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https://www.readbyqxmd.com/read/29697631/facial-fractures-pearls-and-perspectives
#1
Obaid Chaudhry, Matthew Isakson, Adam Franklin, Suhair Maqusi, Christian El Amm
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Describe the symptoms and cause of pseudo-Brown syndrome, describe the anatomy and placement of a buttress-spanning plate in nasoorbitoethmoid fractures, and identify appropriate nasal support alternatives for nasoorbitoethmoid fractures...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29652013/changing-trends-in-maxillofacial-trauma-a-15-years-retrospective-study-in-the-southern-part-of-haryana-india
#2
Ashish Gupta, Aby K Babu, Pankaj Bansal, Rahul Sharma, Sneha D Sharma
Objective: The aim is to analyze the pattern of maxillofacial injuries and treatment outcomes in the past 15 years (2002-2016). Materials and Methods: One thousand eight hundred and fifty patients from two tertiary referral center hospitals were studied retrospectively in which the age, sex, etiology, site of fracture, and treatment modality was recorded. Results: One thousand two hundred and twenty-eight males and 622 females were operated between 2002 and 2016...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29609426/panfacial-bone-fracture-cephalic-to-caudal
#3
REVIEW
Seonsik Yun, Youngcheon Na
Theoretically, panfacial bone fractures involve all three areas of the face: frontal bone, midface, and mandible. In practice, when two out of these three areas are involved, the term "panfacial bone fracture" has been applied. We can use physical examination, simple radiologic examination, and computed tomography study for diagnosis. Linear fracture are treated by conservative treatment. But, most of panfacial bone fracture patients need to be treated by open reduction and internal fixation. Facial width is most important thing that we need to care during operation...
March 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29561488/submental-intubation-an-underutilized-technique-for-airway-management-in-patients-with-panfacial-trauma
#4
Adam Kaiser, Adam Semanoff, Louis Christensen, Rory Sadoff, Jody C DiGiacomo
PURPOSE: To evaluate submental intubation compared with secure airways of patients who have sustained significant maxillofacial trauma. PATIENTS AND METHODS: Patient series of 3 patients who underwent submental intubation prior to open reduction internal fixation of fractures associated with the mid and lower face. All of these patients were initially orally intubated, and then converted to submental intubation prior to the reparative procedure. Detailed description of the procedure is discussed in each patient...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29535964/airway-management-through-submental-derivation-a-safe-and-easily-reproduced-alternative-for-patients-with-complex-facial-trauma
#5
Fernando González-Magaña, Héctor Omar Malagón-Hidalgo, Eugenio García-Cano, Roberto Vilchis-López, Adriana Fentanes-Vera, Fernan-Alejandra Ayala-Ugalde
Objectives: Airway management in patients with panfacial trauma is complicated. In addition to involving facial lesions, such trauma compromises the airway, and the use of intermaxillary fixation makes it difficult to secure ventilation by usual approaches (nasotracheal or endotracheal intubation). Submental airway derivation is an alternative to tracheostomy and nasotracheal intubation, allowing a permeable airway with minimal complications in complex patients. Materials and Methods: This is a descriptive, retrospective study based on a review of medical records of all patients with facial trauma from January 2003 to May 2015...
February 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29509997/classification-of-facial-vitiligo-a-cluster-analysis-of-473-patients
#6
Jung Min Bae, Yu Seok Jung, Han Mi Jung, Ji Hun Park, Seung-Kyung Hann
Vitiligo has a substantial negative impact on quality of life in affected patients, especially those with the involvement of the face. However, the current system can barely distinguish between specific patterns of facial involvement except for the segmental type when focusing only on facial lesions. We classified facial vitiligo into three distinct subtypes using cluster analysis based on facial topography (n = 473): centrofacial vitiligo (72.9%), panfacial vitiligo (18.0%), and hairline vitiligo (9.1%)...
March 6, 2018: Pigment Cell & Melanoma Research
https://www.readbyqxmd.com/read/28913280/panfacial-bone-fracture-and-medial-to-lateral-approach
#7
REVIEW
Jiye Kim, Jin-Hee Choi, Yoon Kyu Chung, Sug Won Kim
Panfacial bone fracture is challenging. Even experienced surgeons find restoration of original facial architecture difficult because of the severe degree of fragmentation and loss of reference segments that could guide the start of facial reconstruction. To restore the facial contour, surgeons usually follow a general sequence for panfacial bone reduction. Among the sequences, the bottom-to-top and outside-in sequence is reported to be the most widely used in recent publications. However, a single sequence cannot be applied to all cases of panfacial fractures because of the variations in panfacial bone fracture patterns...
December 2016: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/28872498/diagnosis-and-management-of-cerebrospinal-fluid-leak-in-a-panfacial-fracture
#8
Gabriel Mulinari-Santos, João Paulo Bonardi, Willian Ricardo Pires, Ricardo Garcia Mureb Jacob, Fábio Roberto de Souza Batista, Leonardo Perez Faverani, Francisley Ávila Souza, Idelmo Rangel Garcia Júnior
Cerebrospinal fluid fistula caused by head trauma is a potentially dangerous problem and precise localization and radical treatment are necessary. We present a case of a patient with Panfacial fracture caused by a motorcycle accident, resulting in a cerebrospinal fluid leakage. The correct diagnosis was realized by computed tomography and auxiliary tests. The successful treatment can be confirmed with the support of radionuclide cisternography examination.
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28858549/submental-intubation-in-cases-of-panfacial-fractures-a-retrospective-study
#9
Willian Caetano Rodrigues, Willian Morais de Melo, Rafael Santiago de Almeida, Shajadi Carlos Pardo-Kaba, Celso Koogi Sonoda, Elio Hitoshi Shinohara
Surgical treatment of panfacial fractures usually requires intraoperative temporary occlusion of the teeth and simultaneous access to the nasal pyramid. In such cases, the standard method of airway management is to perform a tracheostomy, but this may be associated with a significant number of perioperative and late complications. This study aimed to determine if submental endotracheal intubation (SEI) is a viable alternative to tracheostomy, especially when short-term postoperative control of the airway is foreseen...
December 0: Anesthesia Progress
https://www.readbyqxmd.com/read/28846011/how-to-overcome-the-challenges-of-non-detachable-connector-tubes-in-submental-intubation-for-panfacial-fractures
#10
Sahand Samieirad, Hussein Khalife, Mehrdad Noroozi, Elahe Tohidi, Maryam Alsadat Hashemipour
INTRODUCTION: Armored removable connector tubes are not always available in operating rooms for routine Altemir submental intubation (SMI) technique. The present study addresses a fiber-optic glidoscopy assisted 2-tubes modification of Green & Moore sequence for submandibular intubation. METHODS: The sample was composed of 11 patients (8 males and 3 females) with panfacial fractures where neither the oral and nasal intubation techniques nor tracheostomy were feasible...
August 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28513412/-multidisciplinary-approach-of-facial-injuries
#11
L Dubois, R Schreurs, O Lapid, P Saeed, G F Adriaensen, F M Hoefnagels, V M de Jong
BACKGROUND: Approximately one quarter of polytrauma patients has facial injuries, which usually lead to loss of form and function. Several specialties are involved in the acute and reconstructive phases of facial injuries, such as oral and maxillofacial surgery, otorhinolaryngology, plastic surgery, ophthalmology and dentistry. CASE DESCRIPTION: A 25-year-old man with severe facial injuries was brought to the shock room after sustaining high-energy trauma. He had a panfacial fracture that required reconstruction...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28496391/management-of-panfacial-fracture
#12
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/28210411/carotid-cavernous-fistula-as-a-complication-of-panfacial-fracture-case-report-11-years-after-the-surgery
#13
Sylvio Luiz Costa de Moraes, Alexandre Maurity de Paula Afonso, Roberto Gomes Dos Santos, Ricardo Pereira Mattos, Bruno Gomes Duarte
The carotid-cavernous fistula (CCF) is a rare complication in patients victimized by craniofacial trauma. It involves multidisciplinary medical action. Owing to its potential complications, it is essential that maxillofacial surgery and neurosurgery specialists diagnose this condition so that appropriate treatment can be performed. The authors present a report of a case 11 years after the surgery.
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28095577/optimizing-injections-of-poly-l-lactic-acid-the-6-step-technique
#14
Shino Bay Aguilera, Sean Branch, Luis Soro
The authors present a reproducible and effective technique utilizing poly-L-lactic acid for panfacial revolumization. The variable dilution ratios, reconstitution times, injection techniques and rates of nodule formation with poly-L-lactic acid can be intimidating to even experienced injectors. While there is no single cookie-cutter approach to facial volumization, this 6-step "Precise Sculpt" technique can be used as a template to reliably achieve optimal results while minimizing the risk of adverse events...
December 1, 2016: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/27833492/submandibular-intubation-in-awake-patient-of-panfacial-trauma
#15
S K Kamra, H K Khandavilli, P Banerjee
Maxillofacial trauma patients present with airway problems. Submandibular intubation is an effective means of intubation to avoid tracheostomy for operative procedures. Airway is secured with oral endotracheal intubation in paralyzed patient and tube is then transplaced in sub mental or submandibular region. However there may be instances when paralyzing such trauma patients is not safe and short term tracheostomy is the only airway channel available for conduction of anesthesia. We report a case of submandibular intubation in awake patient of maxillofacial trauma with anticipated intubation problems...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27685864/classifying-and-standardizing-panfacial-trauma-with-a-new-bony-facial-trauma-score
#16
Garrett G A Casale, Brian A Fishero, Stephen S Park, Mark Sochor, Sara B Heltzel, J Jared Christophel
Importance: The practice of facial trauma surgery would benefit from a useful quantitative scale that measures the extent of injury. Objective: To develop a facial trauma scale that incorporates only reducible fractures and is able to be reliably communicated to health care professionals. Design and Setting: A cadaveric tissue study was conducted from October 1 to 3, 2014. Ten cadaveric heads were subjected to various degrees of facial trauma by dropping a fixed mass onto each head...
January 1, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/27601740/submandibular-intubation-as-an-alternative-for-intra-operative-airway-management-in-maxillofacial-fractures-our-institutional-experience
#17
Praveer K Banerjee, Abhineet Jain, Bikram Behera
BACKGROUND AND AIMS: Airway management in anaesthesia for maxillofacial surgical procedures is tricky at times when the nasal/oral routes are contraindicated or are impossible. Tracheostomy as an alternative inherits its own complications. We present a case series of the submandibular route for tracheal intubation as an alternative. METHODS: The procedure was performed in ten selected adult patients with maxillofacial/mandibular fractures associated with a fracture of skull base or nasal bone...
August 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27441732/patterns-of-facial-fractures-and-protective-device-use-in-motor-vehicle-collisions-from-2007-to-2012
#18
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/27429937/submental-intubation-alternative-short-term-airway-management-in-maxillofacial-trauma
#19
Ravi Raja Kumar, Suresh Vyloppilli, Shermil Sayd, Annamala Thangavelu, Benny Joseph, Auswaf Ahsan
OBJECTIVES: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications. MATERIALS AND METHODS: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India...
June 2016: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/27408459/superolateral-dislocation-of-intact-mandibular-condyle-a-case-report-and-review-of-literature
#20
Degala Saikrishna, S Shyam Sundar, K S Mamata
Anteromedial fracture dislocation of the mandibular condyle is common but a superolateral dislocation of an intact condyle is quite rare. This type of dislocation is often misdiagnosed or completely overlooked and hence inadequately addressed. We report a case of a 41-year-old male patient who experienced superolateral dislocation of the intact condyle with symphysis fracture and panfacial fracture following a road-traffic accident, and review of literature of superolateral dislocations from 1967 to 2014.
July 2016: Journal of Maxillofacial and Oral Surgery
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