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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 measurements were correlated to the patients' ...
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

Use of Transgingival Lag Screw Osteosynthesis in the Management of Alveolar Process Fracture
In this study, 20 mixed age group patients with alveolar process fracture were included. All the patients were treated by a 2.0-mm transgingival screw fixation under local or general anesthesia. All the patients were evaluated for fracture stability, anatomical reduction, bone loss and bone resorption of alveolar process, tooth loss, and wound infection at 3 months of follow-up. A simple descriptive statistical analysis was done to evaluate the parameters and it was shown that the treatment of alveolar process fracture with two or three lag screws provides adequate fracture stability and anatomical reduction with no signs ...
Source: Craniomaxillofacial Trauma and Reconstruction - February 15, 2018 Category: ENT & OMF Authors: Sharma, Ashish Rastogi, Sanjay Shukla, Manish Choudhury, Rupshikha Tripathi, Siddhi Iqbal, Jawed Tags: Original Article Source Type: research

Pure Orbital Trapdoor Fractures in Adults: Tight Entrapment of Perimuscular Tissue Mimicking True Muscle Incarceration with Successful Results from Early Intervention
This article aimed to report the diagnosis and treatment of an OTF of the floor in an adult patient and to critically review the literature regarding the management aspects of this specific subset of orbital blowout fractures in adults. A 29-year-old man presented with limitations of vertical right eye movements owing to blunt orbital trauma. The patient mainly complained of double vision in upper gazes and some episodes of nausea. Neither floor defect nor significant bone displacement found on orbital computed tomography, while edema of inferior rectus muscle was apparent. The patient underwent surgical repair 5 days late...
Source: Craniomaxillofacial Trauma and Reconstruction - February 13, 2018 Category: ENT & OMF Authors: Papadiochos, Ioannis Petsinis, Vasilis Tasoulas, Jason Goutzanis, Lampros Tags: Case Report Source Type: research

The Role of Postoperative Imaging after Orbital Floor Fracture Repair
In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution. Operative and perioperative records were reviewed to characterize postoperative imaging as routine or as indicated by concerning clinical symptoms, and to correlate clinical outcomes to postoperative imaging patterns across all identified orbital floor fractures. A total of...
Source: Craniomaxillofacial Trauma and Reconstruction - February 5, 2018 Category: ENT & OMF Authors: Carpenter, David Shammas, Ronnie Honeybrook, Adam Brown, C. Scott Chapurin, Nikita Woodard, Charles R. Tags: Original Article Source Type: research

Conservative versus Surgical Therapy in Managing Patients with Facial Nerve Palsy Due to the Temporal Bone Fracture
This study aimed to assess treatment outcome between conservatively and surgically treated groups and to determine the appropriate time of surgery in selected patients for surgery. Twenty-four patients from April 2008 to July 2015 were included. Performing decompression surgery within the first 2 months following the trauma accompanies a better prognosis (p-value < 0.05). Eleven patients were managed conservatively, and 4 of them demonstrated immediate onset and 7 indicated delayed onset. Nine patients obtained normal nerve function, one patient had partial palsy, and one of them had complete palsy. There was no sig...
Source: Craniomaxillofacial Trauma and Reconstruction - January 30, 2018 Category: ENT & OMF Authors: Abbaszadeh-Kasbi, Ali Kouhi, Ali Ashtiani, Mohammad Taghi Khorsandi Anari, Mahtab Rabbani Yazdi, Alireza Karimi Emami, Hamed Tags: Original Article Source Type: research

Smile Train: Making the Grade in Global Cleft Care
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1608700The global medical and psychological burden of cleft lip and palate is large, especially in low- and middle-income countries. For decades, medical missions have sought to alleviate this burden; however, there are significant barriers to providing sustainable, high-quality cleft care using the mission model. Smile Train, an international children's charity founded in 1999, has developed a scalable model which provides support to local partner hospitals and surgeons around the world. Smile Train partners with hospitals to support cleft care treatment across ...
Source: Craniomaxillofacial Trauma and Reconstruction - December 11, 2017 Category: ENT & OMF Authors: Louis, Matthew Dickey, Ryan M. Hollier, Larry H. Tags: Review Article Source Type: research

Repair of Occipital Bone Defects in Neurofibromatosis Type 1 by Means of CAD/CAM Prefabricated Titanium Plates
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1608699Certain skeletal defects may develop in neurofibromatosis type 1 (NF1), a common tumor-suppressor syndrome, such as cranial lesions confined to the lambdoid suture region. Here, we report on the repair of osseous defects of occipital bone in a NF1 patient with history of skull trauma and tumorous hemorrhage. Computer-aided design and computer-aided manufacturing (CAD/CAM)-assisted devices were applied to safely close the bone defects. The variable phenotype of NF1 in the occipital skull region is discussed and a brief review is presented on NF1-related the...
Source: Craniomaxillofacial Trauma and Reconstruction - December 4, 2017 Category: ENT & OMF Authors: Friedrich, Reinhard E. Emami, Pedram Hagel, Christian Wikner, Johannes Hanken, Henning Tags: Case Report Source Type: research

Midface Fracture Simulation and Repair: A Computer-Based Algorithm
This study was performed at a single tertiary care, level-I trauma center. Ten patients presenting with acute midfacial traumatic fractures were evaluated. Thirty-five physicians were surveyed regarding the accuracy of the images obtained using the algorithm. A computer algorithm utilizing AquariusNet (TeraRecon, Inc., Foster City, CA) and Adobe Photoshop (Adobe Systems Inc., San Jose, CA) was developed to model midface fracture repair. Preoperative three-dimensional computed tomographic (CT) images were processed using the algorithm. Fractures were virtually reduced and fixated to generate a virtual postoperative image. A...
Source: Craniomaxillofacial Trauma and Reconstruction - November 29, 2017 Category: ENT & OMF Authors: Drake, Virginia E. Rizzi, Christopher J. Greywoode, Jewel D. Vakharia, Kavita T. Vakharia, Kalpesh T. Tags: Original Article Source Type: research

Posttraumatic Glabellar Mucocele: Case Report
We present a case of a nasal mucocele that developed in a 50-year-old man, possibly related to a craniofacial trauma that had occurred 24 years earlier. This is an unusual case of posttraumatic glabellar mucocele with subcutaneous extension and nasal bone erosion without any neurologic or ophthalmologic involvement. [...] 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 - November 21, 2017 Category: ENT & OMF Authors: Mandrioli, Stefano Valente, Luisa Gali è, Manlio Tags: Case Report Source Type: research

Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening
This article reports the case of a 13-year-old male patient at the time of diagnosis. The patient showed increased facial volume with relevant asymmetry, having reported the onset of the condition 12 months before. Upon examination, the patient presented an 8-mm mouth opening and an acute inflammatory process associated with tooth 37 pericoronal hood. Upon imaging exam, exuberant bone growth in the left mandibular ramus area of ground glass aspect was observed. After incisional biopsy, fibrous dysplasia was diagnosed and sequentially treated with osteoplasty and coronoid process removal. The patient evolved to a 43-mm mout...
Source: Craniomaxillofacial Trauma and Reconstruction - November 16, 2017 Category: ENT & OMF Authors: de Azambuja Carvalho, Pedro Henrique Torriani, Marcos Antonio Post, Let ícia Kirst Chagas, Otac ílio Luiz Tags: Case Report Source Type: research

Removal of a Frontal Sinus Osteoma and Reconstruction by a Custom-Made Implant with Neuronavigation Assistance
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1607066The authors report the surgical treatment of an extensive right frontal sinus osteoma assisted by neuronavigation and reconstruction by a hydroxyapatite custom-made implant. The patient presents with ptosis, hypoglobus, and proptosis of the right eye, without any visual impairment. Computed tomographic (CT) scan showed a very large bony mass involving right frontal sinus and displacing the orbital roof. A stereolithographic model–guided planning was carried out to obtain a practical simulation of the surgical operation and it was submitted to a new CT sc...
Source: Craniomaxillofacial Trauma and Reconstruction - November 2, 2017 Category: ENT & OMF Authors: Palazzolo, Vincenzo Tronchet, Anita Valsecchi, Stefano Bellocchi, Silvio Gervasoni, Carlo Spotti, Stefano Francesco, Andrea Di Colombo, Luigi Riccio, Stefano Ronchi, Paolo Tags: Case Report Source Type: research