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Krnic M.,Clinical Hospital Split | Busic N.,Maxillofacial Surgery
Journal of Korean Neurosurgical Society | Year: 2015

We wish to show our experiance with threating a rare congenital brain malformation-encephalocele. It is a protusion of brain matter with greater incidence in the Far East. Our case is even more curious because of the site of occurrence-frontobasal. Most of encephalocele occur in the occipital region. In this article we report a case of a 57-year-old woman, without deformations on the face, which had epileptic seizures and in spite of receiving antiepileptic drug. She was also frequently treated for sinusitis. She never had rhinoliquorrhea, nor was she diagnosed to have meningitis. In the last few years she had difficulty breathing on her right nostril. After she was diagnosed with encephalocele and treated surgically her recovery was complete and she is without the seizures. © 2015 The Korean Neurosurgical Society.

Maeda K.,Maxillofacial Surgery | Suzuki T.,Maxillofacial Surgery | Ooyama Y.,Maxillofacial Surgery | Nakakuki K.,Maxillofacial Surgery | And 3 more authors.
International Journal of Oral and Maxillofacial Surgery | Year: 2010

To determine whether the measurement of staining with 3% Lugol's solution provided efficient criteria for determining the area of resection for oral carcinomas and oral potentially malignant disorders, the authors analyzed the color of unstained lesions (USLs) in relation to histopathological findings. After vital iodine staining, USLs were seen in 48 of 54 patients (88.9%). A significant difference was seen in the value of lightness between stained lesions (SLs) and USLs for patients with moderate and severe epithelial dysplasia (P < 0.001). The deviation between the macroscopically observable and the histopathological boundaries was -0.65 ± 1.26 mm (range: -4.36 to 1.52). Color charts prepared on the basis of values for lightness and hue reproduced the macroscopic color differences in USLs, suggesting that it may become possible to diagnose USLs histologically on the basis of the measured color values and use of color charts to help determine the resection area in surgery. © 2009 International Association of Oral and Maxillofacial Surgeons.

Meneghini F.,Aesthetic and Maxillofacial Surgery | Biondi P.,Maxillofacial Surgery
Clinical Facial Analysis: Elements, Principles, and Techniques, Second Edition | Year: 2012

This richly illustrated book presents a straightforward non-instrumental method of clinical facial analysis in preparation for aesthetic surgery, orthognathic surgery, and orthodontic treatments. After discussion of various practical aspects of facial examination and photography, analysis of different regions of the face and dentofacial deformities is discussed in a series of detailed chapters. At the end of each of these chapters, multiple-choice checklists are included that will help the reader to perform step-by-step regional analysis. Important features of the book are its multidisciplinary approach and the emphasis placed on the relationship between different parts of the face. This second edition has been thoroughly updated and includes a new chapter on recording and documentation relating specifically to aesthetic facial surgery. © Springer-Verlag Berlin Heidelberg 2012.

Graziani F.,University of Pisa | Vescovi P.,University of Parma | Campisi G.,University of Palermo | Favia G.,University of Bari | And 9 more authors.
Journal of Oral and Maxillofacial Surgery | Year: 2012

Purpose: The aim of this study was to evaluate the results of the surgical treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ) in a large cohort. Materials and Methods: A retrospective cohort multicenter study was designed. Patients were enrolled if they were diagnosed with BRONJ and received operative treatment. Data on demographic, health status, perioperative, and surgical factors were collected retrospectively. The primary outcome variable was a change in BRONJ staging (improvement, worsening, or no change). Interventions were grouped by local debridement and resective surgery. Data were collected for other variables as cofactors. Univariate analysis and logistic regressions were then performed. Results: Of the 347 BRONJ-affected subjects, 59% showed improvement, 30% showed no change, and 11% showed worsening. Improvement was observed in 49% of cases treated with local debridement and 68% of cases treated with resective surgery. Multivariate analysis indicated that maxillary location, resective surgery, and no additional corticosteroid treatment were associated with a positive outcome. Conclusions: Surgical treatment of BRONJ appeared to be more effective when resective procedures were performed. Nonetheless, other factors, such as the absence of symptoms and the types of drug administration, should be taken into account before clinical decisions are made. © 2012 American Association of Oral and Maxillofacial Surgeons.

PubMed | Maxillofacial Surgery, Cornell University and Case Western Reserve University
Type: Journal Article | Journal: Journal of maxillofacial and oral surgery | Year: 2015

Vascular malformations have devastating cosmetic effects in addition to being associated with pain and bleeding. Sclerotherapy has been used as an effective therapeutic modality for the management of vascular malformations. The purpose of this case series is to describe our clinical experience of using sodium tetradecyl sulphate (STS) 3% in the treatment of venous malformation lesions of head and neck.Thirteen patients were included in this study (three male and ten female; age range between 8months and 54years; mean age 18.2years,SD 15.71). The patients were treated by 3% STS intralesional injections. Of the thirteen patients treated, complete resolution occurred in four patients (28.57%), a good response occurred in five patients (35.7%), a moderate response in two patients (14.28%), a mild response in two patients (14.28%) and no response in one patient (7.14%). The side effects encountered in all patients were pain and edema after injection which was controlled by oral analgesics and an intramuscular injection of dexamethasone. In addition, two patients developed a superficial ulceration (11.76%) which healed uneventfully, and one patient developed ecchymosis after injection (5.88%).Sclerotherapy with 3% STS is a simple, safe, and effective modality for the treatment of venous malformations.

Saban Y.,Maxillofacial Surgery | De Benito J.,International Society Aesthetic and Plastic Surgery ISAPS | Massa M.,University of Genoa
Facial Plastic Surgery | Year: 2014

Abstract In the context of nasal obstruction treatment, an alternative, no invasive technique is described. It consists in the suspension of the nasal valve or in the association of the suspension of the valve and rotation of the tip, through the placement of one or two absorbable threads, already known in aesthetic medicine. This technique allows to open the nasal valve and to correct the moderate closure of the nasolabial angle obtaining an immediate benefit of breathing. Functional improvement has been evaluated at regular intervals, that is, 1, 3, 6, and 12 months and then provided for every 6 months, through the use of a visual scale of 0/10 to 10/10. In our experience, the technique allows to obtain satisfactory results, avoiding more invasive techniques and postoperative recovery days. Copyright © 2014 by Thieme Medical Publishers, Inc.

Kramer A.,Critical Care Medicine and Pain Therapy | Muller D.,Critical Care Medicine and Pain Therapy | Pfortner R.,Maxillofacial Surgery | Mohr C.,Maxillofacial Surgery | Groeben H.,Critical Care Medicine and Pain Therapy
Anaesthesia | Year: 2015

Numerous indirect laryngoscopes have been introduced into clinical practice and their use for tracheal intubation under local anaesthesia has been described. However, a study comparing indirect laryngoscopic vs fibreoptic intubation under local anaesthesia and sedation appears lacking. Therefore, we evaluated both techniques in 100 patients with an anticipated difficult nasal intubation time for intubation the primary outcome. We also assessed success rate, glottic view, Ramsey score, and patients' and anaesthetists' satisfaction. The median (IQR [range]) time for intubation was significantly shorter with the videolaryngoscope with 38 (24-65 [11-420]) s vs 94 (48-323 [19-1020]) s (p < 0.0001). There was no difference in the success rate of intubation (96% for both techniques; p > 0.9999) and satisfaction of the anaesthetists and patients. We conclude that in anticipated difficult nasal intubation a videolaryngoscope represents an acceptable alternative to fibreoptic intubation. © 2015 The Association of Anaesthetists of Great Britain and Ireland.

Bhargava D.,Leeds General Infirmary | Bartlett P.,Leeds Dental Institute | Russell J.,Leeds Dental Institute | Liddington M.,Maxillofacial Surgery | And 2 more authors.
Acta Neurochirurgica | Year: 2010

In recent times a steady rise in cranioplasty operations has been noted because of increasing utilisation of decompressive craniectomy for trauma as well as stroke patients. A variety of techniques have been utilised for cranioplasty, with their own benefits and limitations. Titanium cranioplasty is one of the well-established and widely used techniques, with most centres utilising computer-assisted reconstruction for manufacture of titanium plates. In this paper we present a novel method for making titanium cranioplasty plates using the craniectomy bone flap as a template and the results of our experience. To date we have performed 51 cranioplasties using this method. The surgical results have been comparable to those obtained using the computer-assisted model technique. The construction cost for titanium cranioplasty plates using this method has been £360 cheaper per plate compared with the computer-assisted method. In addition, the CT workload and radiation exposure have been reduced. © 2009 Springer-Verlag.

Maxillofacial/neck vascular injuries caused by improvised explosive devices IEDs or ballistics injuries are life threatening when they cause severe haemorrhage resulting in airway compromise. One should always keep in mind that the best technique used is that which saves the patient's life and not the most expensive and/or technologically advanced. Medical professionals on the scene should have the necessary experience to handle the emergency situations of airway compromise and haemorrhage control. In this instance there is only, «one to a few minutes» to clear airway obstruction and arrest haemorrhage to prevent death. The patients in this study had life-threatening shrapnel injuries of the carotid and/or jugular vessels, and facial primary blast affect implosion of facial middle third air-containing cavities injuries. In a massive casualties arenas, where time = lifesaving, we should need to replace «non-battlefield» civilian techniques with «time driven», combat management for IEDs injuries. In these cases, the immediate and effective compression tamponade using digital, Foley catheter tamponade, packs and/or vessels ligation for severe facial/neck haemorrhage were used successfully. © 2011 European Association for Cranio-Maxillo-Facial Surgery.

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