Head and neck free tissue transfer in a patient with factor V Leiden: case report and review of the literature
We report a 70-year-old woman with factor V Leiden treated for stage IVA squamous cell carcinoma of the mandible with a composite resection and reconstruction with  an osteocutaneous scapular free tissue transfer. The free tissue transfer occurred without complications, in the setting of intraoperative heparin, postoperative aspirin, and enoxaparin. The free tissue transfer continues to be viable at her most recent follow-up appointment. The hypercoagulable p atient represents a diverse presentation of increased coagulation risk in the perioperative period. Considering a patient’s history and understanding avail...
Source: Oral and Maxillofacial Surgery - January 20, 2021 Category: ENT & OMF Source Type: research

Does arthroscopic lysis and lavage in subjects with Wilkes III internal derangement reduce pain?
ConclusionIn this study, the authors confirmed that ASC-L is an effective therapeutic method in patients with WIII, from both clinical and subjective perspectives. This work demonstrated that improvement in patients with Wilkes stage III is not related to disc reposition. Postoperative physiotherapy is an integral component of ASC-L and is reflected in the final results. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 13, 2021 Category: ENT & OMF Source Type: research

Two miniplates versus 3-dimensional plate in the management of mandibular subcondylar fractures: a retrospective analysis
ConclusionThe results of our study indicate that the 2 miniplates and 3D plate system are effective in the management of mandibular subcondylar fractures. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 11, 2021 Category: ENT & OMF Source Type: research

Rugby-related adult maxillofacial trauma injuries: a NEISS database study
ConclusionsWhen evaluating a patient with a rugby-related injury, one should expect injuries to the eyelid, eye area, or nose. The most common fracture pattern will most likely be nasal bone. Despite these injuries, the vast majority of patients will be treated and released. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 7, 2021 Category: ENT & OMF Source Type: research

Bosutinib-induced osteonecrosis of the jaw in a patient with chronic myeloid leukemia: a case report
AbstractMedication-related osteonecrosis of the jaw (MRONJ) is an uncommon adverse drug reaction that can be induced by certain therapeutic drugs, including antiresorptive and antiangiogenic agents. Here, we describe the first case of ONJ induced by bosutinib, a tyrosine kinase inhibitor, in a patient with chronic myeloid leukemia (CML) who was not taking an antiresorptive agent. A 65-year-old male with no history of either antiresorptive treatment or dental surgery but diagnosed with CML had been undergoing treatment with bosutinib for 2  years. He developed right mandibular stage 2 osteonecrosis. The patient eventua...
Source: Oral and Maxillofacial Surgery - January 7, 2021 Category: ENT & OMF Source Type: research

The deep circumflex iliac artery free flap in maxillofacial reconstruction: a comparative institutional analysis
ConclusionThe DCIA free flap represents a useful and reliable reconstructive flap for maxillofacial reconstruction. Reconstructive microvascular surgeons should be proficiently trained in this flap technique for its consideration as a first-line option in maxillofacial reconstruction. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 7, 2021 Category: ENT & OMF Source Type: research

Survival after parotid gland metastases of cutaneous squamous cell carcinoma of the head and neck
ConclusionAs compared to primary parotid cancers, we could show that patients suffering from CSCC metastases to the parotid gland presented with significantly higher age and worse survival. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 5, 2021 Category: ENT & OMF Source Type: research

Computed assisted surgery for replacement of the temporomandibular joint with customized prostheses. Can we validate the results?
(Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 5, 2021 Category: ENT & OMF Source Type: research

Comparison between resorbable plates vs. titanium plates for treatment of zygomatic fractures: a systematic review with meta-analysis
ConclusionThere was no difference in the occurrence of infection, diplopia, or paresthesia between the fixation methods. Resorbable plates showed better postoperative clinical performance. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 4, 2021 Category: ENT & OMF Source Type: research

Well leg compartment syndrome postorthognathic surgery under hypotensive anesthesia and reverse Trendelenburg position: a case report and literature review
ConclusionIncreased Awareness of this rare occurrence and predisposition aids in understanding and prompt management. This article provides a rare case that has occurred in reverse Trendelenburg position with less obvious risk factors than typically reported in the literature (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - January 2, 2021 Category: ENT & OMF Source Type: research

Health-related quality of life in patients surgically treated for orbital blow-out fracture: a prospective study
ConclusionThe HRQoL is significantly decreased after orbital blow-out fracture compared with the general population but will recover completely in 6  months. Thus, the negative impact of orbital blow-out fracture on HRQoL is only transient. Disturbances in facial sensation, defects in facial appearance, and diplopia are the most common subjective complaints after the injury and its surgical treatment. However, these do not appear to affect the overall quality of life in the long term. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - December 5, 2020 Category: ENT & OMF Source Type: research

Accuracy of custom temporomandibular joint replacement surgery using a virtual surgical planning protocol
ConclusionThe use of VSP in TMJ replacement surgery results in accurate implant placement with good agreement between planned and final implant position. Discrepancies in planned and final implant position tended to result in the mandibular component of the implant being translated anterior superiorly and rotated posteriorly, with potential implications for the biomechanical performance of the implant and overall device longevity. These results should be used to assist TMJ surgeons pre- and intraoperatively to facilitating accurate implant positioning and optimal surgical rehabilitation. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 25, 2020 Category: ENT & OMF Source Type: research

Assessment of bone quality using buccal and palatal autogenous cortical shells harvested from two different mandibular donor sites for maxillary alveolar ridge augmentation: a histomorphometric randomized clinical trial
ConclusionA higher bone quality and more volumetric stability were associated with the symphyseal cortical shells.Clinical trial registrationThe study was registered onwww.clinicaltrials.gov (#: NCT03607006) in July 2018 by Ola Alaa El Morsy. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 24, 2020 Category: ENT & OMF Source Type: research

Patients ’ quality of life improves after surgical intervention of stage III medication-related osteonecrosis of the jaw
ConclusionIn terms of QoL patients with stage III MRONJ do benefit from surgical treatment. The incident of a recurrence seems to have no significant impact on patients QoL. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 23, 2020 Category: ENT & OMF Source Type: research

Implants placed into alveoli with periapical lesions: an experimental study in dogs
ConclusionsIn this experimental study, it is concluded that the removal of the granulation tissue seems not to be necessary to obtain a proper osseointegration of implants installed immediately after the extraction of teeth presenting a periapical lesion. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 21, 2020 Category: ENT & OMF Source Type: research

The use of steroids in cervicofacial infections in UK OMFS departments: a Maxillofacial Surgery Trainees Research Collaborative (MTReC) study
ConclusionsThis study uses the largest recorded cohort of cervicofacial infections to define current inpatient steroid administration. Our results suggest that steroids are targeted towards the most compromised 1/3 of patients. The incidence of steroid-related side effects was low. Defining the characteristics of patients currently receiving steroids will aid in determining whether steroid administration is an effective adjunct in treating odontogenic cervicofacial infection. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 17, 2020 Category: ENT & OMF Source Type: research

Evaluation of canalis sinuosus in individuals with cleft lip and palate: a cross-sectional study using cone beam computed tomography
AbstractObjectiveTo evaluate the canalis sinuosus (CS) in individuals with cleft lip and palate (CLP) and compare the findings with individual ’s NON-CLP using cone beam computed tomography (CBCT).Materials and methodsThe sample consisted of 100 CBCT exams of NON-CLP individuals (G1 group) and 200 of CLP individuals (G2 group). Recorded parameters included presence of CS, accessory canal to the CS, diameter greater than 1  mm, gender, age, localization in relation to teeth, and adjacent structures. Statistical tests were used to compare the findings between groups. Ap value of
Source: Oral and Maxillofacial Surgery - November 9, 2020 Category: ENT & OMF Source Type: research

Accuracy of three-dimensional virtual simulation of the soft tissues of the face in OrtogOnBlender for correction of class II dentofacial deformities: an uncontrolled experimental case-series study
AbstractPurposeTo assess whether virtual simulations of the projection of the soft tissues of the face after class II bimaxillary orthognathic surgery, generated from 3D reconstruction of preoperative computed tomography (CT) scans, differed significantly from the actual soft tissue profile obtained in the late postoperative period (beyond 6  months). Secondarily, to validate the accuracy of a free, open-source software suite for virtual soft tissue planning in orthognathic surgery.MethodsHelical CT scans were obtained pre- and postoperatively from 16 patients with Angle class II malocclusion who underwent bimaxillary...
Source: Oral and Maxillofacial Surgery - November 8, 2020 Category: ENT & OMF Source Type: research

A case of septic arthritis of the temporomandibular joint with necrotic peri-articular infection and Lemierre ’s syndrome: an unusual presentation
ConclusionCase reports describing such a severe course of the disease are few. Moreover, this is the first report of septic arthritis of the TMJ to cause Lemierre ’s syndrome. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 5, 2020 Category: ENT & OMF Source Type: research

The impact of lip-split mandibulotomy on patients treated for pT2 oral tongue squamous cell carcinoma: a study of 224 patients
ConclusionsDefects after excision of larger and more posterior tumours that are going to be reconstructed with free flaps represent a more probable indication for using an osteotomy access technique. Lip-split mandibulotomy is a low-morbidity technique which can deliver a sound oncological outcome and can be relatively easily taught to less experienced surgeons. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - November 3, 2020 Category: ENT & OMF Source Type: research

Infant mandibular distraction in absence of ascending ramus: case series
ConclusionEarly mandibular distraction, specifically bidirectional distraction, is an effective and repeatable technique that leads to mandible lengthening with counterclockwise rotation, pogonion projection increase, anteropositioning of the tongue base, and expansion of oropharyngeal volume with positive effect on the respiratory problems of the infant. Even in Treacher Collins patients, known to have a low decannulation rate, all of these elements are essential for effective speech and swallowing therapy and for a subsequent attempt of decannulation. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 31, 2020 Category: ENT & OMF Source Type: research

Tumefactive fibroinflammatory lesion of the maxilla:  Successful resection and microvascular reconstruction after failed medical therapy
AbstractTumefactive fibroinflammatory lesions (TFILs) of the head and neck are rare and benign but locally aggressive lesions. The etiology and pathogenesis of these lesions are unknown. Medical management is regarded the first line of treatment. Surgical management has been rarely reported for head and neck lesions. A 51-year-old female presented with a 6-month history of left facial swelling and pain that subsequently developed into progressive inframalar hollowing and asymmetry. Biopsies confirmed tumefactive fibroinflammatory lesion of the maxilla. Initial treatment with high-dose steroids led to temporary partial invo...
Source: Oral and Maxillofacial Surgery - October 31, 2020 Category: ENT & OMF Source Type: research

Identification of anterior loop in different populations to avoid nerve injury during surgical procedures —a systematic review and meta-analysis
AbstractExact recognition of the anterior loop is very important to avert any injury to the neurovascular bundle during surgical procedures. The purpose of this review was to evaluate the prevalence and length of the anterior loop in different populations. A comprehensive search of Medline/Pubmed and Cochrane database was done. The focused question was the presence of anterior loop (including loop length) of the inferior alveolar nerve in mental foramen region in CBCT images of the various subjects. Articles related to the presence of anterior loop (including loop length) were only included. Initial literature search resul...
Source: Oral and Maxillofacial Surgery - October 29, 2020 Category: ENT & OMF Source Type: research

Stabilization of anterior mandibular fracture using different osteosynthesis devices: perioperative clinical notes
ConclusionThe double lag screw and the single mini-locking plate are the most effective devices for primary bone healing of displaced mandibular symphysis/parasymphysis fractures which is attributed to their enhanced stability. Miniplates and microplates gave functionally well-balanced fixation and were also associated with higher patient convenience due to improved adaptability and relatively lower cost than locking plates. Cost-effectiveness of lag screws in comparison to bone plates is particularly beneficial in low-income countries. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 27, 2020 Category: ENT & OMF Source Type: research

Osteonecrosis of the jaws associated with protein kinase inhibitors: a systematic review
AbstractThis systematic review analysed evidence relating to medication-related osteonecrosis of the jaws (MRONJ) associated with protein kinase inhibitors in antiresorptive na ïve patients. A literature search of major biomedical databases was conducted in March 2020. Information extracted from relevant articles included bibliographic information, patient characteristics, MRONJ characteristics at diagnosis, management strategies and outcomes. Sixteen studies, representin g data from 17 patients, were included for final analysis. Descriptive statistics were used to synthesis available data. Eleven protein kinase inhib...
Source: Oral and Maxillofacial Surgery - October 10, 2020 Category: ENT & OMF Source Type: research

Utility of esthetic eyebrow incision in the management of anterior table fracture of frontal bone: our experience
ConclusionIn craniofacial trauma, frequently involved site is the frontal bone, and its treatment should be completed more esthetically. Eyebrow approach is a good alternative to other surgical approaches, and it is a minimally invasive technique and thus should be practiced for esthetic management of frontal bone fractures. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - October 5, 2020 Category: ENT & OMF Source Type: research

COMT rs4818, pain sensitivity and duration, and alveolar bone grafting of oral clefts
ConclusionCOMT rs4818 is associated with postoperative pain after alveolar bone grafting. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 28, 2020 Category: ENT & OMF Source Type: research

Puncture points related to the tragal-lateral canthus line in conventional temporomandibular joint arthrocentesis: are they accurate? A cadaver study
ConclusionThe traditional points related to the tragal-lateral canthus line seemed not to be accurate references for the insertion of the needles in conventional TMJ arthrocentesis when 1  mL of solution is used initially and the maximum mouth opening is not achieved. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 24, 2020 Category: ENT & OMF Source Type: research

Apical surgery in cancer patients receiving high-dose antiresorptive medication —a retrospective clinical study with a mean follow-up of 13 months
ConclusionsThe present case series suggest that apical surgery is a valid treatment option for apical periodontitis in patients on HDAR, where orthograde endodontic retreatment is not possible. None of the patients developed medication-related osteonecrosis of the jaw. Further studies in larger study groups and with longer follow-up periods are needed.The regional scientific ethical committee provided a document exemption, registration date 20 November 2013, and the local data protection agency approved handling of the recorded data (No. 2012-41-0045), registration date 11 January 2012. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 23, 2020 Category: ENT & OMF Source Type: research

Implant placement with sinus floor elevation via the lateral approach using only absorbable collagen sponge: 12-month post-loading radiographical outcomes and implant survival rate
ConclusionsWithin the limitations of this study, the placement of dental implants in conjunction with GLSLA using only a collagen sponge to fill the sinus compartment seems to be feasible and accompanied by a high implant survival rate. Further studies on a large population and with a longer follow-up are warranted to drawn definitive conclusions. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 21, 2020 Category: ENT & OMF Source Type: research

What is the relapse after Le Fort I maxillary advancement in cleft lip and palate patients? A systematic review
In conclusion, a relapse after maxillary advancement in patients with CLP is expected, being higher in vertical plane. Patients with UCLP and those who underwent bimaxillary surgery had a higher relapse rate. Due to the miscellaneous data and methodolo gies, future prospective clinical trials should apply rigorous selection of CLP patients sample and methods for variable analysis to obtain more accurate results. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 16, 2020 Category: ENT & OMF Source Type: research

Functional tongue and floor of mouth reconstruction with a chimeric flap after total glossectomy
AbstractPurposePresently, the functional reconstruction of the tongue in patients after subtotal or total glossectomy with the removal of the oral floor muscles and spearing of the larynx remains a complicated and unsolved issue. The aim of this case is to describe a method reconstruction of the tongue in patients after total glossectomy with the removal of the oral floor muscles using the chimeric latissimus dorsi and serratus anterior free flap (chimeric LD + SA flap) with motor innervation.MethodsA 62-year-old woman with advanced cancer of the oral cavity was submitted to total glossectomy and then reconstruction with a...
Source: Oral and Maxillofacial Surgery - September 13, 2020 Category: ENT & OMF Source Type: research

Cytokine Expression Pattern and Protein-Protein interaction network analysis of Leucocyte Rich Platelet Rich Fibrin and Injectable Form of Platelet Rich Fibrin
ConclusionOur study concludes that L-PRF and i-PRF act via different pathways that confirm functional variations between them. Therefore, we speculate that L-PRF may be effective in acute phase of chronic wounds such as in diabetes mellitus and immunocompromised patients whereas i-PRF may have a better outcome in acute wounds. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 10, 2020 Category: ENT & OMF Source Type: research

Does initial reduction at infra-orbital rim first improve malar height and vertical dystopia in ZMC fractures?
ConclusionThe results showed improvement in the malar height and vertical dystopia for infra-orbital first three-point fixation (group B) compared with F-Z first approach for initial reduction and fixation (group A). Furthermore, group B was better in terms of malar width and antero-posterior projection of the zygomaticomaxillary complex. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 9, 2020 Category: ENT & OMF Source Type: research

Objective and subjective comparison of submucosal and intravenous routes of single-dose preoperative dexamethasone for mandibular third molar surgery —a prospective randomized observer-blind study
AbstractPurposeAdjuvant corticosteroid administration through local routes has gained popularity due to ease of technique, lesser morbidity and presumed advantage of achieving therapeutic dosage at the site. To evaluate this, present study has compared submucosal route with an intravenous route control using single-dose preoperative dexamethasone. The study investigated objective facial measurements, mouth opening and compared them with subjective scores on a visual analogue scale and quality of life (QOL) recovery questionnaire.Materials and methodsThis was a prospective, randomized, open-label study with blinded end-poin...
Source: Oral and Maxillofacial Surgery - September 8, 2020 Category: ENT & OMF Source Type: research

Complications after osteosynthesis of craniofacial fractures —an analysis from the years 2015–2017
ConclusionOsteosynthesis is a safe method of treating facial skull fractures, which is why we consider it the gold standard of therapy. The complication rate is well below 5%. The 3-dimensional adaptation (bending) and shortening of the osteosynthesis implants do not lead to an increase in complications. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - September 2, 2020 Category: ENT & OMF Source Type: research

Arthrocentesis versus glucocorticosteroid injection for internal derangement of temporomandibular joint
This study was established to compare the effectiveness of two minimally invasive procedures: arthrocentesis and glucocorticosteroid (GCS) local single joint injection in the management of internal derangement of the TMJ.MethodsThirty patients aged from 18 to 42 years were included in this study with internal derangement which was confirmed clinically and with a cone beam CT scan. The patients were divided into two groups of 15 patients. Arthrocentesis was performed to one group (group A) by using Shepard ’s cannula and lactated Ringer’s solution. Glucocorticosteroid injection was done to the other group (group...
Source: Oral and Maxillofacial Surgery - August 31, 2020 Category: ENT & OMF Source Type: research

Alveolar iodine tampon packing after impacted third molar surgery improves oral health –related quality of life and postoperative sequela: a randomized study
This study included 87 patients (52 women and 35 men) with an average age of 26.47  years (SD, 6.36). The mean OHIP-14 sum scores were significantly lower in the iodine tampon group compared with the Monoject® syringe group. Mean PI-NRS scores significantly differed between the iodine tampon group (3.33; SE, 0.27) and Monoject® syringe group (4.46; SE, 0.27) (F (1, 85) = 8. 16,p 
Source: Oral and Maxillofacial Surgery - August 28, 2020 Category: ENT & OMF Source Type: research

Determination of alveolar bone height according to the relationship between molar teeth and maxillary sinus
This study aims to analyze alveolar bone height (ABH) in the maxillary molar area according to the anatomical relationship between maxillary sinus and maxillary molar teeth via cone beam computed tomography images.MethodsIn 330 patients, 660 maxillary first molar (M1) and 648 maxillary second molar (M2) were evaluated. ABH measurements were made as to the shortest distance between the furcation midpoints of maxillary molars and the lowest point of the sinus floor. After the measurement, the positions of the maxillary molar teeth relative to the maxillary sinus were classified into four categories as type 1, 2, 3, and 4.Res...
Source: Oral and Maxillofacial Surgery - August 28, 2020 Category: ENT & OMF Source Type: research

Development of Kikuchi –Fujimoto disease after a cervical lymph node metastasis of mucoepidermoid carcinoma: a case report
We report the case of a 24-year-old woman who presented with KFD after surgery to treat a mucoepidermoid carcinoma of the palate and dissection of the left neck. The patient presented with a fever and right cervical lymphadenopathy when she visited ou r department for a regular follow-up related to the mucoepidermoid carcinoma. The results of computed tomography and ultrasonography evaluations led to a clinical diagnosis of lymph node metastasis, and a right neck dissection was performed. However, the pathological tissue analysis did not suggest malignancy but showed necrosis and various cellular infiltrates. We made a dia...
Source: Oral and Maxillofacial Surgery - August 26, 2020 Category: ENT & OMF Source Type: research

Incidental cervical lymph node metastasis of papillary thyroid cancer in neck dissection specimens from a tongue squamous cell carcinoma patient: a case report
We report a rare case of lymph node metastasis of papillary thyroid cancer (PTC) incidentally detected in a neck dissection specimen of tongue squamous cell carcinoma (SCC). A 42-year-old Japanese woman was diagnosed with tongue SCC (T1N0M0, Stage I). Partial glossectomy with supraomohyoid neck dissection was performed under general anesthesia, and histopathological examinations revealed primary SCC of the tongue and neck metastasis of PTC in neck dissection specimens. A few months later, total thyroidectomy and left modified radical neck dissection were performed by thyroid surgeons. The histopathological diagnosis was PT...
Source: Oral and Maxillofacial Surgery - August 22, 2020 Category: ENT & OMF Source Type: research

Reconstruction using sternocleidomastoid muscle flap versus posterior belly of digastric muscle flap compared with no reconstruction following superficial parotidectomy
ConclusionPrimary closure showed the worst results regarding cosmetic deformity. Hence, it is recommended to mandatorily reconstruct the defect. However, the sternocleidomastoid muscle flap is a better cosmetic option compared with posterior belly of digastric muscle flap. In cases with larger defects, a combination of both the flaps can be used. SCM flap also lowers the incidence of Frey syndrome objectively and subjectively with no reported hazard of the spinal accessory nerve and mildly affected neck movements. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 20, 2020 Category: ENT & OMF Source Type: research

Cervicofacial actinomycosis following third molar removal: case-series and review
AbstractActinomycosis is an opportunistic infection caused by bacteria of theActinomyces spp., commonlyA. israelii. These are non-pathogenic commensals in the mouth, gut, and female genital tract. An infection may arise following trauma or surgery, such as tooth extraction. More than half of cases of actinomycosis occur in the perimandibular area and are termed cervicofacial actinomycosis. Initially, the infection develops as a painful, rapidly progressive swelling. The lesion may then indurate and is often painless while the overlying skin discolors red to purple-blue. Prolonged treatment with antibiotics and surgery are ...
Source: Oral and Maxillofacial Surgery - August 19, 2020 Category: ENT & OMF Source Type: research

Bee wax and honey —a primer for OMFS
AbstractBeeswax is the natural secretion from the wax gland of the genusApis mellifera andApis cerana whereas honey is a by-product of flower nectar and the upper aero-digestive tract of the honey bee. The introduction of beeswax and honey to clinical use dates back to the fourteenth century but subsequently it was restricted to the cosmetic and food industry. With the emerging trend of using natural resources as cure for many diseases, beeswax and honey have regained its popularity in medical field. The presented manuscript describes the production, composition, and attempts to highlight the uses of beeswax, honey, and ad...
Source: Oral and Maxillofacial Surgery - August 18, 2020 Category: ENT & OMF Source Type: research

Neck dissection with harmonic instruments and electrocautery: a prospective comparative study
ConclusionsIn contrast to what has been reported up to now, our study did not reveal a net advantage in the use of harmonic instruments with respect to classical instruments in terms of surgical outcome. On the contrary, harmonic tools had a higher complication rate (i.e., salivary fistula and lymphatic leak) probably due to the decreased ability of this instruments to permanently close glandular structures and lymphatic ducts. In these cases, a closure technique such as electrocautery or classic knot-tying should be used. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 17, 2020 Category: ENT & OMF Source Type: research

Healing at implants installed in osteotomies prepared either with a piezoelectric device or drills: an experimental study in dogs
ConclusionsThe use of a piezoelectric device for implant site preparation is a safe procedure that allows a proper integration since the early periods of healing similar to that observed using conventional drills. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - August 14, 2020 Category: ENT & OMF Source Type: research

Co-existence of cheilitis glandularis and actinic cheilitis — an update
AbstractCheilitis Glandularis (CG) is a chronic inflammatory disorder with no specific etiology that affects the minor salivary glands of the lips. The main characteristic of this condition consists of the exit of thick saliva or mucopurulent secretion through the dilated ducts present in the vermilion border of the lip, associated to varying degrees of macrocheilia. In this article we report the case of a male patient, leucoderma, 48 years old, that exhibited actinic cheilitis and glandular cheilitis. We emphasized the clinical management, diagnosis criteria and treatment, taking into consideration that GC is a rare condi...
Source: Oral and Maxillofacial Surgery - July 31, 2020 Category: ENT & OMF Source Type: research

Healing at implants installed from ~ 70- to & lt; 10-Ncm insertion torques: an experimental study in dogs
AbstractObjectiveTo evaluate histologically the early healing at implants installed with different insertion torquesMaterial and methodsThree months after the extraction of the mandibular premolars and of the first molars, two implants were installed monolaterally in the premolar and two in the molar regions of the edentulous alveolar ridge of twelve dogs. The recipient sites were prepared using drills of different diameter to obtain insertion torque of different values, i.e., 30  Ncm (control) or ~ 70 Ncm (test) in the premolar region, and
Source: Oral and Maxillofacial Surgery - July 28, 2020 Category: ENT & OMF Source Type: research

Analgesia and side effects of codeine phosphate associated with paracetamol vs. paracetamol after the extraction of mandibular third molars: a randomized double-blind clinical trial using the split-mouth model
AbstractPurposeTo assess the analgesia and side effects of codeine phosphate associated with paracetamol (test medication) as compared to paracetamol (control medication) after the extraction of impacted mandibular third molars.Materials and methodsForty-seven patients removed the right and left impacted mandibular third molars. After one surgery, patients took the test medication and after the other surgery, they took the control medication. Patients with exacerbated pain were prescribed to use the rescue medication instead of the medication initially administered and were included in the rescue group. They were evaluated...
Source: Oral and Maxillofacial Surgery - July 27, 2020 Category: ENT & OMF Source Type: research

Reconstruction of mandible using a computer-designed 3D-printed patient-specific titanium implant: a case report
ConclusionBecause titanium implants are customizable, easily workable especially with help of 3D virtual planning techniques, bioinert, and nonporous, they represent an ideal alloplastic material for mandibular reconstruction. (Source: Oral and Maxillofacial Surgery)
Source: Oral and Maxillofacial Surgery - July 27, 2020 Category: ENT & OMF Source Type: research