• Closed–suction compared with Penrose drainage after free flap reconstruction in the head and neck

  Publication date: Available online 19 October 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): O. Madgar, O. Segal, J. Mansour, D. Sagiv, A. Dubriyan, L. Bedrin, Y.P. Talmi, M. Wolf, E.E. AlonAbstractMicrosurgical free flaps are common in head and neck reconstruction, and their techniques and outcomes have continuously improved during the past decades. However, there are variations in practice among surgeons between the use

  British Journal of Oral and Maxillofacial Surgery

  Sat Oct 19, 2019 03:48
• Surgical Treatment of Mandible Fracture Using Unsintered Hydroxyapatite/Poly L-Lactide Composite Fixation System

  Recently, absorbable plates have been used for various types of facial fractures. However, in the case of mandibular fractures, a large amount of force is applied after fixation. Thus, a firm fixation is necessary. In particular, unfavorable fractures are more frequent in mandibular fractures. Therefore, plates should be strong enough to withstand forces at the time of surgery. The purpose of this study was to determine clinical efficacy and usef

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Temporomandibular Joint Ankylosis Following Mandibular Distraction Osteogenesis: A Dreadful Complication

  Introduction: Mandibular distraction osteogenesis (MDO) is an effective treatment for severe micrognathia, as it helps to avoid tracheostomy but has some adverse effects on the temporomandibular joint (TMJ). TMJ ankylosis is a serious condition leading to feeding difficulties and growth impairment, and could result in worse consequences in cases with micrognathia who already have limited growth potential. Here, we aimed to report on cases with

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• What Are We Missing From Asymmetric Relationship Between the Retinal Nerve Fiber Layer Thickness Profiles and Sphenoid Sinus Volume?

  Purpose/Aim of the Study: Detailed analysis of retinal structure such as the retinal nerve fiber layer can be performed by spectral-domain optical coherence tomography (OCT). There are no published studies concerning there is a relationship between retinal nerve fiber layer and human sphenoid sinus volumes. We investigated this relationship. Material and Methods: Spectral-domain OCT. The peripapillary retinal nerve fiber layer (RNFL) thic

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Applied Deep Learning in Plastic Surgery: Classifying Rhinoplasty With a Mobile App

  Background: Advances in deep learning (DL) have been transformative in computer vision and natural language processing, as well as in healthcare. The authors present a novel application of DL to plastic surgery. Here, the authors describe and demonstrate the mobile deployment of a deep neural network that predicts rhinoplasty status, assess model accuracy compared to surgeons, and describe future directions for such applications in plastic sur

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Evaluation of Direct Surgical Remodeling of Frontal Bossing in Patients With Sagittal Synostosis

  Background: The need for surgical correction of frontal bossing in patients with sagittal synostosis is currently debated. The authors retrospectively analyzed frontal bossing in patients with isolated, nonsyndromic sagittal synostosis who underwent calvarial remodeling with and without frontal craniotomy and compared with control subjects. Methods: The authors analyzed computed tomography (CT) scans of patients with sagittal synostosis

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Pituitary Adenoma Deposit in the Nasolabial Region Following Sublabial Transsphenoidal Surgery in the Setting of Nelson Syndrome

  Pituitary adenomas are a group of tumors arising from the anterior pituitary gland, and with the exception of prolactin-secreting adenomas, transsphenoidal resection is the cornerstone of treatment. Although most adenomas are located within the pituitary fossa, ectopic adenomas have been reported, primarily occurring along the route of embryologic development. In this article, we present the case of an ectopic pituitary adenoma in the nasolabial

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Isolated Lambdoid Craniosynostosis

  Introduction: Lambdoid craniosynostosis is an extremely rare anomaly in which there is premature fusion of one or both lambdoid sutures. The mainstay of treatment is surgical intervention, for which various procedures have been described, but there is a paucity of data on long-term outcomes. This study examines the long-term outcomes in the surgical management of this challenging condition, showing that accurate diagnosis and careful planning

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Does Meningioma Volume Correlate With Clinical Disease Manifestation Irrespective of Histopathologic Tumor Grade?

  Objectives: The aim of the study was to investigate the association between meningioma volume and the occurrence of clinic-radiologic signs of tumor aggressiveness. For volumetric approximation, the authors evaluated the method of semiautomatic image segmentation at hand of high-resolution MRI-image sequences. Methods: ITK-SNAP was utilized for semiautomatic image segmentation of 58 gadolinium-contrast enhanced T1-weighted thin-slice MRI

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Modified Cartilage Sparing Tip Plasty Technique for Extra Projection: Hemitransdomal Suture With Submucosal Dissection: A New Approach to Nasal Tip Dynamics

  The nasal tip projection and rotation to be obtained with tip plasty play a key role in achieving successful results. Cartilage sparing techniques provide extra ease to reshape the cartilage in revision rhinoplasty. Freed dome cartilage eliminates the restricting forces of mucosa. The authors recommend to free the dome cartilage from mucosa during the tip plasty which ensures the desired dome shape and extra projection. A total of 218 patients wh

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Release of the Lateral Pharyngeal Mucosa Using a Palatal Elevator

  The aim of this paper is to present how to release the nasal mucosa from the hard palate and from the lateral pharyngeal wall using palatal elevator. After mucoperiosteal flap is raised, the nasal mucosa is detached with an instrument pushed laterally behind the palatine vessels to meet the medial pterygoid plate. The palatal elevator is passed around the spine at the posterior medial border of the bony palate and then moved forward in the clef

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Extensive Post-traumatic Surgical Emphysema Exacerbated by Cocaine Insufflation

  Surgical emphysema (SE) is characterized by air in the soft tissues causing a crackling sensation on palpation. In oral and maxillofacial surgery, it might occur using conventional air-driven dental hand pieces, as a complication of trauma and with cocaine insufflation. The subcutaneous air may travel through tissue planes causing cervicofacial emphysema, pneumothorax, and pneumomediastinum. It may carry bacteria and potentially lead to celluli

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Perioperative Management in Patients With Cleft Lip and Palate

  In cleft care, perioperative treatment strategies like ear nose and throat (ENT) diagnostics as well as postoperative antibiotics, feeding, and duration of inpatient stay are nonstandardized procedures varying between different centers. Likewise, intraoperative choice of suture materials and time of suture removal are performed inconsistently. Therefore, we wanted to collect information on protocols focusing on these topics to summarize and subsu

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Saddle Deformity After Septoplasty and Immediate Correction

  Objective: The aim of this study is to assess the saddle deformity after septoplasty and the usefulness of immediate correction. Design: Retrospective study. Setting: University medical center. Patients: Of 658 patients who underwent endonasal septoplasty from January 2011 to July 2018, 14 underwent immediate cartilage dorsal augmentations following septoplasty for saddle deformity and were enrolled in this study. Main Outcome

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• Morbidity in Patients With Separation of Cartilaginous Framework: Temporoparietal Fascia Flap and Treatment With Dermal Regeneration Template

  Background: The full creation of an ear requires 2 reconstruction stages. In the second stage of reconstruction, the cartilaginous framework placed at first stage is separated from the head creating an auriculocephalic sulcus. Then a piece of rib cartilage is placed in the sulcus to maintain this separation and is covered with tissue that allows the integration of a full-thickness skin graft. Methods: A descriptive study based on the pre

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• An Aplasia Cutis Congenita: Suggestion of Management Algorithm

  Background: When a child is born with Aplasia cutis congenita (ACC), it is important for the surgeon to decide promptly whether to perform early surgical intervention, or proceed with conservative care. Several patients of ACC have been reported in which various treatments have attempted. However, the criteria of treatment remain controversial. In this study, the authors present an algorithm and the literature review to assist with objective d

  Journal of Craniofacial Surgery - Published Ahead-of-Print

  Wed Oct 16, 2019 17:00
• In Reply

  Publication date: Available online 17 October 2019Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Eda Didem Yalcin, Sedef Akyol

  Oral and Maxillofacial Surgery

  Fri Oct 18, 2019 07:45
• Sinus Imaging of Asymptomatic Patients: Putting the Cart Before the Horse

  Publication date: Available online 17 October 2019Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Galal Omami

  Oral and Maxillofacial Surgery

  Fri Oct 18, 2019 07:45
• Is the pure and impure distinction of orbital fractures clinically relevant with respect to ocular and periocular injuries? A retrospective study of 473 patients

  Publication date: Available online 18 October 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Zulma Catherine, Delphine S. CourvoisierSummaryObjectiveTo determine the association of “pure” orbital fractures (POF) and “impure” orbital fractures (IOF) with ocular and periocular injuries.Materials and MethodsA retrospective study of patients with orbital fractures was designed. The predictor variable was the orbital’s fracture configur

  ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery

  Fri Oct 18, 2019 07:20
• Neurophysiological changes and chronic pain in cleft patients

  Publication date: Available online 18 October 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Amely Hartmann, Claudia Welte-Jzyk, Bilal Al-Nawas, Monika DaubländerSummaryThe aim of this study was to evaluate if patients after orofacial cleft repair experience neurophysiological changes with consecutive chronic pain states after surgery.Patients (n=48) with a repaired orofacial cleft (CLP) recruited in a support group took part in a

  ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery

  Fri Oct 18, 2019 07:20
• Accuracy of a new custom-made bone-supported osteotomy and repositioning guide system for reconstruction of the mandibular ramus using costochondral grafts: a preliminary study

  Publication date: Available online 17 October 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): H. Sun, J. Zhang, B. Li, Z. Liu, S. Shen, X. WangAbstractMandibular reconstruction in patients with hemifacial microsomia is still challenging. In this study we have introduced a costochondral graft (CCG) for reconstruction of the mandibular ramus, and reported a bone-supported osteotomy and repositioning guide system for transfer

  British Journal of Oral and Maxillofacial Surgery

  Fri Oct 18, 2019 03:23
• Calcification of the fibular free flap pedicle, an unusual cause of neck and throat pain

  Publication date: Available online 17 October 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): R.J.J. Pilkington, S.K. Bhatia

  British Journal of Oral and Maxillofacial Surgery

  Fri Oct 18, 2019 03:23