JOURNAL OF CRANIOFACIAL SURGERY颅面外科杂志
JOURNAL OF CRANIOFACIAL SURGERY(英文缩写 J CRANIOFAC SURG),ISSN 1049-2275,eISSN 1536-3732,中文译名:颅面外科杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-28 至 2026-09-28，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.172 | Q4 |
| 2022 | 0.900 | Q4 |
| 2023 | 1.000 | Q3 |
| 2024 | 1.000 | Q3 |
| 2025 | 1.100 | Q3 |
JOURNAL OF CRANIOFACIAL SURGERY 最新收录文献
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1. The Role of Cannabis in Recurrent Adolescent Gynecomastia.
PMID:日期:2026-09-25Gynecomastia is a common condition affecting adolescent males, and recurrence following surgical excision is not uncommon. Cannabis has been proposed as a potential endocrine system disruptor, though its role in gynecomastia or its recurrence remains unclear. We present a case series of 3 adolescent males who underwent initial excision for gynecomastia, reported postoperative cannabis use, and developed recurrence requiring secondary surgery. All patients had normal baseline endocrine evaluations and varied in body mass index, disease severity, and laterality. Recurrence occurred despite stable or decreased body weight. Secondary surgical management was successful, with no further recurrence at 1-year follow-up, and patients discontinued cannabis use. While causality cannot be established, these cases highlight a potential association between cannabis use and recurrent male breast glandular proliferation. Clinicians should consider counseling patients on modifiable risk factors, including substance use. Further prospective studies are needed to better define this relationship and its underlying mechanisms.
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2. Nursing Care of a Patient With Postoperative Complications Following LeFort III Osteotomy Combined With External Distraction.
PMID:日期:2026-09-25This case report describes the clinical management and nursing care of a 9-year-old boy with Crouzon syndrome who developed complications following LeFort III osteotomy with external distraction. Two weeks after the initial procedure, the patient presented with loosening of the external distraction frame, skull fracture, cerebrospinal fluid leakage, and MRSA-associated dural infection. He underwent revision surgery involving device repositioning, meticulous debridement, periosteal flap repair, targeted antimicrobial therapy, and closed irrigation drainage. A comprehensive nursing protocol was implemented, emphasizing infection control, monitoring for cerebrospinal fluid leakage and intracranial hypertension, maintenance of the distraction system, oral hygiene, and psychological support. Continued midface distraction using a facial bow allowed successful completion of the treatment course. Over 2 years of follow-up, the patient demonstrated significant improvement in craniofacial morphology, ocular prominence, and psychosocial functioning, highlighting the importance of timely intervention and coordinated multidisciplinary care in managing postoperative complications of craniofacial distraction.
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3. Intraoperative Platelet-Rich Plasma Is Associated With Improved Scar Quality Following Blepharoplasty: A Randomized, Single-Blinded Controlled Trial.
PMID:日期:2026-09-25Platelet-rich plasma (PRP) has been proposed as an adjunct to enhance wound healing; however, its role in aesthetic eyelid surgery remains unclear. This study evaluated the effect of intraoperative PRP application on wound healing, scar formation, and psychosocial outcomes in patients undergoing upper eyelid blepharoplasty. In this prospective, randomized, single-blinded controlled trial, 54 patients undergoing upper eyelid blepharoplasty were assigned to either a PRP group (n=26) or a control group (n=28). PRP was applied intraoperatively in the treatment group, while no additional intervention was performed in the control group. Scar outcomes were assessed at postoperative months 1 and 6 using the Patient and Observer Scar Assessment Scales. Anxiety and depression were evaluated preoperatively and at 6 months using the Beck Anxiety Inventory and Beck Depression Inventory. Quality of life was assessed at 6 months using the Glasgow Benefit Inventory. At both 1 and 6 months, patient- and observer-reported scar scores were significantly lower in the PRP group than in the control group (P<0.01), indicating improved wound healing and scar quality. Both groups showed significant reductions in anxiety and depression at 6 months compared with baseline (P<0.001), with no significant between-group differences. Quality of life improved in all patients, with no significant differences between groups. Intraoperative PRP improves wound healing and scar quality after blepharoplasty but does not provide additional benefit in anxiety, depression, or quality-of-life outcomes.
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4. Ultrasound-Guided Serratus Anterior Plane Block in Pediatric Microtia Reconstruction: A Systematic Review and Single-Arm Meta-Analysis.
PMID:日期:2026-09-24Costal cartilage harvest for autologous auricular reconstruction in children with microtia is associated with significant postoperative chest wall pain. Ultrasound-guided serratus anterior plane block (SAPB) has emerged as a promising analgesic technique for this population, yet pooled quantitative estimates of its efficacy and safety are lacking. To perform a systematic review and single-arm meta-analysis estimating the pooled efficacy and safety of ultrasound-guided SAPB in pediatric patients undergoing auricular reconstruction with costal cartilage harvest. We systematically searched PubMed, Scopus, and the Cochrane Library from inception to February 26, 2026, following PRISMA guidelines and the Cochrane Handbook. The study protocol was registered in PROSPERO (CRD420261293444). Eligible studies enrolled pediatric patients with microtia undergoing auricular reconstruction with costal cartilage harvest and reported at least 1 prespecified outcome. Pooled means and proportions were calculated using the inverse variance method with random-effects models. Between-study heterogeneity was assessed using the Cochran Q test and I2 statistic. Five randomized controlled trials enrolling 179 patients were included. Pooled rest pain scores peaked at 12 hours (mean: 3.28, 95% CI: 3.09-3.49; I2=51%) and declined to 1.15 (95% CI: 0.81-1.63) at 48 hours. Cough pain similarly peaked at 12 hours (mean: 4.35, 95% CI: 3.92-4.82; I2=90%) and resolved to mild levels by 48 hours. The pooled mean analgesic duration was 11.65 hours (95% CI: 10.59-12.80; I2=87%), 24-hour PCIA consumption was 55.65 mL (95% CI: 46.13-67.15; I2=99%), and rescue analgesic incidence was 18.37% (95% CI: 11.88%-27.30%; I2=0%). Pooled adverse event rates were low: dizziness 6.10% (95% CI: 3.00%-11.98%), postoperative nausea and vomiting 14.97% (95% CI: 9.96%-21.90%), and pruritus 1.77% (95% CI: 0.51%-5.92%). Pooled mean extubation time was 14.31 minutes (95% CI: 13.66-14.99), and ambulation time was 18.68 hours (95% CI: 17.61-19.83). Sensitivity analyses confirmed the stability of all pooled estimates. Ultrasound-guided SAPB provides consistent early donor-site analgesia in pediatric microtia reconstruction, reducing supplemental opioid requirements and supporting favorable recovery profiles without increasing procedural complications. These findings support its integration into multimodal perioperative analgesia strategies for this population. Level IV-therapeutic study.
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5. Evaluation of the Human Recombinant Bone Morphogenetic Protein-2 Combined With Anorganic Bovine Bone in Maxillary Sinus Augmentation: A Prospective Study.
PMID:日期:2026-09-24The purpose was to evaluate the effects of recombinant human bone morphogenetic protein-2 (rhBMP-2) combined with anorganic bovine bone (ABB) on bone regeneration following maxillary sinus augmentation. Sixteen patients (9 men, 7 women; mean age: 59.6 y) who required sinus floor elevation for implant placement in the maxilla were randomly assigned to 2 groups. The ABB group received ABB, while the ABB+BMP group received ABB with rhBMP-2 for maxillary sinus augmentation. Five months later, bone core biopsies were harvested during implant placement using a trephine bur. Each specimen was analyzed using μ-CT to measure the bone volume (BV/TV), bone mineral density (BMD), trabecular thickness (TbTh), and trabecular separation (TbSp). Histologic evaluation was performed to calculate the new bone formation ratio (NBF). The μ-CT analysis revealed higher mean values of BV/TV (50.61±13.86%), BMD (0.646±0.059 g/cm3), and TbTh (0.097±0.050 mm) in the ABB+BMP group than in the ABB group (43.92±9.77%, 0.632±0.053 g/cm3, and 0.096±0.027 mm, respectively), while TbSp was lower. Although these differences did not reach statistical significance due to the limited sample size, the overall numerical trends indicated a potential for denser trabecular structure and greater bone mineralization in the ABB+BMP group. The mean NBF was higher in the ABB+BMP group (17.08±7.62%) compared with the ABB group (14.03±5.96%). Within the limitations of this underpowered study, no statistically significant differences were observed between the groups. However, the numerical trends suggest that rhBMP-2 has the potential to support qualitative improvement in bone maturation and trabecular structure within grafted sinuses. rhBMP-2 may serve as an effective adjunct to ABB, but further adequately powered trials are required to confirm this efficacy.
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6. Median Upper Lip Cleft: Phenotypic Features and Reconstructive Considerations.
PMID:日期:2026-09-24Median (Tessier 0) cleft lip includes phenotypes ranging from preserved midline dysraphia to hypoplastic midline deficiency associated with primary palate agenesis. Despite these differences, management is often based on principles used for conventional cleft lip repair. The longitudinal effects of reconstruction in hypoplastic variants remain poorly defined. This retrospective descriptive case series included 13 patients with median upper lip cleft treated at a single craniofacial center. Patients were grouped into dysraphic and hypoplastic phenotypes. Clinical presentation, prior treatment, operative approach, and longitudinal changes in nasal morphology were evaluated using serial photographs over 2 to 5 years (mean: 3.6 y). Four patients demonstrated a dysraphic phenotype with preserved midline tissue and underwent early repair without observed progressive nasal narrowing during follow-up. Nine patients demonstrated a hypoplastic phenotype with varying degrees of midline deficiency. Within this subgroup, all patients referred after prior early direct closure performed elsewhere (4/4) developed progressive nasal narrowing during follow-up. Five hypoplastic patients underwent delayed reconstruction; 3 maintained stable nasal morphology, and 2 demonstrated progressive narrowing during follow-up. Hypoplastic median cleft demonstrated morphologic features consistent with midline developmental deficiency rather than simple tissue separation. Progressive nasal narrowing was observed during follow-up in all 4 hypoplastic patients referred after prior early direct closure performed elsewhere; 2 of 5 hypoplastic patients undergoing delayed reconstruction also demonstrated progressive narrowing. Because of the small sample size, referral bias, heterogeneous treatment history, incomplete operative data, and the lack of standardized morphometric and airway assessment, these observations are descriptive and do not establish treatment efficacy or causal associations.
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7. The Face of Lucifer: Beauty, Shadow, and the Ethics of Craniofacial Aesthetics.
PMID:日期:2026-09-24Beauty has traditionally been regarded as a visible expression of harmony, virtue, and moral excellence. The ancient Greek concept of kalokagathia united physical beauty with ethical goodness, while Polykleitos' Kanon established proportion as an ideal of human perfection. However, Western art and literature also preserve an enduring counterexample: Lucifer, the radiant "light bearer" whose fall symbolizes the separation of beauty from virtue. This editorial explores that paradox through the complementary archetypes of Lucifer and the femme fatale, drawing upon philosophy, literature, art history, and contemporary craniofacial aesthetics. Previous analyses of Western portraiture demonstrated that femme fatales differ from beautiful women less by anatomic structure than by gaze, orbital shadow, and artistic interpretation, while cross-modal analysis of opera revealed parallel encoding through vocal depth rather than brightness. These observations suggest that aesthetic meaning arises not solely from measurable form but from cultural interpretation and ethical context. For craniofacial surgeons, beauty should therefore be understood as more than symmetry or proportion. The surgeon's role extends beyond technical reconstruction to the restoration of identity, dignity, and authenticity. Ultimately, aesthetic surgery should pursue not beauty in isolation, but beauty integrated with human values, reaffirming the surgeon's responsibility as both a sculptor of form and a guardian of meaning.
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8. Satisfaction With Anaplastology and Willingness for Face Transplantation in Patients With Facial Epitheses: A Pretest Study.
PMID:日期:2026-09-24Extensive facial defects can significantly affect self-confidence, psychological well-being, and social interaction. While facial epitheses offer aesthetic coverage, they oftentimes do not restore function. Facial Vascularized Composite Allotransplantation (FVCA) has emerged as a promising solution that addresses both appearance and function. However, little is known about how patients with epitheses perceive these 2 treatment options. We conducted a 2-round, patient-centered survey pretest to evaluate the feasibility, comprehensibility, and preliminary face validity of a questionnaire evaluating patients' views on living with epitheses, concerns about facial transplantation, and expectations for aesthetic and functional outcomes. Quantitative measures included ratings of exemplary surgical results and optimism toward transplantation; qualitative data captured psychological and social experiences. Ten patients (100%) participated with no dropouts. All emphasized the value of epitheses despite limitations and maintenance demands. Immunologic rejection was cited as the main barrier to FVCA (60%), while prolonged hospitalization and temporary functional loss were less concerning. Aesthetic results were rated highly, with a mean score of 89.9/100. This pilot study supports the questionnaire's potential to assess patient perspectives on epitheses and FVCA. Epitheses were considered important for psychological well-being and social functioning, yet functional deficits persisted. Patients showed openness to learning about FVCA, despite concerns about immune rejection. Further studies with larger samples are needed to confirm and expand the findings of this pretest.
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9. Medication Regimens for Orthognathic Surgery: Comparative Effects on Hemodynamics and Pain Control.
PMID:日期:2026-09-24Enhanced recovery after surgery protocols have been increasingly applied to orthognathic surgery, but the effects of standardized phase-specific anesthetic regimens on perioperative hemodynamics and pain control remain incompletely characterized. This study evaluated standardized induction and emergence protocols in patients undergoing orthognathic surgery. A retrospective cohort study was performed of patients undergoing Le Fort I osteotomy at a single tertiary academic center between 2019 and 2025. Patients were stratified into 4 groups: both induction and emergence protocols, induction protocol only, emergence protocol only, and conventional anesthetic management. Primary outcomes included mean arterial pressure (MAP) and heart rate at standardized perioperative time points. Secondary outcomes included pain scores on postoperative days 0 through 2. A sub-analysis evaluated the isolated effect of tranexamic acid (TXA). The study included 171 patients: 137 controls, 12 induction-only, 18 emergence-only, and 4 both-protocol patients. Baseline clinical variables, including obstructive sleep apnea, airway history, sex, body mass index, and American Society of Anesthesiologists (ASA) class, were comparable across cohorts (P>0.05). MAP upon awakening differed significantly across cohorts, with the lowest value in the both-protocol cohort. Median and maximum postoperative day 0 pain scores were also significantly lower in both-protocol patients compared with controls. In the control cohort, TXA was associated with significantly lower intraoperative MAP. Standardized emergence-based anesthetic protocols were associated with improved early postoperative hemodynamic control and reduced acute pain after orthognathic surgery. TXA may independently reduce intraoperative MAP, although prospective studies are needed to validate these findings.
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10. Prevalence of Thoracic Complications Following Costochondral Grafting: A Nationwide Estimate in the United States.
PMID:日期:2026-09-23The costochondral graft (CCG) is a well-established reconstruction modality for the temporomandibular joint (TMJ), particularly for the growing patient. Donor site complications such as pneumothorax have been reported, but only in isolated reports or small case series or single-center studies, precluding understanding of the true risks. This retrospective cross-sectional study used the National Inpatient Sample database, a large-scale database of hospitalizations in the United States, for the years 2020 to 2022, to calculate the estimated nationally representative frequency of thoracic complications in the United States. Between 2020 and 2022, there were 235 weighted hospitalizations related to CCG (57.4% female; mean age: 16.9 y). The mean hospital length of stay and hospital charges were 11.5 days and $177,235 (2022 US dollars), respectively. There were 15 weighted hospitalizations with thoracic complications, with a weighted frequency of 6.4%. Within the limitations of the analysis of a 3-year nationally representative sample, the estimated frequency of thoracic complications in the United States was nontrivial, at 6.4%. Knowledge of the risk can guide the clinician during clinical decision-making, from consideration of viable alternatives to implementing risk mitigation strategies.