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Published By SAGE Publications

2732-5016, 2732-5016

FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Shelby Nathan ◽  
Michelle Shang ◽  
Russell Reid

Introduction/Background: The purpose of this systematic review is to assess the literature regarding complications associated with intraoperative blood salvage (IOBS) in the setting of surgical management of craniosynostosis. Methods: A systematic review was performed using PubMed/MEDLINE by 2 independent reviewers which included any primary literature investigating the use of IOBS in the surgical management of craniosynostosis. Results: The literature search resulted in 354 initial articles. After removing duplicates and articles not written in English, 330 articles underwent title review, resulting in 25 papers for abstract review. A total of 24 manuscripts were reviewed and 9 were deemed appropriate for inclusion of this systematic review. Two of the nine articles mentioned complications as a secondary objective. Conclusion: There is a paucity of current literature measuring the complications of IOBS in craniosynostosis patients undergoing cranial vault reconstruction.


FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Hannes Prescher ◽  
Shelby L. Nathan ◽  
Bruce S. Bauer ◽  
Russell R. Reid

Branchial cleft anomalies are congenital head and neck lesions that arise from incomplete maturation of the branchial apparatus during fetal development. The branchial arches are the precursors of the face, neck and pharynx, and disturbances in embryogenesis can present clinically as cysts, sinus tracts, and fistulas in predictable anatomic locations. However, there remains controversy regarding the precise embryogenesis of branchial cleft anomalies with several competing theories. These lesions often evade diagnosis in early childhood and may present in a delayed fashion after multiple failed interventions. Various diagnostic modalities have been described to facilitate clinical workup. Definitive treatment is complete surgical excision of the lesion. We present a comprehensive review of the literature along with several illustrative cases that highlight the unique challenges of diagnosis and surgical management of branchial cleft anomalies.


FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Ashley E. Rogers ◽  
Jessica S. Wang ◽  
Stephen B. Baker

FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Mikhail Pakvasa ◽  
Hannes Prescher ◽  
Bryce Hendren-Santiago ◽  
Tony Da Lomba ◽  
Nicholas McKenzie ◽  
...  

Introduction: Stereolithography, also known as 3D printing (3DP), is a versatile and useful technology with many healthcare applications. While 3DP has gained tremendous popularity, it remains a daunting and perceptibly time-consuming process for the inexperienced user, with most turning to commercially printed products. Commercial vendors are expensive. We propose that 3DP is feasible for the inexperienced user with the appropriate knowledge and tools. Methods: A 3DP protocol was created for model design and printing using open-source software and a low-cost desktop printer. It was betatested by 3 inexperienced users. The fidelity of the protocol was then tested in direct comparison to industry models made for 3 patients undergoing mandibular distraction osteogenesis, using standard cephalometric measurements. Results: All inexperienced testers were able to successfully create a 3D model using the easy-to-follow protocol without the use of any other resources. The models were created in a mean time of 170 minutes. All cephalometric measurements on the open-source printed models were equal to within 0.5 to 1.0 mm of the respective industry models. Conclusions: As the 3DP process is simplified and desktop printers and materials become more affordable, we anticipate that its implementation will become more commonplace. We describe a step-by-step, protocol using open-source software and affordable materials to create 3D models.


FACE ◽  
2022 ◽  
pp. 273250162110723
Author(s):  
Thomas J. Sorenson ◽  
Rami P. Dibbs ◽  
Matthew D. Rich ◽  
Abhinav Lamba ◽  
Ashish Mahajan

FACE ◽  
2022 ◽  
pp. 273250162110696
Author(s):  
Walter H. Wilson ◽  
Peter D. Waite ◽  
Zeyad Alrajhi ◽  
Kathlyn Powell ◽  
Randy Q. Cron ◽  
...  

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatologic disease of childhood and frequently affects the temporomandibular joints (TMJ). JIA TMJ management requires a team approach. Initially, TMJ JIA involvement is managed with systemic therapy or intra-articular medications to treat symptoms and limit the growth deformity, however may later require surgical intervention. This case series describes 4 patients with different presentations and treatments of juvenile idiopathic arthritis affecting the temporomandibular joints to illustrate a proposed treatment algorithm. This algorithm is not designed to be an absolute treatment regimen but a framework to help clarify the presenting problems and interventions that may be considered to treat JIA associated temporomandibular dysfunction and dentofacial deformity. This case series represents the variety of JIA temporomandibular joint disease and offers a graduated appropriate treatment algorithm.


FACE ◽  
2022 ◽  
pp. 273250162110696
Author(s):  
Sultan Z. Al-Shaqsi ◽  
Senthujan Senkaiahliyan ◽  
Christopher R. Forrest ◽  
Tara D. Der ◽  
John H. Phillips

Craniofacial and orthognathic surgery are high risk procedures for surgical blood loss. Significant blood loss leads to increased rates of blood product transfusion which may be associated with increased morbidity to the patient. The use of anti-fibrinolytics such as tranexamic acid has become popular in these procedures. However, the evidence to support its use in pediatric craniofacial and orthognathic surgery is sparse. This review analyzes the current randomized control trials assessing the use of tranexamic acid in craniofacial and orthognathic surgery. The study reviewed published literature up until December 20th, 2020. Six trials were included in this analysis. Pooled data showed that patients who received tranexamic acid during craniofacial or orthognathic surgery have less blood loss compared to those in control groups (mean difference—5.47 ml/kg [CI -7.02-3.82], P value <.05). Hence, rate of blood product transfusion in patients who received tranexamic acid is lower than control group by 2.01 ml/kg (CI 95%, 1.27-2.74, P value <.05). In summary, this review showed that craniofacial and orthognathic surgery patients who receive tranexamic acid might have lower estimated blood loss and receive less volume of blood products transfusion.


FACE ◽  
2021 ◽  
pp. 273250162110675
Author(s):  
Sara A. Neimanis ◽  
Joseph K. Williams ◽  
Colin M. Brady

FACE ◽  
2021 ◽  
pp. 273250162110643
Author(s):  
Patrick E. Assi ◽  
Alixendra Hunzicker ◽  
John Jones ◽  
John Pemberton ◽  
Michael Samuel Golinko

Within the field of craniofacial trauma surgery, reconstruction following high-energy ballistic injuries to the face remains a daunting task requiring a multidisciplinary approach for best outcomes. These injuries are complex with large defects requiring reconstruction of different lamellae and skeletal buttresses of the face and no 2 are exactly alike. The reconstruction efforts are multidimensional and focus on restoring facial height, width, projection, jaw occlusion, and function. We present a challenging course of a 56 year old patient with a self- inflicted gunshot wound to the face that resulted in devastating injuries to the mandible and midface. We describe our multistage and multiple technique surgical approach that spanned nearly 2 years and 11 operations that included open reduction, internal fixation of extensive facial fractures, primary bone grafting, free fibula for maxillary reconstruction and palatal fistula obliteration, pre-expanded paramedian forehead flap, and mandibular distraction. In reviewing the patient’s course, his complications, and wins, we were inspired by the fundamentals principles of head and neck reconstruction as we interpreted from the famous “Ten Commandments of Drs. Gillies and Millard.” We discuss these Commandments with the reader in our reflection of this challenging reconstruction and hope others, particularly, those in training are encouraged to find application of the “Ten Commandments” we review as they develop their own surgical practices and styles.


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