Is There an Advantage to Minimizing Surgery in Scaphocephaly? A Study on Extended Strip Craniotomy Versus Extensive Cranial Vault Remodeling: Erratum
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Erratum Source Type: research

Artificial Intelligent Model With Neural Network Machine Learning for the Diagnosis of Orthognathic Surgery: Erratum
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Erratum Source Type: research

What Is the Skull Structure Influence of Squamosal Suture Synostosis in Nonsyndromic and Syndromic Crouzon Craniosynostosis?: Erratum
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Erratum Source Type: research

The Missing Nose of the Virgin Mary: Erratum
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Erratum Source Type: research

Facial Reconstruction Based on Combined Three-Dimensional Printing and Microsurgical Free Transfer
There are patients with craniofacial deformity that can lead to extensive bone loss and severe disfigurement. Autologous reconstruction may be challenging in these patients, and it is usually associated with flap donor area morbidity and unfavorable aesthetic and functional results. A 51-year-old patient with human immunodeficiency virus infection, developed in the context of immunosuppression a fulminant fungal rhino-sinusitis with the need for surgical debridement, and in consequence extensive destruction of the nasal cavity and upper jaw, resulting in severe disfigurement due to nasal deformity and maxillary collapse. H...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Application of Human Amniotic Membrane in Temporomandibular Joint Osteoarthritis
Human amniotic membrane (HAM) has recently been used as an interpositional material to prevent ankylosis or primary re-ankylosis after temporomandibular joint (TMJ) arthroplasty. Here, the authors describe an unusual case of a 32-year-old woman who presented with a noninflammatory degenerative osteoarthritis of the TMJ in which a HAM was placed following a high condylar arthroplasty and discectomy and show the clinicoradiological results. The procedure resulted in total pain relief and significant improvement in jaw movements. On the long-term follow-up computed tomography, complete remodeling of the glenoid fossa with for...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

SECg Staging System: A New Approach to the Management of Arteriovenous Malformations of the Head and Neck
Conclusions: This multicentric, the SECg staging system that this multidisciplinary group of Authors has defined allows for a comprehensive staging of the disease which in turn has enabled to outline an algorithm to properly manage AVMs. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Pott's Puffy Tumor and Intranasal Cocaine Abuse
Pott's puffy tumor (PPT) is a rare subperiosteal abscess of the frontal bone with osteomyelitis, which most commonly affects adolescents as a complication of frontal sinusitis or head trauma. The Authors describe a case of development of a PPT in a woman who abused of cocaine for at least five years and presented with a gradually enlarging mass of the forehead. The patient was treated surgically through combined endoscopic and open approach and medically with antibiotic therapy. The PPT, as rare complication of intranasal cocaine abuse, was described until now in four patients. Even rare it can be a fearsome complication, ...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Measurement of Mandibular Condylar Height Based on Magnetic Resonance Imaging
The aim of this study was to find out the most appropriate method of measuring condylar height on temporomandibular joint (TMJ) magnetic resonance imaging (MRI). Traditional three-circle method, modified three-circle method and ramal plane (RP) method were used by 2 separate observers for the measurement of condylar height and long axis of condyle on TMJ MRI. Pearson correlation coefficient (PCCs), intra-class correlation coefficient (ICC), paired t test and Bland–Altman analysis were applied for the comparison of CH and long axis of condyle between 2 observers. Thirty-two patients’ images were finally included...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Periorbital Emphysema Presenting With Diplopia After Rhinoplasty
Periorbital emphysema is a well-known but very rare complication after rhinoplasty. Here, we present a case of periorbital emphysema presenting with diplopia and eyeball deviation after rhinoplasty. All symptoms disappeared spontaneously within days, without any complications. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Transoral Robotic Surgery in the Management of a Tongue Base Schwannoma
This study demonstrates the feasibility of TORS in the treatment of a tongue base schwannoma. This is a valid alternative to the common transoral approach in order to avoid more invasive external approaches, and further studies are recommended in order to clarify if this approach could be proposed as the first line treatment in selected cases. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Endoscopic Transoral Resection of Tongue Base Ancient Schwannoma
Schwannoma is a benign slow growing nerve sheath tumor that is typically encapsulated and composed of well-differentiated schwann cells. Schwannomas may take origin from different nerves such as cranial, spinal nerves, and the sympathetic chain. Approximately 25% to 45% of all occur in the head and neck only 1% of them are located in the oral cavity. However, it is quite rare to for schwannomas to form on the tongue base. Ancient schwannoma is the rarest, and also extremely rare in oropharynx. A 32-year-old female patient was admitted to our clinic with complaints of hoarseness, difficulty in swallowing, throat pain, snori...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Idiopathic Orbital Inflammation With Superior Rectus and Levator Complex may be Misdiagnosed as Involutional Ptosis
Idiopathic orbital inflammation (IOI) is a benign inflammatory disease usually confined to the orbit. Two middle-aged patients with IOI have been reported who could have been misdiagnosed as involutional ptosis. Two patients presented to the clinic with eyelid ptosis. One patient's erythrocyte sedimentation rate was slightly increased; the other patient's immunoglobulin G4 (IgG4), IgG, and thyroid-stimulating hormone results were higher than the upper limits of normal. The computed tomographic images and orbit magnetic resonance imaging tests showed an inflammatory condition around the droopy eyelids. They were both admitt...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Fusuma Sliding Flap for Lip Reconstruction of Lower Lip Cancer
Lower lip cancer is typically treated with surgical excision, and this frequently results in a large defect and severe aesthetic problems. Local flap reconstruction is suitable for restoring appearance and function, and it causes less surgical stress than a vascularized free flap. The Fusuma sliding flap is a local flap technique introduced by Kasai et al in 2008. Here, the authors report their use of this method for lip reconstruction in a 94-year-old Japanese female after the removal of a cancerous mass. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Change in Incisional Design in Primary Unilateral Cleft Lip Repair Under General Anesthesia
This study aimed to investigate changes in the incisional design of cheiloplasty according to patient position and anesthesia: upright and awake versus supine and under general anesthesia. Three-dimensional images of 20 infants with UCL were randomly selected. Two different incisional designs were drawn on the images captured while the infants were awake. Those incisional designs were anthropometrically compared to the designs drawn on the images captured while the infants were under general anesthesia. Under general anesthesia, vermillion height of both the medial and lateral sides of the cleft became significantly greate...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Unusual Cause of Hypopituitarism: Sphenoid Mucocele
Paranasal sinus mucocele is cystic, expansile, benign masses that contain mucus surrounded by epithelium. It causes significant locally destruction of the sinus wall and present with various symptoms depending on the pressure on neighboring structures. Sphenoid sinus mucocele constitutes 1% to 2% of all paranasal sinus mucoceles. Headache is the most common symptom that leads to correct diagnosis. In addition, the close proximity of the sphenoid sinus to important structures such as the optic nerve, cavernous sinus and the pituitary gland causes various symptoms. Treatment is surgical drainage of mucocele to reduce pressur...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Rare Neurologic Disease that Mimics Cranial Hydatid Cyst: Leukoencephalopathy, Cerebral Calcifications, and Cysts
A 33-year-old male patient was admitted to the clinic with seizures and progressive neurologic symptoms. In the family history of the patient, a first degree relative had a history of hydatid cyst surgery. Cranial computed tomography images showed intracranial cysts and calcifications. Thus, it was suspected that it might be hydatid cyst. However, the patient was diagnosed with leukoencephalopathy with intracranial calcifications and cysts, a rare neurologic entity by advanced radiologic imaging, serologic and pathologic evaluation. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Unusual Mimicker of the Carotid Body Tumor: Synovial Sarcoma of the Carotid Space
Synovial cell sarcomas are malignant tumors originating from pluripotent mesenchymal stem cells, unlike its name. It is a common tumor in the periarticular area, accounting for 8% of all soft tissue sarcomas. Head and neck are among the rarest areas of this tumor. Synovial sarcomas of the head and neck are more aggressive than those seen in other regions and are associated with remarkable mortality and morbidity. Treatment of synovial sarcomas of the head and neck is usually extensive local excision and additional radiation and/or chemotherapy may be performed. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Incidence and Prevalence of Head and Neck Pathological Spectrum in a Pediatric Population
Aim: The aim of this study is to determine the frequency of pediatric pathologies and their distribution according to age, gender, site and types of lesions reported over a period of 2004 - 2019 in two prominent Dental Colleges at Western UP, India. Material and Methods: All the cases of pediatric pathology were retrospectively analyzed and reviewed that reported in the Department of Oral And Maxillofacial Surgery of 2 prominent dental colleges of Western UP, India. All consecutive patients ( (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Diagnosis and Treatment of Oral Venous Malformation in a Child
Venous malformations (VMs) are congenital disorders that constitute about 40% of all vascular anomalies. These lesions do not regress spontaneously and may increase in size during childhood. The case of a 10-year-old girl with an extensive oral VM is reported. Intraoral examination revealed the presence of purplish nodules in the alveolar mucosa and gingiva from anterior maxilla. Doppler ultrasound showed a well-defined hypoechoic image and increased vascularization with low blood flow for the alveolar mucosa lesion. The patient was submitted to intralesional injections of the ethanolamine oleate/mepivacaine sclerosing sol...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Syngnathia in Spectrum of Oromandibular Limb Hypogenesis Syndrome
In this report, we describe the case of a 41-day-old Caucasian female infant who was unable to open her mouth beginning at birth. The authors performed osteotomies to separate fused bone, and placed a bite block at the osteotomy sites to prevent bone fusion recurrence. At 2 years of follow-up patient remained with 14 mm of mouth opening. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Radiographic Predictors of FACE-Q Outcomes Following Non-Operative Orbital Floor Fracture Management
This study sought to correlate radiographic characteristics of orbital floor fractures with validated patient reported outcome measures following non-operative management. Materials and Methods: Patients who underwent non-operative management of an orbital floor fracture at Yale New Haven Hospital from 2013 to 2018 were queried retrospectively. Patients with GCS (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Isolated Frontosphenoidal Suture Craniosynostosis: Treatment Approaches and Literature Review for a Unique Condition
Background: Craniosynostosis isolated to the frontosphenoidal suture is an extremely rare entity, distinct from other types of synostotic anterior plagiocephaly, from the embryologic, phenotypic and endocranial morphology viewpoints. Embryologically, the sphenoid bone has two origins, which morphogenetically represent 2 distinct subunits. Depending on the region involved, unique craniofacial features involving the forehead, temporal region and orbit will be demonstrated. A case of frontosphenoidal suture synostosis depicting these features is presented. In addition, a literature review was performed and a treatment algor...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Open Versus Closing Wedge Osteotomy and Application to Mandibular Reconstruction
Conclusions: Open osteotomies are a viable and even preferred alternative, particularly in flaps without consistent perforators, such as scapular free flaps. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Orbital Apex Syndrome Causing Blindness Secondary to a Vertical Root Fracture of a Tooth
The authors report a case of a 35-year-old man who presented with left maxillary toothache associated with left sided facial pain and a rapidly progressive loss of vision in the left eye. Clinical and radiological assessments revealed it to be an odontogenic orbital apex syndrome secondary to a vertical root fracture of a tooth. The infection was treated and controlled, postoperative follow-up showed no recurrent inflammation and the patient recovered well. However, the vision was lost permanently. Odontogenic orbital apex syndrome is a rare, aggressive disease. Once the infection spreads, it progresses rapidly, becoming a...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Temporal Evolution of Imaging Findings in Ossified Cephalohematoma
Conclusion: These 3 cases demonstrate the variability in temporal changes that may occur in ossified cephalohematomas. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Supraclavicular Flap Reconstruction in Head and Neck Oncologic Surgery
Free flaps have been considered as the gold standard for reconstruction of head and neck region after ablative oncologic surgery. However, the reconstructive surgeon's armamentarium should also involve pedicled flaps for certain situations such as patients having comorbid diseases necessiating shorter duration of surgical procedure. The supraclavicular flap is a pedicled thin fasciacutaneous flap used to reconstruct the defects in head and neck area. The flap has advantages of wide rotation of arc, easy matching with skin color of recipient area and relatively shorter flap harvesting time. Its bloods supply depends on supr...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

An Improved and Simplified Approach to Identify the Facial Nerve During Parotid Surgery
Precise identification and preservation of the facial nerve is mandatory to avoid dysfunction of the facial nerve during parotidectomy. In this article, the authors are introducing a new landmark to identify the facial nerve for parotidectomy that is more protective for the facial nerve. The authors use a simple approach to predict the position of facial nerve main trunk intraoperatively without geometric calculations and a lot of landmarks. An imaginary almost 2 cm line is drawn between mastoid tip inferiorly and bony-cartilaginous junction of the external auditory canal superiorly. The main trunk of the facial nerve ca...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Concentrations of Serum Cyclophilin A in Patients With Bell Palsy
Background: Cyclophilin A (CyPA) is the responder protein to stimuli that cause inflammation. To date, no association among CyPA and Bell palsy has been reported. Methods: The concentrations of Serum CyPA were measured in 90 healthy participants and 92 patients with Bell palsy. Serum samples of patients and the control group were compared on the basis of CyPA levels. Facial latency and amplitude values on electromyography were evaluated and compared with serum CyPA concentrations. Results: A total of 28, 37, 19, and 8 patients had grade 3, 4, 5, and 6 facial palsy cases, respectively. Comparing the control group an...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Implications for the Multi-Disciplinary Management of Children With Craniofrontonasal Syndrome
This study examines neurodevelopment in constituent parts, with specific reference to speech, language, and cognition in relation to genotype. Three children had deletions extending beyond the EFNB1 gene; the 2 with available data presented with speech, language, or cognitive delay. The remaining 25 patients had intragenic mutations of EFNB1. Of these 25, those assessed in detail showed variable difficulties with speech and language development; 57% had receptive language difficulties (n = 4/7) and 88% had expressive language difficulties (n = 8/9). 55% presented with speech difficulties (n = 6/11). 2/3 patient...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Contribution of Digital Subtraction Angiogram in Diagnosis and Anatomic Recognition of Traumatic Pulsatile Mass
Traumatic pulsating masses are difficult to make a definitive diagnosis due to anatomic variation of malformed vessels and rarely clinical incidence. It is essentially to recognizing the anatomy of such vessels, otherwise it may lead to an improperly treatment or serious complication. Digital subtraction angiogram (DSA) has a distinct advantage in both diagnosis and treatment of this subject. Here the authors report a case of venous malformation in the supraclavicular fossa with an underlying arteriovenous fistula following nonoperative management of a clavicle fracture in an adult, and discuss how to rule out potential di...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Malignant Lymphoma Mimicking Medial Fat Pad Prolapse: A Pitfall for Upper Eyelid Rejuvenation
Two patients with malignant lymphoma in the medial area of the upper eyelid mimicking medial fat pad prolapse have been reported. Both of them did not notice any eyelid/orbital mass before presentation to us. They were managed with a complete excisional biopsy of the mass, respectively. In both the patients, pathologic results were compatible with extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue. Neither any other lesion was detected nor any recurrence was seen, without the need of further treatment in either of them. Although the medial fat pad prolapse can be easily diagnosed by inspection only, the...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Hyoid Bone Position and Head Posture in Patients With Richieri-Costa Pereira Syndrome (EIF4A3 Mutations)
Robin sequence with cleft mandible and limb anomalies, known as Richieri-Costa-Pereira syndrome (RCPS), is an autosomal recessive acrofacial dysostosis characterized by mandibular cleft and other craniofacial anomalies and respiratory complications. The aim of this cross-sectional study was to describe the hyoid and head posture of 9 individuals with RCPS using cephalometric measurements and provide a discussion about its implications in obstructive sleep apnea syndrome (OSAS). The study was conducted on lateral cephalograms of patients with RCPS and 9 selected age-matched controls in tertiary cleft center in Brazil. The c...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Abnormal Formation of External Jugular Vein and its Repercussions
External jugular vein is formed by joining of posterior division of retromandibular vein and posterior auricular vein and common facial vein drain into internal jugular vein. Variations are not uncommon and these are more often observed in veins than in arteries. Aim of the study is to report the prevalence of unique variation of formation of external jugular vein. Head and neck of 6 cadavers (12 sides) fixed in 10% formalin were dissected in the department of anatomy AIIMS Rishikesh for the variant formation of external jugular vein. Abnormal formation of external jugular vein was detected in 1 cadaver on left side. Th...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Rotation Flaps in Series: Simple Innovation for Complex Scalp Defects
A 42-year-old man presented with 2 full thickness defects in left parieto-temporal and right temporo-occipital regions with normal intervening scalp tissue. These 2 adjacent but discontinuous defects were covered in one stage with an innovative rotation flap design that provided 1 flap each for these 2 defects. This innovative flap design permitted one stage reconstruction with primary closure of the donor sites. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Role of Local Flaps to Achieve Primary Wound Closure in Medication-Related Osteonecrosis of the Jaws Osseous-Resective Surgery
The aim of the present work is to evaluate the most suitable surgical technique in relation to location and extent of medication-related osteonecrosis of the jaws (MRONJ) through comparison of success rate between the routinely used mucoperiostal flaps and different local flaps designs and propose a standardization of surgical procedures according to MRONJ stage and localization with 2 objectives: to provide the surgeon with an algorithm of treatment according to MRONJ localization and extension; to maximize the success of surgical treatment. Thirteen consecutive patients affected by focal MRONJ were surgically treated wi...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

How Is the Created Alveolar Space Finally Restored After Maxillary Anterior Segmental Distraction Osteogenesis?
Conclusion: The MASDO site should be decided, based on final restoration goal. Among the created alveolar spaces, implants were applied mainly to the posterior site and the conventional prostheses were mostly restored to the anterior site. For space closure by orthodontic approach, the area could be both anterior or posterior. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Chimeric Anterolateral Thigh Flap for Primary Functional Reconstruction of Complex, Composite Near Total Hemi Facial Post Excision Defects
Conclusion: In the post excisional near total hemifacial composite defects, primary functional reconstruction with tailored cALT flaps can bring good aesthetic and functional results. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Histopathological Comparison of 2-Octyl Cyanoacrylate and Primary Suturing for Tongue Lacerations
Conclusion: OCA is a practical, rapid, and effective method for repairing tongue lacerations. Although infiltration by inflammatory cells and foreign bodies increased in the early period, the long-term results of OCA were indistinguishable from those of suturing. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Pseudomyogenic Hemangioendothelioma: A Rare Vascular Tumor of the Oral Cavity
Pseudomyogenic hemangioendothelioma is a vascular neoplasm that presents a borderline biological behavior, intermediate between entirely benign hemangiomas and highly malignant angiosarcomas. Up to date, only 1 case of this entity has been reported in the oral cavity. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Upper Lip Squamous Cell Carcinoma the Role of Wedge Excision
Lip cancer is the most common malignant lesion of the oral cavity. Most of the tumors have been presented in the lower lip as a SCC, whereas the upper lip SCC is rare. Surgical excision with negative margins is the mainstay of treatment for lip SCC. The author presents a patient with the upper lip SCC treated by wedge surgical excision. Primary reconstruction of the large upper lip defects can be successfully used in appropriately selected patients. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Panfacial Fractures Management
Conclusion: The “bottom to top, lateral to medial" sequence for reduction and fixation of panfacial fractures is reliable with satisfactory results in term of function and cosmesis. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Psammoma Bodies in a Large Myoepithelioma
The objective of this study is to describe the unusual histopathologic findings, such as psammomas, of a large myopephelioma on the palate and the prosthetic restorative treatment performed after resection of the tumor. A 52-year-old woman was referred for evaluation of a tumor-like lesion, of smooth surface and normal mucosal color, measuring approximately 5 cm, on the left side hard palate, which had been identified 4 years earlier. The diagnostic hypothesis was a pleomorphic adenoma (PA), and an incisional biopsy was performed. After histopathologic analysis, a PA was suggested, and surgical resection of the tumor was...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Endovascular Treatment of Carotid Pseudoaneurysm Bleeding Due to Parapharyngeal Abscess
Carotid artery pseudoaneurysm are a rare complication of deep neck infections, especially in the antibiotic era. Although it is rare, it may result in life-threatening conditions. Here, the authors present a case of pseudoaneurysm of the carotid artery caused by parapharyngeal abscess and causing massive oropharyngeal bleeding and treat with endovascular approach in a 40-year-old woman presenting with neck swelling and fever. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Rhino-Orbito-Cerebral Mucormycosis in Diabetic Disease Mucormycosis in Diabetic Disease
The authors present their experience about clinical evidences that include patients with an untreated diabetes who developed rhino-orbito-cerebral mucormycosis (ROCM). They were treated with endoscopic sinus surgery and medical treatment with intravenous, intradural therapy, and sinus washes with amphotericin B. The ROCM is a disease with a rapid evolution and an increase in mortality rate, especially if the fungus enters the cranial cavity. Therefore, it would be necessary in all diabetic patients with sinus symptoms, headaches, visual changes, suspect a mucormycosis, and perform a careful radiology assessment and a nasal...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Surgical Planning for Mandibular Distraction Osteogenesis Using Low-Cost Three-Dimensional–Printed Anatomic Models
Mandibular distraction osteogenesis (MDO) is a fairly common procedure in specialized craniofacial surgery centers. The MDO is a minimally invasive technique that is able to generate new bone in patients with a severe hypoplastic ascending ramus, while also expanding the overlying soft tissues; therefore, it has become the treatment of choice for the surgical correction of mandibular hypoplasias. One of the most common postoperative complications involves misplacement of the distractor and/or corticotomy, which can result in the creation of an erroneous distraction vector. The introduction of 3-dimensional (3D) printing ha...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Dental Topics for Plastic Surgeons, Part One: Normal Anatomy, Growth and Development
Normal and abnormal conditions affecting the dentition and the periodontal structures receive sparse coverage in the plastic surgery literature, textbooks, and training programs. Nevertheless, a working knowledge of this subject matter is important in certain areas of clinical practice, and a fundamental understanding is often part of plastic surgery competency tested for in the In-service and written board examinations. This four-part series is written to provide plastic surgeons with a working knowledge of relevant dental topics. Part 1 covers fundamental aspects of normal dental embryology, growth and anatomy. (Source: ...
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Educational Supplement Source Type: research

Paternal Age as a Contributing Factor in Apert Syndrome
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Correspondence Source Type: research

Review of “Comparing Outcomes and Costs of Medical Patients Treated at Major Teaching and Non-teaching Hospitals: A National Matched Analysis” by Silber JH: et al: in: J Gen Intern Med: published ahead of print
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Literature Scans Source Type: research

Review of “An Empirical National Assessment of the Learning Environment and Factors Associated With Program Culture” by Ellis RJ et al in Ann Surg 270: 585–592, 2019
No abstract available (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - June 1, 2020 Category: Surgery Tags: Literature Scans Source Type: research