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National Analysis of Risk Factors for Nasal Fractures and Associated Injuries in Trauma
This study sought to provide a large descriptive analysis and identify associated injuries and risk factors for nasal fractures in trauma using a national database. A retrospective analysis of the National Trauma Data Bank (NTDB) from 2007 to 2015 was performed. Patients ≥18 years of age with nasal fractures were included. A multivariable logistic regression model was used to identify predictors for nasal fracture in trauma. Of 5,494,609 trauma patients in the NTDB, 255,533 (4.6%) had a nasal fracture. Most were male (74.8%) with a mean age of 45.6 years. Blunt trauma accounted for 90.5% of fractures, with motor vehicle ...
Source: Craniomaxillofacial Trauma and Reconstruction - January 22, 2019 Category: ENT & OMF Authors: Pham, Tiffany T. Lester, Ellen Grigorian, Areg Roditi, Rachel E. Nahmias, Jeffry T. Tags: Original Article Source Type: research

Posttraumatic Lateral Dislocation of Mandibular Condyle: A Proposed New Classification with Report of 14 Dislocated Condyles
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1677725Lateral dislocation of the intact mandibular condyle is a relatively uncommon clinical condition. Since the first description and classification of these dislocations given by Allen and Young, few classification systems have been proposed in literature with incorporation of different patterns of dislocations identified over the years. We share our clinical experience of nine cases of such dislocations with 14 dislocated condyles, and on the basis of clinical and radiological findings coupled with the review of existing classification systems, we propose a ...
Source: Craniomaxillofacial Trauma and Reconstruction - January 16, 2019 Category: ENT & OMF Authors: Rahman, Tabishur Hashmi, Ghulam Sarwar Ahmed, Syed Saeed Rahman, Sajjad Abdur Tags: Original Article Source Type: research

Blood Collection within the Maxillary Sinus following Orbital Fracture Repair: The Impact of Mesh Implants and Drains
This article aimed to assess the effects of (1) mesh (e.g., uncoated anatomic titanium plates) versus non-mesh (e.g., porous polyethylene-coated titanium sheets) implant materials and (2) drain placement on the accumulation of blood within the maxillary sinus following surgical repair of orbital floor fractures. Ninety-two patients who received orbital floor fracture repair between 2008 and 2014 were selected, with equal case numbers between categories: (1) non-mesh implant, without drain; (2) non-mesh implant, with drain; (3) mesh implant, without drain; and (4) mesh implant, with drain. Lesion-mapping software was used t...
Source: Craniomaxillofacial Trauma and Reconstruction - January 16, 2019 Category: ENT & OMF Authors: Cox, Jacob T. Tian, Jing Merbs, Shannath Mahoney, Nicholas R. Tags: Original Article Source Type: research

Autologous Reconstruction of a Face Transplant Candidate
This report details the case of a candidate referred for face transplantation who ultimately underwent autologous facial reconstruction. Through this representative case, our objective is to clarify the criteria that make a patient a suitable face transplant candidate, as well as to demonstrate the outcomes achievable with a conventional autologous reconstruction, using a methodically planned, multistaged approach. [...] 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, 2018 Category: ENT & OMF Authors: Rifkin, William J. Bellamy, Justin L. Kantar, Rami S. Farber, Scott J. Diaz-Siso, J. Rodrigo Brecht, Lawrence E. Rodriguez, Eduardo D. Tags: Case Report Source Type: research

Beta-Catenin Mutation with Complex Chromosomal Changes in Desmoid Tumor of the Scalp: A Case Report
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1676078Gain-of-function mutations in the beta-catenin gene (CTNNB1) drive genomic instability within different cancers. However, it is unclear whether alterations in beta-catenin signaling can still lead to chromosomal rearrangements in neoplasms without metastatic potential. Here, we report a unique case, whereby a desmoid tumor of the scalp contains a missense mutation in CTNNB1. This mutation is located at the T41 phosphorylation site—previously reported to be necessary for proper beta-catenin degradation. Online database analysis then revealed that our muta...
Source: Craniomaxillofacial Trauma and Reconstruction - November 16, 2018 Category: ENT & OMF Authors: Liu, Gary Weiner, Howard L. Pederson, William C. Davies, Lesley Buchanan, Edward P. Tags: Case Report Source Type: research

Extranasopharyngeal Angiofibroma Arising from the Anterior Nasal Septum in a 35-Year-Old Woman
In this study, we report a case of a 35-year-old female patient with angiofibroma originating from the anterior part of the nasal septum with left-sided nasal obstruction and mild-to-moderate epistaxis as main complaints. After the radiological diagnostics and embolization of sphenopalatine artery, we performed the excision of the lesion with removal of small part of septal mucosa and perichondrium around the attachment of tumor pedicle. Histopathological examination suggested the presence of angiofibroma and diagnosis was confirmed by immunohistochemical analysis. This is the fifth reported case of septal ENA in female po...
Source: Craniomaxillofacial Trauma and Reconstruction - November 12, 2018 Category: ENT & OMF Authors: Kujund žić, Tarik Peri ć, Aleksandar Đurđević, Biserka Vukomanović Tags: Case Report Source Type: research

Clinical Notes on Herbert Screw Fixation for Fracture of Anterior Mandible
This article aims to present the outcomes of treating anterior mandibular fractures using Herbert's screw. A total of 10 patients were treated for fractures of anterior mandible by open reduction and internal fixation using the Herbert screw. The patients were collected starting from June 2016 to November 2017, at the Department of Craniomaxillofacial Surgery, Nasser Institute for Research and Treatment, Cairo, and Faculty of Dentistry, Ain Shams University, Cairo, Egypt. The follow-up plan was done to evaluate the postoperative clinical outcomes for malocclusion, neurosensory status, hardware failure, malunion/ nonunion, ...
Source: Craniomaxillofacial Trauma and Reconstruction - September 28, 2018 Category: ENT & OMF Authors: ElMinshawi, Ahmed Abdelfattah, Salah Mubarak, Fahmy Tags: Technical Note Source Type: research

Does Fracture Pattern Influence Functional Outcomes in the Management of Bilateral Mandibular Condylar Injuries?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668500The purpose of this study was to compare the functional outcomes of different types of bilateral mandibular condylar fractures. This was a retrospective study of patients with bilateral mandibular condylar fractures at a level-1 trauma center over a 15-year period. The primary predictor variable was fracture pattern, classified as type I (bilateral condylar), type II (condylar–subcondylar), or type III (bilateral subcondylar). Secondary predictor variables were demographic, injury-related, and treatment factors. Bivariate associations between the predict...
Source: Craniomaxillofacial Trauma and Reconstruction - September 21, 2018 Category: ENT & OMF Authors: Wang, Howard D. Susarla, Srinivas M. Yang, Robin Mundinger, Gerhard S. Schultz, Benjamin D. Banda, Abhishake MacMillan, Alexandra Manson, Paul N. Nam, Arthur J. Dorafshar, Amir H. Tags: Original Article Source Type: research

Behavior of Buccal Mucosal Squamous Cell Carcinoma: A Retrospective Study of 53 Carcinomas of This Anatomical Region
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668583The main aim of the present report is to study the pattern of distribution of cervical metastasis in buccal mucosa cancer and to discuss the various therapeutic options available. Fifty-three patients with squamous cell carcinoma of the buccal mucosa treated with tumorectomy and selective neck dissection were included in the study. We also studied the relationship between specific pathological features and overall survival. Level Ib was the most affected level, followed by level IIa. T stage, N stage, N involvement tumor thickness, extracapsular spread (EC...
Source: Craniomaxillofacial Trauma and Reconstruction - August 27, 2018 Category: ENT & OMF Authors: Cariati, Paolo Cabello Serrano, Almudena Marin Fernandez, Ana Julia Martinez, Miguel Angel Fernandez Solis, Jose Martinez Lara, Ildefonso Tags: Review Article Source Type: research

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668511Burn injuries are responsible for a significant portion of surgically treatable morbidity throughout the world and particularly in underdeveloped and developing countries. Intentional flame, chemical, and contact burns are unfortunately a common mechanism of injury. It is estimated that intentional chemical burns are responsible for between 2 and 20% of burn injuries seen at burn centers in lower income countries. Women are commonly targeted and the perpetrators are often known to the victims. The combination of a high disease prevalence, limited surgical ...
Source: Craniomaxillofacial Trauma and Reconstruction - August 3, 2018 Category: ENT & OMF Authors: Hughes, Christopher D. Dabek, Robert Jaroslaw Riesel, Johanna N. Baletic, Nemanja Chodosh, James Bojovic, Branko Tags: Case Report Source Type: research

Plastic Surgery Pioneers of the Central Powers in the Great War
We describe the clinical, logistical, and psychological approaches to managing plastic surgical patients of these physicians and compare and contrast them to those of the Allies, identifying areas of influence such as Gillies' adoption of Filatov's tube pedicle 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 - August 2, 2018 Category: ENT & OMF Authors: Thomas, Robert Llewellyn Fries, Anton Hodgkinson, Darryl Tags: Review Article Source Type: research

Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum
We report a case of a 63-year-old male patient with the presenting sign of closed rhinolalia who was diagnosed with retropharyngeal emphysema and PM due to a linear and nondisplaced fracture of midface. The patient cited multiple efforts of intense nasal blowing shortly after a facial injury by virtue of a motorcycle accident. He was admitted in our clinic for closer observation and further treatment. The use of a face mask for continuous positive airway pressure was temporarily interrupted, and high concentrations of oxygen were delivered via non-rebreather mask. Patient's course was uncomplicated and he was discharged fe...
Source: Craniomaxillofacial Trauma and Reconstruction - July 26, 2018 Category: ENT & OMF Authors: Papadiochos, Ioannis Sarivalasis, Stavros-Evangelos Papadogeorgakis, Nickolaos Tags: Case Report Source Type: research

Nasal Septal Spur Associated with Rhinogenic Contact Point Otalgia and Tinnitus
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1660440Rhinogenic contact point otalgia is a new term in medicine and it represents earache as a form of facial pain that is caused by intranasal mucosal contact points between the nasal septal spur or septal deviation and lateral nasal wall. It is a referred otalgia without any signs of inflammation. The author reports an unusual case of a 19-year-old male who complained of a 5-year history of right-sided otalgia and tinnitus. On physical exam, a big, right-sided nasal septal spur was seen in contact with the right lateral nasal wall. Other findings are unremark...
Source: Craniomaxillofacial Trauma and Reconstruction - June 27, 2018 Category: ENT & OMF Authors: Peri ć, Aleksandar Tags: Case Report Source Type: research

Dog Bite Injuries in the Head and Neck Region: A 20-Year Review
This article would like to present a medical record review: a retrospective analysis of all bite wounds sustained in the head and neck region, treated at the University Hospital of Leuven over the past 20 years. Furthermore, it provides an overview of the current literature and its standings on the treatment of dog bite injuries in the maxillofacial region. We assessed both surgical and medical treatment options, as well as primary management, which includes infection prevention strategies, closure management, and additional vaccination requirements. Secondary management or scar revision methods will be mentioned. After co...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Piccart, Frederik Dormaar, Jakob Titiaan Coropciuc, Ruxandra Schoenaers, Joseph Bila, Michel Politis, Constantinus Tags: Original Article Source Type: research

Craniomaxillofacial Trauma Experience in Otolaryngology Residency: A National Survey of Program Directors
This article aimed to assess the depth and volume of craniomaxillofacial (CMF) trauma exposure and education in otolaryngology residency training in the United States. This is a cross-sectional survey. A 15-question web-based survey was distributed to program directors of 106 Accreditation Council for Graduate Medical Education (ACGME)-approved otolaryngology residency programs to inquire about program size and demographics, trauma coverage, case volume, and education. Responses were collected anonymously. A total of 77 responses were received, representing 73% of residency programs. Seventy-five programs (97%) reported th...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Oh, Melissa S. Sethna, Anita B. Henriquez, Oswaldo A. Tags: Original Article Source Type: research