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Outpatient Surgical Management of Orbital Blowout Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1661355There is ample investigation into the optimal timing and approach to orbital blowout fracture (OBF) repair; however, less attention has been directed toward postoperative care. This is a multicenter IRB-approved retrospective review of patients with OBF presenting to our study sites between November 2008 and August 2016. Those with isolated OBF, over 18 years of age, and who had not suffered additional facial injuries or globe trauma were included. A total of 126 surgical cases of isolated OBF repair were identified that met our inclusion and exclusion cri...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Bregman, Jana A. Vakharia, Kalpesh T. Idowu, Oluwatobi O. Vagefi, M. Reza Grumbine, F. Lawson Tags: Original Article Source Type: research

Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1651515The fibula free flap (FFF) has been a workhorse in maxillofacial reconstruction. High success rates of this technique are reported. However, identifying risk factors for flap failure and analyzing complications can open the way to better patient care. A retrospective analysis was conducted of all FFFs performed over a 20-year period at a low-volume single tertiary center to identify risk factors and postoperative complications. A total of 129 FFFs were included (122 mandible, 7 maxilla). Complete flap failure occurred in 12.4% and partial flap failure in 7...
Source: Craniomaxillofacial Trauma and Reconstruction - June 5, 2018 Category: ENT & OMF Authors: Verhelst, Pieter-Jan Dons, Flore Van Bever, Pieter-Jan Schoenaers, Joseph Nanhekhan, Lloyd Politis, Constantinus Tags: Original Article Source Type: research

Orbital Floor Reconstruction: A Comparison of Outcomes between Absorbable and Permanent Implant Systems
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1651514There are distinct advantages and disadvantages between bioresorbable and permanent implants in orbital floor reconstruction. Our aim was to compare the outcomes and complications of resorbable implants and permanent implants in orbital floor fracture repair. A retrospective chart review was performed on all patients who underwent orbital floor fracture repair at a rural, tertiary care center from 2011 through 2016. Main outcome measures included improvement in diplopia, ocular motility, enophthalmos, hypoglobus, and infraorbital nerve sensation. A total o...
Source: Craniomaxillofacial Trauma and Reconstruction - June 5, 2018 Category: ENT & OMF Authors: Polacco, Marc A. Kahng, Peter W. Sudoko, Chad K. Gosselin, Benoit J. Tags: Original Article Source Type: research

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies
The objective of this study was to examine the prevalence of facial fractures secondary to mechanical falls in the elderly population to analyze mechanism of injury, comorbidities, and fracture management. A retrospective review of all facial fractures as a result of falls in the elderly population in a level 1 trauma center in an urban environment was performed for the years 2002 to 2012. Patient demographics were collected, as well as location of fractures, concomitant injuries, and surgical management strategies. During the time period examined, 139 patients were identified as greater than 60 years of age and having sus...
Source: Craniomaxillofacial Trauma and Reconstruction - May 17, 2018 Category: ENT & OMF Authors: Liu, Farrah C. Halsey, Jordan N. Oleck, Nicholas C. Lee, Edward S. Granick, Mark S. Tags: Original Article Source Type: research

Aesthetic Nasal Reconstruction Principles and Practice
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1645865 Thieme 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 - May 17, 2018 Category: ENT & OMF Authors: Manson, Paul N. Tags: Book Review Source Type: research

Addressing the Opioid Epidemic: Impact of Opioid Prescribing Protocol at the University of Minnesota School of Dentistry
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1649498Prescription opioid medications continue to be abused on an epidemic level and have been shown to be a “gateway” drug to heroin abuse. Individuals experimenting with opioids commonly fall in the 10- to 19-year age range in which dentists are the highest prescribers. To reduce the number of excess opioids, the Department of Oral and Maxillofacial Surgery, University of Minnesota, developed and implemented an evidence-based opioid prescribing policy. Data were collected via electronic health record for the previous year and compared with the year followi...
Source: Craniomaxillofacial Trauma and Reconstruction - May 15, 2018 Category: ENT & OMF Authors: Nadeau, Robert Hasstedt, Kristopher Sunstrum, Ashley Brooke Wagner, Chad Tu, Harold Tags: Original Article Source Type: research

Commentary on: The Role of Postoperative Imaging after Orbital Floor Repair
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1645864 Thieme 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 - May 15, 2018 Category: ENT & OMF Authors: Manson, Paul N. Tags: Editor's Commentary Source Type: research

Commentary on: The Opioid Epidemic: Who Is Responsible and What Is the Solution?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1653952 Thieme 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 - May 15, 2018 Category: ENT & OMF Authors: Schubert, Warren Tags: Commentary Source Type: research

Arthroscopic Eminoplasty of Temporomandibular Joint: Surgical Technique
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1639349Temporomandibular joint (TMJ) is one of the most used joint of the body. Moreover, it is common knowledge that TMJ may show degenerative changes 10 years earlier than other joints. Recently, the use of arthroscopic surgery is revolutionizing the classic management of TMJ pathologies. In fact, the minimal invasiveness of this procedure allows faster results and fewer complications than other procedures. In this article, we present our arthroscopic technique. In this line, we would like to emphasize that we used this approach in different temporomandibular d...
Source: Craniomaxillofacial Trauma and Reconstruction - May 7, 2018 Category: ENT & OMF Authors: Cariati, Paolo Garcia Medina, Blas Galvez, Pablo Cabello Serrano, Almudena Garcia Martin, Miguel Valencia Moya, Guillermo Tags: Technical Note Source Type: research

New Algorithm for the Management of Orbital Blowout Fracture Based on Prospective Study
This article aimed to evaluate which BOF patients require surgical treatment due to functional and/or cosmetic deformities; evaluate which computed tomography (CT) scan findings predict these problems; and provide an algorithm in the management of BOF. Seventy-nine patients with BOF were treated conservatively and followed up prospectively regarding functional and cosmetic deformities for at least 1 year. The patients' CT scans were analyzed and several measurements were performed. Patients' symptoms and the clinical findings were correlated to the CT scan measurements. We found visible deformity in 37% of the patients, bu...
Source: Craniomaxillofacial Trauma and Reconstruction - May 1, 2018 Category: ENT & OMF Authors: Alinasab, Babak Borstedt, Karl-Johan Rudstr öm, Rebecka Ryott, Michael Qureshi, Abdul Rashid Beckman, Mats O. Stj ärne, Pär Tags: Original Article Source Type: research

Oral Epignathus with Maxilla Duplication: Report of a Rare Case
We reported an uncommon case of epignathus in a female newborn baby with an ill-defined oral mass protruding through a cleft in the hard palate. Computed tomography scan showed a contrast-enhanced solid mass with areas of calcification simulating a unique case of maxilla duplication. Surgery was performed, the mass was excised successfully, and microscopic analysis confirmed the diagnosis of mature teratoma. The patient evolved with good general health and showed no clinical signs of recurrence. Although epignathus is a rare condition, it should be diagnosed in the fetus as early as possible, especially to avoid fatal airw...
Source: Craniomaxillofacial Trauma and Reconstruction - May 1, 2018 Category: ENT & OMF Authors: Tunes, Roberto S. Cavalcanti, Gabriel Z. Squarisi, Jos é Mauro O. Patrocinio, Lucas G. Tags: Case Report Source Type: research

Penetrating Foreign Bodies in Head and Neck Trauma: A Surgical Challenge
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1642035Penetrating foreign bodies of different origins in the head and neck are rare and potentially dangerous injuries, which might pose problems for their detection, primary care, and final treatment. Depending on the severity of the underlying trauma, some injuries present a higher risk for the presence of foreign bodies. Minor wounds, including common lacerations, are likely to be contaminated with loose gravel debris or dental fragments, and need to be distinguished from severe wounds caused by impalement, shootings, stabbings, and explosions. Blast injuries...
Source: Craniomaxillofacial Trauma and Reconstruction - April 24, 2018 Category: ENT & OMF Authors: Voss, Jan Oliver Thieme, Nadine Doll, Christian Hartwig, Stefan Adolphs, Nicolai Heiland, Max Raguse, Jan-Dirk Tags: Original Article Source Type: research

Comparative Evaluation between Single Noncompression Miniplate and Two Noncompression Miniplates in the Treatment of Mandibular Angle Fractures
This study was conducted to compare the outcome of single noncompression miniplate versus two noncompression miniplates in the treatment of mandibular angle fracture. A total of 40 patients were divided into two groups: Group I (n = 20), patients were treated by single miniplate at superior border of mandible by intraoral approach; Group II (n = 20), patients were treated by one miniplate at superior border of mandible, intraorally, and another at the lateral aspect of angle, transbuccally by trocar and cannula. Comparative evaluation was done at 1, 2, 4, 6, and 12 weeks and 6 months. The findings of this study sug...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2018 Category: ENT & OMF Authors: Mondal, Shubhamoy Singh, Gaurav Mishra, Madan Gaur, Amit Srivastava, Abhinav Tags: Original Article Source Type: research

The Hybrid Arch Bar Is a Cost-Beneficial Alternative in the Open Treatment of Mandibular Fractures
This study shows the differential time-saving effect of the HAB regardless of fracture laterality as well as its cost minimization benefit compared with the EAB. [...] 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 - April 12, 2018 Category: ENT & OMF Authors: Khelemsky, Renata Powers, David Greenberg, Seth Suresh, Visakha Silver, Ellen Johnson Turner, Michael Tags: Original Article Source Type: research

A Five-Year Retrospective Cohort Study Analyzing Factors Influencing Complications after Nasal Trauma
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1641713The purpose of this study was to assess the outcomes of patients with nasal trauma during a long period of time and determine factors predisposing to complications after nasal trauma treatment. A retrospective cohort study was conducted that included all patients who were attended for a nasal trauma between January and December 2010. In 2015, the charts were retrospectively reviewed and the patients were prospectively followed up looking for outcomes after treatment of nasal trauma. A univariate analysis between complications and risk factors was performed...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2018 Category: ENT & OMF Authors: Andrades, Patricio Pereira, Nicolas Rodriguez, Diego Borel, Claudio Hern ández, Rodrigo Villalobos, Rodrigo Tags: Original Article Source Type: research