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Journal of Maxillofacial and Oral Surgery

Karl F B Payne, Punam Kalirai, Vijay Thirunavukarasu
No abstract text is available yet for this article.
December 2016: Journal of Maxillofacial and Oral Surgery
Mansi Pabari, Raghav Shrotriya
No abstract text is available yet for this article.
December 2016: Journal of Maxillofacial and Oral Surgery
Carlos Moreno García, Raúl González-García, Manuel Moreno-Sánchez, María Asunción Pons García, Florencio Monje
INTRODUCTION: Defects in the central region of the upper lip are difficult to repair. DISCUSSION: Several techniques have been described, many of them requiring a second surgical procedure to obtain acceptable aesthetic results. CASE REPORT: A patient with a soft defect in the central region of the upper lip following aggression by human bite is presented. To repair the defect, the principles described by Goldstein for lateral lip defects were used (Goldstein in Plast Reconstr Surg 85(3):446-452, 1990; Robotti et al...
December 2016: Journal of Maxillofacial and Oral Surgery
S M Kotrashetti, Gunjan Dube, Bhushan Thakkar, Manav Ahuja
PURPOSE: Cleft palate repair mandates use of a mouth gag and Dingmans moth gag is the most commonly used for the same; but the use of Dingmans mouth gag may have the demerit of the suture getting tethered at various places of the instrument during cleft palate closure particularly in the hands of the beginner surgeon. METHOD: This article discusses about a simple technique of using a rubber dam sheet to cover the frame of the mouth gag. CONCLUSION: The technique discussed in this article is simple, cost effective method to overcome the potential disadvantage of suture adherence during repair of palatal tissue...
December 2016: Journal of Maxillofacial and Oral Surgery
Adarsh Kudva, K M Carriappa, Abhay Kamath, A Chithra
A Sialocele or salivary pseudocyst is due to extravasation of saliva into periglandular tissue due to disruption of gland parenchyma. Various techniques of management have been described in literature; both conservative and surgical management have been documented. We report a simple economical and efficient method to deal with sailocele presenting after neck dissection.
December 2016: Journal of Maxillofacial and Oral Surgery
Shrikant Balasaheb Mali
Changes in patient anatomy may occur either from a tumour volume, position or function of a specific organ at risk, or target volume, weight loss or a reduction in postoperative oedema, and may vary between patients. Adaptive radiotherapy aims to correct morphological variations by realizing one or more plans during the treatment course. Imaging is used to detect these variations, thereby deciding on a potential replanning. At present, adaptive radiotherapy for head neck cancer (HNC) mainly deals with treatment response, such as weight loss or tumor shrinkage...
December 2016: Journal of Maxillofacial and Oral Surgery
S R Shenoi, Chinmay Rao
INTRODUCTION: Arch bars are regularly used in the management of dentoalveolar and minimally displaced fractures of the maxilla or mandible and luxation or avulsion of teeth by maxillofacial surgeons. The procedure for arch bar placement has remained unchanged over the period of years, and this coupled with the difficulty in maintenance of oral hygiene is a problem that begs attention. TECHNIQUE: We have devised a technique to overcome these hurdles and achieve adequate intramaxillary splinting...
December 2016: Journal of Maxillofacial and Oral Surgery
A B Tarun Kumar, M G Triveni, V Priyadharshini, D S Mehta
AIM AND OBJECTIVES: Edentulism is an incapacitating and irretrievable condition which can lead unswervingly to functional limitation, physical, psychological and social handicap. Maintenance of bone after tooth loss to improve retention, function, and performance of the restoration is a challenging task. The existence of a thin edentulous ridge signifies a clinical situation that is more complex for the placement of endosseous implants. Dental rehabilitation of the edentulous ridges with oral implants has become a routine treatment modality in the last few decades with consistent long term results...
December 2016: Journal of Maxillofacial and Oral Surgery
Sridhar Reddy Kanubaddy, Sathya Kumar Devireddy, Kishore Kumar Rayadurgam, Rajsekhar Gali, Mallikarjun Rao Dasari, Sivaganesh Pampana
PURPOSE: This prospective study was conducted to evaluate the efficacy of stainless steel single linear miniplate with rectangular grid plate in the treatment of mandibular angle fractures. METHODS: This study included 30 patients who were allocated randomly into two groups of each. Group 1 patients were treated with single 2 mm × 4 hole linear stainless steel miniplate and group 2 patients with 2 mm × 4 hole rectangular grid plate. Patients were evaluated for fracture stability, occlusion, mouth opening, and complications at 1st week, 1 and 3 months post operatively...
December 2016: Journal of Maxillofacial and Oral Surgery
K Mustafa, Fatima Shehzana, H Hari Kishore Bhat
OBJECTIVES: To prospectively analyze the amount of alar flare, factors contributing to alar flare and efficacy of cinch suture as an adjunctive procedure for alar flare reduction. STUDY DESIGN: Thirty adult patients with vertical maxillary excess, who underwent Le Fort 1 impaction, were divided into 2 groups of 15 each. Alar cinch was performed as an adjunct procedure in group 2 patients and results were compared to group 1 which was the control group. Measurements were made on the patients and on 1:1 standardized photographs...
December 2016: Journal of Maxillofacial and Oral Surgery
Ashish Gupta, Pankaj Bansal, Rahul Sharma, Sneha D Sharma
AIM: This prospective study aimed at presenting different treatment modalities and its association with the recurrence rate of KCOT. MATERIAL AND METHOD: The study was conducted on 30 patients diagnosed with KCOT between March 2009 and 2012. The patients were followed up for a period of at least 1 year. The clinical, radiographic and demographic data were recorded and four different treatment modalities were followed to assess the recurrence of the tumour. RESULTS: In the study, KCOT showed male predominance with a male: female ratio of 23:7...
December 2016: Journal of Maxillofacial and Oral Surgery
Arpan Tahim, Hitesh Bansal, Alexander M C Goodson, Karl F B Payne, Sanjeeve Sabharwal
INTRODUCTION: Open access (OA) publication has become an increasingly common route for dissemination of scientific research findings. However, it remains a contentious issue with continued debate as to its impact on the peer-review process and a potential change in the quality of subsequent evidence published. There is little research that looks into OA in oral and maxillofacial surgery. METHODS: We investigated the OA policy in the 30 relevant journals listed in the Institute for Scientific Information Web of Knowledge journal citation report, comparing bibliometric data and quality of evidence produced in journals offering OA and those with subscription-only policies...
December 2016: Journal of Maxillofacial and Oral Surgery
Sujeeth Kumar Shetty, Garima Aggarwal
BACKGROUND: This study was conducted to evaluate the utility and effectiveness of Intranasal Dexmedetomidine on Sedation status and pain experience of the patients undergoing surgical extraction of impacted third molar. MATERIALS AND METHODS: In this double-blind, split mouth study, in 15 patients, evaluations pertaining to classes of third molar impaction was done. Each patient was randomly assigned to receive either intranasal normal saline (placebo group) or intranasal 1...
December 2016: Journal of Maxillofacial and Oral Surgery
Gokkulakrishnan Sadhasivam, Satya Bhushan, Kho Chai Chiang, Neha Agarwal, P L Vasundhar
PURPOSE: Discontinuation of anti-platelet therapy increases the risk of thrombotic complications whereas its continuation is believed to increase the risk of prolonged post-extraction bleeding. We therefore, performed this study to evaluate the risk of significant bleeding following dental extractions and also to assess the necessity of discontinuing anti-platelet therapy. PATIENTS AND METHODS: Three hundred patients requiring dental extraction were included in the study in which 200 patients were on anti-platelet therapy...
December 2016: Journal of Maxillofacial and Oral Surgery
N K Sahoo, I D Roy, Shamsher Dalal, Amit Bhandari
BACKGROUND: Severe obstructive sleep apnoea (OSA) is a life threatening condition associated with Pierre Robin sequence (PRS) due to mandibular micrognathia and glossoptosis. Often these patients require tracheostomy at an early age which has high morbidity. Distraction osteogenesis (DO) is an accepted method of treatment for patients with hypoplastic mandible to achieve mandibular lengthening without need for a bone graft. It has also been used in respiratory distressed neonates and infants to avoid tracheostomy...
December 2016: Journal of Maxillofacial and Oral Surgery
Shilpa S Bawane, Neelam N Andrade
AIMS OF THIS STUDY: (1) To highlight the role of intraoral submerged device in distraction osteogenesis (DO) of patients requiring two jaw surgeries for the correction of severe developmental maxillary hypoplasia (MH) and mandibular prognathism (MP) (2) To analyse the hard and soft tissue changes following maxillary DO and mandibular setback with bilateral sagittal split osteotomy (BSSO) in patients with severe MH and MP requiring two jaw surgeries. MATERIALS AND METHODS: During the period Jan 2004 to Dec 2006, five patients with severe developmental MH along with MP were treated...
December 2016: Journal of Maxillofacial and Oral Surgery
R Vimalraj, N Jayakumar, K George Varghese, S Mohan, Bobby John, Somil Chhag
INTRODUCTION: Surgical correction of the patients with mandibular asymmetry by bilateral sagittal split ramus osteotomy (BSSRO) creats remarkable results in the immediate post operative period, but it carries a high risk of relapse by powerful muscle forces and the osteotomized segments. To minimize this risk, literatures highlight the procedure of an intentional osteotomy and stripping of muscles. A prospective study was conducted in Government Dental College, Kottayam, Kerala, to assess the effect of intentional osteotomy of posterior part of distal segment and stripping of medial pterygoid muscle on the proximal segment on affected side in mandibular asymmetry patients treated with BSSRO...
December 2016: Journal of Maxillofacial and Oral Surgery
Alice Guyon, Romain Bosc, Frederic Lange, Nicolas Ortonne, Françoise Plantier, Olivier Chosidow, Pierre Wolkenstein, Barbara Hersant, Jean-Paul Meningaud
PURPOSE: The treatment of lip carcinomas needs tumor surgical resection with safety margins respect. The aim of this study was to report the oncologic and aesthetic/functional outcomes of a retrospective monocentric case series of 39 patients treated for cutaneous lip cancer. METHODS: This retrospective study assessed 56 patients who were treated for a lip carcinoma between 2008 and 2012 and included 39 patients with cutaneous lip basal cell carcinoma or squamous cell carcinoma...
December 2016: Journal of Maxillofacial and Oral Surgery
Farhad B Naini, Martyn T Cobourne, Fraser McDonald, David Wertheim
AIM: The submental-cervical angle may alter as a result of mandibular orthognathic surgery and/or the ageing process and is therefore an important facial aesthetic parameter for comparative diagnosis and treatment planning. The purpose of this study was to undertake a quantitative evaluation of the influence of the submental-cervical angle on perceived attractiveness and threshold values of desire for surgery. STUDY DESIGN: The submental-cervical angle of an idealized profile silhouette image was altered incrementally between 90° and 130°...
December 2016: Journal of Maxillofacial and Oral Surgery
Jimoh Olubanwo Agbaje, Ahmed Sobhy Salem, Ivo Lambrichts, Luc Daems, Paul Legrand, Constantinus Politis
OBJECTIVES: The objective of the study was to show the importance of intraoperative computed tomography as an aid for ensuring inferior alveolar nerve safety during bilateral sagittal split osteotomy. MATERIALS AND METHODS: This study included ten patients who underwent bilateral sagittal split osteotomy procedure. All patients were treated for orthognathic reasons. The unerupted lower third molars, if present, were removed at least 6 months prior to Sagittal Split Osteotomy...
December 2016: Journal of Maxillofacial and Oral Surgery
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