Craniomaxillofacial Trauma & Reconstruction

8 pages, 426 KiB

Open AccessArticle

Atypical Case of Congenital Maxillomandibular Fusion with Duplication of the Craniofacial Midline

by Lorena Pingarrón Martín, Mercedes Martín Pérez, Elena Gómez García, Javier González Martín-Moro, Jose Ignacio Rodríguez González and Miguel Burgueño García

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 113-120; https://doi.org/10.1055/s-0031-1279674 - 13 May 2011

Cited by 9 | Viewed by 48

Abstract

We report the first case of syngnathia with hypophyseal duplication and describe the central nervous system (CNS) and craniofacial anomalies associated with hypophyseal duplication in the reported autopsy case. We studied clinical reports, scanner images, and autopsy results of a 2-months-old female baby. [...] Read more.

We report the first case of syngnathia with hypophyseal duplication and describe the central nervous system (CNS) and craniofacial anomalies associated with hypophyseal duplication in the reported autopsy case. We studied clinical reports, scanner images, and autopsy results of a 2-months-old female baby. The propositus had frontonasal dysmorphism, retrognathia, and bifid tongue. She also presented maxillomandibular bony fusion (syngnathia) and an intraoral hairy polyp. In the cranium, the sella turcica was broadened, with two complete hypophyses and two infundibulums. The CNS had both olfactory bulbs and corpus callosum agenesis. There are 27 previous cases of maxillomandibular fusion and seven previous autopsy cases of hypophyseal duplication associated with other frontonasal malformations. As far as the authors know, this is the first case reported in the literature that associates syngnathia with duplication of the craniofacial midline including hypophyseal duplication. Full article

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6 pages, 206 KiB

Open AccessArticle

Intraoral Approach for Treatment of Displaced Condylar Fractures: Case Report

by Valfrido Pereira-Filho, Bärbel Welsh, Florian Schübel, Constantin Landes, Robert Sader, Mario Gabrielli and Marcelo Monnazzi

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 107-112; https://doi.org/10.1055/s-0031-1279670 - 13 May 2011

Cited by 7 | Viewed by 44

Abstract

Dislocated subcondylar fractures often require open reduction and internal fixation. This treatment modality results in better anatomy, early function, and facilitated physical therapy. Ideal stable fixation is obtained by use of two miniplates to control the tension zone in the sigmoid notch area [...] Read more.

Dislocated subcondylar fractures often require open reduction and internal fixation. This treatment modality results in better anatomy, early function, and facilitated physical therapy. Ideal stable fixation is obtained by use of two miniplates to control the tension zone in the sigmoid notch area and stabilize the posterior border region or, if there is not enough space, one stronger plate. That is most frequently achieved through extraoral approaches. Recently new instruments have facilitated the use of an intraoral approach, which is used usually with the aid of an endoscope. However, it is possible to perform the procedure without the endoscope if proper instruments and clinical mirrors for checking the posterior border reduction and fixation are used. A case of reduction and fixation of a medially dislocated condylar fracture is presented and discussed. Full article

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6 pages, 283 KiB

Open AccessArticle

Management of Jaw Injuries in the American Civil War: The Diuturnity of Bean in the South, Gunning in the North

by Richard A. Pollock

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 85-90; https://doi.org/10.1055/s-0031-1279667 - 13 May 2011

Cited by 2 | Viewed by 50

Abstract

James Baxter Bean published a series of articles in the Southern Dental Examiner in 1862 describing his work with “plaster and its manipulations”. This early experience included a new way of managing jaw fractures, with customized splints uniquely based on pretraumatic occlusion. Bean's [...] Read more.

James Baxter Bean published a series of articles in the Southern Dental Examiner in 1862 describing his work with “plaster and its manipulations”. This early experience included a new way of managing jaw fractures, with customized splints uniquely based on pretraumatic occlusion. Bean's oral splints and their method of construction, using an articulator, became the standard of care in the Atlanta region during the American Civil War and, by 1864, throughout The Confederacy. In short course, Bean's approach also swept The Union, following in large part the efforts of a colleague in the North, T.B. Gunning. Thus, what began in the early 1860s in a dental laboratory in the southeast swept the continental United States and revolutionized management of jaw-fractures during, and immediately after, the American Civil War. Full article

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8 pages, 321 KiB

Open AccessArticle

Avulsion of the Auricle in an Anticoagulated Patient: Is Leeching Contraindicated? A Review and a Case

by Jens Mommsen, Javier Rodríguez-Fernández, Mario Mateos-Micas, Olga Vázquez-Bouso, Victor Gumbao-Grau and Gabriel Forteza-Gonzalez

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 61-68; https://doi.org/10.1055/s-0031-1279668 - 13 May 2011

Cited by 5 | Viewed by 37

Abstract

Amputation of the auricle is a periodic occurrence leading to disfigurement if not treated properly. Venous stasis is a common complication in reattachments and requires decongestant and anticoagulant treatment. Today, leech therapy is the treatment of choice. Common problems are that it is [...] Read more.

Amputation of the auricle is a periodic occurrence leading to disfigurement if not treated properly. Venous stasis is a common complication in reattachments and requires decongestant and anticoagulant treatment. Today, leech therapy is the treatment of choice. Common problems are that it is not available everywhere and that it is usually contraindicated in anticoagulated patients. The peculiarities of leech therapy and the various aspects of surgical management are reviewed. A case of a partial amputation of the auricle in a patient under concomitant anticoagulation therapy with warfarin is presented. The amputated part was reattached in another hospital without microvascular anastomosis. The patient presented to our department with early signs of venous congestion. Leech therapy was started 35 hours after trauma, and the patient continued his anticoagulation therapy. With this treatment, 90% of the amputated part was rescued. The anticoagulation therapy of the patient may have played an important role in the first hours after reattachment, preventing capillary thrombosis and in consequence facilitating the minimal oxygenation necessary. The claim that anticoagulation therapy is a contraindication to leeching should be questioned in cases of reattachments in well-controllable locations without arterial anastomosis. Full article

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16 pages, 1219 KiB

Open AccessArticle

A New Device for Alveolar Bone Transportation

by Omar Vega, Daniel Pérez, Viviana Páramo and Jocelyn Falcön

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 91-106; https://doi.org/10.1055/s-0031-1279669 - 12 May 2011

Cited by 11 | Viewed by 48

Abstract

We present a retrospective review of a new technique for the transportation of alveolar bone using a Hyrax device modified by the principal author (O.A.V.). There were seven patients (five males and two females), including five patients with cleft palate and lip diagnosis, [...] Read more.

We present a retrospective review of a new technique for the transportation of alveolar bone using a Hyrax device modified by the principal author (O.A.V.). There were seven patients (five males and two females), including five patients with cleft palate and lip diagnosis, one patient with a high-speed gunshot wound, and one patient with facial trauma sequel due to mandibular fracture. They were all treated with an alveolar bone transportation technique (ABT) through the use of the modified Hyrax device (VEGAX). Before surgery, distraction osteogenesis of the bifocal type was performed on four patients, and the trifocal type was performed on the other three patients. However, in one case, direct dental anchorage was not used, only orthodontic appliances. In all the cases, new bone formation and gingival tissue around the defect were obtained, posterior to the alveolar distraction process; no complications were observed in any patient. In one case, two teeth involved in the disk of the ABT were extracted, due to a previous condition of periodontal disease. The alveolar bone transport with the VEGAX device is an accessible technique for almost every patient with alveolar defects due to diverse causes. In all the presented cases, predictability and success were demonstrated. Full article

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12 pages, 800 KiB

Open AccessArticle

Pediatric Craniofacial Trauma: Challenging Pediatric Cases—Craniofacial Trauma

by Craig R. Dufresne and Paul N. Manson

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 73-84; https://doi.org/10.1055/s-0031-1275387 - 25 Mar 2011

Cited by 4 | Viewed by 53

Abstract

The pediatric population, as well as the adult population, is subject to similar injuries and traumatic events involving the craniofacial skeleton. Although less frequent than adult injuries, the craniofacial injuries sustained by children are considered separately in textbooks and the literature because of [...] Read more.

The pediatric population, as well as the adult population, is subject to similar injuries and traumatic events involving the craniofacial skeleton. Although less frequent than adult injuries, the craniofacial injuries sustained by children are considered separately in textbooks and the literature because of the special unique problems associated with their treatment and the effects they might have on growth and development that can arise as a result of their management. Some of the more challenging cases that I have seen involve the very young with cranial bone fractures and cranial base fractures and those that involve the nasal and/or orbital-ethmoidal areas in young children and their secondary reconstruction. Some of these types of cases are not always clearly and thoroughly addressed in textbooks or articles because of their infrequent occurrence. Often, surgeons differ in approaches to treatment because of certain anatomic or physiological factors specifically related to childhood, facial growth, and the timing of treatment. Some of the cranial and facial developmental malformations seen in older children or adults can be attributed to trauma sustained in early childhood. This is because trauma may have a deleterious effect on the growth and development of facial structures in the postnatal life similar to that seen resulting from a genetic mutation. Full article

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4 pages, 50 KiB

Open AccessArticle

A Review of Mandibular Angle Fractures

by Ramiro Perez, John C. Oeltjen and Seth R. Thaller

Craniomaxillofac. Trauma Reconstr. 2011, 4(2), 69-72; https://doi.org/10.1055/s-0031-1272903 - 18 Feb 2011

Cited by 16 | Viewed by 57

Abstract

After studying this article, the reader will be able to: (1) review the incidence and etiology of mandibular angle fractures; (2) gain an understanding of patient evaluation and general management principles; and (3) discuss indications and available techniques for management of mandibular angle [...] Read more.

After studying this article, the reader will be able to: (1) review the incidence and etiology of mandibular angle fractures; (2) gain an understanding of patient evaluation and general management principles; and (3) discuss indications and available techniques for management of mandibular angle fractures. Angle fractures represent the highest percentage of mandibular fractures. Two of the most common causes of mandibular angle fractures are motor vehicle accidents and assaults or altercations. With any patient who has sustained facial trauma, a thorough history and comprehensive physical examination centering on the head and neck region as well as proper radiological assessment are essential. These elements are fundamental in establishing a diagnosis and developing an appropriate treatment plan for any mandibular fracture. Full article

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Craniomaxillofac. Trauma Reconstr., Volume 4, Issue 2 (June 2011) – 7 articles

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