Recommended Management of Temporomandibular Joint Dislocation During the COVID-19 Outbreak
The epidemic of coronavirus disease 2019 (COVID-19) has become a major public health disaster worldwide. From January 23 to March 20, total 17 patients with TMJ dislocation were treated in dental emergency department in School and Hospital of Stomatology, Wuhan University. Almost half of the patients are older than 80 years of age and they have recurrent joint dislocations. They are also at high risk for the COVID-19. The supine position technique method is suggested. The authors consider it necessary to recommend a practical management for TMJ dislocation. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Covid Papers Source Type: research

Virtual Consultations for Cleft-Craniofacial Conditions Amid the COVID-19 Pandemic and Beyond
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Covid Papers Source Type: research

COVID-19 Pandemic: Its Impact and Collateral Damage in India
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Covid Papers Source Type: research

Is the COVID-19 Emergency an Opportunity to Reshape Assistance Models for the Future of Maxillofacial Surgery?
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Covid Papers Source Type: research

Safety and Efficacy of the Under-Corrected Frontalis Sling in Myogenic Ptosis Accompanying Extraocular Muscle Paralysis
Conclusion: The under-corrected “double V-Loop” frontalis suspension sling is a proper surgery in myogenic ptosis accompanying extraocular muscle paralysis, which leads to a low occurrence of exposure keratopathy, maintains the integrity of the cornea, and remains the patients’ vision function. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Piezoelectric Cutting Devices for Osteotomy in Temporomandibular Joint Condylectomy
Condylar hyperplasia is an alteration in mandibular growth that can cause facial asymmetry and occlusal changes that usually affect the aesthetics and function of patients. To date, condylectomy for its part remains a key part of the treatment. Although there are still controversies regarding the amount of bone to remove and the surgical approach, there are still other concerns, such as finding the benefit in terms of intraoperative safety and postoperative results with different cutting devices, including the use of piezoelectric, which is increasing its use in the maxillofacial field. This is why the main objective of th...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Photogrammetric Analysis of Eyebrow and Eyelid Dimensions in Indian American Adults
In cosmetic surgery, knowledge of the average dimensions of periorbital features based on gender and ethnicity is essential to improve the patient appearance and maintain the ethnicity. The aim the study was to establish gender-specific periorbital anthropometric and anthroposcopic data for Indian Americans (IA) and to assess the statistically ethnic differences by comparing with published data of Malaysian Indians (MI). Evaluation of periorbital features was done on the standardized frontal photographs of 400 IA, aged 18 to 26 years. The measured values were evaluated by an independent t-test. Sexual dimorphism was found ...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Stability Evaluation of Two Internal Fixation Patterns of Extracapsular Condylar Fracture Based on One Novel Measuring Method
In this study we aimed to evaluate the stability of 2 common internal fixation patterns using 1 or 2 miniplates separately. One novel measuring method based on the angle of miniplates’ localization was introduced. Materials and Methods: Twenty-seven patients with 30 sides of extracapsular condylar fracture were enrolled in this retrospective study. All cases were performed open reduction and internal fixation using 1 or 2 titanium plates with both the postoperative immediate CT (T1) and the over 6 months’ follow-up CT (T2). Mandibles and implants were segmented and reconstructed respectively using SIMPANT 14...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Comparison of Glenoid Fossa Morphology Between Different Sagittal Skeletal Pattern Using Cone Beam Computed Tomography
This study aimed to assess the glenoid fossa morphology in different sagittal facial types using CBCT. The CBCT images of 64 patients with normal vertical growth patterns were classified into class I, class II, and class III based on the skeletal sagittal analysis. Depth, width, and angle of glenoid fossa were measured and assessed on CBCT images. One-way analysis of variance (ANOVA) and Tukey post-hoc test were used to compare mean values among the groups. There was a significant statistical difference in means of glenoid fossa’ width between groups with skeletal class III and skeletal class I (P value: 0.038). Howe...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Modified V-Y Myocutaneous Flap With Vascular Pedicle for the Repair of Maxillofacial Skin Defects
Conclusion: Featured with better freeness, larger repair range and aesthetic effect of “kite” flaps, V-Y vascular myocutaneous flap can repair the superior border of zygomatic arch pedicled with facial artery and repair 1.5 cm above the superior border of zygomatic arch pedicled with transverse facial artery for elderly patients in Asia. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Gingival Sulcus Incision for Zygomaticomaxillary Complex Fracture
The usual surgical approaches for zygomaticomaxillary complex fracture are subciliary incision, transconjunctival incision, eyebrow incision, lateral canthal incision, coronal incision, preauricular incision, and superior gingivobuccal incision. In the intraoral approach, a horizontal mucoperiosteal incision is performed at the superior gingivobuccal region, and sometimes, includes the upper labial frenum. This may cause discomfort in the oral cavity because of postoperative scarring and shortening of the upper labial frenum. To avoid these complications, the authors performed a novel approach using gingival sulcus incisio...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Attachment-Oriented Endoscopic Treatment of Inverted Papilloma Involving the Frontal Sinus/Recess
Conclusion: The present study shows that attachment-oriented excision for IP involving the frontal sinus/recess is an acceptable approach. Surgeons should select the surgical approach based on the attachment sites of the tumor rather than the extension of the tumor. Even more importantly, the tumor attachment sites should include the sites of adhesion to the bone wall and the site of origin. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Intraosseous Lipoma in the Mandibular Condyle
Intraosseous lipomas are rare benign tumors of the bone, especially for the mandible. The etiology remains unclear, although several hypotheses have been proposed, such as trauma, blood vessel infarction, aging and inflammation. Clinically, the symptoms mainly depend on the location and size of the tumors. Radiographically, the lesions are usually radiolucent occasionally accompanied by radiopacity. The diagnosis is challenging, and histopathologic examination is necessary for definite diagnosis. Herein, the authors report an unusual patient with intraosseous lipoma in the mandibular condyle. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Combination Laser Treatment With Real-Time Ultrasound Navigation for Oral Venous Malformations
This study aimed to evaluate the efficiency and safety of a combination of laser treatments for oral venous malformations using ultrasound navigation. This study reports 3 cases of massive vascular malformation in the oral cavity, which were treated by a combination of a multiple spotted transmucosal irradiation technique (the so-called leopard technique) for the superficial layer, and intralesional photocoagulation for the deep layer using a neodymium-doped yttrium aluminum garnet laser, under real-time ultrasound navigation. All cases presented with a venous malformation with multiple blue swellings on the dorsum of the ...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Delayed Ocular Motility Restriction After Endoscopic Sinus Surgery in a Patient With Chronic Rhinosinusitis and an Old Medial Orbital Wall Fracture
The orbital complications of endoscopic sinus surgery, including diplopia and ocular motility restriction, are mainly caused by direct injury to the orbital structures. These complications are rare, but can have catastrophic consequences. Symptoms occur immediately after surgery in most cases. The authors encountered an unusual case of delayed ocular motility restriction after endoscopic sinus surgery in a patient with old medial wall fracture, without direct orbital injury during the procedure. A 77-year-old man with an old medial wall fracture of the right orbit underwent endoscopic sinus surgery for chronic pansinusitis...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Endoscopic Forehead Approach for Minimally Invasive Frontal Osteoma Excision
Benign osseous tumors of the frontal bone can be treated with endoscopic surgery, minimizing postoperative complications associated with the coronal approach and guaranteeing more functional and aesthetic results. The authors describe a case of a patient who had endoscopic removal of osteoma of the forehead using two 1 cm incisions behind the hairline. No complications such as hematoma and edema were detected. Endoscopic technique offered both good illumination and excellent magnification; it permitted safe anatomic dissection, minimum bleeding, avoiding visible scars. The outcome achieved with endoscopic technique could...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Management of Intraoral Surgical Defects Using Sublingual Gland Flap
The aim of the study was to evaluate the effectiveness of sublingual gland flap in the reconstruction of surgical defect following sequestrectomy in medication induced osteonecrosis of jaws (MRONJ), osteomyelitis (OML), and osteoradionecrosis (ORN) of mandible. A total of 6 patients with MRONJ (n = 4) osteomyelitis (n = 1) and ORN (n = 1) underwent sequestrectomy and reconstruction with sublingual gland flap. There were 03 males and 03 females. The age range was 45–71–70 years. All defects were present in the posterior mandible. All patients’ undergone sequestrectomy, debridement, and reconstr...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Complex Dentoalveolar Fractures: Main Clinical Variables Description and Analysis
Conclusions: Tooth loss prognosis following complex dentoalveolar trauma is related to the clinical features of the fracture, particularly the status of the alveolar socket and the possibility of using splinting as treatment. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Broad, Recurrent Nasal Dermoid Cyst: A Challenging Task
Nasal dermoid sinus cyst is a rare congenital midline anomaly. The embryological origin is different from the dermoid cysts seen in other parts of the face. Nasal dermoid sinus cysts constitute 1% to 3% of all dermoid cysts and 11% to 12% of head and neck dermoid cysts. While most lesions are detected in the first 3 years, in some cases they may not be noticed until later years. Delay in diagnosis increases recurrent infections, airway obstruction and intracranial complications. The authors present a 34-year-old patient with a broad nasal dermoid cyst who had previously undergone external rhinoplasty for a nasal dermoid cy...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Dentoalveolar Fractures: New Orthodontic Protocol Proposal and Pilot Study
The goal of fracture treatment that includes the dentoalveolar process is to obtain the anatomic bone healing and the pre-injury occlusion restoration with functional and aesthetic recovery, avoiding dental or periodontal lesions. Fractures activates, in the damaged tissue, the Regional Acceleratory Phenomenon, a physiological healing process that can also be activated during orthodontic overloads. Orthodontic treatment in the traumatized area could exploit this phenomenon in order to sustain the cellular activity. The aim of this study is to propose a treatment protocol for dentoalveolar fractures based on the use of ort...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Surgical Treatment of Bilateral Atrophic Mandible Fracture
This study reports 2 patients with different conducts regarding the treatment of bilateral fractures in atrophic mandible. The first patient refers to the removal of plates of the 2.4 mm system with low profile, which failed during the mandibular function, being replaced by the 2.4 mm system with high profile. The 2nd clinical reports the use of the 2.0 mm system only to simplify the mandibular fracture, and then reconstructing that with a 2.4-mm system with high profile, using the load bearing principles. Regarding mandibular fractures, an important goal is to neutralize the muscle action aiming the bone stability. ...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Let's Salute Our Deceased Predecessors: Academic Obituaries in the Journal of Craniofacial Surgery
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Correspondence Source Type: research

International Cleft Surgery Educational Initiatives: Ethical Challenges and Solutions
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Correspondence Source Type: research

The Use of Consecutive Engaged Double Guide System to Ease the Settlement of the Diced Cartilage-Fascia Graft Under the Nasal Dorsal Skin
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Correspondence Source Type: research

Repairing Nasal Defect and Lower Eyelid Defect With a Tube Flap: Comment
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Correspondence Source Type: research

Repairing Nasal Defect and Lower Eyelid Defect With a Tube Flap
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Correspondence Source Type: research

The Unfavorable Result in Plastic Surgery: Avoidance and Treatment by Mimis N. Cohen and Seth R. ThallerNew York, NY: Thieme, 2018
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Book Review Source Type: research

Review of “Wide Variation in Surgical Spending Within Hospital Systems: A Missed Opportunity for Bundled Payment Success” by Chhabra KR in Ann Surg [published ahead of print December 10, 2019] doi: 10.1097/SLA.0000000000003741
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Literature Scans Source Type: research

Review of “Comparison of Patient Outcomes of Surgeons Who Are US Versus International Medical Graduates” by Tsugawa Y et al in Ann Surg [published ahead of print December 10, 2019] doi: 10.1097/SLA.0000000000003736
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Literature Scans Source Type: research

Advanced Simultaneous Isolation, Culture, and Identification of Myoblasts and Fibroblasts From Sternocleidomastoid Muscle of Congenital Muscular Torticollis
Conclusions: The isolated myoblasts and fibroblasts have high purity, intact structure, and relatively high vitality. This method can be used to establish a cell model with myoblasts and fibroblasts, which can be applied to investigate etiology of CMT or mechanisms of drug action. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Scientific Foundations Source Type: research

Manifestations of Apprehension and Anxiety in a Sprague Dawley Cranial Defect Model
Conclusion: Our study demonstrates that anxiety and apprehension are more prevalent in rats with an open, prolonged cranial defect in comparison to those with a closed cranium. This correlates with similar finds in humans with syndrome of the trephined. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Scientific Foundations Source Type: research

Identification of Differentially Expressed Genes and Signaling Pathways in Glioma by Integrated Bioinformatics Analysis
Conclusion: From this study, it is evidenced that the use of integrated bioinformatics analyses in screening for pathways and DEGs in glioma can help us understand the clinical significance of understanding glioma, the molecular mechanism that underlies the development of glioma, as well as the provision of an effective target to treat glioma. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Scientific Foundations Source Type: research

Co-Culture of Adipose-Derived Stem Cells and Chondrocytes With Transforming Growth Factor-Beta 3 Promotes Chondrogenic Differentiation
Tissue engineering cartilage is a promising strategy to reconstruct the craniofacial cartilaginous defects. It demands plenty of chondrocytes to generate human-sized craniofacial frameworks. Partly replacement of chondrocytes by adipose-derived stem cells (ADSCs) can be an alternative strategy. The study aimed at evaluating the chondrogenic outcome of ADSCs and chondrocytes in direct co-culture with transforming growth factor-beta (TGF-β3). Porcine ADSCs and chondrocytes were obtained from abdominal wall and external ears. Four groups: ADSCs or chondrocytes monocultured in medium added with TGF-β3; ADSCs and ACs...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Scientific Foundations Source Type: research

Autogenous Tooth Bone Graft and Simvastatin Combination Effect on Bone Healing
Conclusion: This study concludes that mineralized teeth may be used for defect reconstruction without any demineralization process. Autogenous mineralized tooth bone graft should be mixed with simvastatin for bone regeneration like other grafts. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Scientific Foundations Source Type: research

Volumetric Investigation of Sphenoid Sinus in an Elderly Population
The aims of this study were to determine the sphenoid sinus volume in an Austrian population, evaluate the relationship between volume and different types of pneumatization and investigate possible age-related sphenoid sinus volume degeneration in the elderly. A total of 50 human cadaver including 25 male and 25 female samples (=100 sphenoid sinuses, age range 65–100, mean age 84.52 ± 9.50) were selected to obtain volume and anatomical variants of pneumatization by using sphenoid sinus casts, made of quadrofunctional hydrophilic addition reaction silicone. The mean sphenoid sinus volume was 4.79 ±...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Anatomical Studies Source Type: research

Lip Shapes Over the Last Century (1948–2012)
The aim of this study was to analyze lip shapes as represented in the British edition of Vogue over the last century (1916–2015). Photographs containing distinguishable lips were selected from a book entitled Vogue 100: A Century of Style. A total of 98 frontal pictures (20 males, 78 females) in which the lips and mouth were identifiable were included and analyzed in terms of 4 lip-related ratios (lip thickness-to-width ratio [LTW]; upper-to-lower vermillion ratio [ULR]; upper vermillion thickness-to-upper lip height ratio [VUL]; and lip-to-nose width ratio [LNW]). The LTW was 0.39 ± 0.07, and did not vary...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Anatomical Studies Source Type: research

Advanced Robotic Surgery of the Parapharyngeal Space: Transoral Robotic Styloidectomy in Eagle Syndrome
Eagle syndrome (ES) is characterized by symptomatic elongation of the styloid process or ossification of the stylohyoid ligament causing irritation and inflammation of the trigeminal, facial, glossopharyngeal, and vagus nerves. The use of robotic surgery has been accepted as a first-line treatment for some head and neck squamous cell carcinomas but not for styloidectomy. The aim of this article is to document our experience with a transoral robotic approach to treat ES and to present the outcomes of 6 patients. The author present the transoral robotic surgery as a successful alternative for the surgical management of ES. ...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Vascularized Composite Parietal Bone Flap for Immediate Reconstruction of a Hemi-Maxillectomy Defect in an Infant
Conclusion: A vascularized composite parietal bone flap is a reliable reconstructive option for reconstruction of large maxillectomy defects providing low donor-site morbidity, adequate globe support, excellent long-term skeletal stability, and malar symmetry in rapidly growing pediatric patients. Successful reconstruction for a rare patient with maxillary melanotic neuroectodermal tumor of infancy requiring hemi-maxillectomy was demonstrated with>3-year follow-up. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Management of Mid-Vault Asymmetry in Secondary Unilateral Cleft Lip-Nose Deformity
In this report, case examples are described to illustrate the surgical techniques and results. This method enables the correction of mid-vault asymmetry without the use of an additional septal spreader graft. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Primary Palate Reconstruction Combined With Cranio-Maxillo-Facial Fixation After Self-Inflicted Gunshot Wound Injury: Critical Incision Planning for Regional Flap Reconstruction
Self-inflicted gunshot wounds (GSW) to the palate result in complex bony and soft tissue trauma to the mid and upper face. Patients who survive these injuries are faced with significant speech and feeding difficulties. Upper and midface fractures open reduction and internal fixation (ORIF) is required for many of these patients, and consideration to incision planning is critical in order to preserve a primary option for oroantral fistula repair. The temporoparietal fascia (TPF) flap is an excellent option for primary palate repair as it is often exposed in the operative field during facial fracture ORIF and can be readily ...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Error Analysis of Robot-Assisted Orthognathic Surgery
Conclusion: In robot-assisted orthognathic surgery, the robot can complete an osteotomy according to the preoperative VSP and transfer a preoperative VSP into the actual surgical operation with good accuracy and feasibility. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

A New Approach for Lateral Sinus Floor Elevation
The lateral sinus lift procedure has been extensively investigated and described as a reliable surgical solution aimed at facilitating implant placement and rehabilitation when the posterior upper maxilla is atrophic. The standard technique consists in a lateral antrostomy, the careful raising of the sinus membrane, and following apposition of a bone substitute between the membrane and the sinus floor. The present technical note illustrates a new conservative technique enabling lateral sinus lift without the use of bone substitutes and with predictable outcomes. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Endoscopic Petrous Apex Surgery: The Utilization of Frontal Sinus Instrumentation
Conclusions: Significant technical and technological advances have been made in the field of expanded endoscopic endonasal skull base surgery in the past 3 decades. Increasing efforts are made to push the boundaries and access more laterally located lesions, such as those in the petrous apex. Surgical trajectory or vector is paramount to safely navigate around the internal carotid artery. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Cartilage-Sparing Otoplasty: The Effects of Adipo-Perichondrial Flap-Assisted Posterior Auricular Muscle Complex Flap Technique on the Repair of Prominent Ear Deformities
This study evaluated the efficacy of the adipo-perichondrial flap-assisted posterior auricular muscle complex (PAMC) flap technique, which involves a new approach to the repair of prominent ear deformities. Materials and Methods: A medially based PAMC flap and a laterally based adipo-perichondrial flap were elevated in 22 patients with prominent ear deformities. In order to shape the ear, the PAMC flap was sutured to the transition zone between the helix and antihelix, and the adipo-perichondrial flap to the periosteum of the mastoid bone. The ear-cranium distances were measured preoperatively and at postoperative first...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

Use of Thermoplastic Splint for the Treatment of Auricular Hematoma
Auricular hematoma is commonly seen in ear nose and throat clinical practice and mostly caused by blunt trauma as a result of traffic accident, wrestling, boxing etc. If hematoma does not discharge, blood supply of the cartilage fails and this results with the necrosis of the auricular cartilage. Incision and drainage of the hematoma is the cornerstone of the surgical treatment and simple compression methods are limited in terms of their ability to eliminate the empty space. Various techniques have been described for the elimination of the death space such as; dental rolls, cotton bolsters, buttons, silastic sheets, etc bu...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Technical Strategies Source Type: research

The Application of Three-Dimensional Technology Combined With Image Navigation in Nasal Skull Base Surgery
Three-dimensional (3D) technology including 3D reconstruction and 3D printing technology, has been widely used in clinical treatment, especially in surgical planning, and image navigation technology, which can make surgical procedures more accurate, now is also increasingly favored by surgeons. But the combination of those 2 technologies was rarely reported. Thus, this study will preliminarily investigate the feasibility and the effect of the combination of 2 technologies in endonasal skull base surgery. Eight patients were involved in this study (from October 2016 to July 2017 at The Affiliated Hospital of Qingdao Univers...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Clinical Studies Source Type: research

Lacrimal Ductal Fistula After Lateral Canthoplasty
We report a rare case of lacrimal ductal fistula in a patient who underwent esthetic lateral canthoplasty. A 37-year-old woman was referred to our hospital with tearing in right eye after cosmetic lateral canthoplasty of both eyes. The patient was treated with silicone tube intubation at a local medical center, but the symptoms were not resolved. Lacrimal sac irrigation tests and paranasal computed tomography (CT) were performed to analyze the possibility of lacrimal pathway obstruction. However, there was no evidence of acquired lacrimal duct stenosis. The teardrop leaked out through a small orifice in the right lateral c...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Clinical Studies Source Type: research

Three-Dimensional Planning of the Mandibular Margin in Hemifacial Microsomia Using a Printed Patient-Specific Implant
Hemifacial microsomia (HFM) is also known as malformation of the first and second branchial arches (BAs), oculoauriculovertebral dysplasia syndrome, and Goldenhar syndrome. Possibilities resulting from CAD/CAM may be a valuable tool to existing procedures to treat these abnormalities. The aim of this study was to report a case where the planning and implementation of an intraorally inserted 2-part patient-specific mandible implant was used for the treatment of HFM esthetic remained problem after orthognathic surgery. A 20-year-old female patient who continued to suffer from the esthetic defect of the unilateral hypoplastic...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Clinical Studies Source Type: research

Novel Approach of Mandibular Distraction to Avoid Tracheostomy in KAT6B-related Gene Disorders
Previously, severe upper airway obstruction in patients with retrognathia and glossoptosis has been managed with tracheostomy. However, tracheostomy is associated with significant morbidity. In recent years, mandibular distraction has become an alternative management strategy in infants, but these applications have been limited to patient populations with retrognathia and glossoptosis. The authors present 2 unique cases of patients with KAT6B-related gene disorders, who present with a paradox of tongue-based airway obstruction in the absence of retrognathia. In both cases mandibular distraction osteogenesis with an oblique...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Clinical Studies Source Type: research

Skin Necrosis and Vision Loss or Impairment After Facial Filler Injection
Purpose of the present study is to objectively evaluate the number of severe vascular complications, represented by skin necrosis and vision loss or impairment, following facial filler injection. The investigators implemented a review of the literature including articles published on PubMed database without limitation about year of publication, including all reports concerning skin necrosis and vision loss or impairment related to the injection of fillers for cosmetic uses. The search highlighted 45 articles and a total of 164 cases of skin necrosis and vision loss or impairment after injection of different substances. The...
Source: Journal of Craniofacial Surgery - October 29, 2020 Category: Surgery Tags: Clinical Studies Source Type: research