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Custom Anatomical 3D Spacer for Temporomandibular Joint Resection and Reconstruction
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0035-1546814Two cases are presented using a two-stage approach and a custom antibiotic spacer placement. Temporomandibular reconstruction can be very demanding and accomplished with a variety of methods in preparation of a total joint and ramus reconstruction with total joint prostheses (TMJ Concepts, Ventura, CA). Three-dimensional reconstructions from diagnostic computed tomography were used to establish a virtually planned resection which included the entire condyle-ramus complex. From these data, digital designs were used to manufacture molds to facilitate intraope...
Source: Craniomaxillofacial Trauma and Reconstruction - March 5, 2015 Category: ENT & OMF Authors: Green, John MarshallLawson, Sarah T.Liacouras, Peter C.Wise, Edward M.Gentile, Michael A.Grant, Gerald Thomas Tags: Case Report Source Type: research

Penetrating Orbital-Cranial Injuries Management in a Limited Resource Hospital in Latin America
We present a case series of POCI managed in a university hospital in such scenario. A retrospective case series was conducted including patients with POCI in 2011. Mechanism of injury, Glasgow Coma Scale score, imaging, medical and surgical management, complications, and Glasgow Outcome Scale (GOS) score were analyzed. A total of 30 patients with penetrating orbital injuries were admitted from March 2011 to December 2011. Of this group, only four patients were diagnosed with cranial penetration. Computed tomography (CT) angiography revealed orbital fractures and injury to frontal, temporal, or occipital lobes. Urgent crani...
Source: Craniomaxillofacial Trauma and Reconstruction - February 20, 2015 Category: ENT & OMF Authors: Estebanez, GlynGaravito, DianaLópez, LauraOrtiz, Juan CarlosRubiano, Andrés M. Tags: Case Report Source Type: research

Application of Maxillomandibular Fixation for Management of Traumatic Macroglossia: A Case Report
We present a case of a 14-year-old adolescent boy who has oral cavity after gunshot wound to the tongue presenting with hemorrhage from the tongue requiring coil embolization of the right lingual artery. The patient subsequently developed macroglossia, which was managed with maxillomandibular fixation for a period of 3 weeks with complete resolution of glossal edema.[...]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 - February 18, 2015 Category: ENT & OMF Authors: Shanti, Rabie M.Braidy, Hani F.Ziccardi, Vincent B. Tags: Case Report Source Type: research

An Evaluation of the Effect of Therapeutic Ultrasound on Healing of Mandibular Fracture
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1544104The mandible is the most frequently fractured bone in maxillofacial trauma, the treatment of which consists of reduction and fixation of dislocated fragments by open or closed approach. Innovative techniques toward reducing the period of the postoperative intermaxillary fixation (IMF) are being researched. A relatively unknown treatment that may have an effect on fracture healing is ultrasound. Recent clinical trials have shown that low-intensity pulsed ultrasound (LIPUS) has a positive effect on bone healing. The aim of this study was to evaluate the effec...
Source: Craniomaxillofacial Trauma and Reconstruction - February 5, 2015 Category: ENT & OMF Authors: Patel, KiranKumar, SanjeevKathiriya, NishthaMadan, SonalShah, AnkitVenkataraghavan, KarthikJani, Mehul Tags: Original Article Source Type: research

A Protocol to Reduce Interobserver Variability in the Computed Tomography Measurement of Orbital Floor Fractures
In this study, 15 independent observers without clinical experience in orbital fracture detection and measurement measured the orbital floor fractures of three randomly selected patients following the protocol. The time required for each measurement was recorded. The intraclass correlation coefficient of the surface area measurements is 0.999 (0.997–1.000) with p-value < 0.001. This suggests that any observer measuring the surface area will obtain a similar estimation of the fractured surface area. The maximum error limit was 0.901 cm2 which is less than the margin of error of 1 cm2 in mesh trimming for orbital re...
Source: Craniomaxillofacial Trauma and Reconstruction - February 3, 2015 Category: ENT & OMF Authors: Ang, Chuan HanLow, Jin RongShen, Jia YiCai, Elijah Zheng YangHing, Eileen Chor HoongChan, Yiong HuakSundar, GangadharaLim, Thiam Chye Tags: Original Article Source Type: research

Le Fort I Approach for Midline Tumors of the Palate
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1399798Midline tumors of the palate may represent a challenge for the maxillofacial surgeon. Their resection and immediate reconstruction could be hindered when a simply intraoral approach is selected. The Le Fort I downfracture approach represents an ideal technique for the management of this tumors, simplifying their resection, ensuring a tumor-free margin, and allowing their reconstruction with a temporal muscle flap. A review of this procedure is presented, highlighting the technical keys and its principal advantages.[...]Thieme Medical Publishers 333 Seventh ...
Source: Craniomaxillofacial Trauma and Reconstruction - January 22, 2015 Category: ENT & OMF Authors: de Cevallos, Jorge Guiñales DíazCarretero, Jose L. Cebriánde Vera, Jose L. Del Castillo PardoGarcía, Miguel Burgueño Tags: Case Report Source Type: research

Trend and Characteristics of 2,636 Maxillofacial Fracture Cases over 32 Years in Suburban City of Japan
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1399797Trend and characteristics of maxillofacial fractures in 2,636 patients over 32 years were analyzed retrospectively. Patients comprised 1,764 males and 872 females with ages ranging from 0 to 99 years. Patients younger than 30 years consisted of 60% maxillofacial fractures in the early period but decreased to 40% in the late period. In contrast, patients older than 60 years gradually increased to 30%. In terms of cause, traffic accidents consisted of more than 50%, predominantly motorcycle accidents, but gradually decreased to 40%. In contrast, falls markedl...
Source: Craniomaxillofacial Trauma and Reconstruction - January 16, 2015 Category: ENT & OMF Authors: Yamamoto, KazuhikoMatsusue, YumikoHorita, SatoshiMurakami, KazuhiroSugiura, TsutomuKirita, Tadaaki Tags: Original Article Source Type: research

Orbitozygomatic Fracture Repairs: Are Antibiotics Necessary?
This study aims to investigate and review the management and complications of orbitozygomatic fractures at the Royal Brisbane and Women's Hospital (RBWH). Specifically the postoperative infection rate will be closely examined to determine whether adjunctive antibiotics are necessary in its surgical management. A retrospective case selection study of all patients with orbitozygomatic fractures treated at the RBWH in 2011 was performed. The cases were collected from the maxillofacial database. Chart review of the admission with consecutive follow-up of up to 6 weeks including clinical and radiological assessment and consecut...
Source: Craniomaxillofacial Trauma and Reconstruction - January 14, 2015 Category: ENT & OMF Authors: Huang, WeberLynham, AnthonyWullschleger, Martin Tags: Original Article Source Type: research

Does Extraction or Retention of the Wisdom Tooth at the Time of Surgery for Open Reduction and Internal Fixation of the Mandible Alter the Patient Outcome?
This study reviewed the records of all patients who had mandibular wisdom teeth at the time of the injury, and had an open reduction and internal fixation procedure between January 2009 and January 2012. The cohort of patients who concomitantly had their wisdom tooth extracted at the time of fixation had a greater complication rate (24.3%) compared with patients who did not (14.9%). This suggests that if third molars in the line of a fracture have caries, are fractured, show signs of pericoronitis, are periodontally involved, or are interfering with the occlusion are extracted at the time of fixation, this will increase th...
Source: Craniomaxillofacial Trauma and Reconstruction - January 14, 2015 Category: ENT & OMF Authors: Hammond, DouglasParmar, SatWhitty, JustinPigadas, Nick Tags: Original Article Source Type: research

Medial Wall Fracture and Orbital Emphysema Mimicking Inferior Rectus Entrapment in a Child
We present a case of orbital emphysema mimicking inferior rectus entrapment following trauma in an 11-year-old boy.[...]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 - January 14, 2015 Category: ENT & OMF Authors: Collin, JohnAfshar, FaridThomas, Steven Tags: Case Report Source Type: research

Posttraumatic Delayed Enophthalmos: Analogies with Silent Sinus Syndrome? Case Report and Literature Review
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1399799Acute posttraumatic enophthalmos is a well-known symptom occurring in orbital blowout fractures. Its late onset in the absence of radiologic evidence of displaced fractures is rare and traditionally attributed to ischemic liponecrosis or fibrotic scarring of endo-orbital soft tissues. In this article, we describe a case of facial trauma, diagnosed and treated at the Maxillo-Facial Surgical Department of Hospital Ca' Granda Niguarda of Milan, in which delayed monolateral enophthalmos is associated with CT evidence of remodeling of orbital walls attributed to...
Source: Craniomaxillofacial Trauma and Reconstruction - January 14, 2015 Category: ENT & OMF Authors: Canzi, GabrieleMorganti, ValeriaNovelli, GiorgioBozzetti, AlbertoSozzi, Davide Tags: Case Report Source Type: research

Circummandibular Wires for Treatment of Dentoalveolar Fractures Adjacent to Edentulous Areas: A Report of Two Cases
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1399801In general, dentoalveolar fractures are a common injury seen in emergency departments, dental offices, and oral and maxillofacial surgery practices. These injuries can be the result of direct trauma or indirect trauma. Direct trauma more often causes trauma to the maxillary dentition due to the exposure of the maxillary anterior teeth. Indirect trauma is usually the result of forced occlusion secondary to a blow to the chin or from a whiplash injury. Falls are the most common mechanism of injury seen in the pediatric group. In adolescents, many of these fra...
Source: Craniomaxillofacial Trauma and Reconstruction - January 13, 2015 Category: ENT & OMF Authors: Maloney, Karl Tags: Case Report Source Type: research

Early Experience with Biodegradable Fixation of Pediatric Mandibular Fractures
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1393735This clinical study aims to evaluate the stability and efficiency of biodegradable self-reinforced poly-l/dl-lactide (SR-PLDLA) plates and screws for fixation of pediatric mandibular fractures. The study included 12 patients (3–12 years old) with 14 mandibular fractures. They were treated by open reduction and internal fixation by SR-PLDLA plates and screws. Maxillomandibular fixation was maintained for 1 week postoperatively. Clinical follow-up was performed at 1 week, 6 weeks, 3 months, and 12 months postoperatively. Radiographs were done at 1 wee...
Source: Craniomaxillofacial Trauma and Reconstruction - December 23, 2014 Category: ENT & OMF Authors: Mazeed, Ahmed SalahShoeib, Mohammed Abdel-RaheemSaied, Samia Mohammed AhmedElsherbiny, Ahmed Tags: Original Article Source Type: research

Delayed Cranioplasty: Outcomes Using Frozen Autologous Bone Flaps
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1395383Reconstruction of skull defects following decompressive craniectomy is associated with a high rate of complications. Implantation of autologous cryopreserved bone has been associated with infection rates of up to 33%, resulting in considerable patient morbidity. Predisposing factors for infection and other complications are poorly understood. Patients undergoing cranioplasty between 1999 and 2009 were identified from a prospectively maintained database. Records and imaging were reviewed retrospectively. Demographics, the initial craniectomy and subsequent c...
Source: Craniomaxillofacial Trauma and Reconstruction - December 17, 2014 Category: ENT & OMF Authors: Hng, DanielBhaskar, IvanKhan, MumtazBudgeon, CharleyDamodaran, OmprakashKnuckey, NevilleLee, Gabriel Tags: Original Article Source Type: research

Orbital Roof Fractures: A Clinically Based Classification and Treatment Algorithm
This article provides a literature review and clinical experience of a tertiary trauma center in Australia. All cases admitted to the Royal Melbourne Hospital with orbital roof fractures between January 2011 and July 2013 were reviewed regarding patient characteristics, mechanism, imaging (computed tomography), and management. Forty-seven patients with orbital roof fractures were treated. Three of these were isolated cases. Forty were male and seven were female. Assault (14) and falls (13) were the most common causes of injury. Forty-two patients were treated conservatively and five had orbital roof repairs. On the basis o...
Source: Craniomaxillofacial Trauma and Reconstruction - December 17, 2014 Category: ENT & OMF Authors: Connon, F. V.Austin, S. J. B.Nastri, A. L. Tags: Original Article Source Type: research