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oral and maxillofacial trauma

Horaţiu Cristian Mânea, Horaţiu Constantin Urechescu, Nicolae Constantin Balica, Marius Octavian Pricop, Flavia Baderca, Mărioara Poenaru, Ioana Delia Horhat, Emilia Manuela Jifcu, Raluca Maria Cloşca, Cristian Andrei Sarău
INTRODUCTION: Osteonecrosis of the jaw (ONJ) is a multifactorial condition associated with bisphosphonates (BPs) treatment, head and neck irradiation, malignancy, chemotherapy, periodontal disease or trauma. The first cases of BPs-related ONJ (BRONJ) were reported over a decade ago. PATIENTS, MATERIALS AND METHODS: The study was retrospective and analyzed archived material. The study included 38 patients diagnosed and treated in the Clinic of Oral and Maxillofacial Surgery, Emergency City Hospital, Timişoara, Romania, for BRONJ, between 2013 and 2016...
2018: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
X Q Wang, D Y Ma
With the introduction of the concept of precision surgery and the development of modern compound operating rooms, intraoperative computerized tomography (ICT) came into being. Due to the multidisciplinary nature of ICT, its use in oral and maxillofacial surgery has also been increasing in recent years. This article describes the application of ICT in oral and maxillofacial trauma, orthognathic surgery, and craniofacial tumor treatment, and analyzes its advantages and limitations.
December 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Joab Cabral Ramos, Mirla Lays Dantas de Almeida, Yan Carlos Gomes de Alencar, Luís Ferreira de Sousa Filho, Camila Helena Machado da Costa Figueiredo, Manuella Santos Carneiro Almeida
OBJECTIVE: to study the epidemiological data of patients suffering from buccomaxillofacial trauma treated at a referral hospital in the State of Paraíba. METHODS: we conducted a cross-sectional study of inductive approach, with a comparative statistical procedure and research technique by field direct documentation. The sample comprised hospital records obtained from January 2016 to December 2017 of patients attended by the Service of Buccomaxillofacial Surgery and Traumatology of this hospital, and consisted of 332 patients according to the study's eligibility criteria...
November 29, 2018: Revista do Colégio Brasileiro de Cirurgiões
Kevan Guilherme Nóbrega Barbosa, Ítalo de Macedo Bernardino, Gigliana Maria Sobral Cavalcante, Efigênia Ferreira E Ferreira, Renata de Castro Martins, Sérgio d'Avila
PURPOSE: To determine the prevalence of oral-maxillofacial trauma among Brazilian victims of physical aggression and identify its associated factors from a medico-legal and forensic perspective. MATERIALS AND METHODS: A cross-sectional study was carried out involving the analysis of complete medico-legal and social reports of 3668 victims of physical aggression treated at a centre of legal medicine and forensic dentistry over the course of four years. The dependent variable was the occurrence of oral-maxillofacial trauma...
December 3, 2018: Oral Health & Preventive Dentistry
Dawood Ali-Alsuliman, El-Hakim Ibrahim, Ramat Oyebunmi Braimah
Introduction: Zygomatic bone (ZB), also known as the cheekbone, articulates with the maxilla, temporal sphenoid, and the frontal bones. It forms the prominence of the cheek and part of the orbit, and because of its prominence, it is susceptible to trauma. The aim of this study was to present the pattern of ZB fracture in a country in the Middle East. Patients and Methods: The medical records of all trauma cases admitted to the Department of Oral and Maxillofacial Surgery Ward, Riyadh Dental Centre, King Saud Medical City, Riyadh, Saudi Arabia, were reviewed and all cases with ZB fractures were included in this study from December 2002 to December 2012...
July 2018: Journal of Emergencies, Trauma, and Shock
Ítalo de Macedo Bernardino, Lorena Marques da Nóbrega, José Régis Cordeiro da Silva, Carmen Lúcia Soares Gomes de Medeiros, Ricardo Alves de Olinda, Sérgio d'Ávila
OBJECTIVES: To investigate the spatial and spatial-temporal distribution of oral and maxillofacial injuries caused by urban violence, as well as to identify underlying disparities at regional level through a geostatistical approach. METHODS: This was a historical ecological cohort study of trauma cases caused by urban violence using aggregate data from victims assisted in a Brazilian medical-forensic service between January 2012 and December 2015. The longitudinal patterns of change observed in each geographic area (neighbourhoods) were evaluated using the finite mixture model (FMM)...
October 15, 2018: Community Dentistry and Oral Epidemiology
Adel Hamed Elbaih, Doaa A El-Sayed, Ahmed E Abou-Zeid, Ghada K Elhadary
PURPOSE: Maxillofacial injuries are commonly encountered in the practice of emergency medicine. More than 50% of patients with these injuries have multisystem trauma that requires coordinated management between emergency physicians and surgical specialists in oral and maxillofacial surgery, otolaryngology, plastic surgery, ophthalmology, and trauma surgery. The aim of this study is to identify the patterns of brain injuries associated with maxillofacial trauma and its outcome. METHODS: This descriptive study (cross-sectional) was carried out among 90 polytrauma patients with maxillofacial fractures attending the Emergency Department at Suez Canal university Hospital and fulfilling our inclusion and exclusion criteria...
October 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Esa M Färkkilä, Zachary S Peacock, R John Tannyhill, Laurie Petrovick, Alice Gervasini, George C Velmahos, Leonard B Kaban
PURPOSE: Patients with mandibular fractures are known to be at risk of concomitant cervical spine injuries (CSIs). The purpose of this study was to determine the incidence of and risk factors for CSIs in these patients. PATIENTS AND METHODS: We conducted a retrospective cohort study of adult trauma patients with mandibular fractures from June 1, 2007, through June 30, 2017. Patients were identified through the Massachusetts General Hospital trauma registry and were included as study patients if they had a mandibular fracture and computed tomography or magnetic resonance imaging of the cervical spine...
August 7, 2018: Journal of Oral and Maxillofacial Surgery
Shintaro Sukegawa, Takahiro Kanno, Yoshihiko Furuki
The oral and maxillofacial region has a complicated anatomy with critical contiguous organs, including the brain, eyes, vital teeth, and complex networks of nerves and blood vessels. Therefore, advances in basic scientific research within the field of intraoperative oral and maxillofacial surgery have enabled the introduction of the features of these techniques into routine clinical practice to ensure safe and reliable surgery. A navigation system provides a useful guide for safer and more accurate complex in oral and maxillofacial surgery...
August 2018: Japanese Dental Science Review
Rashmi Gs Phulari, Vidhi Soni, Trupti Pramod Talegaon, Gaurav Bakutra
Fibrolipoma is a benign tumor which is classified as a histological variant of conventional lipoma. It rarely occurs in oral and maxillofacial region. When present, it occurs as a soft, smooth surfaced nodular mass that can be pedunculated or sessile. Most of the lesions are less than 3 cm in size, although it may vary. Fibrolipomas mostly affect buccal mucosa and buccal vestibule and cause functional and cosmetic disabilities. Herniation of buccal pad of fat caused by trauma may also mimic lipoma. Hence, accurate histopathological examination of lipomas is important for a correct treatment plan...
July 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
Chafik Ghayor, Franz E Weber
In the last three decades, all efforts in bone tissue engineering were driven by the dogma that the ideal pore size in bone substitutes lies between 0.3 and 0.5 mm in diameter. Newly developed additive manufacturing methodologies for ceramics facilitate the total control over pore size, pore distribution, bottleneck size, and bottleneck distribution. Therefore, this appears to be the method of choice with which to test the aforementioned characteristics of an ideal bone substitute. To this end, we produced a library of 15 scaffolds with diverse defined pore/bottleneck dimensions and distributions, tested them in vivo in a calvarial bone defect model in rabbits, and assessed the clinically most relevant parameters: defect bridging and bony regenerated area...
2018: Frontiers in Physiology
C Mourouzis, O Schoinohoriti, C Krasadakis, G Rallis
BACKGROUND: Maxillofacial fractures have been recognized as high risk trauma for concomitant cervical spine or spinal cord injury. OBJECTIVE: To investigate the incidence of concomitant cervical spine fractures (CSF) in patients with maxillofacial trauma and elucidate their relationship, guiding diagnosis and pointing their implications in maxillofacial trauma repair. MATERIAL AND METHODS: An analysis of 432 patients with maxillofacial fractures, treated at the Department of Oral and Maxillofacial Surgery of the "KAT" General Hospital of Attica during a three-year-long period, was conducted to investigate concomitant CSF...
July 11, 2018: Journal of Cranio-maxillo-facial Surgery
Seyed Ali Mosaddad, Rasoul Gheisari, Maryam Erfani
BACKGROUND/AIMS: Road traffic accidents are considered a major cause of oral and maxillofacial trauma. Given that many traumatic injuries and deaths involve motorcyclists, the aim of this study was to investigate this vulnerable group in terms of oral and maxillofacial injuries following accidents. MATERIALS AND METHODS: This cross-sectional study was conducted on 330 patients with oral and maxillofacial injuries at Shahid Rajaee Hospital in Shiraz, Iran, from April to September 2017...
July 14, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Maria Schubert, Roger Schürch, Soenke Boettger, David Garcia Nuñez, Urs Schwarz, Dominique Bettex, Josef Jenewein, Jasmina Bogdanovic, Marina Lynne Staehli, Rebecca Spirig, Alain Rudiger
BACKGROUND: Delirium is a well-known complication in cardiac surgery and intensive care unit (ICU) patients. However, in many other settings its prevalence and clinical consequences are understudied. The aims of this study were: (1) To assess delirium prevalence in a large, diverse cohort of acute care patients classified as either at risk or not at risk for delirium; (2) To compare these two groups according to defined indicators; and (3) To compare delirious with non-delirious patients regarding hospital mortality, ICU and hospital length of stay, nursing hours and cost per case...
July 13, 2018: BMC Health Services Research
M A Ufimtseva, I F Vishnevskaya, Yu M Bochkarev, E P Gurkovskaya, A A Alferova, M A Alferova, T A Beresneva
The article presents a review of the literature with a description of typical manifestations in the maxillofacial area in secondary, tertiary period of syphilis and the description of photo-images of the authors' clinical observations. In the secondary period of syphilis rashes can be found both on the skin and mucous membranes. In secondary reccurent syphilis the oral cavity is affected in 56% of the cases. Typical manifestations of this period are: roseola, papular and pustular syphilides. In the mouth the most frequently observed manifestation is popular syphilide or erythematous sore throat...
2018: Stomatologii︠a︡
Y Zhang
Oral and maxillofacial trauma surgery in modern China has experienced four stages of growth in different social and economic backgrounds: initiation, stagnation, exploring and development. It is now an important branch of oral and maxillofacial surgery with unique Chinese characteristics. This paper retrospectively summarizes the representative figures and important events, as well as the research and technology advances in each of the four growth stages. It also includes an analysis of current advantages and problems, and provides some foresights for future development of this subspecialty in China...
July 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Jens Castein, Christoph-Heinrich Hoffmann, Frank Kandziora
Even though in recent years the number of transoral spinal interventions has decreased in Europe and North America - mainly because of the progress in the drug therapy of rheumatism, there are still pathologies that can only be addressed by a transoral approach. The classical transoral approach can be expanded in collaboration with oral-maxillofacial surgery and ear, nose and throat surgery, but this is rarely necessary. The transoral approach is now mainly used for resection of pathological tissue. Additional stabilisation is often necessary and is performed in Europe and North America via a posterior approach, due to the lack of availability of anterior plate systems...
July 3, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
Sameer Kaura, Paramjot Kaur, Rashi Bahl, Sumit Bansal, Prineet Sangha
Aim: The aim of this study was to give an insight into the retrospective analysis of a number of maxillofacial trauma cases reported to our institute and research center. Materials and Methods: The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at the Oral and Maxillofacial Surgery Department from 2010 to 2016. Etiology, age, gender, pattern of fracture, and surgical treatment modalities undertaken in these patients were recorded...
January 2018: Annals of Maxillofacial Surgery
Carlos G Landaeta-Quinones, Nicole Hernandez, Najy K Zarroug
Computer-assisted surgery (CAS) has evolved over time from its earliest introduction with utility in the Neurosurgical field. Within the past twenty years, optical navigation systems have emerged and developed into a great tool for the fields of dentistry and craniomaxillofacial surgery (CMF). Currently, CAS is useful for orthognathic and temporomandibular joint surgery, facial trauma, maxillomandibular reconstruction, implantology, and restorative dentistry. This article describes the indications of CAS in dentistry, with large emphasis on CMF...
July 2018: Dental Clinics of North America
Ashrafullah, Ramesh Kumar Pandey, Apurva Mishra
Objective: To determine the incidence and pattern of facial fracture in children of age 0-16 years of age. Material & methods: Patients with trauma reporting to department of paediatric and preventive dentistry and department of oral & maxillofacial surgery from January 2011 to December 2011 were selected for the present study. The records of patients treated for maxillofacial injuries were retrospectively retrieved and analyzed for prevalence, pattern, etiology, and management of maxillofacial trauma...
May 2018: Journal of Oral Biology and Craniofacial Research
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