Results and limits of posterior cranial vault expansion by osteotomy and internal distractors.
Conclusion: Posterior cranial vault distraction is an efficacious technique to enlarge the posterior skull vault and treat increased ICP. Moreover, it appears to be efficacious in treating TH-related symptoms. PMID: 30505619 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Qualitative study to identify issues affecting quality of life in adults with craniofacial anomalies
Publication date: Available online 7 December 2018Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): S.M. Visram, D. Gill, J.T. Shute, S.J. CunninghamAbstractOur objective was to identify key issues that affect the quality of life (QoL) of adult patients with craniofacial anomalies. This was a qualitative prospective study using in-depth, semi-structured interviews. Ten patients who fulfilled the inclusion criteria were recruited during their attendance at the Adult Craniofacial Clinic at the Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust. Interviews ceased when no new th...
Source: British Journal of Oral and Maxillofacial Surgery - December 7, 2018 Category: ENT & OMF Source Type: research

Bilateral suprazygomatic maxillary nerve blocks vs. infraorbital and palatine nerve blocks in cleft lip and palate repair: A double-blind, randomised study
CONCLUSION Bilateral suprazygomatic maxillary nerve block is an effective and safe alternative to the traditional peripheral nerve blocks for cleft lip and cleft palate surgery, in a mixed paediatric and adult population. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 7, 2018 Category: Anesthesiology Tags: Loco-regional anaesthesia Source Type: research

Assessment of Hedgehog Signaling Pathway for Bone Regeneration in a Rat Mandibular Defect
This animal model study investigates whether a biosynthetic bone graft cross-linked with smoothened agonist activates the hedgehog signaling pathway in the reconstruction of craniofacial bony defects in female rats and if this is associated with bone regeneration. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - December 6, 2018 Category: Cosmetic Surgery Source Type: research

Qualitative study to identify issues affecting quality of life in adults with craniofacial anomalies
Our objective was to identify key issues that affect the quality of life (QoL) of adult patients with craniofacial anomalies. This was a qualitative prospective study using in-depth, semi-structured interviews. Ten patients who fulfilled the inclusion criteria were recruited during their attendance at the Adult Craniofacial Clinic at the Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust. Interviews ceased when no new themes arose. A framework method of analysis was used to identify themes that related to QoL. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 6, 2018 Category: ENT & OMF Authors: S.M. Visram, D. Gill, J.T. Shute, S.J. Cunningham Source Type: research

Coincidence of craniocerebral and craniofacial injuries
ConclusionThe recommendation to perform head CT in each patient with craniofacial trauma who experienced the disorders of consciousness is as simple as possible, yet provides high diagnostic sensitivity, facilitating proper management at initial stages post-injury. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - December 4, 2018 Category: ENT & OMF Source Type: research

Early Weight Gain in Infants With Cleft Lip and Palate Treated With and Without Nasoalveolar Molding: A Retrospective Study.
Abstract OBJECTIVE:: To assess weight gain of infants with cleft lip and/or palate (CL ± P) treated with nasoalveolar molding (NAM). DESIGN:: Retrospective, case-control chart review. SETTING:: Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon. PATIENTS, PARTICIPANTS:: Infants with nonsyndromic CL ± P and noncleft controls. INTERVENTIONS:: Prior to primary lip surgery, NAM was either included (+NAM) or not included (-NAM) in the cleft treatment protocol. MAIN OUTCOME MEASURE(S):: Weight gain and percentage weight gain relative to initia...
Source: The Cleft Palate-Craniofacial Journal - December 4, 2018 Category: ENT & OMF Authors: Woods SM, Garfinkle JS, Covell DA, Wang M, Busch LS, Doyle LM Tags: Cleft Palate Craniofac J Source Type: research

Coincidence of craniocerebral and craniofacial injuries
To determine the incidence of craniocerebral injuries in patients who experienced upper facial or midfacial traumas associated with the disorders of consciousness. To find which types of craniofacial traumas predisposed to craniocerebral injuries. To analyze a relationship between the site of the force application and the type of resultant craniocerebral injury. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - December 3, 2018 Category: ENT & OMF Authors: Bart łomiej Błaszczyk, Maciej Studziński, Piotr Ładziński Source Type: research

Implication of embolization in residual disease in lateral extension of juvenile nasopharyngeal angiofibroma
Publication date: Available online 2 December 2018Source: Journal of Oral Biology and Craniofacial ResearchAuthor(s): Anupam Mishra, Veerendra VermaAbstractA few studies have reported incomplete resection of juvenile nasopharyngeal angiofibroma (JNA) following embolization. The likely effects of embolization, viz. shrinkage/reduced tensile strength may have increased the fragility of tumour, leaving remnants postoperatively particularly across hour-glass constriction of sphenopalatine foramina. This paper describes the likelihood of residual disease being left following embolization and hence the importance of extended sur...
Source: Journal of Oral Biology and Craniofacial Research - December 2, 2018 Category: Dentistry Source Type: research

The South Asian Facial Anthropometric Profile: A Systematic Review
ConclusionThere is a paucity of facial anthropometric data for South Asian populations. As South Asia has a significant prevalence of craniofacial anomalies and a burgeoning cosmetic facial surgery market, it is in the interest of both the craniofacial surgeon and the South Asian patient to collect baseline facial anthropometric data for this population. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - December 1, 2018 Category: ENT & OMF Source Type: research

The South Asian Facial Anthropometric Profile: A Systematic Review
Craniofacial anatomy, as measured by facial anthropometric data, varies significantly between races. South Asia, comprised of eight countries, represents a large proportion of the global population and is the fastest-growing region of the world. This systematic review presents the facial anthropometric data collected for populations from this region. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - November 30, 2018 Category: ENT & OMF Authors: Maria Raveendran Tags: Review Source Type: research

Prevalence and Predictors of C. difficile infections in hospitalized patients with major surgical procedures in the USA: Analysis Using Traditional and Machine Learning Methods
The study was funded by the Brodie Craniofacial Endowment. (Source: American Journal of Surgery)
Source: American Journal of Surgery - November 30, 2018 Category: Surgery Authors: Veerajalandhar Allareddy, Tong Wang, Sankeerth Rampa, Jennifer Caplin, Romesh Nalliah, Aditya Badheka, Veerasathpurush Allareddy Tags: Letter to the Editor Source Type: research

A History of Orthognathic Surgery in North America
This review highlights the contributions of American oral and maxillofacial surgeons to the field of orthognathic surgery. The present state of the art and science of orthognathic surgery is the harvest of yesterday's innovation and research. An improved understanding of the biological and surgical principles and the routine involvement of orthodontics have fueled widespread adoption of a coordinated approach to the  treatment of dentofacial problems. Technologic advances in rigid internal fixation, virtual surgical planning with computer-aided manufacturing of occlusal splints and cutting guides, custom implants, and...
Source: Journal of Oral and Maxillofacial Surgery - November 29, 2018 Category: ENT & OMF Authors: R. Bryan Bell Tags: 75th anniversary contribution Source Type: research

Discussion: Distraction Osteogenesis for Unicoronal Craniosynostosis Rotational Flap Technique and Case Series
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Ideas and Innovations Source Type: research

Clockwise and Counterclockwise Le Fort I Movements Influence Nasolabial Morphology Differently
This study analyzes and compares nasolabial soft-tissue changes after Le Fort I clockwise and counterclockwise repositioning. Methods: Single-piece Le Fort I advancements were included. A retrospective study of patients split into clockwise and counterclockwise groups was performed. Preoperative and postoperative three-dimensional photographs (VECTRA 3D) were analyzed. Nasolabial anthropometric measurements were recorded using Mirror software. Statistical analysis involved paired t test to compare preoperative and postoperative measurements. Results: Twenty-four patients were evaluated (12 per group), with 22 distinc...
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Distraction Osteogenesis for Unicoronal Craniosynostosis: Rotational Flap Technique and Case Series
Conclusions: Distraction osteogenesis can be a safe and effective method of achieving satisfactory aesthetic outcomes and volume expansion for patients with unicoronal craniosynostosis. The technique presented is proposed to maximize bone flap viability and limit relapse of deformity. Further long-term follow-up is needed for definitive comparison with traditional anterior cranial vault reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Ideas and Innovations Source Type: research

Microtia in a Chinese Specialty Clinic Population: Clinical Heterogeneity and Associated Congenital Anomalies
Conclusions: These data represent the first detailed and thematic study of microtia and associated congenital anomalies in a Chinese clinical population. Substantial clinical heterogeneity was observed, and the prevalence of comorbid congenital malformations was high. Future studies investigating congenital anomalies associated with microtia are needed to improve understanding of its cause. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Microtia Reconstruction in Hemifacial Microsomia Patients: Three Framework Coverage Techniques
Background: Microtia with hemifacial microsomia is difficult to treat because of skin volume deficiency. To provide further information for coverage techniques in microtia reconstruction, the authors have reviewed and analyzed patients who underwent surgery at their center. Methods: A total 52 patients with microtia with hemifacial microsomia who underwent reconstruction between 2006 and 2016 were involved. Patients were reviewed retrospectively by examining medical records and photographic data. Results: All reconstructed cases were followed for 6 months to 10 years (median, 33 months). The average (median) surgeo...
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Caregiver-Reported Outcomes and Barriers to Care among Patients with Cleft Lip and Palate
Conclusions: Barriers to care were associated with poorer appearance-related outcomes and increased interest in revision among caregivers of cleft patients. Enhancing access to care is critical in order to effectively meet goals of care for these families. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Anatomical Nasal Lining Flaps for Closure of the Nasal Floor in Unilateral and Bilateral Cleft Lip Repairs Reduce Fistulas at the Alveolus
Conclusions: Nasal lining flaps at the time of cleft lip repair effectively close the anterior nasal floor in patients with a unilateral or bilateral cleft lip and palate. Decreasing the presence of alveolar fistulas after cleft palate repair improves the quality of life for patients with cleft deformities. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Effects of Extracorporeal Shock Wave Therapy on Distraction Osteogenesis in Rat Mandible
Conclusion: Extracorporeal shock wave therapy application at the consolidation period during distraction osteogenesis in the rat mandible enhances bone formation and osteogenic and angiogenic growth factors, improves bone mechanical properties, and accelerates bone mineralization. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - November 29, 2018 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Major Complications and 30-Day Morbidity for Single Jaw Versus Bimaxillary Orthognathic Surgery as Reported by NSQIP.
Abstract OBJECTIVE:: Acute complications in orthognathic surgery are reported in single-institution studies with small sample sizes. We aimed to analyze risk factors for acute complications using a national data set to better inform surgical decision-making. METHODS:: 2005-2015 National Surgical Quality Improvement Program (NSQIP) data sets were analyzed for patients undergoing Le Fort 1 and/or bilateral sagittal split osteotomies (BSSO) for nontraumatic indications. Demographics, comorbidities, medical, and surgical 30-day complications were tabulated. A logistic regression model was used to determine predic...
Source: The Cleft Palate-Craniofacial Journal - November 29, 2018 Category: ENT & OMF Authors: Bacos J, Turin SY, Vaca EE, Gosain AK Tags: Cleft Palate Craniofac J Source Type: research

The Effect of Written Information on Recall of Surgical Risks of Primary Cleft Palate Repair: A Randomized Controlled Study.
CONCLUSION:: Parents of children undergoing primary cleft palate surgery recall less than 50% of counseled risks. The use of a written aid in the form of a pamphlet did not significantly improve recall in this sample. These results demonstrate that surgeons should implement additional measures to improve comprehension of surgical risks. PMID: 30486659 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - November 28, 2018 Category: ENT & OMF Authors: Al-Taha MT, Butler MB, Hong P, Bezuhly M Tags: Cleft Palate Craniofac J Source Type: research

Low-grade intraductal carcinoma of salivary glands: A systematic review of this rare entity
ConclusionLow-grade intraductal carcinoma has already been well defined but is important to focus on the fact that in few cases component of high-grade infiltrations have been reported: this may modify surgical approach because a simple tumorectomy may not be enough. (Source: Journal of Oral Biology and Craniofacial Research)
Source: Journal of Oral Biology and Craniofacial Research - November 26, 2018 Category: Dentistry Source Type: research

Proboscis lateralis: A case report of a rare giant craniofacial teratoma in an infant.
Authors: Al-Shaqsi S, Al-Bulushi T, Al-Hinai Q Abstract Teratomas can occur in almost any region of the body and are the most common extragonadal germ cell childhood tumors. However, craniofacial teratomas are rare. Craniofacial teratomas can present unique features and cause significant functional and aesthetic concerns. There are complex lesions that can have components intra-cranially and extra-cranially. Therefore, their management requires significant multi-stage multidisciplinary surgical procedures. Herein, we present a case of craniofacial teratoma in a child with the phenotype of proboscis lateralis that h...
Source: Archives of Plastic Surgery - November 24, 2018 Category: Cosmetic Surgery Tags: Arch Plast Surg Source Type: research

Defining the Aesthetic Range of Normal Symmetry for Lip and Nose Features in 5-Year-Old Children Using the Computer-Based Program SymNose.
Abstract OBJECTIVE:: To provide a normal comparison group against which to judge symmetry results after cleft surgery and to introduce the thin lip correction (TLC) feature in SymNose. A lip-aspect ratio algorithm has been added to the latest version of SymNose to compensate for the higher degree of overlap in thicker lips when compared to thin lips. DESIGN:: Retrospective analysis of symmetry in healthy participants, using the computer-based program SymNose on both anteroposterior (AP) and base view images. Photographs of 91 noncleft children were traced twice by 3 independent investigators experienced with ...
Source: The Cleft Palate-Craniofacial Journal - November 21, 2018 Category: ENT & OMF Authors: Kornmann NSS, Tan RA, Mulder FJ, Hardwicke JT, Richard BM, Pigott BB, Pigott RW Tags: Cleft Palate Craniofac J Source Type: research

Current Approaches in the Development of Molecular and Pharmacological Therapies in Craniosynostosis Utilizing Animal Models
The development of the craniofacial skeleton is a spatial and temporal process where cranial sutures play a role in the regulation of morphogenesis and growth. Disruption of these cellular and molecular interactions may lead to craniosynostosis, the premature obliteration of one or more cranial sutures, yielding skull growth restriction and malformation perpendicular to the affected suture. Facial deformity and various functional CNS anomalies are other frequent complications. Cranial vault expansion and reconstructive surgery remain the mainstay of treatment but pose an elevated risk of morbidity for the infant. While the...
Source: Molecular Syndromology - November 16, 2018 Category: Molecular Biology Source Type: research

Forthcoming Issues
Pediatric Craniofacial Plastic Surgery: State of the Craft (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 15, 2018 Category: Cosmetic Surgery Source Type: research

Reliable manifestations of increased intracranial pressure in patients with syndromic craniosynostosis
ConclusionClose monitoring to detect increased ICP is important during follow-up of patients with syndromic craniosynostosis. Among non-invasive methods for indirectly assessing ICP post-operatively, a beaten copper appearance on skull x-ray may be a reliable indicator of increased ICP. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - November 14, 2018 Category: ENT & OMF Source Type: research

Sustainable Cleft Care Through Education: The First Simulation-Based Comprehensive Workshop in the Middle East and North Africa Region.
CONCLUSION:: Multidisciplinary simulation-based cleft care workshops are well received by cleft practitioners in developing countries, serve as a platform for intellectual exchange, and are only possible through strong collaborations. Advocates of international cleft surgery education should translate these successes from the regional to the global arena in order to contribute to sustainable cleft care through education. PMID: 30426759 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - November 14, 2018 Category: ENT & OMF Authors: Kantar RS, Ramly EP, Almas F, Patel KG, Rogers-Vizena CR, Roche NA, Zgheib E, Munoz-Pareja JC, Nader MK, Kummer AW, Flores RL, Van Aalst JA, Hamdan US Tags: Cleft Palate Craniofac J Source Type: research

Reliable manifestations of increased intracranial pressure in patients with syndromic craniosynostosis
In this study, we investigated the clinical manifestations of increased ICP in syndromic craniosynostosis patients before and after surgery. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - November 12, 2018 Category: ENT & OMF Authors: So Young Kim, Jung Won Choi, Hyung-Jin Shin, So Young Lim Source Type: research

Simultaneous Bilateral Microtia Reconstruction Using Single-Expanded Postauricular Flap Without Skin Grafting
Conclusions Simultaneous bilateral auricular reconstruction using single expanded flaps combined with a modified 3-layer cartilage framework is an effective technique for patients with bilateral microtia. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - November 10, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Tissue Engineering and 3-Dimensional Modeling for Facial Reconstruction
This article highlights the applications and current state of 3D printing and tissue engineering in craniofacial reconstruction. (Source: Facial Plastic Surgery Clinics of North America)
Source: Facial Plastic Surgery Clinics of North America - November 10, 2018 Category: Cosmetic Surgery Authors: Kyle K. VanKoevering, David A. Zopf, Scott J. Hollister Source Type: research

Comparison of the regenerative effect of adipose ‐derived stem cells, fibrin glue scaffold, and autologous bone graft in experimental mandibular defect in rabbit
ConclusionsThe healing process had a significant increase in the thickness of new cortical bone when fibrin glue scaffold associated with ADSCs was used. (Source: Dental Traumatology)
Source: Dental Traumatology - November 9, 2018 Category: Dentistry Authors: Davood Mehrabani, Azizollah Khodakaram ‐Tafti, Hanieh Shaterzadeh‐Yazdi, Barbad Zamiri, Mahsa Omidi Tags: ORIGINAL ARTICLE Source Type: research

Craniofacial resection of malignant tumors of the anterior skull base: a case series and a systematic review
ConclusionCFR in true en bloc fashion can still be considered as the treatment of choice in cases of advanced-stage sinonasal malignancies invading the ASB. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - November 7, 2018 Category: Neurosurgery Source Type: research

Mechanical impairment on alveolar bone graft: a literature review
Cleft lip and palate represents the most common form of craniofacial malformation (1 in 700 newborns in Europe). Cleft lip and palate is usually closed within the first 2 years after birth. The alveolar cleft is left open so as not to impair on maxillary growth in the way that primary osteoplasty did (Robertson and Jolleys, 1968; Rehrmann et al., 1970). Secondary alveolar bone grafting has become well established since the original work of Boyne and Sands (1972). Cancellous iliac bone is most widely favored, but tibial shaft, mandible, rib, and calvaria have also been used. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - November 7, 2018 Category: ENT & OMF Authors: Caroline Dissaux, Delphine Wagner, Daniel George, Camille Spingarn, Yves R émond Tags: Review Source Type: research

Bilambdoid and sagittal synostosis: Report of 39 cases.
Conclusion: Bilambdoid and sagittal synostosis constitute an isolated entity in almost 80% of the cases, whereas in the remaining 20% it is part of a faciocraniosynostosis syndrome. Two phenotypes may be found. Early surgical management is indicated, and several techniques can be used in this heterogeneous population. A cerebellar tonsillar prolapse is present in a majority of cases. PMID: 30386676 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Deviating dental arch morphology in mild coronal craniosynostosis syndromes
AbstractObjectivesTo determine whether the intramaxillary relationship of patients with Muenke syndrome and Saethre-Chotzen syndrome orTCF12-related craniosynostosis are systematically different than those of a control group.Material and methodsForty-eight patients (34 patients with Muenke syndrome, 8 patients with Saethre-Chotzen syndrome, and 6 patients withTCF12-related craniosynostosis) born between 1982 and 2010 (age range 4.84 to 16.83  years) that were treated at the Department of Oral Maxillofacial Surgery, Special Dental Care and Orthodontics, Children’s Hospital Erasmus University Medical Center, Sophi...
Source: Clinical Oral Investigations - November 3, 2018 Category: Dentistry Source Type: research

Normal angulation of skull base in Apert syndrome
In this study, we aimed to explore the evolution of cranial basal dysmorphology and the chronology of these deformities in Apert syndrome, by objectively analyzing three-dimensional measurements. Fifty-four CT scans from unoperated patients (Apert, n = 18; control, n = 36) were included in this study, with age range from 3 days to 24 years. Before 6 months of age, Apert's anterior cranial base was widened 60%. Between 6 months and 2 years of age, the whole cranial base length, anterior cranial base length and posterior cranial base length decreased 8%, 8% and 14%, respectively. The greater sphenoid wing...
Source: Journal of Cranio Maxillofacial Surgery - November 2, 2018 Category: ENT & OMF Source Type: research

One-step laryngotracheal reconstruction with prefabricated cortico-periosteal flap
In this report, the authors present a laryngotracheal reconstruction with a buccal mucosa-prefabricated medial femoral condyle free flap, after chondroma excision in a one-step procedure. Functional results are promising and were confirmed by endoscopy and CT 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 - November 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Vagus Nerve Schwannoma Mimicking a Lateral Neck Cyst
Schwannomas are benign tumors originating from Schwann cells of the myelin sheath. The cystic appearance of a cervical vagal schwannoma is an extremely rare finding, with few patients reported in the literature. A 60-year-old female patient was seen at our service for a slow-growing, 9 × 6 cm left-sided cystic neck mass. Preoperative clinical and computed tomography evaluation suggested a diagnosis of a lateral neck cyst. The surgical exploration through the lateral cervicotomy revealed a large cystic mass and clearly identified that the tumor was originating from the left vagal nerve. The histopathologic analy...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Huge Extra Cranial Arteriovenous Malformation Presenting as Fluctuant Mass in Scalp
This study discusses and illustrates an unusual case of AVM in scalp with its radiologic appearance and clinical features. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Periangular Approach to the Posterior Mandible: A Novel Approach and Technique
There exist 2 classic extraoral approaches to the posterior aspect of the mandible, namely the submandibular or Risdon approach, and the retromandibular approach. Despite their widespread use, there still exist concerns of damage to surrounding structures, in particular cranial nerve VII, as well as vascular structures and salivary glands. Evidence of facial nerve palsy has been shown to be as high as 48% in the patient with the Risdon approach, and as high as 30% in the retromandibular approach. The authors wish to propose a more conservative, technically easier, and less time-consuming approach to the posterior mandible,...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Three-Year Follow-Up of a Patient With Unilateral Cleft Lip and Palate Treated With Maxillary Protraction and Alveolar Bone Grafting: An Approach Exploring the Potential Power of Growth
Clinically, patients with operated unilateral cleft lip and palate always present with a concave profile, depressed midface, maxillary hypoplasia, narrow upper dental arch, and class III malocclusion. In this clinical report, the authors describe the successful orthodontic treatment of a patient with unilateral cleft lip and palate. A boy, 7 years 11 months of age, with a history of unilateral cleft lip and cleft palate presented with a Class I malocclusion on Skeletal Class III base. A satisfactory occlusion and a favorable lateral profile were achieved after maxillary protraction (face mask) combined with fixed appliance...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Clinical Outcomes Between Atrophic and Nonatrophic Mandibular Fracture in Elderly Patients
The number of elderly patients with mandibular fracture is rapidly increasing. To improve outcome, it is important to understand the age-related characteristics of mandibular fracture. Thus, the aim of this study is to analyze the impact of atrophic change on mandibular fracture in elderly patients. The retrospective study was conducted in patients aged ≥65 years old, who underwent surgery for the treatment of mandibular fracture in our hospital from March 2006 until March 2015. Patient characteristics, such as age and gender, causes of injury, anatomic location of fracture, height of mandibular body, extent of atrophy,...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

An Unusual Case of Schwannoma in the Infraorbital Region
Schwannoma is usually an uncommon benign encapsulated slow-growing neural tumor that originates from Schwann cells of peripheral, cranial, and autonomic nerves. It constitutes 1% to 8% of all head and neck neoplasms. Extracranial schwannoma are very rarely seen originating from the infraorbital nerve. Most of the schwannomas are usually solitary and not associated with NF1. The typical presentation is a slow-growing soft-tissue mass. Treatment of schwannoma is surgical resection. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Isolated Congenital Cleft of the Nose
The intrauterine growth of the face is formed by appropriate fusion of frontonasal, maxillary, and mandibular protrusions. These anomalies are very rare and there may be differences between individuals according to cleft types. In this article, a very rare condition of isolated alar cleft and its treatment method were presented. A 14-year-old female patient applied to our clinic with complaint of congenital nasal deformity. On physical examination, a full thickness defect was observed on distal 1/3 of right alar wing, and the right alar cartilage was found as malpositioned of 2 cm more cranially than it should have suppose...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Success Rate and Complications of Cerebrospinal Fluid Rhinorrhea Treated With a Transcranial Approach
The aim of this study was to evaluate the clinical outcomes of cerebrospinal fluid (CSF) rhinorrhea in patients treated with transcranial surgery. Here, we retrospectively reviewed 23 patients with CSF rhinorrhea between 2008 and 2015 at our university hospital. Nine (39.1%) patients were treated conservatively, whereas 12 (52.2%) patients were treated with a transcranial approach. Our results showed that 7 (30.4%), 11 (47.8%), and 5 (21.7%) patients had spontaneous, traumatic, and iatrogenic CSF leakage, respectively. In our study, the cribriform plate was the most common site of leakage, and it was found to be involved i...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Unilateral Cleft Lip Repair: Assessment of Outcome of Olokun-Olaitan Vermillion Flap Approach
This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft lip repair techniques exist, all of which involve incisions on skin and excision of tissue. Unilateral cleft lip is the result of failure of migration of orofacial tissues in-utero. Cleft lip repair should ideally involve an approach that simulates nature by avoiding skin incision and tissue excision, as these are not known to occur in the normal natural sequence of events. Without incising skin or excising any tissue, vermillion flaps were raised exposing the muscular layer and edges of skin and mucosa. Similar tissue types were advanc...
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Place of Sterotactic Radiotherapy in Treatment of Extramedullary Plasmocytoma
In conclusion, extramedullary plasmacytoma (EMPs) initially develop as localized disease. These tumors are quite sensitive to radiotherapy (RT) and the response is often complete recovery after RT. In addition, highly sensitive, conformal radiosurgery can be preferred to conventional RT; however, further studies are needed to define indications and therapeutic fractions in stereotactic RT of plasmacytoma since guidelines and clinical trials are lacking. Although general principles are valid, radiosurgery may be planned based on anatomical localization of EMP. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2018 Category: Surgery Tags: Brief Clinical Studies Source Type: research