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Finite Element Analysis of Patient-Specific Condyle Fracture Plates: A Preliminary Study
This study investigates the stability of two patient-specific implants (PSIs) for the open reduction and internal fixation of a subcondylar fracture of the mandible. A subcondylar fracture of a mandible was simulated by a series of finite element models. These models contained approximately 1.2 million elements, were heterogeneous in bone material properties, and also modeled the muscles of mastication. Models were run assuming linear elasticity and isotropic material properties for bone. The stability and von Mises stresses of the simulated condylar fracture reduced with each of the PSIs were compared. The most stable of ...
Source: Craniomaxillofacial Trauma and Reconstruction - November 14, 2014 Category: ENT & OMF Authors: Aquilina, PeterParr, William C. H.Chamoli, UpharWroe, Stephen Tags: Original Article Source Type: research

Computer-Assisted Three-Dimensional Planning for Orbital Decompression
In this report, we describe two cases of three-wall orbital decompressions using three-dimensional planning.[...]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 14, 2014 Category: ENT & OMF Authors: Susarla, Srinivas MurthyMahoney, NicholasMerbs, ShannathGrant, Michael Tags: Case Report Source Type: research

Beveled Osteotomies in Lateral Orbitotomy Using a Customized Rotating Bone Saw for Orbital Neoplasms
This study aims to develop a novel method of beveled osteotomy for lateral orbitotomy using a customized 21-mm stainless steel rotating saw in lateral orbitotomy and to evaluate the outcome of a novel beveled osteotomy in lateral orbitotomy. This article presents a case series (19 orbits from 18 patients) of lateral orbitotomies for excision biopsy of orbital neoplasms, over a 10-year period (from September 2001 to October 2011). It is a retrospective observational study. The surgeries were performed under the primary service of one surgeon (M. D. D. S.), the author of this study. All patients were treated via beveled oste...
Source: Craniomaxillofacial Trauma and Reconstruction - November 12, 2014 Category: ENT & OMF Authors: Santiago, Maria Donna DamoTuano, Prospero Maria Tags: Case Report Source Type: research

A Case Series of Rapid Prototyping and Intraoperative Imaging in Orbital Reconstruction
This article aims to demonstrate the potential clinical and cost saving benefits when both these technologies are used in orbital reconstruction which minimize the need for revision 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 - November 3, 2014 Category: ENT & OMF Authors: Lim, Christopher G.T.Campbell, Duncan I.Cook, NicholasErasmus, Jason Tags: Original Article Source Type: research

Retrospective Study of Facial Nerve Function Following Temporomandibular Joint Arthroplasty Using the Endaural Approach
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1393726The aim of this retrospective case–control study is to evaluate the incidence of facial nerve injury associated with temporomandibular joint (TMJ) arthroplasty using the endaural approach for the treatment of TMJ pathology. The sample consisted of 36 consecutive patients who underwent TMJ arthroplasty. A total of 39 approaches were performed through an endaural incision. Patients undergoing total joint replacement and/or with preexisting facial nerve dysfunction were excluded from the study. Five patients were lost to follow-up and were excluded from the ...
Source: Craniomaxillofacial Trauma and Reconstruction - October 31, 2014 Category: ENT & OMF Authors: Liu, FrederickGiannakopoulos, HelenQuinn, Peter D.Granquist, Eric J. Tags: Original Article Source Type: research

Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes)
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1395382In this article, authors report the different steps of development and clinical validation of MatrixMANDIBLE Subcondylar Plates (Synthes, Soletta, Switzerland), a specialized osteosynthesis system developed by Synthes during the past 4 years. Between 2009 and 2013, a total of 62 patients were treated for subcondylar and condylar neck fractures via a preauricular or retromandibular/transparotid approach. The MatrixMANDIBLE Subcondylar Plates System consists of a Trapezoidal Plate, a three-dimensional (3D) 4-hole 1.0-mm plate for smaller fracture areas, the L...
Source: Craniomaxillofacial Trauma and Reconstruction - October 31, 2014 Category: ENT & OMF Authors: Cortelazzi, RobertoAltacera, MarioTurco, MonicaAntonicelli, VivianaDe Benedittis, Michele Tags: Original Article Source Type: research

Alcohol Consumption and Interpersonal Injury in a Pediatric Oral and Maxillofacial Trauma Population: A Retrospective Review of 1,192 Trauma Patients
This study is a retrospective, 3-year review of a Regional Maxillofacial Unit (RMU) trauma database. Inclusion criterion was consecutive facial trauma patients under 16 years of age, referred to RMU for further assessment and/or management. Alcohol use and injuries sustained were reviewed. Of 1,192 pediatric facial trauma patients, 35 (2.9%) were associated with alcohol intake. A total of 145 (12.2%) alleged assault as the mechanism of injury, with older (12–15 years) (n = 129; 88.9%), male (n = 124; 85.5%) (p < 0.001) patients commonly involved and alcohol use implicated in 26 (17.9%) presentations. A pro...
Source: Craniomaxillofacial Trauma and Reconstruction - October 27, 2014 Category: ENT & OMF Authors: McAllister, PeterLaverick, SeanMakubate, BoikanyoJones, David Carl Tags: Original Article Source Type: research

Ellis–van Creveld Syndrome with Sagittal Craniosynostosis
We report the clinical features of a Hispanic boy with EVC and sagittal craniosynostosis who underwent cranial vault remodeling. The presentation of this patient is gone over in detail. A never before reported case of EVC and sagittal synostosis is presented in detail.[...]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 - October 27, 2014 Category: ENT & OMF Authors: Fischer, Andrew S.Weathers, William M.Wolfswinkel, Erik M.Bollo, Robert J.Hollier, Larry H.Buchanan, Edward P. Tags: Case Report Source Type: research

Condylar Osteochondroma Treated with Total Condylectomy and Preservation of the Articular Disc: A Case Report
We report a case of an osteochondroma of large size and rapid growth in the mandibular condyle, which was treated with total condylectomy and condylar replacement with a costochondral graft and preservation of the articular disc. In cases with a healthy and well-positioned articular disc, it may be preserved with no need of disc repositioning.[...]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 - October 27, 2014 Category: ENT & OMF Authors: Dominguez, Manuel FernandezCastillo, Jose Luis DelGuerra, Mario MuñozSanchez, Ruth SanchezLa Plata, Maria Mancha De Tags: Case Report Source Type: research

Antibiotics and Facial Fractures: Evidence-Based Recommendations Compared with Experience-Based Practice
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1378187Efficacy of prophylactic antibiotics in craniofacial fracture management is controversial. The purpose of this study was to compare evidence-based literature recommendations regarding antibiotic prophylaxis in facial fracture management with expert-based practice. A systematic review of the literature was performed to identify published studies evaluating pre-, peri-, and postoperative efficacy of antibiotics in facial fracture management by facial third. Study level of evidence was assessed according to the American Society of Plastic Surgery criteria, and...
Source: Craniomaxillofacial Trauma and Reconstruction - September 17, 2014 Category: ENT & OMF Authors: Mundinger, Gerhard S.Borsuk, Daniel E.Okhah, ZacharyChristy, Michael R.Bojovic, BrankoDorafshar, Amir H.Rodriguez, Eduardo D. Tags: Original Article Source Type: research

Spontaneous Bone Healing after Cysts Enucleation without Bone Grafting Materials: A Randomized Clinical Study
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1384738The aim of this study was to evaluate spontaneous bone regeneration after cysts enucleation of the jaws without the use of bone grafting materials. We included 18 patients at random (11 men and 7 women) with a mean age of 31.8 years, with jaw cysts treated by enucleation, without the use of grafting materials. A method of measurements to assess the percentage of reduction of the bone cavities was used to objectify the results. The patients were evaluated before and at least 6 months after surgery, with radiographic scans based on linear measures with a comp...
Source: Craniomaxillofacial Trauma and Reconstruction - September 15, 2014 Category: ENT & OMF Authors: Rubio, Eduardo DanielMombrú, Carlos Mariano Tags: Review Article Source Type: research

An Interesting Case of Gunshot Injury to the Temporomandibular Joint
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1390244The head and face are relatively common sites of gunshot injury, and the temporomandibular joint is often affected. These wounds usually produce major deformity and functional impairment, particularly when the temporomandibular joint is affected or when structures such as the facial nerve are damaged. Complications may include mandibular displacement at maximum mouth opening and in protrusion, limited mouth opening, limited lateral movement of the jaw, anterior open bite, and, more rarely, temporomandibular ankylosis. Projectiles that strike the mandible us...
Source: Craniomaxillofacial Trauma and Reconstruction - September 15, 2014 Category: ENT & OMF Authors: Pires, Mário Sergio MedeirosGiongo, Caroline ComisAntonello, Guilherme de MarcoCouto, Ricardo Torres doFilho, Ruy de Oliveira VerasJunior, Otacílio Luiz Chagas Tags: Case Report Source Type: research

Mandibular Fractures in Iraq: An Epidemiological Study
This study showed RTAs to be the most frequent cause followed by assaults, it also showed that a high percentage of assault victims were females mainly of low socioeconomic status. Another distinguishing feature in this study was the high incidence of missile injuries in the form of bullets and blasts. Closed reduction still has an important role in the treatment of fractures of mandible especially when the necessary equipments for ORIF are not readily available. A higher complication rate was observed in patients diagnosed with multiple and comminuted fractures as well as those caused by violence in the form of missile an...
Source: Craniomaxillofacial Trauma and Reconstruction - August 25, 2014 Category: ENT & OMF Authors: Bede, Salwan Tags: Original Article Source Type: research

Updates on the Epidemiology and Pattern of Traumatic Maxillofacial Injuries in a Nigerian University Teaching Hospital: A 12-Month Prospective Cohort In-Hospital Outcome Study
This study sets out to examine the recent trends in both the clinical and epidemiological patterns of all facial injuries from all causes seen in a low-resource practice of a developing country. It also assessed the in-hospital treatment outcomes, and the levels of the patients' satisfaction with treatment received in this setting. Over a 12-month period, the clinical records of consecutive patients who were evaluated and treated for maxillofacial injuries in our unit were prospectively acquired, entered into predesigned forms and subsequently analyzed. There were 259 patients (79.5% males) during the study period. The mea...
Source: Craniomaxillofacial Trauma and Reconstruction - August 7, 2014 Category: ENT & OMF Authors: Olusanya, Adeola AdenikeAdeleye, Amos OlufemiAladelusi, Timothy OlukunleFasola, Abiodun Olubayo Tags: Original Article Source Type: research

Versatility of Subscapular Chimeric Free Flaps in the Secondary Reconstruction of Composite Posttraumatic Defects of the Upper Face
Cranial Maxillofac Trauma ReconstructionDOI: 10.1055/s-0034-1384739High energy injuries to the upper face present challenging reconstructive problems. In some cases, initial reconstructive efforts result in unfavorable outcomes that require secondary intervention. Chimeric free flaps based on the subscapular system offer the tissue components and volume needed for these complex reconstructions. This is a series of five patients who underwent secondary reconstruction of the middle and upper face following traumatic injury. Mechanism of injury, prior attempts at reconstruction, and characteristics of the tissue defects and t...
Source: Craniomaxillofacial Trauma and Reconstruction - August 6, 2014 Category: ENT & OMF Authors: Stalder, Mark WinstonWise, Matthew WhittenDupin, Charles L.Hilaire, Hugo St. Tags: Original Article Source Type: research