‘Cervical spine fractures associated with maxillofacial trauma: a 3-year-long study in the greek population’
Maxillofacial fractures occur frequently in severely injured patients, sometimes concomitantly with serious or life-threatening injuries, the knowledge of which is essential for prompt assessment and treatment. Thus, a multidisciplinary and coordinated approach is important for optimal stabilization and ongoing treatment of multi-trauma patients with maxillofacial fractures (Alvi et al., 2003). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 12, 2018 Category: ENT & OMF Authors: C. Mourouzis, O. Schoinohoriti, C. Krasadakis, G. Rallis Source Type: research

Evaluation of a computed-tomography-based assessment scheme in treatment decision-making for isolated orbital floor fractures
Treatment decisions for fractures of the orbital floor are based on clinical appearance, ophthalmological examination, and computed tomography (CT) scans. In extensive fractures, decisions are easily made between conservative and surgical treatment. However, objective parameters are rare in inconclusive cases. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 12, 2018 Category: ENT & OMF Authors: Gesche Frohwitter, Stephan Wimmer, Carolin Goetz, Jochen Weitz, Michael Ulbig, Karsten U. Kortuem, Julia Dangelmaier, Lucas Ritschl, Christian Doll, Oliver Ristow, Marco R. Kesting, Steffen Koerdt Source Type: research

Health-Related Quality of Life in Cleft Lip and/or Palate Patients – a cross-sectional study from preschool age until adolescence
Cleft lip and/or palate (CLP) is the most common congenital craniofacial anomaly. Multiple operations, long-lasting supplementary treatments, as well as impaired functional and esthetic outcome might have a negative impact on patients ’ social–emotional functioning and self-esteem, resulting in a lower health-related quality of life (HRQoL). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 10, 2018 Category: ENT & OMF Authors: Andreas Naros, Annekathrin Brocks, Susanne Kluba, Siegmar Reinert, Michael Krimmel Source Type: research

Biomet stock temporomandibular joint prosthesis: long-term outcomes of the use of titanium condyles secured with four or five condylar fixation screws
The aim of this study was to determine the long-term outcomes following TMJ replacement using the stock Zimmer-Biomet TMJ device. In particular, investigated whether the titanium condylar implant and number of screws used to fixate it to the mandibular ramus had any impact on outcomes. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 10, 2018 Category: ENT & OMF Authors: Stefanos Kanatsios, Omar Breik, George Dimitroulis Source Type: research

Clinical experience with a novel structure designed bridging plate system for segmental mandibular reconstruction: The TriLock Bridging Plate
The innovative TriLock Bridging Plate System (Medartis AG, Switzerland) was developed to reduce common complications related to conventional mandibular reconstruction plates. The novelties regarding the plating system concern the cross-strut structure in the centerpiece, the bendable side elements and the reduction of the plate ’s thickness to 2.0mm. 4 different models are available, which cover lateral and central segmental mandibular defects. The plating system has only been introduced at selected maxillofacial units so far and clinical assessment is still lacking. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 6, 2018 Category: ENT & OMF Authors: Michael Schwaiger, J ürgen Wallner, Mauro Pau, Matthias Feichtinger, Tomislav Zrnc, Wolfgang Zemann, Philipp Metzler Source Type: research

Fibula free flap pedicle ossification: Experience of two centres and a review of the literature
The osteogenic potential of vascularized periosteum has been described in a few cases in the literature, and many different factors have been pointed out as plausible. Our aim was to review the literature in order to give a complete overview of this topic and to report on our clinical experience. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 5, 2018 Category: ENT & OMF Authors: Camilla Baserga, Olindo Massarelli, Alessandro Bolzoni, Diego Sergio Rossi, Giada Anna Beltramini, Alessandro Baj, Aldo Bruno Giann ì Source Type: research

Biomechanical evaluation of Chinese customized three-dimensionally printed total temporomandibular joint prostheses: A finite element analysis
This work aims to evaluate the biomechanical behavior of Chinese customized three-dimensional (3D) −printing total temporomandibular joint (TMJ) prostheses by means of finite element analysis. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 4, 2018 Category: ENT & OMF Authors: Xuzhuo Chen, Yexin Wang, Yi Mao, Zhihang Zhou, Jisi Zheng, Jinze Zhen, Yating Qiu, Shanyong Zhang, Haiyi Qin, Chi Yang Source Type: research

Radiographic characteristics of chronic diffuse sclerosing osteomyelitis/tendoperiostitis of the mandible: a comparison with chronic suppurative osteomyelitis and osteoradionecrosis
This study aimed to investigate radiographic characteristics of DSO and compare these findings with the radiographic characteristics of CSO and ORN in order to radiographically distinguish these three diseases.In this retrospective study, 33 patients were clinically diagnosed with DSO (13), CSO (6), or ORN (14). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 2, 2018 Category: ENT & OMF Authors: Marieke M. van de Meent, Sarina E.C. Pichardo, Myra F. Rodrigues, Berit M. Verbist, J.P.Richard van Merkesteyn Source Type: research

Post-surgical effects on the maxillary segments of children with oral clefts: New three-dimensional anthropometric analysis
This study aimed to use new three-dimensional (3D) anthropometric analyses to verify the post-surgical effects on the maxillary segments of children with unilateral cleft lip and palate. The sample was composed by digitized dental models of 60 children with unilateral complete cleft lip and alveolus (UCLA) and complete unilateral cleft lip and palate (UCLP). The impressions were taken before cheiloplasty (T1), after cheiloplasty (T2), and after palatoplasty (T3). The 3D anthropometric analyses of digitized dental casts were obtained through a specific software. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 2, 2018 Category: ENT & OMF Authors: Elo á Cristina Passucci Ambrosio, Chiarella Sforza, Márcio De Menezes, Cleide Felício Carvalho Carrara, Maria Aparecida Andrade Moreira Machado, Thais Marchini Oliveira Source Type: research

Demographic features in Unilateral Condylar Hyperplasia: an overview of 309 asymmetric cases and presentation of an algorithm
Unilateral Condylar Hyperplasia (UCH) is an acquired deformity of the mandible, which can highly influence the symmetry of the face due to its progressive nature. It is caused by growth resembling pathology in one of the mandibular condyles. Definition as well as classification is subject to discussion. The aim of this study is to evaluate a large cohort of alleged UCH patients, and to describe the clinical characteristics, demographic features, classification and follow up. Secondly an algorithm is presented, in order to achieve uniformity in diagnosis and treatment. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 25, 2018 Category: ENT & OMF Authors: J.W. Nolte, R. Schreurs, L.H.E. Karssemakers, D.B. Tuinzing, A.G. Becking Source Type: research

Assessing the precision of posttraumatic orbital reconstruction through “mirror” orbital superimposition: a novel approach for testing the anatomical accuracy
Orbital reconstruction in cases of trauma is usually performed using the unaffected side orbital volume as a reference, but this measurement does not fully consider the anatomical characteristics of orbital surfaces.We propose a novel procedure based on the registration of 3D orbital segmented surfaces. Reconstructed orbits from 20 patients and healthy orbits from 13 control subjects were segmented from the post-operative CT-scans. The 3D orbital model from the unaffected orbit was “mirrored” according to the sagittal plane and superimposed onto the reconstructed one, with calculation of volumes, asymmetry inde...
Source: Journal of Cranio-Maxillofacial Surgery - June 20, 2018 Category: ENT & OMF Authors: Davide Sozzi, Daniele Gibelli, Gabriele Canzi, Alberto Tagliaferri, Lorenzo Monticelli, Annalisa Cappella, Alberto Bozzetti, Chiarella Sforza Source Type: research

Prevention and Management of bacterial infections of the donor site of flaps raised for reconstruction in head and neck surgery
In the field of reconstructive head and neck surgery, surgical site infections (SSI) are commonly investigated for the recipient site of various reconstructive procedures. Data about SSI of the donor site of different flaps raised for reconstruction are rare. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 18, 2018 Category: ENT & OMF Authors: Matthias Zirk, Artjom Zalesski, Franziska Peters, Timo Dreiseidler, Johannes Buller, Matthias Kreppel, Joachim E. Z öller, Max Zinser Source Type: research

A Scanographic Study Of Asymmetry Of The Frontal Process Of Zygoma In Unilateral Coronal Synostosis
Unilateral coronal synostosis (UCS) is the third most common type of craniosynostosis, after scaphocephaly and trigonocephaly, with an incidence of 13-16% (Selber et al., 2008; Di Rocco et al., 2009; Kolar, 2011). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 15, 2018 Category: ENT & OMF Authors: Aude Barrab é, Elise Weber, Alain Czorny, Grégory Godfrin, Christophe Meyer, Aurélien Louvrier Source Type: research

Lateral sinus floor elevation without grafting materials. Individual- and aggregate-data meta-analysis
To perform a systematic review and individual- and aggregate-data meta-analysis of observational studies to determine the success rate of the lateral sinus floor elevation with simultaneous implant placement and without grafting materials. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 14, 2018 Category: ENT & OMF Authors: Victor Dongo, Nadine von Krockow, Paulo Ricardo Saquete Martins-Filho, Paul Weigl Source Type: research

Accuracy of 3D Reproduction of Natural Head Position Using Three Different Manual Reorientation Methods Compared to 3D Software
The aim of this study was to analyze the positional differences of three-dimensional (3D) natural head positions (NHPs) reproduced by three different manual reorientation methods without special software by the Pose from Orthography and Scaling with ITerations (POSIT) method. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 14, 2018 Category: ENT & OMF Authors: Hoon Joo Yang, Jeong Joon Han, Soon Jung Hwang Source Type: research

Correlation between increased orbital volume and enophthalmos and diplopia in patients with fractures of the orbital floor or the medial orbital wall
Fractures of the orbital floor and the medial orbital wall (blow-out fractures) are common consequences of falls, sport or traffic accidents, and interpersonal violence. Clinical presentation shortly after injury is not always predictive of long-term sequelae, such as late enophthalmos and diplopia. Diagnostic methods and treatment options have greatly improved over the years due to three-dimensional image processing, volumetric analyses, and the use of patient-specific implants. However, the indications for reconstructive surgery are still controversial. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 13, 2018 Category: ENT & OMF Authors: Daphne Sch önegg, Maximilian Wagner, Paul Schumann, Harald Essig, Burkhardt Seifert, Martin Rücker, Thomas Gander Source Type: research

Validation of a low-cost laser scanner device for the assessment of three-dimensional facial anatomy in living subjects
The present study compared the reliability of a low-cost laser scanner device to an already-validated stereophotogrammetric instrument. Fifty volunteers underwent duplicate facial scans through laser scanner and stereophotogrammetry. Intra- and inter-instrument reproducibility of linear distances, angles, facial surface area and volume was verified through the Bland-Altman test and calculation of absolute (TEM) and relative (rTEM) technical errors of measurement; rTEM was then classified as follows:10% poor. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 13, 2018 Category: ENT & OMF Authors: Daniele Gibelli, Valentina Pucciarelli, Zuzana Caplova, Annalisa Cappella, Claudia Dolci, Cristina Cattaneo, Chiarella Sforza Source Type: research

Mandibular bone healing after advancement or setback surgery using sagittal split ramus osteotomy
The purpose of this study was to compare mandibular bone healing after advancement or setback surgery using sagittal split ramus osteotomy (SSRO). (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 13, 2018 Category: ENT & OMF Authors: Koichiro Ueki, Akinori Moroi, Takamitsu Tsutsui, Asami Hotta, Ryota Hiraide, Akihiro Takayama, Tatsuya Tsunoda, Yuki Saito, Momoko Sato, Nana Baba, Kunio Yoshizawa Source Type: research

Cystic masses of the lateral neck – proposition of an algorithm for increased treatment efficiency
Preoperative discrimination of solitary cervical branchial cleft cysts from cystic lymph node metastasis often is challenging. Surgical excision of the cystic formation and consecutive histopathological examination of tissue specimens are the only means resulting in the correct diagnosis. However, in case of malignancies surgery on the lateral neck prior to the definitive treatment is considered to negatively influence the patients' outcome. The rate of cystic lymph node metastasis in patients presenting with a lateral branchial cleft cyst, localization of the primary tumour and oncological outcome were investigated. (Sour...
Source: Journal of Cranio-Maxillofacial Surgery - June 12, 2018 Category: ENT & OMF Authors: Eva-Maria Koch, Asita Fazel, Markus Hoffmann Source Type: research

Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders
Patients with sleeping disorders, such as obstructive sleep apnea, (OSA) have a higher risk for postoperative complications after maxillofacial surgery under general anesthesia. The aim of this study was to detect specific complications after oral and maxillofacial surgery.Sixty-nine cases of patients with middle or severe sleep apnea who underwent an operation under general anesthesia in the oral and maxillofacial region were retrospectively analyzed. This group was compared with an age and diagnosis matched group without sleep apnea receiving the same operative treatment. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 12, 2018 Category: ENT & OMF Authors: Evgeny Goloborodko, Ann Christina Foldenauer, Nassim Ayoub, Matthias Knobe, Stephan Christian M öhlhenrich, Kristian Kniha, Frank Hölzle, Ali Modabber Source Type: research

Scleral exposure alterations following Le Fort I osteotomy (with and without maxillary impaction) in skeletal class III patients: A before-and-after clinical trial
Exposure of sclera below the iris in natural head positions is aesthetically undesirable. Studies on post-surgical changes in inferior scleral exposure following orthognathic surgery are scarce and mostly retrospective. The aim of this clinical trial is to examine the effect of Le Fort I osteotomy, a procedure for correction of malocclusion and maxillo-mandibular deformities, on the inferior scleral exposure and overall scleral surface area in skeletal class III patients. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 12, 2018 Category: ENT & OMF Authors: Amin Norouzi, Gerald Chi, Shahrooz Shafaeefar Fard, Mehdi Sezavar, Farzin Sarkarat, Vahid Rakhshan, Farima Kahe Source Type: research

Female Eye Attractiveness – Where Beauty Meets Science
While periorbital and -ocular surgery ranks amongst the most frequently performed plastic surgical procedures, only scarce information exists regarding the contributing factors of ageing and its systematic anatomic assessment. The presented study, based on measuring distinct physical landmarks, aimed to gather data to provide a foundation of in-depth periorbital analysis in order to more clearly define female eye attractiveness. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 11, 2018 Category: ENT & OMF Authors: Martin Gr ündl, Paul I. Heidekrueger, P. Niclas Broer, Se bastian Knoll, Aung Thiha, Lukas Prantl Source Type: research

Accuracy of soft tissue prediction in surgery-first treatment concept in orthognathic surgery: A prospective study
The purpose of this study was to provide a quantitative accuracy assessment of soft tissue predictions generated by a computer-aided maxillofacial planning system in patients undergoing orthognathic surgery following the “surgery-first” treatment. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 11, 2018 Category: ENT & OMF Authors: Daniel Holzinger, Philipp Juergens, Kamal Shahim, Mauricio Reyes, Kurt Schicho, Gabriele Millesi, Christos Perisanidis, Hans-Florian Zeilhofer, Rudolf Seemann 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 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 - June 8, 2018 Category: ENT & OMF Source Type: research

Announcements
Dear Colleagues, (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 8, 2018 Category: ENT & OMF Source Type: research

Dental consequences of pterygomaxillary dysjunction during fronto-facial monobloc advancement with internal distraction for Crouzon syndrome
Crouzon syndrome is a syndromic faciocraniosynostosis that can be associated with severe fronto-facial retrusion leading to major functional impairments: extreme exorbitism may be vision-threatening and severe respiration impairment can be life-threatening. The procedure of choice for the primary correction of this retrusion is fronto-facial monobloc advancement (FFMBA) with internal or external distraction. FFMBA involves pterygomaxillary dysjunction (PMD), using either a superior or an intra-oral approach. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 8, 2018 Category: ENT & OMF Authors: Ludovic Sicard, Mahounakpon Hounkpevi, Catherine Tomat, Syril James, Giovanna Paternoster, Roman Hossein Khonsari, Eric Arnaud Source Type: research

Biofunctionalization of synthetic bone substitutes with angiogenic stem cells: Influence on regeneration of critical-size bone defects in an in vivo murine model
The aim of this study was to investigate the influence of human bone marrow −derived endothelial progenitor cells (EPC) on vascularization and bone regeneration in combination with a bone-substitute material (BSM) in a critical-size bone defect in a murine model. Critical-size bone defects were performed and the defects were filled according to the group membership. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 8, 2018 Category: ENT & OMF Authors: Benjamin Beger, Sebastian Blatt, Andreas Max Pabst, Torsten Hansen, Hermann Goetz, Bilal Al-Nawas, Thomas Ziebart Source Type: research

Dental consequences of pterygomaxillary dysjunction during fronto-facial monobloc advancement in children with internal distraction for Crouzon syndrome
Crouzon syndrome is a syndromic faciocraniosynostosis that can be associated with severe fronto-facial retrusion leading to major functional impairments: extreme exorbitism may be vision-threatening and severe respiration impairment can be life-threatening. The procedure of choice for the primary correction of this retrusion is fronto-facial monobloc advancement (FFMBA) with internal or external distraction. FFMBA involves pterygomaxillary dysjunction (PMD), using either a superior or an intra-oral approach. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 8, 2018 Category: ENT & OMF Authors: Sicard Ludovic, Hounkpevi Mahounakpon, Tomat Catherine, James Syril, Paternoster Giovanna, Khonsari Roman Hossein, Arnaud Éric Source Type: research

Corrigendum to “Automatic repositioning of jaw segments for three-dimensional virtual treatment planning of orthognathic surgery” [Journal of Cranio-Maxillofacial Surgery 45 (9) (2017) 1399–1407]
The authors regret a missing minus sign in equation (1) of the above reference paper. The equation is displayed correctly below: (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 7, 2018 Category: ENT & OMF Authors: Rodrigo Mologni Gon çalves dos Santos, José Mario De Martino, Luis Augusto Passeri, Romis Ribeiro de Faissol Attux, Francisco Haiter Neto Tags: Corrigendum Source Type: research

Optimized 3D virtually planned intermediate splints for bimaxillary orthognathic surgery: a clinical validation study in 20 patients
Orthognathic surgery is indicated for the treatment of significant skeletal malocclusions and facial dysmorphosis. Recent technological developments allow surgeons to virtually plan the orthognathic jaw movements. When producing intermediate splints, overlap between the upper and lower dentitions can occur. Autorotation of the mandible is often used as a solution for this problem. The purpose of this study was to present an optimized approach to fabricate digital intermediate splints based on the use of a scanned thick wax bite to overcome dental overlap during planning. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 7, 2018 Category: ENT & OMF Authors: Eman Shaheen, Renaat Coopman, Reinhilde Jacobs, Constantinus Politis Source Type: research

Microvascular Reconstruction in the Vessel Depleted Neck – a Systematic Review
Surgical therapy is the gold standard in head and neck cancer treatment, whereas adjuvant radiation and chemotherapy may be indicated in advanced cases. Frequently, neck dissections, former flap anastomoses and irradiated tissue leave a neck depleted of recipient vessels. If further surgery becomes inevitable the surgeon is faced with a heavily pretreated surgical field asking for highly reliable solutions for microsurgical reconstruction.From September 2017 until October 2017, a standardised review on the literature of the databases PubMed, Cochrane Library and Web of Science was performed. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 7, 2018 Category: ENT & OMF Authors: Gesche Frohwitter, Andrea Rau, Marco R. Kesting, Andreas Fichter Source Type: research

Craniomaxillofacial patient-specific CAD/CAM implants based on cone-beam tomography data – a feasibility study
In this study, we investigated the feasibility of using CBCT data to design and generate customized implants for patients requiring craniomaxillofacial reconstruction. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 7, 2018 Category: ENT & OMF Authors: Oliver C. Thiele, Isabel M. Nolte, Robert A. Mischkowski, Ali F. Safi, Jason Perrin, Max Zinser, Joachim E. Z öller, Matthias Kreppel Source Type: research

Three-dimensional volumetric analysis of condylar head and glenoid cavity after mandibular advancement
The aim of this study was to assess condylar resorption, spatial change in glenoid cavity, and its risk factors after mandibular advancement by three-dimensional volumetric analysis. Subjects consisted of 30 condyles of 15 patients diagnosed with mandibular retrognathism who underwent Le Fort I and bilateral sagittal split ramus osteotomy advancement. CBCT images were taken before surgery (T0), immediately after surgery (T1), and postoperatively at 6 months (T2) and 1 year (T3). Condylar resorption was observed in 21 condyles. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 7, 2018 Category: ENT & OMF Authors: Junho Jung, Jung-Ho Kim, Jung-Woo Lee, Joo-Young Ohe, Byung-Joon Choi Source Type: research

Maxillary stability following Le Fort I osteotomy using Prebent plates and wire fixation in patients undergoing surgery for OSAS
The purpose of this study was to analyze the stability of Le Fort I maxillary advancement in the vertical and horizontal directions using a combination of wire and rigid fixation in patients undergoing surgery to treat obstructive sleep apnea (OSA). Wire osteosynthesis can be performed quicker and at a reduced cost.The lateral cephalograms of 21 patients were evaluated preoperatively (T0), immediately postoperatively (T1), and at least 6 months postoperatively (T2). Four cephalometric points were used to measure movement in the horizontal and vertical directions. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 6, 2018 Category: ENT & OMF Authors: Jos é Thiers Carneiro, Douglas Voss de Oliveira, Reginald Goodday Source Type: research

The prognostic relevance of lymph node ratio in patients with oral squamous cell carcinoma treated with neoadjuvant therapy regimen and radical surgery
This study aims at investigating the prognostic significance of lymph node ratio (LNR) in a cohort of patients with oral squamous cell carcinomas (OSCC), treated with neoadjuvant radiochemotherapy followed by radical surgery. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 6, 2018 Category: ENT & OMF Authors: V. Rempel, A.F. Safi, U. Drebber, H.J. Nickenig, M. Scheer, J.E. Z öller, M. Kreppel Source Type: research

Pediatric facial injuries: Hitting close to home
The aims of this study were as follows: To determine the national incidence of facial fractures among infants, toddlers, and children; to evaluate the types of facial fractures; and to analyze common products/activities associated with the fractures. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 6, 2018 Category: ENT & OMF Authors: Pavly Youssef, Roman Povolotskiy, Thayer J. Mukherjee, Aron Kandinov, Boris Paskhover Source Type: research

Clinical evaluation of non-syndromic scaphocephaly surgically corrected with the procedure of total vertex craniectomy
The present investigation constitutes a retrospective evaluation of the outcome in children who received surgical correction of a scaphocephalic phenotype by median total vertex craniectomy. Between September 2009 and September 2015, a total of 35 infants with non-syndromic scaphocephaly were treated according to the same standardized operative technique of total vertex craniectomy by a single surgeon approach. At the time of surgery, the patients were between 3 and 12 months of age, with a median of 5 months. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 6, 2018 Category: ENT & OMF Authors: Matthias Kreppel, Martin Kauke, Ali-Farid Safi, Andrea Grandoch, Nina Pocek-Behn, Hans-Joachim Nickenig, Joachim Z öller Source Type: research

Combining Autologous Bone Marrow Mononuclear Cells seeded on Collagen sponge with Nano Hydroxyapatite, and Platelet-rich Fibrin: Reporting a Novel Strategy for Alveolar Cleft Bone Regeneration
The aim of this study was to examine and assess the use of autologous bone marrow mononuclear cells (BMMNCs) combined with platelet-rich fibrin (PRF) and nanohydroxyapatite for bone regeneration as an effective technique for alveolar cleft repair. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 2, 2018 Category: ENT & OMF Authors: Hatem Hussien El-Ahmady, Ahmad Farouk Abd Elazeem, Nermeen El-moataz Bellah Ahmed, Wael Mahmoud Shawkat, Mohamed Elmasry, Mostafa Ahmed Abdelrahman, Mohsena Ahmed Abderazik Source Type: research

An experimental study on antitumoral effects of KI-21-3, a synthetic fragment of antimicrobial peptide LL-37, on oral squamous cell carcinoma
The aim of this study was to investigate the oncolytic properties of KI-21-3, a shortened fragment of LL-37, against oral squamous cell carcinoma (OSCC) in an animal model. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - June 1, 2018 Category: ENT & OMF Authors: Yahya A çil, Kaspar Torz, Aydin Gülses, Henning Wieker, Mirko Gerle, Nicolai Purcz, Olga Marie Will, Jens Eduard Meyer, Jörg Wiltfang Source Type: research

Enhanced radiographic visualization of resorbable foils for orbital floor reconstruction: A proof of principle
Despite the advantages and broad applications of alloplastic resorbable implants, postoperative radiological control is challenging due to its radiolucency. The aim of the present study was to evaluate the radiographic visibility of newly developed materials for orbital floor reconstruction. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 31, 2018 Category: ENT & OMF Authors: Christian Doll, Nadine Thieme, Stefanie Sch önmuth, Jan Oliver Voss, Susanne Nahles, Benedicta Beck-Broichsitter, Max Heiland, Jan-Dirk Raguse Source Type: research

Osteonecrosis of the jaw in patients treated with denosumab: A multicenter case series
Osteonecrosis of the jaw has been recently reported in patients receiving denosumab for the treatment of metastatic bone disease or osteoporosis. It is essential to investigate this disease as a new osteonecrosis entity in order to recognize its optimal management strategies. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 31, 2018 Category: ENT & OMF Authors: Suad Aljohani, Robert Gaudin, Julian Weiser, Matthias Tr öltzsch, Michael Ehrenfeld, Gabriele Kaeppler, Ralf Smeets, Sven Otto Source Type: research

Three-Dimensional Accuracy of Mandibular Reconstruction by Patient-Specific Pre-Bent Reconstruction Plates using an “In-House” 3D-Printer
The purpose of this study was to compare the three-dimensional accuracy of mandibular reconstruction following mandible continuity resection in patients treated with patient-specific, pre-bent reconstruction plates, using an ‘in-house’ 3D printer, with that in patients treated with conventional, intraoperatively bent plates. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 31, 2018 Category: ENT & OMF Authors: Andreas Naros, Hannes Weise, Felix Tilsen, Sebastian Hoefert, Georgios Naros, Michael Krimmel, Siegmar Reinert, Joachim Polligkeit 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 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 - May 25, 2018 Category: ENT & OMF Source Type: research

Announcements
Dear Colleagues, (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 25, 2018 Category: ENT & OMF Source Type: research

Well-being and quality of life among oral cancer patients – Psychological vulnerability and coping responses upon entering initial treatment
This study aimed at 1) establishing a feasible study protocol and 2) implementing it to examine patients' coping and psychological responses during the initial treatment phase in the hospital. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 24, 2018 Category: ENT & OMF Authors: Anne Susann Bachmann, Anna Christina Zaunbauer, Anna Maria Tolke, Michael Siniatchkin, Christoph Kluck, J örg Wiltfang, Katrin Hertrampf Source Type: research

Well-Being and Quality of Life among Oral Cancer Patients - Psychological Vulnerability and Coping Responses upon entering Initial Treatment
This research was supported by the Medical Faculty of the Christian-Albrechts-University of Kiel, Germany. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 24, 2018 Category: ENT & OMF Authors: Anne Susann Bachmann, Anna Christina Zaunbauer, Anna Maria Tolke, Michael Siniatchkin, Christoph Kluck, J örg Wiltfang, Katrin Hertrampf Source Type: research

Surgical correction of the Midface in Craniofacial Microsomia. Part 1: a systematic review
Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to provide an overview of the surgical options for maxillary correction in patients with unilateral CFM. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 24, 2018 Category: ENT & OMF Authors: Lara S. van de Lande, Britt I. Pluijmers, Cornelia J.J.M. Caron, Eppo B. Wolvius, David J. Dunaway, Maarten J. Koudstaal, Bonnie L. Padwa Tags: Review Source Type: research

Part 2: Is the maxillary canting and its surgical correction in patients with CFM correlated to the mandibular deformity?
Patients with Craniofacial Microsomia (CFM) mandibles Types I/IIa benefit from combined LeFort 1 osteotomy and Mandibular Distraction Osteogenesis (LeFort+MDO); Type IIb from LeFort+MDO or Bimaxillary osteotomy (BiMax); and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis); as seen in Part 1. This leads to the question how maxillary and mandibular hypoplasia are correlated and influence the types of maxillary correction. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 24, 2018 Category: ENT & OMF Authors: Britt I. Pluijmers, Lara S. van de Lande, Cornelia J.J.M. Caron, Eppo B. Wolvius, David J. Dunaway, Bonnie Padwa, Maarten J. Koudstaal Source Type: research

Sensitivity and specificity of sentinel lymph node biopsy in patients with oral squamous cell carcinomas using Indocyanine Green Fluorescence Imaging
The purpose of this clinical study was to evaluate the sensitivity and specificity of cervical sentinel lymph node biopsy after mapping with indocyanine green fluorescence (ICG) for imaging early-stage oral cancer. (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - May 22, 2018 Category: ENT & OMF Authors: Ahmed Al-Dam, Clarissa Precht, Armelle Barbe, Carsten Kohlmeier, Henning Hanken, Johannes Wikner, Gerhard Sch ön, Max Heiland, Alexandre T. Assaf Source Type: research

Mechanical analysis of cranial distractor attachment with three different resorbable fixation systems
Distraction osteogenesis (DO) has become increasingly popular to correct craniosynostosis. Disadvantages of DO include the secondary operation needed for device removal and titanium screw related dura injury. To reduce invasiveness of the secondary device removal operation and to overcome titanium-related problems, fixation of the cranial distractor with resorbable materials is a potential alternative. New resorbable fixation methods, such as ultrasound-activated pins (UAPs) or heat-activated pins (HAPs), allow faster attachment on thinner bone than conventional resorbable screws (CRSs) since tapping is not required. (Sour...
Source: Journal of Cranio-Maxillofacial Surgery - May 21, 2018 Category: ENT & OMF Authors: M. Savolainen, A. Ritvanen, E. Tukiainen, J. Leikola Source Type: research