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https://www.readbyqxmd.com/read/28504848/association-of-traumatic-head%C3%A2-injuries-and-maxillofacial-fractures-a-retrospective-study
#1
Maher M Abosadegh, Shaifulizan Ab Rahman, Norkhafizah Saddki
The association of traumatic head injury (THI) with maxillofacial fractures (MFF) is a major health concern worldwide. In spite of the close anatomical proximity of maxillofacial bones to the cranium, the association of THI with MFF is controversial. The aim of this study was to assess the association between traumatic head injuries (THI) and maxillofacial fractures (MFF). Other factors associated with THI in patients with MFF were also investigated MATERIALS AND METHODS: A hospital-based retrospective study was conducted at the OMFS Unit, Hospital USM, Kelantan, Malaysia...
May 15, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28496391/management-of-panfacial-fracture
#2
REVIEW
Kausar Ali, Salvatore C Lettieri
Traumatic panfacial fracture repair is one of the most complex and challenging reconstructive procedures to perform. Several principles permeate throughout literature regarding the repair of panfacial injuries in a stepwise fashion. The primary goal of management in most of these approaches is to restore the occlusal relationship at the beginning of sequential repair so that other structures can fall into alignment. Through proper positioning of the occlusion and the mandibular-maxillary unit with the skull base, the spatial relationships and stability of midface buttresses and pillars can then be re-established...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496389/midface-fractures-ii
#3
REVIEW
Matthew Louis, Nikhil Agrawal, Tuan A Truong
Facial fractures are a common source of emergency department consultations for the plastic surgeon. A working understanding of the evaluation, the assessment, the management, and the prevention of further injury when dealing with these fractures is vital. This second of a two-part series detailing the management of midfacial fractures serves as a guide for the appropriate workup and management of the wide variety of fracture patterns that are commonly encountered.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496388/midface-fractures-i
#4
REVIEW
Matthew Louis, Nikhil Agrawal, Matthew Kaufman, Tuan A Truong
Facial fractures are a common source of emergency department consultations for the plastic surgeon. A working understanding of evaluation, assessment, management, and prevention of further injury when dealing with these fractures is vital. This two-part series detailing the management of midface fractures serves as a guide for the appropriate workup and management of the wide variety of fracture patterns that are commonly encountered.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28439158/trigemino-cardiac-reflex-a-phenomenon-neglected-in-maxillofacial-surgery
#5
Udupikrishna M Joshi, Ashwini Munnangi, Kundan Shah, Satishkumar G Patil, Nitin Thakur
BACKGROUND: Trigemino-cardiac reflex is a physiologic response of the body to pressure effects in the region of distribution of the trigeminal nerve. Oral and maxillofacial surgical procedures can induce the development of this reflex, which leads to significant changes in the heart rate and sinus rhythms. This study intends to evaluate the effects of this reflex in patients with facial fractures and its subsequent management. PATIENTS AND METHODS: A total of thirty-seven patients with facial fractures who reported to the Department of Oral and Maxillofacial Surgery at Basaveswar Teaching and General Hospital, Gulbarga during a period from July 2015-March 2016 were considered for the study...
June 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28429855/coincidence-of-mandibular-fractures-with-isolated-posterior-maxillary-sinus-fractures
#6
Sebastian Blatt, Roman Rahimi-Nedjat, Keyvan Sagheb, Lisa Piechowiak, Christian Walter, Dan Brüllmann
BACKGROUND/AIM: There is no data available to show whether there is a relationship between mandibular fractures and isolated fractures of the posterior and/or latera wals of the maxillary sinus. The aim of this study was to determine whether there is a coincidence between these fracture patterns. METHODS: Four hundred large volume cone beam computed tomography scans (CBCT) of patients with a fracture of the mandible between 2008 and 2013 were analyzed retrospectively...
April 21, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28283757/concept-of-patient-specific-shape-memory-implants-for-the-treatment-of-orbital-floor-fractures
#7
Ronny Grunert, Maximilian Wagner, Christian Rotsch, Harald Essig, Susanna Posern, Friedemann Pabst, Welf-Guntram Drossel, Juergen Lichtenstein
PURPOSE: We will aim to develop implants made of a Ni-Ti shape memory alloy which can be applied for the treatment of midface fractures, such as isolated orbital floor fractures. These can then be implanted in a compressed form and unfold automatically in the body. With the help of newly developed application instruments, the implants can be applied along transnasal and transantral approaches into the maxillary sinus. Our objective is to evaluate the operation process and the functionality of these implants, already in a pre-investigation by an experienced surgeon on a phantom...
June 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28202219/virtual-reconstruction-of-midface-defects-using-statistical-shape-models
#8
Wiebke Semper-Hogg, Marc Anton Fuessinger, Steffen Schwarz, Edward Ellis, Carl-Peter Cornelius, Florian Probst, Marc Christian Metzger, Stefan Schlager
PURPOSE: This study evaluates the accuracy of a statistical shape model (SSM) for virtual fracture reconstruction of the lateral midface. MATERIALS AND METHODS: A uniform bony defect of the right zygoma was created. A virtual reconstruction was performed by using the standard procedure of mirroring the unaffected to the affected side (Group I) and by using the statistical model based on 178 pathologically unaffected CT scans (Group II). The accuracy of the statistical shape model was evaluated in comparison to the present mirroring protocol...
December 24, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28148670/injuries-to-the-upper-extremities-in-polytrauma-limited-effect-on-outcome-more-than-ten-years-after-injury-a-cohort-study-in-629-patients
#9
C Macke, M Winkelmann, P Mommsen, C Probst, B Zelle, C Krettek, C Zeckey
AIMS: To analyse the influence of upper extremity trauma on the long-term outcome of polytraumatised patients. PATIENTS AND METHODS: A total of 629 multiply injured patients were included in a follow-up study at least ten years after injury (mean age 26.5 years, standard deviation 12.4). The extent of the patients' injury was classified using the Injury Severity Score. Outcome was measured using the Hannover Score for Polytrauma Outcome (HASPOC), Short Form (SF)-12, rehabilitation duration, and employment status...
February 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28061357/characteristics-of-alcohol-related-facial-fractures
#10
Kai H Lee, Michael Qiu
PURPOSE: Excessive indulgence in alcohol is a key causative factor in facial fractures especially in settings of interpersonal violence (IPV) and motor vehicle accidents. This study aims to explore characteristics of alcohol-involved facial fractures in the state of Victoria, Australia, over a 10-year period. MATERIALS AND METHODS: This retrospective study analyzed data from the Victorian Admitted Episodes Dataset between 2004 and 2014; the Victorian Admitted Episodes Dataset is a standardized database reported by all Victorian hospitals for every admission...
April 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28005751/postoperative-improvement-of-diplopia-and-extraocular-muscle-movement-in-patients-with-reconstructive-surgeries-for-orbital-floor-fractures
#11
Shao-Rui Liu, Xue-Fei Song, Zheng-Kang Li, Qin Shen, Xian-Qun Fan
OBJECTIVE: With orbital floor fracture incidence rates increasing year by year, many patients require surgical treatment to improve diplopia, limitation of extraocular muscle movement (EOM), enophthalmos, and midface appearance. With the use of high-density polyethylene, titanium screws, titanium plate, and titanium mesh to repair an orbital floor fracture, enophthalmos and midfacial deformity correction procedures have made great progress. However, attenuating diplopia and the limitation of EOM are still difficult problems to prevent...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27956141/slotplates-revisited-a-retrospective-analysis
#12
Brandaan G R Zigterman, Maurice Y Mommaerts
CONTEXT: Slotplates were specifically designed to meet the special requirements of corrective surgeries of the facial skeleton. This design enables small readjustments of bone fragments in the midface and chin area during surgery without complete removal of plates and screws. OBJECTIVE, DESIGN, AND SETTING: The aim of this study was to compare morbidity rates of slotplates versus meshplates after Le Fort I osteotomy, genioplasty and/or zygoma 'sandwich' osteotomy performed in a tertiary care centre...
November 2, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27886977/can-submandibular-tracheal-intubation-be-an-alternative-to-tracheotomy-during-surgery-for-major-maxillofacial-fractures
#13
Ahmed Gaber Hassanein, Ahmed M A Abdel Mabood
PURPOSE: During surgery for major maxillofacial fractures, orotracheal intubation can interfere with some surgical procedures and nasal intubation can be contraindicated or impossible. That is why tracheotomy is presented as a solution, although it carries a relatively high incidence of complications. In this study, the use of submandibular tracheal intubation is basically evaluated as an alternative to tracheotomy in such circumstances. MATERIALS AND METHODS: This prospective study was performed in patients undergoing surgery for major maxillofacial fractures in which oral intubation and/or nasal intubation have been unsuitable, impossible, or contraindicated...
March 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27755439/postoperative-improvement-of-diplopia-and-extraocular-muscle-movement-in-patients-with-reconstructive-surgeries-for-orbital-floor-fractures
#14
Shao-Rui Liu, Xue-Fei Song, Zheng-Kang Li, Qin Shen, Xian-Qun Fan
OBJECTIVE: With orbital floor fracture incidence rates increasing year by year, many patients require surgical treatment to improve diplopia, limitation of extraocular muscle movement (EOM), enophthalmos, and midface appearance. With the use of high-density polyethylene, titanium screws, titanium plate, and titanium mesh to repair an orbital floor fracture, enophthalmos and midfacial deformity correction procedures have made great progress. However, attenuating diplopia and the limitation of EOM are still difficult problems to prevent...
October 14, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27545011/facial-fractures-in-football-incidence-site-and-mechanism-of-injury
#15
S Y Kim, C L Chan, D M Hyam
Football injuries are responsible for many of the maxillofacial injuries sustained during sporting activities. In the Australian Capital Territory (ACT), the four major types of Australian football are played in large numbers and up to a high standard. Our objective was to analyse maxillofacial fractures that were sustained during rugby league, rugby union, Australian rules, and soccer matches. We retrospectively studied 134 patients with maxillofacial fractures during the five-year period 2010-14. All patients were assessed and treated at Canberra Hospital, the major trauma centre in the ACT...
October 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27441732/patterns-of-facial-fractures-and-protective-device-use-in-motor-vehicle-collisions-from-2007-to-2012
#16
David A Hyman, Sandeep Saha, Harry S Nayar, John F Doyle, Suresh K Agarwal, Scott R Chaiet
Importance: Facial fractures after motor vehicle collisions are a significant source of facial trauma in patients seen at trauma centers. With recent changes in use of seat belts and advances in airbag technology, new patterns in the incidence of facial fractures after motor vehicle collisions have yet to be quantified. Objectives: To evaluate the incidence of facial fractures and assess the influence of protective device use in motor vehicle collisions in patients treated at trauma centers in the United States...
December 1, 2016: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27438439/the-importance-of-early-diagnosis-of-retrobulbar-hemorrhage
#17
Guilherme Dos Santos Trento, Lucas Borin Moura, Luis Fernando de Oliveira Gorla, Valfrido Antônio Pereira Filho
Midface fractures usually affect the orbital cavity. This trauma may result in severe and rare consequences such as retrobulbar hemorrhage. This condition requires immediate diagnosis and early intervention to avoid blindness. The treatment usually requires evaluation of an oral and maxillofacial surgeon. This patient report aims to describe a facial trauma resulting in blindness after 4 days. An 83-year-old woman fell and hit her face on the floor. The initial evaluation only found a contusion on her left orbit, and an ophthalmologic examination was not made...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27349590/impact-of-midface-and-upper-face-fracture-on-bite-force-mandibular-mobility-and-electromyographic-activity
#18
G Spagnol, M Palinkas, S C H Regalo, P B de Vasconcelos, C E Sverzut, A E Trivellato
This study evaluated the bite force, electromyographic activity, and mandibular mobility in patients undergoing surgery for facial fracture treatment that required a coronal approach. Ten men were divided into two groups: group I, coronal approach with pre-auricular extension (n=4, average age 34.5 years); group II, coronal approach (n=6, average age 24.8 years). The maximum bite force was measured using a dynamometer and mandibular mobility using a calliper. The electromyographic activity of the right masseter (RM), left masseter (LM), right temporal (RT), and left temporal (LT) muscles was evaluated using a Myosystem-Br1 apparatus...
November 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27348349/current-concepts-in-midface-fracture-management
#19
Alf L Nastri, Ben Gurney
PURPOSE OF REVIEW: Management of midface trauma is complex and challenging and requires a clear understanding of the facial buttress system, subunit anatomy and inter-relationships. Too often clinicians attempt surgical repair without adequate knowledge of the common complications associated with poor reduction and improper sequencing of fracture repair. This review outlines a working approach to the identification and management of such injuries, and the definitive management of common injury patterns...
August 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27328893/an-analysis-of-711-victims-of-interpersonal-violence-to-the-face-turin-italy
#20
Fabio Roccia, Matteo Savoini, Guglielmo Ramieri, Emanuele Zavattero
AIM: The aim of this work is to analyze the risk factors in interpersonal violence and to describe the epidemiology, patterns and management of maxillofacial fractures in high volume trauma center of the northern Italy. MATERIAL: This retrospective study recorded patients hospitalized with maxillofacial fractures, at the division of maxillofacial surgery, Città della Scienza e della Salute University Hospital, Torino, Italy, since January 2001. METHODS: Only patients who presented with "violence" in the database field for "cause of injury" and with "interpersonal violence" as a subtype of etiology were considered...
August 2016: Journal of Cranio-maxillo-facial Surgery
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