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Management of a Life Threatening Bleeding Following Extraction of Deciduous Second Molar Related to a Capillary Haemangioma
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1598102Various forms of vascular lesion affect the head and neck region. The head and neck vascular lesions are classified into neoplasms and malformations. Neoplasm presents either as hemangioma or lymphangioma; neoplasm usually presents in young age compared with vascular malformation. A 9-year-old female patient presented to the outpatient clinic referred from the department of pedodontics after extraction of a right mandibular second deciduous molar. Extraction was done by dental GP in outpatient clinic. Massive bleeding followed the extraction. Bleeding was ...
Source: Craniomaxillofacial Trauma and Reconstruction - March 15, 2017 Category: ENT & OMF Authors: Ghanem, Amr Amin el Hadidi, Yasser Nabil Tags: Review Article Source Type: research

A 14-Year Review of Craniomaxillofacial Gunshot Wounds in a Resource-Limited Setting
This study analyzed the prevalence, clinical characteristics, and management of civilian-type craniomaxillofacial gunshot wounds (CGSWs) seen over a 14-year period in a Northern Nigerian teaching hospital. A retrospective study of all hospital records relating to CGSWs from January 2000 to December 2013 was conducted to determine the prevalence of CGSWs. Information retrieved included site of injury, type of projectile, management protocol, as well as duration of hospitalization. A total of 46 admissions for CGSWs were recorded during the period under review from a total of 2,228 maxillofacial admissions. This gave a preva...
Source: Craniomaxillofacial Trauma and Reconstruction - March 5, 2017 Category: ENT & OMF Authors: Amole, Olushola Osunde, Otasowie Akhiwu, Benjamin Efunkoya, Akinwale Omeje, Kelvin Amole, Taiwo Iliyasu, Zubairu Tags: Original Article Source Type: research

In Situ Splitting of a Rib Bone Graft for Reconstruction of Orbital Floor and Medial Wall
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1597915In situ splitting of rib bone graft was conducted in 22 patients for the repair of orbital fracture with no other complicating fractures. A bone graft was harvested from the sixth or seventh rib in the right side. The repair of the orbital floor and medial wall was successful in all the cases. Ten patients had bone grafting to the orbital floor, eight had it done onto medial wall, and 4 onto both floor and wall after reduction. The mean length of in situ rib bone graft was 40.9 mm (range, 20–70 mm), the mean width of these was 14.9 mm (range, 8–20 ...
Source: Craniomaxillofacial Trauma and Reconstruction - February 28, 2017 Category: ENT & OMF Authors: Uemura, Tetsuji Yanai, Tetsu Yasuta, Masato Harada, Yoshimi Morikawa, Aya Watanabe, Hidetaka Kurokawa, Masato Tags: Original Article Source Type: research

Association of Midfacial Fractures with Ophthalmic Injury
This article is a retrospective study, describing the spectrum and incidence of ophthalmic injury in 106 patients presenting with midfacial fractures at the Department of Oral and Maxillofacial Surgery of the University Hospitals Leuven over a period of 16 months (January 2013 to April 2014). The mean age of the patients was 45.6 years with a gender distribution of 68 men and 38 women. The main cause of trauma was road traffic accidents. Forty-one patients suffered an ophthalmic injury following the fracture. Twelve of them had a persistent ophthalmic problem. Ophthalmic examination is necessary during the initial manageme...
Source: Craniomaxillofacial Trauma and Reconstruction - February 6, 2017 Category: ENT & OMF Authors: Politis, Constantinus Kluyskens, Alexandra Dormaar, Titiaan Tags: Review Article Source Type: research

Free Bone Grafts for Mandibular Reconstruction in Patients Who Have Not Received Radiotherapy: The 6-cm Rule —Myth or Reality?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1597583Bony reconstruction of the mandible after surgical resection results in improved rehabilitation and aesthetics. Composite tissue transfer has transformed reconstruction, particularly in patients who have received radiotherapy. However, there is morbidity related to free tissue transfer. Free nonvascularized bone grafts have much lower morbidity. Surgeons believe that free bone grafts greater than 6.0 cm are prone to failure. The aims of this study was to assess whether bone grafts greater than 6.0 cm in length have a high risk of failure. A retrospective s...
Source: Craniomaxillofacial Trauma and Reconstruction - February 6, 2017 Category: ENT & OMF Authors: Nandra, Baljeet Fattahi, Tirbod Martin, Tim Praveen, Prav Fernandes, Rui Parmar, Sat Tags: Original Article Source Type: research

Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1599196The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on plastic surgeons and oral and maxillofacial surgeons is heretofore unknown. A cross-sectional survey was performed to assess the practice pattern variations in frontal sinus fracture management across multiple surgical disciplines. A total of 298 surveys were reviewed. 33.5% were facial plastic surgeons wit...
Source: Craniomaxillofacial Trauma and Reconstruction - February 2, 2017 Category: ENT & OMF Authors: Choi, Kevin J. Chang, Bora Woodard, Charles R. Powers, David B. Marcus, Jeffrey R. Puscas, Liana Tags: Original Article Source Type: research

A Hemangioma of the Zygomatic Bone: Management Ensuring Good Reconstructive and Aesthetic Results
We describe the clinical characteristics of our case with an emphasis on surgical management of the lesion using a titanium grid prepared by reference to a stereolithographic model. [...] 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 10, 2017 Category: ENT & OMF Authors: Bocchialini, Gabriele Castellani, Andrea Bozzola, Anna Rossi, Alessandro Tags: Technical Note Source Type: research

Bone Allograft Segment Covered with a Vascularized Fibular Periosteal Flap: A New Technique for Pediatric Mandibular Reconstruction
We report a novel technique for pediatric mandibular reconstruction, in an 11-year-old girl, using a combination of a bone allograft segment with a vascularized fibular periosteal flap (VFPF), after resection of an Ewing sarcoma located at the right body of the mandible. The patient has showed optimal cosmetic, functional, and radiological outcomes, which have been maintained for 2.5 years, without detecting donor-site complications. Through this original technique, and based on the powerful osteogenic and vasculogenic properties of the pediatric VFPFs, we could effectively reconstruct a large mandibular defect providing a...
Source: Craniomaxillofacial Trauma and Reconstruction - January 4, 2017 Category: ENT & OMF Authors: Sierra, Nicolas E. Diaz-Gallardo, Paula Kn örr, Jorge Mascarenhas, Vasco Garc ía-Diez, Eloy Munill-Ferrer, Montserrat Besc ós-Atín, Maria S. Soldado, Francisco Tags: Case Report Source Type: research

A Case of an Extensive Keratocystic Odontogenic Tumor in the Mandible Reconstructed with a Custom-Made Total Joint Prosthesis
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1597585The use of virtual surgical planning and computer-aided design/computer-aided manufacturing has previously been reported to enhance the planning for the reconstruction of mandibular continuity defects and to reduce surgical time. Reported is a case of a large keratocystic odontogenic tumor (KOT) affecting right hemimandible including the condylar neck. This case was initially reconstructed with a condyle-bearing reconstruction plate, but because of fatigue fracture 15 years later, a new reconstruction with a custom-made total joint temporomandibular prosth...
Source: Craniomaxillofacial Trauma and Reconstruction - January 4, 2017 Category: ENT & OMF Authors: Farzad, Payam Tags: Case Report Source Type: research

Three-Dimensional Printing: Custom-Made Implants for Craniomaxillofacial Reconstructive Surgery
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1594277Craniomaxillofacial reconstructive surgery is a challenging field. First it aims to restore primary functions and second to preserve craniofacial anatomical features like symmetry and harmony. Three-dimensional (3D) printed biomodels have been widely adopted in medical fields by providing tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures. Craniomaxillofacial reconstructive surgery was one of the first areas to implement 3D printing technology in their practice. Biomodeling has been used in craniofacial ...
Source: Craniomaxillofacial Trauma and Reconstruction - January 2, 2017 Category: ENT & OMF Authors: Matias, Mariana Zenha, Hor ácio Costa, Hor ácio Tags: Review Article Source Type: research

Ectopic Molar Removal from the Ramus/Condyle Unit: A Minimally Invasive Approach
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1594275Ectopic molars within the mandibular ramus/condyle unit, although rare, present a unique challenge to the surgeon. Multiple approaches have been described in the literature for their removal. A review of the English literature on the subject of mandibular ectopic molars and their epidemiology, etiology, indications for removal, and surgical techniques was completed. In addition, a case report is presented of an ectopic mandibular molar in the mid-ramus region which was removed via a minimally invasive, intraoral, technique combining the use of endoscopy an...
Source: Craniomaxillofacial Trauma and Reconstruction - January 2, 2017 Category: ENT & OMF Authors: Forgach, Gary A. MacLeod, Stephen P.R. Tags: Case Report Source Type: research

Craniomaxillofacial Fibrous Dysplasia: Conservative Treatment and Maxillary Osteotomy Using the Schuchardt-Kufner Technique
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0036-1597584Fibrous dysplasia (FD) is a disturbance of the mesenchymal tissue that accounts for 2.5% of all bone tumors and more than 7% of nonmalignant bone tumors. In the craniomaxillofacial region, FD affects the calvaria, skull base, zygoma, and jaws, the prevalent site being the maxilla (50% of cases). Therapy for craniomaxillofacial FD is surgical. The goals of surgery are to prevent functional disorders and restore facial symmetry, volume, and contour. In this article, we present a case of a young female patient affected by right orbital-zygomatic-maxillary FD....
Source: Craniomaxillofacial Trauma and Reconstruction - December 22, 2016 Category: ENT & OMF Authors: Gali è, Manlio Carnevali, Giulia Elia, Giovanni Pedriali, Massimo Clauser, Luigi C. Tags: Case Report Source Type: research

A Single-Center Review of Radiologically Diagnosed Maxillofacial Fractures: Etiology and Distribution
This study examines a single center's experience with regards to etiology and distribution of fractures. A retrospective review of all radiologically confirmed facial fractures in a level 1 trauma center in an urban environment was performed for the years 2000 to 2012. Patient demographics, etiology of injury, and location of fractures were collected. During this time period, 2,998 patients were identified as having sustained a fracture of the facial skeleton. The average age was 36.9 years, with a strong male predominance (81.5%). The most common etiologies of injury were assault (44.9%) and motor vehicle accidents (14.9%...
Source: Craniomaxillofacial Trauma and Reconstruction - December 15, 2016 Category: ENT & OMF Authors: Halsey, Jordan N. Hoppe, Ian C. Granick, Mark S. Lee, Edward S. Tags: Original Article Source Type: research

Patterns of Maxillofacial Fractures in Uttar Pradesh, India
This study aimed to obtain dependable epidemiologic data of the variation in cause and characteristics of maxillofacial fractures by identifying, describing, and quantifying trauma. This retrospective study was conducted in the state of Uttar Pradesh, India, over 1 year, based on a systematic computer-assisted database search from March 2015 to March 2016 for maxillofacial fractures. The demographics, etiology, geographic distribution, date of injury, site and number of fractures, and type of intervention were recorded for each. The study population consisted of 1,000 patients with 1,543 fractures. The male:female ratio ...
Source: Craniomaxillofacial Trauma and Reconstruction - December 15, 2016 Category: ENT & OMF Authors: Agarwal, Padmanidhi Mehrotra, Divya Agarwal, Rajul Kumar, Sumit Pandey, Rahul Tags: Original Article Source Type: research

Porcine Urinary Bladder Extracellular Matrix for the Salvage of Fibula Free Flap Skin Paddle: Technical Note and Description of a Case
This report establishes a novel application of a commercially available porcine urinary bladder extracellular matrix, MatriStem (ACell, Inc., Columbia, MD), in the salvage of partial loss of the skin paddle of a fibula osteoseptocutaneous free flap that was utilized for mandibular reconstruction. [...] 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 13, 2016 Category: ENT & OMF Authors: Shanti, Rabie M. Smart, Ryan J. Meram, Andrew Kim, David Tags: Technical Note Source Type: research