Craniomaxillofacial Trauma & Reconstruction

1 pages, 58 KiB

Open AccessCorrection

Personal Technique for Primary Repair of Alveolar Clefts

by Hassan A. Badran, Hazem M. Ali and Amir S. Elbarbary

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 121; https://doi.org/10.1055/s-0032-1320018 - 1 Jun 2012

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The publisher regrets an error with the picture used for Figure 11 in the above article in Craniomaxillofacial Trauma & Reconstruction, Volume 5, Number 1, 2012 [...] Full article

5 pages, 330 KiB

Open AccessArticle

Superior Orbital Fissure Syndrome: A Case Report

by Heath H. Evans, Bradley A. Wurth and Kevin J. Penna

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 115-119; https://doi.org/10.1055/s-0032-1313363 - 10 May 2012

Cited by 9 | Viewed by 77

Abstract

Superior orbital fissure syndrome is an infrequently encountered entity with a unique presentation and significant morbidity. This article reviews the background of the syndrome, treatments in the literature, and discusses a recent case with treatment strategy. Full article

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3 pages, 150 KiB

Open AccessArticle

A Safe and Accurate Method of Assessing the Size of Implants Required in Orbital Floor Reconstruction

by Thiam Chye Lim, Zulfikar Mohamed Rasheed and Gangadhara Sundar

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 111-113; https://doi.org/10.1055/s-0032-1313360 - 10 May 2012

Cited by 1 | Viewed by 50

Abstract

Many methods to determine the size of an orbital floor implant depend on trial and error. However, this technique is imprecise and the repeated insertion and removal of the implant leads to soft tissue trauma and swelling. A method of measuring orbital floor [...] Read more.

Many methods to determine the size of an orbital floor implant depend on trial and error. However, this technique is imprecise and the repeated insertion and removal of the implant leads to soft tissue trauma and swelling. A method of measuring orbital floor dimensions intraoperatively using a waterproof paper ruler is presented in this study. This technique has the advantage of being simple, precise, safe, and expedient. Full article

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3 pages, 280 KiB

Open AccessArticle

The Use of Risdon Cables in Pediatric Maxillofacial Trauma: A Technique Revisited

by Matthew Madsen, Paul S. Tiwana and Brian Alpert

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 107-109; https://doi.org/10.1055/s-0032-1313362 - 10 May 2012

Cited by 4 | Viewed by 82

Abstract

Although less common than adult fractures, fractures of the pediatric maxillofacial skeleton present unique challenges. Different considerations including variations of anatomy including tooth buds, dental variations, as well as considerations for future growth must be addressed. When traditional techniques to treat adult fractures [...] Read more.

Although less common than adult fractures, fractures of the pediatric maxillofacial skeleton present unique challenges. Different considerations including variations of anatomy including tooth buds, dental variations, as well as considerations for future growth must be addressed. When traditional techniques to treat adult fractures are applied for securing intermaxillary fixation (IMF) such as arch bars, difficulty arises because the primary teeth are shorter and conventional arch bar techniques may slip off intra or postoperatively. We present a technique to achieve both IMF as well as interdental stability using a Risdon cable. Although this technique is not new, we present it as our preferred method for treating pediatric fractures of the facial skeleton where IMF must be accomplished. Full article

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7 pages, 531 KiB

Open AccessArticle

External Fixation of Unstable, “Flail” Nasal Fractures

by George E. Anastassov, Ali Payami and Zain Manji

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 99-105; https://doi.org/10.1055/s-0032-1313359 - 8 May 2012

Cited by 7

Abstract

Nasal bone fractures are the most common among facial fractures. Usually these are adequately treated with closed reduction and internal and/or external stabilization with splints. However, there are clinical situations where the nasal bones are severely displaced, the nasal septum fractured and displaced, [...] Read more.

Nasal bone fractures are the most common among facial fractures. Usually these are adequately treated with closed reduction and internal and/or external stabilization with splints. However, there are clinical situations where the nasal bones are severely displaced, the nasal septum fractured and displaced, or there are external drape lacerations which preclude the use of nasal splints. If the nasal bones are reducible but unstable we consider them “flail” and in this case transmucosal, endonasal Kirschner wires are used for dorsal support until sufficient healing occurs. The technique is simple, quick, and predictable and causes minimal discomfort to the patients. Full article

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2 pages, 142 KiB

Open AccessArticle

Spiral Intermaxillary Fixation

by Yuvika Raj Kumar, Zainab Chaudhary and Pankaj Sharma

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 97-98; https://doi.org/10.1055/s-0032-1313361 - 8 May 2012

Cited by 1 | Viewed by 41

Abstract

Intermaxillary fixation (IMF) remains an important component in the management of many facial fractures. During IMF, dental occlusion plays an important role as a guide and therapeutic tool. Since time immemorial there is a constant quest of oral and maxillofacial surgeons to find [...] Read more.

Intermaxillary fixation (IMF) remains an important component in the management of many facial fractures. During IMF, dental occlusion plays an important role as a guide and therapeutic tool. Since time immemorial there is a constant quest of oral and maxillofacial surgeons to find a quick way for IMF. The desire to develop an alternate interdental fixation technique, which not only would decrease the risk to the operator and gingival trauma but also accurately satisfy dental occlusion, lead to the development of this novel technique of “spiral IMF.” Full article

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6 pages, 275 KiB

Open AccessArticle

The Use of 2.4-mm Locking Plate System in Treating Comminuted Mandibular Fracture by Firearm

by Cassiano Costa Silva Pereira, Pâmela Letícia dos Santos, Ellen Cristina Gaetti Jardim, Idelmo Rangel Garcia Júnior, Elio Hitoshi Shinohara and Marcelo Marotta Araujo

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 91-96; https://doi.org/10.1055/s-0032-1313364 - 8 May 2012

Cited by 4

Abstract

Maxillofacial trauma caused by firearms has considerably increased, in which the mandibular body is the site of highest incidence of firearm projectiles. In these cases, the use of titanium plates and screws allows the early restoration of form and function of the mandible [...] Read more.

Maxillofacial trauma caused by firearms has considerably increased, in which the mandibular body is the site of highest incidence of firearm projectiles. In these cases, the use of titanium plates and screws allows the early restoration of form and function of the mandible with stable and predictable results. Recently, conventional plates have been extensively used to treat comminuted mandibular fractures. Nevertheless, the conventional system presents several limitations such as screw compression against the bone interface and the necessity of precise fit of plate to the bone. To overcome such drawbacks, the locking plates have emerged. The present clinical case reported the operative treatment of mandibular fracture caused by firearm projectiles with the use of locking plate. The indications, advantages, and disadvantages of this system are presented. Full article

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2 pages, 107 KiB

Open AccessArticle

Vertical Fracture of the Mandibular Posterior Ramus Border Secondary to the Stress of the Rigid Internal Fixation Material

by Metin Sencimen, Aydin Gulses and Hasan Ayberk Altug

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 89-90; https://doi.org/10.1055/s-0032-1313365 - 8 May 2012

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Abstract

A unique case of a vertical fracture of the mandibular posterior ramus border secondary to the stress of the rigid internal fixation material is described in this study. We think that the surgeon's experience and awareness play a key role in avoidance of [...] Read more.

A unique case of a vertical fracture of the mandibular posterior ramus border secondary to the stress of the rigid internal fixation material is described in this study. We think that the surgeon's experience and awareness play a key role in avoidance of such a complication. Full article

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5 pages, 251 KiB

Open AccessArticle

Maxillary Artery Injury Associated with Subcondylar Mandible Fractures: A Novel Treatment Algorithm

by Matthew S. Yeo, Terence L. H. Goh, Vigneswaran Nallathamby, Ee Cherk Cheong and Thiam Chye Lim

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 83-87; https://doi.org/10.1055/s-0032-1313353 - 8 May 2012

Cited by 11

Abstract

Mandible fractures commonly occur in patients who have sustained blunt facial trauma, and the subcondylar region is the most frequently fractured due to its intrinsic biomechanical weakness. The maxillary artery lies in close relation to the medial cortex of the subcondyle and is [...] Read more.

Mandible fractures commonly occur in patients who have sustained blunt facial trauma, and the subcondylar region is the most frequently fractured due to its intrinsic biomechanical weakness. The maxillary artery lies in close relation to the medial cortex of the subcondyle and is vulnerable to injury by the sharp edges of the fracture fragments during the initial trauma or during operative fracture reduction. Maxillary artery injuries and subcondylar fractures may be an underdiagnosed phenomenon. Yet, this is of clinical significance as the maxillary artery caliber is usually of significant caliber and may lead to substantial hemorrhage. Surgical access to the artery for hemostasis is challenging and is further compounded by small surgical incisions usually undertaken for fracture fixation, obscuring of the artery by the overlying fracture fragments, and vessel retraction following its transection. In cases where maxillary artery injury is suspected, an open surgical approach may be favored over an endoscopic one. The authors illustrate a case in which brisk hemorrhage from the maxillary artery encountered during a preauricular approach to fixation of the mandible subcondyle was successfully controlled with temporary pressure on the external carotid artery through a neck incision and direct ligation of the lacerated maxillary artery. The authors then discuss diagnosis and treatment of such maxillary artery injuries and propose a novel diagnostic and treatment algorithm. Full article

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7 pages, 451 KiB

Open AccessArticle

Computer-Aided Design and Rapid Prototyping—Assisted Contouring of Costal Cartilage Graft for Facial Reconstructive Surgery

by Shu Jin Lee, Heow Pueh Lee, Kwong Ming Tse, Ee Cherk Cheong and Siak Piang Lim

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 75-81; https://doi.org/10.1055/s-0031-1300964 - 30 Jan 2012

Cited by 11 | Viewed by 51

Abstract

Complex 3-D defects of the facial skeleton are difficult to reconstruct with freehand carving of autogenous bone grafts. Onlay bone grafts are hard to carve and are associated with imprecise graft-bone interface contact and bony resorption. Autologous cartilage is well established in ear [...] Read more.

Complex 3-D defects of the facial skeleton are difficult to reconstruct with freehand carving of autogenous bone grafts. Onlay bone grafts are hard to carve and are associated with imprecise graft-bone interface contact and bony resorption. Autologous cartilage is well established in ear reconstruction as it is easy to carve and is associated with minimal resorption. In the present study, we aimed to reconstruct the hypoplastic orbitozygomatic region in a patient with left hemifacial microsomia using computer-aided design and rapid prototyping to facilitate costal cartilage carving and grafting. A three-step process of (1) 3-D reconstruction of the computed tomographic image, (2) mirroring the facial skeleton, and (3) modeling and rapid prototyping of the left orbitozygomaticomalar region and reconstruction template was performed. The template aided in donor site selection and extracorporeal contouring of the rib cartilage graft to allow for an accurate fit of the graft to the bony model prior to final fixation in the patient. We are able to refine the existing computer-aided design and rapid prototyping methods to allow for extracorporeal contouring of grafts and present rib cartilage as a good alternative to bone for autologous reconstruction. Full article

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10 pages, 491 KiB

Open AccessArticle

Surgical Treatment of the Atrophic Mandibular Fractures by Locked Plates Systems: Our Experience and a Literature Review

by Giorgio Novelli, Cristiano Sconza, Emanuela Ardito and Alberto Bozzetti

Craniomaxillofac. Trauma Reconstr. 2012, 5(2), 65-74; https://doi.org/10.1055/s-0031-1300961 (registering DOI) - 30 Jan 2012

Cited by 12 | Viewed by 15

Abstract

The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results [...] Read more.

The management of atrophic mandibular fractures in edentulous patients represents an insidious issue for the maxillofacial surgeon due to the biological and biomechanical conditions that are unfavorable for fracture fixation and bone healing. The purpose of this study was to evaluate the results of the treatment of atrophic mandibular fractures and to compare the outcomes of different plating systems used for stabilization. We selected a study group of 16 patients with fractures of completely edentulous atrophic mandibles who were treated in our department between 2004 and 2010. All patients were surgically treated by open reduction and internal rigid fixation using 2.0-mm large-profile locking and 2.4-mm locking bone plates. All patients achieved a complete fracture healing and fast functional recovery of mandibular movements without intraoperative or postoperative surgical complications. The results of our study demonstrated the efficacy of this type of treatment in association with a low postoperative complication rate, a reduction in the recovery time, and the possibility to have an immediately functional rehabilitation. There were very similar results using each of the two bone plating methods considered: no case had hardware failure or nonunion of the fracture. The 2.0-mm large locking plate is thinner, exposes through the soft tissues less frequently, and is much easier to shape and adapt to the mandibular anatomy. However, the 2.4-mm locking plate system still represents the reference hardware in the condition of severe bone atrophy. Full article

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Craniomaxillofac. Trauma Reconstr., Volume 5, Issue 2 (June 2012) – 11 articles

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