Craniomaxillofacial Reconstructive Surgery Track: RhBMP-2 Does Not Pose a Cancer Risk in Maxillofacial Reconstructive Surgery Procedures
Recombinant human bone morphogenetic protein is a mainstay in maxillofacial bone regeneration via in-situ tissue engineering. It represents the signal in the tissue engineering paradigm of the cells-signal-matrix. However, its pleotropic effects of signaling cellular proliferation, migration, differentiation and bone formation in embryologic skeletal development have generated a concern for cancer development or promotion when used in patients. This notion was bolstered in 2013, by a retrospective public data paper in the Journal of Bone and Joint Surgery reporting an 11 to 2 incidence of cancer developing in the rhBMP-2/A...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Neel Patel, Robert Marx Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: Trends in Elective Revision Surgery for Microvascular Free Flaps: A Multicenter Study
Microvascular free flap reconstruction of a defect, as a single-stage procedure, does not always achieve the desired functional and aesthetic result. Often with free flap surgery of the head and neck, revisions may be necessary to achieve ideal contour, symmetry, and suspension of soft tissues. Additionally, many patients will want to undergo dental rehabilitation, where bone grafting, implants, and vestibuloplasty may be necessary. The aim of this study is to determine the rate of elective revision after free flap surgery and to better characterize the reasoning behind these revisions. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Ashleigh Weyh, Michael Malik, Rui Fernandes, Stacey Nedrud, Anthony Bunnell, Timothy Neal, Roderick Kim Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: ERAS Protocol in TMJ Replacement Surgery: Complications and Length of Stay Outcomes
Enhanced recovery after surgery (ERAS) protocols are multidisciplinary initiatives that aim to improve outcomes for surgical patients. ERAS protocols have demonstrated improved outcomes in maxillofacial trauma, orthognathic, and head and neck cancer surgeries, but there have been no such publications specific to TMJ surgery. The aim of this study was to evaluate the impact of ERAS protocol for patients undergoing TMJ replacement surgery with the primary outcome measure being hospital length of stay, and secondary outcome measures being postoperative pain control, narcotic consumption, and complications association with non...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Russel Williams, Helen Giannakopoulos, Peter Quinn, Eric Granquist Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: Trends and Protocols in the “Jaw in a Day” Procedure Amongst Oral and Maxillofacial Surgery Practices
The purpose of this study is to investigate trends and protocols for immediate replacement of teeth with osteocutaneous free flaps aka "Jaw in a Day ” in reconstructive head and neck surgery amongst oral and maxillofacial surgery practices. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Dylan P. Salem, Annie Ho, Joli C. Chou, Andrew Beech, Andrew Yampolsky Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: Mpox: Two Cases of Debilitating Facial Lesions in the Setting of AIDS
In the recent wake of COVID, a new epidemic, Mpox, was reported in May of 2022. This zoonotic disease, associated with a poxvirus in the variola family, was noted to be highly contagious with close contact, resulting in diffuse mucocutaneous lesions. For the majority of patients, these lesions resolve spontaneously with little residual effect. However, in patients that are immunocompromised, Mpox can become unmanageable and result in mortality. Here we report the atypical presentation of two patients with HIV/AIDS that were noted to have severe full-thickness lesions of the face and mouth, which resulted in debilitating wo...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: John M. Sands, Colin J. Stanhope, John F. Caccamese Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: Jaw in the Day in a Pediatric Population: Is it feasible?
Immediate jaw reconstruction with vascularized tissue, dental implants, and the dental prosthesis was first performed by Levine and Hirsh in 2012. Since this time the technique has been refined and is now performed at numerous centers across the country. While this technique is predominately completed in adult patients, we postulate that despite the risks in the skeletally immature patient, this procedure can be completed in pediatric patients safely and with minimal modifications. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Nicholas Callahan, Sarah Loren Moles, Dima Ghunaim, Michael Han Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: The Scapular Spine as an Option for Autogenous TMJ Fossa Reconstruction: A Case Report
A 50-year-old female with a longstanding history of bilateral TMJ arthritis was diagnosed with a large enhancing mass centered in her right glenoid fossa with extension into the middle cranial fossa and infratemporal fossa. She underwent excision of the mass via a trans zygomatic/pterional approach without reconstruction. The lesion was diagnosed as synovial condromatosis. Postoperatively she developed a severe asymmetric open bite that was related to the loss of her glenoid fossa. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Sean P. Edwards Source Type: research

Craniomaxillofacial Reconstructive Surgery Track: Teeth in the BoxTM: Improving Access to Care for Patients Seeking Immediate Dental Rehabilitation with a Fibula-Free Flap
Maxillofacial reconstruction employing immediate dental restoration in free tissue transfer requires coordinated efforts amongst multiple interdisciplinary surgical and supportive services. Immediate dental restoration can benefit a patient's quality of life and improve the patient's form, function, and psychosocial well-being while decreasing the total number of surgeries needed to complete dental rehabilitation. Unfortunately, current data suggest that most patients undergoing jaw reconstruction following pathologic resection do not receive immediate implants or an immediate prosthesis at the time of initial surgery [1]....
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Daniel A. Hammer, Eamon O ’Reilly, Yan Ortiz-Pomales, Michael R. Andersen Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Cone Beam Computed Tomographic Assessment Tool to Determine Success Rate and Outcome Predictors in 900 Alveolar Bone Grafts
Although several studies in the literature document the success rate of alveolar bone grafting and identify factors associated with graft outcomes, there is considerable variability in the reported rates of success and inconsistencies in the variables shown to impact results. The purpose of this study was to evaluate the results of alveolar bone grafting performed by one surgeon. Specific aims were to determine the success rate of alveolar bone grafts using a validated CBCT assessment tool and the identification of variables associated with graft outcomes. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Bonnie Padwa Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Use of a Bone Borne Palatal Distractor for Maxillary Expansion: A 20-year Single Surgeon Retrospective
The purpose of this study is to review the success versus failure of a bone-borne palatal distractor used in Surgical Maxillary Expansion surgery (SARPE). The distractor used was the Rotterdam Palatal Distractor by KLS Martin. Specific to this study was a single surgeon experience over 20 years. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Shahid R. Aziz Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Head and Neck Langerhans Cell Histiocytosis in Children
Langerhans Cell Histiocytosis (LCH) is a sporadic myeloid neoplasm with proliferation of dendritic cells1. In the United States, LCH has an estimated annual incidence of approximately 1 per million children2. Controversy exists regarding the management of LCH in the head and neck: debridement, chemotherapy or both. There are few reports describing LCH in the OMS literature. The purpose of this study was to present our experience with LCH of the head and neck in children. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Joyce Xu, Julie Gilbert, Kathryn S. Sutton, Steve L. Goudy, Shelly Abramowicz Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Stock vs. Custom Hardware For Virtually Planned Orthognathic Surgery: Analysis Involving Cost and Duration of Surgery
Computers have revolutionized the planning for orthognathic surgery to the extent that custom plates can be generated and are now available for use. The purpose of this project is to compare the expense of custom fabricated plates versus traditional stock plates for Lefort 1 osteotomy. The hypothesis is that custom plates are more expensive, but the surgical time difference justifies the expense. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Poolak Bhatt, Thomas Brader, Matthew Lowe, Timothy A. Turvey Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: How Accurate is Computer-Assisted Surgery in Fronto-Orbital Advancement for Craniosynostosis?
Computer-assisted surgery (CAS) has been shown to improve the accuracy of cranial vault reconstruction in craniosynostosis treatment. Few studies to date have evaluated the accuracy of CAS in the context of fronto-orbital advancement (FOA) surgery. Therefore, the purpose of this study was to present our experience using CAS for FOA. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Kevin C. Lee, Matthew J. Recker, Joshua C. Barber, James J. Xia, Tanya Singh, Ren ée M. Reynolds, Michael R. Markiewicz Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Impacts of Dentofacial Disharmony and its Surgical Correction on Speech
Among dentofacial disharmony (DFD) patients, 90% of Class III, 73-87% of Class II, and 80% of anterior open bite (AOB) patients suffer from speech distortions, as compared to 3.5-5% of the general population. Speech disorders negatively affect patients ’ self-esteem, quality of life, peer and teacher perceptions, and long-term career performance. As a result, it is important to understand the impacts of severe malocclusion on speech, and whether surgical correction yields improvements. Limited quantitative data exist to correlate malocclusion se verity with speech distortion and track surgical outcomes in articulation. (...
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Laura Anne Jacox, Nare Ghaltakhchyan, Ellie Nanney, Ray White, George Blakey, Timothy Turvey, Jeff Mielke, David Zajac Source Type: research

Pediatrics, Craniofacial and Orthognathic Surgery Track: Skeletal Stability of Cleft Orthognathic Surgery: Stock Versus Patient-Specific Implants
Patients with cleft lip and/or palate (CLP) who undergo maxillary advancement are at risk for developing skeletal relapse. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - October 1, 2023 Category: ENT & OMF Authors: Danielle A. Ploussard, Caitlin B.L. Magraw Source Type: research