scholarly journals Piezosurgery in Oral and Maxillofacial Surgery

Author(s):  
Shravan Renapurkar ◽  
Sowjanya Nagamalla

AbstractPiezoelectric devices are a revolutionary surgical tool with original application in Oral and Maxillofacial Surgery and then adapted to multiple other surgical specialties, including orthopedic surgery, neurosurgery, and otorhinolaryngology. The major advantage for the surgeon is protection of the soft tissues, which are vital for the outcome and patient’s quality of life. This chapter deals with a description of the equipment, principles of use, advantages/disadvantages, and some common clinical applications. With time, the device and its applications have evolved and continue to diversify.

Author(s):  
Navin S. Shah ◽  
Karan V. Panchal ◽  
Pratik Agrawal

Background: Mandibular fracture is the most common facial bone fracture. Fractures occurring at the Para symphysis region frequently results in mental nerve injury, due to which anaesthesia or paraesthesia of the skin and mucous membrane within the distribution of mental nerve may be observed and may cause reduced quality of life for patients. Aim of this study was to retrospectively analyse and evaluate the prevalence rate of mental nerve injury in patients that reported to the department of oral and maxillofacial surgery, managed conservatively or open reduction and internal fixation method during the last 3 yearsMethods: Patients with neurosensory deficit following para symphysis fracture were recorded, statistically analyzed and results and observation were prepared from it.Results: The patients with age group 21-30 diagnosed with para symphysis fracture constituted 25% of all operated case and were found to be more associated with midface and angle fracture. Etiology behind the trauma was mostly as a result of RTA. Neurosensory disturbances as a result of mental nerve injury were found to be associated in 20.89% case, out of which in most of the cases, it gradually recovered within a duration of 7-15 days.Conclusions: RTA’s have been a prime cause for para symphysis fracture, which may at times accompany neurosensory deficit following trauma or may occur post-surgery, has been found to cause troublesome sequelae and reduced quality of life. Moreover, further research study needs to be carried out over a larger time span having a larger group of patients.


2021 ◽  
Vol 1 (38) ◽  
pp. 36-40
Author(s):  
A. A. Sletov ◽  
D. V. Mikhalchenko ◽  
A. V. Zhidovinov ◽  
A. S. Serbin ◽  
K. A. Aleshanov ◽  
...  

Cancer of the lower jaw is one of the most common causes of the development of total defects. There are many indices and indicators to assess the quality of life of patients with this pathology, but they do not fully describe the features of their postoperative rehabilitation. The question of developing an evaluation criterion for the introduction of a special device in patients with subtotal defects of the lower jaw remains open.Material and methods. In the period from 2010 to 2021, 100 patients with subtotal defects of the lower jaw, aged 30 to 65 years old, who are being treated in the Department of Maxillofacial Surgery at the Department of Maxillofacial Surgery of the GBUZ SKKKB, were interviewed. All patients were divided into 2 groups of 50 people each. In the main rehabilitation was carried out using a special device to optimize the biomechanics of the lower jaw, in the control group, rehabilitation was carried out without one. The article presents the results of assessing the quality of life, which were carried out using a special questionnaire.Conclusions. This questionnaire makes it possible to assess the standard of living of patients using a special device at the stages of rehabilitation.


Author(s):  
Gita Rani ◽  
Amarjeet Gambhir

ABSTRACT Successful prosthetic reconstruction of hemimaxillectomy defects is a challenging procedure that requires multidisciplinary expertize to achieve acceptable function, speech and esthetics. Rehabilitation of an acquired maxillary defect improves the quality of life for the patient as close to normal as possible. Obturation of the defect depends on its volume and position of remaining hard and soft tissues, to be utilized for retention, stability and support for the prosthesis. The prosthesis should be simple to handle, easy to maintain, biocompatible, light in weight and convenient for future adjustments. This case report describes a clinical case of subtotal maxillectomy, which was successfully rehabilitated with a hollow bulb obturator. How to cite this article Rani G, Gambhir A. Prosthodontic Rehabilitation of a Patient with Subtotal Maxillectomy using a Hollow Bulb Obturator. Int J Prosthodont Restor Dent 2012; 2(1):24-28.


2020 ◽  
Vol 11 (3) ◽  
pp. 4479-4486
Author(s):  
Janani Kandamani ◽  
Divya Sanjeevi Ramakrishnan ◽  
Sudarssan Subramaniam Gouthaman ◽  
Santhosh Kumar M P

Third molar extraction is one of the most commonly performed minor surgical procedure in any dental practice worldwide, often accompanied by various postoperative sequelae such as swelling pain and trismus which intern affects the quality of life of a patient. Over the past few decades, different methods have been proposed in the literature and were clinically evaluated to reduce the postoperative discomfort after mandibular third molar impaction and out of which corticosteroids, have shown promising results. Dexamethasone (administered either orally, submucosally, IV or IM), methylprednisolone acetate and methylprednisolone sodium succinate (IV or IM or submucosal) are most commonly preferred corticosteroids in oral and maxillofacial surgery. The main objective is to systematically review the comparison of the effectiveness of submucosal administration of dexamethasone with methylprednisolone following mandibular third molar impaction in reducing the postoperative sequelae, and its discomfort and searches were performed in the PubMed, Medline, Scopus, and Cochrane Library databases. Two articles were most relevant, and the results of the comparison of the selected articles were analysed. From this deliberate audit, it is very well may be inferred that submucosal injection of dexamethasone plays a promising role in reducing the postoperative sequelae which includes swelling, pain and trismus and its discomfort following mandibular third molar impaction when compared with that of methylprednisolone.


2021 ◽  
Vol 2 (2) ◽  
pp. 22-33
Author(s):  
I. V. Pustovaya ◽  
M. A. Engibaryan ◽  
P. V. Svetitskiy ◽  
I. V. Aedinova ◽  
V. L. Volkova ◽  
...  

Relevance. Staged orthopedic treatment was used to improve the quality of life of patients who underwent radical maxillofacial surgeries for cancer.Patients and methods. 197 patients receiving treatment for maxillofacial cancer were observed at the Department of head and neck tumors, National Medical Research Centre for Oncology of the Ministry of Health of Russia, in 1998- 2018. All patients underwent radical surgical treatment resulting in postoperative defects of the upper jaw, soft tissues of the zygomatic- buccal-orbital region, nose, or auricle.Results. Removable obturator prostheses with various supporting and retaining elements were made for 159 (80.7 %) patients. Individual facial prostheses were made for 38 (19.3 %) patients: 17 (44.7 %) – external orbital prostheses, 14 (36.8 %) – external nasal prostheses, 6 (15.8 %) – external zygomatic- buccal-orbital prostheses, 1 (2.7 %) – external auricle prosthesis. Combined prostheses were made for 4 patients– removable upper jaw obturator and nose prosthe[1]sis; removable upper jaw obturator and eye prosthesis. Combined prostheses were fixed to each other using magnets. The results of maxillofacial prosthetics were evaluated according to the aesthetic requirements of the patients and their quality of life. Maxillofacial prostheses allowed a complete restoration of chewing, swallowing, and speaking, restored facial deformation, and improved the appearance of patients.Conclusions. Timely and comprehensive orthopedic treatment of patients with postoperative maxillofacial defects after radical surgeries for malignant tumors takes the main place in the complex of rehabilitation measures. Early elimination of extensive defects is aimed at maximum restoration of oral dysfunctions and appearance preservation. The apparent advantages of maxillofacial prostheses involve improvement of social adaptation and the quality of life of patients, which promotes complete rehabilitation and a return to socially useful activities.


2018 ◽  
Vol 46 (8) ◽  
pp. 3262-3267 ◽  
Author(s):  
Resit Sevimli ◽  
Mehmet Fatih Korkmaz

Objective This study was performed to determine the most common causes, locations, and treatments of metastasizing primary tumors through evaluation of patients with metastatic bone tumors who were admitted to our clinic. Methods In total, 96 patients with metastatic bone tumors who were admitted to our clinic from 2000 to 2016 were included in the study. Results The breast (30 patients, 31.3%) and lung (18 patients, 18.8%) were the most commonly metastasized primary organs. The femur was the most commonly metastasized bone. Conclusions Bone tumors in patients of advanced age are, unless otherwise proven, considered to be metastatic, and the development of specific diagnostic and treatment algorithms is needed. Clinicians should attempt to improve the general condition of patients with tumors exhibiting bone metastasis to increase the patients’ quality of life by providing early mobilization. Thus, appropriate patient selection and proper internal fixation are essential.


2019 ◽  
Vol 36 (2) ◽  
pp. 109-123 ◽  
Author(s):  
Kristina Feigin ◽  
Bonnie Shope

Platelet concentrates, mostly represented by platelet-rich plasma and platelet-rich fibrin, have gained significant interest in various medical and oral disciplines because of their potential to stimulate and boost regeneration of hard and soft tissues. Prepared from the patient’s own blood, they have been tested and used in various different surgical fields including oral and maxillofacial surgery. The effects of these biomaterials are described to be a result of the large concentration of platelets which contain a wide range of growth factors. The aim of this article is to introduce the principle and function of these platelet concentrates, to review their preparation, and to provide a comprehensive examination of the published oral and maxillofacial literature on this subject.


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