A Multimodal Approach to Huge Fibrous Dysplasia With Ocular Symptoms Using a Navigation System and Endoscope
Conclusions: This multimodal approach offers a safe, rapid surgical aid in treating huge lesions involving orbital and intracranial area. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

The Superficial Inferior Epigastric Artery Interpolated Flap for Closure of Large Anterolateral Thigh Flap Donor Site Defects
The Anterolateral Thigh (ALT) flap has a critical role in head, neck, and extremity reconstruction. Unfortunately, when the ALT flap is dimensionally large, it leaves an open donor site that may not respond optimally to primary or secondary closure. Traditionally, skin grafting has been used to close large ALT flap donor site defects. However, skin grafting offers less than desirable aesthetic and functional results. The purpose of this article is to present the first reported case of a 70-year-old woman with a large ATL donor site defect, not responsive to direct primary closure, which was successfully reconstructed using...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Energy-Dispersive X-Ray Spectroscopic Analysis of an Extraorally Installed Implant in a Silicone Facial Prosthesis Patient
Titanium implants are considered to be highly biocompatible relative to other metals, and the use of this metal is increasing more and more. However, studies on its possible toxic effects are rare. A patient who had a large midface defect was treated with an implant-supported magnet-retained silicone prosthesis; however, the extraoral implant failed. Scanning electron microscopy and energy dispersive X-ray spectroscopy was used to analyze the surface characteristics and the chemical compositions of the failed implant fixture and attached bone tissue. The contamination of the implant and bone tissue with aluminum (Al), iron...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Comparison of Outcomes of Proximal and Distal Anastomosis Sites of the Facial Artery in Head and Neck Reconstruction
Recipient vessel selection in head and neck reconstruction is based on multiple factors, including defect size and location, patient history, and vessel location, diameter, and length. The authors present a comparison of proximal and distal anastomotic sites of the facial artery. A chart review of head and neck reconstructions using the facial artery as a recipient vessel over a 7-year period was conducted. The anastomosis site was identified as distal (at the inferior mandible border) or proximal (at the origin of the artery). The distal site was utilized for both defects of the midface/ scalp and of the mandible/neck, wh...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Conservative Management of Severe Medication-Related Osteonecrosis of the Jaw With Pathological Fracture
Medication-related osteonecrosis of the jaw (MRONJ) is a well-known risk following dental extraction in patients taking certain medications. Pathological fracture secondary to MRONJ often requires complex operative intervention. This case demonstrates the conservative management of pathological fracture secondary to MRONJ in a patient with multiple comorbidities. The patient developed MRONJ with pathological fracture following extraction of the mandibular second molar. The patient presented with significant surgical risk factors, having hypertension and a recent stroke, causing dense left hemiparesis, subsequently resul...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Life-Saving Early Diagnosis of Burkitt Lymphoma: The Role of a Dentist
Burkitt lymphoma (BL) is a subtype of Non-Hodgkin lymphoma, considered one of the fastest growing human tumors. Due to the highly aggressive nature of BL, a prompt diagnosis and aggressive chemotherapeutic treatment are essential. However, the clinical features of BL often can mimic periodontal disease or dentoalveolar abscess. The aim of this study is to present a case of a 31-year-old male patient who was referred to the department of oral and maxillofacial surgery for severe neurosensory disturbance and pain in the lower jaw. He was misdiagnosed with periodontitis and dental abscess at the local clinic. Based on radiogr...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Osteoplasty of Medial Temporomandibular Joint Wall. A New Strategy for Treating Disc Displacement
Conclusions: Arthroscopic osteoplasty of the medial and anterior medial wall of TMJ associated with arthroscopic myotomy of the SLEM represent an effective treatment option for TMJ internal derangement even in advanced stages (Wilkes IV and V) (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Reconstruction of Nose and Adjacent Facial Units With Chimeric Flap Combined of Auricular Free Flap and Radial Forearm Free Flap
Composite full-thickness nasal defects that include adjacent facial units still remain a challenge for reconstructive surgeons. The commonly used auricular free flap (AFF) might not be sufficient for full coverage of a defect, and radial forearm free flap (RFFF) lacks the rigid component for nasal framework. Therefore, the authors present a chimeric flap combined of both AFF and RFFF for the reconstruction of extended nasal defects. Auricular free flap enables the restoration of the exact contour of nose, and it preserves similar texture and color of the skin. Moreover, its harvesting results in minimal deformity of donor ...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Endoscopic Endonasal Reconstruction Using a Pedicled Middle Turbinate Flap for Spontaneous Cerebrospinal Fluid Rhinorrhea
We describe the successful repair of a spontaneous CSF leak using a vascularized middle turbinate flap (MTF) via an endonasal endoscopic approach and also discuss the effective reconstruction with other available pedicled flaps. An 11-year-old girl had a 5-month history of intermittent CSF rhinorrhea. Endoscopic endonasal skull base reconstruction was performed using the pedicled MTF technique, which sufficiently covered the unilateral cribriform plate and ethmoidal fovea including suspicious leakage site. Middle turbinate flaps may be good for repairing spontaneous CSF leaks, which commonly have small, low-flow CSF fistul...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Clinical T4b Squamous Cell Carcinoma Resection With Hemimandibulectomy and Temporomandibular Joint Reconstruction With Bridging Plate and Modified Dautrey Procedure
We present a case of right mandibular squamous cell carcinoma (PT4bN0M0, stage IVB). The tumor had extended to the right mandibular condylar head and masticatory space. The patient received right modified radical neck dissection and radical operation with hemimandibulectomy to remove the right mandibular condyle. Then, we reconstructed the resected portion with an anterior lateral thigh free flap and bridging plate, which was bent to form an artificial condyle and fixed using the modified Dautrey procedure. The patient had stable postoperative occlusion and normal hinge movement of the temporomandibular joint. After postop...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Legal Liability of a Dentist: Inferior Alveolar Nerve Damage After Calcium Hydroxide Extrusion
During root canal treatments, calcium hydroxide can extrude through the apex causing chemical, mechanical, and/or thermal injuries to the inferior alveolar nerve, which can lead to neurological disorders. unfortunately, dental practitioner negligence can produce this potentially life-changing injury that can compromise the patient's life. The aim of this study is present a case of dental negligence by calcium hydroxide extrusion causing inferior alveolar nerve damage, discuss the methods of prevention, and characterize the medico-legal aspects of complication. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Treatment of Benign Lesion of Levels I or II of the Parotid Gland: Long Term Results of Partial Superficial Parotidectomy
The correct surgical approach to benign parotid gland tumors is still matter of debate, it should be chosen considering the possibility of local recurrence or facial nerve complications in case of “not necessary” facial nerve dissection. In the era of minimally invasive surgery, more sparing approaches such as extracapsular dissection or partial superficial parotidectomy (PSP) are gaining popularity. The aim of the study is to present surgical results and long-term outcomes of PSP (level i or ii) in a large group of patients. Six hundred fifty-one patients who underwent parotid surgery between 2004 and 2020 were initia...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Eyebrow Reconstruction With Temporal Hairline Relay Flap
In this study, a patient who suffered from eyebrows loss after radiotherapy for hemangioma underwent eyebrow reconstruction with the relay transfer of a temporal hairline flap. The entire procedure was performed in the outpatient operating room. The temporal hairline flap was transferred to the eyebrow region in a relay and survived well without necrosis. In the 2-month follow-up, the shape and density of the reconstructed eyebrows were satisfactory. The operation showed this technique was innovative, economic, and recommended as a suitable choice for eyebrow reconstruction, especially in those patients with poor hair tran...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Treatment of Dentofacial Deformity Associated with Temporomandibular Joint Ankylosis Through Vertical and Sagittal Osteotomies of the Mandibular Ramus
In conclusion, the authors believe that combined sliding vertical ramus osteotomy and sagittal osteotomy can bring satisfactory results in complex cases. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Bilateral Petrous Apex Cephalocele Associated with a Wide Sella
Petrous apex cephalocele (PAC) is a rare type of cephalocele. It is usually asymptomatic. It can be unilateral or bilateral. Bilateral cases are less common. They are etiologically and clinically different entities from unilateral ones. A 56-year-old female patient presented to the hospital with the complaint of a severe nonspecific headache. She has been examined in ear nose throat, ophthalmology, and finally neurology clinics. Bilateral PAC was incidentally found in magnetic resonance imaging (MRi) examination. Headache was associated with PAC because no additional pathology could explain the clinical symptomatology. The...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Brief Clinical Studies Source Type: research