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maxillofacial surgery,head neck oncology and reconstruction

Deepak Kademani, Brian Woo, Brent Ward, Rui Fernandes, Eric Carlson, Joseph Helman, Ghali E Ghali, Paul Lambert
Oral and Maxillofacial Surgeons have increasing opportunities to train in head and neck oncologic and reconstructive surgery. The development of a fellowship training programs within our speciality has had a transformative effect on the speciality. This survey by the commitee on Maxillofacial Oncology and Reconstructive is aimed to evaluate the impact of fellowship training on the careers of the fellows and speciality from 2005-2015.
November 2016: Journal of Oral and Maxillofacial Surgery
George Richard Francis Murphy, Graeme Ewan Glass, Abhilash Jain
The antifibrinolytic drug tranexamic acid (TXA) is effective in reducing blood loss and transfusion requirements in other fields of elective surgery and its use is emerging in a number of plastic surgical subspecialties. This systematic review and meta-analysis evaluates the current evidence for the efficacy and safety of TXA in craniomaxillofacial, head and neck, breast, aesthetic, burns, and reconstructive microsurgery. We searched PubMed, EMBASE, Medline, The Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials for randomized controlled trials of TXA in plastic surgery...
March 2016: Journal of Craniofacial Surgery
Katinka Kansy, Andreas Albert Mueller, Thomas Mücke, Friederike Koersgen, Klaus Dietrich Wolff, Hans-Florian Zeilhofer, Frank Hölzle, Winnie Pradel, Matthias Schneider, Andreas Kolk, Ralf Smeets, Julio Acero, Piet Haers, G E Ghali, Jürgen Hoffmann
INTRODUCTION: Microvascular surgery following tumor resection has become an important field of oral maxillofacial surgery (OMFS). Following the surveys on current reconstructive practice in German-speaking countries and Europe, this paper presents the third phase of the project when the survey was conducted globally. METHODS: The DOESAK questionnaire has been developed via a multicenter approach with maxillofacial surgeons from 19 different hospitals in Germany, Austria and Switzerland...
October 2015: Journal of Cranio-maxillo-facial Surgery
Anastassios I Mylonas, Eleftheria-Fotini Poulakou-Rebelakou, Georgios I Androutsos, Ioannis Seggas, Christos A Skouteris, Evangelia Chr Papadopoulou
INTRODUCTION: Byzantine physicians (4th-7th and 8th-12th centuries A.D.), especially those interested in Surgery, developed a number of interesting concepts, views and opinions referring to the field now recognized as Oral and Cranio-maxillofacial Surgery and Pathology. MATERIAL AND METHOD: The original texts of Byzantine physicians, written in ancient Greek, and now preserved in the electronic platform Thesaurus Linguae Graecae, at the University of California, Irvine, CA, USA, were investigated in relation to Oral and Cranio-maxillofacial Surgery and Pathology...
March 2014: Journal of Cranio-maxillo-facial Surgery
S Ferrari, C Copelli, B Bianchi, A Ferri, T Poli, T Ferri, E Sesenna
INTRODUCTION: Free flaps represent the first reconstructive option for many head and neck defects. The increasing life expectancy of the population results in increasing numbers of ageing patients facing complex reconstructive surgery. In this study we evaluated our experience with free-flap transfers in older patients, analysing the post-operative reconstructive and systemic complications. MATERIALS AND METHODS: Between 2000 and 2009, 360 patients underwent free flap reconstruction of defects resulting from the treatment of head and neck tumours at the Operative Unit of Maxillofacial Surgery, University - Hospital of Parma, Italy...
March 2013: Journal of Cranio-maxillo-facial Surgery
P Kessler, L Poort, R Böckmann, B Lethaus
BACKGROUND: Microsurgical tissue transfer is a standard procedure in reconstructive surgery of defects in head and neck oncology patients. According to the literature vascular thrombosis occurs in 8-14% of cases and is considered to be the main reason for flap failure. A review of the literature on this subject was carried out and related to the quality guidelines of the Department of Cranio-Maxillofacial Surgery in the Maastricht University Medical Centre. We defined quality indicators and quality goals for the reconstruction of head and neck defects...
January 2013: Journal of Cranio-maxillo-facial Surgery
Tirbod Fattahi, Rui Fernandes
PURPOSE: The specialty of oral and maxillofacial surgery has witnessed a large trend of inclusion of maxillofacial oncology and microvascular reconstructive surgery within its scope of practice in recent years. The purpose of this report is to describe the authors' experience with a very active oncologic and microvascular reconstructive surgical service within an academic oral and maxillofacial surgical program at a large university teaching hospital. MATERIALS AND METHODS: The operative log from July 1, 2010, to June 30, 2011, of 325 operations devoted to head and neck oncology and reconstruction was examined...
January 2013: Journal of Oral and Maxillofacial Surgery
Gary R Hoffman, Shofiq Islam, Robert L Eisenberg
PURPOSE: Microvascular reconstruction of oncologic surgical and traumatic defects has been globally practiced by plastic and orthopedic surgical disciplines since the early 1970s. During the past 20 years, reconstructive techniques have been progressively incorporated into the purview of oral and maxillofacial and otolaryngology-head and neck surgeons, particularly those practicing in Europe, the United Kingdom, and China. There has also been a steady increase in the adoption of these techniques in North America, South America, and Japan...
May 2012: Journal of Oral and Maxillofacial Surgery
Seema Alice Mathew, P Senthilnathan, Vinod Narayanan
AIM: To assess the safety and efficacy of immediate postoperative management of major maxillofacial oncology patients in a High Dependency Unit (HDU). PATIENTS AND METHODS: All operated maxillofacial oncology patients were included. Detailed records and clinical parameters were assessed for diagnosis, procedure, diagnosis, American Society of Anaesthiologists (ASA) grade, procedure, type of reconstruction, duration of surgery, post operative location, days of hospitalization risk factors and complications if any...
December 2010: Journal of Maxillofacial and Oral Surgery
Johnny Cappiello, Cesare Piazza, Valentina Taglietti, Piero Nicolai
The deep inferior epigastric artery perforated rectus abdominis (DIEAP-ra) free flap is a modification of the classic myocutaneous DIEA free flap in which only fasciocutaneous tissue is harvested based on the paraumbilical perforators of the medial row. The aim of this retrospective study is to describe our experience with this reconstructive technique in head and neck surgery. Between 2004 and 2009, 24 patients affected by oncologic maxillofacial, skull base, oral, and oropharyngeal defects were submitted to reconstruction with DIEAP-ra...
April 2012: European Archives of Oto-rhino-laryngology
J P J Dings, T J Maal, M S Muradin, K J Ingels, B J Klevering, R Koole, M A Merkx, G J Meijer
Although the benefit of extra-oral implants in the reconstruction of maxillofacial oncological defects is undisputable, some relevant issues need to be clarified. The purpose of this retrospective study was to evaluate the relationship between implants placed during ablation (DA-implants) and after ablation (AA-implants) of the tumor with respect to implant survival. In total, 103 implants were assessed: 44 nasal implants (17 patients) and 59 orbital implants (18 patients). All patients received their implant-retained maxillofacial epithesis between 1997 and 2010, with a mean follow-up of 35 months (range 8-156 months)...
November 2011: Oral Oncology
Paul K Clark, Michael R Markiewicz, R Bryan Bell, Eric J Dierks
PURPOSE: The purposes of this study were to: 1) estimate the prevalence and trends of American oral and maxillofacial surgery (OMS) programs in recruiting head and neck oncologic surgery (HNOS) -trained faculty, performing HNOS oncologic procedures and microvascular reconstruction, and presenting HNOS research at academic meetings; 2) estimate whether HNOS and microvascular reconstruction involvement varies among programs with or without a program director or chair trained in HNOS; 3) estimate whether HNOS involvement varies among those OMS programs that regularly attend and do not attend tumor board; 4) estimate whether HNOS involvement varies among those programs that have and have not presented HNOS research at an academic meeting; 5) estimate whether HNOS involvement varies among doctor of medicine-integrated and 4-year OMS programs...
March 2012: Journal of Oral and Maxillofacial Surgery
E Espinosa Domínguez, M A Reverón Gómez, L Pérez Méndez, C Martínez Gimeno, E Moure García, E Yanes Luque
BACKGROUND AND OBJECTIVE: Tumor extension is the factor that usually determines the choice of radiotherapy or surgery for head and neck cancers. The choice of surgery carries with it certain specific risks that must be assessed jointly by the maxillofacial surgeon and the anesthetist so that they can agree on the best course of action to choose. We aimed to identify risk factors for complications after major head and neck surgery. PATIENTS AND METHODS: Retrospective descriptive analysis of data for patients who underwent oncologic head and neck surgery with graft reconstruction...
April 2011: Revista Española de Anestesiología y Reanimación
Majeed Rana, Riaz Warraich, Horst Kokemüller, Juliane Lemound, Harald Essig, Frank Tavassol, André Eckardt, Nils-Claudius Gellrich
BACKGROUND: Functional and cosmetic defects in the maxillofacial region are caused by various ailments and these defects are addressed according to their need. Simplicity of procedure, intact facial function and esthetic outcome with the least possible donor site morbidity are the minimum requirements of a good reconstruction. Oro-mandibular reconstruction, although a challenge for the head and neck reconstructive surgeon, is now reliable and highly successful with excellent long-term functional and aesthetic outcomes with the use of autogenous bone grafts...
2011: Head & Neck Oncology
A Gulati, M K Herd, J Blythe, A Habib, R Anand, P A Brennan
This review summarises all head and neck oncology and related papers published in the British Journal of Oral and Maxillofacial Surgery (BJOMS) during the period 2009-2010. A similar review, covering the years 2007-2008 was published in the Journal in 2009 and was well received by readers, as evidenced by the high number of downloads from the BJOMS website. In this article, we include all head and neck oncology-related articles published in the print version of the journal during 2009/10 and concentrate on summarising the full length article papers...
July 2011: British Journal of Oral & Maxillofacial Surgery
Leon A Assael
No abstract text is available yet for this article.
December 2010: Journal of Oral and Maxillofacial Surgery
P A Brennan, K Shekar, N McLeod, R Puxeddu, L Cascarini
This paper provides a summary of the 95 papers related to oncology that were published in the British Journal of Oral and Maxillofacial Surgery (BJOMS) during 2007-2008. They include full length articles on clinical studies, radiology, basic science, and reconstruction in oral, and head and neck cancer. The journal also publishes technical notes and short communications. It encompasses the whole remit of the specialty and it is encouraging that authors choose to submit their work to BJOMS, but to improve the quality and status of the journal, we need to increase the ratio of full length articles to other submissions...
October 2009: British Journal of Oral & Maxillofacial Surgery
John G Boyes-Varley, Dale G Howes, Keith D Davidge-Pitts, Ingvar Brånemark, John A McAlpine
The purpose of this clinical report is to present a surgical and prosthodontic reconstructive protocol for 20 patients who underwent maxillary resection following malignancy to the head and neck region. This protocol was developed over a period of 7 years while treating a series of 20 maxillary resections due to oncology. Patients were reconstructed prosthodontically using fixed-removable overdentures or fixed prostheses, with and without separate obturators. The treatment protocol includes a comprehensive diagnostic phase, resection surgery with immediate implant placement and temporary obturation, post resection evaluation, and prosthodontic rehabilitation...
September 2007: International Journal of Prosthodontics
V Costan, N Gheţu, Sidonia Popescu, Oana Grosu, D Gogălniceanu, D Pieptu
The treatment of extended oro-maxillofacial lesions is a difficult task. Free flaps are the optimal reconstruction method in well defined situations. Though not improving survival, they have lead to a lower morbidity and to the improvement of the patient's life quality. A great step forward was represented by the radial forearm flap. This paper reflects the experience of a team approach (oro-maxillofacial and plastic surgery). The radial forearm free flap was considered as the optimal solution for 22 patients with defects concerning the tongue and/or mouth floor (8), the lower lip (7), or other facial regions (5)...
May 2007: Chirurgia
M A W Merkx, J L N Roodenburg, J G A M de Visscher
The incidence of head and neck tumors in The Netherlands is rising, mainly due to increasing numbers of oral and pharyngeal carcinomas. Notwithstanding good opportunities for early detection by inspection and palpation, there appears to be a tendency to detect cancer of the head and neck in its later stages. Dentists and physicians, therefore, need to become aware of the early signs of head and neck cancer, and to keep their knowledge up to date. The oral and maxillofacial oncologist operates both as a gatekeeper specialist and as a participant in the multidisciplinary head and neck oncology team, treating patients with referrals from other disciplines...
January 2007: Nederlands Tijdschrift Voor Tandheelkunde
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