in Orthognathic Surgery Fixation
Internal wire suspensions were previously used in the management of maxillary trauma and orthognathic surgery, but currently the gold standard is rigid internal fixation with bone plates and screws. The authors report a case of bimaxillary osteotomy in a skeletal class III patient where a supplemental circum-zygomatic-mandibular suspension was done to stabilize the maxilla because of the instability after rigid internal fixation due to poor bone thickness. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - March 1, 2019 Category: Surgery Tags: Brief Clinical Studies Source Type: research