The Tübingen Palatal Plate Approach to Robin sequence: Summary of Current Evidence
We present a narrative review of our data on the Tübingen palatal plate (TPP), which show the following: a) in a randomized trial, the TPP was superior to a sham procedure in alleviating UAO; b) children treated with the TPP in infancy showed an intellectual development within the reference range; c) prone positioning is no alternative, as it is ineffective and associated with an increased risk of sudden death; d) the TPP reduces the mixed-obstructive apnea index to near-normal values, both in isolated and most (83%) syndromic RS; e) of 443 infants (129 syndromic) treated with the TPP in our center, 23 ultimately rece...
Source: Journal of Cranio Maxillofacial Surgery - August 21, 2019 Category: ENT & OMF Source Type: research

Histological evaluation of the healing process of autografted mandibular bone defects in rats under treatment with zoledronate
ConclusionBased on the results of the present study the hypothesis can be established that there also might be a dose-dependent effect of ZOL on the healing of bone grafts in humans. This hypothesis has to be verified or rejected in clinical trials. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 20, 2019 Category: ENT & OMF Source Type: research

A three-dimensional study of hemimandibular hyperplasia, hemimandibular elongation, solitary condylar hyperplasia, simple mandibular asymmetry and condylar osteoma or osteochondroma
Publication date: Available online 12 August 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Ru Sun, Lisha Sun, Zhipeng Sun, Li Gang, Yanping Zhao, Xuchen Ma, ChongKe SunSummaryPurposeTo investigate the morphological features of hemimandibular hyperplasia (HH) in comparison to other condylar hyperplasia-associated asymmetries, including hemimandibular elongation (HE), solitary condylar hyperplasia (SCH), simple mandibular asymmetry (SMA) and condylar osteoma or osteochondroma (COS).Materials and MethodsA total of 31 HH, 9 HE, 6 SCH, 10 SMA and 10 COS patients were included in this study. Clinical documentatio...
Source: Journal of Cranio Maxillofacial Surgery - August 14, 2019 Category: ENT & OMF Source Type: research

Stability of bioresorbable plates following reduction of mandibular body fracture: three-dimensional analysis
ConclusionThe stability of bioresorbable u-HA/PLLA miniplates and screws was comparable to that of titanium miniplates and screws immediately postoperatively and at 6-month follow-up, following surgical reduction of fractures of load-bearing regions of the mandibular body. Bioresorbable osteosynthesis can be considered a viable alternative to titanium osteosynthesis. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 8, 2019 Category: ENT & OMF Source Type: research

3D-based full-guided ridge expansion osteotomy - a case report about a new method with successive use of different surgical guides, transfer of splitting vector and simultaneous implant insertion
Publication date: Available online 5 August 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Hans-Joachim Nickenig, Ali-Farid Safi, Ragai-Edward Matta, Joachim E. Zöller, Matthias KreppelAbstractFor horizontal bone deficiency alveolar ridge osteotomy is considered an option for augmentation. Major advantages are the option for a one-stage approach and the absence of donor site morbidity. However, the conventional technique is associated with complications such as perforations and fractures of the cortical bone.A case using a 3D based modified, full-guided alveolar ridge expansion is described to explain t...
Source: Journal of Cranio Maxillofacial Surgery - August 7, 2019 Category: ENT & OMF Source Type: research

Targeting inhibitors of apoptosis in oral squamous cell carcinoma in vitro
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Mario J.J. Scheurer, Axel Seher, Valentin Steinacker, Christian Linz, Stefan Hartmann, Alexander C. Kübler, Urs D.A. Müller-Richter, Roman C. BrandsAbstractHead and neck cancer, which predominantly arises from the oral mucosa, represents the sixth most common malignancy worldwide. These cancer cells can be resistant to programmed cell death triggered by extrinsic stimuli due to innate overexpression of inhibitor of apoptosis proteins (IAPs). The cellular protein second mitochondria-derived activator of caspase...
Source: Journal of Cranio Maxillofacial Surgery - August 4, 2019 Category: ENT & OMF Source Type: research

Differential regulation of blood vessel formation between traumatic temporomandibular joint fibrous ankylosis and bony ankylosis in a sheep model
ConclusionsOur study indicates that inhibition of angiogenesis after TMJ trauma might be a promising strategy for preventing bony ankylosis in the future. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 2, 2019 Category: ENT & OMF Source Type: research

EACMFS Awards
Publication date: August 2019Source: Journal of Cranio-Maxillofacial Surgery, Volume 47, Issue 8Author(s): (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 1, 2019 Category: ENT & OMF Source Type: research

Editorial Board
Publication date: August 2019Source: Journal of Cranio-Maxillofacial Surgery, Volume 47, Issue 8Author(s): (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 1, 2019 Category: ENT & OMF Source Type: research

In vitro proinflammatory gene expression changes in human whole blood after contact with plasma-treated implant surfaces
ConclusionDifferences in gene expression of proinflammatory cytokines after incubation of plasma-conditioned titanium implants can be assessed using human whole blood. The results of the present study indicate that plasma treatment (APP and LPP) of titanium dental implants leads to downregulation of proinflammatory cytokine gene expression, which might be beneficial in early osseointegration. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 1, 2019 Category: ENT & OMF Source Type: research

Improved bone regeneration through amniotic membrane loaded with buccal fat pad-derived MSCs as an adjuvant in maxillomandibular reconstruction
ConclusionCombined use of HAM with mesenchymal stem cells may enhance bone regeneration specifically in the horizontal dimension. Moreover, this methodology reduces the amount of harvested autogenous bone and diminish secondary bone resorption. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 1, 2019 Category: ENT & OMF Source Type: research

Announcements
Publication date: August 2019Source: Journal of Cranio-Maxillofacial Surgery, Volume 47, Issue 8Author(s): (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - August 1, 2019 Category: ENT & OMF Source Type: research

Postgraduate Training in Oral- and Maxillofacial Surgery: Results of a Survey among 74 German Interns
Publication date: Available online 29 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Andreas Pabst, Alexander-N. Zeller, Ashkan Rashad, Maximilian E.H. Wagner, Uwe Eckelt, Michael Ehrenfeld, Eik SchiegnitzSummaryThe aim of this study was to asses a survey of residents to obtain relevant information about their current situation in training in Oral and Maxillofacial Surgery in Germany. Special focus was given to the personal and clinical preferences of the residents, their main subjects of interest and plans after residency. Furthermore, the different principles of education at German teaching hospitals ...
Source: Journal of Cranio Maxillofacial Surgery - July 30, 2019 Category: ENT & OMF Source Type: research

Distraction osteogenesis in the management of mandibular hypoplasia secondary to temporomandibular joint ankylosis. Long term follow up
ConclusionTMJ ankylosis leads to severe, multidirectional mandibular hypoplasia, which is significantly corrected with the MDO. The MDO provides a stable short-term improvement in the facial esthetics at the first postoperative year, but a significant relapse occurs during the long term follow-up. Nevertheless, a satisfied facial esthetic is maintained for up to seven to 12 years postoperatively. During the activation period, the MDO minimizes the gained MIO after release of ankylosis, but the MIO is successfully restored with physiotherapy. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 30, 2019 Category: ENT & OMF Source Type: research

Stability of the chin after advancement genioplasty using absorbable plate and screws with template devices
ConclusionThis study shows that predicted advancement of the chin in the absorbable group could be achieved by using a template and screws, and likewise in the titanium group. However, this study suggested that vertical relapse to the inferior site or resorption at the antero-superior edge of the segment could occur in the absorbable group. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 30, 2019 Category: ENT & OMF Source Type: research

Predictability of pharyngeal airway space dimension changes after orthognathic surgery in Class II patients: a mathematical approach
ConclusionPredicting pharyngeal airway space (PAS) development after mandibular advancement by analysing lateral cephalometric radiographs (LCR) may be useful in the screening and treatment of obstructive sleep apnea syndrome (OSAS) patients. Our mathematical approach is a simple and sustainable prediction tool based on LTR data for patients with Class II malocclusions. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 26, 2019 Category: ENT & OMF Source Type: research

Comparison of MRI with dedicated head and neck signal amplification coil and Cone Beam Computed Tomography: MRI is a useful tool in diagnostics of cranio-facial growth disorders
Publication date: Available online 25 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Andrea Grandoch, Florian Nestmann, Matthias Kreppel, Johannes Buller, Jan Borggrefe, Matthias Zirk, Joachim E. ZöllerAbstractObjectiveMagnetic resonance imaging (MRI) shows excellent image quality for the depiction of soft tissues and is therefore an important imaging technique in medical diagnostics. However, the practical simultaneous presentation of hard and soft tissue structures of the mouth, jaw and facial area is not fully satisfactory at this time. We investigated the image quality of 1.5 tesla MRI using a ...
Source: Journal of Cranio Maxillofacial Surgery - July 26, 2019 Category: ENT & OMF Source Type: research

Efficacy of Morpho-functional repair in management of different morphological variants of unilateral complete cleft lip
ConclusionThis shows that the Morphofunctional technique, with its combinations & modifications of various school of thought, is versatile enough to achieve good surgical outcomes despite the wide variations seen in size and type of defects in unilateral cleft lip. This comes about because of the comprehensive nature of the technique & the balance that it creates among the affected structures. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 26, 2019 Category: ENT & OMF Source Type: research

Comparison of treatment efficacy between hyaluronic acid and arthrocentesis plus hyaluronic acid in internal derangements of temporomandibular joint
Publication date: Available online 25 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Onur Yilmaz, Yavuz Tolga Korkmaz, Tamer Tuzuner (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 26, 2019 Category: ENT & OMF Source Type: research

Radiological assessment of the lateral osteotomy line–lacrimal system distance on three-dimensional models
ConclusionPerforming the lateral osteotomy meticulously while paying attention to remaining anterior to the medial canthal ligament will not lead to any lacrimal system injury. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 26, 2019 Category: ENT & OMF Source Type: research

Fluorescence-guided bone resection: a histological analysis in medication-related osteonecrosis of the jaw
ConclusionIntraoperative fluorescence-guided surgery might be more precise in identifying and resecting the necrotic bone compared to previous indicators like bone bleeding, which could be useful to further improve surgical therapy in MRONJ patients. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 24, 2019 Category: ENT & OMF Source Type: research

Maxillofacial surgery in wartime Middle-East: Paul Tessier's missions to Iran
Publication date: Available online 25 June 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Quentin Hennocq, Amin Bennedjaï, François Simon, Sylvie Testelin, Bernard Devauchelle, Jean-François Tulasne, Stéphanie Dakpé, Roman Hossein KhonsariAbstractThe Iraq–Iran war (1980–88) resulted in numerous maxillofacial injuries. More than 400,000 people were wounded and required specialist care. Paul Tessier, a leading French plastic surgeon and pioneering craniofacial surgeon, was involved in several missions to Iran and operated on a vast cohort of patients with complex wa...
Source: Journal of Cranio Maxillofacial Surgery - July 21, 2019 Category: ENT & OMF Source Type: research

“A Technique for Safe Deep Facial Tissue Dissection: Indocyanine Green–Assisted Intraoperative Real-time Visualization of the Vasa nervorum of Facial Nerve with a Near-infrared Camera”
Publication date: Available online 20 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Jin Geun Kwon, Young Jun Choi, Sung Chan Kim, Joon Pio Jp Hong, Woo Shik Jeong, Tae Suk OhAbstractDuring deep tissue dissection in the face, it is sometimes difficult to distinguish the facial nerve from surrounding tissue, leading to a risk of facial nerve injury. To identify the facial nerve during such procedures, we used a fluorescence-assisted near-infrared camera. Indocyanine green (ICG)-assisted direct visualization was used intraoperatively in 13 cases. The procedures included excision of neurofibromas (n=10) an...
Source: Journal of Cranio Maxillofacial Surgery - July 21, 2019 Category: ENT & OMF Source Type: research

Use of CAD-CAM technology to improve orthognathic surgery outcomes in patients with severe obstructive sleep apnoea syndrome
Publication date: Available online 25 June 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Diego Sergio Rossi, Michele Romano, Ahmed Hassan Sweed, Alessandro Baj, Aldo bruno Gianni, Giada Anna BeltraminiAbstractIntroductionAlthough multilevel surgery is the mainstay treatment for severe obstructive sleep apnoea syndrome (OSAS), bi-maxillary surgery (maxillomandibular advancement [MMA]) is the most efficacious single procedure for the expansion of the whole pharyngeal airway. MMA is an alternative to the gold standard of continuous positive airway pressure and is equivalent to tracheotomy.Patients and methodCo...
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

Targeting inhibitors of apoptosis in oral squamous cell carcinoma in vitro
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Mario J.J. Scheurer, Axel Seher, Valentin Steinacker, Christian Linz, Stefan Hartmann, Alexander C. Kübler, Urs D.A. Müller-Richter, Roman C. BrandsAbstractHead and neck cancer, which predominantly arises from the oral mucosa, represents the sixth most common malignancy worldwide. These cancer cells can be resistant to programmed cell death triggered by extrinsic stimuli due to innate overexpression of inhibitor of apoptosis proteins (IAPs). The cellular protein second mitochondria-derived activator of caspase...
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

A Randomized Anesthethic Potency Comparison Between Ropivacaine And Bupivacaine On The Perioperative Regional Anesthesia In Lower Third Molar Surgery
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Milos Tijanic, Nikola BuricAbstractBackgroundPerioperative pain control by means of local anesthesia is an intrinsic part of surgical practice.AimTo evaluate the anesthetic potencies between ropivacaine and bupivacaine in the surgery of mandibular horizontally impacted teeth.Material and methodOutpatients of both sexes, in the age range from 18 to 70 yrs. of age (mean age: 26.48±3.66), participated in this clinical study. After mandibular conduction anesthesia of 0.75% ropivacaine in group I, 0.5% bupivacaine in ...
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

Void space and long-term volumetric changes of maxillary sinus floor augmentation with comparison between hydroxyapatite soaked with bone morphogenetic protein 2 and anorganic bovine xenograft alone
ConclusionThis study showed that our hypothesis was valid. rhBMP-2 is effective for long-term bone regeneration after MSFA. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

Mandibular bi-directional distraction osteogenesis: A technique to manage both transverse and sagittal mandibular diameters via a lingual tooth-borne acrylic plate and double-hinge bone anchorage
ConclusionTo the best of our knowledge, this is the first proposal for ortho-surgical correction of both transversal and sagittal mandibular hypoplasia via a bi-directional distraction procedure. A combination of bone-hardware anchorage and dental-anchored distraction systems is suggested.Transmucosal hardware emergence and need for a second surgery to remove bone-borne appliances are avoided. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

Comparative Evaluation Of 2-Point Vs 3-Point Fixation In The Treatment Of Zygomaticomaxillary Complex Fractures - A Systematic Review
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Nishtha Gadkari, Shilpa Bawane, Ratima Chopra, Kalyani Bhate, Deepak Kulkarni (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 20, 2019 Category: ENT & OMF Source Type: research

Influence of different surgical concepts for moderate skeletal class II and III treatment on the nasopharyngeal airway space
ConclusionsOrthognathic surgery in patients with moderate skeletal class II and III malocclusion seems to affect PAS only slightly. Premolar extractions for compensation (camouflage treatment) can result in a reduction of the oropharynx airway space in both types of skeletal malocclusions. Therefore, in borderline patients with presence of OSAS, orthognathic surgery should be considered. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Free thoracodorsal, perforator-scapular flap based on the angular artery (TDAP-Scap-aa): Clinical experiences and description of a novel technique for single flap reconstruction of extensive oromandibular defects
ConclusionsIn comparison to other double free flaps, the TDAP-Scap-aa offers several advantages such as higher amounts of hard and soft tissues without prolonged operation times, and provides satisfying aesthetic outcomes and little donor site morbidity due to the preservation of muscle and nerve structures. Therefore, the TDAP-Scap-aa constitutes a clinically reliable alternative in extensive oromandibular defect reconstruction. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Objective evaluation of vertical Z-plasty with double transposition vermillion flaps for secondary whistling deformity correction: a method for uni- and bilateral correction
ConclusionsThis study describes a modified method for whistling deformity reconstruction in uni- and bilateral clefts. The aesthetic results are based on a reconstruction of the subcutaneous muscle layers and the creation of a symmetrical lip contour and prolabium using transposition flaps from the lateral side of the cleft. The great advantage is the uncomplicated performance under local anesthesia, even for all children over 10 years, and the short operation time. Postoperative complications did not occur.. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Novel Design Of Miniplate For Fixation Of Fractures At Transition Zone Of Parasymphysis-Body Region Of Mandible – A Clinical Randomised Study
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Abhay Datarkar, Shikha Tayal, Manlio GalieSummaryFractures through the mandible at the level of the parasymphysis extending obliquely and traversing through the transitional zone to body region are relatively common. Therefore, a surgeon should have an appropriate understanding of the biomechanics of different plating techniques to fix these fractures. There is always a dilemma for the surgeon as to whether to fix these mandibular segments with one or two miniplates, and the presence of mental neurovascular bundle makes...
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Biomaterial-based bone regeneration and soft tissue management of the individualized 3D-titanium mesh: an alternative concept to autologous transplantation and flap mobilization
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Shahram Ghanaati, Sarah Al-Maawi, Torsten Conrad, Jonas Lorenz, Ralf Rössler, Robert SaderSummaryThree-dimensional augmentation in severely atrophic bone and after cancer resection is a challenging clinical indication that is mostly solved using autologous bone transplantation. The development of the digital technique along with the additive manufacturing and three-dimensional (3D) printing opened new avenues for reconstructive oral and maxillofacial surgery. Therefore, patient-specific titanium mesh is a novel mea...
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

The Relationship between External Bony Defects and Widened Lateral Interorbital Distance in Frontoethmoidal Encephalomeningocele
ConclusionThere is an association between the EL ratio and widening of the LIOD. An EL ratio greater than 23% could be used to moderately predict a wide LIOD. A large external bony defect may be associated with lateral displacement of the orbit causing true hypertelorism. Therefore, orbital translocation must be considered in patients with a wide LIOD. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Endoscopic septoplasty as a routine approach: our experience on 647 patients
ConclusionsThe endoscopic technique provides a better visualization allowing to observe fewer complications. It can also be considered as an excellent and effective teaching tool. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

The Use of Teleradiology for triaging of maxillofacial trauma
ConclusionTeleradiology may be helpful for an appropriate triaging of trauma patients from peripheral hospitals for the correct referral to a maxillofacial trauma hub center. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Upregulation of ADAM10 in Oral Squamous Cell Carcinoma and its correlation with EGFR, Neoangiogenesis and Clinicopathologic Factors
Publication date: Available online 19 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Shahroo Etemad-Moghadam, Mojgan AlaeddiniSummaryADAM10 (a disintegrin and metalloproteinase-10) is a known sheddase for EGFR (epidermal growth factor receptor) ligands and has been suggested to modulate angiogenesis. We aimed to evaluate the expression of ADAM10 in patients with oral squamous cell carcinoma (OSCC) and to determine its correlation with EGFR, CD105 and clinicopathologic parameters. Fifty primary OSCCs with clinical data were graded according to the histologic risk assessment (HRA) model and subjected to i...
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Corrigendum to “Establishment of a new pull-out strength testing method to quantify early osseointegration - An experimental pilot study” [J Cranio-Maxillofacial Surg 43 (10) (December 2015) 1966–1973]
Publication date: Available online 18 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): J. Nonhoff, T. Moest, C.M. Schmitt, T. Weisel, S. Bauer, K.A. Schlegel (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 19, 2019 Category: ENT & OMF Source Type: research

Oncological and aesthetic outcome following surgical management of orbito-palpebral skin cancers: a retrospective study of 132 patients
ConclusionsThis study brings out consequential information on factors linked with invaded or insufficient excision margins. Larger cohorts should evaluate the aesthetic outcomes in such a population. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 17, 2019 Category: ENT & OMF Source Type: research

Red-blue light irradiation in the prevention of surgical wound infection after mandibular distraction using internal distractors in hemifacial microsomia: a randomized trial
ConclusionsRed-blue irradiation is recommended as adjunctive therapy after mandibular distraction osteogeneis in HFM. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 14, 2019 Category: ENT & OMF Source Type: research

“Surgical Treatment of Orbital Hypertelorism: Historical Evolution and Development Prospects”
Publication date: Available online 13 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Claire Batut, Aline Joly, Nadine Travers, Benjamin Guichard, Arnaud Paré, Boris LaureSummaryOrbital hypertelorism (OR.H) is defined as an abnormal increase in the distance between the two orbits. Since its description by Greig in 1924, OR.H and the associated corrective procedures have captivated many surgeons. Here we present a discussion of the historical evolution of surgery for OR.H and highlight its future prospects. In the mid-twentieth century, only cover-up techniques simulating approximation of the eyes ...
Source: Journal of Cranio Maxillofacial Surgery - July 13, 2019 Category: ENT & OMF Source Type: research

A modified tarsorrhaphy in patients with facial nerve palsy
ConclusionThis MT technique avoids grey line split and excision of orbicularis muscle or skin. It improves lower eyelid retraction and reduces lagophthalmos in FNP. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 7, 2019 Category: ENT & OMF Source Type: research

Understanding the relevance of comprehensive facial injury (CFI) score: statistical analysis of overall surgical time and length of stay outcomes
Publication date: Available online 5 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Gabriele Canzi, Elena De Ponti, Chiara Fossati, Giorgio Novelli, Stefania Cimbanassi, Alberto Bozzetti, Davide SozziSummaryComprehensive facial injury (CFI) score is a powerful and extremely simple scale used to grade the clinical severity of all facial injuries, and is expressed in terms of the overall surgical time needed for definitive treatment. Its statistical validation was previously reported in 2019. The aim of this study was to investigate further the link with duration of surgery, applying the score to a larger...
Source: Journal of Cranio Maxillofacial Surgery - July 7, 2019 Category: ENT & OMF Source Type: research

Follow-up study to investigate symmetry and stability of cranioplasty in craniosynostosis – Introduction of new pathology-specific parameters and a comparison to the norm population
Publication date: Available online 6 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Anne Klausing, Andreas Röhrig, Guido Lüchters, Helen Vogler, Markus MartiniSummaryPurposeCranioplasty and modulation of frontoorbital advancement (FOA) in children with craniosynostosis aims to achieve an attractive aesthetic and functional rehabilitation of the forehead area, comparable to that in unaffected children. Based on a three-dimensional surface scan, a cephalometric data evaluation with new parameters for the quantification of physiological and pathological cranial morphologies, and objective evaluat...
Source: Journal of Cranio Maxillofacial Surgery - July 7, 2019 Category: ENT & OMF Source Type: research

Early or delayed palatoplasty in complete unilateral cleft lip and palate patients? A systematic review of the effects on maxillary growth
Publication date: Available online 3 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Karina Rodrigues Salgado, Andréa Reis Wendt, Nathalia Carolina Fernandes Fagundes Fagundes, Lucianne Copple Maia, David Normando, Patrícia Botelho LeãoAbstractThe aim of this study was to review the effects of early and late hard palate repair on maxillary growth. PubMed, Scopus, Web of Science, LILACS, Cochrane Library CENTRAL databases, OpenGrey, Google Scholar, and Clinical Trials were searched using a PICO strategy, with terms related to unilateral cleft lip and palate (UCLP) and timing of repair...
Source: Journal of Cranio Maxillofacial Surgery - July 4, 2019 Category: ENT & OMF Source Type: research

Non-primary salivary malignancies: a 22-year retrospective study
ConclusionsChemotherapy and radiotherapy for systemic disease prolonged life rather than surgery. Patients with poor prognosis non-primary salivary tumors should be treated conservatively; surgery should be for those without widespread metastases or systemic disease. Sometimes a palliative patient may benefit from tumor debulking. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - July 4, 2019 Category: ENT & OMF Source Type: research

Custom wave-shaped CAD/CAM orbital wall implants for the management of post-enucleation socket syndrome
Publication date: Available online 3 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): F. Wilde, O. Krauß, A. Sakkas, F. Mascha, S. Pietzka, A. SchrammAbstractThe satisfactory management of post-enucleation socket syndrome is a major challenge. In addition to enophthalmos and hypophthalmos, the appearance of the supratarsal fold is frequently unsatisfactory. Using a combination of orbital volume reduction by means of custom wave-shaped CAD/CAM implants (1), the implantation of a dermis-fat graft (2), and the fitting of an acrylic eye prothesis (3), an algorithm has been developed that has led to cons...
Source: Journal of Cranio Maxillofacial Surgery - July 4, 2019 Category: ENT & OMF Source Type: research

The evolution of craniofacial resection: a new workflow for virtual planning in complex craniofacial procedures
This study introduces a new workflow for 3D reconstruction, virtual model navigation, and alignment analyses, and demonstrates its successful application in a sample of four patients. A case of squamous cell carcinoma of the maxillary and ethmoid sinus in a 62-year-old patient is presented to evaluate the application of the workflow for a combined transfacial and transcranial resection. Results demonstrate that virtual surgical planning was successfully translated into navigational coordinates and reproduced in the operating room.While the literature provides a wide range of applications of virtual planning for traditional...
Source: Journal of Cranio Maxillofacial Surgery - July 4, 2019 Category: ENT & OMF Source Type: research

Maxillofacial surgery in wartime Middle-East: Paul Tessier’s missions to Iran
Publication date: Available online 25 June 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Quentin Hennocq, Amin Bennedjaï, François Simon, Sylvie Testelin, Bernard Devauchelle, Jean-François Tulasne, Stéphanie Dakpé, Hossein KhonsariSummaryThe Iraq-Iran war (1980–88) resulted in numerous maxillofacial injuries. More than 400,000 people were wounded and required specialist care. Paul Tessier, a leading French plastic surgeon and pioneering craniofacial surgeon, was involved in several missions to Iran and operated on a vast cohort of patients with complex war trauma sequ...
Source: Journal of Cranio Maxillofacial Surgery - June 26, 2019 Category: ENT & OMF Source Type: research