A novel treatment of temporomandibular joint arthritis as a complication in familial Mediterranean fever —literature review and a case report
ConclusionsThe adverse effect of TMJ arthritis in FMF patients can be avascular necrosis and destruction of the mandibular condylar head. TMJ arthroscopy allows lysis and lavage of the joint with minimal operative and postoperative complication, resulting with satisfactory results. Thus, in case of TMJ arthritis in FMF, we recommend TMJ arthroscopy as soon as possible, following aggressive physiotherapy in order to gain normal mouth opening.Clinical relevanceFMF rates have been described among the Mediterranean and Middle Eastern population ranging from 1:5 to 1:3; thus, TMJ involvement due to the disease is not so rare in...
Source: Oral and Maxillofacial Surgery - October 19, 2018 Category: ENT & OMF Source Type: research

Total mandibular reconstruction following diffuse sclerosing osteomyelitis
ConclusionIn the event that non-surgical options are not successful in DSO, an extended surgical therapy becomes necessary. Even if surgery results in complete resection of the mandible, a satisfactory rehabilitation can be achieved after complex reconstruction. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

A preliminary study on plasma concentration achieved following intrapterygomandibular space injection of dexamethasone as a route of drug delivery with lignocaine inferior alveolar nerve block –correlation of clinical effects
ConclusionIntraspace route of drug administration can be utilized to deliver dexamethasonized local anesthetics safely with predictable clinical effects in the patients requiring mandibular minor oral surgery under local anesthesia. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

Complication rate in mandibular angle fractures —one vs. two plates: a 12-year retrospective analysis
AbstractPurposeTreatment of mandibular angle fractures using one or two osteosynthesis plates is still a controversial topic. Fracture, treatment, and patient-dependent influencing factors could affect the overall outcome. In the present retrospective study, complication rates of mandibular angle fractures treated by open reduction were assessed according to type of treatment.Materials and methodsWe analyzed retrospective medical records using the search terms “mandibular angle fracture.” We included all patients presenting with a mandibular angle fracture treated by open reduction and internal fixation at our ...
Source: Oral and Maxillofacial Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

A literature review of perioperative antibiotic administration in surgery for medication-related osteonecrosis of the jaw
ConclusionsOral and maxillofacial surgeons mostly prefer penicillin-based antibiotics plus β-lactamase inhibitor or metronidazole for MRONJ surgery. The duration of administration of these medications may be based on empirical experience. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

“Sodium bicarbonate”: an adjunct to painless palatal anesthesia
ConclusionEffect of sodium bicarbonate on reducing pain while injecting into the palatal aspect was noted in this study. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 15, 2018 Category: ENT & OMF Source Type: research

Comparison of Erich arch bar versus embrasure wires for intraoperative intermaxillary fixation in mandibular fractures
ConclusionEmbrasure wire technique is a quick, easy, and reliable technique for minimally or moderately displaced fractured mandible and had better clinical outcomes than did patients that underwent the Erich arch bar technique. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 9, 2018 Category: ENT & OMF Source Type: research

Incidental finding of subgemmal neurogenous plaque upon retrospective evaluation of oral lymphoepithelial cysts
ConclusionsOLC have a similar histological pattern regardless the location within the oral cavity and. In some cases, the biopsy specimen may be accompanied by a SNP as an adjacent independent structure. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 8, 2018 Category: ENT & OMF Source Type: research

Necrotizing fasciitis as a complication of osteonecrosis of the jaw related to oral bisphosphonate application in a patient with osteoporosis: a case report
ConclusionsThe case presented suggests diabetes mellitus potentially having been an important factor in the particularly unfavorable course of therapy. It emphasizes the importance of an adequate therapy and surveillance of modifiable systemic risk factors like diabetes mellitus in patients being at risk for development of BRONJ. If necrotizing fasciitis is suspected, early diagnosis and aggressive surgical and medical management are essential to minimize morbidity and mortality. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 5, 2018 Category: ENT & OMF Source Type: research

A new case of the pilomatrixoma rare in the preauricular region and review of series of cases
This report describes a new case of giant pilomatrixoma in a 36-year-old female patient. The nodule was localized in the preauricular area on the right side, appearing as a slow-growing, fixed, painless, with a hardened consistency, unusual giant (4.5  cm). A cone-beam computed tomography (CBCT) examination showed a slightly hyperdense lesion, and fine-needle aspiration cytology (FNAC) revealed peripheral blood and mononucleated inflammatory cells. After enucleation of lesion, a diagnosis of pilomatrixoma was confirmed. The differential diagnosi s of pilomatrixoma is broad, because its characteristics also can be foun...
Source: Oral and Maxillofacial Surgery - October 3, 2018 Category: ENT & OMF Source Type: research

Pre-arthroplastic mandibular distraction osteogenesis for the correction of OSA in TMJ ankylosis: a prospective observational study of 25 cases
ConclusionPre-arthroplastic mandibular DO has proved to be a successful modality for treatment of OSA in TMJ ankylosis patients with stable results at 12  months. By resolving the narrow airway and OSA, compliance towards physiotherapy was improved thus reducing the risk of re-ankylosis in the long term. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 25, 2018 Category: ENT & OMF Source Type: research

Surgical management of oral submucous fibrosis using buccal fat pad: a retrospective study of 30 cases
AbstractThe aim of our study was to evaluate the effectiveness of buccal fat pad (BFP) in the management of oral submucous fibrosis (OSMF). Retrospective records of 30 patients of OSMF treated with BFP with atleast a year of follow-up were analyzed. Patients were divided into groups based on the stages of OSMF. Surgical management consisted of resection of fibrous bands, bilateral temporalis myotomy, and coronoidectomy followed by grafting with BFP. There were 17 patients of stage III (mouth opening 16 –25 mm) and 13 patients of stage IV OSMF (mouth opening less than 16 mm). The mean mouth opening of stage ...
Source: Oral and Maxillofacial Surgery - September 21, 2018 Category: ENT & OMF Source Type: research

A novel noise filtered and occlusion removal: navigational accuracy in augmented reality-based constructive jaw surgery
ConclusionThe proposed system concentrates on removing the noise from the real-time video frame and the occlusion. Thus, the acceptable range of accuracy and the processing time are provided by this study for surgeons for carrying out a smooth surgical flow. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 11, 2018 Category: ENT & OMF Source Type: research

Versatility of uniplanar prearthoplastic distraction osteogenesis in the correction of post-ankylosis facial deformities —a report of five different cases
ConclusionPre-arthroplastic distraction osteogenesis is a versatile cost effective approach that can be customized for every patient based on their needs. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 10, 2018 Category: ENT & OMF Source Type: research

The use of intra-articular analgesics to improve outcomes after temporomandibular joint arthrocentesis: a review
ConclusionsThere is inconclusive evidence in literature on the benefits of using intra-articular analgesics after TMJ arthrocentesis. Well-designed high-quality RCTs with standard protocol studying the effects of intra-articular opioids and NSAIDS after TMJ arthrocentesis would provide stronger evidence on its use. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 8, 2018 Category: ENT & OMF Source Type: research

Is conservative surgery a better choice for the solid/multicystic ameloblastoma than radical surgery regarding recurrence? A systematic review
AbstractPurposeDetermine if conservative surgery of primary solid/multicystic ameloblastoma (SMA) is capable of decreasing the recurrence rate as effectively as radical surgery.MethodsWe searched in MEDLINE, Web of Science, Scopus and Cochrane Library for original studies reporting on the conservative or radical treatment of primary SMA and the related recurrence rate. All selected data were independently assessed. Meta-analysis was performed and the Relative Risk (RR) of recurrence with a confidence interval of 95% was the effect measure.P value for the summary effect of
Source: Oral and Maxillofacial Surgery - September 6, 2018 Category: ENT & OMF Source Type: research

Anatomic evaluation of the incisive canal with cone beam computed tomography and its relevance to surgical procedures in the mental region: a retrospective study in a Brazilian population
ConclusionsThe measurements show the need for care from professionals when performing intraosseous surgical procedures in the mental region. The distances between the IC and the references studied must be observed. Thus, CBCT becomes essential for surgical planning in the mental region.Clinical relevanceThe mental region of the mandible is considered a safe area to perform surgical procedures such as the placement of osseointegrated implants, orthognathic surgery, and the removal of bone grafts. However, this region includes important neurovascular structures that must be considered or else hemorrhage and neurologic disord...
Source: Oral and Maxillofacial Surgery - September 3, 2018 Category: ENT & OMF Source Type: research

Evaluation of complications and flap losses in mandibular reconstruction with microvascularized fibula flap
AbstractThe mandibular defects caused by mandibulectomies can involve esthetic and functional sequelae in patients. The fibula presents positive aspects and can be used as an option for mandibular reconstruction after tumor resections or extensive traumas. Furthermore, this retrospective study of the patients who have passed through a mandibular reconstruction with a microvascular fibular flap over the last 17  years describes the experience of the Oral and Maxillofacial SurgeryService at the ErastoGaertner Hospital, Curitiba/PR. The use of this flap type has a complication rate of 32.3%, which includes the fixation m...
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Comparative study of primary and secondary closure of the surgical wound after removal of impacted mandibular third molars
AbstractAimAim of the study is to compare the primary and secondary healing after surgical removal of impacted mandibular third molars, in terms of swelling, severity of pain, trismus, and periodontal healing between two types of closure.Materials and methodsA total of 60 patients, divided into two groups randomly: group A, with 30 patients in which primary closure was done; group B, with 30 patients in which secondary closure was done. A comparison between two groups was done in terms of postoperative pain, swelling, trismus at first, third, and seventh postoperative days, and periodontal healing near adjacent second mola...
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Mandibular war injuries caused by bullets and shell fragments: a comparative study
ConclusionsBullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Oral hairy leukoplakia in healthy immunocompetent patients: a small case series
DiscussionOHL should be considered as a differential diagnosis for white patches on the lateral borders of the tongue in apparently healthy immunocompetent patients, even when they do not have a typical corrugated appearance. OHL should no longer be regarded as pathognomonic for HIV infection or systemic immunosuppression. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

A nationwide survey of undergraduate training in oral and maxillofacial surgery
ConclusionOMF surgery with its involvement both in medical and dental education has a special position as a surgical discipline. Our results show that OMF as a specialty is underrepresented in dental and especially in medical education considering the numerical and health economic importance of OMF consultations. Enhancing curricular integration and developing more structured examination forms is necessary to guarantee a high quality of OMF education. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Plasma rich in growth factors (PRGF) for the promotion of bone cell proliferation and tissue regeneration
This study aims to compare a platelets concentrate, the plasma rich in growth factors (PRGF) to a control, consisting of cellulose membranes, to evaluate in vitro the cellular adhesion and migration of human osteoblasts (hOb) and understand if the use of platelets concentrates could be an advantage in view of bone tissue regeneration.Study designTwenty-seven human donors provided 27 blood samples used to make 54 samples: 27 for PRGF and 27 for the control group. PRGFs and controls were incubated for 48  h in sterility in 1 ml of culture with 105 hOb and hOb in the scaffolds were then quantified.ResultsIn PRGF sam...
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Influence of cortical bone anchorage on the primary stability of dental implants
ConclusionsInsertion torque values and implant stability quotients were influenced by cortical bone contact. No significant correlation was found between IT and ISQ values —higher insertion torque values do not necessarily lead to higher implant stability quotients. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Comparison of intravenous tramadol versus ketorolac in the management of postoperative pain after oral and maxillofacial surgery
ConclusionApart from first 2  h where the changes are non-significant, this study clearly demonstrates the advantage of the intravenous tramadol in the management of postoperative pain and ease of administration in postoperative patient through IV cannula. The side effects of both the drugs were insignificant and did not have any effect on the result. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note
ConclusionsThese results suggest the feasibility of using a generic violet light source as a low-cost alternative for fluorescence-guided surgery. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

The use of mineralized bone allograft as a single grafting material in maxillary sinus lifting with severely atrophied alveolar ridge (1 –3 mm) and immediately inserted dental implants. A 3- up to 8-year retrospective study
AbstractObjectiveThe primary aim of our study was to evaluate the efficacy of mineralized bone allograft alone in sinus floor augmentation with simultaneous implant placement in cases with severe atrophy of the residual maxillary bone (bone height
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

About venous malformations of the facial bones
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Reply to letter to the editor commenting on the article “Intraosseous venous malformation of the zygomatico-orbital complex. Case report and literature review with focus on confusions in vascular lesion terms”
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Use of a generic violet light in the surgical management of medication-related osteonecrosis of the jaws: a technical note
ConclusionsThese results suggest the feasibility of using a generic violet light source as a low-cost alternative for fluorescence-guided surgery. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 1, 2018 Category: ENT & OMF Source Type: research

Bifurcation of external jugular vein: an anatomical variation during neck dissection
ConclusionsAnatomical variations in drainage pattern of superficial veins of the head and neck are important for head and neck surgeries including for anastomosis during free tissue transfer for head and neck reconstruction. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 30, 2018 Category: ENT & OMF Source Type: research

Double unilateral, bilateral, and multiple mandibular fractures: an observational study
This study aimed to evaluate the characteristics and outcomes of double unilateral, bilateral, and multiple mandibular fractures.MethodsA 7-year observational retrospective analysis was performed, and the injury-related data were collected from the medical records. Statistical analysis was performed using Fisher ’s exact test (p 
Source: Oral and Maxillofacial Surgery - August 14, 2018 Category: ENT & OMF Source Type: research

Mandibular war injuries caused by bullets and shell fragments: a comparative study
ConclusionsBullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 7, 2018 Category: ENT & OMF Source Type: research

Oral hairy leukoplakia in healthy immunocompetent patients: a small case series
DiscussionOHL should be considered as a differential diagnosis for white patches on the lateral borders of the tongue in apparently healthy immunocompetent patients, even when they do not have a typical corrugated appearance. OHL should no longer be regarded as pathognomonic for HIV infection or systemic immunosuppression. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 6, 2018 Category: ENT & OMF Source Type: research

Diplopia —an unheralded consequence of neck dissection: case report
ConclusionTherapeutic ligation of internal jugular vein during neck dissection may result in IJV thrombosis followed by CVST leading to raised intracranial tension (ICT). It has to be anticipated and addressed as early as possible to prevent its grave consequences like blindness and death. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 4, 2018 Category: ENT & OMF Source Type: research

Plasma rich in growth factors (PRGF) for the promotion of bone cell proliferation and tissue regeneration
This study aims to compare a platelets concentrate, the plasma rich in growth factors (PRGF) to a control, consisting of cellulose membranes, to evaluate in vitro the cellular adhesion and migration of human osteoblasts (hOb) and understand if the use of platelets concentrates could be an advantage in view of bone tissue regeneration.Study designTwenty-seven human donors provided 27 blood samples used to make 54 samples: 27 for PRGF and 27 for the control group. PRGFs and controls were incubated for 48  h in sterility in 1 ml of culture with 105 hOb and hOb in the scaffolds were then quantified.ResultsIn PRGF sam...
Source: Oral and Maxillofacial Surgery - August 4, 2018 Category: ENT & OMF Source Type: research

The use of platelet-rich fibrin as a hemostatic material in oral soft tissues
AbstractThe control of postoperative bleeding represents one of the main intercurrent events associated with soft tissue surgical procedures in the oral cavity. In this context, platelet-rich fibrin (PRF) membranes are materials with great potential for optimizing soft tissue healing and induction of hemostasis. This interventional case series describes the treatment of 10 patients with excisional biopsy of benign oral cavity lesions, following a screening sequence at the surgery clinic of a Brazilian dental school between the years of 2015 and 2017. After treatment with PRF, patients presented mean time for postoperative ...
Source: Oral and Maxillofacial Surgery - June 26, 2018 Category: ENT & OMF Source Type: research

Reply to letter to the editor commenting on the article “Intraosseous venous malformation of the zygomatico-orbital complex. Case report and literature review with focus on confusions in vascular lesion terms”
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - June 18, 2018 Category: ENT & OMF Source Type: research

An intra-oral approach to facial skin lumps —a move towards scarless surgery
We report an extended cases series of facial skin lumps that were excised using an intra-oral approach.MethodsA retrospective analysis was performed on all patients who underwent excisions of benign cutaneous lesions on the face via an intra-oral approach. Patient demographics, indication for surgery and complications were noted.ResultsForty-seven lesions were excised over a 15-year period. Indications for surgery included benign lesion with minimal skin involvement, risks of keloid/scar hypertrophy and cosmetic factors. Lesions were predominantly epidermoid cysts and lipomas. Mean follow-up was 2.9  years with a 6.4%...
Source: Oral and Maxillofacial Surgery - June 16, 2018 Category: ENT & OMF Source Type: research

About venous malformations of the facial bones
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - June 14, 2018 Category: ENT & OMF Source Type: research

Influence of cortical bone anchorage on the primary stability of dental implants
ConclusionsInsertion torque values and implant stability quotients were influenced by cortical bone contact. No significant correlation was found between IT and ISQ values —higher insertion torque values do not necessarily lead to higher implant stability quotients. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - June 6, 2018 Category: ENT & OMF Source Type: research

The use of mineralized bone allograft as a single grafting material in maxillary sinus lifting with severely atrophied alveolar ridge (1 –3 mm) and immediately inserted dental implants. A 3- up to 8-year retrospective study
AbstractObjectiveThe primary aim of our study was to evaluate the efficacy of mineralized bone allograft alone in sinus floor augmentation with simultaneous implant placement in cases with severe atrophy of the residual maxillary bone (bone height
Source: Oral and Maxillofacial Surgery - June 1, 2018 Category: ENT & OMF Source Type: research