Craniomaxillofacial Trauma & Reconstruction

5 pages, 324 KiB

Open AccessCase Report

Successful Treatment of the Traumatic Orbital Apex Syndrome Due to Direct Bone Compression

by Atsushi Imaizumi, Kunihiro Ishida, Yasunari Ishikawa and Izuru Nakayoshi

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 318-322; https://doi.org/10.1055/s-0034-1390245 - 15 Sep 2014

Cited by 13 | Viewed by 55

Orbital apex syndrome is an uncommon but severe ocular complication of craniomaxillofacial fracture. The optimal treatment strategy for this very rare traumatic syndrome has not been well established. We present a case in which traumatic orbital apex syndrome was caused by direct compression [...] Read more.

Orbital apex syndrome is an uncommon but severe ocular complication of craniomaxillofacial fracture. The optimal treatment strategy for this very rare traumatic syndrome has not been well established. We present a case in which traumatic orbital apex syndrome was caused by direct compression from the displaced fracture segments. Visual and extraocular function both improved quickly after emergency decompression surgery. This case suggests that managing the direct type of traumatic orbital apex syndrome with craniomaxillofacial fracture with a combination of urgent reduction of impinging bone and decompression of affected nerves is an effective strategy. Full article

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5 pages, 369 KiB

Open AccessCase Report

Bilateral, Bipedicled DIEP Flap for Staged Reconstruction of Cranial Deformity

by Julia C. Slater, Michael Sosin, Eduardo D. Rodriguez and Branko Bojovic

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 313-317; https://doi.org/10.1055/s-0034-1384741 - 12 Aug 2014

Cited by 9 | Viewed by 38

Abstract

The deep inferior epigastric perforator (DIEP) adipocutaneous flap is a versatile flap that has been most popularly used in breast reconstruction. However, it has been applied to many other anatomic areas and circumstances that require free-tissue transfer. We present a case report of [...] Read more.

The deep inferior epigastric perforator (DIEP) adipocutaneous flap is a versatile flap that has been most popularly used in breast reconstruction. However, it has been applied to many other anatomic areas and circumstances that require free-tissue transfer. We present a case report of the use of the DIEP flap for the reconstruction of severe craniomaxillofacial deformity complicated by indolent infection in a gentleman with infected hardware and methyl methacrylate overlay used in previous repair of traumatic injuries suffered from a motor vehicle collision. The reconstruction was done in a staged, two-step fashion that allowed for adequate infection eradication and treatment using a bilateral, bipedicled DIEP flap for tissue coverage and intravenous antibiotics before the delayed insertion of a polyetheretherketone cranioplasty for reconstruction of the cranial defect. Full article

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3 pages, 138 KiB

Open AccessTechnical Note

Fracture of the Coronoid Process Associated with Frontosphenoidal Fractures

by Mohan Baliga and Joanna Baptist

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 330-332; https://doi.org/10.1055/s-0034-1378177 - 14 Jul 2014

Cited by 2 | Viewed by 61

Abstract

Coronoid process fractures are rarely encountered, commonly undiagnosed, usually asymptomatic, and most commonly treated conservatively, hence very little written about. We present two cases of coronoid process fractures with associated frontosphenoidal injuries. Full article

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3 pages, 126 KiB

Open AccessCase Report

An Unusual Transorbital Penetrating Injury and Principles of Management

by Andrew Peter Dekker, Abdel Hamid El-Sawy and Darius Stephen Rejali

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 310-312; https://doi.org/10.1055/s-0034-1378178 - 17 Jun 2014

Cited by 4 | Viewed by 74

Abstract

The objective of this study was to present an unusual low velocity transorbital penetrating injury. The study design was a clinical record (case report). A 38-year-old gentleman tripped and fell face first onto the wing of an ornamental brass eagle. This penetrated the [...] Read more.

The objective of this study was to present an unusual low velocity transorbital penetrating injury. The study design was a clinical record (case report). A 38-year-old gentleman tripped and fell face first onto the wing of an ornamental brass eagle. This penetrated the inferomedial aspect of the right orbit, breaching the lamina papyracea to extend into the ethmoid sinuses and reaching the dura of the anterior cranial fossa. The foreign body was removed in theater under a joint ophthalmology and ENT procedure. The patient was left with reduced visual acuity in the right eye but no other long-term sequelae. Transorbital penetrating injury presents unusual challenges to investigation and management requiring a multidisciplinary approach to prevent significant morbidity and mortality. If managed well the prognosis is good. Full article

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4 pages, 257 KiB

Open AccessArticle

Subcutaneous Emphysema Following Emergent Surgical Conventional Tracheostomy

by Leon Ardekian, Michal Barak and Adi Rachmiel

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 290-293; https://doi.org/10.1055/s-0034-1378186 - 17 Jun 2014

Cited by 3 | Viewed by 45

Abstract

In maxillofacial surgery, tracheostomy is indicated in congenital, inflammatory, oncologic, or traumatic respiratory obstruction. In traumatic cases, however, it is sometimes hard to implement. We describe subcutaneous emphysema following emergent surgical conventional tracheostomy performed after stab injury to the floor of the mouth. [...] Read more.

In maxillofacial surgery, tracheostomy is indicated in congenital, inflammatory, oncologic, or traumatic respiratory obstruction. In traumatic cases, however, it is sometimes hard to implement. We describe subcutaneous emphysema following emergent surgical conventional tracheostomy performed after stab injury to the floor of the mouth. We analyze the course that led to this complication and discuss suggestions on how to avoid it. In addition, we review the literature to improve our knowledge and practice regarding this entity. Massive subcutaneous neck emphysema occurred because ventilation started at the time when the hemorrhage was not completely managed and the tracheal tube was not fully secured. In traumatic cases with profound bleeding, hemorrhage management must be performed carefully. The recommendation not to ventilate until the hemorrhage is completely managed should be observed. Full article

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3 pages, 139 KiB

Open AccessTechnical Note

Custom-Made Finger Guard to Prevent Wire-Stick Injury to the Operator's Finger While Performing Intermaxillary Fixation

by Ramesh Kumaresan, Karthikeyan Ponnusami and Priyadarshini Karthikeyan

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 327-329; https://doi.org/10.1055/s-0034-1378185 - 13 Jun 2014

Viewed by 54

Abstract

The treatment of maxillofacial fractures involves different methods from bandages and splinting to methods of open reduction and internal fixation and usually requires control of the dental occlusion with the help of intermaxillary fixation (IMF). Different wiring techniques have been used to aid [...] Read more.

The treatment of maxillofacial fractures involves different methods from bandages and splinting to methods of open reduction and internal fixation and usually requires control of the dental occlusion with the help of intermaxillary fixation (IMF). Different wiring techniques have been used to aid in IMF including placement of custom-made arch bars, eyelet etc. However, these wiring techniques are with a constant danger of trauma to the surgeon's fingers by their sharp ends. Though there exist a variety of commercially available barrier products and customized techniques to prevent wire-stick injury, cost factor, touch sensitivity, and comfort aspect restrain their acquirement and exploit. This technical note describes the construction of a simple and economical finger guard made of soft thermoplastic material that provides an added protection to fingers from wire-stick type injuries, and its flexible nature permits a comfortable finger flexion movement and acceptable touch sensitivity. This is a simple, economical, reusable puncture, and cut-resistance figure guard by which we can avoid wire-stick type injury to the operator's fingers during wiring technique. Full article

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4 pages, 219 KiB

Open AccessCase Report

Osteochondroma of Coronoid Process: A Rare Etiology of Jacob Disease

by Pedro Manuel Losa-Muñoz, Miguel Burgueño-García, Javier González-Martín-Moro and Rocio Sánchez-Burgos

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 306-309; https://doi.org/10.1055/s-0034-1378182 - 13 Jun 2014

Cited by 10 | Viewed by 69

Abstract

Jacob disease is a rare entity consisting of the formation of a pseudojoint between the inner surface of the zygoma and the coronoid process. This requires constant contact between the two implicated surfaces. It can be achieved by two mechanisms: one by an [...] Read more.

Jacob disease is a rare entity consisting of the formation of a pseudojoint between the inner surface of the zygoma and the coronoid process. This requires constant contact between the two implicated surfaces. It can be achieved by two mechanisms: one by an enlarged coronoid process and two by an anterior displacement of the coronoid process caused by a temporomandibular joint (TMJ) disorder. Although von Langenbeck described coronoid process hyperplasia in 1853, Oscar Jacob was the first author to describe the pathology in 1899. Since then, only a few cases have been published in the literature. The authors report a rare case of Jacob disease caused by an osteochondroma of the coronoid process, which is even less common, and review the literature. Full article

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4 pages, 224 KiB

Open AccessCase Report

Fracture of the Vomero-Premaxillary Junction in a Repaired Bilateral Cleft Lip and Palate Patient

by Roger Arthur Zwahlen, Yasas Shri Nalaka Jayaratne, Su Yin Htun and Kurt-Wilhelm Bütow

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 302-305; https://doi.org/10.1055/s-0034-1378180 - 13 Jun 2014

Cited by 2 | Viewed by 69

Abstract

Although dental trauma is common in bilateral cleft lip and palate (BCLP), patients’ reports on bony fractures of the vomero-premaxillary junction cannot be found. The aim of this report is to illustrate clinical findings and the technique of fracture fixation in a child [...] Read more.

Although dental trauma is common in bilateral cleft lip and palate (BCLP), patients’ reports on bony fractures of the vomero-premaxillary junction cannot be found. The aim of this report is to illustrate clinical findings and the technique of fracture fixation in a child suffering from a fractured vomero-premaxillary junction as well as subsequent columella lengthening. A 4-year-old girl with a repaired BCLP presented with an open mucosal laceration and fractured vomero-premaxillary junction. Open reduction and fixation of the dislocated premaxilla was performed under general anesthesia. Fractured bone pieces of the vomero-premaxillary junction were removed and sharp bone edges at the vomer and the premaxilla were grinded. The repositioned premaxilla was fixed to the lateral alveolar arches with two mucoperiosteal sutures on each side. Additional columella lengthening was performed 2 years later. All family members were very happy about the new aesthetics of the girl. Although rare, fractures of the vomero-premaxillary junction present several challenges to clinicians related to anatomical, physiological, and psychological issues. Immediate and minimal invasive treatment strategies are recommended when managing such cases. Full article

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9 pages, 218 KiB

Open AccessArticle

Management of the Temporomandibular Joint After Ablative Surgery

by Marius Bredell, Klaus Grätz, Joachim Obwegeser and Astrid Kruse Gujer

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 271-279; https://doi.org/10.1055/s-0034-1378181 - 12 Jun 2014

Cited by 25 | Viewed by 61

Abstract

Management of the temporomandibular joint in ablative head and neck surgery is controversial with no standardized approach. The aim of the study was to establish risk-based guidelines for the management of the temporomandibular joint after ablative surgery. Analysis of all patients’ records receiving [...] Read more.

Management of the temporomandibular joint in ablative head and neck surgery is controversial with no standardized approach. The aim of the study was to establish risk-based guidelines for the management of the temporomandibular joint after ablative surgery. Analysis of all patients’ records receiving ablative surgery involving the temporomandibular joint in the Department of Cranio-Maxillofacial and Oral Surgery, University Hospital of Zürich, from 2001 to 2012, was performed, identifying 15 patients and 14 reconstructive procedures. A literature search was done identifying all relevant literature on current approaches. Applicable cohorts were constructed, and relevant risks were extrapolated. Evaluated studies are not uniform in their reporting with nonhomogeneous patient groups. A diverse approach is used in the management of these patients with complications such as infection, ankylosis, limited mouth opening, plate penetration in the skull base, and plate loosening. Risk factors for complications appear to be radiation, costochondral graft, disk loss, and plate use alone. Clinical data suggest use of a plate with metal condyle reconstructions and previous radiation therapy as potential risks factors. Employing literature evidence and cumulated clinical data, a riskbased flowchart was developed to assist surgical decision making. Risk factors such as radiation, disk preservation, and soft tissue conditions are important complicationassociated factors when planning surgery. Free vascularized fibula grafts appear to have the least complications that must be weighed against donor site morbidity. Full article

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8 pages, 295 KiB

Open AccessArticle

Frontal Sinus Obliteration with Iliac Crest Bone Grafts—Review of 8 Cases

by Marcelo Monnazzi, Marisa Gabrielli, Valfrido Pereira-Filho, Eduardo Hochuli-Vieira, Henrique de Oliveira and Mario Gabrielli

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 263-270; https://doi.org/10.1055/s-0034-1382776 - 12 Jun 2014

Cited by 6 | Viewed by 63

Abstract

This study evaluated postoperative results of 8 cases of frontal sinus fractures treated by frontal sinus obliteration with autogenous bone from the anterior iliac crest. Patients and methods: The medical charts of patients sequentially treated for frontal sinus fractures by obliteration with autogenous [...] Read more.

This study evaluated postoperative results of 8 cases of frontal sinus fractures treated by frontal sinus obliteration with autogenous bone from the anterior iliac crest. Patients and methods: The medical charts of patients sequentially treated for frontal sinus fractures by obliteration with autogenous cancellous iliac crest bone in the Oral and Maxillofacial Surgery Division of this institution were reviewed. From those, eight had complete records and adequately described long-term follow-up. All were operated by the same surgical team. Those patients were recalled and independently evaluated by 2 examiners. Radiographs and/or CT scans were available for this evaluation. Associated fractures and complications were noted. The average postoperative follow-up was 7 years, ranging from 3 to 16 years. The main complication was infection. Four patients (50%) had uneventful long-term follow-ups and four (50%) experienced complications requiring reoperation. Based on the studied sample studied the authors conclude that the obliteration with autogenous bone presented a high percentage of complications in this series. Full article

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4 pages, 163 KiB

Open AccessCase Report

Use of Intraoperative Computed Tomography in Complex Craniofacial Trauma: An Example of On-Table Change in Management

by Clinton S. Morrison, Helena O. Taylor, Scott Collins, Adetokunbo Oyelese and Stephen R. Sullivan

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 298-301; https://doi.org/10.1055/s-0034-1378179 - 10 Jun 2014

Cited by 13 | Viewed by 41

Abstract

The primary goals in repairing complex craniofacial fractures are restoration of occlusion and mastication, and anatomic reconstruction of a symmetric facial skeleton. Failure to accomplish these goals may result in the need for secondary operations. Recognition of malreduction may not be appreciated until [...] Read more.

The primary goals in repairing complex craniofacial fractures are restoration of occlusion and mastication, and anatomic reconstruction of a symmetric facial skeleton. Failure to accomplish these goals may result in the need for secondary operations. Recognition of malreduction may not be appreciated until review of a postoperative computed tomographic (CT) scan. Intraoperative CT scanning enables immediate on-table assessment of reduction and fixation, allowing alteration of the surgical plan as needed. We report using intraoperative CT scanning while repairing a panfacial injury in which malreduction was appreciated intraoperatively and corrected. Intraoperative CT can be used to improve outcomes and quality of complex facial fracture repair. Full article

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6 pages, 142 KiB

Open AccessArticle

Analysis of Road Traffic Crashes–Related Maxillofacial Injuries Severity and Concomitant Injuries in 201 Patients Seen at the UCH, Ibadan

by Timothy Aladelusi, Victor Akinmoladun, Adeola Olusanya, Oladimeji Akadiri and Abiodun Fasola

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 284-289; https://doi.org/10.1055/s-0034-1378183 - 5 Jun 2014

Cited by 10 | Viewed by 47

Abstract

The objective of this study was to determine the prevalence of road traffic crashes (RTC)–related maxillofacial injuries, the concomitant injuries occurring with them, and to assess the relationship between the severity of maxillofacial and concomitant injuries. This was a prospective study involving 201 [...] Read more.

The objective of this study was to determine the prevalence of road traffic crashes (RTC)–related maxillofacial injuries, the concomitant injuries occurring with them, and to assess the relationship between the severity of maxillofacial and concomitant injuries. This was a prospective study involving 201 victims of RTC seen at the Accident and Emergency Department of the University College Hospital, Ibadan with maxillofacial injuries during the study period. Demographic data of the patients, the types of maxillofacial injuries, and concomitant injuries sustained were recorded. Severity of maxillofacial injury was determined using the maxillofacial injury severity scale (MFISS), while the severity of concomitant injuries was based on the ISS. Correlations between types and severity of maxillofacial injury and types and severity of concomitant injury were conducted to determine the predictability of concomitant injuries based on maxillofacial injury severity. Data were processed using SPSS Statistical software (SPSS, version 20.0 for windows, IBM SPSS Inc, Chicago, IL). Maxillofacial injuries constituted 25.4% of RTC-related admission by the Accident and Emergency Department. A total of 151 (75.1%) patients who presented with concomitant injuries participated in the study. Eighty-one (53.6%) sustained injuries to more than one body region. Head injury was the commonest (99, 65.6%) concomitant injury, followed by orthopedic injury (69, 45.7%). Increasing severity of maxillofacial injury showed a positive correlation with increasing ISS. Also, positive correlation was noted with increasing severity of maxillofacial injury and presence of polytrauma (p = 0.01), traumatic brain injury (p = 0.034), and eye injuries (p = 0.034). There was a high prevalence of maxillofacial injuries in victims of RTC. There was a high incidence of concomitant injuries noted with these maxillofacial injuries. Significantly, this study showed a direct relationship between the severity of maxillofacial injury and head, ocular and polytrauma. This study further emphasizes the need for thorough examination of patients presenting with RTC-related maxillofacial injuries. Full article

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4 pages, 100 KiB

Open AccessArticle

Inferior Alveolar Nerve Injuries Associated with Mandibular Fractures at Risk: A Two-Center Retrospective Study

by Paolo Boffano, Fabio Roccia, Cesare Gallesio, K. Karagozoglu and Tymour Forouzanfar

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 280-283; https://doi.org/10.1055/s-0034-1375169 - 5 Jun 2014

Cited by 13 | Viewed by 76

Abstract

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije [...] Read more.

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement (p = 0.03), isolated mandibular fractures (p = 0.01), and angle fractures (p = 0.004). A statistically significant association was also found between IAN injury and assaults (p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions. Full article

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4 pages, 245 KiB

Open AccessTechnical Note

Component Approach to the Temporomandibular Joint and Coronoid Process

by Miles J. Pfaff, James Clune and Derek Steinbacher

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 323-326; https://doi.org/10.1055/s-0033-1364196 - 3 Jun 2014

Cited by 3 | Viewed by 82

Abstract

Reconstruction of the temporomandibular joint (TMJ) region is challenging. The conventional direct preauricular incision permits only limited access to the TMJ and surrounding structures, therefore risking injury to the facial nerve during retraction. The ideal approach allows sufficient exposure, preservation of underlying neurovascular [...] Read more.

Reconstruction of the temporomandibular joint (TMJ) region is challenging. The conventional direct preauricular incision permits only limited access to the TMJ and surrounding structures, therefore risking injury to the facial nerve during retraction. The ideal approach allows sufficient exposure, preservation of underlying neurovascular structures, and achieves an optimal aesthetic outcome. We describe a preauricular posttragal incision with a superficial musculoaponeurotic system flap to allow wide exposure of the zygomatic arch, TMJ, condyle, and coronoid process. We postulate that this approach improves access, lessens the amount of retraction required, and creates a more inconspicuous scar. Full article

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4 pages, 173 KiB

Open AccessCase Report

Natural Course of Orbital Roof Fractures

by Liselotte H. M. Stam, Eppo B. Wolvius, Warren Schubert and Maarten J. Koudstaal

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 294-297; https://doi.org/10.1055/s-0034-1378188 - 3 Jun 2014

Cited by 9 | Viewed by 47

Abstract

The natural course of several isolated and nonisolated orbital roof fractures is reported, by showing four cases in which a “wait and see” policy was followed. All four cases showed spontaneous repositioning and stabilizing of the fracture within less than a year. This [...] Read more.

The natural course of several isolated and nonisolated orbital roof fractures is reported, by showing four cases in which a “wait and see” policy was followed. All four cases showed spontaneous repositioning and stabilizing of the fracture within less than a year. This might be explained by the equilibrium between the intraorbital and intracranial pressures. Full article

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5 pages, 248 KiB

Open AccessArticle

Thermoplastic Vestibuloplasty: A Novel Technique for Treatment of Lip and Cheek Adhesion

by Khaled Barakat and Aya Ali

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 258-262; https://doi.org/10.1055/s-0034-1375171 - 21 May 2014

Cited by 3 | Viewed by 54

Abstract

Lip and cheek adhesion to the opposing alveolus with complete or partial loss of the vestibular dimension represents a challenging problem for reconstruction. It usually occurs due to primary inadequate vestibular soft tissue repair following complicated trauma cases, burns, and lesions of the [...] Read more.

Lip and cheek adhesion to the opposing alveolus with complete or partial loss of the vestibular dimension represents a challenging problem for reconstruction. It usually occurs due to primary inadequate vestibular soft tissue repair following complicated trauma cases, burns, and lesions of the oral cavity. Surgical removal of scar tissue and creation of new vestibule is complicated by readhesion between the opposing connective tissue surfaces. Skin grafts and acellular dermal matrix represent the most dominant modalities used to treat deficient vestibule dimensions, but they are difficult to fix and lack the required stability during healing. Several devices have been created in an attempt to keep the tissues apart but their complex anchorage methods seriously reduced their reliability and usage. We devised a simple and reliable technique “thermoplastic vestibuloplasty” (TV) that benefit from the inherent reepithelialization capabilities of the oral mucosa to prevent readhesion and to resurface the created vestibule with its exact tissue color and texture. In total, 10 patients suffering from complete or partial lip or cheek adhesion with concomitant loss of vestibule were surgically treated by excising scar tissue and creating a new vestibule, followed by TV technique. Pre and posttreatment results were compared in terms of vestibular length, lip or cheek mobility, and change by time in vestibular length from 2 weeks up to 3 months. Moreover, the patient satisfaction and outcomes were measured using visual analogue scale score. All patients tolerated the procedure without complication. The mean vestibule length and mobility significantly increased from 3.8 + 0.6 mm to 11.4 + 1.4 mm (p < 0.001) and from 0.3 to 2 (p < 0.001), respectively. Regarding the stability of the achieved vestibular length it decreased by 14% when compared from 2 weeks to 3 months postoperatively. TV technique is a new simple and reliable technique that can effectively prevent readhesion of opposing connective tissue surfaces until intrinsic reepithelialization can resurface the newly created vestibular tissues forming a stable vestibular length with excellent color and texture. Full article

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7 pages, 249 KiB

Open AccessArticle

Demineralized Bone Matrix for Alveolar Cleft Management

by Jose Rolando Prada Madrid, Viviana Gomez and Bibiana Mendoza

Craniomaxillofac. Trauma Reconstr. 2014, 7(4), 251-257; https://doi.org/10.1055/s-0034-1375173 - 21 May 2014

Cited by 8 | Viewed by 55

Abstract

The aim of this article is to describe the results of the use of demineralized bone matrix putty in alveolar cleft of patients with cleft lip and palate. We performed a prospective, descriptive case series study, in which we evaluated the results of [...] Read more.

The aim of this article is to describe the results of the use of demineralized bone matrix putty in alveolar cleft of patients with cleft lip and palate. We performed a prospective, descriptive case series study, in which we evaluated the results of the management of alveolar clefts with demineralized bone matrix. Surgery was performed in 10 patients aged between 7 and 26 years (mean 13 years), involving a total of 13 clefts in the 10 patients. A preoperative cone beam computed tomography (CBCT) was taken to the patients in whom the width of the cleft was measured from each edge of the cleft reporting values between 5.76 and 16.93 mm (average, 11.18 mm). The densities of the clefts were measured with a CBCT, 6 months postoperative to assess bone formation. The results showed a register of gray values of 1148 to 1396 (mean, 1270). The follow-up was conducted for 15 to 33 months (mean, 28.2 months). The results did not show satisfactory bone formation in the cleft of patients with the use of demineralized bone matrix. Full article

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Craniomaxillofac. Trauma Reconstr., Volume 7, Issue 4 (December 2014) – 17 articles

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