Craniomaxillofacial Trauma & Reconstruction

3 pages, 138 KiB

Open AccessArticle

Commentary

by S. Anthony Wolfe

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 40-42; https://doi.org/10.1055/s-0031-1272900a - 1 Mar 2011

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The authors present the sad case of a patient born with an incomplete Tessier number 5 oro-ocular cleft, who underwent 25 operations between infancy and the age of 21 [...] Full article

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8 pages, 416 KiB

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Long-Term Follow-Up of a Tessier Number 5 Facial Cleft

by Ahmed M. Afifi, Risal Djohan, Walter Sweeney, Susan Brooks, Jarred Connolly, Chad R. Gordon, Frank A. Papay and James E. Zins

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 35-42; https://doi.org/10.1055/s-0031-1272900 - 1 Mar 2011

Cited by 5 | Viewed by 106

Abstract

The Tessier number 5 cleft is a rare craniofacial anomaly. Although there are case reports outlining various methods of primary surgical repair and outcomes, few cases reveal long-term follow-up or discuss secondary reconstruction. This article presents the case of a man born with [...] Read more.

The Tessier number 5 cleft is a rare craniofacial anomaly. Although there are case reports outlining various methods of primary surgical repair and outcomes, few cases reveal long-term follow-up or discuss secondary reconstruction. This article presents the case of a man born with a unilateral Tessier number 5 cleft who presented to our institution at the age of 41 after more than 25 previous surgeries. Over the course of 11 years, he had several surgeries including an orbital repositioning through a combined intra- and extracranial approach, an orbital enucleation, and an anterolateral thigh flap. The patient was fitted with an orbital prosthesis and a satisfactory aesthetic result was achieved. Full article

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6 pages, 328 KiB

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Different Surgical Approaches for Multiple Fractured Atrophic Mandibles

by Felipe Ladeira Pereira, Walter Cristiano Gealh, Carlos Eduardo Braga Barbosa and Liogi Iwaki Filho

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 19-24; https://doi.org/10.1055/s-0031-1272898 - 24 Feb 2011

Cited by 7 | Viewed by 53

Abstract

Atrophic edentulous mandible fractures in geriatric patients have low incidence but present several biological and biomechanical peculiarities that produce a nonunion rate of around 20%. Surgical extraoral approaches for internal fixation of these fractures can be transcervical or by one or two submandibular [...] Read more.

Atrophic edentulous mandible fractures in geriatric patients have low incidence but present several biological and biomechanical peculiarities that produce a nonunion rate of around 20%. Surgical extraoral approaches for internal fixation of these fractures can be transcervical or by one or two submandibular incisions. Two patients sustaining multiple fractures in atrophic edentulous mandible are presented: the first patient was 72-years-old, treated by two submandibular incisions, and the second was 81-years-old, treated by transcervical approach. We discuss the advantages and drawbacks of each approach and their indications according to the Luhr et al. (1996) atrophy index. Full article

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10 pages, 721 KiB

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Free Flap Reconstruction of Self-Inflicted Submental Gunshot Wounds

by Nichole R. Dean, Shane M. McKinney, Mark K. Wax, Patrick J. Louis and Eben L. Rosenthal

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 25-34; https://doi.org/10.1055/s-0031-1272899 - 22 Feb 2011

Cited by 13 | Viewed by 56

Abstract

In this study, we review outcomes for 15 patients with self-inflicted submental gunshot wounds requiring free flap reconstruction. Patients presented to two tertiary care centers over a 7-year period. Mean age was 46 years (range, 16 to 76 years), 67% (n = [...] Read more.

In this study, we review outcomes for 15 patients with self-inflicted submental gunshot wounds requiring free flap reconstruction. Patients presented to two tertiary care centers over a 7-year period. Mean age was 46 years (range, 16 to 76 years), 67% (n = 10) had a psychiatric history, and four were known to abuse illicit substances. Patients with oromandibular involvement required on average a total of 2.8 procedures, and those with midface (3.7) or combined defects (6) required more total procedures (p = 0.21). Donor sites included osteocutaneous radial forearm (n = 8), fibula (n = 4), fasciocutaneous radial forearm (n = 5), and anterior lateral thigh (n = 1). Median length of hospitalization was 8 days. Overall complication rate was 33% (n = 5), and included hematoma (n = 1), fistula (n = 1), and mandibular malunion (n = 2). Most patients were able to tolerate a regular or soft diet (92%), maintain oral competency (58%), and demonstrate intelligible speech (92%) at a median time to follow-up of 12 months. Despite the devastating nature of this injury, free flap reconstruction of self-inflicted submental gunshot wounds results in acceptable functional results for the majority of patients. Full article

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8 pages, 447 KiB

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Bilateral Mandibular Condylysis from Systemic Sclerosis: Case Report of Surgical Correction with Bilateral Total Temporomandibular Joint Replacement

by Jean-Charles Doucet and Archie D. Morrison

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 11-18; https://doi.org/10.1055/s-0031-1272904 - 22 Feb 2011

Cited by 13 | Viewed by 55

Abstract

Systemic sclerosis (SSc) is a multisystem connective tissue disease of unknown etiology. The hallmark of SSc is scleroderma, referring to the presence of thickened, hardened skin. Oral and maxillofacial manifestations of the disease are numerous including masklike appearance, trismus, muscular atrophy, thin atrophied [...] Read more.

Systemic sclerosis (SSc) is a multisystem connective tissue disease of unknown etiology. The hallmark of SSc is scleroderma, referring to the presence of thickened, hardened skin. Oral and maxillofacial manifestations of the disease are numerous including masklike appearance, trismus, muscular atrophy, thin atrophied lips, secondary microstomia, xerostomia, rigidity of tongue and lips, widening of the periodontal ligament space, trigeminal neuralgia, and resorption of the mandible. A 35-year-old woman with limited cutaneous SSc presented with bilateral mandibular condylysis, severe class II mandibular deficiency, and large anterior open bite and limited range of mandibular opening at 27 mm. Surgical correction consisted of bilateral total temporomandibular joint reconstruction with stock prostheses combined with Le Fort I maxillary impaction and functional advancement genioplasty. This resulted in a functional occlusion with elimination of her open bite and a more esthetic profile. Her occlusion has remained stable at 7 months. The incidence of mandibular resorption in SSc has been found to be 20% to 33%. The mandibular angles are most commonly involved (37.6%), followed by the condyle (20.8%), coronoid process (20.0%), and the posterior border of the ascending ramus (14.4%). Bilateral condylysis is present in 13.7% of the cases. Very few cases of surgical correction of malocclusion induced by SSc-related condylysis have been reported in the literature. To the best of our knowledge, this is the first case report of bilateral condylysis from SSc where surgical replacement of the resorbed condyles was attempted. Bilateral total temporomandibular joint replacement can give these patients a functional occlusion, improved facial balance, and improved quality of life. Full article

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2 pages, 179 KiB

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Supraorbital Rim Contour Restoration with Porous Polyethylene Implant via Preexisting Scar

by Yakup Cil and Muhitdin Eski

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 59-60; https://doi.org/10.1055/s-0031-1272897 - 18 Feb 2011

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Abstract

Isolated anterior wall fractures with displaced fragments require surgical correction to restore normal forehead contour [...] Full article

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6 pages, 257 KiB

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Nasal Foreign Bodies: A Review of Management Strategies and a Clinical Scenario Presentation

by Pavan M. Patil and Rajeev Anand

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 53-58; https://doi.org/10.1055/s-0031-1272902 - 18 Feb 2011

Cited by 6 | Viewed by 63

Abstract

We report a case of a toothbrush head lodged into the nasal cavity, which required an external rhinoplasty for retrieval. A review of the literature on management strategies in case of nasal foreign bodies is presented. Full article

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10 pages, 549 KiB

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Pediatric Facial Fractures and Potential Long-Term Growth Disturbances

by Jonathan Wheeler and John Phillips

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 43-52; https://doi.org/10.1055/s-0031-1272901 - 18 Feb 2011

Cited by 56 | Viewed by 64

Abstract

Fractures of the pediatric craniofacial skeleton can be challenging to manage. The initial injury and subsequent treatment can cause long-term growth disturbances yielding problematic secondary deformities. This review considers the normal growth of the craniofacial skeleton and typical facial fracture presentations in children [...] Read more.

Fractures of the pediatric craniofacial skeleton can be challenging to manage. The initial injury and subsequent treatment can cause long-term growth disturbances yielding problematic secondary deformities. This review considers the normal growth of the craniofacial skeleton and typical facial fracture presentations in children and discusses the potential long-term sequelae from these injuries and their management. Full article

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10 pages, 247 KiB

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A Retrospective Review of Malignant Minor Salivary Gland Tumors and a Proposed Protocol for Future Care

by Nickolaos Papadogeorgakis, Eleni Parara, Vasilis Petsinis, Eleni Pappa, Anastasios Nikolaidis and Konstantinos Alexandridis

Craniomaxillofac. Trauma Reconstr. 2011, 4(1), 1-10; https://doi.org/10.1055/s-0030-1268515 - 30 Nov 2010

Cited by 9 | Viewed by 66

Abstract

Malignant tumors affecting minor salivary glands present a wide range of histopathologic types. The present study sought to design a protocol for management of patients with malignancy of minor salivary glands. The data of 22 patients with malignant tumors of the minor salivary [...] Read more.

Malignant tumors affecting minor salivary glands present a wide range of histopathologic types. The present study sought to design a protocol for management of patients with malignancy of minor salivary glands. The data of 22 patients with malignant tumors of the minor salivary glands, surgically treated at our department in the past 10 years, were accumulated and studied. All patients underwent a diagnostic workup prior to surgery. The most useful examinations were magnetic resonance imaging of the head and neck and computerized tomography of the thorax. Wide local excision was sufficient for the majority of patients. Adjuvant treatment is indicated for high-grade, tumor-positive lymph nodes and residual disease. Malignant tumors of minor salivary glands are very rare. Therefore, design of management protocols is challenging. Management of the neck is necessary in evidence of metastasis and in high-grade and advanced-stage disease. Adjuvant treatment should be included in the treatment protocol in certain indications. Most importantly, long-term follow up is very important for all patients with malignant minor salivary tumors. Full article

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Craniomaxillofac. Trauma Reconstr., Volume 4, Issue 1 (March 2011) – 9 articles

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