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EACMFS Awards
The Council of EACMFS wishes to ensure that all members of the Association are aware of the current awards and prizes that are available. These are designed to provide educational support and  also allow the opportunity for trainees and those who have recently achieved specialist status to visit units outside their own departments. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 21, 2018 Category: ENT & OMF Source Type: research

Announcements
Dear Colleagues, (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 21, 2018 Category: ENT & OMF Source Type: research

Is a Deep Subfascial Approach better than the Subfascial Apporach to Temporo-mandibular joint in terms of facial nerve injury and quality of life?
The objective of the study was to compare the deep subfascial approach to subfascial approach in terms of facial nerve injury and quality of life. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 19, 2018 Category: ENT & OMF Authors: Sanjay Rastogi, Ashish Sharma, Nandini Kumari, Rupshikha Choudhury, Siddhi Tripathi, Ankit Kumar, Pranshu Chauhan, Kaustuv Kumar Das Source Type: research

Onlay grafting with bovine bone mineral block for horizontal reconstruction of severely atrophic alveolar ridges in anterior maxillae: A 6-year prospective study
The aim of this prospective study was to evaluate the efficacy and long-term outcomes of onlay grafting with bovine bone mineral block for reconstruction of horizontal alveolar ridge defects in anterior maxillae. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 18, 2018 Category: ENT & OMF Authors: Lixin Qiu, Huajie Yu Source Type: research

Hydroxyapatite Calvaria Graft Repair In Experimental Diabetes Mellitus In Rats
This study investigated bone formation in critical defects surgically filled with hydroxyapatite (HA) in diabetic rats. A descriptive, randomized sample and blinded analysis were conducted to test bone regeneration in critical bone defects surgically performed in rat calvaria. Twenty adult male Wistar rats were randomly divided into two groups: control, normoglycemic animals (CG); and test, streptozotocin-induced hyperglycemic animals (TG). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 18, 2018 Category: ENT & OMF Authors: Davi da Silva Barbirato, Mariana Fampa Fogacci, Heloisa Gusman, Christina Maeda Takiya, Denise Pires de Carvalho, Carmelo Samsone Source Type: research

Laterocaudal approach to the inferior rim of the orbit
We present an investigation of a modified subciliary approach (laterocaudal approach) with respect to its feasibility and clinical outcome. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 17, 2018 Category: ENT & OMF Authors: Andrea Grandoch, Matthias Kreppel, Ali-Farid Safi, Matthias Zirk, Joachim E. Z öller Source Type: research

Does Encountering the Facial Nerve During Surgical Management of Mandibular Condylar Process Fractures Increase the Risk of Facial Nerve Weakness? A systematic review and meta-regression analysis
The purpose of this study was to identify whether the incidence of systematically identified or incidentally encountered facial nerve branches during dissection to approach condylar fractures increases risk of transient and/or permanent facial nerve weakness. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 16, 2018 Category: ENT & OMF Authors: Essam Ahmed Al-Moraissi, Edward Ellis, Andreas Neff Tags: Review Source Type: research

Early intensive rehabilitation after oral cancer treatment
The treatment of oral cancer requires an effective rehabilitation strategy such as an early intensive rehabilitation (EIR) program. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 12, 2018 Category: ENT & OMF Authors: Maximilian Bschorer, Daniel Schneider, Matthias Hennig, Bernd Frank, Gerhard Sch ön, Max Heiland, Reinhard Bschorer Source Type: research

Sentinel lymph node biopsy in malignant melanoma of the head and neck
The aim of this retrospective study was to investigate sentinel lymph node biopsy in patients with head and neck melanoma. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 12, 2018 Category: ENT & OMF Authors: Roman Kia Rahimi-Nedjat, Bilal Al-Nawas, Andrea Tuettenberg, Keyvan Sagheb, Stephan Grabbe, Christian Walter Source Type: research

Bilateral Interdigitated Pacman Flap for Round and Oval Facial Defects
Skin texture and color are important considerations during the reconstruction of facial defects, and anatomical borders should be preserved. Therefore, a local flap is a better option. In these cases, the authors repaired facial defects using a bilateral interdigitated V-Y flap. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 12, 2018 Category: ENT & OMF Authors: Sang- Ha Oh, Hyeokjae Kwon, Sun Je Kim, Hyunwoo Kyung, Young Joon Seo, Dae Hyun Lew, Seung Han Song Source Type: research

Ten Years of Observations and Demographics of Hemimandibular Hyperplasia and Elongation
This study is the first attempt at evaluating and describing some of the authors ’ key experiences, clinical philosophical approach, and gathered demographic data on hemimandibular hyperplasia and hemimandibular elongation (HE) among the Polish population. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: Kamil H. Nelke, Wojciech Pawlak, Monika Morawska-Kochman, Klaudiusz Łuczak Source Type: research

Gender differences in morphological and functional outcomes after mandibular setback surgery
The aim of this study was to examine and compare morphological and functional outcomes after either isolated mandibular setback or bimaxillary surgery in males and females. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: Khaled Dahy, Katsu Takahashi, Kazuyuki Saito, Honoka Kiso, Ibrahim Rezk, Toru Oga, Ryuji Uozumi, Kazuo Chin, Kazuhisa Bessho Source Type: research

A series of 240 odontogenic keratocysts: Should we continue to use the terminology of ‘keratocystic odontogenic tumor’ for the solid variant of odontogenic keratocyst?
Most of the odontogenic keratocysts show an indolent behaviour like non-neoplastic lesions. For this reason, the odontogenic keratocyst was reclassified within the odontogenic cysts category in the WHO 2017 classification. Some odontogenic keratocysts may contain satellite cysts or solid squamoid islands within their wall. Recently, a solid form of odontogenic keratocyst has also been described which is composed entirely of multiple epithelial islands and small cysts in a collagenous stroma. The true nature of this variant is unclear yet. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: Devrim Kahraman, Omer Gunhan, Bulent Celasun Source Type: research

Does lag screw fixation of condylar fractures result in adequate stability? A finite element analysis
The great incidence and controversies related to the diagnosis, treatment, surgical accesses, and type of osteosynthesis materials confer an outstanding role to condylar fractures among facial fractures. Plate configurations, with diverse formats and sizes, may be used to surgically resolve condylar fractures. With the purpose of improving the advantages and minimizing the disadvantages of fixation techniques, the neck screw was developed aiming at the needed stabilization to render a correct fixation through a system of dynamic compression. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: Ricardo Augusto Conci, Eleonor Álvaro Garbin, Geraldo Luiz Griza, Natasha Magro Érnica, Pedro Yoshito Noritomi, Flavio Henrique Silveira Tomazi, Guilherme Genehr Fritscher, Claiton Heitz Source Type: research

Cranial growth in infants ─a longitudinal three-dimensional analysis of the first months of life
In the first months of life, any deviation from a physiological growth pattern can cause skull deformity. As there has not been any longitudinal three-dimensional (3D) study investigating the physiological growth of the infant skull, the aim of the present study was to acquire such data. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: Philipp Meyer-Marcotty, Felix Kunz, Tilmann Schweitzer, Barbara Wachter, Hartmut B öhm, Nina Waßmuth, Christian Linz Source Type: research

“Virtual histology uncertainty in Synchrotron x-ray micro-Computed Tomography evaluation”
A three-dimensional (3D) X-ray tomogram evaluation gives a full view of the bone distribution around an entire implant in contrast to the often-used two-dimensional (2D) histological methods. High-resolution X-ray absorption tomography was used to evaluate the 3D bone growth around dental implants in an experimental goat mandible reconstruction model. The tomograms allowed for the construction of virtual histological cross-sections that could be used to evaluate the statistical uncertainty of the histological methods, which was the purpose of this paper. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 11, 2018 Category: ENT & OMF Authors: T. Lauridsen, R. Feidenhans ’l, E.M. Pinholt Source Type: research

Does volumetric measurement of cervical lymph nodes serve as an imaging biomarker for locoregional recurrence of oral squamous cell carcinoma?
Oral squamous cell carcinoma (OSCC) is the sixth most common malignancy worldwide (Jemal et al. 2009). It occurs at an annual incidence of approximately 263,000, with a mortality rate of approximately 128,000 per year, and is accompanied by a 5-year survival rate of less than 50% (Jemal et al. 2009) (Vormittag et al. 2009). Despite significant diagnostic and therapeutic advances, the prognosis of patients with OSCC has not improved in the past three decades (Jemal et al. 2009). A major prognostic factor is locoregional relapse, as its diagnosis worsens survival to less than 30% (Gonz ález-García et al. (Sourc...
Source: Journal of Cranio-Maxillofacial Surgery - April 9, 2018 Category: ENT & OMF Authors: Ali-Farid Safi, Martin Kauke, Hendrik Jung, Marco Timmer, Jan Borggrefe, Thorsten Persigehl, Hans-Joachim Nickenig, Max Zinser, David Maintz, Matthias Kreppel, Joachim Z öller Source Type: research

DOES fixation METHOD EFFECTS temporomandibular joints after mandibular advancement?
Sagittal split ramus osteotomy (SSRO) is a standard procedure in which miniplates and screws are used to achieve stabilization. Although the titanium plate and screw fixation system is stable, resorbable fixation systems are also used. There is currently no consensus on the ideal fixation technique for SSRO procedures and its effect on the condyle. We aimed to evaluate the stress distribution on temporomandibular joints (TMJ). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 7, 2018 Category: ENT & OMF Authors: Erdogan Utku Ureturk, Aysegul Apaydin Source Type: research

All-In-One Surgical Guide: A New Method For Cranial Vault Resection And Reconstruction
In this study, three-dimensional (3D)-printed cutting guides are used to match computer models with surgical procedures. We describe a novel method of computer-aided surgery for autologous cranioplasty that includes a new strategy for generating and using cutting guides. These guides may be used not only for osteotomies, but also for many other steps in the surgical procedure. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 6, 2018 Category: ENT & OMF Authors: Alessandro Tel, Fabio Costa, Salvatore Sembronio, Andrea Lazzarotto, Massimo Robiony Source Type: research

Evaluation of nerve growth factor −treated mesenchymal stem cells for recovery in neurotmesis model of peripheral nerve injury
Peripheral nerve damages are a relatively common type of the nervous system injuries. Although peripheral nerves show some capacity of regeneration after injury, the extent of regeneration is not remarkable. The present study aimed to evaluate the effect of NGF treated mesenchymal stem cells on regeneration of transected sciatic nerve. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 5, 2018 Category: ENT & OMF Authors: Mehrnaz Moattari, Homa Mohseni Kouchesfehani, Gholamreza Kaka, Seyed Homayoon Sadraie, Majid Naghdi Source Type: research

The value of histological grading of biopsy and resection specimens in early stage oral squamous cell carcinomas
In oral squamous cell carcinoma (OSCC) the differentiation grade of the tumor is determined on the biopsy and the resection specimen. The relation between tumor grade, nodal metastasis and survival is debatable. The aims of this study were to determine the correlation between differentiation grade of the biopsy and the resection specimen. Furthermore, we wanted to correlate tumor differentiation grade with nodal stage and survival. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 5, 2018 Category: ENT & OMF Authors: Eric A. Dik, Norbertus A. Ipenburg, Peter A. Kessler, Robert J.J. van Es, Stefan M. Willems Source Type: research

The importance of lymph node ratio for patients with mandibular infiltration of oral squamous cell carcinoma
Lymph node ratio (LNR) essentially improves assessment of prognosis and therapeutic decision making for patients with oral squamous cell carcinoma, as it considers both the number of positive lymph nodes and the number of dissected lymph nodes. Mandibular infiltration by oral squamous cell carcinoma is a vital clinicopathological feature, significantly worsens prognosis. However, to the best of our knowledge, data on the influence of LNR on prognosis for patients with OSCC and mandibular infiltration are not available. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 5, 2018 Category: ENT & OMF Authors: Ali-Farid Safi, Martin Kauke, Andrea Grandoch, Hans-Joachim Nickenig, Joachim Z öller, Matthias Kreppel Source Type: research

Patient-specific pre-contouring of osteosynthesis plates for mandibular reconstruction: Using a three-dimensional key printed solution
In mandibular reconstructive surgery, the osteosynthesis plates require contouring according to the patients ’ individual anatomical situation. These plates are frequently contoured around a three-dimensional (3D) printed model. However, the translation to the actual patient can introduce inaccuracies and unwanted rotations in the condyles and mandibular ramus, due to malpositioning of the pre-contoured plate. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 5, 2018 Category: ENT & OMF Authors: J. Kraeima, H.H. Glas, M.J.H. Witjes, K.P. Schepman Source Type: research

sAssessment of Regional Asymmetry of the Face Before and After Surgical Correction of Unilateral Cleft Lip
This study was carried out on 26 unilateral cleft lip and palate (UCLP) cases with mean age 3.6 ± 0.7 months.3D facial images were captured for each infant 2–3 days before the repair of cleft lip and at 4 months following surgery at a mean age of 8.2 ± 1.8 months, using a stereophotogrammetry imaging system. An iterative closest point (ICP) algorithm was used to superimpose the 3D facial m odel to its mirror image using VRMesh software. After the superimposition, the face model was divided into seven anatomical regions. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 5, 2018 Category: ENT & OMF Authors: Dhelal Al-Rudainy, Xiangyang Ju, Steve Stanton, Felicity V. Mehendale, Ashraf Ayoub Source Type: research

EACMFS Awards
The Council of EACMFS wishes to ensure that all members of the Association are aware of the current awards and prizes that are available. These are designed to provide educational support and also to allow the opportunity for trainees and those who have recently achieved specialist status to visit units outside their own departments. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 1, 2018 Category: ENT & OMF Source Type: research

Announcements
Dear Colleagues, (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - April 1, 2018 Category: ENT & OMF Source Type: research

Evaluation of the effects of occlusal splint, trigger point injection and arthrocentesis in the treatment of internal derangement patients with myofascial pain disorders
Temporomandibular disorders (TMD) may originate from the joint itself or from pathologies of masticatory muscles. Most pathology seen is myofascial pain disorder (MPD). TMD are characterized by pain, muscle spasms, and constraints in the movements of the temporomandibular joint. In temporomandibular joint disorders, besides the internal derangement, protective muscle spasms are usually observed. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 31, 2018 Category: ENT & OMF Authors: It ır Şebnem Bilici, Yusuf Emes, Serhat Yalçın, Buket Aybar Source Type: research

Multimodal analysis using flowmeter analysis, laser-Doppler spectrophotometry, and indocyanine green videoangiography for the detection of venous compromise in flaps in rats
Venous congestion results in tissue damage and remains the most common failure of free microvascular transfer if it is not recognized early. The purpose of this experimental study was to evaluate venous congestion and describe the findings with two different monitoring tools. A standardized epigastric flap was raised, and total occlusion of the draining vein was temporarily applied for 4, 5, 6, or 7  h. Blood flow measurements, including laser-Doppler flowmetry, and tissue spectrophotometry (O2C) and indocyanine green (ICG) videoangiography using the FLOW® 800 tool, were performed systematically after each surgica...
Source: Journal of Cranio-Maxillofacial Surgery - March 30, 2018 Category: ENT & OMF Authors: Lucas M. Ritschl, Leonard H. Schmidt, Andreas M. Fichter, Alexander Hapfelmeier, Klaus-Dietrich Wolff, Thomas M ücke Source Type: research

A Multimodal analysis using flowmeter analysis, laser-Doppler spectrophotometry, and indocyanine green videoangiography for the detection of venous compromise in flaps in rats
Venous congestion results in tissue damage and remains the most common failure of free microvascular transfer if it is not recognized early. The purpose of this experimental study was to evaluate venous congestion and describe the findings with two different monitoring tools. A standardized epigastric flap was raised, and total occlusion of the draining vein was temporarily applied for 4, 5, 6, or 7 hours. Blood flow measurements, including laser-Doppler flowmetry, and tissue spectrophotometry (O2C) and indocyanine green (ICG) videoangiography using the FLOW ® 800 tool, were performed systematically after each surgical...
Source: Journal of Cranio-Maxillofacial Surgery - March 30, 2018 Category: ENT & OMF Authors: Lucas M. Ritschl, Leonard H. Schmidt, Andreas M. Fichter, Alexander Hapfelmeier, Klaus-Dietrich Wolff, Thomas M ücke Source Type: research

Trajectory-guided biopsy of orbital tumor - Technology, principal considerations and clinical implementation -
Intraorbital space-occupying lesions always pose a challenge, both in terms of definite surgical removal as well as preoperative sampling for histopathological examination. Despite the use of modern high-resolution imaging techniques, the dignity of orbital lesions can often not be determined with sufficient certainty preoperatively. As the amount and complexity of treatment possibilities continue to increase, detailed diagnostics in advance of treatment choice are essential. Histological classification of orbital lesions can still be considered the gold standard for reliable diagnoses, leading to appropriate treatment. (S...
Source: Journal of Cranio-Maxillofacial Surgery - March 30, 2018 Category: ENT & OMF Authors: Majeed Rana, Christoph Sproll, Julian Lommen, Madiha Rana, Alexander Zeller, Norbert K übler, Karsten Hufendiek, Elvis Hermann, Nils-Claudius Gellrich, Henrik Holtmann Source Type: research

Surgical indication of Furlow palatoplasty to treat submucous cleft palate
This study investigated the effects of Furlow palatoplasty on children with submucous cleft palate (SMCP) and identified surgical indications by comparing SMCP and control patients. Twenty-three SMCP children (average age 28.9 months) who were nonsyndromic and underwent surgery between April 2010 and December 2016 were included. Facial computed tomography (CT) was performed preoperatively and at least 1 year postoperatively after a language test. Facial CT measurements were taken for 140 children aged 0 –6 years without deformities (control group). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 28, 2018 Category: ENT & OMF Authors: Joon Hyun Kwon, Jeong Woo Lee, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Kang Young Choi Source Type: research

Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma
The purpose of this study was to validate and compare treatment outcomes for endoscopic resection of sinonasal inverted papilloma (IP) with or without the use of a navigation system. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 28, 2018 Category: ENT & OMF Authors: Sang Hyeon Ahn, Eun Jung Lee, Jin Won Kim, Kwang Ha Baek, Hyung-Ju Cho, Joo-Heon Yoon, Chang-Hoon Kim Source Type: research

Effect of head orthoses on skull deformities in positional plagiocephaly: Evaluation of a 3-dimensional approach
The positional non-synostotic plagiocephaly represents a cranial asymmetry affecting all 3 dimensions. The aim of this study was to evaluate volumetric indices to assess the efficiancy in improving non-synostotic cranial asymmetries in treatment with head orthoses. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 28, 2018 Category: ENT & OMF Authors: Klaus W.W. D örhage, Jörg Wiltfang, Vera von Grabe, Annalena Sonntag, Stephan T. Becker, Benedicta E. Beck-Broichsitter Source Type: research

Three-dimensional study of 31 cases of synostotic anterior plagiocephaly before and after surgical management
The objective of this study was to analyze the results obtained with the Lille protocol based on 62 CT-scans done before and after surgery in 31 patients.A specific analysis was designed for this work. Nine cephalometric measures enabled to evidence on each CT-Scan the corrections made on the fronto-orbital bandeau and the potential impact of surgery on the craniofacial structures. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 28, 2018 Category: ENT & OMF Authors: Ambre Simon, Emmanuelle Bocquet, Philippe Pellerin, Matthieu Vinchon, Patrick Dhellemmes, V éronique Martinot, Alexis Wolber, Clotilde Calibre, Philippe Charlier, Pierre Guerreschi Source Type: research

Functional outcomes assessment following free muscle transfer for dynamic reconstruction of facial paralysis: a literature review
Facial reanimation provides patients affected by chronic facial paralysis a chance to regain basic human functions such as emotional expression, verbal communication, and oral competence for eating and swallowing, but there is still no consensus as to the best way to measure surgical outcomes. We performed a literature review to investigate the different functional outcomes that surgeons use to evaluate facial function after reanimation surgery, focusing on outcomes other than facial expressions such as speech, oral competence, and patient quality of life/satisfaction. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 22, 2018 Category: ENT & OMF Authors: Anson Dong, Kevin J. Zuo, Georgina Papadopoulos-Nydam, Jaret Olson, Gordon Wilkes, Jana Rieger Tags: Review Source Type: research

Modified Le Fort III osteotomy: A simple solution to severe midfacial hypoplasia
There are multiple conditions that may affect the development of the middle third of the face and with varying degrees of severity. The surgical treatment alternatives for major midfacial sagittal deficiencies consist in Le Fort I, II, or III with conventional osteotomies or with distraction osteogenesis (DO). Both techniques have advantages and disadvantages that should be evaluated specifically in each case. The aim of this report is to present a group of patients with severe hypoplasia of the middle third of the face, with different origins, and their treatment with a Modified Le Fort III osteotomy and distraction osteo...
Source: Journal of Cranio-Maxillofacial Surgery - March 22, 2018 Category: ENT & OMF Authors: Rodrigo Fari ña, Salvador Valladares, Araceli Raposo, Francisco Silva Source Type: research

Separation Patterns of Orbital Wall and Risk of Optic Canal Injury in Le Fort 3 Osteotomy
This study verifies this hypothesis using biomechanical simulation. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 22, 2018 Category: ENT & OMF Authors: Niyazi Aizezi, Tomohisa Nagasao, Tadaaki Morotomi, Motoki Tamai, Koji Imajo Source Type: research

The Use Of Buccal Fat Pad In Surgical Treatment Of ‘Krokodil’ Drug-Related Osteonecrosis Of Maxilla
‘Krokodil’ is the street name of a new synthetic drug mixture. It is a light brown liquid that is used intravenously without previous purification. Osteonecrosis of the jaw (ONJ) is a common complication among Krokodil users. Krokodil drug-related ONJ presents as alveolar process exposure in the oral cavity.Surgery is the main method for treatment of Krokodil drug-related ONJ patients. In a study by Poghosyan et al., no cases of recurrence were seen after surgery on the maxilla, but 38% of cases (8/21) developed an oroantral communication after surgical treatment for maxillary osteonecrosi s (Poghosyan et al., ...
Source: Journal of Cranio-Maxillofacial Surgery - March 20, 2018 Category: ENT & OMF Authors: Koryun Hakobyan, Yuri Poghosyan, Aram Kasyan Source Type: research

Supportive topical tranexamic acid application for hemostasis in oral bleeding events – retrospective cohort study of 542 patisents
Tranexamic acid (TXA) is widely used in the prevention of postsurgical oral bleeding. Tranexamic acid in addition to further surgical measures is widely utilized in prevention of post-surgical oral bleeding. The aim of the present study was to investigate: Can oral hemostasis be achieved by merely compression and topical application of tranexamic acid in different anticoagulant regimes among patients attending a general emergency department? Where are the limits to this procedure? Which has the greater impact on surgeons ’ choice for an invasive hemostatic approach—bleeding quality or oral anticoagulant therapy...
Source: Journal of Cranio-Maxillofacial Surgery - March 20, 2018 Category: ENT & OMF Authors: Matthias Zirk, Max Zinser, Johannes Buller, Viktor Bilinsky, Timo Dreiseidler, Joachim E. Z öller, Matthias Kreppel Source Type: research

Management of duct obstruction in transplanted submandibular  glands
Submandibular gland (SMG) transplantation is a successful treatment approach for patients with severe dry eye. However, duct obstruction can occur post-transplant. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 14, 2018 Category: ENT & OMF Authors: Jia-Zeng Su, Zhi-Gang Cai, Xiao-Jing Liu, Lan Lv, Guang-Yan Yu Source Type: research

Mixed facial reanimation technique to treat paralysis in medium-term cases
Recent facial paralyses, in which fibrillations of the mimetic muscles are still detectable by electromyography (EMG), allow facial reanimation based on giving new neural stimuli to musculature. However, if more time has elapsed, mimetic muscles can undergo irreversible atrophy, and providing a new neural stimulus is simply not effective. In these cases function is provided by transferring free flaps into the face or transposing masticatory muscles to reinstitute major movements, such as eyelid closure and smiling. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 14, 2018 Category: ENT & OMF Authors: Federico Biglioli, Federico Bolognesi, Fabiana Allevi, Dimitri Rabbiosi, Silvia Cupello, Antonino Privitera, Alessandro Lozza, Valeria M.A. Battista, Claudio Marchetti Source Type: research

Development of a patient-specific temporomandibular joint prosthesis according to the Groningen principle through a cadaver test series
This study aimed to improve the design of the prosthesis, and produce a workflow for a customized Groningen TMJ prosthesis, in order to make it more accurate and predictable. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 14, 2018 Category: ENT & OMF Authors: J. Kraeima, B.J. Merema, M.J.H. Witjes, F.K.L. Spijkervet Source Type: research

Double-layer closure techniques after bone surgery of medication-related osteonecrosis of the jaw – a single center cohort study
The objectives of this study were to examine success rates of double-layer closure techniques in MRONJ patients, namely the mylohyoideus muscle flap (MMF) for the lower jaw and the pedicled buccal fat flap (BFF) for the upper jaw. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 14, 2018 Category: ENT & OMF Authors: Oliver Ristow, Thomas R ückschloß, Jens Bodem, Moritz Berger, Eva Bodem, Steffen Kargus, Michael Engel, Jürgen Hoffmann, Christian Freudlsperger Source Type: research

Management of duct obstruction in transplanted submandibular glands
Submandibular gland (SMG) transplantation is a successful treatment approach for patients with severe dry eye. However, duct obstruction can occur post-transplant. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 14, 2018 Category: ENT & OMF Authors: Jia-Zeng Su, Zhi-Gang Cai, Xiao-Jing Liu, Lan Lv, Guang-Yan Yu Source Type: research

Interdisciplinary treatment algorithm for facial high-flow arteriovenous malformations, and review of the literature
High-flow arteriovenous malformations (HF-AVMs) are congenital vascular malformations. Typical localizations include the face, oral cavity, and extremities.Due to the high recurrence rate of AVM after incomplete resection or embolization, a combination of both therapeutic modalities has become the preferred choice of treatment. Therefore, we have developed an interdisciplinary therapeutic treatment algorithm for facial HF-AVM and performed a systematic review of the literature. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 9, 2018 Category: ENT & OMF Authors: Katinka Kansy, Jens Bodem, Michael Engel, Christian Freudlsperger, Markus A. M öhlenbruch, Christian Herweh, Martin Bendszus, Jürgen Hoffmann, Steffen Kargus Source Type: research

Continuity defects of the mandible: Comparison of three techniques for osseous reconstruction and their impact on implant loading
Computer-aided design/manufacturing (CAD/CAM) is now widely used, but whether it can help to overcome complications in mandibular reconstruction and accelerate dental implantation is still a matter for debate. Therefore, we aimed to evaluate the benefits of this technique using vascularized iliac crest or fibula flaps in mandibular reconstruction, with respect to the time between reconstruction and implantation, and the ratio of planned to inserted implants. We reviewed retrospectively the records of 54 patients who underwent mandibular reconstructions between 2012 and 2016, and included in our study the last 10 cases repr...
Source: Journal of Cranio-Maxillofacial Surgery - March 9, 2018 Category: ENT & OMF Authors: Yunus Okcu, Jan Rustemeyer Source Type: research

Interdisciplinary Treatment Algorithm for Facial Arteriovenous High-flow Malformations and Review of the Literature
High-flow arteriovenous malformations (HF-AVMs) are congenital vascular malformations. Typical localizations include the face, oral cavity, and extremities.Due to the high recurrence rate of AVM after incomplete resection or embolization, a combination of both therapeutic modalities has become the preferred choice of treatment. Therefore, we have developed an interdisciplinary therapeutic treatment algorithm for facial HF-AVM and performed a systematic review of the literature. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 9, 2018 Category: ENT & OMF Authors: Katinka Kansy, Jens Bodem, Michael Engel, Christian Freudlsperger, Markus A. M öhlenbruch, Christian Herweh, Martin Bendszus, Jürgen Hoffmann, Steffen Kargus Source Type: research

Podoplanin expression as a predictive marker of dysplasia in oral leukoplakia
Recent studies have emphasized the role of podoplanin in oral lesions at risk of malignant transformation. We investigated a group of oral leukoplakias (OLs) to determine a possible relation between altered podoplanin expression and dysplasia, and to compare the results with those obtained by other, widely used biomarkers. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 8, 2018 Category: ENT & OMF Authors: Davide Bartolomeo Gissi, Andrea Gabusi, Achille Tarsitano, Laura Luccarini, Luca Morandi, Lucio Montebugnoli Source Type: research

3D Computer Simulation Analysis of the Flap Volume Change in Total Tongue Reconstruction Flaps
In this study we verified the proportion of volume decrease using 3D reconstructed images and identified the contributors to flap volume loss. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - March 7, 2018 Category: ENT & OMF Authors: Hyung Hwa Jeong, Woo Shik Jeong, Jong Woo Choi, Seung Eun Jeong, Soon Yuhl Nam, Seung Ho Choi, Yoon Sei Lee, Hyeun A. Kim, Young Jun Kim Source Type: research

Triple innervation for re-animation of recent facial paralysis
Recent facial palsies are those in which fibrillations of the mimetic musculature remain detectable by electromyography (EMG). Such fibrillations generally cease 18 to 24 months after palsy onset. During this period, facial re-animation surgery seeks to supply new neural inputs to the facial nerve.Neural usable sources were divided into qualitative (contralateral facial nerve) and quantitative (hypoglossus and masseteric nerve), depending on the type of stimulus provided.To further improve the extent and quality of facial re-animation, we here describe a new surgical technique featuring triple neural inputs: the use of the...
Source: Journal of Cranio-Maxillofacial Surgery - March 7, 2018 Category: ENT & OMF Authors: Federico Biglioli, Fabiana Allevi, Dimitri Rabbiosi, Silvia Cupello, Valeria Marinella Augusta Battista, Alberto Maria Saibene, Giacomo Colletti Source Type: research