Differences Between Impression Stone Pouring and Digital Pouring in Fully Guided Dental Implant Surgery: A Prospective Clinical Study
This study was conducted for partially edentulous patients with straightforward cases who did not require bone or soft tissue augmentation. Forty dental implants were installed in 14 patients (age range: 25–70 y) at the Dental Implant Unit, Oral and Maxillofacial Surgery Center, Gazi Alhariri Teaching Hospital, Medical City, Baghdad. The dental implants were guided into the most prosthetically suitable position using a surgical guide. Twenty of them were guided by conventional impression stone pouring to create the surgical guide, whereas the other 20 implants were installed using digital pouring for the dental impressi...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Microvascular Reconstruction of the Anterior Skull Base
Anterior skull base defects present a unique reconstructive challenge. Risk factors such as previous operation, radiation and infection require a multidisciplinary approach to create a stable wound. Reconstructive microsurgery serves an important role when attempts with pericranial flap placement and nonvascularized graft obliteration fail. Our series analyzes the outcomes of 5 patients who underwent vascularized reconstruction of craniofacial defects at Northwestern Memorial Hospital from 2014-2021. Each patient presented with a complex, hostile scalp and bony wound. Common risk factors included previous craniotomy, faile...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Augmentation Rhinoplasty in Cleft Lip Nasal Deformity Using Alloplastic Material and Autologous Cartilage
Secondary cleft rhinoplasty typically requires large amounts of cartilage grafts for augmentation. The purpose of this study was to present our short-term experience with alloplastic implants in cleft rhinoplasty. This was a retrospective cohort study of cleft lip and palate patients treated with secondary rhinoplasty at Hanoi Medical University Hospital and Ruby Hospital between 2017 and 2020. All rhinoplasty procedures consisted of lower lateral cartilage repositioning, a dorsal augmentation with silicone implant, columellar strut implant or graft, and onlay tip grafts. Cartilage was obtained from the septum and concha, ...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Rotation Advancement Distraction Osteogenesis Technique is Attributed to Unilateral Lambdoid Synostosis and is Used to Correct Posterior Plagiocephaly
Unilateral lambdoid synostosis is the rarest form of craniosynostosis. Surgical correction is technically challenging from a morphological standpoint and is used to decompress intracranial pressure. Herein, the authors present a “rotational advancement bone flap” technique for the repair of posterior plagiocephaly. A bicoronal skin incision was performed, to expose the occipital region. The rotational advancement bone flap was designed to hinge off the nonsynostotic side, and it was set up to include an occipital protrusion on the normal side. On the premature side, an advancement bone flap was set up to include the fl...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Application of Patient-Specific PEEK Implant for Aesthetic Considerations in Paranasal Augmentation
The paranasal area is closely associated with midfacial esthetics. However, there is no special technique available to achieve ideal esthetics paranasal restoration. The present study aims to apply the 3D printed PolyEtherEtherKetone (PEEK) implants as an innovative solution for esthetic paranasal reconstruction. On the basis of the CT scan, the patient-specific PEEK implant and a surgical guiding plate were manufactured aided by a computer. Preoperative and postoperative CBCT data were utilized to evaluate esthetic outcomes. The average follow-up period was 13 months. All patients’ wounds healed by first intention. The ...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Labia Minora Transplantation With Local Flap for Reconstruction of Full-Thickness Defect of the Lower Eyelid
Large lower eyelid full-thickness defects require reconstruction before closure. Although several methods for replantation of the posterior lamella are reported, there are advantages and disadvantages. Herein, the authors report reconstruction of the posterior lamella of the lower eyelid by labia minora transplantation. A 70-year-old woman developed basal cell carcinoma of the right lower eyelid. Excision of the tumor resulted in a full-thickness defect of 25 mm in width on the central portion of the lower eyelid. The posterior lamella was reconstructed by labia minora transplantation, whereas the anterior lamella was rec...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
An Elderly Patient With Crouzon Syndrome Treated With Monobloc Distraction
Monobloc advancement by distraction osteogenesis is the treatment of choice in patients with syndromic craniosynostosis. This procedure is usually performed at 18 to 24 months/5 to 10 years of age. Herein, we present the case of a male patient with Crouzon syndrome who underwent monobloc advancement at the age of 62 years. Although the patient lived a normal life (employed, married, and being a father of a daughter), he visited our hospital for surgical improvement in facial esthetics. The patient underwent monobloc advancement by distraction osteogenesis. He was satisfied with the postoperative esthetic improvement and di...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
A Novel Forceps for Preventing Mucosal Damage of the Hard Palate in Maxilla Mobilization During Le Fort I Osteotomy
At present, the most effective and common strategy to mobilize the maxilla is to use Rowe disimpaction forceps. But because of the directed forces on the hard palate, the mucosa of the hard palate will have to receive an ineluctable mechanical injury. Therefore, we introduce a novel forceps (Patent No. 202110966069.X China), which can accurately and steadily clamp the maxilla on the premise of protecting the hard palate mucosa from loss of palatal vascularity and pressure necrosis, and then thoroughly mobilize the maxilla. Complaints and mucosal damage were not observed in the initial 3 patients. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
One Patient of Blepharoptosis Caused by Levator Palpebrae Superioris Aponeurosis Degeneration
Ptosis is one of the common diseases of plastic surgery, which is caused by various causes of levator palpebrae superioris dysfunction or Müller muscle insufficiency, which is manifested by the upper eyelid margin being lower than normal when level viewed. Ptosis can be divided into congenital and acquired, and the main cause of congenital ptosis is due to congenital levator palpebrae superioris dysplasia or the motor nerve innervation that innervates it is caused by abnormal oculomotor neurodevelopment and dysfunction. Acquired ptosis can be divided into traumatic, neurogenic, myogenic, senile, mechanical, and false ptos...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Three-Dimensional Visualization of Postsurgical Airway Changes Using 3D Printing Technology in a Patient With Mandibular Prognathism: A 5-Year Follow-up Study
This case-report described the 3-dimensional (3D) evaluation of airway changes using 3D printing technology in a patient with mandibular prognathism, treated via mandibular setback surgery with maxillary posterior impaction. The airway dimensions, following orthognathic surgery, were printed using 3D printing technology and the sequential airway changes were visualized. The patient underwent orthognathic surgery for the correction of mandibular prognathism. Five years later, the airway changes were visualized and evaluated using rapid prototyping. The 3D visualization of the airway changes following surgery alerted clinici...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Fenestrated Maxillary Artery
The external carotid artery divides terminally into the superficial temporal and maxillary arteries (MA), deep to the base of the neck of the mandible. Arterial fenestrations are commonly found in the vertebrobasilar and internal carotid systems but are rarely encountered, or reported, in the external carotid artery system. The archived computed tomography angiograms of a 70-year-old male patient were observed anatomically. Inferior to the posterior end of the lateral pterygoid muscle was found a fenestrated segment of the MA, oriented mediolaterally. The middle meningeal artery left the superior arm of that fenestration. ...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Surgical Management of Necrotizing Fasciitis of the Head and Neck
Conclusion:
Immediate surgical intervention should be performed when treating patients presenting with NF of the head and neck. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Maxillofacial Fractures in the Province of Terni (Umbria, Italy) in the Last 11 Years: Impact of COVID-19 Pandemic
The main purpose of this retrospective study is to analyze the main causes and the main anatomical structures involved in maxillofacial traumas in the province of Terni, Umbria. From January 2009 to July 2021, 603 patients were admitted with a maxillofacial trauma diagnosis and underwent surgery at “Santa Maria Hospital” in Terni, Italy. The collected data included sex, age, nationality, cause of trauma, type of fractures, comorbidities, clinical signs, symptoms, date of admission, and date of discharge from the hospital. Causes were divided into 5 categories: road traffic accidents, accidental falls, physical assault,...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Evaluation of Quantitative Aspects of Craniofacial Deformities in Transfusion Dependent Beta-Thalassemia Major Patients: A Cephalometric Study
Conclusion:
The skeletal class II malocclusion appears to be a manifestation of generalized growth retardation/delayed puberty in thalassemic patients leading to diminished mandibular growth, rather than maxillary prognathism due to marrow hyperplasia. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
Edentulous Space Closure Using a Clear Aligner System After Alveolar Ridge Split Augmentation
Orthodontic tooth movement in adult edentulous, atrophic posterior mandibular alveolar ridges is a challenging task. In this case report, a young adult woman seeking an aesthetic orthodontic solution, presented with mandibular alveolar ridge atrophy due to a congenitally missing lower incisor. Alveolar ridge splitting technique using piezosurgery for bone augmentation was selected to minimize the risks of orthodontic movement in the atrophic edentulous space. Orthodontic corrections were planned and executed with a clear aligner system. The surgical and orthodontic interventions combined well together, addressing patients...
Source: Journal of Craniofacial Surgery - November 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research
