ABSTRACT
The osseous closure of alveolar clefts is an integral component of a comprehensive rehabilitation of patients with cleft lip and palate and has assumed an essential position in the reconstruction of cleft deformity. Our study consists of 35 patients aged between 7 and 11 years who received secondary bone grafting of their cleft alveolus over a 30 month period from July 1999 to December 2003. There were 22 (62.9%) males and 13 (37.1%) females. In 25 cases, bone graft was harvested from the iliac crest and in 10 others, from the mandibular symphysis. A total number of 41 osteoplasties was performed in the 35 patients. Twenty osteoplasties maintained an alveolar height up to 75% and approximately that number showed resorption varying between 50% and 75%. There was no case of complete resorption of graft. There were no serious periodontal pockets found. In all cases, the wound healed well, and there was no complication. Our experience demonstrates that secondary alveolar bone grafting is an efficacious method of rehabilitating patients with alveolar clefts.
Subject(s)
Alveolar Process/abnormalities , Alveoloplasty/methods , Bone Transplantation/methods , Bone Resorption/pathology , Cephalometry , Child , Chin , Cleft Lip/surgery , Cleft Palate/surgery , Female , Follow-Up Studies , Graft Survival , Humans , Ilium , Male , Nose Diseases/prevention & control , Oral Fistula/prevention & control , Postoperative Complications/prevention & control , Respiratory Tract Fistula/prevention & control , Retrospective Studies , Surgical FlapsABSTRACT
Myoepithelioma is a rare benign tumor. There are controversial subtypes that lack myogenic differentiation. A 2003 literature search listed only 12 cases of myoepithelioma of the maxillofacial region. This paper describes one case of pediatric myoepithelioma as an addition to the previously documented cases, and a review of the literature.
Subject(s)
Myoepithelioma , Palatal Neoplasms , Child , Humans , Male , Myoepithelioma/diagnosis , Myoepithelioma/surgery , Palatal Neoplasms/diagnosis , Palatal Neoplasms/surgeryABSTRACT
OBJECTIVE: The aim of this paper is to present a modification of submental intubation in the management of airway. METHODS: Following usual oroendotracheal intubation, the tube and cuff are exteriorized through a laterosubmental incision, and connected to the anesthetic machine. RESULTS: Ten patients comprising 8 panfacial fractures and 2 orthognathic surgical cases have successfully been managed with this approach. There were no complications, no morbidity, and the scar was inconspicuous and esthetically pleasing. CONCLUSION: The laterosubmental intubation technique is simple, efficacious in the management of severe maxillofacial injuries, orthognathic surgical cases with nasal obstruction and in plastic surgery for concomitant approach to rhytidectomy, lip correction and rhinoplasty. This approach deserves to be widely propagated among specialists working on the face.
Subject(s)
Facial Injuries/therapy , Intubation, Intratracheal/methods , Adolescent , Adult , Facial Injuries/diagnosis , Female , Fracture Fixation/methods , Humans , Injury Severity Score , Intubation, Intratracheal/instrumentation , Male , Maxillary Fractures/therapy , Prospective Studies , Sensitivity and SpecificityABSTRACT
OBJECTIVE: Oral cancer is the 3rd most common cause of malignancy in Saudi Arabia after lymphoma and leukemia. The high incidence of oral cancer in this region is attributed to frequent use of tobacco (Shamma). In this report we have reviewed the mode of treatment and subsequent outcome of 228 oral cancer patients at the Oral Maxillofacial Surgery Unit of the Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia. METHODS: In this retrospective study the case notes of 228 oral cancer patients treated at the Armed Forces Hospital, Riyadh were reviewed. Age, sex, presenting symptoms, location of cancer in oral cavity, habit of tobacco chewing, mode of treament and complications as a result of treatment were recorded. RESULTS: Out of 228 patients 149 were males and 79 were females with age ranging from 23 to 82 years. The majority of patients (58%) had tobacco chewing habit. Most of the patients received radiation therapy (98%), some times with adjuvant chemotherapy. Seventy-three percent of patients underwent surgery followed by radiotherapy, whereas 2% had surgery alone. Recurrence of the disease was observed in 56% of the patients over a period of 5 years following initial treatment. CONCLUSION: A close association between tobacco chewing and oral cancer was observed. It is concluded that post surgery radiotherapy is a highly successful method of treatment in patients with oral cancer. Cases with a history of shamma usage did not show deep invasion even when the tumor was large. They also showed good prognosis after excision but more resistant to radiotherapy comparing with those cases with no history of shamma usage. This point needs further investigation.
