The Journal of craniofacial surgery
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Letter Case Reports
Third- and second-degree ear burn by heating radiator.
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Spring-assisted surgery (SAS) has demonstrated promising results for the treatment of sagittal craniosynostosis. The purpose of this study was to assess the outcomes of the first 75 cases compared with a prospectively collected group of patients treated with cranial expansion (cranial vault remodeling [CVR]). ⋯ Spring-assisted surgery is a safe, effective, minimally invasive treatment of scaphocephaly. It combines the low morbidity and the operative time of a strip craniectomy with dynamic reshaping techniques while the implanted spring gradually distracts the skull, improving head shape. Our 7 years of experience has shown that SAS effectively corrected cranial shape including frontal bossing with maintained results over time.
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Case Reports
Massive pneumomediastinum and subcutaneous emphysema secondary to isolated zygomaticomaxillary complex fracture.
Posttraumatic subcutaneous emphysema is a well-known complication after facial injury, but diffusion of gas into the mediastinum is uncommon. There are only a few cases described in the literature of a pneumomediastinum (PM) after an isolated facial trauma. ⋯ The patient recovered after treatment with antibiotics and analgesia. The zygomaticomaxillary complex fracture was treated 10 days later.
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The objective of this study was to recognize the endoscopic anatomy of the clival region of the skull base and its neurovascular relations, which will make us able to perform safer and minimal invasive endoscopic approaches to this region with lower rate of complications. ⋯ Binostril extended endoscopic endonasal approach is an appropriate approach to the clival region of the skull base. With good knowledge of the endoscopic anatomic features of this region and its neurovascular relations, surgical procedures can be performed safely with more minimal invasiveness.
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Eagle syndrome is considered a rare disease. It is an aggregation of symptoms that includes neck, throat, and hemifacial pain; sensation of foreign body in the throat; dysphagia; otalgia; and change in voice as a direct result of an elongated styloid process or calcified stylohyoid ligament. The clinical diagnosis is generally difficult and must be confirmed by radiologic imaging. ⋯ Computed tomographic scan showed a long left styloid process and calcification in the upper part of the stylohyoid ligament suggestive of Eagle syndrome. The patient underwent surgical removal of the elongated styloid process through an intraoral approach. The patient became symptom-free at 9 months after the surgery.