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Oral and Maxillofacial Surgery

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https://www.readbyqxmd.com/read/30327981/total-mandibular-reconstruction-following-diffuse-sclerosing-osteomyelitis
#1
Jan Rustemeyer, Birte Julia Siegmund, Yunus Okcu, Alexander Busch
BACKGROUND: Diffuse sclerosing osteomyelitis (DSO) is a non-purulent chronic recurrent inflammation and affects the mandible in many cases. Belonging to the group of autoinflammatory diseases, in children and in cases with various additional symptoms including synovitis, acne, pustulosis, hyerostosis, and osteitis (SAPHO syndrome), therapy usually consists of non-surgical treatment. Against this background, we present an unusual course of DSO in an adult female patient. CASE REPORT: A 50-year-old female suffering from DSO without SAPHO syndrome was pretreated for years with conservative drug regimens and local surgery...
October 16, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30288621/necrotizing-fasciitis-as-a-complication-of-osteonecrosis-of-the-jaw-related-to-oral-bisphosphonate-application-in-a-patient-with-osteoporosis-a-case-report
#2
David Steybe, Pit Jacob Voss, Michael Andreas Ermer, Marc Anton Fuessinger, Rainer Schmelzeisen, Philipp Poxleitner
BACKGROUND: Necrotizing fasciitis has been reported as a complication secondary to bisphosphonate-related osteonecrosis of the jaw (BRONJ) in a low number of patients. The only report of such a case in an osteoporosis patient found in current literature was related to short-term bisphosphonate but long time corticosteroid and methotrexate treatment. CASE PRESENTATION: In this article, we report a case of necrotizing fasciitis secondary to osteonecrosis of the jaw related to long-term oral bisphosphonate treatment in an osteoporosis patient additionally suffering from poorly controlled type 2 diabetes...
October 5, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30206745/a-novel-noise-filtered-and-occlusion-removal-navigational-accuracy-in-augmented-reality-based-constructive-jaw-surgery
#3
Bijaya Raj Basnet, Abeer Alsadoon, Chandana Withana, Anand Deva, Manoranjan Paul
PURPOSE: Augmented reality-based constructive jaw surgery has been facing various limitations such as noise in real-time images, the navigational error of implants and jaw, image overlay error, and occlusion handling which have limited the implementation of augmented reality (AR) in corrective jaw surgery. This research aimed to improve the navigational accuracy, through noise and occlusion removal, during positioning of an implant in relation to the jaw bone to be cut or drilled. METHOD: The proposed system consists of a weighting-based de-noising filter and depth mapping-based occlusion removal for removing any occluded object such as surgical tools, the surgeon's body parts, and blood...
September 11, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30345483/effects-of-boric-acid-on-bone-formation-after-maxillary-sinus-floor-augmentation-in-rabbits
#4
Murat Ulu, Nükhet Kütük, Muhammet Furkan Cıcık, Suheyb Bilge, Hüseyin Akçay, Suna Saygılı, Mehmet İbrahim Tuğlu, Alper Alkan
PURPOSE: Augmentation of the maxillary sinus floor with bone grafting is commonly used for successful treatment of edentulous posterior maxilla with dental implants, and it is essential to maintain good bone volume and quality for long-term success of dental implants. The aim of this experimental study was to investigate the local and systemic effects of boric acid on new bone formation after maxillary sinus floor augmentation (MSFA). MATERIALS AND METHODS: Twenty-four male, New Zealand rabbits were randomly divided into three groups with eight rabbits each, and bilateral MSFA was performed in each animal...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30341473/a-novel-treatment-of-temporomandibular-joint-arthritis-as-a-complication-in-familial-mediterranean-fever-literature-review-and-a-case-report
#5
REVIEW
Boaz Frenkel, Tal Berg, Amir Totry, Adi Rachmiel
OBJECTIVES: Articular involvement in familial Mediterranean fever (FMF) ranges between 40 and 70% of the patients. Involvement of temporomandibular joint (TMJ) in FMF is very rare, and only a few cases have been reported in the literature. There are no specific guidelines for treatment. We hereby present a new treatment for TMJ inflammation in FMF. MATERIALS AND METHODS: A literature search was performed using PubMed according to the following criteria: key terms included in the search were FMF arthritis, TMJ involvement in FMF patients, and arthroscopy in FMF patients...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30327982/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
#6
Darpan Bhargava, Rajkumar Ahirwal, Ganesh Koneru, Balaji R Srikanth, Sivakumar Beena
PURPOSE: To determine the quantity of dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone when co-administered with inferior alveolar nerve block correlating with the clinical effects in the postoperative phase. OBJECTIVE: A preliminary prospective study to evaluate the dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone with 2% lignocaine inferior alveolar nerve block to achieve hemi-mandibular anesthesia for minor oral surgical procedures and derive clinical correlations...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30327980/complication-rate-in-mandibular-angle-fractures-one-vs-two-plates-a-12-year-retrospective-analysis
#7
Raphael Ferrari, M Lanzer, D Wiedemeier, M Rücker, M Bredell
PURPOSE: Treatment 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 METHODS: We analyzed retrospective medical records using the search terms "mandibular angle fracture...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30327979/a-literature-review-of-perioperative-antibiotic-administration-in-surgery-for-medication-related-osteonecrosis-of-the-jaw
#8
REVIEW
Masaya Akashi, Junya Kusumoto, Daisuke Takeda, Takashi Shigeta, Takumi Hasegawa, Takahide Komori
PURPOSE: Few studies exist that focus on the details of perioperative antibiotic administration for surgery to treat medication-related osteonecrosis of the jaw (MRONJ). The regime and duration of perioperative antibiotics applied in published studies were reviewed to clarify appropriate perioperative antibiotic use in MRONJ surgery. METHODS: A literature search was conducted using the MEDLINE database via PubMed. RESULTS: The search resulted in 453 hits on PubMed...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30324508/-sodium-bicarbonate-an-adjunct-to-painless-palatal-anesthesia
#9
Savina Gupta, Ashok Kumar, Amit Kumar Sharma, Jeetendra Purohit, Jai Singh Narula
PURPOSE: It is believed that whenever we inject local anesthesia into the palate it is a painful experience for the patients. The aim of this study was to make palatal anesthesia painless by adding 7.4% sodium bicarbonate as an adjunct in local anesthesia. METHODS: Fifty subjects requiring extraction of maxillary bilateral premolar teeth for orthodontic purpose free from periapical infections. These extractions were divided in such a way that all right-sided extractions were done under 2% lignocaine with 1:80,000 adrenaline; and all left-sided extractions were done under 2% lignocaine with 1:80,000 adrenaline with 7...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30302602/comparison-of-erich-arch-bar-versus-embrasure-wires-for-intraoperative-intermaxillary-fixation-in-mandibular-fractures
#10
Ashish Shrikant Satpute, Syed Ahmed Mohiuddin, Amol Madhukar Doiphode, Sujay Sanjay Kulkarni, Ahtesham Ahmad Qureshi, Swapnil Bharat Jadhav
PURPOSE: Intermaxillary fixation (IMF) is a fundamental principle in the management of mandibular fractures but with recent advent of open reduction and internal fixation (ORIF), use of IMF is almost limited intraoperatively. Therefore, we compared the efficacy of Erich arch bar versus embrasure wires for intraoperative IMF in mandibular fractures. METHOD: This prospective study was comprised of 50 patients with mandibular fractures who required ORIF with intraoperative IMF...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30298214/incidental-finding-of-subgemmal-neurogenous-plaque-upon-retrospective-evaluation-of-oral-lymphoepithelial-cysts
#11
Marcos Custódio, Priscila Lie Tobouti, Bruno Matuck, Suzana C O M de Sousa
PURPOSE: We aimed to compare the histomorphological features of oral lymphoepithelial cysts (OLC) in different locations of the oral cavity and to verify the association between oral lymphoepithelial cysts and subgemmal neurogenous plaque (SNP) on biopsies from the lateral border of the tongue. METHODS: All cases diagnosed as OLC from the Oral Pathology Service at the School of Dentistry/University of São Paulo were retrieved. For all the cysts located in the tongue, their association to SNP was analyzed...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30284072/a-new-case-of-the-pilomatrixoma-rare-in-the-preauricular-region-and-review-of-series-of-cases
#12
Tiago Novaes Pinheiro, Flavio Têndolo Fayad, Pedro Arantes, Francine Benetti, Gustav Guimarães, Luciano Tavares Angelo Cintra
Pilomatrixoma is considered a rare benign tumor arising from the hair follicle, most common in the head and neck region, but it is rarely diagnosed on a clinical basis. 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...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30255279/pre-arthroplastic-mandibular-distraction-osteogenesis-for-the-correction-of-osa-in-tmj-ankylosis-a-prospective-observational-study-of-25-cases
#13
Neelam Noel Andrade, Paul C Mathai, Sriram Ganapathy, Neha Aggarwal, Kamil Rajpari, Trupti Nikalje
INTRODUCTION: In severe TMJ ankylosis cases, the lack of growth of the mandible creates an anatomically narrow airway with a reduced pharyngeal airway space [PAS] which predisposes these patients towards obstructive apnoea [OSA]. There is evidence in the literature that such patients experience severe discomfort during physiotherapy if such airway abnormalities are not corrected prior to ankylosis release. This eventually leads to non-compliance towards physiotherapy and increases the risk of re-ankylosis...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30238329/surgical-management-of-oral-submucous-fibrosis-using-buccal-fat-pad-a-retrospective-study-of-30-cases
#14
Himanshu Thukral, Sanjay Kumar Roy Chowdhury, Shakil Ahmed Nagori
The 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)...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30203137/versatility-of-uniplanar-prearthoplastic-distraction-osteogenesis-in-the-correction-of-post-ankylosis-facial-deformities-a-report-of-five-different-cases
#15
Neelam N Andrade, N Aggarwal, Paul Mathai, S Nerurkar
PURPOSE: Unilateral or bilateral ankylosis can lead to severe micrognathia and facial deformity that requires multiple, often, staged surgical corrections. To date, there is no ideal treatment modality that satisfactorily corrects the complex anatomy, restores the ramal height, and corrects the micrognathia and microgenia. Distraction osteogenesis has been acclaimed as a successful modality for the treatment of such deformities. It is a cost-effective approach with low morbidity and less relapse thus providing better functional and esthetic outcomes...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30196484/the-use-of-intra-articular-analgesics-to-improve-outcomes-after-temporomandibular-joint-arthrocentesis-a-review
#16
REVIEW
Venkatesan Gopalakrishnan, Shakil Ahmed Nagori, Sanjay Kumar Roy Chowdhury, Vivek Saxena
PURPOSE: The aim of this review was to assess the efficacy of intra-articular analgesics in improving outcomes after temporomandibular joint (TMJ) arthrocentesis. MATERIAL AND METHODS: An electronic search of PubMed, Scopus, and Google scholar databases was performed for papers in English published up to December 2017 reporting the use of intra-articular analgesics after TMJ arthrocentesis. Randomized controlled trials (RCTs), controlled clinical trials (CCTs), comparative studies, retrospective studies, and case series were included while case reports, technical reports, animal studies, cadaveric studies, and review papers were excluded...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30191338/is-conservative-surgery-a-better-choice-for-the-solid-multicystic-ameloblastoma-than-radical-surgery-regarding-recurrence-a-systematic-review
#17
Yuri Slusarenko da Silva, Natalia Aguiar Tartaroti, Daniel Isaac Sendyk, Maria Cristina Zindel Deboni, Maria da Graça Naclério-Homem
PURPOSE: Determine if conservative surgery of primary solid/multicystic ameloblastoma (SMA) is capable of decreasing the recurrence rate as effectively as radical surgery. METHODS: We 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...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30178154/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
#18
Luciano Teles Gomes, Carlos Fernando de Almeida Barros Mourão, Cícero Luiz Braga, Luiz Fernando Duarte de Almeida, Rafael Coutinho de Mello-Machado, Mônica Diuana Calasans-Maia
BACKGROUND AND OBJECTIVE: To evaluate the prevalence, location, length, diameter, and distances related to the incisive canal (IC) and the need for cone beam computed tomography (CBCT) as a complementary exam prior to surgery in the mental region. MATERIALS AND METHODS: One hundred CBCT images from patients of both genders aged 27 to 73 years were evaluated. At every 3 mm, the diameter (DIAM) of the right and left ICs and their location, their distance to base of the jaw (BIC), the buccal (BAIC) and lingual (LAIC) aspects, and their length were measured...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30173371/use-of-a-generic-violet-light-in-the-surgical-management-of-medication-related-osteonecrosis-of-the-jaws-a-technical-note
#19
Caroline Ballardin, Cecilia Luiz Pereira-Stabile, Glaykon Alex Vitti Stabile
PURPOSE: Fluorescence-guided surgery has been recommended for the diagnosis of bone margins in cases of mandibular osteonecrosis. In this article, we report a case in which a generic violet light was used in order to activate bone fluorescence after the administration of tetracycline derivatives, as an alternative to a specific, more expensive equipment that is commercially available for this purpose. The patient had been using alendronate for osteoporosis, resulting in medication-related osteonecrosis of the jaws...
December 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/30167901/bifurcation-of-external-jugular-vein-an-anatomical-variation-during-neck-dissection
#20
Santhosh Rao, Sameer Pandey, Yogesh Kumar, Sruthi Rao
BACKGROUND: The pattern of venous drainage of head and neck involves single external jugular vein bilaterally. METHODS AND RESULTS: We report a case of bifurcation of the external jugular vein observed during a neck dissection procedure. CONCLUSIONS: Anatomical 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...
December 2018: Oral and Maxillofacial Surgery
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