Evaluation of the Cranial Aperture of the Optic Canal on Cone-Beam Computed Tomography Images and its Clinical Implications for the Transcranial Approaches
Conclusions:
The authors observed that the diameters, and angulations of the CA may change relative to gender and the shape. The anatomic features of CA are important for the positioning of the patient’s head, the choice of the appropriate surgical approach or equipment, and the detection of anatomical landmarks during interventions. In this context, our dataset may be beneficial for surgeons helpful as a reference for radiological evaluations. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Anatomical Studies Source Type: research
Craniofacial Dysmorphology in Infants With Non-Syndromic Unilateral Coronal Craniosynostosis
Conclusions:
The described technique illustrates the impact of premature coronal suture fusion on the development of the entire skull and proposes how bone dysmorphology contributes to the Patients’ neurologic sequelae. By bridging novel basic science methodologies with clinical research, the present study quantitatively describes craniofacial development and bone dysmorphogenesis. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Anatomical Studies Source Type: research
Shortened Infrabrow Excision Blepharoplasty Combined with the Removal of Orbicularis Oculi Muscle for Dermatochalasis in Asians
In this study, we applied and evaluated the shortened infrabrow excision blepharoplasty (sIBEB) combined with the removal of the orbicularis oculi muscle to achieve more satisfactory effects. This retrospective study included 40 women who underwent sIBEB treatment at the Plastic Surgery Hospital of Beijing between February 2019 and June 2021. Preoperative and postoperative photographs, complications, objective Strasser system, and self-assessed subjective evaluations by the patient (on a scale of 1−10) were used to assess the results of the procedure. During the follow-up (6−16 mo; average, 12 mo), all 40 patients (a...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
An Ideal Choice for Closure of Large Free Radial Forearm Flap Donor Site Using a Local Full-Thickness Skin Graft
Abstract:
The local full-thickness skin graft (FTSG) method based on the V–Y closure is reported to be the most convenient and reliable technique for free radial forearm flap (FRFF) donor site closure. The spindle-shaped FTSG was the most common local closure method in free osteofasciocutaneous fibula flaps but not FRFF reconstructions, despite being conveniently applicable to FRFF donor sites. The authors devised a spindle-shaped FTSG harvested from the ipsilateral radial forearm as a new concept in repairing the FRFF donor site. This procedure was performed on 4 patients and the average flap defect size was 5.0 × ...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
Medial Epicanthoplasty With the Classic and Modified Skin Redraping Method: A Retrospective Case Control Study
In this study, clinical data of 193 patients who underwent medial epichanthoplasty by the modified skin redraping technique or the classic skin redraping technique were reviewed retrospectively. The patients underwent operation between May 2018 and June 2020 and were followed up for not less than 6 months. Interepicanthal distance, interpupillary distance, patient satisfaction, and postoperative complications were evaluated. In terms of interepicanthal distance/inter-pupillary distance ratio (P> 0.05) and satisfaction score (P = 0.759), the modified skin redraping technique and the classic skin redraping technique were sim...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
A Two-Stage Training Program for Auricular Framework Fabrication Practicing Using Three-Dimensional Printing Silicone Ribs and Porcine Costal Cartilage
Conclusions:
Based on three-dimensional printing silicone model and porcine rib cartilage, the authors have designed a 2-stage training program to improve trainee’s carving techniques and cosmetic cognition for ear reconstruction. The authors believe that this training program is helpful in training, practicing and teaching activities of framework fabrication in total ear reconstruction. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
Hybrid Preservation Rhinoplasty: Combining Mix-Down and Semi Let-Push Down Techniques
This study was designed as a retrospective. According to the inclusion and exclusion criteria, 36 patients (26 females and 10 males) were included in the study. The author applied to patients hybrid preservation rhinoplasty approach, which is a combination of mix-down and semi let-down and semi push-down techniques. All patients completed the Rhinoplasty Outcome Evaluation (ROE) questionnaire before surgery and at their 1-year follow-up appointment. The follow-up period ranged between 13 and 28 months (median of 19.8months). The initial median ROE score was 55.5, and it increased to 91.00 points at 12 months after surgery ...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
One-Piece Frontoorbital Osteotomy With a Small Supraorbital Burr-Hole to Protect Against Intraoperative Dural Lacerations
Abstract:
This paper aims to describe a new technique of 1-piece frontoorbital osteotomy with a small supraorbital burr hole, which resulted in improved safety during osteotomy of the anterior skull base. An 11 × 4 mm burr hole was created at the center of the orbit above the superior orbital rim using an “eyebrow key-window approach.” Extradural dissection from the nasion to the medial side of the sphenoid ridge was performed through this hole, and dissection of the lateral side of the sphenoid ridge was completed from the edge of the coronal osteotomy. Osteotomy along the zygomaticofrontal and sphenofrontal su...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
The Use of Computer-Guided Half Propeller Genioplasty for the Correction of Mandibular Asymmetry (A Mandibular Orthognathic Surgery Without a Condylar Intervention Technical Strategy)
Conclusions:
The technique appeared to be accurate, simple, and more cost efficient when compared to patient-specific plates. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
Endoscopic Forehead Lift Using Pretrichial Vertical Incisions and Solid Suture Technique: Effective Fixation and Lesser Scar Formation
Abstract:
Endoscopic forehead lift with frontal incisions behind anterior hairline has been used conventionally not to exposure scar on the forehead. Accordingly, patients with convex forehead, high hairline, and redundant forehead skin are regarded as not good candidates for endoscopic forehead lift. However, we introduce the advantages of pretrichial vertical incision on the forehead using techniques that minimize the risk of scar formation. Between December 2019 and April 2021, 73 patients who underwent endoscopic forehead lift using pretrichial vertical incision and cortical bone tunnel fixation method were enrolle...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
One-Stage Repair of Alveolar Cleft and Nasal Deformities Using Grafts From Nasal Septum: Application of Vomer, Ethmoid, and Septal Cartilage
Conclusion:
Application of septal grafts reduce the number of incisions. One-stage repair of alveolar cleft and nasal deformities, with the aid of digital design, improves the postoperative experience and the general outcome of the surgery. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Factors Affecting Optic Nerve Damage in Le Fort III Osteotomy: A Retrospective Study
The causes of visual impairment following Le Fort osteotomy for syndromic craniosynostosis have not been completely elucidated. The authors investigated the potential causes and means of prevention of optic nerve damage, with particular emphasis on intraoperative blood transfusion volume and operating time. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
The Role of Resection of the Outer Table of the Cranium in Locally Invasive Primary Squamous Cell Carcinoma of the Scalp
Discussion:
The data in this study supports that in instances of locally invasive primary SCC of the scalp that extends to the pericranium, excision down to the calvarium with complete circumferential and deep peripheral margin assessment, followed by resection of the outer table, is an excellent option. The low rate of local recurrence and high disease-free survival in this study support that this method allows for optimal oncologic outcome while mitigating the significant morbidity associated with the alternative option of a full thickness craniectomy. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Cadaveric Bone Allografting for Severe Mandibular Hypoplasia With Alleviation of Upper Airway Obstruction in Goldenhar Syndrome
Abstract:
Severe congenital mandibular hypoplasia may cause significant upper airway obstruction, often necessitating immediate tracheostomy. Recent surgical advances have demonstrated early intervention with mandibular distraction osteogenesis over tracheostomy may yield desirable aesthetic and functional outcomes. Here we present a case of bilateral mandibular hypoplasia, severe on the right and mild on the left, secondary to Goldenhar syndrome yielding significant tongue-based upper airway obstruction that was surgically corrected with mandibular bone allograft reconstruction of the right condyle, ramus, and posteri...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Prognosis of Continuous Positive Airway Pressure Treatment to Velopharyngeal Insufficiency: Preliminary Study
In this study, the effect obtained through continuous positive airway pressure (CPAP) treatment was analyzed by statistical methods.
Methods:
From May 2012 to December 2018, using patient demographics, computed tomography (CT) scan, and nasalance test was performed on 25 patient groups treated with CPAP devices for 8 weeks to confirm the effect after 6 months.
Results:
After CPAP treatment in a total of 25 patients, 13 patients had a therapeutic effect. The average age of the patient group with treatment effect (effective group [EG]) was 51.2months, and the patient group with no treatment effect (ineffective ...
Source: Journal of Craniofacial Surgery - September 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
