The Use of Virtual Surgical Planning in Total Facial Skeletal Reconstruction of Treacher Collins Syndrome: A Case Report
We present a case of an 18-year-old patient with TCS, who underwent staged zygomaticomaxillary reconstruction and double-jaw osteotomy with sliding genioplasty, using computer-assisted surgical planning. Following these operations, the patient achieved not only improved facial harmony but also class I occlusion. [...] 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 - July 21, 2017 Category: ENT & OMF Authors: Guo, Yifan Lopez, Joseph Yang, Robin Macmillan, Alexandra Dorafshar, Amir H. Tags: Case Report Source Type: research

Psychological Consequences of Maxillofacial Trauma in the Indian Population: A Preliminary Study
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1604426The aim of this article is to identify the prevalence of posttraumatic psychological symptoms following maxillofacial trauma among an Indian population sample and assess changes in these symptoms over a period of time. Forty-eight adult patients were assessed within 2 weeks of injury with two follow-up visits (4–6 weeks and 12–14 weeks). Patients were administered three self-reporting questionnaires in local language (GHQ-12; HADS; TSQ) on all occasions. Relevant sociodemographic and clinical data were obtained. Forty patients were included in the fina...
Source: Craniomaxillofacial Trauma and Reconstruction - July 19, 2017 Category: ENT & OMF Authors: Krishnan, Balasubramanian Rajkumar, Ravi Philip Tags: Original Article Source Type: research

The Effect of Bone Marrow Mesenchymal Stem Cells Application on Distracted Bone Quality during Rapid Rate of Distraction Osteogenesis
This study was conducted to investigate the effect of mesenchymal stem cells (MSCs) application on different rates of distraction bone quality. Twenty-four goats were divided into group A with standard DO and group B with rapid distraction osteogenesis (RDO) both aided by MSCs. Group C with standard DO and group (D) with RDO were controls. Kruskal–Wallis test and Conover's post hoc analysis was used to evaluate significance (p = 0.05). Histomorphometry showed a strongly significant (SS) increase (p = 0.00036) in trabecular bone (TB) in group A (TB = 174.7 µm, SD = 33.5) and group B (TB = 166.8 µm, S...
Source: Craniomaxillofacial Trauma and Reconstruction - July 19, 2017 Category: ENT & OMF Authors: El Kassaby, Marwa El Kader, Khaled Abd Khamis, Nahed Al Hammoud, Alaa Talb, Alaa Ben el Hadidi, Yasser Nabil Tags: Original Article Source Type: research

Subacute Granulation Tissue of the Fornix after Resorbable Orbital Implant: An Unusual Case and Review of the Literature
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1604069Orbital blow-out fractures are very common. Goals of surgical treatment are to reestablish form and function with excellent cosmetic results. Materials used for orbital floor repair include autologous grafts and a variety of alloplastic materials. In this article, we present a case of subacute granulation tissue of the fornix that developed as a foreign body reaction 4 months after placing a resorbable implant to repair an orbital floor fracture. The implant was removed and the patient continued to heal uneventfully. Management of the case and biomaterials...
Source: Craniomaxillofacial Trauma and Reconstruction - July 17, 2017 Category: ENT & OMF Authors: Castro-N úñez, Jaime Clifton, Trent Van Sickels, Joseph Tags: Case Report Source Type: research

Psychological Impact of Facial Trauma
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1603464Examination of the mental state of patients suffering from facial trauma is rarely ever recorded, let alone screening them for posttraumatic stress disorders (PTSDs) or generalized anxiety disorder. Providing early support to the patient in light of such psychological conditions can improve the overall quality of life. The aim of this study was to perform a literature review to assess the relation of mental state disorders to facial trauma in terms of their prevalence, assess screening methodology, and also to evaluate the prognosis of individuals subjecte...
Source: Craniomaxillofacial Trauma and Reconstruction - June 12, 2017 Category: ENT & OMF Authors: Sahni, Vaibhav Tags: Review Article Source Type: research

Endoscopic-Assisted Intraoral Open Reduction Internal Fixation of Mandibular Subcondylar Fractures: Initial Experiences from a Tertiary-Care Maxillofacial Center in India
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1603457Management of condylar fractures is a highly controversial and debatable area. Open reduction and internal fixation (ORIF) using an extraoral approach has certain benefits over the nonsurgical treatment. Risk of damage to the facial nerve and an extraoral scar remains constant deterrents. An endoscopic-assisted ORIF offers an intraoral approach, thus eliminating consequences such as scarring. Though this technique offers unparalleled advantages, it is associated with a steep learning curve. Surgical results improve only with patience and experience. Patien...
Source: Craniomaxillofacial Trauma and Reconstruction - June 12, 2017 Category: ENT & OMF Authors: Anehosur, Venkatesh Joshi, Abhijit Rajendiran, Saravanan Tags: Original Article Source Type: research

Multi-institutional Analysis of Surgical Management and Outcomes of Mandibular Fracture Repair in Adults
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1603460Mandibular fractures are rare, most commonly occurring in young male patients who present with facial trauma. The etiology, incidence, and presentation vary among previous publications depending on cultural and socioeconomic factors of the region of origin. This multi-institutional study aims to present demographic characteristics, surgical treatment, and clinical outcomes of surgical repair of mandible fractures in the United States. An analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) adult databases o...
Source: Craniomaxillofacial Trauma and Reconstruction - June 8, 2017 Category: ENT & OMF Authors: Zavlin, Dmitry Jubbal, Kevin T. Echo, Anthony Izaddoost, Shayan A. Friedman, Jeffrey D. Olorunnipa, Olushola Tags: Original Article Source Type: research

Comparative Evaluation of the Embrasure Wire versus Arch Bar Maxillomandibular Fixation in the Management of Mandibular Fractures: Are Arch Bars Replaceable?
This study was conducted on 40 patients who were surgically treated for mandibular fractures with accessory use of MMF (embrasure: group A vs. arch bars: group B). All patients were evaluated for demographic data, etiology, and location of fracture. Characteristically, the complications, including wire injury, infection, and malocclusion, were recorded. The data were analyzed using Student's t-test and chi-square test as appropriate. Statistical significance was set at p < 0.05). In this study, data from 40 patients were included. In group A (embrasure wiring), time required for placement of MMF was significantly le...
Source: Craniomaxillofacial Trauma and Reconstruction - June 8, 2017 Category: ENT & OMF Authors: Rastogi, Sanjay Ahmed, Tousif Giri, Kolli Dandriyal, Ramakant Indra B, Niranjana Prasad Joshi, Ankur Choudhury, Shouvik Mall, Sunil Tags: Original Article Source Type: research

Systemic Preoperative Antibiotics with Mandible Fractures: Are They Indicated at the Time of Injury?
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1603458Mandible fractures are the most common result of facial trauma. The proximity of oral flora to the site of both the injury and resulting surgical instrumentation makes managing infection a unique challenge. The benefit of antibiotic prophylaxis at the time of surgical treatment of mandible fractures is well established. However, the routine use of antibiotics between the time of injury and surgery is of unclear benefit. We aim to define the role of antibiotics in the preoperative period: from the time of injury to surgical intervention. Demographic and cli...
Source: Craniomaxillofacial Trauma and Reconstruction - May 24, 2017 Category: ENT & OMF Authors: Linkugel, Andrew D. Odom, Elizabeth B. Bavolek, Rebecca A. Snyder-Warwick, Alison K. Patel, Kamlesh B. Tags: Original Article Source Type: research

Prosthetics in Facial Reconstruction
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1603459Reconstruction of the head and neck can be a challenging undertaking owing to numerous considerations for successful rehabilitation. Although head and neck defects were once considered irretrievably morbid and associated with a poor quality of life, advances in surgical technique has immensely contributed to the well-being of these patients. However, all patients are not suitable surgical candidates and many have sought nonsurgical options for functional and cosmetic restoration. As such, the advent of prostheses has ameliorated those concerns and provided...
Source: Craniomaxillofacial Trauma and Reconstruction - May 22, 2017 Category: ENT & OMF Authors: Klimczak, Jaclyn Helman, Samuel Kadakia, Sameep Sawhney, Raja Abraham, Manoj Vest, Allison K. Ducic, Yadranko Tags: Review Article Source Type: research

Comparison of the Stability of Mandibular Sagittal Osteotomy Fixation between Two Types of Titanium Miniplates: A Biomechanical Study in Sheep Mandibles
This study aimed to compare the biomechanical stability of the fixation of mandibular sagittal split osteotomy of the ramus by two types of titanium miniplates in sheep mandibles. Seven preserved sheep mandibles with similar weight and size were selected, dissected with complete removal of soft-tissue structures, and sectioned in their midline. After performing sagittal split osteotomy, 5 mm of advancement was standardized and samples were divided into two groups according to the type of titanium miniplate (GI = seven hemimandibles were fixed with straight titanium miniplate, GII = seven hemimandibles were fixed ...
Source: Craniomaxillofacial Trauma and Reconstruction - May 18, 2017 Category: ENT & OMF Authors: Trento, Guilherme dos Santos Pires, Felipe Andrade Santos, F ábio André dos Costa, Delson Jo ão da Rebellato, Nelson Luis Barbosa Kl üppel, Leandro Eduardo Tags: Original Article Source Type: research

Surgical Treatment of Posttraumatic Laterognathia: A Case Report and a Literature Review, Focused on the Effects of a Condylar Fracture on the Face
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601861Facial asymmetry, following early childhood condylar trauma, is a common complaint among patients who seek surgical treatment. G.D.M., a 27-year-old male patient, sought professional help to correct his cosmetic flaw, caused by a condylar fracture when he was 8-years-old. After the proper orthodontic treatment, he underwent a double jaw orthognathic surgery and, 9 months later, a second one to correct the remaining asymmetry. Two years after this second procedure, the patient is still under surveillance and has no complaints. [...] Thieme Medical Publisher...
Source: Craniomaxillofacial Trauma and Reconstruction - May 18, 2017 Category: ENT & OMF Authors: Pereira, Felipe Ladeira Pinheiro, Lu ísa de Marilac de Alencar Ara újo, Phelype Maia Chihara, Let ícia Liana Maia Nogueira, Renato Luiz Sant'Ana, Eduardo Tags: Case Report Source Type: research

Lingual Artery Pseudoaneurysm after Severe Facial Trauma
We present a case of a male patient who suffered a severe facial trauma at his workplace. He underwent an initial uneventful emergency surgery for control of bleeding and mandibular osteosynthesis. At 2 weeks postoperatively, a second emergency surgery was required to treat a previously undiagnosed lingual pseudoaneurysm that ruptured spontaneously, with massive oral bleeding. The case highlights the clinical significance and timing of pseudoaneurysm formation, and the surveillance and high index of suspicion required for potentially life-threatening bleeding at later time peaks. Diagnostic and therapeutic angiography effe...
Source: Craniomaxillofacial Trauma and Reconstruction - May 18, 2017 Category: ENT & OMF Authors: Margallo, Leyre Z árate, Estibaliz Ortiz de Franco, Maria Garcia-Iruretagoyena, Maria Cherro, Rosa Barbier, Luis Mendiola, Josu Constantinescu, Thomas Tags: Case Report Source Type: research

Incidence and Risk Factors of Inferior Rectus Muscle Palsy in Pediatric Orbital Blowout Fractures
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601884The aim of this study was to evaluate the incidence, clinical features, and risk factors of sustaining inferior rectus (IR) palsy in a group of pediatric patients with orbital floor blowout fractures. We performed a retrospective case review of sequential cases of pediatric orbital floor blowout fractures (<18 years old) from 2000 to 2013 in a tertiary ophthalmic center in Singapore. A total of 48 patients were included in our study, of whom 5 had IR palsy (10.4%). Patients with IR palsy had a higher mean age (16.4 ± 1.5 years) compared with patients w...
Source: Craniomaxillofacial Trauma and Reconstruction - May 2, 2017 Category: ENT & OMF Authors: Young, Stephanie M. Koh, Yan Tong Chan, Errol W. Amrith, Shantha Tags: Original Article Source Type: research

Surgical Anatomy of the Cervical Part of the Hypoglossal Nerve
Cranial Maxillofac Trauma Reconstruction DOI: 10.1055/s-0037-1601863Iatrogenic injuries to cranial nerves, half of which affect the hypoglossal nerve, occur in up to 20% of surgical procedures involving the neck. The risk of injury could be minimized by in-depth knowledge of its positional and relational anatomy. Forty-one hypoglossal nerves were dissected from cadaveric specimens and positions described in relation to the internal carotid artery (ICA), external carotid artery (ECA), carotid bifurcation, mandible, hyoid bone, mastoid process, and the digastric tendon. The distance of the nerve from where it crossed the ICA...
Source: Craniomaxillofacial Trauma and Reconstruction - May 2, 2017 Category: ENT & OMF Authors: Kariuki, Brian Ngure Butt, Fawzia Mandela, Pamela Odula, Paul Tags: Original Article Source Type: research