Evolution of craniofacial surgery

Lo, Lun Jou

doi:10.7181/acfs.2022.00094

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…The diagnosis relies on a combination of the characteristic clinical presentation, imaging findings, histological evidence, and the identification of a heterozygous pathogenic variant in SH3BP2 through molecular genetic testing. Imaging typically reveals an expanded bone structure with multilocular radiolucency, a coarse trabecular pattern, and cortical bone thinning [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical management of severe cherubism persisting into early adulthood: a case report and literature review

Choi,

Ji,

Kim

et al. 2024

Arch Craniofac Surg

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Cherubism is a rare fibro-osseous condition characterized by bilateral expansion of the mandible and maxilla. Due to its rarity, treatment guidelines for cherubism have not been clearly established. Observation without surgical intervention is typically recommended, as cherubism often regresses spontaneously after puberty. However, a surgical intervention may be necessary if aggressive lesions lead to severe complications. In this report, we present a case involving surgical management of cherubism that did not spontaneously regress until early adulthood. An 18-year-old man was diagnosed with cherubism, presenting characteristic upward-looking eyes and a swollen face. He strongly desired surgical management. Gross contouring of the mandible was performed using an osteotome. Subsequently, delicate contouring was performed by bone burring and curettage. The remaining multiple locular bony defects were filled with demineralized bone matrix. No major complications, including infection and hematoma, occurred during the 8-month follow-up period. The facial contour remained stable without the aggravation of cherubism. The patient was satisfied with the cosmetic results. Considering that cherubism is a rare disease globally, with few reported cases in Korea, and that treatment guidelines are not clearly established, we anticipate that the results of this case will contribute to the development of future protocols for treating cherubism.

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Section: Introductionmentioning

confidence: 99%

Surgical management of severe cherubism persisting into early adulthood: a case report and literature review

Choi,

Ji,

Kim

et al. 2024

Arch Craniofac Surg

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“…As neurosurgical and craniofacial techniques advance, reducing morbidity and postoperative facial deformities with consideration of aesthetic results are becoming increasingly important concerns [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Cranioplasty and temporal hollowing correction with a three-dimensional printed bioresorbable mesh and double vertical suture anchor muscle sling: a case report

Choi¹,

Roh²,

Lee³

et al. 2022

Arch Craniofac Surg

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Postoperative temporal hollowing is a common complication of craniotomy. Damage and repositioning of the temporalis muscle can lead to a depression in the temporal side of the skull with inferior bulging, worsening aesthetic outcomes. We report a case of cranioplasty with three-dimensional (3D) printed mesh involving an additional correction using a temporalis muscle sling to help address this problem. A 3D-printed bioabsorbable mesh was prepared based on preoperative facial computed tomography, and was fixed to the hollowed area for tissue augmentation. The temporalis muscle was elevated and fanned out to its original position, and a sling was attached to a screw that was fixed to the mesh. For reinforcement, an additional sling was attached to another screw fixed to the mesh 2–3 cm vertically above the first screw. Aesthetic results were confirmed immediately after surgery and later during outpatient follow-up. Both depression and lateral bulging were resolved, and there was no delayed drooping of the temporalis muscle on 6-month follow-up. There were no complications, and the patient was satisfied with the appearance. This is a simple yet effective technique with a low risk of complications, and should be considered for postoperative temporal hollowing patients, especially those with severe lateral bulging.

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Le Fort I Osteotomy

Kim

2024

Handbook of Oral and Maxillofacial Surgery and Implantology

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Evolution of craniofacial surgery

Cited by 4 publications

References 7 publications

Surgical management of severe cherubism persisting into early adulthood: a case report and literature review

Surgical management of severe cherubism persisting into early adulthood: a case report and literature review

Cranioplasty and temporal hollowing correction with a three-dimensional printed bioresorbable mesh and double vertical suture anchor muscle sling: a case report

Le Fort I Osteotomy

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