Editor's Commentary: Blood Collection within the Maxillary Sinus following Fracture Repair: The Impact of Mesh Implants and Drains
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1692657 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - July 1, 2019 Category: ENT & OMF Authors: Manson, Paul N. Tags: Commentary Source Type: research

A Surgical Approach to Treat Painful Neuromas of the Supraorbital and Supratrochlear Nerves with Implantation of the Proximal Stump into the Orbit
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1688697Frontal neuralgia causally related to trauma to the supraorbital and supratrochlear nerves remains a difficult problem to resolve. A peripheral nerve approach to this problem would involve neuroma resection and relocation of the proximal nerve stump to a location away from the vulnerable supraorbital ridge. A retrospective chart review was done to identify patients with frontal pain related to supraorbital trauma who underwent operative interventions to solve this problem by neuroma resection and relocation of the proximal stumps into the orbit. Eight pati...
Source: Craniomaxillofacial Trauma and Reconstruction - May 22, 2019 Category: ENT & OMF Authors: Hanwright, Philip Yang, Robin Chopra, Karan Dorafshar, Amir Dellon, A. Lee Williams, Eric Tags: Original Article Source Type: research

Management of Life-Threatening Hemorrhage from Maxillofacial Firearm Injuries Using Foley Catheter Balloon Tamponade
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1685461The aim of this study is to evaluate the efficacy of Foley catheter in the management of hemorrhage from penetrating maxillofacial injuries in austere environment. This retrospective cohort study evaluated all penetrating head and neck trauma caused by firearm injuries reported to a military hospital at a forward aid location during 2015–2017. Foley catheter was used in the emergency management of bleeding in 11 cases. The effectiveness of this technique in controlling hemorrhage, its indication, contraindications, and complications has been explaine...
Source: Craniomaxillofacial Trauma and Reconstruction - April 16, 2019 Category: ENT & OMF Authors: Jose, Anson Arya, Saurabh Nagori, Shakil Ahmed Thukral, Himanshu Tags: Original Article Source Type: research

Impacted Mandibular Third Molars and Their Influence on Mandibular Angle and Condyle Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1685459The aim of this study is to retrospectively analyze the effect unerupted or partially erupted third molars have on the angle and condyle fracture patterns of the mandible. It also focuses on evaluating the type of impaction that causes angle fracture and the level at which the condyle most commonly fractures. The study involves all the patients who had undergone treatment for condylar and angle of the mandible fractures from 2010 to 2017 in our craniofacial center. The case records and orthopantomograms of each patient were taken into consideration and a c...
Source: Craniomaxillofacial Trauma and Reconstruction - April 2, 2019 Category: ENT & OMF Authors: Mehra, Anhad Anehosur, Venkatesh Kumar, Niranjan Tags: Original Article Source Type: research

Salvage Secondary Reconstruction of the Mandible with Vascularized Fibula Flap
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1685460Primary restoration of the mandibular continuity remains the standard of care for defects, and yet several constraints preclude this objective. Interim reconstructions with plate and nonvascular bone grafts have high failure rates. The secondary reconstruction, when becomes inevitable, remains a formidable task. This retrospective study evaluates various issues to address secondary reconstruction. Twenty-one patients following mandibulectomy presented with various complications between 2012 and 2016 were included in the study. The profile of primary recons...
Source: Craniomaxillofacial Trauma and Reconstruction - March 29, 2019 Category: ENT & OMF Authors: Kadam, Dinesh Tags: Original Article Source Type: research

The Role of Helmet Fastening in Motorcycle Road Traffic Accidents
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1685458Road traffic accidents are the leading cause of death among the Indian population. Motorcycle accidents are the most prominent type of injuries among road traffic accidents in India. In this prospective cross-sectional study, all the patients attending three centers in north Bangalore, with facial injuries occurring from a motorcycle accident, were included. The subjects were analyzed for the type of collision, helmet use, type of helmet use, and fastening status of the helmets. A total of 311 motorcyclists were included in this study for a period of 18 mo...
Source: Craniomaxillofacial Trauma and Reconstruction - March 29, 2019 Category: ENT & OMF Authors: Arif, Md. Zeeshan B.R, Rajanikanth Prasad, Kavitha Tags: Original Article Source Type: research

The Effect of Deep Vein Thrombosis Prophylaxis on Bleeding in Periorbital Surgery in Trauma Patients
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1683915The aim of this study is to assess if there is an increase in postoperative venous thromboembolism (VTE) or bleeding complications in patients who received perioperative chemical thromboprophylaxis compared with patients in whom chemical thromboprophylaxis was held during periorbital trauma surgery. This is a retrospective chart review of patients undergoing periorbital surgery treated in three different city hospitals, by the Department of Oral and Maxillofacial Surgery, University of Texas, between August 2014 and December 2016. A total of 237 patients w...
Source: Craniomaxillofacial Trauma and Reconstruction - March 19, 2019 Category: ENT & OMF Authors: Woernley, Timothy Charles Maida, Blake Melville, James Marchena, Jose Demian, Nagi Tags: Original Article Source Type: research

On the Court: A Comprehensive Analysis of Basketball Facial Trauma
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1679930With basketball gradually becoming increasingly popular across the United States, it is necessary for health care providers to understand injuries associated with the sport. We aim to determine the incidence of basketball-related facial injuries and further describe their patterns with regard to age, mechanism of injury, and degree of injury. An analysis of emergency department visits under the National Electronic Injury Surveillance System was conducted from 2015 through 2017. Chi-squared testing (χ2) was performed to compare categorical variables. Af...
Source: Craniomaxillofacial Trauma and Reconstruction - March 5, 2019 Category: ENT & OMF Authors: Othman, Sammy Cohn, Jason E. McKinnon, Brian Tags: Original Article Source Type: research

Robot-Assisted Surgery Avoids Mandibulotomy in a Case of Adenoid Cystic Carcinoma of Base of the Tongue
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1683410Surgical management is increasingly preferred in human papilloma–related oropharyngeal squamous cell carcinoma. Robotic surgery has a different role to play in oropharyngeal salivary origin tumors, where surgery is the primary essential modality. This modality may be used for better access to the oropharynx, avoiding a lip split approach with mandibulotomy. The organ preservation approach such as in oropharyngeal squamous cell carcinoma, with nonsurgical modalities like chemoradiotherapy, is not preferred in such cancers, as in the present case. In t...
Source: Craniomaxillofacial Trauma and Reconstruction - March 5, 2019 Category: ENT & OMF Authors: Vidhyadharan, Sivakumar Thankappan, Krishnakumar Subramaniam, Narayana Ramu, Janarthanan Ajith, Arya Balasubramanian, Deepak Iyer, Subramania Tags: Case Report Source Type: research

Anatomical Revelations in 1921 Kindled Operative Repair of the Orbit, Eyelids, and Periorbit over the Ensuing 100 Years: The Diuturnity of Ernest Whitnall (1876 –1950) of Oxford, Montreal, and Bristol
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1677696Revelations of orbital, intraorbital, and periorbital anatomy by a single author in 1921 kindled attempts at operative repair of the orbit, eyelids, and periorbit over the ensuing 100 years. They are the lasting contributions—the diuturnity—of Samuel Ernest Whitnall (1876–1950) of Oxford, Montreal, and Bristol. [...] 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 - March 1, 2019 Category: ENT & OMF Authors: Pollock, Richard A. Gossman, M. Douglas Tags: Review Article Source Type: research

Frontal Sinus Fractures: Management and Complications
This article presents the management and complications of frontal sinus fractures. [...] 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 - February 19, 2019 Category: ENT & OMF Authors: Jing, Xi Lin Luce, Edward Tags: Original Article Source Type: research

Virtual Surgical Planning and Hardware Fabrication Prior to Open Reduction and Internal Fixation of Atrophic Edentulous Mandible Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1677723Mandibular fractures are a common injury encountered by facial trauma surgeons. A majority of these cases are in dentate patients and can predictably be treated with several different open or closed techniques. Edentulous mandible fractures can be challenging as maxillomandibular fixation, either as the sole treatment or used for fracture reduction and stabilization prior to internal fixation, is not possible. The atrophic edentulous mandible fracture poses an even greater challenge, as there is more sclerotic bone present and less bone volume for bony con...
Source: Craniomaxillofacial Trauma and Reconstruction - February 8, 2019 Category: ENT & OMF Authors: Maloney, Karl Daniel Rutner, Torin Tags: Case Report Source Type: research

Frontal Sinus Fractures: Evolving Clinical Considerations and Surgical Approaches
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1678660Frontal sinus fractures are an uncommon injury of the maxillofacial skeleton, and account for 5–15% of all maxillofacial fractures. As the force of impact increases, fractures may extend beyond the anterior table to involve adjacent skull, posterior table and frontal sinus outflow tract (FSOT). Fractures at these subsites should be evaluated independently to assess the need for and type of operative intervention. Historically, these fractures were managed aggressively with open techniques resulting in obliteration or cranialization. With significant ...
Source: Craniomaxillofacial Trauma and Reconstruction - February 4, 2019 Category: ENT & OMF Authors: Arnold, Mark A. Tatum, Sherard A. Tags: Review Article Source Type: research

The Comprehensive AO CMF Classification System for Mandibular Fractures: A Multicenter Validation Study
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1677459The AO CMF has recently launched the first comprehensive classification system for craniomaxillofacial (CMF) fractures. The AO CMF classification system uses a hierarchical framework with three levels of growing complexity (levels 1, 2, and 3). Level 1 of the system identifies the presence of fractures in four anatomic areas (mandible, midface, skull base, and cranial vault). Level 2 variables describe the location of the fractures within those defined areas. Level 3 variables describe details of fracture morphology such as fragmentation, displacement, and...
Source: Craniomaxillofacial Trauma and Reconstruction - January 31, 2019 Category: ENT & OMF Authors: Mittermiller, Paul A. Bidwell, Serena S. Thieringer, Florian M. Cornelius, Carl-Peter Trickey, Amber W. Kontio, Risto Girod, Sabine Tags: Original Article Source Type: research

Periorbital Trauma: A New Classification
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1677808Overlooked injured structures in periorbital trauma could lead to aesthetic and functional deficits. As trauma may affect superficial, middle, and deep components, meticulous survey guided by a structured periorbital trauma classification is needed for proper management. Thus, a new classification for periorbital trauma is proposed to serve this purpose. Periorbital region was defined anatomically by anthropometric landmarks. The periorbital injuries were categorized according to anatomical and clinical basis. The new classification was used to study perio...
Source: Craniomaxillofacial Trauma and Reconstruction - January 30, 2019 Category: ENT & OMF Authors: Sadek, Eman Yahya Elbarbary, Amir Safe, Ikram I. Tags: Original Article Source Type: research

National Analysis of Risk Factors for Nasal Fractures and Associated Injuries in Trauma
This study sought to provide a large descriptive analysis and identify associated injuries and risk factors for nasal fractures in trauma using a national database. A retrospective analysis of the National Trauma Data Bank (NTDB) from 2007 to 2015 was performed. Patients ≥18 years of age with nasal fractures were included. A multivariable logistic regression model was used to identify predictors for nasal fracture in trauma. Of 5,494,609 trauma patients in the NTDB, 255,533 (4.6%) had a nasal fracture. Most were male (74.8%) with a mean age of 45.6 years. Blunt trauma accounted for 90.5% of fractures, with motor vehicle...
Source: Craniomaxillofacial Trauma and Reconstruction - January 22, 2019 Category: ENT & OMF Authors: Pham, Tiffany T. Lester, Ellen Grigorian, Areg Roditi, Rachel E. Nahmias, Jeffry T. Tags: Original Article Source Type: research

Posttraumatic Lateral Dislocation of Mandibular Condyle: A Proposed New Classification with Report of 14 Dislocated Condyles
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0039-1677725Lateral dislocation of the intact mandibular condyle is a relatively uncommon clinical condition. Since the first description and classification of these dislocations given by Allen and Young, few classification systems have been proposed in literature with incorporation of different patterns of dislocations identified over the years. We share our clinical experience of nine cases of such dislocations with 14 dislocated condyles, and on the basis of clinical and radiological findings coupled with the review of existing classification systems, we propose a ...
Source: Craniomaxillofacial Trauma and Reconstruction - January 16, 2019 Category: ENT & OMF Authors: Rahman, Tabishur Hashmi, Ghulam Sarwar Ahmed, Syed Saeed Rahman, Sajjad Abdur Tags: Original Article Source Type: research

Blood Collection within the Maxillary Sinus following Orbital Fracture Repair: The Impact of Mesh Implants and Drains
This article aimed to assess the effects of (1) mesh (e.g., uncoated anatomic titanium plates) versus non-mesh (e.g., porous polyethylene-coated titanium sheets) implant materials and (2) drain placement on the accumulation of blood within the maxillary sinus following surgical repair of orbital floor fractures. Ninety-two patients who received orbital floor fracture repair between 2008 and 2014 were selected, with equal case numbers between categories: (1) non-mesh implant, without drain; (2) non-mesh implant, with drain; (3) mesh implant, without drain; and (4) mesh implant, with drain. Lesion-mapping software was used t...
Source: Craniomaxillofacial Trauma and Reconstruction - January 16, 2019 Category: ENT & OMF Authors: Cox, Jacob T. Tian, Jing Merbs, Shannath Mahoney, Nicholas R. Tags: Original Article Source Type: research

Autologous Reconstruction of a Face Transplant Candidate
This report details the case of a candidate referred for face transplantation who ultimately underwent autologous facial reconstruction. Through this representative case, our objective is to clarify the criteria that make a patient a suitable face transplant candidate, as well as to demonstrate the outcomes achievable with a conventional autologous reconstruction, using a methodically planned, multistaged approach. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Craniomaxill...
Source: Craniomaxillofacial Trauma and Reconstruction - December 21, 2018 Category: ENT & OMF Authors: Rifkin, William J. Bellamy, Justin L. Kantar, Rami S. Farber, Scott J. Diaz-Siso, J. Rodrigo Brecht, Lawrence E. Rodriguez, Eduardo D. Tags: Case Report Source Type: research

Beta-Catenin Mutation with Complex Chromosomal Changes in Desmoid Tumor of the Scalp: A Case Report
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1676078Gain-of-function mutations in the beta-catenin gene (CTNNB1) drive genomic instability within different cancers. However, it is unclear whether alterations in beta-catenin signaling can still lead to chromosomal rearrangements in neoplasms without metastatic potential. Here, we report a unique case, whereby a desmoid tumor of the scalp contains a missense mutation in CTNNB1. This mutation is located at the T41 phosphorylation site—previously reported to be necessary for proper beta-catenin degradation. Online database analysis then revealed that our ...
Source: Craniomaxillofacial Trauma and Reconstruction - November 16, 2018 Category: ENT & OMF Authors: Liu, Gary Weiner, Howard L. Pederson, William C. Davies, Lesley Buchanan, Edward P. Tags: Case Report Source Type: research

Extranasopharyngeal Angiofibroma Arising from the Anterior Nasal Septum in a 35-Year-Old Woman
In this study, we report a case of a 35-year-old female patient with angiofibroma originating from the anterior part of the nasal septum with left-sided nasal obstruction and mild-to-moderate epistaxis as main complaints. After the radiological diagnostics and embolization of sphenopalatine artery, we performed the excision of the lesion with removal of small part of septal mucosa and perichondrium around the attachment of tumor pedicle. Histopathological examination suggested the presence of angiofibroma and diagnosis was confirmed by immunohistochemical analysis. This is the fifth reported case of septal ENA in female po...
Source: Craniomaxillofacial Trauma and Reconstruction - November 12, 2018 Category: ENT & OMF Authors: Kujund žić, Tarik Peri ć, Aleksandar Đurđević, Biserka Vukomanović Tags: Case Report Source Type: research

Clinical Notes on Herbert Screw Fixation for Fracture of Anterior Mandible
This article aims to present the outcomes of treating anterior mandibular fractures using Herbert's screw. A total of 10 patients were treated for fractures of anterior mandible by open reduction and internal fixation using the Herbert screw. The patients were collected starting from June 2016 to November 2017, at the Department of Craniomaxillofacial Surgery, Nasser Institute for Research and Treatment, Cairo, and Faculty of Dentistry, Ain Shams University, Cairo, Egypt. The follow-up plan was done to evaluate the postoperative clinical outcomes for malocclusion, neurosensory status, hardware failure, malunion/ nonunion, ...
Source: Craniomaxillofacial Trauma and Reconstruction - September 28, 2018 Category: ENT & OMF Authors: ElMinshawi, Ahmed Abdelfattah, Salah Mubarak, Fahmy Tags: Technical Note Source Type: research

Does Fracture Pattern Influence Functional Outcomes in the Management of Bilateral Mandibular Condylar Injuries?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668500The purpose of this study was to compare the functional outcomes of different types of bilateral mandibular condylar fractures. This was a retrospective study of patients with bilateral mandibular condylar fractures at a level-1 trauma center over a 15-year period. The primary predictor variable was fracture pattern, classified as type I (bilateral condylar), type II (condylar–subcondylar), or type III (bilateral subcondylar). Secondary predictor variables were demographic, injury-related, and treatment factors. Bivariate associations between the pre...
Source: Craniomaxillofacial Trauma and Reconstruction - September 21, 2018 Category: ENT & OMF Authors: Wang, Howard D. Susarla, Srinivas M. Yang, Robin Mundinger, Gerhard S. Schultz, Benjamin D. Banda, Abhishake MacMillan, Alexandra Manson, Paul N. Nam, Arthur J. Dorafshar, Amir H. Tags: Original Article Source Type: research

Behavior of Buccal Mucosal Squamous Cell Carcinoma: A Retrospective Study of 53 Carcinomas of This Anatomical Region
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668583The main aim of the present report is to study the pattern of distribution of cervical metastasis in buccal mucosa cancer and to discuss the various therapeutic options available. Fifty-three patients with squamous cell carcinoma of the buccal mucosa treated with tumorectomy and selective neck dissection were included in the study. We also studied the relationship between specific pathological features and overall survival. Level Ib was the most affected level, followed by level IIa. T stage, N stage, N involvement tumor thickness, extracapsular spread (EC...
Source: Craniomaxillofacial Trauma and Reconstruction - August 27, 2018 Category: ENT & OMF Authors: Cariati, Paolo Cabello Serrano, Almudena Marin Fernandez, Ana Julia Martinez, Miguel Angel Fernandez Solis, Jose Martinez Lara, Ildefonso Tags: Review Article Source Type: research

Short Runs for a Long Slide: Principalization in Complex Facial Restoration after Acid Attack Burn Injury
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1668511Burn injuries are responsible for a significant portion of surgically treatable morbidity throughout the world and particularly in underdeveloped and developing countries. Intentional flame, chemical, and contact burns are unfortunately a common mechanism of injury. It is estimated that intentional chemical burns are responsible for between 2 and 20% of burn injuries seen at burn centers in lower income countries. Women are commonly targeted and the perpetrators are often known to the victims. The combination of a high disease prevalence, limited surgical ...
Source: Craniomaxillofacial Trauma and Reconstruction - August 3, 2018 Category: ENT & OMF Authors: Hughes, Christopher D. Dabek, Robert Jaroslaw Riesel, Johanna N. Baletic, Nemanja Chodosh, James Bojovic, Branko Tags: Case Report Source Type: research

Plastic Surgery Pioneers of the Central Powers in the Great War
We describe the clinical, logistical, and psychological approaches to managing plastic surgical patients of these physicians and compare and contrast them to those of the Allies, identifying areas of influence such as Gillies' adoption of Filatov's tube pedicle flap. [...] 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 - August 2, 2018 Category: ENT & OMF Authors: Thomas, Robert Llewellyn Fries, Anton Hodgkinson, Darryl Tags: Review Article Source Type: research

Acute Hyponasality (Closed Rhinolalia) and Craniomaxillofacial Fracture Suggest the Coexistence of Retropharyngeal Emphysema and Pneumomediastinum
We report a case of a 63-year-old male patient with the presenting sign of closed rhinolalia who was diagnosed with retropharyngeal emphysema and PM due to a linear and nondisplaced fracture of midface. The patient cited multiple efforts of intense nasal blowing shortly after a facial injury by virtue of a motorcycle accident. He was admitted in our clinic for closer observation and further treatment. The use of a face mask for continuous positive airway pressure was temporarily interrupted, and high concentrations of oxygen were delivered via non-rebreather mask. Patient's course was uncomplicated and he was discharged fe...
Source: Craniomaxillofacial Trauma and Reconstruction - July 26, 2018 Category: ENT & OMF Authors: Papadiochos, Ioannis Sarivalasis, Stavros-Evangelos Papadogeorgakis, Nickolaos Tags: Case Report Source Type: research

Nasal Septal Spur Associated with Rhinogenic Contact Point Otalgia and Tinnitus
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1660440Rhinogenic contact point otalgia is a new term in medicine and it represents earache as a form of facial pain that is caused by intranasal mucosal contact points between the nasal septal spur or septal deviation and lateral nasal wall. It is a referred otalgia without any signs of inflammation. The author reports an unusual case of a 19-year-old male who complained of a 5-year history of right-sided otalgia and tinnitus. On physical exam, a big, right-sided nasal septal spur was seen in contact with the right lateral nasal wall. Other findings are unremark...
Source: Craniomaxillofacial Trauma and Reconstruction - June 27, 2018 Category: ENT & OMF Authors: Peri ć, Aleksandar Tags: Case Report Source Type: research

Dog Bite Injuries in the Head and Neck Region: A 20-Year Review
This article would like to present a medical record review: a retrospective analysis of all bite wounds sustained in the head and neck region, treated at the University Hospital of Leuven over the past 20 years. Furthermore, it provides an overview of the current literature and its standings on the treatment of dog bite injuries in the maxillofacial region. We assessed both surgical and medical treatment options, as well as primary management, which includes infection prevention strategies, closure management, and additional vaccination requirements. Secondary management or scar revision methods will be mentioned. After co...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Piccart, Frederik Dormaar, Jakob Titiaan Coropciuc, Ruxandra Schoenaers, Joseph Bila, Michel Politis, Constantinus Tags: Original Article Source Type: research

Craniomaxillofacial Trauma Experience in Otolaryngology Residency: A National Survey of Program Directors
This article aimed to assess the depth and volume of craniomaxillofacial (CMF) trauma exposure and education in otolaryngology residency training in the United States. This is a cross-sectional survey. A 15-question web-based survey was distributed to program directors of 106 Accreditation Council for Graduate Medical Education (ACGME)-approved otolaryngology residency programs to inquire about program size and demographics, trauma coverage, case volume, and education. Responses were collected anonymously. A total of 77 responses were received, representing 73% of residency programs. Seventy-five programs (97%) reported th...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Oh, Melissa S. Sethna, Anita B. Henriquez, Oswaldo A. Tags: Original Article Source Type: research

Outpatient Surgical Management of Orbital Blowout Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1661355There is ample investigation into the optimal timing and approach to orbital blowout fracture (OBF) repair; however, less attention has been directed toward postoperative care. This is a multicenter IRB-approved retrospective review of patients with OBF presenting to our study sites between November 2008 and August 2016. Those with isolated OBF, over 18 years of age, and who had not suffered additional facial injuries or globe trauma were included. A total of 126 surgical cases of isolated OBF repair were identified that met our inclusion and exclusion cri...
Source: Craniomaxillofacial Trauma and Reconstruction - June 22, 2018 Category: ENT & OMF Authors: Bregman, Jana A. Vakharia, Kalpesh T. Idowu, Oluwatobi O. Vagefi, M. Reza Grumbine, F. Lawson Tags: Original Article Source Type: research

Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1651515The fibula free flap (FFF) has been a workhorse in maxillofacial reconstruction. High success rates of this technique are reported. However, identifying risk factors for flap failure and analyzing complications can open the way to better patient care. A retrospective analysis was conducted of all FFFs performed over a 20-year period at a low-volume single tertiary center to identify risk factors and postoperative complications. A total of 129 FFFs were included (122 mandible, 7 maxilla). Complete flap failure occurred in 12.4% and partial flap failure in 7...
Source: Craniomaxillofacial Trauma and Reconstruction - June 5, 2018 Category: ENT & OMF Authors: Verhelst, Pieter-Jan Dons, Flore Van Bever, Pieter-Jan Schoenaers, Joseph Nanhekhan, Lloyd Politis, Constantinus Tags: Original Article Source Type: research

Orbital Floor Reconstruction: A Comparison of Outcomes between Absorbable and Permanent Implant Systems
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1651514There are distinct advantages and disadvantages between bioresorbable and permanent implants in orbital floor reconstruction. Our aim was to compare the outcomes and complications of resorbable implants and permanent implants in orbital floor fracture repair. A retrospective chart review was performed on all patients who underwent orbital floor fracture repair at a rural, tertiary care center from 2011 through 2016. Main outcome measures included improvement in diplopia, ocular motility, enophthalmos, hypoglobus, and infraorbital nerve sensation. A total o...
Source: Craniomaxillofacial Trauma and Reconstruction - June 5, 2018 Category: ENT & OMF Authors: Polacco, Marc A. Kahng, Peter W. Sudoko, Chad K. Gosselin, Benoit J. Tags: Original Article Source Type: research

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies
The objective of this study was to examine the prevalence of facial fractures secondary to mechanical falls in the elderly population to analyze mechanism of injury, comorbidities, and fracture management. A retrospective review of all facial fractures as a result of falls in the elderly population in a level 1 trauma center in an urban environment was performed for the years 2002 to 2012. Patient demographics were collected, as well as location of fractures, concomitant injuries, and surgical management strategies. During the time period examined, 139 patients were identified as greater than 60 years of age and having sus...
Source: Craniomaxillofacial Trauma and Reconstruction - May 17, 2018 Category: ENT & OMF Authors: Liu, Farrah C. Halsey, Jordan N. Oleck, Nicholas C. Lee, Edward S. Granick, Mark S. Tags: Original Article Source Type: research

Aesthetic Nasal Reconstruction Principles and Practice
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1645865 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - May 17, 2018 Category: ENT & OMF Authors: Manson, Paul N. Tags: Book Review Source Type: research

Addressing the Opioid Epidemic: Impact of Opioid Prescribing Protocol at the University of Minnesota School of Dentistry
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1649498Prescription opioid medications continue to be abused on an epidemic level and have been shown to be a “gateway” drug to heroin abuse. Individuals experimenting with opioids commonly fall in the 10- to 19-year age range in which dentists are the highest prescribers. To reduce the number of excess opioids, the Department of Oral and Maxillofacial Surgery, University of Minnesota, developed and implemented an evidence-based opioid prescribing policy. Data were collected via electronic health record for the previous year and compared with the year...
Source: Craniomaxillofacial Trauma and Reconstruction - May 15, 2018 Category: ENT & OMF Authors: Nadeau, Robert Hasstedt, Kristopher Sunstrum, Ashley Brooke Wagner, Chad Tu, Harold Tags: Original Article Source Type: research

Commentary on: The Role of Postoperative Imaging after Orbital Floor Repair
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1645864 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - May 15, 2018 Category: ENT & OMF Authors: Manson, Paul N. Tags: Editor's Commentary Source Type: research

Commentary on: The Opioid Epidemic: Who Is Responsible and What Is the Solution?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1653952 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Craniomaxillofacial Trauma and Reconstruction)
Source: Craniomaxillofacial Trauma and Reconstruction - May 15, 2018 Category: ENT & OMF Authors: Schubert, Warren Tags: Commentary Source Type: research

Arthroscopic Eminoplasty of Temporomandibular Joint: Surgical Technique
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1639349Temporomandibular joint (TMJ) is one of the most used joint of the body. Moreover, it is common knowledge that TMJ may show degenerative changes 10 years earlier than other joints. Recently, the use of arthroscopic surgery is revolutionizing the classic management of TMJ pathologies. In fact, the minimal invasiveness of this procedure allows faster results and fewer complications than other procedures. In this article, we present our arthroscopic technique. In this line, we would like to emphasize that we used this approach in different temporomandibular d...
Source: Craniomaxillofacial Trauma and Reconstruction - May 7, 2018 Category: ENT & OMF Authors: Cariati, Paolo Garcia Medina, Blas Galvez, Pablo Cabello Serrano, Almudena Garcia Martin, Miguel Valencia Moya, Guillermo Tags: Technical Note Source Type: research

New Algorithm for the Management of Orbital Blowout Fracture Based on Prospective Study
This article aimed to evaluate which BOF patients require surgical treatment due to functional and/or cosmetic deformities; evaluate which computed tomography (CT) scan findings predict these problems; and provide an algorithm in the management of BOF. Seventy-nine patients with BOF were treated conservatively and followed up prospectively regarding functional and cosmetic deformities for at least 1 year. The patients' CT scans were analyzed and several measurements were performed. Patients' symptoms and the clinical findings were correlated to the CT scan measurements. We found visible deformity in 37% of the patients, bu...
Source: Craniomaxillofacial Trauma and Reconstruction - May 1, 2018 Category: ENT & OMF Authors: Alinasab, Babak Borstedt, Karl-Johan Rudstr öm, Rebecka Ryott, Michael Qureshi, Abdul Rashid Beckman, Mats O. Stj ärne, Pär Tags: Original Article Source Type: research

Oral Epignathus with Maxilla Duplication: Report of a Rare Case
We reported an uncommon case of epignathus in a female newborn baby with an ill-defined oral mass protruding through a cleft in the hard palate. Computed tomography scan showed a contrast-enhanced solid mass with areas of calcification simulating a unique case of maxilla duplication. Surgery was performed, the mass was excised successfully, and microscopic analysis confirmed the diagnosis of mature teratoma. The patient evolved with good general health and showed no clinical signs of recurrence. Although epignathus is a rare condition, it should be diagnosed in the fetus as early as possible, especially to avoid fatal airw...
Source: Craniomaxillofacial Trauma and Reconstruction - May 1, 2018 Category: ENT & OMF Authors: Tunes, Roberto S. Cavalcanti, Gabriel Z. Squarisi, Jos é Mauro O. Patrocinio, Lucas G. Tags: Case Report Source Type: research

Penetrating Foreign Bodies in Head and Neck Trauma: A Surgical Challenge
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1642035Penetrating foreign bodies of different origins in the head and neck are rare and potentially dangerous injuries, which might pose problems for their detection, primary care, and final treatment. Depending on the severity of the underlying trauma, some injuries present a higher risk for the presence of foreign bodies. Minor wounds, including common lacerations, are likely to be contaminated with loose gravel debris or dental fragments, and need to be distinguished from severe wounds caused by impalement, shootings, stabbings, and explosions. Blast injuries...
Source: Craniomaxillofacial Trauma and Reconstruction - April 24, 2018 Category: ENT & OMF Authors: Voss, Jan Oliver Thieme, Nadine Doll, Christian Hartwig, Stefan Adolphs, Nicolai Heiland, Max Raguse, Jan-Dirk Tags: Original Article Source Type: research

Comparative Evaluation between Single Noncompression Miniplate and Two Noncompression Miniplates in the Treatment of Mandibular Angle Fractures
This study was conducted to compare the outcome of single noncompression miniplate versus two noncompression miniplates in the treatment of mandibular angle fracture. A total of 40 patients were divided into two groups: Group I (n = 20), patients were treated by single miniplate at superior border of mandible by intraoral approach; Group II (n = 20), patients were treated by one miniplate at superior border of mandible, intraorally, and another at the lateral aspect of angle, transbuccally by trocar and cannula. Comparative evaluation was done at 1, 2, 4, 6, and 12 weeks and 6 months. The findin...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2018 Category: ENT & OMF Authors: Mondal, Shubhamoy Singh, Gaurav Mishra, Madan Gaur, Amit Srivastava, Abhinav Tags: Original Article Source Type: research

The Hybrid Arch Bar Is a Cost-Beneficial Alternative in the Open Treatment of Mandibular Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1639351Obtaining maxillomandibular fixation (MMF) to achieve fracture reduction and functional occlusion is essential in the management of maxillofacial trauma. The aims of this retrospective review were to compare the total time spent in the operating room (OR) when using the Erich arch bar (EAB) versus the bone anchored hybrid arch bar (HAB) as well as performing a cost–benefit analysis (CBA). The study sample comprised patients older than 18 years who underwent open reduction internal fixation of mandible fractures at two separate institutions over a 5-y...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2018 Category: ENT & OMF Authors: Khelemsky, Renata Powers, David Greenberg, Seth Suresh, Visakha Silver, Ellen Johnson Turner, Michael Tags: Original Article Source Type: research

A Five-Year Retrospective Cohort Study Analyzing Factors Influencing Complications after Nasal Trauma
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1641713The purpose of this study was to assess the outcomes of patients with nasal trauma during a long period of time and determine factors predisposing to complications after nasal trauma treatment. A retrospective cohort study was conducted that included all patients who were attended for a nasal trauma between January and December 2010. In 2015, the charts were retrospectively reviewed and the patients were prospectively followed up looking for outcomes after treatment of nasal trauma. A univariate analysis between complications and risk factors was performed...
Source: Craniomaxillofacial Trauma and Reconstruction - April 12, 2018 Category: ENT & OMF Authors: Andrades, Patricio Pereira, Nicolas Rodriguez, Diego Borel, Claudio Hern ández, Rodrigo Villalobos, Rodrigo Tags: Original Article Source Type: research

Isolated Orbital Floor Fracture Management: A Survey and Comparison of American Oculofacial and Facial Plastic Surgeon Preferences
This article aimed to characterize, compare, and contrast the management of isolated orbital floor fractures among oculofacial and facial plastic surgeons in the United States. An anonymous 17-question multiple-choice web-based survey was distributed to all 590 members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and all 1,300 members of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) using each society's email database from November 2016 to January 2017. Two-hundred twenty-five oculofacial and 135 facial plastic surgeons completed the survey. The most importa...
Source: Craniomaxillofacial Trauma and Reconstruction - April 9, 2018 Category: ENT & OMF Authors: Cohen, Liza M. Shaye, David A. Yoon, Michael K. Tags: Original Article Source Type: research

The Relation of the Extracranial Spinal Accessory Nerve to the Sternocleidomastoid Muscle and the Internal Jugular Vein
In conclusion, the variant relation of the SAN to the IJV and SCM as observed in this setting is an important consideration during radical neck procedures and node biopsies. [...] 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 - April 4, 2018 Category: ENT & OMF Authors: Amuti, Thomas Mombo Butt, Fawzia Otieno, Beda Olabu Ogeng'o, Julius Alexander Tags: Original Article Source Type: research

Prospective Randomized Controlled Pilot Study on Orbital Blowout Fracture
This article aimed to evaluate which computed tomography (CT) findings predict late functional and/or cosmetic symptoms in BOF patients with ≥ 1.0 mL herniation of orbital content into maxillary and/or ethmoidal sinuses. It also aimed to evaluate which patients with BOF would benefit from surgical treatment or observational follow-up. Twenty-six patients with BOF ≥ 1.0 mL herniation were randomized to observational (n = 10) or surgical treatments (n = 16) and were followed up for functional and cosmetic symptoms for at least 1 year. The results from CT scan meas...
Source: Craniomaxillofacial Trauma and Reconstruction - April 2, 2018 Category: ENT & OMF Authors: Alinasab, Babak Borstedt, Karl-Johan Rudstr öm, Rebecka Ryott, Michael Qureshi, Abdul Rashid Stj ärne, Pär Tags: Original Article Source Type: research

Facial Fracture Patterns Associated with Traumatic Optic Neuropathy
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1641172Traumatic optic neuropathy (TON) is rare. The heterogeneity of injury patterns and patient condition on presentation makes diagnosis difficult. Fracture patterns associated with TON have never been evaluated. Retrospective review of 42 patients diagnosed with TON at the R. Adams Cowley Shock Trauma Center from May 1998 to August 2010 was performed. Thirty-three patients met criteria for study inclusion of fracture patterns. Additional variables measured included patient demographics and mechanism. Cluster analysis was used to form homogenous groups of pati...
Source: Craniomaxillofacial Trauma and Reconstruction - March 30, 2018 Category: ENT & OMF Authors: Kelishadi, Shahrooz S. Zeiderman, Matthew R. Chopra, Karan Kelamis, Joseph A. Mundinger, Gerhard S. Rodriguez, Eduardo D. Tags: Original Article Source Type: research

Refined Approach to Preservation of the Inferior Alveolar Nerve during Resection and Primary Reconstruction of the Mandible
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0038-1639348Sacrifice of the inferior alveolar nerve (IAN) during resection of the mandible is taken as a rule. In 1987, Jensen and Nock described a technique that permitted placement of dental implants in the atrophied mandibular alveolar ridge that lacked sufficient vertical height superior to the mandibular canal. This technique was used by some authors to preserve continuity of the IAN during resection of the mandible in patients with benign tumors. The described techniques are traumatic, time-consuming, and not precise. We propose a new refined technique of prese...
Source: Craniomaxillofacial Trauma and Reconstruction - March 28, 2018 Category: ENT & OMF Authors: Tereshchuk, Sergey Sukharev, Vladimir Tags: Original Article Source Type: research