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2.
J Craniofac Surg ; 25(4): 1448-50, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24914759

ABSTRACT

The management of frontal bone injury is an important issue, and inappropriate management of such injuries may give rise to serious complications. Piezosurgery is a technique used to perform safe and effective osteotomies using piezoelectric ultrasonic vibrations. This instrument allows a safe method for osteotomy of the cranial vault in close proximity to extremely injury-sensitive tissue such as the brain. After a wide review of the literature, the authors present this technical report, introduce the use of piezosurgery to perform a safe "slim-osteotomies" for treatment of posttraumatic frontal bone deformities, and suggest the use of this instrument for aesthetic recontouring of the craniofacial skeleton.


Subject(s)
Cicatrix/surgery , Craniotomy/methods , Frontal Bone/injuries , Frontal Bone/surgery , Piezosurgery/methods , Plastic Surgery Procedures/methods , Skull Fracture, Depressed/surgery , Humans , Ultrasonics
3.
J Craniofac Surg ; 25(2): 581-5, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24621703

ABSTRACT

The literature-reported incidence of ophthalmic injuries occurring with facial fracture ranges widely from 0.8% to 30%. Ocular trauma necessitating enucleation or evisceration is less common, but it is not rare. The trauma and physical disability related to removal of the eye are extreme. Moreover, the loss of an eye causes severe changes to the anatomy and physiology of the orbit, resulting in deformities that affect the relationship between the socket and the prosthesis. Here, the authors present their own experience of 8 consecutive cases of trauma injuries with globe loss and emphasize the importance of accurate, early bone reconstruction involving evisceration and immediate socket restoration.


Subject(s)
Eye Injuries/surgery , Orbit/surgery , Plastic Surgery Procedures/methods , Biocompatible Materials/therapeutic use , Dura Mater/injuries , Eye Evisceration/methods , Eye Injuries/diagnostic imaging , Fractures, Comminuted/surgery , Humans , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Male , Maxillary Fractures/surgery , Middle Aged , Orbital Fractures/surgery , Orbital Implants , Polyethylenes/therapeutic use , Prosthesis Implantation , Surgical Mesh , Tomography, X-Ray Computed/methods , Zygomatic Fractures/surgery
4.
J Craniofac Surg ; 24(4): 1210-4, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23851771

ABSTRACT

INTRODUCTION: Class II, anterior open bite and/or a steep mandibular plane angle are frequently considered a contraindication to the use of surgically assisted rapid palatal expansion (SARPE). Nevertheless, few studies have investigated the maxillary and mandibular effects after SARPE on the sagittal and vertical planes, with dissimilar results and small samples of patients.The aim of the current study was to evaluate the sagittal and vertical effects after SARPE. METHODS: Twenty-one consecutive adult patients (7 males, 14 females; mean age, 25.6 ± 6.3 years) who required SARPE were included in this study. All patients were subjected to subtotal LeFort I osteotomy with pterygomaxillary disjunction. Lateral cephalometric radiographs were taken during the preoperative assessment (T0) and 6 months after the end of the expansion (T1). Cephalometric measurements were realized at T0 and T1 for all the patients. Independent-sample t test and analysis of variance were used. RESULTS: Statistically significant changes were observed only in upper incisor^NA (P = 0.04). No skeletal sagittal or vertical variation was found after SARPE. CONCLUSIONS: Class II, anterior open bite and/or a steep mandibular plane angle cannot be considered an outright contraindication to its use. Upper incisor palatal inclination could result after SARPE.


Subject(s)
Maxilla/surgery , Osteotomy, Le Fort/methods , Palatal Expansion Technique , Adult , Cephalometry/methods , Female , Follow-Up Studies , Humans , Incisor/pathology , Male , Malocclusion, Angle Class II/surgery , Malocclusion, Angle Class II/therapy , Mandible/pathology , Maxilla/pathology , Nasal Bone/pathology , Open Bite/surgery , Open Bite/therapy , Orthodontic Appliance Design , Palatal Expansion Technique/instrumentation , Pterygopalatine Fossa/surgery , Sella Turcica/pathology , Treatment Outcome , Young Adult
5.
J Craniofac Surg ; 23(6): 1838-40, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23147302

ABSTRACT

The term hyperplasia of the coronoid process of the mandible defines an abnormal elongation of the coronoid process consisting of histologically normal bone. The main clinical finding of hyperplasia of the coronoid process is a progressive painless difficulty in opening the mouth owing to the contact with the temporal surface of the zygomatic bone or medial surface of the zygomatic arch. Computed tomography with three-dimensional reconstruction is essential and is the gold standard for an accurate diagnosis. The etiology remains unknown, although several theories have been suggested. The main aim of treatment was to restore mouth opening, and this article introduces and illustrates the advantages of endoscopic assistance for coronoidectomy through the classic "intraoral" approach and emphasize this minimally invasive approach.


Subject(s)
Endoscopy/methods , Mandible/pathology , Mandible/surgery , Mandibular Diseases/pathology , Mandibular Diseases/surgery , Minimally Invasive Surgical Procedures , Oral Surgical Procedures/methods , Humans , Hyperplasia/diagnostic imaging , Hyperplasia/pathology , Hyperplasia/surgery , Imaging, Three-Dimensional , Mandible/diagnostic imaging , Mandibular Diseases/diagnostic imaging , Osteotomy , Radiography , Treatment Outcome
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