Integration of the medical degree in oral and maxillofacial surgery: A 10-year follow-up

2001 ◽  
Vol 59 (12) ◽  
pp. 1471-1476 ◽  
Author(s):  
Alan S. Herford ◽  
D.Allen Pulsipher ◽  
Douglas P. Sinn
Keyword(s):  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Medical Degree

scholarly journals Rare Iatrogenic Oronasal Communication after Superior Canine Odontectomy Attempt

2021 ◽  
Vol 2020 (2) ◽  
pp. 1
Author(s):  
Ciprian Roi ◽  
Emilia Ianeș ◽  
Diana Nica ◽  
Alexandra Roi ◽  
Laura Cristina Rusu ◽  
...  
Keyword(s):  
Case Report ◽  
Scientific Literature ◽  
Oral Surgery ◽  
Healing Process ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Unsuccessful Attempt ◽  
One Year ◽  
General Dentist

(1) Background: Oronasal communication is described in the scientific literature as a common complication that occurs after a cleft palate surgery. In some cases, it can also be a consequence of oral surgery procedures; the main problem of this type of rare accident is related to the correct healing process and treatment option. (2) Case report: A patient with oronasal communication caused by an unsuccessful attempt of a superior canine odontectomy presented at the Emergency Department of the Oral and Maxillofacial Surgery Hospital, Timișoara. The case management is described from the first consult to one-year follow-up. We consider that this pathology was optimally treated surgically, and the results are more than satisfactory, taking into consideration the high rates of recurrence. (3) Conclusion: This case report can be a useful to a general dentist who is trying to decide whether to perform the canine odontectomy or refer to a specialist surgeon due to the accidents and complications of this procedure.

scholarly journals Primary Tuberculous Lymphadenitis: a Rare Case Report

2018 ◽  
Vol 22 (2) ◽  
pp. 106-110
Author(s):  
Mustafa Mert Açikgöz ◽  
Ayşem Yurtseven ◽  
Gülsüm Ak
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Maxillofacial Surgery ◽  
Excisional Biopsy ◽  
Oral And Maxillofacial Surgery ◽  
Tuberculous Lymphadenitis ◽  
Rare Case Report ◽  
Long Term Follow Up

SummaryBackground/Aim: Our aim is to describe multidisciplinary approach to primary tuberculous lymphadenitis with a case report.Case Report: A 6-year-old boy was referred to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery with the symptoms of painless extra-oral abscess and lymphadenopathy. The diagnosis of primary tuberculous lymphadenitis was proved by microbiological culture and ultrasound imaging.Conclusions: Combine tuberculosis treatment should be applied and long term follow up is necessary. Excisional biopsy for tissue diagnosis and bacterial examination with culture should be performed for an early diagnosis as a delay in treatment can lead to devastating consequences.

Clinico-epidemiologic review of 91 cases of non-odontogenic sarcomas of the orofacial region in a Nigerian population

2019 ◽  
Vol 8 (2) ◽  
pp. 25-31 ◽  
Author(s):  
ROWLAND AGBARA ◽  
BENJAMIN FOMETE ◽  
KELVIN OMEJE ◽  
POLYCARP ONYEBUCHI
Keyword(s):  
Malignant Tumors ◽  
Maxillofacial Surgery ◽  
Osteogenic Sarcoma ◽  
University Teaching ◽  
Oral And Maxillofacial Surgery ◽  
Female Ratio ◽  
Oncological Treatment ◽  
Orofacial Region ◽  
Surgery Department

Introduction: Sarcomas are a rare group of malignant tumors. This study highlights important findings in 91 cases of non-odontogenic sarcomas of the orofacial region. Materials and Methods: Patients who presented with orofacial sarcoma at the Oral and Maxillofacial Surgery Department of a regional University Teaching Hospital between January 1997 and June 2017 were retrospectively studied. Excluded were cases of Kaposi and odontogenic sarcomas. Data obtained were analyzed using the Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA). Results from descriptive statistics were represented in the form of charts. Results: A total of 91 cases were reviewed and consisted of 51 (56.0%) males and 40 (44.0%) females, with a male to female ratio of 1.3:1. The mandible (n=47; 51.6%) and the maxilla (n=26; 28.6%) were the major sites involved. Osteogenic sarcoma (n=44; 48.4%) and rhabdomyosarcoma (n=16; 17.6%) occurred more frequently. A total of 41 (45.1%) patients had surgery and the common hard tissue procedures were mandibulectomy (n=26; 28.6%) and maxillectomy (n=10; 11.0%). Non-surgical oncological treatment was administered to 32 (35.2%) patients, and this was the only modality of treatment in 8 (8.8%) cases. The period of follow-up Arranged from 1-43 months and within this period; there were 7 (17.1%) recurrences with 1 case of pulmonary metastasis. Discussion: Most recurrences were noted less than one-year post-treatment. There is a tendency for patients to present late and compliance with follow up review is poor in this environment.

Coagulation Derangements in Oral and Maxillofacial Surgery in Patients with a Documented Cancer: a Follow-up Study after Surgery

2003 ◽  
Vol 82 (11) ◽  
pp. 864-865
Author(s):  
C. Borriello ◽  
G. Colella ◽  
D. De Lucia ◽  
A.M. Molinari ◽  
F. De Francesco
Keyword(s):  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Follow Up Study

Transconjunctival Approach Using Lateral Skin Extension for Reconstruction of Orbit Zygomatic Complex Fractures: Technique Description and a Case Series Analysis

2020 ◽  
pp. 194338752097008
Author(s):  
Salvador Valladares Pérez ◽  
Diego Bustamante Correa ◽  
Carlos Cortez Fuentes ◽  
Felipe Astorga Mori ◽  
Gerson Sepúlveda Troncoso ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Case Series ◽  
Lateral Wall ◽  
Orbital Floor ◽  
Oral And Maxillofacial Surgery ◽  
Transconjunctival Approach ◽  
Unique Approach ◽  
Orbital Rim ◽  
Infraorbital Rim

Study Design: A descriptive-observational study of a series case report of patients diagnosed with orbito-zygomatic complex (OZMC) fracture with lateral wall involvement, was conducted. All patients were assessed in the Oral and Maxillofacial Surgery Service at Hospital El Carmen, Maipu, Santiago, Chile. Objective: The purpose of this study was to evaluate a single-institution experience with the transconjunctival approach to the orbit, utilizing a lateral skin extension as unique approach to access to fronto-zygomatic suture, infraorbital rim and/or orbital floor. Method: The authors identified 41 patients with OZMC fractures who underwent to surgical treatment over a 45 months period. Among this group, 21 patients needed fixation with osteosynthesis of the frontozygomatic suture, and 16 of whom were treated with the approach being studied. The authors assessed scleral exposure, eyelid position changes, ectropion, and entropion as outcome measures, and reported satisfactory outcomes at a minimum of 9 months follow-up. Conclusions: This study concludes that in our experience, the transconjunctival approach utilizing a lateral skin extension allows a direct, easy, and quick access to the entire infra orbital rim, orbital floor, fronto-zygomatic suture and lateral wall of the orbit, up to spheno-zygomatic suture, with low associated morbidity and complications.

scholarly journals COVID-19: The Oral and Maxillofacial Surgery Experience, Oxford, UK

2021 ◽  
pp. 194338752199126
Author(s):  
Toby M. Visholm ◽  
Neha Sandhu ◽  
Daljit K. Dhariwal
Keyword(s):  
Average Length ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Junior Doctors ◽  
Hub And Spoke ◽  
Face To Face ◽  
Time Period ◽  
New Guidelines ◽  
Surgery Department

Study Design: In response to the COVID-19 pandemic the Oxford Oral and Maxillofacial Surgery Department, that operates as a Hub and Spoke model underwent several changes to its structure to respond to the change in service. This study is an audit of all emergency patients seen during a 10-week period and compared these patients to the same time period 1-year previous. Objective: The objective was to observe the change in the service provision during the COVID-19 pandemic. Methods: This study prospectively recorded all the emergency referrals, inpatient admissions and emergency outpatient reviews during a 10-week period, this was compared to data from the same time period in 2019. Results: The unit saw a statistically significant decrease in the number of facial lacerations (p = 0.0007) and fractured mandibles (p = 0.0067) and received a statistically significant increase in patients presenting with dental abscesses (p = 0.0067). Average length of inpatient stay was reduced from 2.4 days to 1.7; of these patients significantly less were reviewed face to face (p = 0.026) in favor of telemedicine options. Conclusions: During this period, the hub and spoke model allowed the service to quickly adapt during the COVID pandemic aiding the dissemination of new guidelines and establishing hub and spoke local consultant led daily emergency and follow up clinics. The Specialist Training Registrars were located in the central hub which allowed the service to have 24-hour resident senior decision makers and enabled the redeployment of junior doctors. The authors believe that the Hub and Spoke model allowed their workforce and resources to best serve their patient population.

scholarly journals CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT

2021 ◽  
Vol 71 (2) ◽  
pp. 667-71
Author(s):  
Humaira Sarwar ◽  
Irfan Shah ◽  
Ali Akhtar Khan ◽  
Adnan Babar ◽  
Saad Mehmood ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Conservative Management ◽  
Maxillofacial Surgery ◽  
Radiological Finding ◽  
Mouth Opening ◽  
Armed Forces ◽  
P Value ◽  
Oral And Maxillofacial Surgery ◽  
Condylar Fractures

Objective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentistry (AFID), Rawalpindi, from Feb 2018 to Aug 2019. Methodology: A total of 60 patients diagnosed as isolated mandible trauma with unilateral condyle fractures were studied. All patients were assessed radiologically on orthopantomogram (OPG) before the start of treatment. They were assessed clinically for maximum mouth opening (MMO), occlusion, pain and masticatory satisfaction before the start of treatment and after conservative management. Conservative Management includes soft diet only or maxillomandibular fixation (MMF) followed by active physical therapy. After 6 months of follow up, pre-treatment and post-treatment clinical parameters and radiological finding were compared. Results: Sixty patients were managed conservatively, among them 37 (62%) were male and 23 (38%) were female with age range of 21-53 years. There was statistically significant decrease in pain (p-value 0.002) and improvement in mastication (pvalue 0.079) before and after the conservative treatment of mandibular condylar fractures. Overall 46 (77%) patients treated with conservative management were satisfied with their mastication and 40 (67%) patients had mild pain on mastication. All the patients showed satisfactory occlusion and had no occlusal discrepancy on last follow up visit. Maximum mouth opening improved from 32.38 ± 4.54 to 40.90 ± 1.75 after treatment. The mean of preoperative ramus length difference of both sides of the mandible was 4.23 ± 2.3 mm............

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