MedWorm: Craniofacial Surgery

Rabbit as a distraction model—pitfalls

European Journal of Plastic Surgery — Wed, 10 Mar 2010 15:46:44 +0100

Abstract The principles of distraction osteogenesis have been successfully applied to the craniofacial skeleton of different animals. The rabbit, in particular, has been evaluated as a model by enumerable authors. To our knowledge, however, none of the studies either report the causes of premature euthanization or the pitfalls leading to the untimely death of the animal. We here describe our experience with 30 rabbits used as a model for mandibular distraction osteogenesis and suggest precautions to take in order to avoid unforeseen problems. Thirty skeletally mature New Zealand white rabbits were used. Fifteen animals had bilateral distraction devices placed on the anterior mandible, and another 15 underwent unilateral distraction osteogenesis. In both groups, 12 animals ...

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Characterization of the nasal, sublingual, and oropharyngeal mucosa microbiota in cleft lip and palate individuals before and after surgical repair.

The Cleft Palate-Craniofacial Journal — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: Despite a high prevalence of potential pathogenic and enteric flora preoperatively in primary palate repair, postoperative wound infection is rare in the prospective study population. However, the presence of beta-hemolytic streptococci was associated with a higher risk of repair dehiscence; therefore, screening for Streptococci prior to surgery should be performed routinely. PMID: 20210635 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Autologous bone grafting with adjunctive use of acellular dermal matrix for alveolar cleft defects: early outcomes.

The Cleft Palate-Craniofacial Journal — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: These data support the conclusions that using acellular dermal matrix to augment nasal/oral mucosal lining in alveolar bone grafts (1) does not increase mucosal disruption or time to complete healing, (2) prevents postoperative bone graft exposure, and (3) appears to have no negative effect on postoperative bone graft incorporation or canine eruption through the graft site. PMID: 20210633 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Evaluation of Maxillary Permanent Molars in Patients With Syndromic Craniosynostosis After Monobloc Osteotomy and Midface Advancement With Rigid External Distraction (RED).

The Cleft Palate-Craniofacial Journal — Mon, 01 Mar 2010 00:00:00 +0100

Conclusions: Distraction created posterior arch length with significant horizontal forward movement of the first and second molars (p < .05) and minimal vertical displacement (p > .05). The procedure disrupted the development of one of the first molars, three of the second molars, and two of the third molars. Incidence of molar damage was increased in patients operated on during primary dentition. Careful surgical technique during pterygomaxillary disjunction, especially in young children, and long-term radiographic follow-up of maxillary molars is strongly recommended. PMID: 20210632 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Pectoralis major and pectoralis minor muscle flap for postpneumonectomy empyema

Surgery Today — Wed, 24 Feb 2010 15:49:33 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00595-007-4070-yAuthors Christo Dimitrov Shipkov, Higher Medical Institute — Plovdiv, Hirurgicheski kliniki Plastic and Craniofacial Ward, Department of Paediatric Surgery floor 3, #66 Peshtersko Shosse Blvd Plovdiv 4002 BulgariaAngel Petrov Uchikov, Higher Medical Institute — Plovdiv, Hirurgicheski kliniki Department of Abdominal and Thoracic Surgery floor 3, #66 Peshtersko Shosse Blvd Plovdiv 4002 Bulgaria Journal Surgery TodayOnline ISSN 1436-2813Print ISSN 0941-1291 Journal Volume Volume 40 Journal Issue Volume 40, Number 3 / March, 2010 (Source: Surgery Today)

Three-dimensional assessment of the eruption path of the canine in individuals with bone grafted alveolar clefts using cone beam computed tomography.

The Cleft Palate-Craniofacial Journal — Wed, 24 Feb 2010 00:00:00 +0100

Conclusions: Most canines on both the cleft and non cleft side moved incisally, facially, and mesially. Keywords: CBCT, Canine eruption, Cleft lip and palate. PMID: 20184425 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

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Automated 3-Dimensional Airway Analysis From Cone-Beam Computed Tomography Data

Journal of Oral and Maxillofacial Surgery — Tue, 23 Feb 2010 14:21:44 +0100

The analysis and 3-dimensional (3D) imaging of the airway have become more common as technological developments in both imaging and computer analysis have advanced and converged during the past few years. These advances have been especially beneficial for the ability to understand and diagnose obstructed sleep disordered breathing (OSDB) and its relationship to the craniofacial anatomy. The improved availability of cone-beam computed tomography (CBCT), 3D imaging, and computer simulation in dentofacial analysis and treatment planning has facilitated the use of this method for evaluation of the airway. The currently available diagnosis and treatment planning methods for OSDB have limitations despite inclusion of the patient's sleep history, nasendoscopy, polysomnography, and conventional im...

Verification of Speech Spectrum Audibility for Pediatric Baha Softband Users with Craniofacial Anomalies.

The Cleft Palate-Craniofacial Journal — Mon, 22 Feb 2010 00:00:00 +0100

Conclusions: Benefit of the Baha in providing audibility of the speech spectrum for infants and children with bilateral congenital conductive hearing loss has been demonstrated, providing important and timely data supporting third party reimbursement. Key Words: Baha, craniofacial, hearing loss, verification, audibility. PMID: 20180710 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

Commentary on “Skin malignancy of the head and neck in Calabar, Southern Nigeria” by Asuquo

European Journal of Plastic Surgery — Sat, 20 Feb 2010 06:48:03 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00238-010-0393-9Authors Ian Jackson, Institute for Craniofacial and Reconstructive Surgery Southfield MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)

HF/CFSGB&I Student Elective Awards

Fri, 19 Feb 2010 15:39:07 +0100

The purpose of the award is to give undergraduate students the opportunity to broaden their perception and experience of research in the area of cleft care, craniofacial surgery, medicine and care and to improve treatments for patients. The Healing Foundation, in partnership with the Craniofacial Society of Great Britain and Ireland (CFSGB&I), wish to support Student Elective Awards in the area of research activities relevant to disfigurement and visible loss of function. The closing date for applications is 12th March 2010. For a full application pack please contact the Foundation. Restrictions: The research must be carried out in the UK or Ireland. Closing date for applications: Friday 12th March 2010 Contact: info@thehealingfoundation.org (Source: Funding Opportunities list f...

A long-term review of Z-plasty technique for repair of split earlobes

European Journal of Plastic Surgery — Thu, 18 Feb 2010 17:53:20 +0100

The objective of this study is to present the technique, results, and outcomes of our split earlobe patients. A 10-year retrospective review of one surgeon’s (I.T.J) split earlobe cases was performed. Repairs involved resection of the edges of the split area followed by a Z-plasty at the edge of the lobe. We perform a complete closure without preservation of the original piercing hole. Re-piercing is performed after at least a month. Forty-three patients were included, and eight had bilateral involvement. Average follow-up of the patients was around 4 months. A variety of etiologies were responsible for the split. One patient developed hematoma and infection which was resolved with antibiotics. Another patient developed notching and required revision surgery. The other 41 pat...

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MRI and 3D Computer Modeling of the Levator Veli Palatini Muscle Before and After Primary Palatoplasty.

The Cleft Palate-Craniofacial Journal — Wed, 17 Feb 2010 00:00:00 +0100

Conclusions: Although the subjects with normal anatomy displayed levator muscle lengths, thickness, and distance between origins that were dissimilar, nevertheless the angles of origin measures were similar. Subjects with cleft palate had greater variations in the angle of origin. It is possible that the angle of the muscle as it descends from the base of the skull might be a critical feature to produce velopharyngeal closure. PMID: 20163255 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

Survey of management of children with cleft lip and palate in teaching and specialist hospitals in Nigeria.

The Cleft Palate-Craniofacial Journal — Wed, 17 Feb 2010 00:00:00 +0100

Conclusions: Issues are raised regarding the current organization of cleft services. We hope the findings in this study will provide preliminary information needed for the eventual establishment of standard cleft management for children with cleft lip and palate deformity in Nigeria. Keywords: Management, Cleft lip and palate, Hospitals, Nigeria . PMID: 20163254 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

[Primary hyperhidrosis. Current status of surgical treatment.]

Cirugia eEspanola — Thu, 11 Feb 2010 00:00:00 +0100

The objective of the surgery is to remove or to disconnect sympathetic ganglia T2 (craniofacial PH or facial blushing), T3 (palmar PH) and T3-T4 (axillary PH). The surgical techniques are mainly resection/transection, ablation with electrocoagulation, sympathetic block by clipping and radiofrequency. Anhidrosis is achieved in 95% of the patients. The overall rate of complications is less than 5% and these are minor complications. The most important unwanted effect is reflex sweating, presented in 48% of the patients. Reflex sweating is more frequent in back, thorax and abdomen and it appears independently of the surgical technique. Ninety percent of the patients are very satisfied after surgery. Nowadays, thoracic sympathetic surgery is the gold standard for primary hyperhidrosis. PMID...

Long-Term Single-Center Results of Management of Ethmoid Adenocarcinoma: 95 Patients over 28 Years

Annals of Surgical Oncology — Wed, 10 Feb 2010 06:49:32 +0100

Conclusions Our data suggest that less surgical treatment may be needed than is usually advocated for T1–T4a tumors and that surgery alone may be appropriate for T1–T3 tumors that have been resected with adequate margins in those patients for whom excellent follow-up is anticipated. No neck irradiation is indicated for N0 disease. Content Type Journal ArticleCategory Head and Neck OncologyDOI 10.1245/s10434-010-0933-3Authors L. de Gabory, Pellegrin Hospital, Centre F-X Michelet Department of Otorhinolaryngology Bordeaux Cedex FranceA. Maunoury, Pellegrin Hospital, Centre F-X Michelet Department of Otorhinolaryngology Bordeaux Cedex FranceS. Maurice-Tison, Université V. Segalen Biostatistics Department, I.S.P.E.D. Bordeaux 2 FranceH. Merza Abdulkhaleq, Pellegrin ...

Sub-Lingual Epidermoid Cyst

Head and Neck Pathology — Mon, 01 Feb 2010 17:55:18 +0100

Content Type Journal ArticleCategory Sine qua none Clinicopathologic CorrelatDOI 10.1007/s12105-010-0164-8Authors P. Anantanarayanan, Meenakshiammal Dental College & Hospital Department of Oral & Maxillofacial Surgery Maduravoyal Chennai 600095 IndiaR. Manikandhan, Meenakshiammal Dental College & Hospital Meenakshi Cleft & Craniofacial Center Maduravoyal Chennai 600095 IndiaDarpan Bhargava, Meenakshiammal Dental College & Hospital Department of Oral & Maxillofacial Surgery Maduravoyal Chennai 600095 IndiaB. Sivapathasundaram, Meenakshiammal Dental College & Hospital Department of Oral & Maxillofacial Pathology Maduravoyal Chennai 600095 India Journal Head and Neck PathologyOnline ISSN 1936-0568Print ISSN 1936-055X (Source: Head and Neck Pathology)

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Cranial, Craniofacial and Skull Base Surgery

Springer Medicine titles — Mon, 01 Feb 2010 16:05:44 +0100

This atlas, organized in two sections -neurosurgical section and maxillo-facial section- provides a comprehensive overview of the most modern surgical techniques in cranio-facial and skull base surgery.Each chapter describes in detail the anatomic structures and offers a step-by-step description of the technical aspects of the surgical approaches to the cranial base. Written by leading experts ... (Source: Springer Medicine titles)

Proboscis lateralis with ipsilateral sinonasal and olfactory pathway aplasia

Journal of Pediatric Surgery — Mon, 01 Feb 2010 00:00:00 +0100

We present a case of proboscis lateralis in a 2-year-old girl with associated ipsilateral sinonasal aplasia, orbital cyst, absent olfactory bulb and olfactory tract. Absence of ipsilateral olfactory pathway in this rare disorder has been documented on high-resolution computed tomography and magnetic resonance imaging by us for the first time in English medical literature. (Source: Journal of Pediatric Surgery)

Prenatal Diagnosis and Treatment of Craniomaxillofacial Anomalies

Oral and Maxillofacial Surgery Clinics — Mon, 01 Feb 2010 00:00:00 +0100

Many advances in health care are built on the evolution of technology. An entirely new patient has emerged in fetal medicine, with these advances in prenatal imaging allowing one to see and diagnose disease not previously appreciated. Clinicians can better plan for the delivery of the neonate, with identified anomalies being optimally managed and the impact on the neonate's health minimized. The oral and maxillofacial surgeon offers expertise in the management of craniomaxillofacial anomalies, including congenital tumors, facial clefts, craniosynostosis, micrognathia, and other congenital abnormalities. The techniques for perinatal care of the patient with craniofacial abnormalities continue to evolve as the technology improves. The authors describe their experience and some of the more co...

Computer Planning and Intraoperative Navigation in Cranio-Maxillofacial Surgery

Oral and Maxillofacial Surgery Clinics — Mon, 01 Feb 2010 00:00:00 +0100

Preoperative computer design and stereolithographic modeling combined with intraoperative navigation provide a useful guide for and possibly more accurate reconstruction of a variety of complex cranio-maxillofacial deformities. Although probably not necessary for routine use, the author's early experience confirms that of other surgeons with more than a decade of experience: computer-assisted surgery is indicated for complex posttraumatic or postablative reconstruction of the orbits, cranium, maxilla, and mandible; total temporomandibular joint replacement; orthognathic surgery; and complex dental/craniofacial implantology. Further study is needed to provide outcomes data and cost-benefit analyses for each of these indications. (Source: Oral and Maxillofacial Surgery Clinics)

Lip adhesion revisited: A technical note with review of literature

Indian Journal of Plastic Surgery — Fri, 29 Jan 2010 13:56:47 +0100

Conclusions:</b> Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications. (Source: Indian Journal of Plastic Surgery)

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Mandibular aneurysmal bone cyst in a child misdiagnosed as acute osteomyelitis: a case report and a review of the literature

European Journal of Pediatrics — Wed, 27 Jan 2010 20:26:35 +0100

Abstract The aneurysmal bone cyst is a very infrequent, benign bone lesion in children which rarely can be found at the craniofacial skeleton. Here, we describe a case presenting in the mandible as an acute swelling of the cheek, which was initially misdiagnosed as osteomyelitis resulting in a delay to definitive surgical treatment. The cause of misleading diagnosis is often owing to the rapid growth of the lesion, sometimes associated with painful soft tissue swelling indicating an infectious origin or a malignant tumor. Magnetic resonance imaging revealed the classic characteristics of aneurysmal bone cyst with severe destruction of the mandible. Therefore, curative tumor embolization and complete surgical excision was successfully performed. The aneurysmal bone cyst is ...

Internet-Based Multi-institutional Clinical Research: A New Method to Conduct and Manage Quality of Life Studies

Skull Base — Sat, 23 Jan 2010 14:11:20 +0100

This article introduces the use of a Web-based data collection method that can function as a collaborative registry and a tool for collection of quality of life data.[...]© Thieme Medical PublishersGet connected:Table of contents | Abstract | Full text (Source: Skull Base)

A cephalometric intercentre comparison of patients with unilateral cleft lip and palate at 5 and 10 years of age

The European Journal of Orthodontics — Fri, 22 Jan 2010 12:13:31 +0100

The aim of this study was to evaluate any differences between the craniofacial growth of unilateral cleft lip and palate (UCLP) patients who underwent surgery in the Milan CLP centre with those from the Oslo CLP centre at 5 and 10 years of age. The Milan sample comprised 88 UCLP patients (60 males, 28 females) at 5 years of age and 26 patients (17 males, 9 females) at 10 years of age all operated on by the same surgeon. The Oslo sample consisted of 48 UCLP patients (26 males, 22 females) aged 5 years and 29 patients (20 males, 9 females) aged 10 years treated by four different surgeons. Lateral cephalometric radiographs obtained for both samples were analysed and angular measurements and ratios were calculated both for the hard and soft tissues. Statistical analysis was undertaken with an ...

Lip adhesion revisited: A technical note with review of literature

Indian Journal of Plastic Surgery — Thu, 21 Jan 2010 13:58:58 +0100

Blood loss, replacement, and associated morbidity in infants and children undergoing craniofacial surgery.

Paediatric Anaesthesia — Wed, 20 Jan 2010 21:50:31 +0100

Conclusions: In pediatric CFR procedures where the volume of blood loss routinely exceeds one blood volume, intraoperative administration of FFP favorably impacted postoperative laboratory coagulation parameters. PMID: 20078812 [PubMed - in process] (Source: Paediatric Anaesthesia)

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The Effect of NELL1 and Bone Morphogenetic Protein-2 on Calvarial Bone Regeneration

Journal of Oral and Maxillofacial Surgery — Tue, 19 Jan 2010 14:19:24 +0100

Conclusion: The observed potential synergy has significant value in the future treatment of patients with craniofacial defects requiring extensive bone grafting that would normally entail extraoral autogenous bone grafts or doses of BMP-2 in milligrams. (Source: Journal of Oral and Maxillofacial Surgery)

Nasal downward swing approach coupled with the facial dismasking flap

Auris, Nasus, Larynx — Tue, 19 Jan 2010 14:18:34 +0100

Conclusion: This approach helps to preserve the entire shape of the nasal bone in particular, therefore, a good surgical option for pediatric patients. (Source: Auris, Nasus, Larynx)

Craniofacial morphological outcome following treatment with three different surgical protocols for complete unilateral cleft lip and palate: a premilinary study

International Journal of Oral and Maxillofacial Surgery — Mon, 18 Jan 2010 00:00:00 +0100

This study compared craniofacial morphology between three groups of children with complete unilateral cleft lip and palate, treated with different surgical protocols. The study included 66 10-year-old children (42 boys and 20 girls) with a complete unilateral cleft lip and palate (22 patients in each of the three groups). Children aged 7 months underwent one-stage surgery, performed by a single surgeon. During surgery, the soft and hard palate and the lip underwent correction. The difference between the groups depended on the hard palate closure. Group I patients had the mucoperiosteal flap elevated on both sides of the cleft. Group II patients had the mucoperiosteal flap elevated on the non-cleft side, and had only a minimal 2–3mm mucoperiosteal flap elevated on the cleft side. Group II...

Prognosis for craniofacial fibrous dysplasia after incomplete resection: age and serum alkaline phosphatase

International Journal of Oral and Maxillofacial Surgery — Mon, 18 Jan 2010 00:00:00 +0100

Abstract: Complete resection is usually impossible for fibrous dysplasia (FD) involving the cranial base. Incomplete resection could be followed by regrowth of FD, but there is no method for indicating disease progress. Serum alkaline phosphatase (ALP) is significantly high in patients with FD. The authors investigate the relationship between ALP, progress of FD, and age at surgery. 18 patients with craniofacial FD were separated into 3 groups: Group A, complete resection; Group B, incomplete resection followed by regrowth of FD; and Group C, incomplete resection but no regrowth of FD. Medical records and CT scans were reviewed retrospectively. ALP levels were obtained preoperatively, postoperatively and every year during follow-up. The relation between ALP and regrowth and that between ag...

bFGF-Modified BMMSCs enhance bone regeneration following distraction osteogenesis in rabbits

Bone — Mon, 18 Jan 2010 00:00:00 +0100

In this study, osteodistraction was applied in craniofacial bone of rabbit to observe the effects of BMMSCs with or without bFGF gene transfected on bone regeneration in the distracted zone. Mandibular lengthening (10 mm) was performed in 42 New Zealand white rabbits using a rapid distraction rate (2 mm/day). The animals were then randomly divided into group A, group B and group C (n=14 for each group). At the end of distraction, physiological saline, autologous BMMSCs and BMMSCs transfected with bFGF were injected into the distraction gaps in groups A, B, and C, respectively. Eight weeks after DO, the rabbits were sacrificed, and the distracted mandibles were harvested and processed for radiography, dual energy x-ray absorptiometry (DXA), micro-CT, histology and three-point bend testing...

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A. Fitoussi, M.G. Berry, B. Couturaud, R.J. Salmon, Oncoplastic and reconstructive surgery for breast cancer: The Institut Curie experience

European Journal of Plastic Surgery — Fri, 15 Jan 2010 00:41:16 +0100

Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s00238-009-0382-zAuthors Ian Jackson, Institute for Craniofacial and Reconstructive Surgery Southfield MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)

D.P. Rice (Ed), Craniofacial Sutures: Development, Disease and Treatment

European Journal of Plastic Surgery — Fri, 15 Jan 2010 00:41:15 +0100

Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s00238-009-0380-1Authors Ian Jackson, Institute of Craniofacial and Reconstructive Surgery Southfield MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)

Mark L. Urken (Ed), Multidisciplinary Head and Neck Reconstruction: A Defect-Oriented Approach

European Journal of Plastic Surgery — Fri, 15 Jan 2010 00:41:13 +0100

Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s00238-009-0379-7Authors Ian Jackson, Institute of Craniofacial and Reconstructive Surgery Southfield MI USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)

Does orthodontic loading influence bone mineral density around titanium miniplates? An experimental study in dogs

Orthodontics and Craniofacial Research — Fri, 08 Jan 2010 00:00:00 +0100

Conclusion [ndash] Miniplate stability and BMD of the adjacent bone did not appear to depend significantly on orthodontic loading, but rather on the receptor site anatomy. (Source: Orthodontics and Craniofacial Research)

Investigation of pneumatized articular eminence in orthodontic malocclusions

Orthodontics and Craniofacial Research — Fri, 08 Jan 2010 00:00:00 +0100

Conclusions [ndash] A relatively high rate of pneumatized articular eminence was observed among patients with orthodontic malocclusions (3.42%) when compared to the general population studies. Knowledge about these structures is helpful for the interpretation of cephalometric and panoramic radiographs and provides valuable information especially prior to temporomandibular joint surgery to avoid intra-operative reconstruction and complications. (Source: Orthodontics and Craniofacial Research)

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Obstructive sleep apnea in children with syndromic craniosynostosis: long-term respiratory outcome of midface advancement

International Journal of Oral and Maxillofacial Surgery — Thu, 07 Jan 2010 00:00:00 +0100

Abstract: Almost 50% of patients with Apert, Crouzon or Pfeiffer syndrome develop obstructive sleep apnea (OSA), mainly due to midface hypoplasia. Midface advancement is often the treatment of choice, but the few papers on long-term outcome report mixed results. This paper aimed to assess the long-term respiratory outcome of midface advancement in syndromic craniosynostosis with OSA and to determine factors contributing to its efficacy. A retrospective study was performed on 11 patients with moderate or severe OSA, requiring oxygen, continuous positive airway pressure (CPAP), or tracheostomy. Clinical symptoms, results of polysomnography, endoscopy and digital volume measurement of the upper airways on CT scan before and after midface advancement were reviewed. Midface advancement had a go...

Sudden cardiac death under anesthesia in pediatric patient with Williams syndrome: a case report and review of literature.

Annals of Cardiac Anaesthesia — Fri, 01 Jan 2010 00:00:00 +0100

Authors: Gupta P, Tobias JD, Goyal S, Miller MD, Melendez E, Noviski N, De Moor MM, Mehta V Williams syndrome is a complex syndrome characterized by developmental abnormalities, craniofacial dysmorphic features, and cardiac anomalies. Sudden death has been described as a very common complication associated with anesthesia, surgery, and procedures in this population. Anatomical abnormalities associated with the heart pre-dispose these individuals to sudden death. In addition to a sudden and rapid downhill course, lack of response to resuscitation is another significant feature seen in these patients. The authors report a five-year-old male with Williams syndrome, hypothyroidism, and attention deficit hyperactivity disorder. He suffered an anaphylactic reaction during CT imaging with con...

Russian

International Journal of Oral and Maxillofacial Surgery — Fri, 01 Jan 2010 00:00:00 +0100

Treatment of Patients with fractures of the proximal tibial epiphysis complicated by craniofacial traumaA.V. Blinov, A.S. Kornaev, A.U. Kostyanov, G.D. Lazishvili, M.V. Liadova, G.G. Shaginian (Source: International Journal of Oral and Maxillofacial Surgery)

Speech results after one-stage palatoplasty with or without muscle reconstruction for isolated cleft palate.

The Cleft Palate-Craniofacial Journal — Fri, 01 Jan 2010 00:00:00 +0100

Conclusions: The MIT(mr) surgery technique was not significantly superior to the MIT technique regarding speech outcomes related to velopharyngeal competence, but had fewer velopharyngeal flaps, which is contradictory. Until a larger sample can be studied, we will continue to use MIT(mr) for primary palate repair. PMID: 20078205 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

A biomechanical study on the effect of premature fusion of the frontosphenoidal suture on orbit asymmetry in unilateral coronal synostosis.

The Cleft Palate-Craniofacial Journal — Fri, 01 Jan 2010 00:00:00 +0100

Conclusion: In performing surgical treatment for UCS, the degree of fusion that the FSS presents should be evaluated carefully. In cases in which the FSS presents premature fusion, it is recommended to release the fusion at an early stage of cranial growth to improve the appearance of the orbital region. PMID: 20078204 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

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The use of facial anthropometrics in aesthetic assessment.

The Cleft Palate-Craniofacial Journal — Fri, 01 Jan 2010 00:00:00 +0100

Conclusions: There appears to be potential in the use of the mean as aesthetic ideal as a principle in aesthetic assessment and perhaps as an objective means of outcome assessment after facial surgery. The most appropriate scoring method would seem to include use of both surface and caliper measurements and incorporate weighting. PMID: 20078203 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Caries Experience in Individuals With Cleft Lip and/or Palate in China.

The Cleft Palate-Craniofacial Journal — Fri, 01 Jan 2010 00:00:00 +0100

Conclusion: Individuals with oral cleft are at an increased risk for dental caries. The types of cleft and the surgical repair are two important factors for dental caries. PMID: 20078202 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Development of craniofacial and dental arch morphology in relation to sleep disordered breathing from 4 to 12 years. Effects of adenotonsillar surgery

International Journal of Pediatric Otorhinolaryngology — Tue, 29 Dec 2009 14:14:27 +0100

Conclusion: Dento-facial development in snoring children is not changed by adenotonsillar surgery regardless of symptom relief. If snoring persists or relapses orthodontic maxillar widening and/or functional training should be considered. Collaboration between otorhinolaryngologist, orthodontists and speech and language pathologists is strongly recommended. (Source: International Journal of Pediatric Otorhinolaryngology)

Craniosynostosis: A rare complication of pycnodysostosis.

European Journal of Medical Genetics — Mon, 28 Dec 2009 00:00:00 +0100

We report a 7 year-old boy with a clinical, radiological and molecular diagnosis (mutation c.436G>C (p.G146R) in CSTK) of pycnodysostosis, who developed intracranial hypertension that required surgical decompression. Despite patent fontanels, the cause of the intracranial hypertension was surprisingly identified to be a combination of coronal and metopic craniostenosis. Intracranial hypertension and craniostenosis have only been reported once in pycnodysostosis, which is on the contrary characterized by delayed suture closure and persistent open fontanels. Our observation confirms that, indeed, it represents a rare but life-threatening complication of pycnodysostosis. We strongly suggest including systematic examination of fundus oculi and monitoring of OFC in the systematic clinical fo...

The EACMFS post-specialist fellowships in surgical head & neck oncology, cleft surgery and facial cosmetic surgery have been launched!

Journal of Cranio-Maxillofacial Surgery — Fri, 25 Dec 2009 00:00:00 +0100

You see things; and you say, “Why?” But I dream things that never were; and I say, “Why not?” George Bernard Shaw We are proud to announce that the Post-Specialist Fellowship Programmes are now available to our medically qualified members. The original idea was suggested by our late Secretary General, John Lowry, during an Executive Board meeting in Brussels (March 2007). He proposed the establishment of a Head & Neck Surgical Oncology Programme, similar to the programme initiated in the United Kingdom. John Lowry, Carlos Navarro-Vila, Bernard Devauchelle, Klaus Graetz, Julio Acero and Miso Virag consequently formed an ad hoc committee during the International Academy of Oral Oncology meeting in 2007 in Amsterdam, where they discussed the blue print of such a fellowship programme....

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Medtronic Sofamor Danek Usa, Inc - Dallas Distribution - Medtronic Midas Rex Legend Footed Attachment - Class 2 Recall

Medical Device Recalls since July 07, 2006 — Fri, 18 Dec 2009 02:00:13 +0100

Medtronic Midas Rex Legend Footed Attachment, AF01. Intended for use with all Legend and Legend EHS motors for general surgery including maxillofacial , craniofacial and sternotomy applications. (Source: Medical Device Recalls since July 07, 2006)

Surgical treatment and outcome of skull base meningiomas with extracranial extensions

Clinical Neurology and Neurosurgery — Wed, 16 Dec 2009 16:10:20 +0100

Conclusion: Our data indicate that recurrent craniofacial meningiomas can usually be managed by using a lateral cranial base approach. Whereas it would be expected that a radical resection may prevent further recurrence with an acceptable quality of life, a long-term follow-up would be required for confirming the benefit of this treatment strategy. (Source: Clinical Neurology and Neurosurgery)

The incidence of Chiari malformation in nonsyndromic, single suture craniosynostosis

Child's Nervous System — Wed, 16 Dec 2009 07:01:17 +0100

Conclusion As a conclusion, we state that the association of CM and N-SSSC is a relatively common finding, with an incidence of 5.6% in preoperative brain MRI. The significance of finding CM in preoperative brain MRI should be assessed individually in asymptomatic patients. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1044-yAuthors Junnu Leikola, Helsinki University Hospital Department of Plastic Surgery Helsinki FinlandVirve Koljonen, Helsinki University Hospital Department of Plastic Surgery Helsinki FinlandLeena Valanne, Helsinki University Hospital Helsinki Medical Imaging Centre, Department of Radiology Helsinki FinlandJyri Hukki, Helsinki University Hospital Cleft Palate and Craniofacial Centre, Department of Plastic Surgery Helsinki...

Studies on the Craniofacial Morphology of Adult Cleft Patients Using Euclidean Distance Matrix Analysis (EDMA)

Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie — Thu, 10 Dec 2009 00:13:06 +0100

Conclusions: Key morphological characteristics of cleft patients are pronounced underdevelopment of the midface in vertical and sagittal dimensions, as well as shortening and clockwise rotation of the mandible. Therefore, bimaxillary procedures should be con- sidered for the purposes of surgical correction, rather than correction of the maxillary position alone. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00056-009-9920-3Authors Karl-Friedrich Krey, Friedrich Louis Hesse Center for Dentistry and Oral Medicine, University of Leipzig Department of Orthodontics and Pediatric Dentistry Leipzig GermanyKarl-Heinz Dannhauer, Friedrich Louis Hesse Center for Dentistry and Oral Medicine, University of Leipzig Department of Orthodontics and Pediatric ...

Large Bone Defects/Critical Size Bone Defects: Call for Full Proposals

ScanGrants feed — Fri, 04 Dec 2009 00:00:00 +0100

Deadline for full proposals: December 20, 2009The AOCMF Research and Development Commission invites you to submit a full proposal for their first call for applications in the field of Large bone defects/Critical size bone defects in relation to CranioMaxilloFacial surgery. General informationThe AOCMF Research and Development Commission invites you to submit a full proposal for their first call for applications in the field of ‘Large bone defects / Critical size bone defects’ in relation to CranioMaxilloFacial surgery.The Board is funded by the AOCMF Specialty of the AO Foundation, a Swiss non-profit organization. All applications will be independently peer reviewed. Projects will be selected based on the novelty, feasibility and significance of the proposal; attributes of th...

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10th Annual Meeting of the Northern German Society of Otorhinolryngology and Craniofacial Surgery

NLH - ENT and Audiology - Events — Tue, 01 Dec 2009 14:56:49 +0100

(Source: NLH - ENT and Audiology - Events)

Development of Craniofacial Orthodontics as a Subspecialty at New York University Medical Center

Seminars in Orthodontics — Tue, 01 Dec 2009 00:00:00 +0100

This is a brief personal history of craniofacial orthodontics as reported by Dr Joseph G. McCarthy, Professor of Plastic Surgery and Director of the Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York. He describes early collaborations with research orthodontists who were, at the time, studying the development in patients experiencing severe anomalies of craniofacial growth. From these early collaborations came an appreciation for the role of orthodontists in the interdisciplinary treatment team that was caring for patients with complex craniofacial problems as well as those patients who presented with cleft lip and palate. Both the distraction osteogenesis of the craniofacial skeleton and nasoalveolar molding are clinical innovations that came...

Management of Severe Cleft and Syndromic Midface Hypoplasia

Seminars in Orthodontics — Tue, 01 Dec 2009 00:00:00 +0100

Distraction osteogenesis has become an alternative treatment to treat severe craniofacial skeletal dysplasias. A rigid external distraction device has been successfully used to advance the maxilla as well as the maxillary, orbital, and forehead complex (monobloc) in children as young as 2 years, adolescents, and adults. This approach has provided reduced morbidity, and predictable and stable results in this challenging group of patients. With the experience gained, the technique has been successfully applied to patients with isolated dentofacial deformities. Distraction techniques can be applied by themselves or as an adjunct to conventional orthognathic and craniofacial surgical procedures. (Source: Seminars in Orthodontics)

[Stress distribution of surgically assisted tooth-borne rapid maxillary expansion via three different types of osteotomies.]

Shanghai Journal of Stomatology — Tue, 01 Dec 2009 00:00:00 +0100

CONCLUSIONS: Surgical procedures would be of great help to reduce the stress on the craniofacial region in the rapid maxillary expansion postoperatively. Fractures of the cranial base may occur at a greater chance because of stress focusing on lamina of the pterygoid. So, separation of the pterygomaxillary junctions during the operation is suggested. Increasing stress on the upper craniofacial bones can be observed after separation of the pterygomaxillary junctions due to changes of stress transduction pathways. Supported by Research Fund of Science and Technology Commission of Shanghai Municipality(Grant No.08DZ2271100),Shanghai Leading Academic Discipline Project(Grant No.S30206),Phosphor Program of Science and Technology Commission of Shanghai Municipality (Grant No.04QMX1424) and Resea...

3D Visualization and Simulation in Surgical Planning System of Orbital Hypertelorism

Journal of Medical Systems — Fri, 27 Nov 2009 07:05:10 +0100

Abstract Simulation and three-dimensional visualization of object motion is a prerequisite for any surgical planning system. Orbital hypertelorism is a disease, which is most commonly associated with craniofacial malformations. We have developed a surgical planning system for planning and evaluation of orbital hypertelorism surgery. In our system CT-based virtual surface models fitted by oriented bounding boxes (OBB) are manipulated. Three-dimensional motion as well as a correction surgery can be simulated. Both are controlled by collision detection. The computer-based interactive surgery simulation systems (CISSS) presented here can take virtual surgical operation and forecast facial features after the correction of orbital hypertelorism, our surgical planning is cheaper ...

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The Aging Midfacial Skeleton: Implications for Rejuvenation and Reconstruction Using Implants

Facial Plastic Surgery — Thu, 19 Nov 2009 13:59:05 +0100

Facial plast Surg 2009; 25: 252-259DOI: 10.1055/s-0029-1242037ABSTRACTTraditional theories on facial aging and methods for rejuvenation focus primarily on soft tissues with ptosis as the major mechanism responsible for senescent changes. Anatomic studies demonstrate that there are also many changes to the craniofacial skeleton as patients age. Midface skeletal augmentation, using implants made of porous polyethylene, is a simple and effective method to reverse age-related changes of the facial skeleton in patients with intact occlusion. Skeletal implants correct concave morphology by increasing projection and provide a means to resuspend cheek soft tissues that have descended off a deficient bony platform. Beyond rejuvenation, skeletal implants can be used to restore facial proportions in ...

Sutural growth restriction and modern human facial evolution: an experimental study in a pig model.

Journal of Anatomy — Thu, 19 Nov 2009 00:00:00 +0100

Authors: Holton NE, Franciscus RG, Nieves MA, Marshall SD, Reimer SB, Southard TE, Keller JC, Maddux SD Facial size reduction and facial retraction are key features that distinguish modern humans from archaic Homo. In order to more fully understand the emergence of modern human craniofacial form, it is necessary to understand the underlying evolutionary basis for these defining characteristics. Although it is well established that the cranial base exerts considerable influence on the evolutionary and ontogenetic development of facial form, less emphasis has been placed on developmental factors intrinsic to the facial skeleton proper. The present analysis was designed to assess anteroposterior facial reduction in a pig model and to examine the potential role that this dynamic has played...

Craniosynostosis: A Radiological and Surgical Perspective

Seminars in Ultrasound CT and MRI — Wed, 18 Nov 2009 15:26:52 +0100

Craniosynostosis is the premature fusion of the cranial sutures. It is identified early in life either due to cosmetic deformity or due to more serious functional complications. Isolated forms of craniosynostosis are much more common and less challenging in their management than their syndromic counterpart. Modern multislice computed tomography and 3D reconstructions have revolutionized surgical planning and follow-up. We review the radiological features of the craniosynostoses, complications, and associated conditions that may alter patient management. Common surgical techniques and postoperative appearances are illustrated in the article. (Source: Seminars in Ultrasound CT and MRI)

Loeys-Dietz syndrome type I and type II: clinical findings and novel mutations in two Italian patients

Orphanet Journal of Rare Diseases — Mon, 02 Nov 2009 00:00:00 +0100

Conclusions: We report two novel mutations in the TGFBR1 and TGFBR2 genes in two patients affected with LDS and showing marked phenotypic variability. Due to the difficulties in the clinical approach to a TGFBR-related disease, among patients with vascular involvement, with or without aortic root dilatation and LDS cardinal features, genotyping is mandatory to clarify the diagnosis, and to assess the management, prognosis, and counselling issues. (Source: Orphanet Journal of Rare Diseases)

Simple technique to achieve a natural position of the head for cone beam computed tomography

The British Journal of Oral & Maxillofacial Surgery — Mon, 02 Nov 2009 00:00:00 +0100

Abstract: We developed a modified laser level technique to record the natural position of the head in all three planes of space. This is a simple method for use with three-dimensional images and may be valuable in routine craniofacial assessment. (Source: The British Journal of Oral & Maxillofacial Surgery)

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Complications of hydroxyapatite bone cement reconstruction of retrosigmoid craniotomy: Two cases.

Ear, Nose and Throat Journal — Sun, 01 Nov 2009 00:00:00 +0100

We describe 2 cases of hydroxyapatite resorption and subsequent seroma formation in patients who had undergone retrosigmoid craniotomy. The presentation in both cases mimicked a CSF leak. In both cases, the fragmented cement was removed, and the patient experienced no further complications. While hydroxyapatite cement is a highly useful product for the reconstruction of some craniofacial or skull base defects, we believe that it should not be used for the reconstruction of retrosigmoid/suboccipital craniotomies because it is associated with unacceptably high complication rates. Surgeons must exercise caution in selecting candidates for hydroxyapatite reconstruction of cranial defects. PMID: 19924649 [PubMed - as supplied by publisher] (Source: Ear, Nose and Throat Journal)

The evaluation of the use of the buccal myomucosal flap in cleft palate repair—a comparative study

European Journal of Plastic Surgery — Sat, 31 Oct 2009 12:52:36 +0100

This study aimed to evaluate the importance of using the buccal myomucosal flap in cleft palate repair. This is a retrospective comparative study between two centers in which almost the same technique of cleft palate repair is used. The main difference in the repairs is that a buccal myomucosal flap is used as a part of the operation in one center and not in the other. The patients were divided into two groups. Group A was composed of the cases operated at the Craniofacial Institute in Southfield, MI, USA by the second author. In these, a buccal myomucosal flap was used as a step in the cleft palate repair. Group B contained the cases operated in the Plastic Surgery Department Khoula Hospital, Muscat, Sultanate of Oman using the same procedure but without using the buccal myomucosal ...

Median Facial Cleft with a Frontoethmoidal Encephalocele Treated with Craniofacial Bipartition and Free Radial Forearm Flap: A Case Report

Skull Base — Fri, 30 Oct 2009 08:11:23 +0100

We describe a patient with a median facial cleft with a frontoethmoidal encephalocele, hypertelorism, hydrocephalus, and cerebrospinal fluid (CSF) leakage referred to our department due to numerous complications after previous surgical treatments. An 8-year-old girl, born with median cleft syndrome, underwent neurosurgical repair of the encephalocele at another hospital and cleft lip/palate repair later in the same year. Her hydrocephalus was treated with a ventriculoperitoneal shunt, but she underwent numerous shunt revisions due to recurrent intracerebral infections. In 2008, she was rehospitalized due to a gram-negative meningitis and cerebral abscess. She underwent surgery where part of her frontal bone was removed due to osteomyelitis. She was referred to our department due to persist...

Pediatric craniofacial surgery for craniosynostosis: Our experience and current concepts: Part -1

Journal of Pediatric Neurosciences — Thu, 29 Oct 2009 16:19:41 +0100

We describe our successful results along with individualized operative technical modifications adopted based on the current understanding of the disease. (Source: Journal of Pediatric Neurosciences)

Pediatric craniofacial surgery for craniosynostosis: Our experience and current concepts: Parts -2

Journal of Pediatric Neurosciences — Thu, 29 Oct 2009 16:19:41 +0100

We present our experience in treating 17 children with syndromic craniostenosis with successful outcomes and minimal morbidity. We also describe the principles behind the staging. Technology adoption has improved the results as well as reduced the complications to an acceptable minimum. (Source: Journal of Pediatric Neurosciences)

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Spring-Assisted Surgery-A Surgeon's Manual for the Manufacture and Utilization of Springs in Craniofacial Surgery.

Hand Surgery — Thu, 29 Oct 2009 00:00:00 +0100

CONCLUSIONS:: Long-term experience with spring-assisted surgery has facilitated the development of standardized, reproducible techniques allowing spring design modifications to optimize clinical outcome. PMID: 19881385 [PubMed - as supplied by publisher] (Source: Hand Surgery)

Volume and distances of the maxillary sinus in craniofacial deformities with midfacial hypoplasia

Otolaryngology - Head and Neck Surgery — Tue, 27 Oct 2009 14:15:58 +0100

Conclusion: There were differences in the structure of the maxillary sinuses among patients with different CFDs. (Source: Otolaryngology - Head and Neck Surgery)

Synthes USA (HQ), Inc. - SYNTHES BENDING PLIERS - STRAIGHT FOR CRANIOFACIAL/ORTHOGNATHIC PL - Class 2 Recall

Medical Device Recalls since July 07, 2006 — Tue, 27 Oct 2009 01:00:04 +0100

SYNTHES BENDING PLIERS - STRAIGHT FOR CRANIOFACIAL/ORTHOGNATHIC PL, Catalog # SD347.967. Synthes Titanium Matrix Mandible Sagittal Plates and Instruments are intended for general use in orthognathic surgery. (Source: Medical Device Recalls since July 07, 2006)

Progress Report On Cleft Palate Surgery In Developing Countries

Cleft Palate News From Medical News Today — Sun, 25 Oct 2009 08:00:00 +0100

Craniofacial surgeons around the world are striving toward a critical goal: making high-quality cleft palate and craniofacial reconstructive surgical services available to children in developing countries... (Source: Cleft Palate News From Medical News Today)

Progress Report On Cleft Palate Surgery In Developing Countries

Health News from Medical News Today — Sun, 25 Oct 2009 07:00:00 +0100

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Neuroembryology and functional anatomy of craniofacial clefts

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Ewings Ember L, Carstens Michael HIndian Journal of Plastic Surgery 2009 42(3):19-34The master plan of all vertebrate embryos is based on neuroanatomy. The embryo can be anatomically divided into discrete units called neuromeres so that each carries unique genetic traits. Embryonic neural crest cells arising from each neuromere induce development of nerves and concomitant arteries and support the development of specific craniofacial tissues or developmental fields. Fields are assembled upon each other in a programmed spatiotemporal order. Abnormalities in one field can affect the shape and position of developing adjacent fields. Craniofacial clefts represent states of excess or deficiency within and between specific developmental fields. The neuromeric organization of the embryo is the com...

Functional and aesthetic correction of secondary unilateral cleft lip nasal deformities

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Cohen Mimis, Morris David E, White Aisha D, Patel PravinIndian Journal of Plastic Surgery 2009 42(3):91-101The treatment of patients with unilateral cleft lip has undergone significant development during the last decades. With better understanding of the anatomy of the unilateral cleft lip and nasal deformities, primary correction of the nasal deformity at the time of lip repair, critical evaluation of short and long-term results following various treatment protocols, and constant striving for perfection in both aesthetics and function, we have been able to design improved treatment strategies and more accurate surgical techniques so as to achieve overall superior and long-lasting results. In this review article, we present our protocols and experience for functional and aesthetic correcti...

Formatting the surgical management of Tessier cleft types 3 and 4

Indian Journal of Plastic Surgery — Sat, 24 Oct 2009 12:53:41 +0100

Mishra R K, Purwar ReeteshIndian Journal of Plastic Surgery 2009 42(3):174-183Tessier cleft types 3 and 4 are rare entities even among what are considered other rare craniofacial clefts. Very few cases have been reported worldwide, especially in the bilateral form. In the absence of any well-laid guidelines for management of such rare cases, plastic surgeons operate on such cases due to the inherent complexities in technique. To overcome this problem and provide a ground rule for surgical management of such cases, we propose an easier format with a 'split approach' of the affected areas. In our proposed formatting, we have divided the affected areas of the cleft into three components: 1. Lid component; 2. Lip component; and 3. Nasomalar component. Any person skilled in the pl...

Do Cellular Phones Lead To Bone Weakening?

Health News from Medical News Today — Sat, 24 Oct 2009 09:00:00 +0100

Wearing a cell phone on your belt may lead to decreased bone density in an area of the pelvis that is commonly used for bone grafts, according to a study in the September issue of The Journal of Craniofacial Surgery, under the editorship of Mutaz B. Habal, MD, FRCSC. (Source: Health News from Medical News Today)

[Obituary] Obituary: Anthony David Hockley

LANCET — Thu, 22 Oct 2009 23:00:00 +0100

British neurosurgeon who was a pioneer in paediatric neurosurgery and craniofacial reconstructive surgery. Born in Hampton Court, UK, on Oct 4, 1943, he died of heart failure on June 21, 2009, aged 65 years. (Source: LANCET)

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Craniofacial Venous Malformations: Magnetic Resonance Imaging Features That Predict Treatment Outcome

Journal of Oral and Maxillofacial Surgery — Tue, 20 Oct 2009 13:14:03 +0100

Conclusions: The feature of lesion margin on MRI before sclerotherapy is an important predictor of treatment outcome for craniofacial VMs. (Source: Journal of Oral and Maxillofacial Surgery)

Bone-anchored titanium implants for auricular rehabilitation: case report and review of literature.

Sao Paulo Medical Journal — Thu, 15 Oct 2009 04:02:02 +0100

CONCLUSION: The surgical technique for rehabilitation using implant-retained auricular prostheses seems to be simple. It is associated with low rates of adverse skin reactions and long-term complications. Prostheses anchored by osseointegrated implants seem to provide better retention than do prostheses supported on spectacle frames, less risk of discoloration through the use of adhesives and better esthetic results than do prostheses anchored in the surgical cavity. PMID: 19820877 [PubMed - in process] (Source: Sao Paulo Medical Journal)

Craniofacial Trauma (Hardt et al.)

Springer Medicine titles — Wed, 14 Oct 2009 23:01:33 +0100

Diagnosis and Management The book covers the entire scope of traumatology in the important border area between the neuro- and viscerocranium. It focuses on diagnostic operation planning and the interdisciplinary management of craniofacial injuries. In the first part, the classification and epidemiology of craniofacial fractures are outlined and specific problems are discussed. The second part deals with ... (Source: Springer Medicine titles)

Hospital use and associated costs of children aged zero-to-two years with craniofacial malformations in Massachusetts

Birth Defects Research Part A: Clinical and Molecular Teratology — Tue, 13 Oct 2009 23:00:00 +0100

Craniofacial malformations (CFMs) are among the most common and correctable birth defects in the United States, often requiring multiple medical and surgical treatments. However, population-based data on hospital utilization and costs are sparse.This retrospective cohort study used linked data from the Massachusetts Pregnancy to Early Life Longitudinal Data System. Cases were children born during 1998-2002 in Massachusetts hospitals to Massachusetts residents, alive at age two years, and ascertained by the Massachusetts Birth Defects Monitoring Program as having a CFM (orofacial cleft, craniosynostosis, microtia/anotia). Mean and median number of inpatient days and hospital facility costs (excluding professional fees) during birth and postbirth hospitalizations to age two years are present...

Architectural characteristics of the normal and deformity mandible revealed by three-dimensional functional unit analysis

Clinical Oral Investigations — Tue, 13 Oct 2009 08:17:45 +0100

Abstract The 3D architecture of the mandible contributes to the functional and morphological characteristics of the lower one third of craniofacial region. The mandible has six distinct functional units, and its architecture is the sum of balanced growth of each functional unit and surrounding matrix. A dentofacial deformity (DFD) with malocclusion can be interpreted as their unbalanced growth. In order to characterize the mandibular 3D architecture, we analyzed the 3D reconstructed computed tomography (CT) images in terms of functional units. We evaluated both sides of 30 datasets of 3D CT scans of normal controls (N = 6) and patients with prognathic (N = 17) or retrognathic (N = 7) mandibles. We first identified and evaluated reference points to define mandibul...

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Psychosocial Adjustment in Children and Adolescents with a Craniofacial Anomaly: Diagnosis-Specific Patterns.

The Cleft Palate-Craniofacial Journal — Tue, 13 Oct 2009 00:00:00 +0100

Conclusions: Specific patterns of strengths and weaknesses in psychosocial adjustment may vary by CFA diagnosis. Replication of these findings, with extension to other CFA diagnoses, is warranted. Key Words: psychosocial adjustment, children, adolescents. PMID: 19860517 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

Craniocerebral injury resulting from pencil penetration

European Archives of Oto-Rhino-Laryngology — Sat, 10 Oct 2009 07:03:04 +0100

Abstract Penetrating craniofacial trauma in pediatric age group is quite rare. A case is reported that presented with a pencil penetration injury entering from the anterior maxillary sinus through the orbital medial wall, and ethmoidal cells and septum, reaching the contralateral gyrus rectus of the frontal lobe. All the vital structures were preserved. The patient was first treated with manual extraction of the pencil, without any immediate complications; however, rhinorrhea followed the procedure 4 h later. Early endoscopic surgical intervention was performed and the rhinorrhea was successfully treated in this case. This report discusses radiological and surgical characteristics of this unusual penetrating craniofacial trauma. Content Type Journal ArticleCatego...

[Primary, definitive treatment of the nasoethmoidorbital-midface-frontobasal injuries in the maxillofacial practice.]

Orvosi Hetilap — Fri, 09 Oct 2009 10:04:18 +0100

We report the possible combinations of traumatism, our operative methods, our supply tactics and experiences. Multiple and defect fractures of the craniofacial bones may cause irreversible deformities, chewing and nutritional disturbances. We preferred the early, primary, definitive supply, with the respect of aesthetic viewpoints with the application of streamlined operative methods like bone fixation and bone replacement. Our fundamental aim is the reduction of the patients' operative load, their nursing time and the enhancement of our operative results. PMID: 19812020 [PubMed - in process] (Source: Orvosi Hetilap)

Sublobar dysplasia—A clinicopathologic report after successful epilepsy surgery

Epilepsia — Wed, 07 Oct 2009 23:00:00 +0100

We report the clinical presentation, neuroradiologic characteristics, and detailed histopathologic findings in a unique case of drug-resistant focal epilepsy due to sublobar dysplasia (SLD), treated successfully by resection of the malformed cortex. Histopathology with leptomeningeal and subcortical heterotopia, disturbance of cortical lamination and marked cortical and subcortical astrocytosis, but absence of balloon cells, points to a disorder of neuronal migration and organization rather than proliferation in SLD. The additional presence of a lateral proboscis and meningocele in our case as well as further associated callosal and cerebellar anomalies may suggest an etiologic unknown damage of pathways controlling the embryogenesis of craniofacial field processes. (Source: Epilepsia)

Parental Perspectives of Children Born with Cleft Lip and/or Palate: A Qualitative Assessment of Suggestions for Healthcare Improvements and Interventions.

The Cleft Palate-Craniofacial Journal — Tue, 06 Oct 2009 00:00:00 +0100

Conclusions: Although parents of children with CL/P were for the most part satisfied with their children's care, the parents who were interviewed for this study suggested attainable changes that may result in more constructive and positive parent involvement as integral members of the craniofacial team. KeyWords: cleft lip, cleft palate, infants, parent education, craniofacial team, interventions, quality improvement. PMID: 19860519 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

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[Progresses in the study of fibrous dysplasia of the jaw bone.]

Shanghai Journal of Stomatology — Thu, 01 Oct 2009 00:00:00 +0100

Authors: Chen F, Guo CB Fibrous dysplasia (FD) is a benign bone lesion. Histologically, the replacement of the normal substance of bone by fibro-osseous connective tissue is the most distinct character. Recent research shows that fibrous dysplasia is caused by a somatic activating mutation of the Gsalpha subunit of protein G. It may involve one bone (monostotic) or multiple bones (polyostotic). Diagnosis relies on X-ray examination and pathology. The indications and extent of surgical therapy for craniofacial FD are controversial. Nonsurgical pharmacological treatments have been disappointing. This review presented the recent advances in clinical manifestations, diagnosis and treatment of FD of the jaw bones. PMID: 19907865 [PubMed - in process] (Source: Shanghai Journal of Stomato...

Change of lip-line cant after 1-jaw orthognathic surgery in patients with mandibular asymmetry

American Journal of Orthodontics and Dentofacial Orthopedics — Wed, 30 Sep 2009 23:00:00 +0100

Conclusions: These results suggest that LLC is present with chin deviation, even without significant maxillary canting, and can be improved considerably by 1-jaw surgery alone. (Source: American Journal of Orthodontics and Dentofacial Orthopedics)

Quantitative Measurement of Symmetry From Photographs Following Surgery for Unilateral Cleft Lip and Palate.

The Cleft Palate-Craniofacial Journal — Thu, 24 Sep 2009 00:00:00 +0100

Authors: Pigott R, Pigott B A computer based program is presented to be used with digitised frontal and basal photographs. SymNose enables the user to quantify asymmetry of the front view of the lip and nose, and of the nose from the base view, using the area of mismatch of one side reflected over the other. There is a facility to transfer results to a spreadsheet. The program is simple and quick to use and runs on Apple Mackintosh OS 10.4 or later, power and intel based systems. The outline of a feature can be drawn using the mouse, or digitising pad. The program together with Help files are available from the authors. Key words. unilateral cleft lip and palate, digital photographs, long term assessment, computer based, symmetry. PMID: 19860513 [PubMed - as supplied by publisher] ...

Effects of Transmandibular Symphyseal Distraction on Teeth, Bone, and Temporomandibular Joint

Journal of Oral and Maxillofacial Surgery — Wed, 16 Sep 2009 16:31:48 +0100

Conclusions: The clinical and radiologic results of the present study have shown that a transmandibular distractor is a clinically effective bone-borne distractor for the correction of mandibular transverse deficiencies and anterior crowding. The follow-up cephalograms and CT scans showed the transverse skeletal stability of the distraction procedure and no permanent temporomandibular dysfunction. However, additional multicenter studies with more patients are necessary to precisely evaluate the long-term postdistraction changes on the skeleton, teeth, and temporomandibular joint. (Source: Journal of Oral and Maxillofacial Surgery)

Modified Animal Model and Computer-Assisted Approach for Dentoalveolar Distraction Osteogenesis to Reconstruct Unilateral Maxillectomy Defect

Journal of Oral and Maxillofacial Surgery — Wed, 16 Sep 2009 16:31:48 +0100

Conclusions: The novel method to develop an animal model with a unilateral maxillary defect was feasible, and the animal model was suitable to develop the reconstruction method for unilateral maxillary defect cases with dentoalveolar DO. Computer-assisted surgical planning and simulation improved the reliability of the maxillofacial surgery, especially for the complex cases. The novel idea to reconstruct the unilateral maxillary defect with dentoalveolar DO was proved through the model experiment. (Source: Journal of Oral and Maxillofacial Surgery)

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Does Hyoid Bone Resection According to Sistrunk Influence Normal Craniofacial Growth? A Cephalometric Study

Journal of Oral and Maxillofacial Surgery — Wed, 16 Sep 2009 16:31:48 +0100

Conclusions: Several vertical and horizontal skeletal and dental cephalometric parameters were shown to be different by trend when compared with control values. A possible negative impact on craniofacial growth potential and direction as a result of hyoid resection in early age according to Sistrunk cannot be excluded. (Source: Journal of Oral and Maxillofacial Surgery)

A Simple Mechanism for Measuring and Adjusting Distraction Forces During Maxillary Advancement

Journal of Oral and Maxillofacial Surgery — Wed, 16 Sep 2009 16:31:47 +0100

Conclusions: Through this mechanism, direct measurement and adjustment of distraction forces during maxillary advancement was possible. The unbalanced pattern of forces observed in patients with cleft suggests the necessity of individual adjustments for controlling pain and clinical symptoms. Accordingly, assessment of distraction forces during maxillary distraction osteogenesis is extremely helpful in understanding the biomechanics of the distraction process. (Source: Journal of Oral and Maxillofacial Surgery)

Building Nonhospital-Based Platforms for Ambulatory Orthognathic Surgery: Facility, Anesthesia, and Price Considerations

Journal of Oral and Maxillofacial Surgery — Wed, 16 Sep 2009 16:31:45 +0100

The discovery of orthognathic surgical techniques led to an explosion of the scope of oral surgery. In the latter half of the 20th century, the elucidation of the biologic basis of corrective jaw and craniofacial surgery expanded the armamentarium of surgeons and even led to a change in the name of the specialty to oral and maxillofacial surgery (OMFS). In the United States, training programs increased from 36 to 48 months to meet the educational demands of the expanded scope. The desire for additional medical and surgical training also led to innovation in the surgical residency programs of the specialty. Armed with a more comprehensive surgical experience, oral and maxillofacial surgeons migrated from the tertiary care educational facilities to community private practices to deliver thes...

Trends in craniofacial surgery at Birmingham—the story of a decade

The British Journal of Oral & Maxillofacial Surgery — Fri, 11 Sep 2009 16:32:03 +0100

This study looked at the trends in craniofacial surgery at the Childrens Hospital, Birmingham over a 10-year period from 1997 to 2006. Methods: This is a retrospective study of all consecutive craniofacial surgeries at the Craniofacial Supra-regional Unit, Childrens Hospital, Birmingham. Only those children were included whose demographic and surgical details were available in the hospital database, theatre notes and case notes. We have compared the years 1997–2001 and 2002–2006. (Source: The British Journal of Oral & Maxillofacial Surgery)

Factors associated with blood loss and transfusion requirements in craniofacial surgery: a 5 year single-institution review

The British Journal of Oral & Maxillofacial Surgery — Fri, 11 Sep 2009 16:32:01 +0100

Introduction: Blood loss remains a major challenge in craniofacial surgery. Despite major advances in both craniofacial surgery and replacement of blood products, this area of practice remains challenging. (Source: The British Journal of Oral & Maxillofacial Surgery)

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The use of a custom silicone prosthesis following resection of sphenoid wing meningioma

The British Journal of Oral & Maxillofacial Surgery — Fri, 11 Sep 2009 16:31:48 +0100

We describe a simple and inexpensive technique for producing a custom prosthesis. (Source: The British Journal of Oral & Maxillofacial Surgery)

[The range of craniosynostosis - timing and techniques of craniofacial repair.]

Praxis — Tue, 08 Sep 2009 23:00:00 +0100

Authors: Obwegeser JA Craniofacial anomalies show a wide spectrum of phenotypes and imply functional and esthetic disfigurement above all in cases of syndromal patients. The development in the field of craniofacial surgery during the last decades has brought us a system of highly standardized surgical procedures for the correction of the facial framework and the neighboring areas of the neurocranium which have only few tendencies for relapse. The feasibility of correction is nearby unlimited but implies sometimes considerable effort. As in other medical disciplines as well there is a risk of going beyond necessaries due to enthusiasm. The realistic assessment of patient's benefit must be the basis for the indication, timing and realization of each individual decision. PMID: 1973904...

Corrigendum to: “The ideal bone marking instrument in craniofacial cases” [Journal of Plastic, Reconstructive & Aesthetic Surgery 2009;62(6):741]

Journal of Plastic, Reconstructive & Aesthetic Surgery — Mon, 07 Sep 2009 00:00:00 +0100

The author apologies for omitting credit to the originator of the concept in this article, Mr Nigel Mercer, Consultant Plastic Surgeon at Frenchay Hospital, Bristol. Also apologies to Miss Zoe Goldthorpe who had previously worked on this idea, unknown to the author at the time of submission. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

A modified frontal–nasal–orbital approach to midline lesions of the anterior cranial fossa and skull base: technical note with case illustrations

Urosurgical Review — Thu, 03 Sep 2009 05:58:23 +0100

We present a detailed account of this procedure via photographs and a video. The frontal–nasal–orbital craniotomy provides access to the floor of the anterior fossa while avoiding excessive brain retraction associated with facial incisions. In addition, this approach is associated with a lower incidence of complications, such as CSF leak, brain retraction edema, or infection. The frontal–nasal–orbital craniotomy is a useful technique for midline lesions of the anterior skull base, and it should be in the armamentarium of neurological surgeons. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10143-009-0222-4Authors Shaan M. Raza, Johns Hopkins School of Medicine Departments of Neurosurgery Baltimore MD USAJames E. Conway, Johns Hopkins School of Medicine D...

Abstracts from the Special Care Dentistry 21st Annual Meeting can be accessed in the electronic version of this issue at interscience.wiley.com

Special Care in Dentistry — Wed, 02 Sep 2009 23:00:00 +0100

This study's purpose was to note trends in the prevalence of oral manifestations of HIV and assess variations in the dental care of adults with HIV given the current use of antiretroviral therapy in both the industrialized world and developing nations. A comprehensive review of the English literature was completed on the incidence and prevalence of oral diseases and the types of dental services that provided comprehensive oral care to patients who have been HIV positive since 1980. The study concluded that significant and similar disparities exist in the use of dental health services for both patients with HIV and the general population. With the use of HAART, the incidence of oral mucosal lesions is also being reduced. In this presentation, attendees will learn what effect the existing me...

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Working with DICOM craniofacial images

American Journal of Orthodontics and Dentofacial Orthopedics — Mon, 31 Aug 2009 23:00:00 +0100

The increasing use of cone-beam computed tomography (CBCT) requires changes in our diagnosis and treatment planning methods as well as additional training. The standard for digital computed tomography images is called digital imaging and communications in medicine (DICOM). In this article we discuss the following concepts: visualization of CBCT images in orthodontics, measurement in CBCT images, creation of 2-dimensional radiographs from DICOM files, segmentation engines and multimodal images, registration and superimposition of 3-dimensional (3D) images, special applications for quantitative analysis, and 3D surgical prediction. CBCT manufacturers and software companies are continually working to improve their products to help clinicians diagnose and plan treatment using 3D craniofacial i...

Extensive Sino-Orbital Zygomycosis After Heart Transplantation: A Case Report

Transplantation Proceedings — Mon, 31 Aug 2009 23:00:00 +0100

Conclusion: Early detection of opportunistic infections in transplant recipients plays a big role in preventing dissemination. Fungal infections, including zygomycosis, should be considered for recipients, especially those with risk factors, such as diabetes, who present with local unusual manifestations. Sinonasal and orbital mucormycosis, if diagnosed in timely fashion, can be managed to reduce mortality. Although devastation of one-side facial and ophthalmic structures was inevitable in this case, the overall outcome was acceptable. (Source: Transplantation Proceedings)

Selective Pathologies of the Head and Neck in Children: A Developmental Perspective

Advances in Anatomic Pathology — Mon, 31 Aug 2009 23:00:00 +0100

The range of pathology seen in the head and neck region is truly amazing and to a large extent probably mirrors the complex signaling pathways and careful orchestration of events that occurs between the primordial germ layers during the development of this region. As is true in general for the entire discipline of pediatric pathology, the head and neck pathology within this age group is as diverse and different as its adult counterpart. Cases that come across the pediatric head and neck surgical pathology bench are more heavily weighted toward developmental and congenital lesions such as branchial cleft anomalies, thyroglossal duct cysts, ectopias, heterotopias, choristomas, and primitive tumors. Many congenital "benign" lesions can cause significant morbidity and even mortality if they co...

KBG syndrome: review of the literature and findings of 5 affected patients

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Mon, 31 Aug 2009 12:09:15 +0100

KBG syndrome is a rare, multiple congenital anomaly/mental retardation (MCA/MR) syndrome characterized by neurological disturbance, short stature, a distinct craniofacial appearance, and skeletal anomalies. It is likely to be autosomal dominant in nature with a wide range of expressivity in its clinical features. Dentally, macrodontia, particularly of the maxillary permanent central incisors is a common finding. The aim of this article was to review the familiar clinical presentations of this syndrome and to highlight previously unreported findings of generalized macrodontia and shovel-shaped incisors. Dental and clinical findings of 2 affected brothers with a 3-year follow-up of their dental progress following orthodontic treatment are outlined. Additionally, dental and clinical findings ...

Controlling hair during craniofacial surgery requiring scalp incisions

Journal of Plastic, Reconstructive & Aesthetic Surgery — Wed, 26 Aug 2009 00:00:00 +0100

Methods of controlling, whilst preserving, the hair during facelift surgery and other craniofacial surgery have been described. Suggestions include using sterile rubber bands, metal foil, hair braiding, beading or clipping, hair rollers, aquagel, hibiscrub, opsite and covering the hair with a swimming cap. The senior author has tried most of these techniques and found them either ineffective or time consuming (the placement of bands, beads, braids or clips can be particularly time consuming). For procedures such as an endoscopic brow lift that requires scalp incisions through the thicker scalp skin, away from the face, we describe the use of staples as a more efficient alternative. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

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American Society of Maxillofacial Surgeons CRANIO Fellowship

ScanGrants feed — Mon, 24 Aug 2009 23:00:00 +0100

Application deadline is August 28, 2009 to be considered for funding in 2010 The American Society of Maxillofacial Surgeons is pleased to announce the CRANIO Fellowship program for funding in 2009. The CRANIO (Craniofacial Region Added New Information Opportunity) Fellowship program gives recipients an opportunity to visit designated centers of excellence in craniofacial surgery throughout the United States, Canada, and Mexico City in order to broaden their clinical approach and develop innovative surgical skills. Two fellows are selected annually with a stipend of $5,000 each to offset the cost of their visits. The CRANIO Fellowship is generously supported by surgeon member Dr. Douglas Ousterhout. CRANIO Fellowship eligibility includes: 1) Completion of a plastic surgery residency from a...

Perioperative management of a child with von Willebrand disease undergoing surgical repair of craniosynostosis: looking at unusual targets.

Anesthesia and Analgesia — Sat, 22 Aug 2009 04:56:09 +0100

We report the successful management of a craniosynostosis repair in a child with severe Type I von Willebrand disease diagnosed during the preoperative assessment and treated by coagulation factor VIII and ristocetin cofactor. Collaboration among the anesthesiologist, the neurosurgeon, the clinical pathologist, and the pediatric hematologist is important for successful management. PMID: 19690238 [PubMed - in process] (Source: Anesthesia and Analgesia)

Preface

Atlas of the Oral and Maxillofacial Surgery Clinics of North America — Tue, 18 Aug 2009 10:25:56 +0100

Cleft lip and palate are congenital deformities, which, because of their frequency and localization to the orofacial region, are of great significance to the oral and maxillofacial surgeon. Although confined to a fairly small anatomic region, the typical cleft deformity requires significant specialized care by many disciplines. Nearly 15 years ago, the American Cleft Palate – Craniofacial Association (ACPCA) proposed parameters of care designed to help standardize the management of cleft patients. The goals of these cleft teams are to carry out periodic assessments and make suggestions regarding timing and sequencing of care. Although mainly a North American phenomenon, the ACPCA guidelines have been taken on a global front and interpreted differently by many countries. The result has be...

Reduced TFAP2A function causes variable optic fissure closure and retinal defects and sensitizes eye development to mutations in other morphogenetic regulators

Human Genetics — Sat, 15 Aug 2009 11:03:39 +0100

Abstract Mutations in the transcription factor encoding TFAP2A gene underlie branchio-oculo-facial syndrome (BOFS), a rare dominant disorder characterized by distinctive craniofacial, ocular, ectodermal and renal anomalies. To elucidate the range of ocular phenotypes caused by mutations in TFAP2A, we took three approaches. First, we screened a cohort of 37 highly selected individuals with severe ocular anomalies plus variable defects associated with BOFS for mutations or deletions in TFAP2A. We identified one individual with a de novo TFAP2A four amino acid deletion, a second individual with two non-synonymous variations in an alternative splice isoform TFAP2A2, and a sibling-pair with a paternally inherited whole gene deletion with variable phenotypic expression. Second, we d...

The management of syndromic mandibular asymmetry, especially hemifacial microsomia

The British Journal of Oral & Maxillofacial Surgery — Fri, 14 Aug 2009 10:23:44 +0100

Syndromic mandibular asymmetry occurs most commonly in hemifacial microsomia (HFM) but is by no means its only or even its predominant feature. HFM itself is the most common craniofacial anomaly after cleft lip and/or palate. (Source: The British Journal of Oral & Maxillofacial Surgery)

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Treatment options for obstructive sleep apnea

Current Treatment Options in Neurology — Tue, 11 Aug 2009 00:26:24 +0100

Opinion statement Sleep apnea is a major public health problem that afflicts 9% of women and 24% of men 30 to 60 years of age. It is highly treatable, but when untreated, it has been associated with (but not necessarily linked to) increased probability of cerebral and coronary vascular disease, congestive heart failure, metabolic dysfunction, cognitive dysfunction, excessive daytime sleepiness, motor vehicle accidents, reduced productivity, and decreased quality of life. The gold standard for treatment in adults is positive airway pressure (PAP) therapy: continuous PAP (CPAP), bilevel PAP, autotitrating CPAP, or autotitrating bilevel PAP. Measures to increase compliance with PAP therapy include medical or surgical treatment of any underlying nasal obstruction, setting appr...

Temporomandibular joint, skull base and mandibular ramus functional reconstruction with homologous bank tissue and free flap: A case report with 30 months follow-up

Microsurgery — Fri, 07 Aug 2009 23:00:00 +0100

Big craniofacial resections for highly invasive malignant neoplasm, including skull base and maxillary bones, always represent a difficult chance for the reconstructive surgeon. In these cases it is not easy to restore anatomy and function simultaneously even adopting complex microsurgical techniques. In maxillofacial and oral surgery, simple bone homotransplantation for small bone segments reconstruction has been developing as popular technique and tissue banks offer not only bone segments but also many different tissues including complex body parts. In this paper we present, a case report of a homotransplantation of a complete temporomandibular joint (TMJ) together with a portion of the medial skull base and mandibular ramus folded with an ante-brachial fascio-periosteal free flap as sec...

The Mothers Act Disease Mongering Campaign - Part II

NaturalNews.com — Mon, 27 Jul 2009 07:00:00 +0100

(NaturalNews) The Mothers Act legislation specifically defines the term "postpartum conditions" as "postpartum depression" or "postpartum psychosis." Use of the Act as an 8-year disease mongering campaign to further promote the new cottage industry of "reproductive psychiatry," or "reproductive mental health," comes from websites often run by people who will financially benefit from passage of the Act.In 1992, the late journalist Lynn Payer wrote a book titled, "Disease Mongering," and defined disease mongering as, "trying to convince essentially well people that they are sick, or slightly sick people that they are very ill."Tactics identified in the book currently used in the Mothers Act campaign include: (1) Framing the issues in a particular way, (2) Taking a normal function and implyin...

Lessons from a case of osteopetrosis oxycephaly and Chiari type I malformation: a case report

Cases Journal — Sun, 26 Jul 2009 23:00:00 +0100

We report a child with osteopetrosis, oxycephaly and Chiari type I malformation who presented with raised intracranial pressure. During cranial expansion surgery the patient developed sudden cardiac arrest which we believe was probably related to the Chiari malformation. The case highlights a previously unrecognized association between osteopetrosis, craniosynostosis and a persistently open fontanelle at age 4 years. In addition it supports the existing literature in emphasizing the need for careful preoperative work up, choice of approach and operative technique in children with complex craniosynostosis and Chiari malformation. (Source: Cases Journal)

Dental arch relationships after two-flap palatoplasty in Taiwanese patients with unilateral cleft lip and palate

International Journal of Oral and Maxillofacial Surgery — Fri, 24 Jul 2009 00:00:00 +0100

Abstract: The authors evaluated the dental arch relationships of patients with unilateral cleft lip and palate treated with two-flap palatoplasty at the Chang Gung Craniofacial Center, Taipei, Taiwan, and compared them with the 6 centers from the Eurocleft study. Intraoral dental photographs of 60 consecutively treated Taiwanese patients with complete unilateral cleft lip and palate were used. The dental arch relationships were rated with the Goslon yardstick and compared with the Goslon outcome of the 6 center Eurocleft study. The strength of agreement of rating was assessed with quadratic-weighted kappa statistics. Inter- and intra-examiner agreements were high. 75% of patients were classified into poor or very poor categories, and the mean Goslon score was 3.92. These results showed no ...

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Facial nerve electromyographic monitoring to predict movement in patients titrated to a standard anesthetic depth.

Anesthesia and Analgesia — Sun, 19 Jul 2009 23:54:54 +0100

CONCLUSION: This study shows that FNEMG may be an effective monitor for predicting patient movement when undergoing craniofacial and skull-based surgeries. BIS monitoring, however, was not an adequate monitor to predict movement in this patient population. The DES group had more hemodynamic variability and FNEMG activity, whereas TIVA proved to be a more effective anesthetic in preventing patient movement when clinically titrated to produce stable operation conditions. FNEMG was a useful clinical tool to help predict and prevent movement in these patients. PMID: 19608831 [PubMed - in process] (Source: Anesthesia and Analgesia)

Foramen of Huschke: Case Report and Experimental Procedure for Diagnosis of Spontaneous Salivary Fistula

Journal of Oral and Maxillofacial Surgery — Fri, 17 Jul 2009 10:54:54 +0100

A 60-year-old white woman came under our observation because of clear watery discharge from her left ear, itching, and recurrent otitis externa. On examination, the skin of the external auditory canal (EAC) showed dermatitis with a clear, liquid secretion. When the patient closed her mouth, the anterosuperior wall of the left EAC presented a small, well-vascularized area (3-4 mm) of inflammation () with a soft texture, which disappeared completely when her mouth was completely open, leaving a slight dip in her skin (). The patient did not have any other craniofacial malformations or pathologic conditions. A high-resolution computed tomography (CT) scan showed a discontinuity in the left EAC anterior wall. This anomaly results from a foramen of Huschke in the adult. The CT scan also showed ...

Morphological integration of the skull in craniofacial anomalies

Orthodontics and Craniofacial Research — Mon, 13 Jul 2009 10:47:13 +0100

Conclusion [ndash] Our results show how the cranial base adjusts to its broader structural context, and provides added support for the developmental and structural integration of cranial base with both cranial vault and face. (Source: Orthodontics and Craniofacial Research)

Enamel matrix proteins; old molecules for new applications

Orthodontics and Craniofacial Research — Sun, 12 Jul 2009 23:00:00 +0100

To cite this article:Lyngstadaas SP, Wohlfahrt JC, Brookes SJ, Paine ML, Snead ML, Reseland JE:Enamel matrix proteins; old molecules for new applicationsOrthod Craniofac Res 2009;12:243[ndash]253Structured AbstractAuthors [ndash] Lyngstadaas SP, Wohlfahrt JC, Brookes SJ, Paine ML, Snead ML, Reseland JE Emdogain® (enamel matrix derivative, EMD) is well recognized in periodontology, where it is used as a local adjunct to periodontal surgery to stimulate regeneration of periodontal tissues lost to periodontal disease. The biological effect of EMD is through stimulation of local growth factor secretion and cytokine expression in the treated tissues, inducing a regenerative process that mimics odontogenesis. The major (>95%) component of EMD is Amelogenins (Amel). No other active components ha...

Medical treatment of craniosynostosis: recombinant Noggin inhibits coronal suture closure in the rat craniosynostosis model

Orthodontics and Craniofacial Research — Sun, 12 Jul 2009 23:00:00 +0100

Conclusion [ndash] The chimeric nude rate model is a viable model of craniosynostosis. FGFR2 mutations in osteoblasts induce bridging osteosynthesis demonstrating one of the mechanisms for premature suture fusion. Topical application of rhNoggin protein prevents craniosynostosis in the weanling nude rat xenotransplantation model of syndromic craniosynostosis. (Source: Orthodontics and Craniofacial Research)

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Bone morphogenetic proteins for periodontal and alveolar indications; biological observations – clinical implications

Orthodontics and Craniofacial Research — Sun, 12 Jul 2009 23:00:00 +0100

To cite this article:Wikesjö UME, Qahash M, Huang Y-H, Xiropaidis A, Polimeni G, Susin C:Bone morphogenetic proteins for periodontal and alveolar indications; biological observations [ndash] clinical implicationsOrthod Craniofac Res 2009;12:263[ndash]270Authors [ndash] Wikesjö UME, Qahash M, Huang Y-H, Xiropaidis A, Polimeni G, Susin C Surgical placement of endosseous oral implants is governed by the prosthetic design and by the morphology and quality of the alveolar bone. Nevertheless, often implant placement may be complexed, if at all possible, by alveolar ridge irregularities resulting from periodontal disease, and chronic and acute trauma. In consequence, implant positioning commonly necessitates bone augmentation procedures. One objective of our laboratory is to evaluate the biolog...

Parental craniofacial cephalometric features of Chinese patients with nonsyndromic isolated cleft palate

International Journal of Oral and Maxillofacial Surgery — Sun, 12 Jul 2009 23:00:00 +0100

Abstract: To evaluate the parental craniofacial morphology in Chinese patients with sporadic nonsyndromic cleft palate, 175 parental pairs of children with nonsyndromic cleft palate (NSCP) and 206 controls from Sichuan University were involved in this study. Conventional cephalometric analysis was used to measure angles, linear distances and their ratios. Two-sample Student's t-tests and multivariate discriminant analysis were applied to the data. The data indicated that fathers of children with NSCP tended to have longer anterior cranial base length, palatal length, mandibular body length, mandibular ramus length, and longer mandibular height, lower face height, as well as larger nasal width, palatal width, mandibular body width, and condyle distance (p (Source: International Journal of O...

Deviated nasal septum in case of Klippel-Trenaunay-Weber Syndrome

Indian Journal of Otolaryngology and Head & Neck Surgery — Tue, 07 Jul 2009 15:21:03 +0100

We report a case of Klippel-Trenaunay-Weber Syndrome who presented with craniofacial deformity leading to deviated nasal septum, nasal obstruction and intermittent nasal bleed. These patients can have involvement of oral cavity and nasal mucosa with angiomatous malformation, which can give rise to epistaxis and excessive bleeding during oral and nasal surgeries. We discuss the review and management of such cases from Otolaryngologists point of view. Content Type Journal ArticleCategory Clinical ReportDOI 10.1007/BF03050849Authors Rajesh, Himalayan Institute of Medical Sciences Department of ENT & Head neck surgery Jollygrant, Dehradun, Uttranchcal IndiaS. S. Bist, Himalayan Institute of Medical Sciences Department of ENT & Head neck surgery Jollygrant, Dehradun, Uttranchcal IndiaR....

Esthesioneuroblastoma: A case report and review of the literature

Indian Journal of Otolaryngology and Head & Neck Surgery — Tue, 07 Jul 2009 15:21:01 +0100

We report the case of a middle aged man who presented with a 6-months history of progressive nasal obstruction, watering of the eye, headache and occasional epistaxis. A diagnosis of esthesioneuroblastoma was established by histopathology and confirmed by immunohistochemistry. On staging the mass was classified as a kadish stage C tumor. The mass was excised via a craniofacial resection through a bi-coronal approach and the tumor mass was peeled away completely from the frontal lobe dura. The patient underwent postoperative radiation, and he was free of recurrence at follow-up 3 months later. Content Type Journal ArticleCategory Clinical ReportDOI 10.1007/BF03050848Authors S. S. Bist, Himalayan Institute of Medical Science Department of E.N.T & Neurosurgery Dehradun (U.A)Rajesh K...

Effectiveness of skull models and surgical simulation: comparison of outcome between different surgical techniques in patients with isolated brachycephaly

Child's Nervous System — Mon, 06 Jul 2009 16:50:51 +0100

Conclusions Current multislice tomography technology and stereolithographic procedures provide an excellent surgical simulation model to find new techniques and predict the outcome. These models should be used in all complex and syndromic craniosynostosis for both better results and reducing the operative time and associated blood loss. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00381-009-0939-yAuthors Hakan Emmez, Gazi University Faculty of Medicine Division of Pediatric Neurosurgery, Department of Neurosurgery Ankara Turkeyİsmail Küçüködük, Gazi University Faculty of Medicine Department of Plastic and Reconstructive Surgery Ankara TurkeyAlp Özgün Börcek, Gazi University Faculty of Medicine Division of Pediatric Neurosurgery, Department ...

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Use of pericranial flap for reconstruction after craniofacial surgery

Indian Journal of Otolaryngology and Head & Neck Surgery — Mon, 06 Jul 2009 16:44:42 +0100

Abstract Total resection of lesions involving the anterior cranial base results in defect of variable size, leaving a communication between the nasal cavity and extracranial space. Potential complications of this include meningitis and CSF leaks. Repair by an inferiorly based pericranial flap was performed in 10 patients in each of whom the defect exceeded 1.5 cms in width. In 4 of them the repair was supplemented by a temporalis fascia graft for achieving a dural seal. In 8 other patients no repair was considered necessary. Use of this flap did not result in any complication. Content Type Journal ArticleCategory Case ReportDOI 10.1007/BF03050078Authors D. A. Tandon, AIMS Dept. of ENT 210 029 New Delhi Journal Indian Journal of Otolaryngology and Head & Neck Surg...

Methodology for speech assessment in the scandcleft project-an international randomized clinical trial on palatal surgery: experiences from a pilot study.

The Cleft Palate-Craniofacial Journal — Tue, 30 Jun 2009 23:00:00 +0100

Conclusions: Pooling data of speakers of different languages in the same trial and comparing speech outcome across trials seems possible if the assessment of speech concerns consonants and is confined to speech units that are phonetically similar across languages. Agreed conventions and rules are important. A composite variable for perceptual assessment of velopharyngeal function during speech seems usable; whereas, the method for hypernasality evaluation requires further testing. PMID: 19642772 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Flexible laryngeal mask airway for cleft palate surgery in children: a randomized clinical trial on efficacy and safety.

The Cleft Palate-Craniofacial Journal — Tue, 30 Jun 2009 23:00:00 +0100

Conclusion: A flexible laryngeal airway mask is suitable for maintaining the airway and helps in smooth emergence in children undergoing palatoplasty. PMID: 19642771 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Three-dimensional morphology of the palate in patients with bilateral complete cleft lip and palate at the stage of permanent dentition.

The Cleft Palate-Craniofacial Journal — Tue, 30 Jun 2009 23:00:00 +0100

CONCLUSION: BCLPc subjects exhibited narrow, low, and flat palate. Palate size and shape differences indicate a substantial reduction of the space for the tongue. PMID: 19697468 [PubMed - in process] (Source: The Cleft Palate-Craniofacial Journal)

Transaxillary subfascial endoscopic approach for internal jugular phlebectasia in a child

Head and Neck — Tue, 16 Jun 2009 23:00:00 +0100

We described a 3-port transaxillary endoscopic technique performed under the fascia of the pectoralis major for excision of the dilated right internal jugular vein in an 8-year-old girl.The preservation of the upper tributaries of the right internal jugular vein was helpful in draining the cerebral blood to the collaterals and in preventing postoperative craniofacial swelling immediately. Six months later, there were no signs of recurrence of other jugular veins, and the patient showed a correct hemodynamic compensation.This technique offered an effective way to surgically manage internal jugular phlebectasia while avoiding the potential for poor cosmesis from any neck scar. © 2009 Wiley Periodicals, Inc. Head Neck, 2009 (Source: Head and Neck)

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ORIGINAL ARTICLE: Fellowship Training in Rhinology: A Survey of Fellows From the Past 6 Years

Archives of Otolaryngology — Mon, 15 Jun 2009 04:00:00 +0100

Conclusions The rhinology fellowship experience appears to be generally favorable in terms of meeting stated training goals and helping fellows achieve subjective comfort with medical and surgical management of rhinological disorders. Continued discussion of the goals of rhinology fellowship training is necessary. (Source: Archives of Otolaryngology)

An improved finite element model for craniofacial surgery simulation

International Journal of Computer Assisted Radiology and Surgery — Sat, 13 Jun 2009 08:39:19 +0100

Conclusions NFM-EM promotes the accuracy and effectiveness of the soft tissue deformation, and the effective contact algorithm bridges the bone-related planning and the prediction of the target face. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11548-009-0373-3Authors Shengzheng Wang, Shanghai Jiao Tong University Shanghai ChinaJie Yang, Shanghai Jiao Tong University Shanghai China Journal International Journal of Computer Assisted Radiology and SurgeryOnline ISSN 1861-6429Print ISSN 1861-6410 (Source: International Journal of Computer Assisted Radiology and Surgery)

Immediate facial rehabilitation in cancer patients using CAD–CAM and rapid prototyping technology: a pilot study

Supportive Care in Cancer — Wed, 10 Jun 2009 10:03:53 +0100

Conclusions The workflow described herein offers a viable procedure for quickly restoring facial defects by means of provisional prosthetic rehabilitation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00520-009-0676-5Authors Leonardo Ciocca, Alma Mater Studiorum University of Bologna Maxillofacial Prosthodontics, Section of Prosthodontics, Department of Oral Science Via S. Vitale 59 40125 Bologna ItalyMassimiliano Fantini, Alma Mater Studiorum University of Bologna Virtual Reality and Simulation Laboratory, Second Faculty of Engineering Via Fontanelle 40 47100 Forlì ItalyClaudio Marchetti, Alma Mater Studiorum University of Bologna Maxillofacial Surgery, Department of Oral Sciences Via S. Vitale 59 40125 Bologna ItalyRoberto Scotti, Alma Mater Stu...

In Memoriam of Leslie Farkas, MD.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 713DOI: 10.1097/SCS.0b013e3181a2d895Authors: Anderson, Nina Kay PhD 1; Habal, Mutaz MD, FRCS, FACS 2 (Source: Journal of Craniofacial Surgery)

Surgical Correction of Orbital Hypertelorism: A Surgical Evolution Through Time.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 715DOI: 10.1097/SCS.0b013e3181a86ffeAuthors: Habal, Mutaz B. MD, FRCS, FACS (Source: Journal of Craniofacial Surgery)

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Oriental Surgical Protocol in Orbital Hypertelorism.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 718DOI: 10.1097/SCS.0b013e3181a2de32Authors: Yang, Xianxian MD *; Mu, Xiongzheng MD *; Gu, Qing MD *; Yu, Zheyuan MD *; Ding, Meixiu MD +; Guo, Zhilin MD +; Cao, Dejun MD *; Yu, Dong MD *; Wei, Min MD *; Chang, Tisheng MD *; Feng, Shengzhi MD * (Source: Journal of Craniofacial Surgery)

Esthetic Positioning of Rigid Internal Fixation in Tripod Zygomatic Fractures: An Innovative Surgical Technique.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 724DOI: 10.1097/SCS.0b013e3181a2efc2Authors: Becelli, Roberto MDS, PhD; Quarato, Davide; Matarazzo, Giorgio; Renzi, Giancarlo MDS; Dominici, Chiara MDS (Source: Journal of Craniofacial Surgery)

The Lip: A Histologic and Analytical Approach of Relevance to Esthetic Plastic Surgery.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 726DOI: 10.1097/SCS.0b013e3181a14cfbAuthors: Al-Hoqail, Rola Abdullah FRCS (Glasgow), FRCS (Ed), CABS *; Abdel Meguid, Eiman Mohamed PhD + (Source: Journal of Craniofacial Surgery)

Bone-Borne Palatal Distraction to Correct the Constricted Cleft Maxilla.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 733DOI: 10.1097/SCS.0b013e3181a2d9aaAuthors: Vyas, Raj M. BS; Jarrahy, Reza MD; Sisodia, Manisha DDS; Jourabchi, Natanel BA; Wasson, Kristy L. BA; Bradley, James P. MD (Source: Journal of Craniofacial Surgery)

Bilateral Orbital Roof Fracture.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 737DOI: 10.1097/SCS.0b013e3181a2d9e4Authors: Rinna, Claudio MD *; Rocchi, Giovanni MD +; Ventucci, Enzo MD *; Pagnoni, Mario MD *; Iannetti, Giorgio MD * (Source: Journal of Craniofacial Surgery)

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Treatment of Cerebrospinal Fluid Leaks in High-Risk Patients.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 743DOI: 10.1097/SCS.0b013e3181a2efeaAuthors: Boudreaux, Benjamin MD; Zins, James E. MD (Source: Journal of Craniofacial Surgery)

Temporal Dissection Technique That Prevents Temporal Hollowing in Coronal Approach.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 748DOI: 10.1097/SCS.0b013e3181a2d745Authors: Baek, Rong-Min MD; Heo, Chan Yeong MD; Lee, Sang Woo MD (Source: Journal of Craniofacial Surgery)

On the Origin of Bitemporal Hollowing.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 752DOI: 10.1097/SCS.0b013e3181a2e44aAuthors: van der Meulen, Jacques J.N.M. MD *; Willemsen, Joep MD *; van der Vlugt, Joris MD *; Nazir, Patricia R.N. MD *; Hilling, Denise MD *; Mathijssen, Irene M.J. MD, PhD *; Ongkosuwito, Edwin DDS +; van Adrichem, Leon N.A. MD, PhD *; Vaandrager, Michiel J.M. MD *; Hovius, Steven E.R. MD ,*; The Dutch Craniofacial Unit (Source: Journal of Craniofacial Surgery)

Photoelastic Analysis of Stress Distribution in Different Retention Systems for Facial Prosthesis.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 757DOI: 10.1097/SCS.0b013e3181a28a96Authors: Goiato, Marcelo Coelho DDS, MSc, PhD *; Ribeiro, Paula do Prado DDS, MSc *; Pellizzer, Eduardo Piza DDS, MD, PhD *; Garcia, Idelmo Rangel Junior DDS, MSc, PhD +; Pesqueira, Aldieris Alves DDS, MSc *; Haddad, Marcela Filie DDS * (Source: Journal of Craniofacial Surgery)

Management of Injuries of the Orbital Skeleton.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 762DOI: 10.1097/SCS.0b013e3181a28a4fAuthors: Kummoona, Raja FDSRCS, Eng, FICD (Source: Journal of Craniofacial Surgery)

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Treatment Strategies for Fibrous Dysplasia.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 768DOI: 10.1097/SCS.0b013e3181a14ca8Authors: Kusano, Takako MD *; Hirabayashi, Shinichi MD *; Eguchi, Tomoaki MD *; Sugawara, Yasushi MD + (Source: Journal of Craniofacial Surgery)

Excision and "Transcutaneous" Lift in Patients With Neurofibromatosis of the Fronto-temporo-orbital and Auricular Regions.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 771DOI: 10.1097/SCS.0b013e3181a289f5Authors: Acarturk, Tahsin Oguz MD *; Yigenoglu, Burak MD +; Pekedis, Oznur MD ++ (Source: Journal of Craniofacial Surgery)

Comparison of Stability of Resorbable and Titanium Fixation Systems by Finite Element Analysis After Maxillary Advancement Surgery.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 775DOI: 10.1097/SCS.0b013e3181a2d871Authors: Uckan, Sina DDS, PhD *; Veziroglu, Firdevs DDS, PhD *; Soydan, Sdka Sinem DDS *[latin dotless i][latin dotless i]; Uckan, Eren MS, PhD + (Source: Journal of Craniofacial Surgery)

New Regenerative Treatment for Tooth and Periodontal Bone Defect Associated With Posttraumatic Alveolar Bone Crush Fracture.

Journal of Craniofacial Surgery — Mon, 08 Jun 2009 04:03:20 +0100

Page: 780DOI: 10.1097/SCS.0b013e3181a14b7bAuthors: Kiyokawa, Kensuke MD, PhD *; Kiyokawa, Munekatsu DDS +; Takagi, Mikako MD *; Rikimaru, Hideaki MD, PhD *; Fukaya, Takuji DDS + (Source: Journal of Craniofacial Surgery)