Journal Detail Information

1

Cite

Share

Hyun Ho HAN ; In Sook KANG ; Jong Won RHIE

Archives of Craniofacial Surgery.2014;15(2):105-108. doi:10.7181/acfs.2014.15.2.105

A 14-month-old child was diagnosed with a Veau Class II cleft palate. Von Langenbeck palatoplasty was performed for the right palate, and V-Y pushback palatoplasty was performed for the left palate. The child did not have a special problem during the surgery, and the authors were able to elongate the cleft by 10 mm. Contrary to preoperative concerns regarding the hybrid use of palatoplasties, the uvula and midline incisions remained balanced in the middle. The authors named this combination method "half-and-half palatoplasty" and plan to conduct a long-term follow up study as a potential solution that minimizes the complications of palatoplasty.
Child ; Cleft Palate ; Congenital Abnormalities ; Craniofacial Abnormalities ; Humans ; Infant ; Palate ; Uvula

2

Cite

Share

2017 Spring Update: A Letter from the President of the Korean Cleft Palate-Craniofacial Association.

Chullhoon CHUNG

Archives of Craniofacial Surgery.2017;18(1):71-71. doi:10.7181/acfs.2017.18.1.71

No abstract available.
Bone and Bones ; Cephalometry ; Cleft Lip ; Cleft Palate ; Seasons

3

Cite

Share

New Treatment in Facial Nerve Palsy Caused by Sagittal Split Ramus Osteotomy of Mandible.

Jin Hoon LEE ; Kyung Ah LEE

Archives of Craniofacial Surgery.2017;18(1):65-70. doi:10.7181/acfs.2017.18.1.65

A 25-years-old woman with mandibular prognathism underwent a mandibular setback by way of mandibular sagittal split ramus osteotomy (MSSRO). After 2 days of operation, she developed difficulty of closing her right eye. The blink reflex test and motor nerve conduction study of the right orbicularis oris muscle were revealed right facial neuropathy of unknown origin and House-Brackmann facial nerve grading system (HBFNGS) grade V. For treatment, we initially prescribed oral prednisolone and nimodipine including physical therapy. The samples consisted of 11 facial nerve palsy patients caused by MSSRO and were analysed about onset of facial nerve palsy, postoperative HBFNGS, final HBFNGS, treatment method and recovery time. At 10 weeks of treatment of nimodipine, she had completely regained normal function (HBFNGS grade I) of the right facial nerve. The clinical results lead to assume a fast recovery of facial nerve function by the nimodipine medication, whereas average time of recovery is 16.32 weeks in references. Despite of the limited one patient treated, the result was very promising with respect to a faster recovery of the facial nerve function. Considering the use of nimodipine treatment for peripheral facial nerve palsy following a surgical approach with an anatomically preserved nerve can be recommended.
Blinking ; Facial Nerve Diseases ; Facial Nerve* ; Facial Paralysis ; Female ; Humans ; Mandible* ; Methods ; Neural Conduction ; Nimodipine ; Osteotomy, Sagittal Split Ramus* ; Paralysis* ; Prednisolone ; Prognathism

4

Cite

Share

Solitary Piloleiomyoma in the Scalp.

Dong Hwi KIM ; Ji Sung LEE ; Jean A KIM ; Jung Ho LEE

Archives of Craniofacial Surgery.2017;18(1):62-64. doi:10.7181/acfs.2017.18.1.62

Cutaneous leiomyomas can be classified into three types according to the site of origin: piloleiomyoma, angioleiomyoma, and dartoic (genital) leiomyoma. It might be expected that leiomyomas are commonly found on the scalp because there are many arrector pili muscles and vessels. However, leiomyomas are actually rarely reported in the scalp. Recently, we observed a case of cutaneous leiomyoma in the scalp and present our experience along with a literature review.
Angiomyoma ; Hair Follicle ; Leiomyoma ; Muscle, Smooth ; Muscles ; Scalp* ; Skin Neoplasms

5

Cite

Share

Silicone Implant Sandwiched between Intact Nasal Bones with Fractured Nasal Bone Segments.

Soo Hyun WOO ; Woo Seob KIM ; Han Koo KIM ; Tae Hui BAE

Archives of Craniofacial Surgery.2017;18(1):59-61. doi:10.7181/acfs.2017.18.1.59

As the number of people who have undergone augmentation rhinoplasty has increased recently, nasal fractures are becoming more common after rhinoplasty. A silicone implant can affect the nasal fracture pattern, but there is no significant difference in treatment methods commonly. A 28-year-old female who had undergone augmentation visited our clinic with a nasal fracture. Computed tomography revealed that the silicone implant was sandwiched between the intact nasal bones with fractured bone fragments. In this case, open reduction was inevitable and a new silicone implant was inserted after reduction. Migration of the silicone implant beneath the nasal bone is a very rare phenomenon, but its accurate prevention and diagnosis is important because a closed reduction is impossible.
Adult ; Diagnosis ; Female ; Humans ; Nasal Bone* ; Rhinoplasty ; Silicon* ; Silicones*

6

Cite

Share

Treatment of Tongue Lymphangioma with Intralesional Combination Injection of Steroid, Bleomycin and Bevacizumab.

Jungil HWANG ; Yung Ki LEE ; Jin Sik BURM

Archives of Craniofacial Surgery.2017;18(1):54-58. doi:10.7181/acfs.2017.18.1.54

Lymphangioma is a congenital malformed lymphatic tumor that rarely involves the tongue. In our clinic, a 10-year-old female presented with lymphangioma circumscriptum involving the right two-thirds of the tongue. We administered an intralesional combination injection of triamcinolone, bleomycin, and bevacizumab as a treatment. Almost complete remission after combination therapy was achieved without complications such as edema, swallowing difficulties or recurrence. Bevacizumab, an inhibitor of vascular endothelial growth factor, was effective for the treatment of lymphangioma of the tongue in this case. No recurrence was noted at the 1-year follow up.
Bevacizumab* ; Bleomycin* ; Child ; Deglutition ; Edema ; Female ; Follow-Up Studies ; Humans ; Lymphangioma* ; Recurrence ; Tongue* ; Triamcinolone ; Vascular Endothelial Growth Factor A

7

Cite

Share

Trichilemmal Carcinoma from Proliferating Trichilemmal Cyst on the Posterior Neck.

Ui Geon KIM ; Dong Bee KOOK ; Tae Hun KIM ; Chung Hun KIM

Archives of Craniofacial Surgery.2017;18(1):50-53. doi:10.7181/acfs.2017.18.1.50

Trichilemmal cysts are common fluid-filled growths that arise from the isthmus of the hair follicle. They can form rapidly multiplying trichilemmal tumors-, also called proliferating trichilemmal cysts, which are typically benign. Rarely, proliferating trichilemmal cysts can become cancerous. Here we report the case of a patient who experienced this series of changes. The 27-year-old male patient had been observed to have a 1×1 cm cyst 7 years ago. Eight months prior to presentation at our institution, incision and drainage was performed at his local clinic. However, the size of the mass had gradually increased. At our clinic, he presented with a 5×4 cm hard mass that had recurred on the posterior side of his neck. The tumor was removed without safety margin, and the skin defect was covered with a split-thickness skin graft. The pathologic diagnosis was a benign proliferating trichilemmal cyst. The mass recurred after 4months, at which point, a wide excision (1.3-cm safety margin) and split-thickness skin graft were performed. The biopsy revealed a trichilemmal carcinoma arising from a proliferating trichilemmal cyst. This clinical experience suggests that clinicians should consider the possibility of malignant changes when diagnosing and treating trichilemmal cysts.
Adult ; Biopsy ; Diagnosis ; Drainage ; Epidermal Cyst ; Hair Diseases ; Hair Follicle ; Humans ; Male ; Neck* ; Skin ; Skin Neoplasms ; Transplants

8

Cite

Share

Simultaneous Development of Three Different Neoplasms of Trichilemmoma, Desmoplastic Trichilemmoma and Basal Cell Carcinoma Arising from Nevus Sebaceus.

Chi An LEE ; Seok Joo KANG ; Seong Pin JEON ; Hook SUN ; Mi Seon KANG

Archives of Craniofacial Surgery.2017;18(1):46-49. doi:10.7181/acfs.2017.18.1.46

Nevus sebaceus is a hamartoma of the sebaceous gland that occurs congenitally, from which various secondary tumors can arise with a prevalence of 5%–6%. Benign neoplasms commonly arise from nevus sebaceous, but they have a very low malignant potential. Two neoplasms may occasionally arise within the same lesion, but it is rare for three or more neoplasms to occur in a nevus sebaceus simultaneously. A 61-year-old male patient was admitted to our hospital for a 4 cm×2.5 cm growing tumor in a verrucous form arising within a periauricular nevus sebaceus in the post auricle of the left ear that had developed 30 years earlier. The nodule was diagnosed as 3 different types of tumors: trichilemmoma, desmoplastic trichilemmoma, and basal cell carcinoma. To our knowledge, this is the first report of the coexistence of three different tumors arising from nevus sebaceous. It contain malignant neoplasm also. Surgeons should be aware of the need for close monitoring and early complete surgical excision of sebaceous nevus in order to improve patient outcomes.
Carcinoma, Basal Cell* ; Ear ; Hamartoma ; Humans ; Male ; Middle Aged ; Nevus* ; Prevalence ; Sebaceous Glands ; Surgeons

9

Cite

Share

Eccrine Poroma of the Postauricular Area.

Hyun Rok LEE ; Gyu Yong JUNG ; Hea Kyeong SHIN ; Dong Lark LEE ; Jong Im LEE ; Jung Hwan KIM

Archives of Craniofacial Surgery.2017;18(1):44-45. doi:10.7181/acfs.2017.18.1.44

Eccrine poroma is a common benign cutaneous tumor that originates in an intraepidermal eccrine duct. This tumor exhibits acral distribution (sole, palm), and is rarely encountered in the head and neck area. In fact eccrine poroma in the postauricular area has only been rarely reported. A 55-year-old female visited our hospital with a main complaint of a mass that first developed in the left postauricular area about a year previously. The mass was painless, soft, protruding, domed, and dark red in color, and had slowly enlarged (at presentation it measured 1×1 cm). Excisional biopsy was performed. Histological examination showed distinct features, and eccrine poroma was diagnosed. Follow-up at 6 months postoperatively showed no recurrence. The frequency of eccrine poroma is dependent on eccrine sweat glands density, and thus, usually occurs on the palms or soles. For eccrine poroma in the head and neck region, the differential diagnosis must rule out other masses, such as nevus, skin tag, pyogenic granuloma, cyst, basal cell carcinoma, and seborrheic keratosis. Importantly, 18% of poromas show malignant transformation, and can develop into porocarcinoma. For these reasons, an eccrine poroma in the facial area requires histological examination, complete excision, and follow-up.
Biopsy ; Carcinoma, Basal Cell ; Diagnosis, Differential ; Ear ; Female ; Follow-Up Studies ; Granuloma, Pyogenic ; Head ; Humans ; Keratosis, Seborrheic ; Middle Aged ; Neck ; Nevus ; Poroma* ; Recurrence ; Skin ; Sweat Glands

10

Cite

Share

Concordant Surgical Treatment: Non-melanocytic Skin Cancer of the Head and Neck.

Wan Cheol RYU ; In Chang KOH ; Yong Hae LEE ; Jong Hyun CHA ; Sang Il KIM ; Chang Gyun KIM

Archives of Craniofacial Surgery.2017;18(1):37-43. doi:10.7181/acfs.2017.18.1.37

BACKGROUND: Skin cancer is the most common type of cancer. Of the 4 million skin lesions excised annually worldwide, approximately 2 million are considered cancerous. In this study, we aimed to describe a regional experience with skin cancers treated by a single senior surgeon and to provide a treatment algorithm. METHODS: The medical records of 176 patients with head and neck non-melanocytic skin cancer (NMSC) who were treated by a single surgeon at our institution between January 2010 and May 2016 were retrospectively reviewed, and their data (age, sex, pathological type, tumor location/size, treatment modality) were analyzed. Patients with cutaneous squamous cell carcinoma (cSCC) who were classified as a high-risk group for nodal metastasis underwent sentinel node mapping according to the National Comprehensive Cancer Network guidelines. RESULTS: Among the patients with NMSC who were treated during this period, basal cell carcinoma (BCC; n=102, 57.9%) was the most common pathological type, followed by cSCC (n=66, 37.5%). Most lesions were treated by complete excision, with tumor-free surgical margins determined via frozen section pathology. Thirty-one patients with high-metastasis-risk cSCC underwent sentinel node mapping, and 17 (54.8%) exhibited radiologically positive sentinel nodes. Although these nodes were pathologically negative for metastasis, 2 patients (6.5%) later developed lymph node metastases. CONCLUSION: In our experience, BCC treatment should comprise wide excision with tumor-free surgical margins and proper reconstruction. In contrast, patients with cSCC should undergo lymphoscintigraphy, as nodal metastases are a possibility. Proper diagnosis and treatment could reduce the undesirably high morbidity and mortality rates.
Carcinoma, Basal Cell ; Carcinoma, Squamous Cell ; Diagnosis ; Frozen Sections ; Head* ; Humans ; Lymph Nodes ; Lymphoscintigraphy ; Medical Records ; Mortality ; Neck* ; Neoplasm Metastasis ; Pathology ; Retrospective Studies ; Skin Neoplasms* ; Skin*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share