Assessment of the Outcome of Calvarial Vault Remodeling and Spring-Mediated Cranioplasty in the Correction of Isolated Sagittal Suture Synostosis
Conclusion: The SMC and CVR are safe procedures, with good long-term results and significant objective changes toward normalization of the skull morphology in isolated sagittal craniosynostosis. The SMC is less invasive and associated with reduced hospital stays, decreased blood loss, and can be performed at a younger age than CVR with a lower morbidity. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Endoscopic Support and Virtual Surgical Planning as an Alternative to Repair Orbital Wall Fractures
The reconstruction of the orbit has been carried out throughout history using different techniques. However, the persistence of high rates of complications mainly associated with the position of the eyeball and the migration of reconstruction implants have generated the need and importance of continuing to study new techniques, including with the help of technology. Virtual planning combined with endoscopic access and 3D models could decrease the number of complications associated with the aforementioned problems. For this, the aim of this observational retrospective study is to show the authors’ experience of 19 cas...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Foreign Body Reaction to Poly-D-L-Lactic Acid Resorbable Plates Used in Craniofacial Surgery
Resorbable surgical materials are often used in the pediatric population to provide fixation in the growing skeleton. Although foreign body reactions to poly-D-L-lactic acid (PDLLA) plates and screws have been previously reported in other fields, to date PDLLA polymers have been well-tolerated in the setting of craniofacial surgery. The authors report a case of a previously healthy 4-month-old patient with Crouzon syndrome who underwent a frontal-orbital advancement with resorbable PDLLA plates and screws and subsequently experienced extensive foreign body reactions and wound healing complications. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Traumatic Globe Subluxation Accompanied by Traumatic Optic Neuropathy
A 52-year-old, alcohol-intoxicated woman suffered periorbital trauma to the left eye and presented to the emergency department with proptosis and complaints of decreased vision in the left eye. Physical examination revealed loss of light perception (LP), relative afferent pupillary defect (RAPD), pupil dilatation, and corneal epithelial defect of the left eye. In addition, the fundus of the left eye was not easily visible due to severe corneal abrasion and edema, but there was no retinal detachment or vitreous hemorrhage on B-scan ultrasonography. Hertel exophthalmometric values differed by 7 mm between the eyes and meas...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Role of Three-Dimensional Printing Technology as an Additional Tool in Unilateral Condylar Hyperplasia Surgical Planning
This study describes 2 patients affected by active UCH. Cone beam computed tomography (CBCT) scans were converted in STL files and then sent to a 3D printer that provided 3D cast models of patient's mandible and skull. Surgical planning was conducted performing linear measurement both on 3D virtual images and on 3D cast models. Proportional condylectomy was then simulated with the virtual software and on the 3D cast models as well. After 18 months, new CBCT scans of the patients were acquired and new 3D cast models were printed. Measurements performed on the 3D cast models were close and reliable if compared to measurement...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Surgical Treatment of a Child With Acute Cortical Blindness Caused by Depressed Skull Fracture
This report details the case of a 7-year-old boy who was admitted to the emergency department with complete blindness after having experienced an in-car traffic accident. Brain tomography of the patient showed that a large, island-shaped piece of occipital bone was depressed on the visual cortex and superior sagittal sinus in the midline. Presentation of complete loss of vision after an isolated head trauma is very rare, and there are no similar cases in existing literature. The limits of surgical indications for depressed skull fractures are well established in neurosurgical practice. Surgical intervention should be perfo...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Association Between Compensatory Overaction of the Non-Injured Eye, Measured by HESS Chart and Postoperative Diplopia in Blow-Out Fracture
This study evaluated the association between pre-operative parameters concerning the extent of the injury and post-operative diplopia, using multivariate analysis. A retrospective computed tomography analysis and chart review was performed for patients with punched out orbital floor fracture, who underwent operations during the period from April 2011 to March 2018. Five parameters were evaluated: the number of upward arrows on the Hess chart (representing compensatory overaction of the non-injured eye), time interval to surgery, muscular subscores, fracture area, and swelling rate of the inferior rectus muscle. Of the 32 p...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Novel Suturectomy Using Absorbable Plates in Early Surgery for Craniosynostosis
Conclusion: Placement of absorbable plates was able to prevent bone formation during the early postoperative period, and yet also promote bone formation after plate absorption. The authors believe syndromic craniosynostosis patients with severe deformities and nonsyndromic ones with scaphocephaly or plagiocephaly, successfully avoided secondary surgeries. This approach is less invasive for craniosynostosis and is expected to be highly effective. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Intraosseous Hemangioma of Nasal Bone: Unusual Cause of Epiphora
Intraosseous hemangioma is very rare, accounting for (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Chondroma in the Area of the Spheno-Ethmoid Junction
Chondroma in the area of the spheno-ethmoidal junction is very rare. A 29-year-old male patient with chronic rhinosinusitis with nasal polyps was arranged for a preoperative computed tomography scan, and a lesion was accidentally found in his spheno-ethmoidal junction and involved the skull base. Combined with MRI, the lesion was misdiagnosed as fungal sinusitis. However, no fungal lesions were found during the operation, and cartilage tissue was confirmed only after some bone was ground away under the guidance of a surgical navigation system. Our case indicates that chondroma is easily misdiagnosed as fungal sinusitis whe...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Effect of Zigzag Palatoplasty on the Repair of Cleft Palate and its Comparative Study With Sommerlad Palatoplasty and the Double Opposing Z Palatoplasty
Conclusion: The authors’ research showed that the effect of zigzag palatoplasty works well in the repair of nasal mucosa myometrium and can be used as an optional method for functional repair of cleft palate. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Sinus Pericranii in Posterior Cranial Vault Distraction
Anomalous venous connections between the extracranial and intracranial systems are relatively rare. These connections are also known as sinus pericranii (SP) have been reported previously in the setting of various cranial malformations including craniosynostosis. Angiography may be useful in the diagnosis of SP also allowing for differentiation of the dominance of the venous systems. Several methods have been described in the treatment of SP. In isolated cases both endovascular and open approaches have been successful in the treatment of SP. In cases wherein there is synostosis present, both single- and multiple-staged ope...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Quantifying Free Fibula Flap Growth After Pediatric Mandibular Reconstruction
Conclusion: Providing an objective evaluation using 3D software, we have demonstrated growth throughout the reconstructed mandible, with greatest growth occurring at the preserved condyle. Despite scientific limitations of our study, the potential for mandibular growth appears to remain after FFF reconstruction, offering successful functional and cosmetic outcomes. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Barrel Stave Osteotomy Decompression for Acute Brain Injury in Infants: Technical Note
Decompressive craniectomy (DC) is rarely required in infants, but when performed several aspects should be considered: These youngest patients are vulnerable to blood loss and cranial reconstruction can be challenging due to skull growth and bone flap resorption. On the other hand, infants have thin and flexible bone and osteogenic potential. The authors propose a technique which makes use of these unique aspects by achieving decompression with the craniofacial method of barrel stave osteotomy, aiming to achieve adequate DC, limit perioperative risks and facilitate subsequent cranial reconstruction. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Recurrent Syndrome of the Trephined in the Setting of Multiple Craniectomy and Cranioplasty
Decompressive craniectomy is an increasingly implemented intervention for relief of intracranial hypertension refractory to medical therapy. Despite its therapeutic benefit, a myriad of short and long-term complications may arise when the once fixed-volume cranial vault remains decompressed. The authors present a case of recurrent Syndrome of the Trephined in a patient undergoing repeated craniectomy and cranioplasty. A 70-year old male with history significant for smoking and chronic obstructive pulmonary disease presented with frontoparietal subdural hematoma with midline shift following a ground level fall necessitatin...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

One-Stage Reconstruction of the Large Lower Nose Defect Involving 2 Subunits With Lateral Nasal Artery Pedicle Nasolabial Flap
Conclusions: The LNAPN flap represents a feasible, flexible, efficient, and easily mastered reconstructive method for large nose defects involving the tip and alar subunits. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Myxoid Liposarcoma Metastasizing to the Parotid Gland
Localization of metastases into the parotid gland is a very uncommon event. Usually they arise from primary tumors located in the head and neck, mainly melanoma or epidermoid carcinoma of the skin, while other histotypes, from others anatomical districts, hardly have a metastatic spread to the parotid. Myxoid liposarcoma (MLS) is a rare malignant tumor of the soft tissue that mainly occurs in the extremities, representing the second most common subtype of liposarcoma. Although it is typical for liposarcomas to metastasize to the lungs, it is known that MLS can spread also to extra pulmonary sites. The authors report a case...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Dermoid Cyst of the Parotid Gland Location
Dermoid cysts (DCs) can occur anywhere in the body. However, DCs on neck or head are not common, which account for about 7% among all kinds of DCs and mostly occur in superficial areas. These cysts are hardly seen in the parotid gland. It is challenging to make accurate diagnosis before surgery because of its rarity and the ambiguous findings on radiology images. Based on a short review of the literature on DCs in the parotid gland, we discussed their clinical features and histopathological and radiological characteristics. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Maxillofacial Trauma in Geriatric Population
Conclusion: Facial fractures in the elderly often seen in midface location. Falling is the common etiology of facial fracture in all genders at elderly. However, male dominance is seen in other etiological factors. Additional diseases in the elderly seem to increase the severity of facial fracture. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Prognosis of Patient With Resorbable Plates and Screws Under the Incision Site
Various resorbable plates and screws were used for facial bone fractures because of several strengths. However, there are few studies on their clinical course and long-term follow-up concerning their degradation and resorption time. The authors present rare case of long term follow-up of resorbable plates and screws under the incision site. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Adenoid Cystic Carcinoma of Lacrimal Gland with Bone Remodeling
Adenoid cystic carcinoma is the most common type of malignancy seen in the lacrimal glands and is generally characterized by invasive malignant appearance with irregular margins and associated bone erosion or destruction. The authors report an unusual patient with a large expansile, well-circumscribed lacrimal adenoid cystic carcinoma with adjacent bone remodeling, radiologically mimicking a benign lesion. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Verifying the Versatility and Reliability of Free Lateral Arm Flap for Head and Neck Reconstruction
The lateral arm flap is an alternative to the conventional radial forearm flap and has been widely used due to advancements in flap characteristics. Especially, the fasciocutaneous flap has been widely used in head and neck reconstruction due to its versatile characteristics and surgical feasibility. This flap has successfully undergone several useful modifications based on various anatomical studies. Here, the authors aimed to verify the versatility and reliability of free lateral arm flap reconstruction of numerous head and neck defects. Twelve patients (6 men and 6 women; mean age, 66 years) with various types of latera...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Outcomes of Treatment for Elderly Patients With Trigeminal Neuralgia: Percutaneous Balloon Compression Versus Microvascular Decompression
Conclusion: Percutaneous balloon compression and MVD are effective in the treatment for elderly TN, which can effectively improve the post-operative cure rate of pain prognosis and reduce the inflammatory response. However, PBC is a minimally invasive, safe and effective method for patients in poor general condition and refused treatment with craniotomy. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Footprint-Like Intracranial Solitary Fibrous Tumor/Hemangiopericytoma With Extracranial Extension and Acute Intratumoral Hemorrhage
Discussions and conclusions: The diagnosis of ISFT/HPC mainly depends on pathological and immunohistochemical results. Malignant cases with cystic necrosis may be prone to acute hemorrhage. Early total surgical excision can provide a good clinical prognosis. Adjuvant radiotherapy is an effective supplement to surgical treatment. Metastasis and recurrence require long-term follow-up monitoring. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Investigation of Free-Flap Transfer Reconstruction in Elderly Patients and Oral Intake Function
The authors retrospectively examined 39 patients with head and neck reconstruction using a free-flap transfer with microsurgery in elderly patients aged over 80 years in our hospital. They investigated postoperative local complications, postoperative systemic complications, day of ambulation, the presence of delirium, the postoperative oral intake ratio, and the reconstructive method in mandibular reconstruction patients. There were 12 postoperative local complications. And postoperative systemic complications were detected in 19 patients; however, 17 of these were respiratory disorders due to pneumonia. There were 17 pati...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Periorbital and Perioral Regions in Relation to Aging
The aim of this study was to determine the boundary between the periorbital and perioral regions based on a literature review. PubMed was searched for the terms (zone [OR] area [OR] region) [AND] (face-lift [OR] rhytidectomy), and 872 abstracts were found. Additionally, the terms (levator labii superioris [AND] orbicularis oculi) resulted in 20 abstracts. The author separately searched for (Lightoller) because searching PubMed for terms in abstracts does not yield results for older papers that do not have abstracts. Among the papers identified through this search strategy, the author did not find any that defined the bou...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Application of Suprafascially Harvested Anterolateral Thigh Perforator Flap for the Reconstruction of Oral and Maxillofacial Defects
Conclusions: Because of the reduced donor-site complications, satisfactory esthetic and functional results, and high success rate of flap transplantation, the use of suprafascially harvested ALT perforator flap is a good choice for the reconstruction of oral and maxillofacial defects, in cases in which the fascia lata is not needed. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Giant Mixed Tumor of the Skin Affecting the Hemiface
Mixed tumor of the skin (MTS) is a rare skin adnexal neoplasm occurring in sweat glands. It is usually benign, measures 0.5 to 3 cm, and presents as a slowly growing, painless, firm nodule commonly in the head and neck regions. Owing to its rarity and lack of distinctive clinical manifestations, confirmative diagnosis is made on the basis of its pathologic features. Malignant MTS also develops de novo or from preexisting benign MTS even though they occur rarely. It should be excised completely to exclude malignant potentials. Herein, we report a 35-year history of a giant MTS of eccrine type measuring approximately 10.5 &t...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Postauricular Island Flap in Reconstruction of Auricula Tumor Defects
The most common malignant tumor in humans is skin cancers. Skin cancers are most commonly seen in the head and neck region due to direct exposure to sunlight. Most frequently seen skin cancer in the auricula are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). The aim of this study is to evaluate the results of postauricular island flap after resection of tumors in the auricula. Twelve patients aged 58 to 84 years were included in the study. Eight patients had BCC, 3 had SCC, and 1 had basosquamous carcinoma (BSC). The tumor was located at the cavum concha in 7 cases, antihelix in 3 cases, triangular fossa in...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Rare Cause of Dysphagia: Giant Lipoma in Parapharyngeal Space
Conclusion: Parapharyngeal lipomas are very rare, and difficult to diagnose before they turn out symptomatic. The primary treatment approach in tumors of the parapharyngeal area is surgery and the surgical approach should be chosen according to the anatomical location of the lesion. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Multifocal Recurrent Microcystic Adnexal Carcinoma
Microcystic adnexal carcinoma (MAC) is a rare and locally aggressive neoplasm with preponderance for local recurrence but rarely nodal or distant metastasis. A 38-year-old male was referred to our clinic for definitive treatment of known recurrent and concern for multifocal MAC from previous biopsy. The patient was treated with modified Mohs and reconstruction with an anterolateral thigh (ALT) free flap for tissue coverage. This case highlights the rare nature of multifocal MAC, treatment challenges of Mohs clearance versus wide local excision, and reconstructive challenge associated with large post treatment defects. (Sou...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Dermoid Cyst in the Postauricular Area
Dermoid cyst is a rare benign tumor and about 7% of occurrences are found in the head and neck region. Its location is almost always in the midline of the body such as the orbit, oral cavity, and nose, but it is rarer in and around the auricle. The authors present a 31-year-old woman with dermoid cyst in the postauricular area which is a rare site for this lesion. In surgery under local anesthesia, the mass was limited to the subcutaneous area and excised completely. Surgical excision should be considered for cosmetic reasons and the mass should be excised completely to prevent recurrence and infection. Histopathologic con...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Perioperative Outcomes in the Treatment of Isolated Sagittal Synostosis: Cranial Vault Remodeling Versus Spring Mediated Cranioplasty
Background: Patients undergoing cranial expansion including spring-mediated cranioplasty (SMC) and cranial vault remodeling (CVR) receive costly and high acuity post-operative intensive care (ICU) given concerns over neurologic and hemodynamic vulnerability. The authors analyzed perioperative and post-operative events for patients presenting with sagittal craniosynostosis (CS) undergoing SMC and CVR in order to compare complication profiles. Methods: The authors performed a single center retrospective cohort study of patients undergoing SMC and CVR for the treatment of nonsyndromic, isolated sagittal CS from 2011 to 2...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Spring-Assisted Strip Craniectomy Versus Cranial Vault Remodeling: Long-Term Psychological, Behavioral, and Executive Function Outcomes
Conclusions: Children undergoing SAS and CVR procedures for isolated sagittal synostosis were not rated as having clinically significant behavioral, emotional, social, adaptive, or executive functioning problems on parental forms. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Endoscopic Spring-Mediated Distraction for Unilambdoid Craniosynostosis
Conclusion: Endoscopic spring-mediated distraction is a safe and effective method of treatment for unilambdoid craniosynostosis. The series represents the largest experience with this technique. The approach can be considered in all patients with unilambdoid synostosis given the efficacious improvement in vault remodeling, low patient morbidity, short operating time, and minimal inpatient stay. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Posterior Distraction Using Springs in Syndromic and Multisuture Craniosynostosis: Improving the Technique
Conclusions: Posterior distraction with springs is a safe and effective procedure and allows a simultaneous foramen magnum decompression. Planning the hinge at the vault allows intracranial volume gain at the site of the posterior skull base. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Spring Cranioplasty: Incorporation Into Practice
Conclusion: Incorporation of spring-assisted cranioplasty for sagittal synostosis offers an additional minimally invasive technique, which presents great advantages for many families, and is rewarding for both craniofacial and neurological surgeons. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Outcomes of Endoscopic Versus Open Spring Assisted Surgery for Sagittal Craniosynostosis
Spring-assisted surgery (SAS) has been shown to be an effective technique for correction of isolated sagittal craniosynostosis in patients less than 6 months of age. At their institution, the authors adopted a minimally invasive technique in 2010, using a shorter incision and an endoscope. A retrospective chart review of 101 patients with isolated, nonsyndromic, sagittal craniosynostosis, who underwent SAS, was performed in order to compare perioperative and clinical outcomes of the open (n = 51) and minimally-invasive (n = 50) approaches. Surgeries were performed by 2 neurosurgeons and 3 plastic surgeons, between ...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Three-Dimensional Calvarial Growth in Spring-Assisted Cranioplasty for Correction of Sagittal Synostosis
Spring-assisted cranioplasty (SAC) is a minimally invasive technique for treating sagittal synostosis in young infants. Yet, follow-up data on cranial growth in patients who have undergone SAC are lacking. This project aimed to understand how the cranial shape develops during the postoperative period, from spring insertion to removal. 3D head scans of 30 consecutive infants undergoing SAC for sagittal synostosis were acquired using a handheld scanner pre-operatively, immediately postoperatively, at follow-up and at spring removal; 3D scans of 41 age-matched control subjects were also acquired. Measurements of head length, ...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Hope Springs Eternal: Insights Into the Durability of Springs to Provide Long-Term Correction of the Scaphocephalic Head Shape
Spring-mediated cranial vault expansion (SMC) has become a primary treatment modality at our institution to correct scaphocephalic head shape in the setting of isolated sagittal craniosynostosis (CS). Spring-mediated cranioplasty is associated with minimal procedural morbidity and reliable clinical efficacy, although long-term outcomes are not well elucidated. Herein we describe our institutional experience and lessons learned with SMC. We hypothesize that SMC performed in young infants offers durable scaphocephalic correction as measured by cephalic index (CI) at the 1, 3, and 5-year postoperative timepoints. Patients wi...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

The Science Behind the Springs: Using Biomechanics and Finite Element Modeling to Predict Outcomes in Spring-Assisted Sagittal Synostosis Surgery
Spring-assisted surgery for the correction of scaphocephaly has gained popularity over the past 2 decades. Our unit utilizes standardized torsional springs with a central helix for spring-assisted surgery. This design allows a high degree of accuracy and reproducibility of the force vectors and force distance curves. In this manuscript, we expand on the biomechanical testing and properties of these springs. Standardization of design has enabled us to study the springs on bench and in vivo and a comprehensive repository of calvarial remodeling and spring dynamics has been acquired and analyzed. Finite element modeling is a...
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

The History of Spring-Assisted Surgery Implementation into the Treatment Algorithm for Craniofacial Deformities
Spring-assisted surgery has been a part of the craniofacial surgeon's armamentarium for more than 2 decades now. The development and implementation of this technique will be reviewed as well as the evolution of spring surgery at Wake Forest University. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

The Applications of Springs in Craniofacial Surgery
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Educational Supplement: Springs in Craniofacial Surgery Source Type: research

Full Digital Workflow of Nasoalveolar Molding Treatment in Infants With Cleft Lip and Palate: Comment
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Effects of Rhinoplasty on Smile Esthetic and Gingival Appearance: Comment
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Clinical and Economic Impact of The Global Smile Foundation Surgical Program
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Vocal Fold Injury Following Intubation
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Craniosynostosis: A Reversible Pathology?: Comment
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Review of “Trends of Burn Injury in the United States” by Crowe CS et al in Ann Surg 270:944-953, 2019
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Literature Scans Source Type: research

Review of “Understanding the Costs Associated With Surgical Care Delivery in the Medicare Population” by Kaye DR, et al in Ann Surg 271:23-28, 2020
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 1, 2020 Category: Surgery Tags: Literature Scans Source Type: research