Tomographic Evaluation of Mandibular Thickness on Premolar and Molar Regions Related to Monocortical Screws
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1566162The aim of this study was to measure the thickness of the mandible from the external cortical plate to the teeth roots on premolar and molar regions using CT scan to determine the safety margin for the application of monocortical screws for internal rigid fixation. Thirty-one patients underwent CT-scan imaging for surgical planning. The images were used to measure bilaterally the distance from the external cortex of the mandible to the roots of teeth on premolar and molar region by means of Dental Slice software (Bioparts Prototipagem Biomedica, Brasília, ...
Source: Craniomaxillofacial Trauma and Reconstruction - October 28, 2015 Category: ENT & OMF Authors: Ribeiro, JonathanMarin, CharlesHomsi, NicolasRocha Junior, HernandoMagacho, LuizFidalgo, GutoZanela, Manuella Tags: Original Article Source Type: research

Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1566160The provision of trauma care is a financial burden, continually associated with low reimbursement, and shifts the economic burden to major trauma centers and providers. Meanwhile, the volume of craniomaxillofacial (CMF) trauma and the number of surgically managed facial fractures are unchanged. Past financial analyses of cost and reimbursement for facial trauma are limited to mandibular and midface injuries, consistently revealing low reimbursement. The incurred financial burden also coincides with the changing landscape of health insurance. The goal of thi...
Source: Craniomaxillofacial Trauma and Reconstruction - October 28, 2015 Category: ENT & OMF Authors: Moses, HelenPowers, DavidKeeler, JarrodErdmann, DetlevMarcus, JeffPuscas, LianaWoodard, Charles Tags: Original Article Source Type: research

Assessment of Mandibular Distraction Regenerate Using Ultrasonography and Cone Beam Computed Tomography: A Clinical Study
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1563700Distraction osteogenesis (DO) is becoming a popular method of reconstruction for maxillofacial bony deformities or defects secondary to trauma or surgical tumor ablation. However, the technique is very sensitive in terms of the rate and rhythm of distraction. Because of this, there is a need for monitoring of the distraction regenerate during the distraction as well as the consolidation period. The present study was conducted to assess the regenerate using two imaging modalities, namely, ultrasonography (USG) and cone beam computed tomography (CBCT) to dete...
Source: Craniomaxillofacial Trauma and Reconstruction - September 24, 2015 Category: ENT & OMF Authors: Dabas, JitenderMohanty, SujataChaudhary, ZainabRani, Amita Tags: Original Article Source Type: research

Assessment of Bite Force in Patients Treated with 2.0-mm Traditional Miniplates versus 2.0-mm Locking Plates for Mandibular Fracture
In this study, 20 adult patients with isolated mandibular fracture were included. The patients were randomly allocated into two groups, that is, Group I—2.0 mm nonlocking (traditional) and Group II—2.0 mm locking plates. Bite force was evaluated at 1st, 3rd, and 6th weeks. Comparison of all the assessed parameters between both the groups depicted no significant difference in terms of pain, swelling including the incidence of infection, paresthesia, and hardware failure. Although same was true in case of bite force between both the groups at various time intervals, there was statistically significant increase in the...
Source: Craniomaxillofacial Trauma and Reconstruction - September 21, 2015 Category: ENT & OMF Authors: Rastogi, SanjayReddy, Mahendra ParvathSwarup, Azeez GauravSwarup, DivyaChoudhury, Rupshikha Tags: Original Article Source Type: research

Computer-Assisted Three-Dimensional Planning for Orbital Decompression
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1564297Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of contents  |  Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - September 3, 2015 Category: ENT & OMF Authors: Susarla, Srinivas MurthyGrant, MichaelMerbs, ShannathMahoney, Nicholas Tags: ERRATA Source Type: research

Orbital Wall Reconstruction with Two-Piece Puzzle 3D Printed Implants: Technical Note
We present three cases of large defect reconstruction using implants produced by Xilloc Medical B.V. (Maastricht, the Netherlands) with a 3D printer manufactured by LayerWise (3D Systems; Heverlee, Belgium), and designed using the biomedical engineering software programs ProPlan and 3-Matic (Materialise, Heverlee, Belgium). The smaller size of the implants allowed sequential implantation for the reconstruction of extensive two-wall defects via a limited transconjunctival incision. The precise fit of the implants with regard to the surrounding ledges and each other was confirmed by intraoperative 3D imaging (Mobile C-arm Sy...
Source: Craniomaxillofacial Trauma and Reconstruction - September 2, 2015 Category: ENT & OMF Authors: Mommaerts, Maurice Y.Büttner, MichaelVercruysse, HermanWauters, LauriBeerens, Maikel Tags: Original Article Source Type: research

Bolt from the Blue: A Large Foreign Body in the Maxillary Antrum Necessitating Delayed Primary Reconstruction with Split Cranial Bone Graft
We report an unusual case of a large metallic foreign body embedded in the maxillary antrum leading to extensive bony destruction of the mid-face following a road side accident in a 12-year-old boy. There was extensive bony loss that necessitated reconstruction for both aesthetic and functional reasons. The same was accomplished by using split cranial bone graft in a delayed primary manner after a gap of 7 days following initial debridement. There was primary healing with good aesthetic and functional results.[...]Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals:Table of con...
Source: Craniomaxillofacial Trauma and Reconstruction - September 1, 2015 Category: ENT & OMF Authors: Sharma, Ramesh K.Vemula, Guru KarnaJohn, Jerry R. Tags: Case Report Source Type: research

Transcaruncular Approach for Treatment of Medial Wall and Large Orbital Blowout Fractures
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1563390We evaluate the safety and efficacy of the transcaruncular approach for reconstruction of medial orbital wall fractures and the combined transcaruncular–transconjunctival approach for reconstruction of large orbital defects involving the medial wall and floor. A retrospective review of the clinical and radiographic data of patients who underwent either a transcaruncular or a combined transcaruncular–transconjunctival approach by a single surgeon for orbital fractures between June 2007 and June 2013 was undertaken. Seven patients with isolated medial wal...
Source: Craniomaxillofacial Trauma and Reconstruction - August 19, 2015 Category: ENT & OMF Authors: Nguyen, Dennis C.Shahzad, FarooqSnyder-Warwick, AlisonPatel, Kamlesh B.Woo, Albert S. Tags: Original Article Source Type: research

Condylar Fracture in a Child with Entrapment of the Inferior Alveolar Nerve
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1563391The aim of this article is to report the clinical case of a right subcondylar fracture in a 4-year-old boy. The displaced and medial angulated fragmented mandibular condyle in coexistence with an enlarged lateral pterygoid process was compressing the inferior alveolar nerve (IAN) during its course in the area of the infratemporal fossa. This was expressed by exhibiting a rubbing behavior with resulting superficial ulceration at the right lower lip. Hypoesthesia of the lower lip may be a sign of the IAN entrapment after a subcondylar fracture in a child. In ...
Source: Craniomaxillofacial Trauma and Reconstruction - August 18, 2015 Category: ENT & OMF Authors: Politis, ConstantinusSun, YiAgbaje, JimohLambrichts, IvoPiagkou, MariaJacobs, Reinhilde Tags: Case Report Source Type: research

Nevoid Basal Cell Carcinoma Syndrome: A Long-Term Study in a Family
We present a family case series with 10 individuals having nevoid basal cell carcinoma syndrome (NBCCS) with a 10-year follow-up. All articles published in the literature between 1967 and 2011 on familial Gorlin–Goltz syndrome in any language were surveyed to determine the mapping of cases per country of occurrence of this disease. All patients in the present series were presented with calcification of the falx cerebri, mild hypertelorism, and frontal bossing. Odontogenic keratocystic tumors, palmar and plantar pits, and multiple basal cell carcinomas occurred in 90, 40, and 20%, respectively, of the patients. One of the...
Source: Craniomaxillofacial Trauma and Reconstruction - August 3, 2015 Category: ENT & OMF Authors: de Santana Santos, ThiagoVajgel, AndréMartins-Filho, Paulo Ricardo Saquetede Albuquerque Maranhao Filho, Almir WalterDe Holanda Vasconcellos, Ricardo JoséFrota, RiedelFilho, José Rodrigues Laureano Tags: Case Report Source Type: research

Patterns of Intracranial Hemorrhage in Pediatric Patients with Facial Fractures
In this study, we aim to identify diagnostic and prognostic signs for ICH in pediatric facial fracture patients by examining aspects of patient presentation, concomitant injuries, and fracture patterns. Data were collected for all radiologically diagnosed facial fractures between January 2000 and December 2012 at a level I trauma center in Newark, NJ. This was then further refined to include only patients 18 years of age or younger who had a documented ICH. Patient age, Glasgow coma scale (GCS) on presentation, fracture location, type of hemorrhage, and certain aspects of management were collected from these records. Data ...
Source: Craniomaxillofacial Trauma and Reconstruction - July 24, 2015 Category: ENT & OMF Authors: Marano, Andrew A.Hoppe, Ian C.Halsey, Jordan N.Kordahi, Anthony M.Granick, Mark S.Lee, Edward S. Tags: Original Article Source Type: research

Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction
This study shows the versatility of free ALT flap in head and neck reconstruction. It is a reliable and safe. Donor site morbidity is minimal.[...]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 - July 24, 2015 Category: ENT & OMF Authors: Khadakban, DhirajKudpaje, AkshayThankappan, KrishnakumarJayaprasad, KiranGorasia, TejalVidhyadharan, SivakumarMathew, JimmySharma, MohitIyer, Subramania Tags: Original Article Source Type: research

Orbital Compartment Syndrome Leading to Visual Loss following Orbital Floor Reconstruction
In this report, we document a unique case of acute optic nerve infarction occurring 14 hours following orbital floor exploration and repair in a 56-year-old man.[...]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 - July 24, 2015 Category: ENT & OMF Authors: Susarla, Srinivas M.Nam, Arthur J.Dorafshar, Amir H. Tags: Case Report Source Type: research

“Phossy Jaw” and “Bis-phossy Jaw” of the 19th and the 21st Centuries: The Diuturnity of John Walker and the Friction Match
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1558452Some 200 years ago, workers developed gingivitis, periodontal disease, alveolar crest bone sequestra, and draining fistulae after exposure to phosphorous fumes and phosphorous paste in the manufacture of the friction match. Many also suffered loss of teeth and pathologic fracture of the mandible. Known as “phossy jaw,” the constellation rather abruptly vanished following the International Berne Convention of 1906. Today, “bis-phossy jaw” (bisphosphonate-induced osteonecrosis of the jaw) has surfaced with pathologic fractures and other features commo...
Source: Craniomaxillofacial Trauma and Reconstruction - July 24, 2015 Category: ENT & OMF Authors: Pollock, Richard A.Brown, Ted W.Rubin, David M. Tags: Case Report Source Type: research

The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible
This study aims to assess the role of a conservative minimal intervention protocol in the management of undisplaced/minimally displaced fractures of the dentate portion of the adult mandible and the complications associated with such minimalistic intervention. Thirty-four patients with undisplaced/minimally displaced fractures of the dentate portion of the adult mandible were advised to restrict mouth opening and limit themselves to a soft diet for a minimum of 4 weeks. All patients were advised follow-up at regular intervals for at least 3 months. Five patients were lost to follow-up. Symphysis and parasymphysis fractures...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2015 Category: ENT & OMF Authors: Krishnan, Balasubramanian Tags: Original Article Source Type: research