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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, YogeshArya, Saurabh Tags: Original Article Source Type: research

Basal Cell Adenoma of Retromolar Region from Minor Salivary Gland Origin in a 45-Year-Old Female: A Case Report
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584394Basal cell adenoma is a rare benign salivary gland neoplasm. The most common location is in parotid region. Clinically, gradual growth and firm consistency are seen. They account for 1 to 3% among all salivary gland neoplasms. Prominent basaloid cells with cluster of isomorphic cells and interspersed trabeculae are present histopathologically. In this article, we present a rare case of basal cell adenoma of retromolar region from minor salivary gland origin.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournal...
Source: Craniomaxillofacial Trauma and Reconstruction - July 17, 2016 Category: ENT & OMF Authors: Krishnan, VelavanShunmugavelu, KarthikRose, JamilaSubramaniam, Kumaravel Tags: Case Report Source Type: research

Evaluation of the Mandibular Function, after Nonsurgical Treatment of Unilateral Subcondylar Fracture: A 1-Year Follow-Up Study
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584399There are no clearly defined guidelines for when an open or closed treatment is indicated for treatment of mandibular condylar fractures. The aim of the study is to analyze the mandibular function after nonsurgical treatment of unilateral subcondylar fractures, in a prospective study. A prospective study was conducted on 30 patients with unilateral mandibular subcondylar fracture undergoing nonsurgical treatment. Clinical and radiographic examinations were done prior to treatment and at 12-month follow-up. Pain, perceived occlusion, mouth opening, protrusio...
Source: Craniomaxillofacial Trauma and Reconstruction - July 7, 2016 Category: ENT & OMF Authors: K.M, SudheeshDesai, RajendraK.SN, Siva BharaniS., Subhalakshmi Tags: Original Article Source Type: research

Correlation of Third Molar Status with Incidence of Condylar and Angle Fractures
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584400The mandibular angle and condylar regions are most prone to fractures and this has been attributed to the presence/absence or the position of the third molars. This retrospective study was undertaken to analyze the correlation between the third molars and incidence of condylar and angle fractures in 104 patients treated for these fractures during the period from June 2009 to December 2013. Clinical and radiographic records of these patients were studied to look for the presence and position of third molars and their relation to incidence of condylar or angl...
Source: Craniomaxillofacial Trauma and Reconstruction - June 30, 2016 Category: ENT & OMF Authors: Menon, SureshKumar, VeerendraV., SrihariPriyadarshini, Yogitha Tags: Original Article Source Type: research

Narrow-Bladed “Endo” Sagittal Split Osteotomy Retractor
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584889A modification of the Obwegeser sagittal split retractor is presented. It is slender while still protecting the soft tissues and is particularly suitable for endoscopically assisted surgery.[...]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 - June 29, 2016 Category: ENT & OMF Authors: Mommaerts, Maurice Yves Tags: Technical Note Source Type: research

Indications for Computer-Aided Design and Manufacturing in Congenital Craniofacial Reconstruction
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584391The complex three-dimensional relationships in congenital craniofacial reconstruction uniquely lend themselves to the ability to accurately plan and model the result provided by computer-aided design and manufacturing (CAD/CAM). The goal of this study was to illustrate indications where CAD/CAM would be helpful in the treatment of congenital craniofacial anomalies reconstruction and to discuss the application of this technology and its outcomes. A retrospective review was performed of all congenital craniofacial cases performed by the senior author between ...
Source: Craniomaxillofacial Trauma and Reconstruction - June 28, 2016 Category: ENT & OMF Authors: Fisher, MarkMedina, MiguelBojovic, BrankoAhn, EdwardDorafshar, Amir H. Tags: Original Article Source Type: research

Penetrating Craniomaxillofacial Injury Caused by a Pneumatic Nail Gun
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584405Craniomaxillofacial injuries can be complex, requiring a multidisciplinary approach. The primary survey is always the first step in trauma management prior to proceeding with further evaluation and treatment. A 26-year-old man presented with a penetrating nail gun injury through the oral and nasal cavities. He did not present in extremis but required elective endotracheal intubation for intraoperative assessment and treatment. Airway management was enhanced by the use of lingual nerve and inferior alveolar nerve blocks via the Vazirani-Akinosi technique to ...
Source: Craniomaxillofacial Trauma and Reconstruction - June 26, 2016 Category: ENT & OMF Authors: Choi, Kevin JaeRyan, Marisa AnnCheng, TracyPowers, David Tags: Case Report Source Type: research

Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review
This report highlights the importance of early surgical repair of orbital fracture and globe repositioning to regain the maximum amount of ocular functions. A review of literature found 19 cases of globe dislocation into the maxillary sinus: One case was enucleated 2 months after misdiagnosis as traumatic enucleation, six cases were documented no vision or no light perception, three cases did not have reported vision (patients did not survive), and nine cases with postoperative vision. We recommend early surgical intervention to restore the cosmetic and visual function of the dislocated eye.[...]Thieme Medical Publishers 3...
Source: Craniomaxillofacial Trauma and Reconstruction - June 23, 2016 Category: ENT & OMF Authors: Noman, Samer AbduljabarShindy, Mostafa Ibrahim Tags: Case Report Source Type: research

Eye Inside Out: Endonasal Endoscopic Reposition of Eye from Nose with Complete Vision Regainment
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584401Faciomaxillary and ocular trauma is a common entity in most emergency and trauma units. We came across a 68-year-old female patient with a history of bull horn injury over the right eye. Examination revealed an empty orbital socket with unreliable perception of light present. Imaging showed that the eye had displaced posteroinferomedially to be lying in the ethmoid air cells in the nasal cavity. Under nasal endoscopic guidance, the eye was reposited back into the orbital socket and conjunctival sutures were taken to stabilize the position. The patient had v...
Source: Craniomaxillofacial Trauma and Reconstruction - June 23, 2016 Category: ENT & OMF Authors: Mishra, Girish S.Bhatt, Sushen Harish Tags: Case Report Source Type: research

Orbital Adherence Syndrome following the Use of Titanium Precontoured Orbital Mesh for the Reconstruction of Posttraumatic Orbital Floor Defects
We present two cases of orbital adherence syndrome following the use of titanium mesh for orbital floor reconstruction. In both cases, we also delineate the management of this syndrome. Our first patient reported good recovery after surgical intervention to relieve the tethering to the titanium mesh and subsequent placement of a smooth interface implant. The other patient was managed nonsurgically with resolution of symptoms. We highlight possible signs that might suggest the need for early surgical intervention. Orbital adherence syndrome is a poorly described and understood phenomenon and appears to occur after the use o...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2016 Category: ENT & OMF Authors: Lee, Geraldine Hwee PingHo, Samuel Yew Ming Tags: Case Report Source Type: research

Orbital Osteoblastoma: Technical Innovations in Resection and Reconstruction Using Virtual Surgery Simulation
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584397Osteoblastoma is a benign tumor of bone, representing less than 1% of bone tumors. Craniomaxillofacial localizations account for up to 15% of the total and frequently involve the posterior mandible. Endo-orbital localization is very rare, with most occurring in young patients. Very few of these tumors become malignant. Orbital localization requires radical removal of the tumor followed by careful surgical reconstruction of the orbit to avoid subsequent aesthetic or functional problems. Here, we present a clinical case of this condition and describe a surgic...
Source: Craniomaxillofacial Trauma and Reconstruction - June 21, 2016 Category: ENT & OMF Authors: Novelli, GiorgioGramegna, MarcoTonellini, GabrieleValente, GabriellaBoni, PietroBozzetti, AlbertoSozzi, Davide Tags: Technical Note Source Type: research

Superior Orbital Fissure Syndrome in Lateral Orbital Wall Fracture: Management and Classification Update
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1584392The superior orbital fissure syndrome (SOFS) is an uncommon complication rarely occurring in association with craniofacial trauma. Work-up of a patient injured by a traumatic right orbitozygomatic complex fracture and SOFS is presented. Accurate computed tomography scan and three-dimensional reconstruction showed a medial displacement of the lateral orbital wall, compressing the right superior orbital fissure (SOF), without intraorbital bone fragment displacement or hemorrhage. Imaging also revealed a frontosphenotemporal fracture, according to Pellerin et ...
Source: Craniomaxillofacial Trauma and Reconstruction - June 21, 2016 Category: ENT & OMF Authors: Caldarelli, ClaudioBenech, RodolfoIaquinta, Caterina Tags: Review Article Source Type: research

Reconstruction of a Combined Maxillectomy and Segmental Mandibulectomy Defect in a Seven-Year-Old with a Single Free Fibula Osteocutaneous Flap
We describe the case of a pediatric patient with vessel-depleted neck with recurrent vascular malformation involving the ramus and coronoid process of mandible and a previous history of maxillectomy and a reconstruction with anterolateral thigh flap. The patient underwent wide resection. The defects involving the upper alveolus and mandible were simultaneously reconstructed with a single free fibula flap.[...]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 - June 21, 2016 Category: ENT & OMF Authors: Joseph, Shawn T.Thankappan, KrishnakumarIyer, Subramania Tags: Case Report Source Type: research

Carotid-Cavernous Fistula as a Complication of Panfacial Fracture: Case Report 11 Years after the Surgery
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1582458The carotid-cavernous fistula (CCF) is a rare complication in patients victimized by craniofacial trauma. It involves multidisciplinary medical action. Owing to its potential complications, it is essential that maxillofacial surgery and neurosurgery specialists diagnose this condition so that appropriate treatment can be performed. The authors present a report of a case 11 years after the surgery.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source...
Source: Craniomaxillofacial Trauma and Reconstruction - May 23, 2016 Category: ENT & OMF Authors: de Moraes, Sylvio Luiz Costade Paula Afonso, Alexandre Mauritydos Santos, Roberto GomesMattos, Ricardo PereiraDuarte, Bruno Gomes Tags: Case Report Source Type: research

A Case of Glenoid Fossa Fracture, Progressive Ankylosis, Total Joint Reconstruction with Alloplastic Prosthesis to Normalized Function Including Evaluation with F18-PET/CT–a Four Year Follow-up
We present a case of young woman with painful ankylosis that where reconstructed with TJR, due to a complex mandibular fracture with dislocation of the left condyle into the middle cranial fossa two years earlier. At the age of 18 the subject underwent a total joint replacement with custom-made alloplastic TMJ prosthesis. To determine the bone response and remodeling activity around the prosthesis, a F18 PET/CT-scan was used. No sign of increased remodeling or pathology were seen in the imaging after the reconstruction. Four years postoperatively the subject reports no pain and excellent jaw function.[...]Thieme Medical Pu...
Source: Craniomaxillofacial Trauma and Reconstruction - May 8, 2016 Category: ENT & OMF Authors: Lindell, BjörnThor, Andreas Tags: Case Report Source Type: research