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Preoperative Planning of Virtual Osteotomies Followed by Fabrication of Patient Specific Reconstruction Plate for Secondary Correction and Fixation of Displaced Bilateral Mandibular Body Fracture
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0036-1572492This paper describes the course of treatment of a severely diplaced bilateral mandibular body fracture, where the first osteosynthesis failed. The subject developed an open bite due to a posterior rotation of the distal part of the mandible and anterior rotation of the proximal parts of the mandible. This situation was evaluated with CBCT and the facial skeleton was segmented using computer software. Correct occlusion was virtually established by bilateral virtual osteotomies in the fracture areas of the mandible. After segmentation, the mandible was virtua...
Source: Craniomaxillofacial Trauma and Reconstruction - March 7, 2016 Category: ENT & OMF Authors: Thor, Andreas Tags: Case Report Source Type: research

Reconstruction of Continuity Defects of the Mandible with Non-vascularized Bone Grafts. Systematic Literature Review
Conclusion NVBG seems to be appropriate for mandible reconstruction when there is vascular recipient bed and sufficient soft tissue cover and mucosal lining are achievable.[...]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 - March 3, 2016 Category: ENT & OMF Authors: Akinbami, Babatunde Olayemi Tags: Review Article Source Type: research

Persistent Upgaze Restriction after Orbital Floor Fracture Repair
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1570076Here we present two cases of marked postoperative upgaze restriction after successful repair of orbital floor fracture and release of inferior rectus entrapment. In both cases, follow-up imaging showed enlargement of the inferior rectus, and gradual resolution of gaze limitation was observed over several months of conservative management. Thus, in patients with postoperative findings suggestive of residual inferior rectus entrapment, follow-up imaging is indicated prior to returning to the operating room. With a markedly swollen inferior rectus muscle but n...
Source: Craniomaxillofacial Trauma and Reconstruction - January 13, 2016 Category: ENT & OMF Authors: Kersten, Robert C.DeParis, Sarah WillcoxGrumbine, F. LawsonVagefi, M. Reza Tags: Case Report Source Type: research

Review of Maxillofacial Hardware Complications and Indications for Salvage
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1570074From 2002 to 2006, more than 117,000 facial fractures were recorded in the U.S. National Trauma Database. These fractures are commonly treated with open reduction and internal fixation. While in place, the hardware facilitates successful bony union. However, when postoperative complications occur, the plates may require removal before bony union. Indications for salvage versus removal of the maxillofacial hardware are not well defined. A literature review was performed to identify instances when hardware may be salvaged. Articles considered for inclusion we...
Source: Craniomaxillofacial Trauma and Reconstruction - December 22, 2015 Category: ENT & OMF Authors: Hernandez Rosa, JonatanVillanueva, Nathaniel L.Sanati-Mehrizy, PaymonFactor, Stephanie H.Taub, Peter J. Tags: Original Article Source Type: research

Large Septal Perforation Repair with Pericranial Flap and Intraoperative Fluorescence Angiography
This article presents a 31-year-old man with an idiopathic, septal perforation measuring 1.7 × 1.7 cm who previously failed medical therapy and surgical repair. He underwent a combined, coronal incision and external rhinoplasty approach with a tunneled pericranial flap resulting in a successful repair. This case report illustrates robust reconstructive capability of pericranial flaps for repair of septal perforations, as well as the potential value of intraoperative fluorescence angiography in determining the likelihood of a successful outcome.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA....
Source: Craniomaxillofacial Trauma and Reconstruction - December 21, 2015 Category: ENT & OMF Authors: Williams, RyanLee, Matthew K.Most, Sam P. Tags: Case Report Source Type: research

Delayed Periorbital Abscess after Silicone Implant to Orbital Floor Fracture
We report a delayed periorbital abscess 5 years after orbital floor reconstruction using a silicone implant.[...]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 - December 21, 2015 Category: ENT & OMF Authors: Dedhia, RajTollefson, Travis T. Tags: Case Report Source Type: research

The Application of Virtual Planning and Navigation Devices for Mandible Reconstruction and Immediate Dental Implantation
This article shows the outcomes of single-stage surgical treatment and immediate orthopedic rehabilitation performed with the help of preoperative virtual computer simulation. 3D investigation of pathological and donor sites, virtual simulation of tumor resection, positioning of the dental implants into fibula, virtual flap bending and transfer, virtual bending of fixing reconstruction plates, and fabrication of navigation templates and bridge prosthesis supported by dental implants were done preoperatively. The surgery included tumor resection, insertion of dental implants into fibula, elevation of fibula osteocutaneous f...
Source: Craniomaxillofacial Trauma and Reconstruction - November 19, 2015 Category: ENT & OMF Authors: Rahimov, Chingiz R.Farzaliyev, Ismayil M.Fathi, Hamid RezaDavudov, Mahammad M.Aliyev, AnarHasanov, Emin Tags: Original Article Source Type: research

The Big Bang: Facial Trauma Caused by Recreational Fireworks
We present two cases of patients with severe blast injury to the face, caused by direct impact of rockets, and thereby try to contribute to the limited literature on facial blast injuries, their treatment, and clinical outcome. These patients require multidisciplinary treatment, involving multiple reconstructive surgeries, and the overall recovery process is long. The severity of these traumas raises questions about the firework traditions and legislations not only in the Netherlands but also worldwide. Therefore, the authors support restrictive laws on personal use of fireworks in the Netherlands.[...]Thieme Medical Publi...
Source: Craniomaxillofacial Trauma and Reconstruction - November 17, 2015 Category: ENT & OMF Authors: Molendijk, JosherVervloet, BobWolvius, Eppo B.Koudstaal, Maarten J. Tags: Case Report Source Type: research

Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve
The objective of this study is to report a large, rare, and ulcerative infiltrated skin lesion. Its diagnosis, therapeutic management, and progress are described. The patient is a 78-year-old white man, who presented with a 12-month ulcerative perforated lesion that had affected and infiltrated the skin, with easy bleeding. He had a history of hypertension, although controlled, was a 40-year smoker, had chronic atrial fibrillation, diabetes, and microangiopathy. During the consultation, the patient also presented with ocular obstruction due to an inability to open the eye. He mentioned having reduced vision. The computed t...
Source: Craniomaxillofacial Trauma and Reconstruction - November 13, 2015 Category: ENT & OMF Authors: D'Addino, José LuisPiccoletti, LauraPigni, María Mercedesde Gordon, Maria José Rodriguez Arenas Tags: Case Report Source Type: research

Tongue Blade Bite Test Predicts Mandible Fractures
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1567812The aim of the study is to evaluate the utility of a simple tongue blade bite test in predicting mandible fractures and use this test as an alternative screening tool for further workup. This is a retrospective chart review. An institutional review board approved the retrospective review of patients evaluated by the Department of Otolaryngology at a single institution for facial trauma performed from November 1, 2011, to February 27, 2014. Patients who had a bite test documented were included in the study. CT was performed in all cases and was used as the g...
Source: Craniomaxillofacial Trauma and Reconstruction - November 9, 2015 Category: ENT & OMF Authors: Neiner, JohnFree, RachaelCaldito, GloriaMoore-Medlin, TaraNathan, Cherie-Ann Tags: Original Article Source Type: research

Autologous Fat Transfer for Esthetic Contouring of Face in Posttraumatic Nonfunctional Maxillofacial Deformities
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1566163The transfer of autologous fat has been performed since the 1890s; however, its popularity has increased owing to better understanding of fat harvesting and processing techniques. In this article, fat grafting procedure has been used to correct posttraumatic facial deformities in 25 cases. As healing of grafted fat is unpredictable, we have used longer follow-up of 2 years. Evaluation was performed using facial photographs and MRI scans. Scientific literature describes an absorption rate ranging from 20 to 90%. High fat graft resorption rates have been attr...
Source: Craniomaxillofacial Trauma and Reconstruction - November 5, 2015 Category: ENT & OMF Authors: Agrawal, Kapil S.Bachhav, ManojNaik, Charudatta S.Tanwar, HarshwardhanSankhe, Shilpa S. Tags: Original Article Source Type: research

A Rare Case Report of an Unusual Dislocation of Fractured Mandibular Condyle
This article reports an unusual and unique case of dislocated fractured mandibular condyle wherein the fractured left condylar head was dislocated to the left anatomic angle of mandible. We have not found a single such case in the world English literature published till date. The presented case falls in the rarest of the rare category that will add to our previous knowledge about the types and extent of fracture dislocation of mandibular condyle.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Abstract  |  Full text (Source: Craniomaxillofa...
Source: Craniomaxillofacial Trauma and Reconstruction - November 5, 2015 Category: ENT & OMF Authors: Mishra, MadanSingh, Gaurav Tags: Case Report Source Type: research

Deformation of a Titanium Calvarial Implant following Trauma: A Case Report
The objective of this article is to describe the effect of mechanical impact on a titanium calvarial implant and to discuss mechanical properties of alternative implant materials. The patient is a 19-year-old man who was involved in a traffic accident and underwent decompressive craniectomy for an extensive subdural hematoma. Reimplantation of the skull flap was complicated by infection and the flap had to be removed. The remaining cranial defect was closed with a titanium plate. The recovery was without complications. One year later, the patient was hit on the titanium plate, during a soccer match, by the elbow of a fello...
Source: Craniomaxillofacial Trauma and Reconstruction - November 5, 2015 Category: ENT & OMF Authors: De Water, Valerie R.Rubio, Ellianne J. dos SantosSchouten, Joost W.Koudstaal, Maarten J. Tags: Case Report Source Type: research

Cross-Cheek Dumbbell-Shaped Radial Forearm Flap for Simultaneous Correction of Oral Cancer and Submucous Fibrosis
We report a novel technique of a single dumbbell-shaped, cross-cheek radial forearm free flap to repair bilateral defects caused by oral cancer resection on one side and the release of fibrosis on the other side in two patients. The dumbbell-shaped flap provided tissue for both the buccal mucosa defects and central released soft palate preventing fibrosis and reapproximation. The interincisor distance improved in both the patients.[...]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 - November 5, 2015 Category: ENT & OMF Authors: Bhattacharya, ShreyaVidhyadharan, SivakumarThankappan, KrishnakumarIyer, Subramania Tags: Case Report Source Type: research

Lower Eyelid Malposition Following Orbital Fracture Surgery: A Retrospective Analysis Based on 198 Surgeries
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1567813The aim of this study is to analyze the development of lower eyelid malposition following reconstruction of orbital fractures, in relation to the incisions used for access. A total of 198 surgical orbital floor reconstructions were performed in 175 patients between 2001 and 2011. Preoperative and postoperative presence of lower eyelid malposition of patients was reported. The types of incision used for access were as follows: approach via laceration (4.5%), via preexisting scar (16.2%), infraorbital (40.9%), subciliar (23.7%), transconjunctival (13.1%), and...
Source: Craniomaxillofacial Trauma and Reconstruction - November 3, 2015 Category: ENT & OMF Authors: Kesselring, Alexandra G.Promes, PaulStrabbing, Elske M.van der Wal, Karel G. H.Koudstaal, Maarten J. Tags: Original Article Source Type: research