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Hearing and Mortality Outcomes following Temporal Bone Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601885The aim of this article is to determine hearing and mortality outcomes following temporal bone fractures. Retrospective chart review was performed of 152 patients diagnosed with a temporal bone fracture presenting to the emergency room at a tertiary care referral center over a 10-year period. Utilizing Patients' previously obtained temporal bone computed tomographic scans and audiograms, fractures were classified based on several classification schemes. Correlations between fracture patterns, mortality, and hearing outcomes were analyzed using χ 2 t...
Source: Craniomaxillofacial Trauma and Reconstruction - April 19, 2017 Category: ENT & OMF Authors: Honeybrook, Adam Patki, Aniruddha Chapurin, Nikita Woodard, Charles Tags: Original Article Source Type: research

Virtual Surgical Planning for the Management of Severe Atrophic Mandible Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601865Severely atrophic mandible fractures are frequently a challenge to treat. Virtual surgical planning (VSP) uses three-dimensional computed tomographic (CT) scans that can be translated into stereolithographic models to fabricate surgical templates, facilitating intraoperative procedures. The purpose of this article is to describe the reconstruction of two cases of severe atrophic mandible fracture using VSP. Two elderly edentulous/partially dentate patients who presented with fractures of their mandibles and who underwent reconstruction using VSP were inclu...
Source: Craniomaxillofacial Trauma and Reconstruction - April 19, 2017 Category: ENT & OMF Authors: Castro-N úñez, Jaime Shelton, Jared M. Snyder, Susan Sickels, Joseph Van Tags: Case Report Source Type: research

Treatment Outcomes for Isolated Maxillary Complex Fractures with Maxillomandibular Screws
We present a series of maxillary fractures treated with IMF screws. Over a 12-month period, 15 cases of maxillary fracture were managed with open reduction and bone plate fixation. IMF screws were used to achieve IMF intraoperatively and for a short duration postoperatively. Eight cortical titanium screws were inserted transmucosally, two for each quadrant at the junction of the attached and mobile mucosa. Satisfactory occlusion was achieved in all the patients with few complications. IMF screw fixation was observed to be a safe and quick method for open reduction of maxillary fractures. Tooth-borne devices are associated ...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2017 Category: ENT & OMF Authors: Gorka, Rahul Gohil, Amish Jayantilal Gupta, Ashish Kumar Koshy, Santosh Tags: Original Article Source Type: research

Delayed Management of Unrecognized Bilateral Temporomandibular Joint Dislocation: A Case Report
We present a case of a 24-year-old man who had bilateral TMJ dislocation of unknown duration after motor vehicle accident. The accident left him bedridden with speech difficulty. He was totally dependent on Ryles' and percutaneous endoscopic gastrotomy tubes for feeding. Computed tomography revealed dislocation of condyles anterior to articular eminences. The bilateral TMJ dislocations were reduced surgically via bicoronal with preauricular extension approaches. However, the surgery was challenging due to tissue changes around the joint accompanied by masticatory muscles atrophy. Postoperatively, he was placed on intermaxi...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2017 Category: ENT & OMF Authors: Chin, Siok Yoong Berahim, Nazer Bin Adnan, Khairulzaman Bin Ramasamy, Sundrarajan Naidu Tags: Case Report Source Type: research

Comparing Plastic Surgery and Otolaryngology Management in Cleft Care: An Analysis of 4,999 Cases
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601429Care for patients with cleft lip and palate is best managed by a craniofacial team consisting of a variety of specialists, including surgeons, who are generally plastic surgeons or otolaryngologists trained in the United States. The goal of this study was to compare the surgical approaches and management algorithms of cleft lip, cleft palate, and nasal reconstruction between plastic surgeons and otolaryngologists.We performed a retrospective analysis of the American College of Surgeons' National Surgical Quality Improvement Program Pediatric database betwe...
Source: Craniomaxillofacial Trauma and Reconstruction - April 3, 2017 Category: ENT & OMF Authors: Jubbal, Kevin T. Zavlin, Dmitry Olorunnipa, Shola Echo, Anthony Buchanan, Edward P. Hollier, Larry H. Tags: Original Article Source Type: research

Correction of a Posttraumatic Orbital Deformity Using Three-Dimensional Modeling, Virtual Surgical Planning with Computer-Assisted Design, and Three-Dimensional Printing of Custom Implants
We describe a case of complex, posttraumatic skull and orbital deformities that were evaluated and treated with advanced computer technology, including virtual surgical planning, three-dimensional (3D) modeling, and printed patient custom implants (PCI) fabricated by 3D printing. A 50-year-old man presented to our craniofacial referral center 1 year after failed reduction of complex left orbital, zygomatic, and frontal bone fractures due to a motorcycle collision. The patient's chief complaint was debilitating diplopia in all fields of gaze. On examination, he had left enophthalmos, left canthal displacement, lower eyelid ...
Source: Craniomaxillofacial Trauma and Reconstruction - April 3, 2017 Category: ENT & OMF Authors: Day, Kristopher M. Phillips, Paul M. Sargent, Larry A. Tags: Invited Paper Source Type: research

Unusual Superolateral Dislocation of Mandibular Condyle
We describe a case of maxillofacial trauma in a pediatric patient in whom the mandibular condyle was superolaterally displaced into the temporal fossa, medial to the zygomatic arch which was intact. In addition, there was an associated mandibular symphyseal fracture. To our knowledge, this case is the first of its kind to be reported in the literature. We also observed a complication in the form of development of ankylosis in the involved joint which required another surgery. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |...
Source: Craniomaxillofacial Trauma and Reconstruction - April 3, 2017 Category: ENT & OMF Authors: Rahman, Tabishur Tags: Case Report Source Type: research

Complications in Mandibular Midline Distraction
This study assesses the amount and burden of complications in MMD. A retrospective cohort study was performed on patients who underwent MMD between 2002 and 2014. Patients with congenital deformities or a history of radiation therapy in the area of interest were excluded. Patient records were obtained and individually assessed for any complications. Complications were graded using the Clavien-Dindo classification system (CDS). Seventy-three patients were included of which 33 were males and 40 were females. The mean follow-up was 2.1 years. Twenty-nine patients had minor complications, grades I and II. Two patients had a gr...
Source: Craniomaxillofacial Trauma and Reconstruction - March 31, 2017 Category: ENT & OMF Authors: de Gijt, Jan Pieter G ül, Atilla Wolvius, Eppo B. van der Wal, Karel G.H. Koudstaal, Maarten J. Tags: Original Article Source Type: research

Treatment of Mandibular Angle Fractures with Single Three-Dimensional Locking Miniplates without Maxillomandibular Fixation: How Much Fixation Is Required?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1600904The aim of this simple nonrandomized and observational study was to evaluate the efficacy of single three-dimensional (3D) plate for the treatment of mandibular angle fractures without maxillomandibular fixation.A total of 30 patients with noncomminuted fractures of mandibular angle requiring open reduction and internal fixation were included in the study. All the patients were treated by open reduction and internal fixation using single 3D titanium locking miniplate placed with the help of transbuccal trocar or Synthes 90-degree hand piece and screw drive...
Source: Craniomaxillofacial Trauma and Reconstruction - March 29, 2017 Category: ENT & OMF Authors: Rastogi, Sanjay Paul, Sam Kukreja, Sumedha Aggarwal, Karun Choudhury, Rupshikha Bhugra, Amit Indra B, Niranjana Prasad Jawaid, Moazzam Tags: Original Article Source Type: research

Helmet Wear and Craniofacial Trauma Burden: A Plea for Regulations Mandating Protective Helmet Wear
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601430Helmet wear offers protection in various ways against craniomaxillofacial and brain trauma. The specific pattern and overall burden of craniofacial trauma among helmeted and unhelmeted patients has not been well defined.This is a retrospective review of trauma patients involved in documented helmet-associated injuries that presented to the Mayo Clinic Emergency Department in Rochester, Minnesota, and completed initial trauma evaluation between 1999 and 2015.A total of 417 patients (50% unhelmeted, 82% male) were identified. The median age at injury was 22....
Source: Craniomaxillofacial Trauma and Reconstruction - March 29, 2017 Category: ENT & OMF Authors: Harvey, Jamison Anne Gibreel, Waleed Charafeddine, Ali Sharaf, Basel Tags: Original Article Source Type: research

Fracture of the Clavicle following Radical Neck Dissection and Reconstruction Using Pectoralis Major Myocutaneous Flap Accompanied by Postoperative Radiotherapy
We present a case of fracture of the clavicle after treatment of squamous cell carcinoma of the tongue. An 81-year-old Japanese woman underwent RND, subtotal glossectomy, reconstruction using a pectoralis major myocutaneous flap (PMMCF), and postoperative radiotherapy (50.4 Gy). One month after the primary treatment, fracture of the clavicle occurred. It was thought that muscular dynamic factor and reduction of blood supply in the clavicle associated with RND and PMMCF were the causes of the fracture. We have to recognize the occurrence of this complication and try to reduce the factors related to the complication. [...] T...
Source: Craniomaxillofacial Trauma and Reconstruction - March 29, 2017 Category: ENT & OMF Authors: Nariai, Yoshiki Odawara, Sho Ichiyama, Tomoko Akutsu, Jun-ichi Kanno, Takahiro Sekine, Joji Tags: Case Report Source Type: research

Did King Philip II of Ancient Macedonia Suffer a Zygomatico-Orbital Fracture? A Maxillofacial Surgeon's Approach
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601431Philip II, father of Alexander the Great, succeeded his brother, Perdiccas III, to the throne of Macedonia in 360 BC. He has been described by historians as a generous king and military genius who managed to achieve his ambitious plans by expanding the Macedonian city-state over the whole Greek territory and the greater part of the Balkan Peninsula. The aim of our study was to present the evidence with regard to the facial injury of King Philip II of Macedonia and discuss the treatment of the wound by his famous physician, Critobulos. We reviewed the liter...
Source: Craniomaxillofacial Trauma and Reconstruction - March 24, 2017 Category: ENT & OMF Authors: Stathopoulos, Panagiotis Tags: Original Article Source Type: research

Assessment of Fixation of Mandibular Interforaminal Fractures by Using a Single Second-Generation Headless Compression Screw: A Pilot Study
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1594276The aim of this article is to evaluate the efficacy of a single second-generation headless compression screw along with a lower arch bar in the fixation of interforaminal mandible fractures. A total of seven patients were included in the study. An open approach was used either intraorally or extraorally. A second-generation 3.0 HCS (headless compression screw), 24 to 32 mm in length, diameter at the head of 3.5 mm, smooth shaft with 2.0 mm and at the leading edge 3.0 mm (Synthes, Paoli, PA) was used for the fixation along with a lower arch bar. Pos...
Source: Craniomaxillofacial Trauma and Reconstruction - March 22, 2017 Category: ENT & OMF Authors: Ram, Rangila Ahsan, Razi Bhardwaj, Yogesh Ghezta, Narotam Kumar, Santosh Tags: Original Article Source Type: research

A Comparative Assessment of Postoperative Analgesic Efficacy of Lornoxicam versus Tramadol after Open Reduction and Internal Fixation of Mandibular Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1600901Pain after any surgical procedure is inevitable but can be controlled by administration of analgesics in most cases. Postoperative pain after surgical treatment of mandibular fractures can be treated by nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics. The purpose of this study is to critically compare the postoperative analgesic efficacy of small doses of intravenous TRAMADOL (opioid analgesic) versus LORNOXICAM (NSAID) in patients with mandibular trauma undergoing open reduction and internal fixation (ORIF) and to assess the presence o...
Source: Craniomaxillofacial Trauma and Reconstruction - March 22, 2017 Category: ENT & OMF Authors: Jain, Ankesh Dilip VSM, Ravisankar KSN, Siva Bharani KM, Sudheesh Tewathia, Nisha Tags: Original Article Source Type: research

Nasal Valve Reconstruction Using a Titanium Implant: An Outcomes Study
This article aimed to evaluate outcomes and quality of life following nasal valve reconstruction using a titanium implant in patients with nasal valve collapse.This is a single-center retrospective study that consisted of a telephone questionnaire of 37 quality-of-life measures and questions related to the surgical procedure and recovery process to evaluate postsurgical outcomes.Fifteen patients completed the survey. There was a significant improvement in nasal blockage/obstruction, breathing through the nose, sleeping, breathing through nose during exercise, the need to blow nose, sneezing, facial pain/pressure, fatigue, ...
Source: Craniomaxillofacial Trauma and Reconstruction - March 22, 2017 Category: ENT & OMF Authors: Goldman, Neal D. Alexander, Richard Sandoval, Laura F. Feldman, Steven R. Tags: Original Article Source Type: research