Publication date: Available online 8 August 2020Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): W.K. Gray, J. Day, M. Morton
Publication date: Available online 8 August 2020Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): J. Douglas, A. Begley, P. Magennis
Publication date: September 2020Source: British Journal of Oral and Maxillofacial Surgery, Volume 58, Issue 7Author(s):
Publication date: September 2020Source: British Journal of Oral and Maxillofacial Surgery, Volume 58, Issue 7Author(s):
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Objectives: The purpose of this study was to investigate the advantages of endoscopic lateral osteotomy, to evaluate the effects of the periosteal elevation on ecchymosis and to search the reasons for the ecchymosis and the intranasal mucosal tears. Methods: On a randomly chosen side a subperiosteal tunnel was elevated, on the other side a subperiosteal tunnel was not elevated. Bilateral lateral osteotomies were performed. Internal nasal packing was not used. The post-operative care...
No abstract available
Purpose: Within the context of xerostomia, there is evidence that adipose-derived stem cells (ASCs) can differentiate into salivary gland cells in the appropriate environment. The purpose of this study was to preliminarily investigate whether fat grafting as practiced in the United States would be an effective treatment for xerostomia. Methods: Patients were selected for the study if they were seeking treatment for xerostomia after radiation treatment to the head and neck for cancer...
Objectives: To: (1) design an artefact-free 3D-printed MR-safe temporary transfer device, (2) engineer bone-pins from carbon fiber reinforced polyether ether ketone (CFR-PEEK), (3) evaluate the imaging artefacts of CFR-PEEK, and (4) confirm the osteointegration potential of CFR-PEEK, thus enhancing 3D-planning of bony advancements in hemifacial microsomia using sequential magnetic resonance imaging (MRI). Study Design: Engineered CRF-PEEK bone pins and a 3D printed ex-fix device were...
When reconstructing a lateral alar defect of the nose, satisfactory aesthetic and functional results are difficult to achieve through a single-stage surgery alone. Here the authors describe a new innovative surgical technique using a superiorly based folded nasolabial flap through a single-stage surgery alone. An 85-year-old male patient visited plastic surgery clinic with sudden enlargement of a mass 3 or 4 days before the visit. On the basis of the biopsy test results, a diagnosis of basal cell...
This study aims to characterize dental malocclusion in children with operated isolated cleft palate aged 8 to 10 years old. Cross-sectional study with medical charts and complementary orthodontics exams and a sample for convenience. The study population was children aged 8 to 10 years registered at a Brazilian center from 2005 to 2009, diagnosed with isolated cleft palate and operated. the population of children registered at a Brazilian center from 2005 to 2009, diagnosed with isolated cleft palate....
Introduction: Fractures of the zygomaticomaxillary complex (ZMC) represent an extremely heterogeneous group of injuries to the midfacial skeleton. Traditionally, the diagnosis of such fractures was based on 2-dimensional radiograms and, more recently, on volumetric computed tomography (CT) scans, while the treatment was exclusively based on the surgeon's experience. Many classification attempts have been made in the past, but no paper has taken into account the importance of virtual surgical...
Purpose: This study sought to assess the upper airway changes following different orthognathic surgeries using cone-beam computed tomography. Methods: An electronic search of the literature was conducted in major electronic databases including Medline (PubMed), Web of Science, Scopus, and Open Grey for articles published up to January 20, 2018. Human studies that evaluated the changes in the volume and minimum cross-sectional area of the upper airway or its subdivisions in patients...
Background: Distraction osteogenesis and conventional bimaxillary orthognathic surgery have been performed for the treatment of midfacial hypoplasia for a long time. However, the effect of these 2 techniques on the maxilla, mandible, and whole-facial profile is significantly different. In this study, we aimed to measure the pre- to post-treatment changes in maxillary prominence, mandible size, and facial length and compare them between these 2 techniques to inform selection of the best technique....
A cleft lip, palate, and alveolus is one of the most common birth defects. Depending on the type of cleft, multiple surgeries may be required throughout the growth stage. Traditionally, an orthodontic-surgical approach has been adopted to treat maxillary retrusion. Osteodistraction it is the surgical choice in patients with severe midface retrusion that require maxillary advancement. Our objective is to present our experience using this orthodontic and surgical approach. Address correspondence...
The lateral sinus lift procedure has been extensively investigated and described as a reliable surgical solution aimed at facilitating implant placement and rehabilitation when the posterior upper maxilla is atrophic. The standard technique consists in a lateral antrostomy, the careful raising of the sinus membrane, and following apposition of a bone substitute between the membrane and the sinus floor. The present technical note illustrates a new conservative technique enabling lateral sinus lift...
No abstract available
Background: Maxillary osteotomy is typically undertaken to correct abnormal facial growth in cleft lip and palate. The surgery can cause velopharyngeal insufficiency resulting in hypernasality. This study aims to identify valid predictors of acquired velopharyngeal insufficiency following maxillary osteotomy by using a range of perceptual and instrumental speech investigations and multiple regression. Methods: A prospective study was undertaken consisting of a consecutive series of...
Tongue piercing causes various complications, including bleeding, pain and infection and it cause potential life-threatening complications. An 18-year-old women presents with losing a needle in mouth. She attempted to perform tongue piercing using piercing needle by herself at home, and it was lost in mouth. The patient showed speech difficulty, but no active bleeding and edema of the floor of mouth. Computed tomography showed approximately 50 mm needle like structure in tongue. General anesthesia...
Background: Variations in the clinical presentation of the unilateral cleft lip resulted in numerous surgical repair techniques used around the world. No universally accepted method exists to evaluate aesthetic surgical results. The purpose of this study is to use the Hubli lip grading system, developed by Smile Train, to evaluate the aesthetic results of unilateral cleft lip repairs based on the surgical technique used. Methods: A retrospective review was conducted of unilateral cleft...
Open reduction followed by internal fixation (ORIF) has been regarded as the most effective technique for surgical repair of zygomaticomaxillary complex (ZMC) fractures. However, the ideal internal fixation method to achieve stable reduction remains controversial. This research aims to assess and compare the stability of the 2- and 3-point screw-plate fixation methods using finite element method (FEM). Based on computed tomography (CT), the finite element models of 2-point (ZFS + IOR) and 3-point...
The intricate and delicate structure of the periorbital region, particularly in pediatric patients, presents challenges to eyelid reconstruction. Much like the more common lower eyelid ectropion, upper eyelid ectropion can result from lack of tissue, scar contracture, or over-resection as in blepharoplasty. In burns and trauma, the cause of cicatricial ectropion is typically direct scar contracture from injuries to the eyelid. However, in some cases, extrinsic wounds involving contracture to the...
Background: Cleft palate is a common craniofacial malformation, requiring surgical repair in late infancy or early toddlerhood. Postoperative use of opioids is common to mitigate pain following palatoplasty. To decrease opioid consumption, improve postoperative pain, and decrease complications associated with general anesthetics, intraoperative regional nerve blocks have been employed for multimodal pain relief. While the literature supports intraoperative nerve block use for postprocedural...
Objective: Craniosynostosis can be associated with raised intracranial pressure (ICP), which can pose deleterious effects on the brain and vision if untreated. Estimating ICP in children is challenging, whilst gold standard direct intracranial measurement of ICP is invasive and carries risk. This systematic review aims to evaluate the role of optical coherence tomography (OCT), a noninvasive imaging technique, for detecting raised ICP in children with craniosynostosis. Methods: The...
Background: Syndrome of the trephined is a neurologic condition that commonly arises in patients who undergo craniectomy and have a prolonged cranial defect. Symptoms of this condition include headache, difficulties concentrating, diminished fine motor/dexterity skills, mood changes, and anxiety/apprehension. The authors hypothesize that an animal model demonstrating anxiety/apprehension in rats who undergo craniectomy is feasible utilizing standardized animal behavioral testing. Methods:...
Objective: The aim of our study was to analyze the aesthetic and functional outcome in the radial forearm free flap donor site using a simple split thickness skin grafting (STSG) closure compared with the use of dermal scaffold supporting the STSG closure. Methods: The study analyzed 18 patients, divided in 2 groups based on the donor site closure modality. In STSG group, a simple STSG was used to cover the defect. In the DS + STSG group, the defect was covered by the use of dermal...
A 58-year-old male patient was admitted to the Otorhinolaryngology department with acute hemoptysis. In his history, it was understood that he drank natural water 2 days ago. The patient had hemoptysis, which occurred with spitting. The patient had difficulty swallowing and discomfort when swallowing. Endoscopic examination revealed a blackish live foreign object in the hypopharynx with right local posterior hypopharyngeal oozing. Hypopharyngeal leech was suspected and removed immediately using forceps....
Computer-aided design and manufacturing (CAD-CAM)-based techniques are developing fast in facial reconstruction and osteosynthesis. Patient-specific implant (PSI) production is already sufficiently fast for everyday use and can be utilized even for primary trauma surgery such as orbital floor reconstruction after blowout fracture. Purpose of our study is to retrospectively analyze the 3-dimensional (3D) success of PSI reconstructions of orbital floor fractures in our unit. The authors analyzed retrospectively...
Purpose: The aim of this study was to report management and outcomes of patients in which conjunctival carcinomas arose in the anophthalmic socket. Methods: The authors retrospectively analyzed the data of patients which presented the anophthalmic socket after surgery. The clinical records of 4 patients with histological diagnosis of conjunctival carcinoma in the anophthalmic socket, referred to our Department, between January 2014 and December 2019 was collected. Results: The...
Introduction: Dysarthria is one of the commonest neurological speech disorders resulting from brain injury. However, hypernasality commonly co-exists in this subgroup of patients and is commonly overlooked. The authors aim to investigate the merit of surgery in improving hypernasality and speech intelligibility in patients with a mixed pattern of dysarthria and hypernasality secondary to brain injury. Materials and Methods: Data was collected from the regional plastic surgery unit over...
The purpose of this study was to analyze the morphology of the nasomaxillary complex of Iranian healthy infants of 2, 4, 6, and 12-month-old. In this cross-sectional study, 232 healthy Fars infants of 2, 4, 6, and 12-month-old referred to Mashhad health centers were evaluated. Photographic images were taken from the infants’ frontal view at rest position. Anthropometric landmarks including width of the mouth, nose, columella, width and height of the philtrum, and height of the upper lip were...
Epidermal or epidermoid cysts are one of the most frequent benign masses at the subepidermal level. They are typically smooth, movable, and fluctuant masses covered with stratified squamous epithelium. They rarely grow to a huge size, and only a few cases have been reported. A 69-year-old woman visited the authors’ clinic for treatment of a well-defined huge mass in the right temporoparietal and occipital regions of the scalp that had regrown and spontaneously increased in size after excision 30...
No abstract available
Objective: The purpose of this study was to categorize and compare outcomes and sequels in 2 groups of patients born with unilateral and bilateral complete cleft lip/palate, having their primary cleft palate repair performed in our hospital, by the same surgical team, during 2 different periods of time, to establish which of the 2 surgical reconstructive strategies employed was more effective to decrease sequels. Material and Methods: This is a randomized clinical trial including a...
No abstract available
Precise volumetric evaluation of the alveolar cleft facilitates accurate preparation of bone substitutes and reduces donor site morbidity. This study investigates 2 advanced presurgical volumetric assessment methods that use computer-aided engineering (CAE) software. Preoperative computed tomography (CT) scans from 20 unilateral alveolar cleft patients undergoing secondary alveolar bone grafting (SABG) were analyzed by CAE software. Cleft defect volumes were calculated using the mirror-reversed technique...
Posterior cranial vault distraction is an important modality in the management of craniosynostosis. This surgical technique increases intracranial volume and improves cranial aesthetics. A single procedure is often inadequate in patients with complex multisuture craniosynostosis, as some will go on to develop intracranial hypertension despite the operation. Considering the negative effects of intracranial hypertension, some patients may warrant 2 planned distractions to prevent this scenario from...
Alar cartilage anatomically determines the size, position, and shape of the nose type. It is also effective in the respiratory function of the nose. The structure of alar cartilage differs from person to person. Congenital anomalies of the nose due to absence of alar cartilage are extremely rare. Usually, trauma and infections are blamed for etiology. The absence of nasal alar cartilage causes both aesthetically nasal deformities and respiratory dysfunction problems. In the literature, congenital...
Objective: This study aimed to investigate the sedative effect of dexmedetomidine combined with midazolam nasal drops before a pediatric craniocerebral magnetic resonance imaging (MRI). Methods: Eighty children who needed an MRI examination were enrolled in the present study and randomly divided into 2 groups: the observation group (dexmedetomidine combined with midazolam nasal drops) and the control group. After the children were given the medication, their heart rate, blood oxygen...
Background: Blood-borne pathogen infections (BPIs), caused by the human immunodeficiency virus, hepatitis C and hepatitis B viruses pose an occupational hazard to healthcare workers. Facial trauma reconstruction surgeons may be at elevated risk because of routine use of sharps, and a higher than average incidence of BPIs in the trauma patient population. Methods: The authors retrospectively reviewed health records of patients admitted to a level 1 trauma center with a facial fracture...
The 3-stage paramedian forehead flap is the gold standard for subtotal and complete nasal defects, but significant surgeon artistry and experience are required to achieve good, consistent results. The authors describe the use of virtual surgical planning and three-dimensional printing to create a patient-specific soft tissue cutting guide for the design of a forehead flap in the reconstruction of a hemirhinectomy defect. Application of this technology to these challenging reconstructive scenarios...
Objective: To assess properties of Orthognathic Quality of Life Questionnaire in Croatian cultural context by analyzing: how dentofacial deformity influences quality of life (QoL), what aspects of QoL are patients’ primary motives to undergo orthognathic surgery, what changes after surgery and how personality traits influence QoL. Materials and Methods: A total of 472 subjects (65% females) aged 12 to 45 years (median 20) were included. Orthognathic Quality of Life Questionnaire, Oral...
Background: Nasoalveolar molding (NAM) is a widely used presurgical orthopedic device, despite disputes over its effectiveness. This study compares the outcomes after cleft lip and nose repair in patients who received NAM versus those who underwent passive alveolar molding with lip taping. Methods: A retrospective review of patients with complete unilateral cleft lip and palate who received either NAM (n = 16) or passive molding (n = 10) treatments was conducted. Alveolar gap width...
Context: The fair comparison of treatment interventions for craniosynostosis across different studies is expected to be impaired by incomplete reporting and the use of inconsistent outcomes. Objective: This review assessed the outcomes currently reported in studies of craniosynostosis, and whether these outcomes are formally defined and prespecified in the study methods. Data Sources, Search Terms, and Study Selection: Studies were sourced via an electronic, multi-database...
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Publication date: Available online 8 August 2020Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Carlos Navarro Cuéllar, Elena Bullejos Martínez, Ignacio Navarro Cuéllar, Ana María López López, Manuel Tousidonis Rial, José Ignacio Salmerón Escobar
Publication date: Available online 8 August 2020Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Rohit Nallani, Helena Wichova, Jennifer L. McAroy, Alexander G. Chiu, Jennifer A. Villwock
Publication date: Available online 7 August 2020Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Renato Silva Fraga, Lívia Azeredo Alves Antunes, Walter Luis Soares Fialho, Maria Isabel Valente, Cinthya Cristina Gomes, Karla Bianca Fontes, Leonardo Santos Antunes
Publication date: Available online 7 August 2020Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Gaoussou Touré, Sandrine Vlavonou, Iavosoa Andrianantoandro, Makhtar Mouhamadou Ndiaye
Publication date: Available online 7 August 2020Source: Journal of Oral and Maxillofacial SurgeryAuthor(s): Takuma Watanabe, Kouhei Yamashita, Kazuhisa Bessho
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Publication date: Available online 8 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Chuhan Zhang, Jingyi Gao, Jianghai He, Chundong Liu, Xiaozhi Lv, Xuemin Yin, Yongjian Deng, Zhiyun Lu, Zhihui Tian
Publication date: Available online 8 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Wilson A. Delgado-Azañero, Oslei Paes de Almeida, Alessandro Antônio Costa Pereira, Carine Ervolino de Oliveira, Márcio Américo Dias, Gustavo Florez-Valderrama, Thayna Melo de Lima Morais, Bruno Augusto Linhares Almeida Mariz, Adalberto Mosqueda-Taylor
Publication date: Available online 8 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Begüm Ünlü Kurşun, Ender Akan
Publication date: Available online 7 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Adir Cohen, Mati Cohen Sela, Natanel Shooraki, Michael Alterman, Nardy Casap
Publication date: Available online 7 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Sâmila Gonçalves Barra, Isadora Pereira Gomes, Tânia Mara Pimenta Amaral, Cláudia Borges Brasileiro, Lucas Guimarães Abreu, Ricardo Alves Mesquita
Publication date: Available online 7 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Dr. Shalini R Gupta, Prof Alpana Sharma, Dr. Nidhi Gupta, Dr. Kalaivani Mani
Publication date: Available online 7 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Pierluigi Mariani, Khrystyna Zhurakivska, Rossella Santoro, Gregorio Laino, Diana Russo, Luigi Laino
Publication date: Available online 7 August 2020Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAuthor(s): Qijun Xu, Yu Lin, Zhen Xing, Tanhui Chen, Yingyan Zheng, Dairong Cao
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