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sinus grafting

Thomas F Putters, Gerry M Raghoebar, Jenneke Klein-Nulend, Arjan Vissink, Jurjen Schortinghuis
PURPOSE: The aim of this study was to describe the surgical technique of immediate dental implant placement in calvarial grafts for augmentation of the severely resorbed maxilla and to assess the treatment results. METHODS: In 13 patients the maxilla was augmented with calvarial bone followed by simultaneous dental implant placement (total: 68 implants). In the frontal "knife edge" region, implants were inserted in the buccal plated area. In the maxillary sinus area, implants were inserted into alveolar bone that was plated buccally or palatally through the sinus window...
November 15, 2018: Journal of Cranio-maxillo-facial Surgery
Xiao-Zhang Ying, Shi-Yuan Shi, Qi Zheng, Bo Zhu, Yang-Hui Jin, Ming-Feng Zheng
OBJECTIVE: To explore the clinical effect of cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft for lumbar tuberculosis in elderly. METHODS: The clinical data of 22 patients with lumbar tuberculosis treated by cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft from February 2015 to December 2016 were retrospectively analyzed. There were 13 males and 9 females with an average age of (73...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhen Lai, Shi-Yuan Shi, Jun Fei, Gui-He Han, Sheng-Ping Hu
OBJECTIVE: To investigate the effect of preoperative percutaneous drainage in lumbar tuberculosis with psoas abscess, through compare the clinical efficacy of two different methods. METHODS: Thirty-six patients with lumbar tuberculosis complicated with psoas abscess in corresponding with the inclusion criteria were admitted in Zhejiang Province Traditional Chinese Medicine Hospital from January 2015 to January 2017. The patients were divided into group A and group B according to the different therapeutic methods...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Leila Musavi, Alexandra Macmillan, Joseph Lopez, Amir H Dorafshar
BACKGROUND: While autologous split calvarial bone is an ideal graft material in cranioplasty, selection of a donor site can be challenging and limited in the reconstruction of complicated cranial defects. Computer-aided design and manufacturing (CAD/CAM) may improve donor-site harvest and contouring and mitigate operative complications in split calvarial bone graft-based cranioplasty for complex patients, but has not previously been studied in this unique setting. METHODS: In this study, a retrospective review of patients who presented to the institution and underwent split-calvarial bone graft-based cranioplasty using CAD/CAM to optimize reconstruction of full-thickness cranial defects ≥30 cm was performed...
November 30, 2018: Journal of Craniofacial Surgery
Li-Hsiang Cheng, Pei-Chuan Wu, Cheng-Ping Shih, Hsing-Won Wang, Hsin-Chien Chen, Yuan-Yung Lin, Yueng-Hsiang Chu, Jih-Chin Lee
OBJECTIVE: Nasal septal abscess is an uncommon condition but it can cause potentially life-threatening intracranial complications and cosmetic nasal deformity. METHODS: We analyzed ten years of cases to determine the optimal diagnostic and therapeutic modalities. A retrospective review of case notes from Tri-Service General Hospital archives was performed. Records of six patients diagnosed with nasal septal abscess, who were treated from September 2007 to August 2017 were retrospectively reviewed...
November 30, 2018: European Archives of Oto-rhino-laryngology
Nagla'a A Abdel-Wahed, Maha Ahmed Bahammam
Introduction: The presence of an atrophic maxilla creates a serious challenge in cases of implant placement, while maxillary sinus pneumatization further complicates the surgery. This pilot study was performed to investigate the validity of two techniques used to estimate the volumes of bone graft material required in cases that included lateral window sinus augmentation. Materials and Methods: Cone beam computed tomography was used for preoperative volumetric analysis of the maxillary sinus...
2018: Open Dentistry Journal
Sherif Sultan, Edel P Kavanagh, Dave Veerasingam, Victor Costache, Ala Elhelali, Brian Fitzgibbon, Edward Diethrich, Niamh Hynes
OBJECTIVE: The aim was to expand our understanding of the dynamic evolution of the aorta throughout the dissection time course. We investigated how the disease process can be modulated to equalise lumen pressure, enhance perfusion, and stabilise the aorta along its entire length using the kinetic elephant trunk (kET) technique. TECHNIQUE: We performed the kET on nine patients with chronic symptomatic aortic dissection (CSAD) as a primary or secondary intervention regardless of the chronicity of the dissection...
November 23, 2018: Annals of Vascular Surgery
Karen Juel Nissen, Thomas Starch-Jensen
PURPOSE: The objective of the present study was to assess patient satisfaction and esthetic implant outcome 10 years after maxillary sinus floor augmentation with autogenous bone graft from the mandibular ramus. MATERIALS AND METHODS: Maxillary sinus floor augmentation with autogenous bone graft from the mandibular ramus was conducted in 48 consecutive patients from 2002 to 2006. Records and radiographs were retrospectively analyzed. Twenty-four patients including 34 sinus augmentation procedures and 37 implants were evaluated after 10 years...
November 20, 2018: Implant Dentistry
M S Chae, Y Kim, S A Oh, Y Jeon, H J Choi, Y H Kim, S H Hong, C S Park, J Huh
BACKGROUND: Combined liver and kidney transplant is a very complex surgery. To date, there has been no report on the intraoperative management of patients with impaired cardiac function undergoing simultaneous ABO-compatible liver and ABO-incompatible kidney transplant from 2 living donors. CASE REPORT: A 60-year-old man underwent simultaneous ABO-compatible liver and ABO-incompatible kidney transplant from 2 living donors because of IgA nephropathy and alcoholic liver cirrhosis...
September 7, 2018: Transplantation Proceedings
Narihiro Ishida, Katsuya Shimabukuro, Shojiro Yamaguchi, Etsuji Umeda, Hiroki Ogura, Shohei Mitta, Ryutaro Kimata, Hirofumi Takemura, Kiyoshi Doi
BACKGROUND: Partial anomalous pulmonary venous return is a rare congenital cardiac anomaly that usually involves the right pulmonary vein and an atrial septal defect. Isolated partial anomalous pulmonary venous return with an intact atrial septum is even rarer, and this condition is usually treated surgically in younger patients. We describe isolated partial anomalous pulmonary venous return in a 65-year-old woman who was treated by caval division with pericardial patch baffling through a surgically created atrial septal defect and reconstruction of the superior vena cava using a prosthetic graft...
November 24, 2018: Journal of Medical Case Reports
Jordi Gargallo-Albiol, Mustafa Tattan, Khaled H Sinjab, Hsun-Liang Chan, Hom-Lay Wang
OBJECTIVE: To endoscopically determine the incidence of Schneiderian membrane perforation during transcrestal maxillary sinus floor elevation (SFE), in relation to the bone preparation technique, amount of bone graft, membrane elevation height and different surgical steps. MATERIALS AND METHODS: Seven cadaver heads corresponding to 12 maxillary sinuses were used to perform 3 SFE via transcrestal approach per sinus (36 elevations). Each sinus was randomly assigned to either the Sinus Crestal Approach (SCA) drill kit technique (experimental group) or the conventional osteotome technique (control group)...
November 19, 2018: Clinical Oral Implants Research
Hiroshi Kumano, Akimitsu Yamaguchi, Keisuke Shuntoh
A 45-year-old woman was admitted to our hospital because of chest pain on exertion. She was diagnosed to have an anomalous aortic origin of the right coronary artery(RCA) arising from the left sinus of Valsalva, passing between the aorta and the main pulmonary artery. Exercise treadmill test demonstrated significant depression of ST segments in leads II, III and aVF.Because medical treatment was ineffective, reimplantation of the RCA was performed. Dysfunction of the reimplanted RCA occurred, however 3 hours after surgery, and emergency coronary artery bypass grafting was performed using a saphenous vein graft to the RCA...
November 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Suguru Watanabe, Takayuki Matsuoka, Tadanori Minagawa, Makoto Miura, Takuya Shimizu, Shunsuke Kawamoto, Kouichi Tabayashi
A 40-year-old man presented to our hospital with fever and slight palpitation. The echocardiogram revealed bicuspid aortic valve, massive aortic regurgitation, and aneurysm of Valsalva sinus. Operative findings showed an aortic root pseudoaneurysm originating just below the avulsion of the right to left commissure. The orifice was closed with a part of a woven vascular graft, and the aortic valve was replaced with a mechanical valve. There was no sign of marked inflammation, although pathophysiologic findings indicated infective endocarditis...
November 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Kristina Bertl, René-Bernard Mick, Patrick Heimel, André Gahleitner, Andreas Stavropoulos, Christian Ulm
OBJECTIVES: The bucco-palatal sinus width (SW) appears as relevant factor for graft consolidation after maxillary sinus (MS) floor augmentation. The present study aimed to assess a) SW at different height levels of posterior teeth, b) possible factors influencing SW, and c) whether a simple/meaningful sinus classification based on SW is possible. METHODS: The following parameters were recorded on computed tomographies of 76 edentulous and 86 partially edentulous maxillary quadrants displaying 383 tooth sites in total: i) alveolar ridge height, ii) -area, iii) -width 2mm apical to the alveolar crest, iv) -width at the sinus floor, and v) SW and sinus area at a level 2, 4, 6, 8, and 10mm above the sinus floor...
November 14, 2018: Clinical Oral Implants Research
Stefan Krennmair, Michael Weinländer, Michael Malek, Thomas Forstner, Gerald Krennmair, Michael Stimmelmayr
PURPOSE: To evaluate the 5-year clinical outcomes for implants placed in a staged sinus floor elevation (SFE) procedure and to compare three patient groups with sinus grafts with three different ratios of bovine bone mineral (BBM) and autogenous bone (AB) mixture. MATERIALS AND METHODS: A 5-year prospective cohort study was conducted on 81 patients with 119 staged SFEs non-randomly distributed to three groups based on the origin of the AB and the mixture ratio with BBM: group 1 (locally harvested AB [LHB] from osteotomy sites + BBM, ratio: 1:10), 31 patients, 37 SFEs; group 2: (LHB + intraorally harvested peripheral AB [IHPB] from retromolar/chin region + BBM, ratio: 1:4), 22 patients, 29 SFEs; and group 3 (LHB + extraorally harvested peripheral AB [EHPB] from iliac crest/tibia + BBM, ratio 1:1), 28 patients, 53 SFEs...
November 2018: International Journal of Oral & Maxillofacial Implants
Pascal Valentini, Dieter D Bosshardt
Bovine-derived bone mineral demonstrated good osteoconductive properties as grating material for maxillary sinus floor elevation, but the long-term behavior of this material has not been reported. The purpose of this report was to analyze and compare histomorphometric measurements of new bone, bone graft, and medullar spaces 6 months, 12 months, and 20 years after grafting. In the grafted area, the amount of mineralized bone was 16.96% at 6 months, 22.53% at 12 months, and 22.05% at 20 years, respectively. The amount of bovine-derived bone mineral ranged from 35...
November 2018: International Journal of Oral & Maxillofacial Implants
Salah Huwais, Ziv Mazor, Andreas L Ioannou, Howard Gluckman, Rodrigo Neiva
PURPOSE: To evaluate the effectiveness and predictability of a novel biomechanical, minimally invasive bone instrumentation technique that enhances bone density through compaction grafting, called osseous densification, and allows for transcrestal sinus membrane elevation and augmentation with simultaneous implant placement. MATERIALS AND METHODS: Patients who were consecutively treated with the bone densification and transcrestal sinus augmentation technique and were followed up in three treatment centers between May 2012 and September 2017 were included in this retrospective study...
November 2018: International Journal of Oral & Maxillofacial Implants
Anne Handrini Dewi, Ika Dewi Ana
Objectives: We determined and structurally analyzed the reported effect of hydroxyapatite (HA) bone substitute on alveolar bone regeneration. To the best of our knowledge, no systematic reviews have previously reported the bone regenerative effect of the HA bone substitute. Materials and methods: A literature search was performed for articles published up to August 2015 using MEDLINE with the search terms "hydroxyapatite," "bone regeneration," and "alveolar bone" as well as their known synonyms...
October 2018: Heliyon
Hyun-Chang Lim, Yeojin Son, Ji-Youn Hong, Seung-Il Shin, Ui-Won Jung, Jong-Hyuk Chung
OBJECTIVE: To investigate the healing following sinus grafting in sites with a perforated schneiderian membrane repaired using a collagen membrane, compared to control sites without membrane perforation. MATERIALS & METHODS: Following elevation of the sinus membrane in 16 rabbits, each sinus was assigned to one of the following groups: (i) intentional schneiderian membrane perforation, followed by the placement of a collagen membrane and bone grafting (group SMP), (ii) bone grafting without a perforation of the schneiderian membrane and without a collagen membrane placement (control group)...
November 9, 2018: Clinical Oral Implants Research
Fereydoun Pourdanesh, Noorahmad Latifi, Fatemeh Latifi
Among different graft materials for craniofacial reconstruction, calcium phosphate cements have the advantages of alloplastic grafts and wide use. The authors report a case of foreign body reaction following frontal reconstruction with JectOS (an injectable calcium orthophosphate cement; Kasios) and reviewed the literature on complications of this material after craniofacial reconstruction from 2002 to 2017. Complications were categorized into two groups: immunologic reactions (consisting of seroma collection, chronic sinus mucosa swelling, and foreign body reaction) and non-immune events (infection, fragmentation, and ejection)...
October 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
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