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Peculiarities in surgical treatment in childhood: Can we ignore?
Published in Byung-Boong Lee, Peter Gloviczki, Francine Blei, Jovan N. Markovic, Vascular Malformations, 2019
Bleomycin sclerosis is recommended as the first therapeutic option for symptomatic orbital LMs.5 Severe intralesional bleeding of intraconal malformations is an emergency requiring immediate decompression in order to avoid irreversible visual loss. An expert craniofacial surgery team will decide on an extra- or intracranial approach for such a procedure.
Craniofacial Surgery
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Benjamin Robertson, Sujata De, Astrid Webber, Ajay Sinha
Craniofacial surgery is the medical specialty that diagnoses and manages complex congenital and acquired conditions of the craniofacial skeleton and associated structures. Patients with such conditions vary in their development and phenotypic presentation. Traditionally, these were thought of as congenital conditions but the term can be all-encompassing.
Evaluation and Management of V pattern Strabismus in Craniosynostosis
Published in Journal of Binocular Vision and Ocular Motility, 2020
Abdelrahman M. Elhusseiny, Elisah M. Huynh, Linda R. Dagi
Timing and potential impact of craniofacial surgery remain somewhat controversial. Diamond et al. evaluated the ocular misalignment after craniofacial reconstruction. They reported that out of 120 patients who underwent complete ocular examination pre-and postoperatively, only nine patients developed a change in their primary position ocular alignment and this was persistently more than 10 prism diopters in only 3 patients.32 In contrast, Samra et al. demonstrated new-onset strabismus in about 40% of patients with UCS after fronto-orbital advancement.33 Diamond recommended early strabismus surgery before craniofacial reconstruction in an attempt to achieve single binocular vision.32,34 Conversely, Morax evaluated the ocular alignment in patients with craniosynostosis undergoing a major subtotal orbital translocation surgery. He reported that exotropia was decreased in 8 out of 9 Crouzon syndrome patients; however, esotropia remained unchanged in two patients with Apert syndrome.35 Fortunately, the current trend toward earlier craniofacial intervention (by 4 months of age for endoscopic procedures and close to year of age for cranial vault expansion) makes awaiting completion of the primary craniofacial repair reasonable. At our institution, it is rare to consider intervention before primary craniofacial repair (by about a year of age). Although secondary craniofacial surgery may prove necessary later in life, it is generally not advisable to delay indicated strabismus surgery until this time, as the delay may impact binocularity.
Is it possible that direct rigid laryngoscope-related ischemia–reperfusion injury occurs in the tongue during suspension laryngoscopy as detected by ultrasonography: a prospective controlled study
Published in Acta Oto-Laryngologica, 2020
Merih Onal, Bahar Colpan, Cagdas Elsurer, Mete Kaan Bozkurt, Ozkan Onal, Alparslan Turan
This study involved two groups. The first group is the study group. Patients aged 20 years or older and were to undergo SL procedure were eligible for inclusion in this group. Informed consent was obtained from all patients, who were to undergo an SL procedure for any indication, including laryngeal polyp, nodule, cyst diagnosed by endoscopy, and biopsy for a suspected lesion. The exclusion criteria were as follows: (i) refusal to participate; (ii) age of <20 years; (iii) history of syndromal craniofacial abnormalities (e.g. Down syndrome); (iv) occurrence of tongue masses; (v) history of craniofacial surgery; (vi) history of burns, trauma or radiotherapy involving the head and neck region; (vii) neurologic disorders and patients with obstructive sleep apnea syndrome (OSAS); (viii) active inflammation in the head and neck region; or (ix) cervical rigidity limiting neck flexion and head extension. Tongue areas were calculated twice for per patient with submental USG by an anesthesiologist with 15 years of experience, and expert in airway ultrasonography and trained by a staff radiologist in terms of tongue evaluation with USG. Three measurements were taken, and mean of the two closest measurements was employed in the analysis for every single measurements. The first measurements (TA1) were done immediately after endotracheal intubation before introducing the rigid direct laryngoscope, whereas the second measurements (TA2) were done after the SL procedure and after removing the rigid direct laryngoscope just before extubation (Figure 1). The difference between TA2 and TA1 (i.e. TA2 − TA1) were used to define the occurrence of tongue edema.
In search of a single standardised system for reporting complications in craniofacial surgery: a comparison of three different classifications
Published in Journal of Plastic Surgery and Hand Surgery, 2019
Anna Paganini, Madiha Bhatti-Söfteland, Sara Fischer, David Kölby, Emma Hansson, Justine O’Hara, Giovanni Maltese, Peter Tarnow, Lars Kölby
Craniofacial surgery (CFS) comprises both isolated and syndromic conditions encompassing diverse surgical techniques. As part of surgical quality control, evaluating and reporting complications is essential to decreasing surgical morbidity and improving surgical outcomes.