ABSTRACT
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Subject(s)
Anti-Bacterial Agents , Polyethylenes , Prostheses and Implants , Syringes , Biocompatible Materials , Equipment Design , Humans , Porosity , VacuumABSTRACT
The temporalis muscle flap is a useful flap for the reconstruction of oral ablative defects. A complication of its use that was overlooked was the crater-like defect created when the muscle is stripped from its attachment on the temporal fossa. The cold-cure acrylic we use is Palacos R-40 with Gentamicin (Heraeus Kulzer GmbH). This material is radio-opaque, rapidly setting and contains gentamicin. We present a total of 41 cases over an 11-year period (1994-2005). We have a 97.6% (n = 40) success rate. Infection developed in only one case, which leads to the removal of the acrylic implant. The use of Palacos R-40 with Gentamicin is easy to use, it can be custom-moulded to fit and fill the defect any of shape and size. It has minimal complications and high success rate with acceptable results to the patients.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Bone Cements , Gentamicins/therapeutic use , Plastic Surgery Procedures/methods , Polymethyl Methacrylate , Surgical Flaps , Temporal Bone/pathology , Temporal Muscle/transplantation , Anti-Bacterial Agents/administration & dosage , Bone Cements/adverse effects , Bone Cements/chemistry , Contrast Media/chemistry , Female , Gentamicins/administration & dosage , Humans , Male , Polymers/chemistry , Polymethyl Methacrylate/adverse effects , Polymethyl Methacrylate/chemistry , Retrospective Studies , Surface Properties , Treatment OutcomeABSTRACT
We describe a technique of cryotherapy for the management of odontogenic keratocysts using K-Y jelly as an aide.
Subject(s)
Cellulose/analogs & derivatives , Cellulose/therapeutic use , Cryotherapy/methods , Glycerol/therapeutic use , Odontogenic Cysts/therapy , Phosphates/therapeutic use , Propylene Glycols/therapeutic use , Humans , Odontogenic Cysts/surgeryABSTRACT
We present a retrospective audit of radial fasciocutaneous vascularised free flaps performed over a decade. These have all been done with binocular loupe magnification, allowing comparison of free flap success with conventional microscope vessel anastomosis. The results are similar to other reported series.
Subject(s)
Face/surgery , Lenses , Mouth/surgery , Surgical Flaps , Anastomosis, Surgical , Carcinoma, Squamous Cell/surgery , Dental Audit , Fascia/transplantation , Graft Survival , Humans , Microsurgery , Mouth Neoplasms/surgery , Plastic Surgery Procedures , Retrospective Studies , Skin Transplantation , Surgical Flaps/blood supply , Treatment OutcomeSubject(s)
Carcinoma, Squamous Cell/surgery , Facial Neoplasms/surgery , Skin Transplantation , Splints , Acrylic Resins , Aged , Aged, 80 and over , Female , HumansSubject(s)
Carcinoma, Transitional Cell/secondary , Enophthalmos/etiology , Facial Pain/etiology , Maxillary Sinus Neoplasms/complications , Maxillary Sinus Neoplasms/secondary , Urinary Bladder Neoplasms/pathology , Aged , Breast Neoplasms/pathology , Carcinoma, Transitional Cell/complications , Fatal Outcome , Humans , Male , Maxillary Neoplasms/complications , Maxillary Neoplasms/secondary , Orbit/innervationSubject(s)
Bone Screws/adverse effects , Fracture Fixation, Internal/instrumentation , Iatrogenic Disease , Jaw Fixation Techniques/instrumentation , Mandibular Fractures/surgery , Tooth Injuries/etiology , Adolescent , Bicuspid/injuries , Fracture Fixation, Internal/adverse effects , Humans , Jaw Fixation Techniques/adverse effects , Male , Mandibular Fractures/complications , Tooth Avulsion/etiologyABSTRACT
Lacrimal gland tumours are rare. We present a case of a lacrimal gland pleomorphic adenoma in a 19-year-old man. The tumour was removed and he has made an uncomplicated recovery, with no sign of recurrence after nine months of follow-up. We will keep him under long-term review.
Subject(s)
Adenoma, Pleomorphic/diagnosis , Lacrimal Apparatus Diseases/diagnosis , Adenoma, Pleomorphic/pathology , Adult , Blepharoptosis/etiology , Facial Asymmetry/etiology , Follow-Up Studies , Humans , Lacrimal Apparatus Diseases/pathology , Male , Visual AcuityABSTRACT
We found an incidence of 6% (5/81) of traumatic neuroma after section of the great auricular nerve during operations on the parotid gland. Excision permits definitive diagnosis, the stump being allowed to retract beneath the belly of the sternomastoid muscle. However, excision is not always indicated, and the diagnosis can be made clinically allowing for a more conservative treatment policy.
Subject(s)
Neuroma/etiology , Parotid Gland/surgery , Postoperative Complications/etiology , Humans , Neuroma/diagnosis , Neuroma/surgery , Postoperative Complications/diagnosis , Postoperative Complications/surgery , Retrospective StudiesABSTRACT
Chondroid lipoma is a rare benign fatty tumour that has been confused with liposarcoma and chondrosarcoma. We present a case in a 44-year-old man and highlight the features that differentiate this benign lesion from the more aggressive ones.
Subject(s)
Lipoma/pathology , Mandibular Neoplasms/pathology , Adult , Humans , Lipoma/surgery , Male , Mandibular Neoplasms/surgeryABSTRACT
A simple technique to aid patient positioning during surgery is described. It has proved to be effective, versatile and cheap.
