Cost-effectiveness of Erenumab Versus Surgical Trigger Site Deactivation for the Treatment of Migraine Headaches: A Systematic Review
Conclusions: Erenumab has potential to be a revolutionary noninvasive preventative treatment for migraine headache. With that said, the cost-conscious option for patients receiving more than 1 year of treatment remains surgical trigger site deactivation. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Optimizing Nasal Reconstruction in Severe Congenital Nasal Deviations
Nasal deviations pose a 2-fold task for plastic surgeons, as the correction must often address both functional and aesthetic challenges. Regardless of the etiology of the nasal deviation, the principles of treatment have been previously extensively described. The authors present an extreme case of congenital nasal deviation in an 18-year-old male acquired as a result of abnormal in-utero positioning during a multigestational pregnancy. Through this case, the authors demonstrate effective use of previously described surgical principles in treating a severe congenital nasal deviation and reinforce the importance of postopera...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Management of Maxillofacial Trauma in Attempt Suicide Patients During COVID-19 Pandemic
The maxillofacial surgeon trained well to face the surgical challenges. In case of dealing with self-inflicted trauma, the surgeon must face the surgical as well as the psychological status of the patients. Five patients received in the emergency room suffering from maxillofacial trauma resulted from suicidal attempts. Unfortunately, 1 patient died, the other patients managed by providing surgical and psychological support. The cornerstone of managing such type of trauma needs appropriate communication between the family, surgical team, and the psychiatric. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Augmentation Genioplasty Using a Third Molar as a Bone Graft: An Alternative Surgical Technique
Conclusions: third molar can be used as a prop biomaterial in augmentation genioplasty (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Correction of the Deepened Labiomental Groove Using Silicone Implants in Advancement Genioplasty
Advancement genioplasty is performed to aesthetically improve the lower third of the facial profile. Excessive chin advancement alone may lead to deepened labiomental sulcus and deformed aesthetic results. The purpose of this study was to assess the efficacy of silicone prosthesis placement as an alternative method for effacing an excessively deepened labiomental groove after advancement genioplasty. Three hundred and seventy-six patients underwent genioplasty between January 2014 and October 2017. Among these were 216 cases of advancement genioplasty, of which 79 (62 females and 17 males) underwent advancement procedures ...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Reconstruction of Combined Orbital Floor and Medial Wall Fractures Using Custom-Made Titanium Alloy Implant
The reconstruction of combined orbital floor and medial wall fractures is challenging due to the surgical approach and implant stability. A 0.5 mm thickness rigidity custom made titanium alley implant was created by 3-dimensional printing with electron-beam additive manufacturing. The implant was designed to cover the entire surface of the inferomedial orbit based on the flipped the contralateral orbit images. Although the cost was expensive, the use of three-dimensional printed implants for extensive orbital wall fractures was useful for decreasing operative time, and can be accessed with a limited surgical approach wit...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Bilateral Ethmoidal Mucocele Causing Proptosis in a Child
Conclusions: Children are rarely affected by mucocele and if present at early age, there is usually an underlying cause. In pediatric patients with signs and symptoms suggestive of a mucocele, it is important to rule out other benign and malignant paranasal sinus pathologies. Marsupialization and drainage via endoscopic endonasal approach is the preferred treatment modality. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Superolateral Dislocation of Bilateral Mandibular Condyles With a Mandibular Body and Condyle Fracture
An 82-year-old man fell from a motorcycle and was admitted with superolateral dislocation of the bilateral mandibular condyles. The displaced condyles on the right and left were hooked in the posterior root of the zygomatic arch and in the temporal fossa beyond the zygomatic arch, respectively. There was a sagittal split fracture on the medial side of the right mandibular condyle and a right mandibular body fracture. Under general anesthesia, manual reduction of the dislocation was successfully performed the day after the injury. Bilateral superolateral dislocations hooked to the temporal fossa or zygomatic arch are very r...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Early Pediatric Multiple Facial Fractures Treatment With Resorbable Fixation
The facial skeleton in pediatric patients can undergo several changes during development, according to their growth zones and the traumas they suffer. Thus, some of these traumas can lead to multiple complications if not treated properly. Epidemiology can vary according to the social, cultural, and environmental aspects of each individual. Therefore, each case must be treated individually, and it is important to consider age-specific aspects, such as the high osteogenic potential, which leads to faster bone healing. The use of resorbable fixation materials in facial fractures of pediatric patients is widespread, with good ...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Rare Cause of Blurred Vision: Unilateral Primary Dural Ectasia of the Optic Nerve Sheath
Dural ectasia, also known as meningocele of the optic nerve sheath, is a rare benign pathology. Magnetic resonance imaging has a great role in the diagnosis of this condition, which has nonspecific symptoms such as progressive blurred vision. It is observed as cerebrospinal fluid accumulation within the expanded nerve sheath around the optic nerve. Treatment is planned after differential diagnosis of other pathologies such as mass and inflammation in addition to diagnosis with magnetic resonance imaging. Medical treatment is usually sufficient, and surgical treatment is planned for progressive patients. (Source: Journal of...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Titanium Fan Plate Reconstruction for Lateral Orbital Traumatic Defects
Fractures of the orbit often require operative repair with materials ranging from autologous tissue to titanium implants. Reconstructive techniques of the lateral orbital rim and wall offer a unique challenge due to the structural and aesthetic demands with regard to its natural contour. The authors present a case in which a patient sustained a ballistic injury involving the lateral orbital rim and wall requiring reconstruction. The authors employed the use of a single titanium orbital mesh fan plate (DePuy Synthes, Warsaw IN) in an injury-specific and cost-effective technique to rapidly restore the contour and structure o...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Elongated Styloid Process With Skeletal Mandibular Protrusion
An elongated styloid process (ESP) causes symptoms such as pharyngeal pain, swallowing pain, and discomfort during mouth opening. The main treatment is surgical resection of the ESP. The authors present a case of ESP with skeletal mandibular protrusion. Because mandibular setback by sagittal splitting ramus osteotomy (SSRO) may lead to deterioration of symptoms of ESP, resection of ESP and bilateral SSRO were performed simultaneously. The patient was a 50-year-old man who visited our department with chief complaints of mandibular protrusion and pain in the left pharynx on mouth opening and swallowing. A lateral cephalogram...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Simple Method of Transoperative Maxillomandibular Fixation in Pediatric Facial Fractures
This article presents a case of a 9-year-old female patient with a displaced mandibular fracture in which orthodontic buttons were used for transoperative maxillomandibular fixation followed by internal fixation after adequate occlusion reestablishment and fracture reduction. The method showed high efficacy and celerity, allowing the success of treatment, with satisfactory evolution of the patient. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Thinning of Calvarial Bone by Skull Growth in a Pediatric Patient After Skull Grinding Injury
Several treatment options have been suggested for the treatment of scalp defects that occur following head trauma. Growth changes should be considered, especially for children. The authors report a case of delayed cranial bone absorption after successful free latissimus dorsi flap coverage following skull grinding injury in a pediatric patient. A 3-year-old patient was referred to the reconstructive surgery department because of a 7 × 8 cm-sized scalp defect in the temporoparietal area due to dragging and grinding injury. Debridement and free latissimus dorsi musculocutaneous flap coverage with split-thickness s...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Time-Lapse Between Presentation and Treatment of Mandibular Fractures: Is There a Correlation With Sensory Loss Recovery or No Recovery?
A prospective cohort study composed of 43 patients treated for unilateral mandibular fracture. The primary study variables were the post-traumatic IAN neurosensory score and the score after fracture reduction in two different groups on the basis of time lapse between presentation and treatment and displacement of mandible fracture. Appropriate descriptive and bivariate statistics were computed. The sample was analyzed over a one year period. It was observed that the recovery percentage (80%) was good in Group-A (n = 20) patients as compared to Group-B (n = 23) patients (43.47%) with significant P value of 0.015. Pa...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Traction Suture Technique for Correction of Caudal Septal Deviation
Objectives: Correcting the caudal septum deviation is one of the most difficult parts of the septoplasty. The aim of the present study was to evaluate the efficiency and usefulness of traction suture method in caudal septum deviations. Methods: Medical records of 35 patients who underwent endonasal septoplasty using traction suture method for caudal septum deviation in August 2017-February 2019 period were studied retrospectively. Preoperative nasal obstruction symptom evaluation (NOSE) scores of the patients were compared with postoperative sixth month NOSE scores. Besides, preoperative nasal examination findin...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Comparision of Mechanical Thrombectomy With Contact Aspiration or Stent Retriever in Patients With Large-vessel Occlusion in Acute Ischemic Stroke
Discussion: First-line thrombectomy with contact aspiration did not result in a higher successful revascularization rate at the end of the procedure but had a short time from groin puncture to maximal revascularizion. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Craniofacial Trauma Due to Stone-pelting – Patterns of Injury and Management
Conclusions: Cranial vault injuries & orbito-zygomatic complex fractures are most commonly seen in patients with stone-pelting injuries. Early management of such injuries improves outcomes in terms of function and restitution of preinjury skeleton structure. The most common patterns seen is gross comminution to the cranio-facial skeleton that can be treated with immediate primary wound repair after meticulous wound debridement and open reduction and internal fixation. Importance of stone-pelting as a cause of craniofacial injuries is highlighted as it leads to significant disruption of craniofacial skeleton. (Sourc...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Radiological Findings of Nontraumatic Thrombosed Temporal Artery Aneurysm Mimicking Parotid Gland Mass
A 54-year-old male patient had preauricular swelling mimicking parotid gland mass. Computed tomography and magnetic resonance imaging findings were showed a connection with the temporal artery. There wasn’t a trauma history. The aneurysm wall showed contrast enhancement. The patient was diagnosed with true temporal artery aneurysm. The aneurysm was excised. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Multiple Structural Microform Defects Suggest Role of Modifier Genes
One of the biggest challenges in clinical genetics is establishing associations between specific germline mutations and the resulting spectrum of phenotypes. The careful characterization of clinical presentations continues to be a tool for establishing these genotype phenotype correlations. The authors intend, by presenting a case study, proposing that the concomitant occurrence of a combinations of mild structural anomalies in the same individual may be due to changes in genes that can be linked by related pathways. A new born with cleft lip and palate was referred at the Cleft Lip and Palate Center. The anamnese was perf...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Surgical Treatment of Brooke-Spiegler Syndrome
Brooke-Spiegler Syndrome (BSS) is a very rare autosomal dominant hereditary disease which arises from heterozygous mutations in the CYLD gene. Patients with BSS are predisposed to multiple skin appendage tumors such as cylindromas, which are benign tumors occurring mainly on the scalp. The tumors mostly appear around puberty and usually show slow growth throughout life. Malignant cylindroma formation in BSS patients has been reported. Apart from the skin, major and minor salivary glands have rarely been involved. We here report a case of a 46-year-old female patient with BSS presenting with multiple aesthetically and fu...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Unilateral Vision Loss Due to Isolated Onodi Cell Mucocele
Onodi cell mucocele is a rare, benign, cystic, destructive and expansive lesion. While the sphenoid sinus mucocele is 1% to 2%, onodi cell mucocele is very rare. Because of its direct mass compression effect, its proximity to the orbital apex may cause many symptoms such as loss of vision, eye movements, and exophthalmus. Imaging methods have an important priority in diagnosis. It also plays a crucial role in planning treatment quickly and guiding the surgeon. Surgical excision is performed in the treatment, usually with an endonasal approach. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Orbital Emphysema Secondary to Frontal Osteoma
We report only the fifth case of literature to have such an association. Also, we managed our case non-surgically, as against the previous reports treated surgically. In discussion, we highlight the nuances related to principles of management, including the role of computed tomography, and surgical intervention. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Novel Laryngoscope-assisted Method for Sealing Pharyngocutaneous Fistula
Pharyngocutaneous fistula (PCF) is one of the most common but stranded complications for salvage laryngectomy. As for localized fistula, there is no convincing standard and method to cure. This paper described a patient who was submitted to extensive resection of mass in right lingual root, total laryngectomy, and pharyngoesophageal reconstruction with an anterolateral thigh flap (ALTF), because of recurred carcinoma of right lingual root which invaded bilateral epiglottis. 2 weeks after surgery, subsequent pharyngocutaneous fistula developed at the junction of the tracheostomy, and maintained over 2 months under conservat...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Bilateral Epiphora as Only Presenting Sign of Total Paranasal Sinus Aplasia
A 20-year-old female patient was presented with a bilateral epiphora. She had no history of infection or trauma related to the sinus areas. On examination, her facial appearance was abnormal and fullness on the face was observed. The fluorescein dye disappearance test was positive in both eyes. The lacrimal system irrigation was patent nasolacrimal duct. However, the dacryoscintigraphy imaging scan demonstrated bilateral obstruction at the nasolacrimal duct-inferior meatus junction. Nasal endoscopy did not reveal any pathologic findings, and lateral nasal wall, septum, and nasal cavities were normal. The patient was referr...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Mandibular Fractures Epidemiology and Treatment Plans in the Center of Italy: A Retrospective Study
This study showed that mandibular fractures predominate in 20 to 29 years group and in the male sex. Assaults are the most frequent cause. The prevalent fracturing site is condylar process. Orbital – maxillary – zygomatic complex fractures were the most common associated maxillofacial fractures and open reduction and internal fixation was the preferred surgical strategy. The results of this analysis agree to other studies and provide important clinical information that will help in study of these injuries. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Harpoon Suicide Attempt: A Dramatic Experience of the Multidisciplinary Approach
This report presents the successful treatment carried out in a dramatic case of harpoon suicide attempt. The approaches to complete and cautious removal of the spear from the occipital region, reconstruction of the orbital cavity, evisceration of the left eyeball due to amaurosis and psychiatric follow-up were successful, which allowed the restoration of the patient's physical and mental health. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Malignant Melanoma Arising From a Giant Congenital Melanocytic Nevus in a 3-Year Old: Review of Diagnosis and Management
This article reviews the risk factors of malignant transformation and highlights the diagnostic challenges of malignant melanoma in the pediatric population utilizing a clinical report of a patient with GCN. Case Description: A male patient with giant congenital nevus of the scalp with over 20 satellite nevi was evaluated at the authors’ institution at 1 week of life. Beginning at 9 months of age, he underwent serial excision of GCN and satellite lesions. Initial pathology showed compound congenital melanocytic nevus. Subsequent pathology on serial excisions demonstrated compound nevus with clonal expansion of...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Odontogenic Cutaneous Fistula: A Case in Aged Patient With Delayed Diagnosis
Odontogenic cutaneous fistula is a pathologic communication between the cutaneous surface of the face and the oral cavity and it is a rare entity frequently misdiagnosed. Therefore, the lesion may persist for a long period before the correct diagnosis is made and odontogenic source is treated appropriately. Delay in diagnosis adds to the chronicity of the lesion and if not diagnosed in times fistula can even leave deforming scars. Considering the scarceness and diagnostic predicament of odontogenic cutaneous fistulas, the authors report a significant case of 80 years old female. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Gaining Access to the Superior Ophthalmic Vein for Endovascular Embolization of Indirect Carotid-Cavernous Fistulas
Carotid-cavernous fistulas (CCFs) are abnormal connections between the carotid arterial system and the cavernous sinus. These acquired vascular malformations may result in severe orbital congestion and sight-threatening complications. The authors present their experience in gaining access to the superior ophthalmic vein to embolize indirect CCFs in three different patients. Surgical exposure and cannulation of the SOV were successful in all 3 cases. One patient developed an orbital compartment syndrome towards the end of the embolization process, after the irrigation cannula was inadvertently dislodged from the SOV. He req...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Leech Therapy for Complex Facial Lacerations
Facial trauma can pose challenging reconstructive obstacles in both maintaining tissue viability and restoring aesthetic appearance. Medicinal leech therapy can help to promote vascular decompression in the setting of venous congestion. A retrospective chart review was conducted to identify patients who underwent medicinal leech therapy following venous stasis secondary to repair of a complex facial laceration. Three patients were identified; 2 suffered auricular avulsion, while 1 suffered a lip avulsion. All patients suffered from venous congestion and underwent medicinal leech therapy for 48 to 72 hours with reduction of...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Clinical Findings of Cholesteatoma Behind an Intact Tympanic Membrane in Adults
Conclusions: Intact tympanic membrane cholesteatoma in adults may have both congenital and acquired origins, but it is not possible to differentiate between a slow growing acquired or indolent congenital cholesteatoma. ITMC typically presents as a cystic lesion with a complete capsule that can be treated successfully via an endoscopic tympanotomy approach, but in a minority of cases a more extensive mastoidectomy may be required. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Esthetic Repair of Facial Skin Defect After Resection of Malignant Tumor With Lateral Maxillocervical-Island Fasciocutaneous Flap
This report introduces a type of flap (lateral maxillocervical-island fasciocutaneous flap)-repair method that can not only repair the defect accurately but also result in skin texture comparable with the surroundings. Moreover, the incision in the flap area is concealed, so as to not cause facial-organ deformity and to achieve an esthetic repair effect. The operation is straightforward and the flap survival rate is high. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Antihelical Auricular Reconstruction With Adipoperichondrial Turnover Flap and Full-thickness Skin Graft
Reconstruction of the antihelical area can be challenging because the cartilage can be easily exposed due to the thin overlying soft tissue, and it has a lack of tissue mobility. Skin graft can be hesitant to perform in antihelical defects where the bare cartilage is exposed. A 70-year-old male with squamous cell carcinoma of the antihelix of the left ear was referred to our department for surgical excision. Wide excision with tumor-free margins resulted in a defect of 2.0 × 1.0 cm with exposed bare cartilage. The authors covered the defect using adipoperichondrial turnover flap from cephalic portion of the ea...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Bilateral Mastoid Process Hypertrophy Associated With Severe Trismus
We present here a series of 4 patients with bilateral mastoid hypertrophy associated with severe trismus from different etiologies, and discuss the possible explanation of this observation. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Treatment of Excessive Gingival Display by Using Botulinum Toxin-A Targeting Yonsei Points and Zygomatic Major Muscles
The aim of this clinical report is to present satisfying and unsatisfying treatment results of a patient with excessive gingival display (EGD) treated via botulinum toxin injections in different time points. A 22-year-old male patient referred to the Department of Periodontology with a complaint of EGD. The patient opted the treatment with botulinum toxin-A injections. During the first treatment, injections at Yonsei points were performed. After the first EGD treatment, the patient did not satisfy with his smile. The closure of gingival display was not sufficient, especially in posteriors. However, he did not demand for re...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Sports-Related Cervical Spine Injuries – Background, Triage, and Prevention
Cervical spinal injuries are a rare, but potentially devastating occurrence in sports. Although many of these injuries occur in unsupervised sports, they are also seen in organized sports – most commonly in football, wrestling, and ice hockey. Additionally, although each sport is associated with its own unique injury patterns, axial loading remains a common theme seen in cervical injuries associated with significant neurologic impairment. Regardless of the mechanism, a cautious and conservative approach should be taken with regards to evaluation, management, and return to play. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Telemedicine for Sports-Related Injuries
Conclusion: Telemedicine has been widely employed for sports-related injuries and in traumatic care. Patients and providers alike have noted its utility over other methods of communication with physicians. Our findings suggest that telemedicine has a significant potential in treating sports-related injuries and improving the efficiency of diagnoses and treatments. It may enhance outcomes for participants in athletic events. This may become a key aspect of determining whether a player can return to immediate competition. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Inferior Turbinate Mucocele
Conclusions: The inferior turbinate mucocele is an extremely rare disease and can be diagnosed accurately by the use of radiologic examinations. The prevailing discipline is that endoscopic marsupialization is the best treatment for the inferior turbinate mucocele, which is known for showing very good results without recurrence of the condition. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Facial Fractures Related to Soccer
Soccer is one of the most popular sports in the world. Despite the concept that soccer is not a violent game, it can lead to several injuries in amateur and professional settings, including facial fractures. Previous studies of facial fractures in soccer were all retrospective and, to date, no prospective studies are available in the literature. The authors performed a comprehensive literature search using the terms “soccer” AND “facial fracture” OR “craniofacial fracture” and “football” AND “facial fracture” OR “craniofacial fracture” and retrieved...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

An Updated Look at Television-Related Pediatric Head and Neck Injuries: Safer Products and a Shifting Paradigm
In this study the authors utilize the National Electronic Injury Surveillance System (NEISS) Database to provide an updated look at television-related head and neck injuries in the United States pediatric population. The NEISS Database was accessed for all television-related head and neck injury reports from January 2000 to December 2018 in patients under 18 years of age. Demographic data including age, sex, and race were also obtained. Narrative descriptions of each injury were also individually reviewed and categorized by specific type of injury. Miscoded reports were excluded. Between January 2000 and December 2018, 594...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Pediatric Craniofacial Fractures From Canine Bites
In conclusion, toddlers in rural households with large dogs are at high risk for sustaining craniofacial fractures from bite injuries. Craniofacial surgeons, pediatricians, and emergency department physicians should use these data to lead prevention efforts in the community. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Orbital Fractures and Air Travel
Previous surveys indicate that the majority of clinicians recommend avoidance of air travel for a period of time following an acute orbital fracture. This advice has largely been based on the theoretical risk that in-flight pressure variation may exacerbate orbital emphysema and produce visual compromise, though no previous reviews have been conducted on the evidence underpinning this advice. The purpose of this study was, therefore, to conduct a systematic review of the literature pertaining to the safety of air travel in the setting of an acute orbital fracture. A systematic review of the OVID Medline database – an...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Craniofacial Injuries From Personal Watercraft Accidents
Personal watercraft (PWC) use is a popular leisure activity. Although injuries associated with PWCs have been examined broadly, there is a lack of investigation into craniofacial injuries within this setting. This paper reviews the literature discussing PWC incidents and PWC-related craniofacial injuries. A comprehensive literature search of the MEDLINE, EMBASE, Google Scholar, and National Library of Medicine databases was conducted for studies published through January 2021. Articles were selected if they contained information on PWC accidents and related craniofacial injuries. We also examined 3 patient cases of PWC-rel...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Characterizing Epidemiology and Associated-Factors of Adolescent Sports-Related Traumas Using Trauma Quality Improvement Program
In this study, the authors summarized key trends in 1452 sports-related injuries among individuals aged 16 to 19 using the American College of Surgeon's Trauma Quality Improvement Program database from 2014 to 2016. The authors observed a preponderance of injuries associated with skateboarding, snowboarding, and skiing, with significantly higher percentages of traumatic brain injuries among skateboarding-related traumas. Notably, we observed that traumatic brain injurie rates were slightly higher among subjects who wore helmets. Intensive care unit durations and hospital stays appeared to vary by sport and craniofacial fra...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

A Review of Frontal Orbital and Frontal Sinus Fractures and Associated Ocular Injuries - Level I Trauma Center - University Hospital Experience
Conclusions: Due to the intimate association of the frontal bones with the brain and the orbits, frontal sinus fractures demand a sophisticated multidisciplinary craniofacial surgical approach. Given the high rate of ocular injury of 30% as well as severe systemic injuries, the authors propose a modified treatment algorithm for these complex cases. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Study of Pediatric Operative Recreational Trauma: A Retrospective Analysis of Pediatric Sports-Related Facial Fractures
Background: In the United States, most school-aged children participate in some form of organized sports. Despite the advantages to social and physical development that organized sports may have, these activities also place a significant number of America's youth at risk for facial injuries. Pediatric facial fractures resulting from sports trauma are well documented within pediatric literature. Despite knowledge of the importance of safety equipment, there is a continued need for increased awareness about fracture patterns resulting from sports injuries to develop better strategies for their prevention. Methods: ...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Ocular Related Sports Injuries
Ocular injuries occur frequently in sports, affecting the globe, surrounding soft tissues, and the orbital bony structure. This review provides the craniofacial surgeon a broad general overview of epidemiology, mechanism of disease, and prevention. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Sports-Related Craniofacial Injuries Among Pediatric and Adolescent Females: A National Electronic Injury Surveillance System Database Study
Conclusions: There is a need for improved protective gear, such as face shields and low-impact balls, especially in softball and basketball. Physicians should consider the differences in female versus male and child versus adult injury pattern when treating female athletes in order to prevent long-term complications, such as scarring and depression. Overall, sports-related craniofacial injuries among female athletes need to be further examined as the epidemiology of their injuries and their health needs are unique. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research

Prevalence of Dentofacial Injuries and Concussions Among College Athletes and Their Perceptions of Mouthguards
Purpose: The purpose of this study was to determine the rates of dento-facial injuries and concussions among National Collegiate Athletic Association (NCAA) division 1 college athletes and their perceptions of mouth-guards and their protection role in injury prevention. Materials and methods: A specific survey regarding the experiences of dento-facial injuries and concussions, attitudes towards the mouthguards, and knowledge of dental first aid was distributed to 682 NCAA division I college athletes registered at Columbia University. The independent predictor variable was sport type (contact versus noncontact). ...
Source: Journal of Craniofacial Surgery - June 1, 2021 Category: Surgery Tags: Educational Supplements Source Type: research