Role of Derotation Suture in Bulbous Tip Correction in Asian Rhinoplasty
Abstract:
In bulbous tip correction, consideration should be given to the presence of cephalic malposition of lower lateral cartilage as well as volume reduction. Derotation suture is a suture technique for tip lengthening but may contribute to bulbous tip correction through the caudal reposition of lower lateral cartilage.
From 2016 to 2018, a total of 50 Asian patients underwent bulbous tip correction with derotation suture. The derotation suture was performed by suture the most convex part of lower lateral cartilage as a spanning suture to the caudal septum with caudal traction of the lateral crus. The chart and ...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
Sliding Flap for the Wide Upper Eyelid Margin Defect After Cancer Removal
Conclusions:
The sliding flap technique is a minimally invasive and simple procedure for wide eyelid margin reconstruction. However, 2 patients developed eyelid margin irregularities and 1 patient developed keratoconjunctivitis. Those complications might have occurred owing to the condition of posterior lamellar reconstruction. Therefore, for the successful use of a sliding flap for anterior lamellar reconstruction, the form of the eyelid edge and the choice of posterior lamellar reconstruction are key considerations. In future, we plan to establish a better reconstructive technique by accumulating more evidence. (Sour...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Technical Strategies Source Type: research
Behavioral, Learning Skills, and Visual Improvement in Crouzon Syndrome Patient Following Late Posterior Vault Distraction Osteogenesis
Conclusion:
Late posterior vault distraction osteogenesis can improve behavioral, learning skills and visual acuity as shown in this 9-year-old Crouzon patient. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
The Possibility of Internal Carotid-Cavernous Fistula After Maxillary Fracture
The authors first reported a 42-year-old female patient with carotid-cavernous fistula (CCF) that occurred after maxillary fractures. She developed unilateral exophthalmos, bulbar conjunctival hyperemia, and complained of tinnitus after the operation, and was diagnosed as internal CCF through computerized tomography and Digital Substraction Angiography. After the diagnosis, the internal carotid artery was embolized with a coil under general anesthesia. The treatment effect was satisfactory but the vision of the affected side was eventually lost due to the long course of congestion. Although patients with maxillary fracture...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Systematic Review: Evaluating the Efficacy of Intrathecal Fluorescein for Localizing Cerebrospinal Fluid Rhinorrhea
The objective of this systematic review is to better characterize the benefits and limitations of IF administration.
Methods:
A systematic search was conducted for literature documenting the use of IF for CSF leak localization. The results of this search were subjected to initial review, followed by full-text evaluation of selected texts, and final inclusion based on predetermined selection criteria. Primary outcomes were specificity and sensitivity of IF administration in identifying CSF leak sites. Secondary outcomes included administration technique and safety data.
Results:
A total of 25 studies represent...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Conjunctival Fistula After Cosmetic Lateral Canthoplasty
The authors report the diagnosis and treatment of a patient who developed a conjunctival fistula after undergoing cosmetic lateral canthoplasty. A 34-year-old female patient continued to shed tears in the canthus skin of the left eye for 3 years after undergoing cosmetic lateral canthoplasty. She underwent preoperative fluorescein sodium staining and tear duct probing, which led to a diagnosis of conjunctival fistula. Methylene blue was used as a diagnostic marker and the tear duct probe was positioned for conjunctival fistula resection intraoperatively. Postoperative recovery was good. The causes of tearing of the canthal...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Can Frailty Indices Predict Surgical Risk in Open Reduction and Fixation of Facial Fractures?
Purpose:
The present study sought to evaluate whether the mFI-5 and modified Charlson Comorbidity Index (mCCI) are stronger predictors of 30-day postoperative complications after open reduction of facial fractures compared with historic risk proxies.
Methods:
A retrospective review of the American College of Surgeons’ National Surgical Quality Improvement Program (ACS-NSQIP) database was conducted to investigate patients who underwent open reduction facial fracture surgery between 2013 and 2018. Risk factors including age, smoking status, body mass index (BMI), comorbidities, and American Society of Anesthesio...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Long-Term Effect of Intermediate Rhinoplasty in Unilateral Complete Cleft Lip Nasal Deformity
Conclusion:
While intermediate rhinoplasty improves the patients’ psychosocial well-being, the effects of “limited intermediate rhinoplasty” manipulating only the cartilages do not seem to last until skeletal maturity. A more comprehensive dissection allowing the release of the lower lateral cartilage in the hinge area along with septoplasty may be more effective in providing longer-lasting effects. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Reconstructing the New Aesthetic Mandibular Angle With Two-Crossed Ostectomy at the Inferior and Posterior Margin of the Mandible
Conclusions:
For patients with excessively prominent mandibular angle, the two-crossed ostectomy at the mandibular ramus and the body could reconstruct the new aesthetic gonial angle and position, make the lower one third of the face attractive from the lateral and anterior perspectives, and deliver greater patient satisfaction and surgical safety. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Hemifacial Spasm Caused by Distal Neurovascular Compression Confirmed by Lateral Spread Response Monitoring
Primary hemifacial spasm (HFS) is likely related to a vascular compression of the facial nerve at its distal cisternal portion root exit Zone that has been reported during recent years. Most of these cases were found during secondary surgery or intraoperative monitoring of lateral spread response (LSR). Here we reported 2 patients with typical HFS caused by distal neurovascular compression that were successfully treated with microvascular decompression. Magnetic resonance imaging in both cases suggested that there was a contact between the vessel in cisternal segment and the facial nerve. LSR immediately disappeared after ...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
The Effect of Orthognathic Surgery on the Hourglass Appearance of the Neck
In frontal view, the transition from the upper aspect of the neck to the inferior border of the mandible has a subtle hourglass appearance. The aim of this study was to evaluate the effect of the orthognathic surgery on the hourglass appearance of the neck in patients with Class II dentofacial deformity. Twenty-six patients with Class II dentofacial deformity who underwent bilateral sagittal split osteotomy alone or in combination with Le Fort I osteotomy and/or genioplasty were included in this study. The width of the most upper part, the width of the narrowest part, the length of the upper part, the height of the upper p...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
“Oris Duplicatio”—Duplication of the Oral Cavity a Rare Malformation in a 10-Month-Old Child: State of the Science and Management
The authors report the case of a 10-month-old child with total oral duplication. The authors review this pathology and the diagnostic and treatment modality through the few cases described in scientific history. The discussed etiopathogeny of this rare malformation is detailed in this work. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Facial Defects With Infraorbital and Zygomatic Area Reconstruction Using an Expanded Flap Based on the Orbicularis Oculi Muscle: A Long-Term Follow-up
Conclusion:
The pre-expanded rotation flaps in the lateral facial area based on the OOM can ideally and safely be applied for facial defect reconstruction owing to their reliable blood supply and excellent texture match. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Accuracy of Detecting Obstructive Sleep Apnea Using Ambulatory Sleep Studies in Patients With Syndromic Craniosynostosis
Conclusions:
Ambulatory sleep studies are reliable for diagnosing OSA in older children and can be used to determine clinical decision-making. Hence, we recommend implementing ambulatory sleep studies in a protocolized management. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
Transnasal Endoscopy and Combined Approach to Infratemporal Fossa Abscess and Parapharyngeal Abscess
The infratemporal fossa is a very important anatomical space that is relatively closed with an irregular shape and is adjacent to the parapharyngeal space. Infratemporal fossa abscess is rare clinically. It can occur as a complication of maxillary sinusitis, maxillary sinus fracture, or odontogenic infection. If not handled in time, it may endanger the lives of patients. This paper reports the diagnosis and treatment of infratemporal fossa abscess in 2 diabetic patients. Computed tomography and magnetic resonance imaging are the best methods to diagnose suspected cases of this disease. The key treatment is to combine sensi...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research
