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This page shows you the latest news and research items in this category.

Accidental Inhalation Of Betadine During Surgery Leads To Rare Complication
A routine step in preparing for cleft palate surgery in a child led to an unusual - but not unprecedented - case of lung inflammation (pneumonitis), according to a report in the The Journal of Craniofacial Surgery. The journal, edited by Mutaz B. Habal, MD, FRCSC, is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. The complication resulted from accidental inhalation of povidone-iodine (PI), or Betadine - an antiseptic widely used before surgery... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - February 25, 2013 Category: Consumer Health News Tags: Respiratory / Asthma Source Type: news

Inhaled betadine leads to rare complication
(Wolters Kluwer Health) A routine step in preparing for cleft palate surgery in a child led to an unusual -- but not unprecedented -- case of lung inflammation (pneumonitis), according to a report in the The Journal of Craniofacial Surgery. The journal, edited by Mutaz B. Habal, M.D., FRCSC, is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - February 21, 2013 Category: Global & Universal Source Type: news

The Assessment of Velopharyngeal Function Using Nasal Ram Pressure Testing Following Palatoplasty.
Conclusions : NRP monitoring is well-tolerated in young children following palatoplasty. Achieving velopharyngeal (VP) closure for >90% of stops is associated with a clinical assessment of adequate speech and VP function. Postoperative NRP testing may serve as a useful adjunct to clinical speech evaluation for early identification of children who require more intensive speech therapy or secondary palatal surgery. PMID: 23432102 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - February 21, 2013 Category: ENT & OMF Authors: Krochmal DJ, Zajac DJ, Alhudaib OM, Emodi O, van Aalst JA Tags: Cleft Palate Craniofac J Source Type: research

Speech characteristics in a Ugandan child with a rare paramedian craniofacial cleft: A case report
Abstract: The purpose of this study is to describe the speech characteristics in an English-speaking Ugandan boy of 4.5 years who has a rare paramedian craniofacial cleft (unilateral lip, alveolar, palatal, nasal and maxillary cleft, and associated hypertelorism). Closure of the lip together with the closure of the hard and soft palate (one-stage palatal closure) was performed at the age of 5 months. Objective as well as subjective speech assessment techniques were used. The speech samples were perceptually judged for articulation, intelligibility and nasality. The Nasometer was used for the objective measurement of the na...
Source: International Journal of Pediatric Otorhinolaryngology - February 11, 2013 Category: ENT & OMF Authors: K.M. Van Lierde, K. Bettens, A. Luyten, S. De Ley, M. Tungotyo, D. Balumukad, G. Galiwango, W. Bauters, H. Vermeersch, A. Hodges Tags: Case reports Source Type: research

Etiologies of pediatric craniofacial injuries: A comparison of injuries involving all-terrain vehicles and golf carts
Conclusions: ATVs and golf carts are often exempt from the safety features and regulations required of motor vehicles, and ATV and golf cart accidents represent a significant portion of pediatric traumas. This study found that ATV and golf cart accidents contribute significantly to craniofacial trauma requiring hospitalization, with resultant morbidity and mortality. Further investigation of these injuries and their prevention in the pediatric population is needed before efforts to promote effective safety regulations for such vehicles in the future can be addressed. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - February 11, 2013 Category: ENT & OMF Authors: Lauren C. White, Brian J. McKinnon, C. Anthony Hughes Tags: Research papers Source Type: research

Intraoperative management of blood loss during craniosynostosis surgery.
PMID: 23384301 [PubMed - in process] (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 8, 2013 Category: Anesthesiology Authors: Pietrini D, Goobie S Tags: Paediatr Anaesth Source Type: research

Ocular findings in children who underwent expansion cranioplasty with distraction osteogenesis for craniosynostosis
To describe the prevalence and nature of ocular comorbidity in children with craniosynostosis before and after expansion cranioplasty. We retrospectively reviewed the medical records of 88 consecutive children who underwent expansion cranioplasty with distraction osteogenesis for craniosynostosis. Recorded data included the following: patient demographics, ocular motility, cycloplegic refraction, intraocular pressure measured with tonopen, examination of the anterior and posterior segment, intracranial pressure, and procedures for craniofacial correction. Ocular findings were assessed before and 6 months after surgery. (S...
Source: Journal of AAPOS - February 1, 2013 Category: Opthalmology Authors: Seung Ah Chung, Soolienah Rhiu, Soo Han Yoon Jong, Bok Lee Tags: AAPOS 2013 Meeting Abstracts Source Type: research

Three-Dimensional Assessment of Facial Appearance Following Surgical Repair of Unilateral Cleft Lip and Palate.
Conclusions : Despite surgical intervention at an early age, asymmetry remains significant in cleft patients at 10 years of age. Three-dimensional imaging is a noninvasive objective assessment tool that identifies specific areas of the face responsible for asymmetry. Facial curve analysis describes the face more comprehensively and characterizes soft tissue contours. PMID: 23369016 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - January 31, 2013 Category: ENT & OMF Authors: Bell A, Lo TW, Brown D, Bowman AW, Siebert JP, Simmons DR, Millett DT, Ayoub AF Tags: Cleft Palate Craniofac J Source Type: research

Evaluation of central venous pressure monitoring in children undergoing craniofacial reconstruction surgery.
CONCLUSIONS: The implementation of routine CVP monitoring was not associated with a decreased incidence and likely was not associated with a decreased duration of hypotension in this population experiencing massive hemorrhage. Hypotension was associated with a decrease in CVP, and resolution of hypotension was associated with an increase in CVP to prehypotensive levels. However, significant decreases in CVP below the baseline were common and usually not associated with hypotension. The routine use of CVP monitoring in these children is of questionable utility as a means to decrease the incidence and duration of hypotension...
Source: Anesthesia and Analgesia - January 30, 2013 Category: Anesthesiology Authors: Stricker PA, Lin EE, Fiadjoe JE, Sussman EM, Pruitt EY, Zhao H, Jobes DR Tags: Anesth Analg Source Type: research

[Larsen-syndrome: final diagnosis following multiple surgical interventions].
Abstract Larsen-syndrome is a rare genetic skeletal dysplasia belonging to the group of actin-binding filamin B associated diseases. The features include congenital dislocations of the large joints, scoliosis and cervical kyphosis, short, broad, spatulate distal phalanges, and distinctive craniofacies. Diagnosis is based on clinical and radiographic findings and confirmed by molecular genetic testing. The authors have performed filamin B molecular genetic analysis since 2005 and have found several cases with unusual phenotypes since. This case report presents the diagnostic difficulties of a 30-year-old woman, who ...
Source: Orvosi Hetilap - January 22, 2013 Category: Journals (General) Authors: Kisfali P, Komlósi K, Hadzsiev K, Melegh B Tags: Orv Hetil Source Type: research

Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies - USP (HRAC-USP) - part 3: Oral and Maxillofacial Surgery
This paper presents the treatment protocol of maxillofacial surgery in the rehabilitation process of cleft lip and palate patients adopted at HRAC-USP. Maxillofacial surgeons are responsible for the accomplishment of two main procedures, alveolar bone graft surgery and orthognathic surgery. The primary objective of alveolar bone graft is to provide bone tissue for the cleft site and then allow orthodontic movements for the establishment of an an adequate occlusion. When performed before the eruption of the maxillary permanent canine, it presents high rates of success. Orthognathic surgery aims at correcting maxillomandibul...
Source: Journal of Applied Oral Science - January 18, 2013 Category: Dentistry Source Type: research

Rapid re-synostosis following suturectomy in pediatric mice is age and location dependent
This study demonstrates that bone regeneration in the cranium is both age and location dependent. Rapid and robust bone regeneration only occurred when the defect was created over the posterior frontal suture in immature weanling mice.Highlights: ► We developed a pediatric mouse model of re-synostosis. ► Infant defect heals in rapid bi-phasic process. ► Defect healing is age and location specific. ► Healing occurs via endochondral ossification. (Source: Bone)
Source: Bone - January 18, 2013 Category: Orthopaedics Authors: Christopher D. Hermann, Kelsey Lawrence, Rene Olivares-Navarrete, Joseph K. Williams, Robert E. Guldberg, Barbara D. Boyan, Zvi Schwartz Tags: Original Articles Source Type: research

Our patients’ stories: Dominic’s craniofacial surgery
Dominic Gundrum’s smile is truly special. Or, more accurately, there’s something really special about his smiles. They light up a room, even though they’re the result of a rare and extremely difficult to correct birth defect. Still, despite how atypical they seem at first, Dominic’s giggling smiles are surprisingly disarming. To have something look so different—but still spread such joy—is truly unique. And, in a way, that uniqueness defines Dominic perfectly. An uncertain beginning During a routine 20-week ultrasound in their home state of Wisconsin, Dominic’s parents, Mark and Mary, were...
Source: Thrive, Children's Hospital Boston - January 17, 2013 Category: Pediatrics Authors: Tripp Underwood Tags: All posts Children's in the news cleft lip & palate Dominc Gundrum encephalocele John Meara Mark Proctor our patients' stories Tessier midline facial cleft Source Type: news

Dermis Reconstruction and Dermis Fat Graft Through an Intraoral Incision: A New Method to Correct the Furrowed Philtral Column Deformity in Lesser-Form Cleft Lip.
Conclusion : Dermis reconstruction and dermis fat grafting through an intraoral incision is effective in repairing a furrowed philtral column deformity in lesser-form cleft lip. PMID: 23320841 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - January 15, 2013 Category: ENT & OMF Authors: Wang Y, Qi Z, Wang X Tags: Cleft Palate Craniofac J Source Type: research

Isolated cleft of the ala nasi: A report of seven cases
J Rajesh Jinka, Harikiran Chekuri, Gopalakrishna AnnavarapuIndian Journal of Plastic Surgery 2012 45(3):512-515Craniofacial clefts other than cleft lip & palate are reported to be 1.4 to 4.9 per 100,000 live births. Of these, clefts of nose are usually associated with other clefts. Isolated cleft of Ala is rare, 0.7% of all clefts reported by Monasterio. In an analysis of photographic records of 3,500 consecutive patients with craniofacial clefts including cleft lip & palate registered with us between 1985- 2012 which were accessed through our data base, 13 patients with nasal clefts were identified, seven o...
Source: Indian Journal of Plastic Surgery - January 12, 2013 Category: Cosmetic Surgery Authors: J Rajesh JinkaHarikiran ChekuriGopalakrishna Annavarapu Source Type: research

Inverted-T lip reduction for lower lip repair in Van der Woude syndrome: a review and comparison of aesthetic results
Abstract: Elimination of cosmetic deformity of lower lip pits and lower lip protrusion is the most common indication for lower lip repair in Van der Woude syndrome. 34 patients with lower lip pits that were operated on between 1982 and 2006 were reviewed. Surgical correction was performed with one of three different techniques: simple excision, vertical wedge resection, or inverted-T lip reduction. The aesthetic results were evaluated by two groups of raters. One group consisted of 10 medical professionals, and the other 10 lay people. A rating scheme was utilized, with a score of 3 for good, 2 for fair, and 1 for poor res...
Source: International Journal of Oral and Maxillofacial Surgery - January 4, 2013 Category: ENT & OMF Authors: C.-H. Chen, H.-T. Liao, V.B.-H. Shyu, P.K.-T. Chen Tags: Cleft Lip and Palate and Craniofacial Anomalies Source Type: research

2012 Best Paper Awards
Dental stem cells for craniofacial tissue engineering July 2012 – Volume 113 – Issue 6 – pp. 728-733 (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - January 1, 2013 Category: ENT & OMF Tags: Announcements Source Type: research

Outcome of resection of infratemporal fossa tumors
ConclusionTumors involving the infratemporal fossa can be resected with acceptable morbidity and long‐term survival. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - January 1, 2013 Category: ENT & OMF Authors: Babak Givi, Jeffrey Liu, Mark Bilsky, Babak Mehrara, Joseph Disa, Andrea Pusic, Peter Cordeiro, Jatin P. Shah, Dennis H. Kraus Tags: Original Article Source Type: research

Magnetic resonance imaging in the evaluation of anatomical risk factors for pediatric obstructive sleep apnoea–hypopnoea: A pilot study
Conclusions: Results from our study population, certainly limited in terms of number of patients and considered age range, showed that not only adeno-tonsillar hypertrophy is important in determining the clinical syndrome: soft palate enlargement and certain skeletal pattern can even assume greater importance in the genesis and in the progression of the obstruction. MRI proved to be an accurate technique in the evaluation of the prevalent risk factor in children affected by OSAHS, leading to the most appropriate surgical approach. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - December 27, 2012 Category: ENT & OMF Authors: Salvatore Cappabianca, Francesco Iaselli, Alberto Negro, Angelo Basile, Alfonso Reginelli, Roberto Grassi, Antonio Rotondo Tags: Research papers Source Type: research

Transesophageal Echocardiography Probe Insertion Failure in Infants Undergoing Cardiac Surgery
ConclusionsiTEE can be successfully performed in the majority of neonates ≤4 kg undergoing cardiac surgery. However, there are identifiable risk factors for iTEE probe insertion failure. A weight‐based algorithm may help determine neonates at risk for iTEE probe insertion failure. Smaller TEE probes may benefit this patient population. (Source: Congenital Heart Disease)
Source: Congenital Heart Disease - December 27, 2012 Category: Cardiology Authors: Shari L. Wellen, Andrew C. Glatz, J. William Gaynor, Lisa M. Montenegro, Meryl S. Cohen Tags: Original Article Source Type: research

Matrix Surgical USA Receives CE Mark and ISO 13485:2003 Certification
ATLANTA, GA--(Healthcare Sales & Marketing Network) - Matrix Surgical USA announced today that it has received CE Mark approval as well as certification for ISO 13485:2003 for its OMNIPORE® High-density Porous Polyethylene craniofacial implants for rec... Devices, RegulatoryMatrix Surgical USA, OMNIPORE, craniofacial implants, craniofacial surgery (Source: HSMN NewsFeed)
Source: HSMN NewsFeed - December 19, 2012 Category: Pharmaceuticals Source Type: news

Palate Lengthening by Buccinator Myomucosal Flaps for Velopharyngeal Insufficiency.
Conclusion : Palatal lengthening with myomucosal buccinator flaps in patients with velopharyngeal insufficiency is effective and safe. It has become one of our routinely practiced procedures for velopharyngeal insufficiency. PMID: 23237471 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - December 13, 2012 Category: ENT & OMF Authors: Hens G, Sell D, Pinkstone M, Birch MJ, Hay N, Sommerlad BC, Kangesu L Tags: Cleft Palate Craniofac J Source Type: research

'Reverse Craniofacial Planning' For Face Transplantation
As surgical teams gain experience with facial transplantation, a careful approach to planning based on the principles of craniofacial surgery can help to maximize patient outcomes in terms of facial form and function, according to an article in The Journal of Craniofacial Surgery. The journal, under the editorship of Mutaz B. Habal, MD, is published by Lippincott Williams & Wilkins, a part ofWolters Kluwer Health... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - December 12, 2012 Category: Consumer Health News Tags: Cosmetic Medicine / Plastic Surgery Source Type: news

Face transplantation calls for 'reverse craniofacial planning'
As surgical teams gain experience with facial transplantation, a careful approach to planning based on the principles of craniofacial surgery can help to maximize patient outcomes in terms of facial form and function. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - December 10, 2012 Category: Science Source Type: news

Face transplantation calls for 'reverse craniofacial planning'
(Wolters Kluwer Health) As surgical teams gain experience with facial transplantation, a careful approach to planning based on the principles of craniofacial surgery can help to maximize patient outcomes in terms of facial form and function, according to an article in The Journal of Craniofacial Surgery. The journal, under the editorship of Mutaz B. Habal, MD, is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - December 10, 2012 Category: Global & Universal Source Type: news

Current concepts on the effect of environmental factors on cleft lip and palate
Abstract: The aim of this study was to investigate the effect of environmental factors, such as tobacco, alcohol and folic acid intake, obesity, stressful events, low blood levels of zinc and fever during pregnancy, on the incidence of cleft lip and/or palate (CL±P). An electronic search was performed in the Cochrane Reviews, the ISI Web of Knowledge, PubMed and Scopus, along with a manual search to identify other relevant case–control and cohort studies. Quality assessments and an evaluation of publication bias were undertaken. Statistical heterogeneity was examined, and odds ratios (ORs) and 95% confidence intervals (...
Source: International Journal of Oral and Maxillofacial Surgery - December 10, 2012 Category: ENT & OMF Authors: R. Molina-Solana, R.-M. Yáñez-Vico, A. Iglesias-Linares, A. Mendoza-Mendoza, E. Solano-Reina Tags: Cleft Lip and Palate and Craniofacial Anomalies Source Type: research

Sinonasal teratocarcinosarcoma with intracranial extension: Case report and literature review.
We report the case of a 58-year-old white man who presented with a 1-year history of a gradually enlarging left-sided nasal mass. The patient had previously undergone endoscopic sinus surgery at another facility, and the final pathologic specimen was reported as an SNTCS with positive margins. He was then referred to our institution, where he underwent a craniofacial resection combined with endoscopic intranasal resection. Postoperatively, he received combined chemotherapy and irradiation. At 48 months of follow-up, he was alive without evidence of disease. PMID: 23288820 [PubMed - in process] (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - December 1, 2012 Category: ENT & OMF Authors: Wassef SN, Kapur P, Barnett SL, Myers LL Tags: Ear Nose Throat J Source Type: research

Femtosecond plasma mediated laser ablation has advantages over mechanical osteotomy of cranial bone
ConclusionsWe demonstrate accelerated bone healing after femtosecond laser ablation in a calvarial defect model compared to traditional mechanical drilling techniques. Improved rates of early regeneration make plasma‐mediated ablation of the craniofacial skeleton advantageous for applications to osteotomy. Lasers Surg. Med. © 2012 Wiley Periodicals, Inc. (Source: Lasers in Surgery and Medicine)
Source: Lasers in Surgery and Medicine - November 26, 2012 Category: Laser Surgery Authors: David D. Lo, Mark A. Mackanos, Michael T. Chung, Jeong S. Hyun, Daniel T. Montoro, Monica Grova, Chunjun Liu, Jenny Wang, Daniel Palanker, Andrew J. Connolly, Michael T. Longaker, Christopher H. Contag, Derrick C. Wan Tags: Basic Science Source Type: research

Esthesioneuroblastoma
is a rare malignant neoplasm in the olfactory region of the nasal cavity and anterior skull base. Diagnosis and staging require anatomic imaging and careful pathologic assessment. Standard treatment is anterior craniofacial resection with postoperative irradiation. The role for chemotherapy is not defined, but is generally for the most advanced cases and used in the neoadjuvant setting and/or postoperatively with irradiation. Prognosis is favorable; however, metastasis rates remain relatively high. Regional and distant metastasis portends a poor outcome. Intensity-modulated radiation treatment and endoscopic surgery have ...
Source: Neurosurgery Clinics of North America - November 21, 2012 Category: Neurosurgery Authors: Thomas J. Ow, Diana Bell, Michael E. Kupferman, Franco DeMonte, Ehab Y. Hanna Source Type: research

3D comparison of average faces in subjects with oral clefts.
Abstract This prospective cross-sectional, case-controlled morphometric study assessed three dimensional (3D) facial morphological differences between average faces of 103 children aged 8-12 years; 40 with unilateral cleft lip and palate (UCLP), 23 with unilateral cleft lip and alveolus (UCLA), 19 with bilateral cleft lip and palate (BCLP), 21 with isolated cleft palate (ICP), and 80 gender and age-matched controls. 3D stereophotogrammetric facial scans were recorded for each participant at rest. Thirty-nine landmarks were digitized for each scan, and x-, y-, z-coordinates for each landmark were extracted. A 3D pho...
Source: European Journal of Orthodontics - November 20, 2012 Category: Dentistry Authors: Bugaighis I, Tiddeman B, Mattick CR, Hobson R Tags: Eur J Orthod Source Type: research

Obituary—Daniel Marchac
Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s00238-012-0784-1Authors Ian T. Jackson, Ian Jackson Craniofacial and Cleft Palate Diagnostic Clinic, Royal Oak, MI, USA Journal European Journal of Plastic SurgeryOnline ISSN 1435-0130Print ISSN 0930-343X (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 19, 2012 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: research

Endoscopic craniofacial resection for pediatric esthesioneuroblastoma
We report a 12-year-old female who underwent endoscopic-assisted resection of an extensively calcified Kadish C and Dulguerov–Calcaterra T3N0M0 esthesioneuroblastoma. Following radiation therapy, she is disease-free 18 months post-treatment. Although there are few reported cases in pediatric patients, our case supports the use of endoscopic endonasal approaches for select pediatric skull base malignancies. (Source: International Journal of Pediatric Otorhinolaryngology Extra)
Source: International Journal of Pediatric Otorhinolaryngology Extra - November 14, 2012 Category: ENT & OMF Authors: Christopher F. Thompson, Sunita M. Bhuta, Marvin Bergsneider, Jeffrey D. Suh Tags: Case reports Source Type: research

Osteosarcoma of the jaws: a review of literature and a case report on synchronous multicentric osteosarcomas
Conclusion: Osteosarcomas of the jaw remain enigmatic, and a number of difficulties related to their diagnosis and treatment are yet to be resolved. True synchronous multicentric osteosarcomas of the jaws are extremely rare but, like other osteosarcomas of the jaws, have a favorable outcome, and palliative resection of such lesions, though challenging, can therefore lead to an enormously improved quality of life and self-image, and may even offer the opportunity for cure. (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - November 12, 2012 Category: Cancer & Oncology Authors: Peter Nthumba Source Type: research

Histomorphometric analysis of the temporal bone after change of direction of force vector of mandible: an experimental study in rabbits
OBJECTIVES: The present study aimed at performing a histological evaluation of the response of temporal bone tissue to a change of direction of the force vector of the mandible in relation to the base of the skull. MATERIAL AND METHODS: Adult rabbits were assigned into four groups with two control and four experimental animals in each group. experimental animals underwent surgery, which resulted in a change of direction of the force vector on the right temporomandibular joint. Samples were collected after 15, 30, 60 and 90 days for histological analysis. RESULTS: In the two-way analysis of variance, the effect of group and...
Source: Journal of Applied Oral Science - November 9, 2012 Category: Dentistry Source Type: research

Congenital and acquired developmental problems of the upper airway in newborns and infants
Conclusion: Upper airway diseases in neonates and infants may be life threatening, or challenging regarding diagnosis and management. There should be a very low threshold for referring these children, after establishing a safe airway, for a specialist opinion and care in a tertiary unit, if local facilities are limited or unavailable. (Source: Early Human Development)
Source: Early Human Development - November 9, 2012 Category: Perinatology & Neonatology Authors: Marie Lyons, Petros V. Vlastarakos, Thomas P. Nikolopoulos Tags: Guest Editor: N. Modi Source Type: research

Automatic Intracranial Space Segmentation for Computed Tomography Brain Images
Abstract Craniofacial disorders are routinely diagnosed using computed tomography imaging. Corrective surgery is often performed early in life to restore the skull to a more normal shape. In order to quantitatively assess the shape change due to surgery, we present an automated method for intracranial space segmentation. The method utilizes a two-stage approach which firstly initializes the segmentation with a cascade of mathematical morphology operations. This segmentation is then refined with a level-set-based approach that ensures that low-contrast boundaries, where bone is absent, are completed smoothly....
Source: Journal of Digital Imaging - November 6, 2012 Category: Radiology Tags: Journal of Digital Imaging Source Type: research

Influence of pharyngeal flap surgery on maxillary outgrowth in cleft patients
Abstract: The aim of this study was to investigate the influence of the pharyngeal flap procedure on the frequency of Le Fort I osteotomies in full-grown nonsyndromic cleft patients. A retrospective review of 508 full-grown cleft patients born between 1 January 1983 and 31 December 1992 was performed. Following data analysis, 140 males older than 18 years and 111 females over the age of 16 years were included. 69 of the 251 included cleft patients required pharyngeal flap surgery (27.5%). Revision flap surgery was performed in 17.4% of the cases. A significantly lower age at time of the initial pharyngeal flap procedure wa...
Source: International Journal of Oral and Maxillofacial Surgery - November 5, 2012 Category: ENT & OMF Authors: I.E. Voshol, L.N.A. van Adrichem, K.G.H. van der Wal, M.J. Koudstaal Tags: Cleft Lip and Palate and Craniofacial Anomalies Source Type: research

Fiberotomy enhances orthodontic tooth movement and diminishes relapse in a rat model
ConclusionWe conclude that fiberotomy solely accelerated orthodontic tooth movement and diminished relapse. (Source: Orthodontics and Craniofacial Research)
Source: Orthodontics and Craniofacial Research - November 1, 2012 Category: Dentistry Authors: L. Young, I. Binderman, A. Yaffe, L. Beni, A. D. Vardimon Tags: Original Article Source Type: research

Revisiting Peripheral Osteoma of the Mandible with Case Series and Review of Literature
Abstract Osteomas are benign lesions composed of mature compact and cancellous bone usually arising from craniofacial region. They can be central or peripheral, solitary or multiple. We are presenting few cases of giant peripheral osteoma’s of the mandible along with review literature of other jaw lesions with their diagnostic features and differential diagnosis. The purpose of presenting this paper is to evaluate radiopaque lesions of the jaw which require proper clinical and histological evaluation to reach a final diagnosis. Content Type Journal ArticleCategory Clinical ReportPages 1-7DOI 10.1007/s...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 31, 2012 Category: ENT & OMF Tags: Indian Journal of Otolaryngology and Head & Neck Surgery Source Type: research

Using bioabsorbable fixation systems in the treatment of pediatric skull deformities leads to good outcomes and low morbidity
Discussion The bioabsorbable fixation systems for cranial vault reconstruction in children less than 2 years of age is safe with tolerable morbidity rates. Content Type Journal ArticleCategory Original PaperPages 1-5DOI 10.1007/s00381-012-1938-yAuthors Melanie G. Hayden Gephart, Department of Neurosurgery, Stanford University Medical Center, Stanford, CA 94304, USAJoslyn I. Woodard, Stanford University School of Medicine, Stanford, CA 94305, USARobert T. Arrigo, Stanford University School of Medicine, Stanford, CA 94305, USAH. Peter Lorenz, Division of Pediatric Plastic Surgery, Stanford Univers...
Source: Child's Nervous System - October 26, 2012 Category: Pediatrics Tags: Child's Nervous System Source Type: research

Optic Neuropathy in McCune-Albright Syndrome: Effects of Early Diagnosis and Treatment of Growth Hormone Excess.
Conclusions:Early diagnosis/treatment of GH excess in MAS is important to prevent optic neuropathy and craniofacial expansion. The relationship between hearing deficits and GH excess remains less clear and requires further study. PMID: 23093488 [PubMed - as supplied by publisher] (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - October 23, 2012 Category: Endocrinology Authors: Boyce AM, Glover M, Kelly MH, Brillante BA, Butman JA, Fitzgibbon EJ, Brewer CC, Zalewski CK, Cutler Peck CM, Kim HJ, Collins MT Tags: J Clin Endocrinol Metab Source Type: research

Axenfeld-Rieger Syndrome: Differential Diagnosis in Cases of Oligodontia
In conclusion, ARS should be considered in the differential diagnosis of patients with oligodontia, and dentists should be able to recognize this uncommon syndrome. Early diagnosis is essential for an appropriate treatment of the affected patients and genetic counseling. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - October 19, 2012 Category: ENT & OMF Tags: 16th International Congress on Oral Pathology and Medicine and 20th Brazilian Congress of Oral Medicine and Pathology 2012 (São Pedro-Brazil, 30th July – 03rd August 2012) Source Type: research

Perioperative Risk Factors for Adverse Airway Events in Patients Undergoing Cleft Palate Repair.
Conclusions : Diagnosis of a craniofacial syndrome, a history of preoperative airway problems, and provider inexperience correlated with increased risk for airway complications after palatoplasty. Recognizing patients at risk for AAEs may permit improved preoperative planning to optimize surgical outcomes and minimize complications. PMID: 23083121 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - October 19, 2012 Category: ENT & OMF Authors: Jackson O, Basta M, Sonnad S, Stricker P, Larossa D, Fiadjoe J Tags: Cleft Palate Craniofac J Source Type: research

The Impact of Congenital Cardiovascular Malformations on the Assessment and Surgical Management of Infants With Cleft Lip and/or Palate.
Conclusions : Even in the absence of a murmur, echocardiographic screening should be considered in infants with nonspecific signs of cardiovascular disease. Greater awareness of the guidelines for SBE prophylaxis is needed. Most cleft patients with a cardiovascular malformation do not require cardiac surgery and do not experience an increased rate of complications associated with cleft surgery. PMID: 23083120 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - October 19, 2012 Category: ENT & OMF Authors: Harry BL, Tebockhorst S, Deleyiannis FW Tags: Cleft Palate Craniofac J Source Type: research

Urethral protrusion of the abdominal catheter of ventriculoperitoneal shunt: Case report of extremely rare complication
We report an unusual case of protruding abdominal catheter from the urethra. This girl had received a VP shunt for hydrocephalus following surgery of posterior fossa medulloblastoma 4 years ago. After admission, the entire system was removed, antibiotic treatment was administered for 2 weeks, and a new VP shunt was placed. The postoperative course was uneventful. This complication is extremely rare. (Source: Journal of Pediatric Neurosciences)
Source: Journal of Pediatric Neurosciences - October 17, 2012 Category: Neuroscience Authors: Ugur YazarAyhan KanatNezih AkcaGurkan GaziogluIrfan S ArdaHizir Kazdal Source Type: research

Treatment modalities and outcomes of olfactory neuroblastoma
Conclusions:Endoscopic surgery for advanced ONB showed successful survival results compared with nonendoscopic surgery on multivariate analysis, and limited morbidities. Modified Kadish classification best predicted DFS for ONB. Long‐term follow‐up is necessary due to its late recurrence. Laryngoscope, 2012 (Source: The Laryngoscope)
Source: The Laryngoscope - October 15, 2012 Category: ENT & OMF Authors: Chang Myeon Song, Tae‐Bin Won, Chul Hee Lee, Dong‐Young Kim, Chae‐Seo Rhee Tags: Cranial Base Source Type: research

Facial Soft Tissue Dynamics Before and After Primary Lip Repair.
Conclusions : Primary surgical lip repair decreased hypermobility and improved asymmetry of upper lip movement. PMID: 23050657 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - October 10, 2012 Category: ENT & OMF Authors: Trotman CA, Faraway J, Soltmann R, Hartman T, van Aalst J Tags: Cleft Palate Craniofac J Source Type: research

Tongue reduction for macroglossia in Beckwith Wiedemann syndrome: review and application of new technique
Abstract: Beckwith Wiedemann syndrome (BWS) is a rare, congenital overgrowth disorder that is characterized by macroglossia, anterior abdominal wall defects, visceromegaly, gigantism, and neonatal hypoglycaemia. Macroglossia may contribute to anterior open bite malocclusion with prognathism, speech articulation disturbances, drooling and the perception of intellectual disability. It was the purpose of this study to review a series of BWS patients who underwent surgical reduction of the tongue by a modified technique with respect to aesthetic and functional outcomes. Seven BWS patients, age 6 months to 21 months, had a ‘s...
Source: International Journal of Oral and Maxillofacial Surgery - October 8, 2012 Category: ENT & OMF Authors: A.A.C. Heggie, N.J. Vujcich, J.E. Portnof, A.T. Morgan Tags: Cleft Lip and Palate and Craniofacial Anomalies Source Type: research

Scoring Systems of Cleft Related Facial Deformities: A Review of Literature.
Conclusions : Although there is a wide variety in study design, 3D imaging seems most reliable in assessing cleft-related facial deformities. However, scoring on 2D photographs is easier to perform and more applicable in daily practice because all cleft patients are photographed through their treatment. PMID: 23030761 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - October 2, 2012 Category: ENT & OMF Authors: Mosmuller D, Griot JP, Bijnen CL, Niessen FB Tags: Cleft Palate Craniofac J Source Type: research

Causal Attributions of Cleft Lips and Palates Across Cultures.
Conclusions : This study provides evidence that causal attributions for clefts are influenced by culture. As harmful beliefs about cause may continue to impact affected individuals and their families even after a repair, it is insufficient to provide surgical care alone. Care of the entire person must include attempts to change misinformed cultural beliefs through educating the broader community. PMID: 23030676 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)
Source: The Cleft Palate-Craniofacial Journal - October 2, 2012 Category: ENT & OMF Authors: Mednick L, Snyder J, Schook C, Blood EA, Brown SE, Weatherley-White RC Tags: Cleft Palate Craniofac J Source Type: research