Craniomaxillofacial Trauma and Reconstruction 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Orbital Compartment Syndrome despite Significant Traumatic Expansion of the Orbital Cavity
We report a case of a 32-year-old patient who sustained a traumatic orbital compartment syndrome simultaneously with a large, significantly displaced, orbital-floor blow-out fracture. Clinical signs consistent with both conditions were elicited. The initial management was as for orbital compartment syndrome. The clinical diagnosis was confirmed with computed tomographic imaging. This is an unusual and unexpected presentation. It would be expected that a hemorrhage would self-decompress in the presence of a large fracture. Physicians should be aware that such a combination of pathology might arise. Physicians likely to enco...
Source: Craniomaxillofacial Trauma and Reconstruction - September 15, 2016 Category: ENT & OMF Authors: Gupta, Deepak Beigi, Bijan Tags: Case Report Source Type: research
Immediate Reconstruction of Large Full-Thickness Segmental Anterior Maxillary Defect with Bone Transport
This study describes the treatment of such a defect resulting from a myxoma excision, with trifocal distraction requiring only one additional surgery. Internal distractors were fixed bilaterally for transport of two segmental discs created by inverted L osteotomies at the same surgical time of tumor excision. A second surgery was performed after central contact between transport discs was achieved, for device removal and creation of a dynamic system to regenerate molding and compression-focus development. This was accomplished by internal fixation of one side and central fixation of a full-open distractor to act as compres...
Source: Craniomaxillofacial Trauma and Reconstruction - September 14, 2016 Category: ENT & OMF Authors: Pereira, Alberto Rocha Montezuma, Nuno Oliveira, Luis Magalh ães, Miguel Rosa, Jos é Tags: Original Article Source Type: research
Interdisciplinary Management of Minimally Displaced Orbital Roof Fractures: Delayed Pulsatile Exophthalmos and Orbital Encephalocele
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1584395Traumatic orbital roof fractures are rare and are managed nonoperatively in most cases. They are typically associated with severe mechanisms of injury and may be associated with significant neurologic or ophthalmologic compromise including traumatic brain injury and vision loss. Rarely, traumatic encephalocele or pulsatile exophthalmos may be present at the time of injury or develop in delayed fashion, necessitating close observation of these patients. In this article, we describe two patients with minimally displaced blow-in type orbital roof fractures th...
Source: Craniomaxillofacial Trauma and Reconstruction - September 14, 2016 Category: ENT & OMF Authors: Ha, Austin Y. Mangham, William Frommer, Sarah A. Choi, David Klinge, Petra Taylor, Helena O. Oyelese, Adetokunbo A. Sullivan, Stephen R. Tags: Original Article Source Type: research
Identical Twins with Crouzon Syndrome: Eight-Year Follow-up, Genetic Considerations, and Operative Management
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1592091A case report of monozygotic (MZ) twins with Crouzon syndrome was previously published to highlight variables in clinical presentation. The postnatal and epigenetic causes for this variation are not well understood. An 8-year follow-up discusses their pertinent clinic course with consideration of genetic and nongenetic variables. The phenotypic and symptomatic obstacles encountered since their initial assessment are reviewed, and the use of three-dimensional Medical Modeling (Golden, CO) as a preoperative planning strategy is addressed. Analyzing the longi...
Source: Craniomaxillofacial Trauma and Reconstruction - September 1, 2016 Category: ENT & OMF Authors: Lloyd, Mark S. Trost, Jeffrey G. Khechoyan, David Y. Hollier, Larry H. Buchanan, Edward P. Tags: Case Report Source Type: research
An Alternative Route for Entrapped Inferior Orbital Nerve in Orbital Floor Fracture
We present an interesting case of orbital floor fracture with entrapped infraorbital nerve, wherein we have decompressed the nerve and provided it, a new course. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - August 30, 2016 Category: ENT & OMF Authors: Rao, Anantheswar Y. N. Jesudas, Joyce Tags: Case Report Source Type: research
Surgical Treatment of Orbital Blowout Fractures: Complications and Postoperative Care Patterns
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1584892Orbital fractures are a common result of facial trauma. Sequelae and indications for repair include enophthalmos and/or diplopia from extraocular muscle entrapment. Alloplastic implant placement with careful release of periorbital fat and extraocular muscles can effectively restore extraocular movements, orbital integrity, and anatomic volume. However, rare but devastating complications such as retrobulbar hematoma (RBH) can occur after repair, which pose a risk of permanent vision loss if not addressed emergently. For this reason, some surgeons take the p...
Source: Craniomaxillofacial Trauma and Reconstruction - August 28, 2016 Category: ENT & OMF Authors: Shew, Matthew Carlisle, Michael P. Lu, Guanning Nina Humphrey, Clinton Kriet, J. David Tags: Original Article Source Type: research
Reconstruction of the Cranial Vault Contour Using Tissue Expander and Castor Oil Prosthesis
This study aims to report the use of a prosthetic castor oil polymer for reconstruction of extensive defect, caused by a trauma, in the temporoparietal region. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - August 28, 2016 Category: ENT & OMF Authors: de Moraes, Sylvio Luiz Costa Afonso, Alexandre Maurity de Paula Santos, Roberto Gomes dos Mattos, Ricardo Pereira Duarte, e Bruno Gomes Tags: Case Report Source Type: research
Orbitocerebral Impalement: Case Discussion and Management Algorithm
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1592098Orbitocerebral impalement by inanimate objects is a relatively uncommon event. If orbitocerebral impalement is suspected, management entails prompt referral to a trauma facility with neurosurgical, neuroanesthesiological, craniomaxillofacial, and ophthalmological expertise. The aim of this report is to describe the unique mechanism and perioperative considerations of a remarkable, deep orbitocerebral impalement from a walker brake lever through the orbital roof after a fall from standing. We discuss clinical vignette, evaluation, anesthetic approach, and c...
Source: Craniomaxillofacial Trauma and Reconstruction - August 28, 2016 Category: ENT & OMF Authors: Crowson, Matthew Gordon Berger, Miles McCarthy, Grace C. Powers, David B. Tags: Case Report Source Type: research
Concomitant “Ear Bleed and Styloid Fracture”: An Unusual Complication of Impacted Mandibular Third Molar Removal
This article presents a peculiar case of “ear bleed” concomitant with “isolated styloid” fracture following removal of impacted mandibular third molar, not reported in the literature till date. Ear bleed is a bothersome clinical sign that requires thorough investigation and prompt treatment because it is frequently related to fractures of the skull base. Isolated fracture of the styloid process is rare; its diagnosis, impact on adjacent vital structures, and treatment protocol are less discussed in maxillofacial literature. The case report elucidates the etiopathogenesis of ear bleed and styloid fracture which have...
Source: Craniomaxillofacial Trauma and Reconstruction - August 25, 2016 Category: ENT & OMF Authors: Raja, Krishnakumar Gopi, Gayathri Panneerselvam, Elavenil Ramamoorthy, Jegatheesan Doss, Guruprasad Thulasi Sharma, Aditi Rajendra Tags: Case Report Source Type: research
Le Fort I –Type Osteotomy Retractor
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1592097A new instrument for retracting the maxilla after mobilization is described. It does neither compress nor inadvertently pierce the lower lip and it does neither obliterate the view nor hinder access to bone removing instruments. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - August 22, 2016 Category: ENT & OMF Authors: Mommaerts, Maurice Yves Tags: Technical Note Source Type: research
A Modified Technique for Placing Prebent Plates during a Le Fort I Osteotomy: A Technical Note
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1592092Prebent plates have gained popularity in recent years as a fixation appliance for large maxillary advancements. They are larger than standard plates used for maxillary procedures and appear to give greater stability. Due to their size and configuration, they have the potential to be more palpable than standard plates, possibly causing discomfort following placement. With a simple “box” osteotomy of the maxilla at the site of placement and a minor modification of the plate, the plate is less palpable and better tolerated by the patient. [...] Thieme Med...
Source: Craniomaxillofacial Trauma and Reconstruction - August 22, 2016 Category: ENT & OMF Authors: Ragaey, Marwa Van Sickels, Joseph Tags: Original Article Source Type: research
Injured Anterior Superior Alveolar Nerve Endoscopically Resected within Maxillary Sinus
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1592088Posttraumatic facial pain is due to an injured nerve, most often a branch of the trigeminal nerve. While surgical approaches to injuries of the supraorbital, supratrochlear, infraorbital, and inferior alveolar nerves have been reported, an injury to the anterior superior alveolar nerve (ASAN) has not been reported. An algorithm is proposed for the diagnosis of injury to the ASAN versus the infraorbital nerve itself. A case is reported in which pain relief was achieved by dividing the ASAN within the maxillary sinus, leaving the proximal end exposed within ...
Source: Craniomaxillofacial Trauma and Reconstruction - August 22, 2016 Category: ENT & OMF Authors: Dorafshar, Amir H. Dellon, A. Lee Wan, Eric Lee Reddy, Sashank Wong, Victor W. Tags: Case Report Source Type: research
Variant Anatomy of the Nasal and Labial Branches of the Infraorbital Nerve
This study was performed on 84 IONs by dissecting 42 formalin-fixed cadavers from the Laboratory of Topographic Anatomy, Department of Human Anatomy, University of Nairobi. The branches were exposed at their origin and followed to their termination. The findings included variant emergence patterns, anomalous course, and absence as well as extra branches. It was noted that the external nasal nerve was absent in 34.53% cases. There were common trunks between the internal and external nasal nerves and cases of communication between branches of these nerves were also noted. Accessory superior labial nerves were present in 9.52...
Source: Craniomaxillofacial Trauma and Reconstruction - August 21, 2016 Category: ENT & OMF Authors: Nderitu, Joseph Munyiri Butt, Fawzia Saidi, Hassan Tags: Original Article Source Type: research
In-Office Guided Implant Placement for Prosthetically Driven Implant Surgery
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584891Application of surgical stents for implant placement via guided flapless surgery is increasing. However, high cost, need for some professional machines, and not taking into account the soft-tissue parameters have limited their application. We sought to design and introduce a technique named in-office guided implant placement (iGIP) to decrease the cost by using available devices in office and enhance the applicability of surgical stents. A customized surgical stent was fabricated based on prosthetic, soft- and hard-tissue parameters by taking into account t...
Source: Craniomaxillofacial Trauma and Reconstruction - July 18, 2016 Category: ENT & OMF Authors: Karami, DaryoushAlborzinia, Hamid RezaAmid, RezaKadkhodazadeh, MahdiYousefi, NavidBadakhshan, Sarina Tags: Technical Note Source Type: research
Post –Ankylotic Temporomandibular Joint Reconstruction Using Autogenous/Alloplastic Materials: Our Protocol and Treatment Outcomes in 22 Patients
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584396The purpose of this study was to evaluate the various options of autogenous and alloplastic reconstruction modalities available for posttraumatic temporomandibular joint (TMJ) ankylosis. In a retrospective study of 22 patients, various autogenous/alloplastic materials were used based on type and severity of ankylosis and age of patient. Final outcome of reconstruction was critically evaluated in terms of maximal mouth opening, occlusion, and facial symmetry. Fourteen patients (63.63%) developed TMJ ankylosis due to road traffic accidents and eight patients ...
Source: Craniomaxillofacial Trauma and Reconstruction - July 17, 2016 Category: ENT & OMF Authors: Bhardwaj, Yogesh Arya, Saurabh Tags: Original Article Source Type: research
