scholarly journals Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Hannah Cottom ◽  
Dery Tuopar ◽  
Phillip Ameerally
Keyword(s):  
Soft Tissues ◽  
Rare Complication ◽  
Mandibular Fracture ◽  
Facial Fractures ◽  
Dog Bite ◽  
Facial Skeleton ◽  
Head Region ◽  
Maxillofacial Fracture ◽  
The Face ◽  
Minor Injuries

Dog attacks are extremely frequent and are thought to be responsible for an average of 250,000 minor injuries and emergency unit attendances each year. Children in particular are more likely to experience dog-bite injuries with 5–9-year olds most susceptible. The majority of injuries are to the head region, with the lips, cheeks, and nose often affected. Most injuries experienced are confined to the soft tissues; nevertheless, maxillofacial fracture is a potential albeit rare complication. The incidence of facial fractures in relation to dog bites is unknown; however, some have estimated that facial fractures could occur in 5% of dog attacks. However mandibular fracture following a dog bite is extremely rare, with review of the literature only identifying three cases. We present a further case in which a five-year-old sustained numerous soft-tissue lacerations to the face and hand, together with fracture of the mandibular symphysis following a dog attack. The fracture was successfully repaired using open reduction and internal fixation with titanium plates and screws. The case emphasises that although maxillofacial fracture is rare, it may occur following a dog bite and that thorough and systematic examination of the facial skeleton is crucial to exclude the presence of such injuries.

scholarly journals Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

2013 ◽  
Vol 6 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Jesús R. Manzani Baldi ◽  
Daniel A. Wolff de Freitas
Keyword(s):  
Rare Complication ◽  
The Other ◽  
Pathophysiological Mechanism ◽  
X Rays ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Dog Bite ◽  
Facial Region ◽  
Zygomatic Fracture ◽  
Fracture Mandible

Dog bite injury frequently occurs in children, and many of these bites involve the facial region. On the other hand, facial fractures due to dog attacks are a rare complication, with the orbital, nasal, and maxillary bones most often affected. We present a case report of a child who suffered a double facial fracture, mandible and left zygoma, due to a dog bite. The clinical diagnosis was supported by X-rays and computed tomography, which also provided information about the characteristics of the fracture. Internal fixation was done with titanium miniplates. Finally, the pathophysiological mechanism and the biomechanics of the fracture, as well as the use of resorbable versus nonresorbable material on infants, are discussed.

Three Dimensional CT Reconstruction for the Evaluation and Surgical Planning of Facial Fractures

1986 ◽  
Vol 95 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Peter J. Koltai ◽  
Gary W. Wood
Keyword(s):  
Surgical Planning ◽  
Three Dimensional ◽  
Ct Scanning ◽  
Data Systems ◽  
Ct Reconstruction ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
The Face ◽  
Spatial Imagination ◽  
The Relationship

Despite advances in radiology—including CT scanning—the three-dimensional (3D) nature of facial fractures must still be inferred by the spatial imagination of the physician. A computer system (Insight Phoenix Data Systems, Inc., Albany, N.Y.) uses CT studies as substrate for 3D reconstructions. We have used the insight computer for the evaluation and surgical planning of facial fractures of 16 patients with complex injuries. We present five illustrative cases, directly photographed from the computer monitor. Images can also be manipulated in real time by rotating or planar sectioning (functions best appreciated on video). The ability to cybernetically extract the facial skeleton from living subjects provides precise anatomic data previously unobtainable. The images are valuable for an accurate assessment of the relationship between the injured and uninjured sections of the face. We conclude that 3D reconstruction is an important advance in the treatment of facial fractures.

scholarly journals Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

2021 ◽  
Vol 03 (01) ◽  
pp. 55-66
Author(s):  
Iftikhor Obidjonovich Nigmatov ◽  
◽  
Shukhrat Abdujalilovich Boymuradov ◽  
Jamolbek Abdukakhkhorovich Djuraev ◽  
Yusupov Shokhrukh Shukhratovich ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Soft Tissues ◽  
Road Traffic ◽  
Craniocerebral Trauma ◽  
High Growth ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Number Of Patients ◽  
The Face ◽  
Post Traumatic

The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.

Modification of the facial skeleton in aesthetic facial surgery

2021 ◽  
pp. 1425-1428
Author(s):  
Paul Johnson ◽  
David Tighe
Keyword(s):  
Soft Tissues ◽  
Facial Appearance ◽  
Facial Skeleton ◽  
Facial Bones ◽  
Facial Surgery ◽  
The Face

The facial bones form the foundation of the face and provide support for the overlying soft tissues. Changing their structure can have profound effects on facial appearance. Procedures may involve augmentation, bone reduction by contouring, or repositioning of bones by means of osteotomies. Each of these techniques can be used to improve facial appearance.

scholarly journals Peculiarities of ocular prosthetics in congenital anophthalmia and microphthalmia

2018 ◽  
Vol 11 (3) ◽  
pp. 6-14
Author(s):  
Nadezhda A. Baranova ◽  
Vadim P. Nikolaenko
Keyword(s):  
Soft Tissues ◽  
Dynamic Control ◽  
Anterior Segment ◽  
Palpebral Fissure ◽  
Facial Skeleton ◽  
Ocular Prosthesis ◽  
The Face ◽  
Prior Surgery ◽  
Congenital Anophthalmia ◽  
Prosthesis Material

Aim — to determine optimal terms of the primary ocular prosthetics, to develop the most auspicious regimen of adaptation to the ocular prosthesis in children with congenital anophthalmia and microphthalmia. Material and methods. A total of 46 children aged from 1 month to 16 years with congenital defect were under observation. Among patients with congenital microphthalmia, only unpromising eyes were subject to ocular prosthetics. Examination methods in the laboratory included external examination of the orbit, palpebral fissure, and eyelids. The state of the cul-de-sac of eyelids, the configuration of the conjunctival cavity, the anterior segment of the abnormally small eyeball were assessed. Photography was performed to achieve a dynamic control of external prosthetics signs of, and to evaluate the face symmetry. Results. Best results were observed at early stepwise ocular prosthetics with consideration of features of the ocular prosthesis material, without prior surgery. Long-term cosmetic performance of children with congenital anophthalmia and microphthalmia directly depended on age at which the non-surgical treatment began, on the timely replacement of the ocular prosthesis, compliance to the regimen developed for the adaptation to the prosthesis. Conclusion. This study showed that the terms of primary ocular prosthetics are of crucial importance for the symmetrical development of soft tissues and facial skeleton. Prosthetics for patients with congenital anophthalmia should be started at the first month of life. The optimal term for primary prosthetics in congenital microphthalmia depends on the length of the antero-posterior axis at birth. If the axial length is less than 7.5 mm, prosthetics should be started at the first month of life, if the axis is longer than 10 mm — no later than from the fourth month of life.

scholarly journals A case of giant ameloblastoma: destructive effect on the facial skeleton and soft tissues of the head and neck

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110501
Author(s):  
Květuše Lovásová ◽  
Branislav Borza ◽  
Peter Kizek ◽  
Milan Almaši ◽  
David Kachlík ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Treatment Plan ◽  
Facial Skeleton ◽  
Unique Case ◽  
Destructive Effect ◽  
Anatomical Structures ◽  
Precise Knowledge ◽  
Appropriate Treatment ◽  
Facial Swelling ◽  
The Face

Ameloblastoma is a benign odontogenic tumor characterized by slow growth causing painless facial swelling. The tumor can behave locally aggressively, and may have direct destructive effects on the surrounding soft and hard tissues. This paper reports the unique case of a female patient with giant ameloblastoma of the mandible. Computed tomography (CT) revealed an enormous swelling of the left side of the face, resorption of the affected hemi-mandible, left maxilla, and tissues of the temporal, infratemporal, and pterygopalatine fossae. Pressure from the tumor resulted in displacement and destruction of the facial skeleton, upper aero-digestive tract structures, and some structures of the neck. The patient was treated by radical hemimandibulectomy with removal of the tumorous mass. Precise knowledge of the anatomical structures, and their locations and topographical relationships is required in the diagnosis and treatment plan for each surgical procedure in cases of giant ameloblastoma. CT imaging can be used to determine the extent and exact location of the lesion, revealing other important details that may help in selecting appropriate treatment.

Imaging in trauma of the facial skeleton and soft tissues of the neck

2020 ◽  
Vol 81 (6) ◽  
pp. 1-15
Author(s):  
George Bitar ◽  
Philip Touska
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Penetrating Trauma ◽  
Soft Tissue Injuries ◽  
Imaging Features ◽  
Facial Skeleton ◽  
Pictorial Review ◽  
The Face ◽  
Craniofacial Trauma ◽  
Tissue Injuries

Trauma to the face and neck is a frequent reason for emergency department attendance. Imaging is invaluable in the characterisation of such injuries, enabling delineation of fracture patterns as well as identification of vascular and other soft tissue injuries. It may also be used to prevent long-term mortality and morbidity and provide a roadmap for surgical intervention so that form and function may be restored. This article gives a pictorial review of the imaging of craniofacial trauma, stratified according to the thirds of the face, followed by a review of blunt and penetrating trauma of the neck. It discusses appropriate imaging modalities for each trauma category, describes major patterns of craniofacial trauma on cross-sectional imaging and identifies clinically relevant imaging features that should trigger subspecialist review or be of relevance to pre-surgical planning. It starts with the upper third comprising frontal sinus fractures before describing the component fractures of the middle third (including nasal, zygomaticomaxillary and orbital fractures) and then focusing on the lower third (specifically mandibular and dentoalveolar fractures). The article concludes with a review of soft tissue injuries of the neck, particularly penetrating, blunt and laryngeal trauma.

scholarly journals Treatment of Fracture Sequel in the Mandibular Angle Region

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Beatriz Sobrinho Sangalette ◽  
Tiago Trevizan Levatti ◽  
Larissa Vargas Vieira ◽  
João Lopes Toledo Filho ◽  
Cláudio Maldonado Pastori ◽  
...  
Keyword(s):  
Mandibular Fracture ◽  
Open Bite ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Mandibular Angle ◽  
Occlusal Adjustment ◽  
Automobile Accident ◽  
The Face ◽  
The Right ◽  
Simple Fracture

Because of the anterior disposition on the face and the fragility of the anatomy, the mandible is commonly affected in facial fractures, and the angle region represents 32% of the mandibular fractures; therefore, the objective of the paper was to present a proposal for late correction of the mandibular fracture already consolidated and with occlusal alteration. Patient J.C.P.R., 32, during anamnesis reported loss of sensibility in the mentalis region as well as unilateral posterior open bite for having been a victim of an automobile accident about 1 year and 3 months ago. Physical examination showed elevation in the right mandibular angle region due to the poor positioning of fractured stumps. It has been found that the patient suffered a simple fracture at the mandibular angle, but that had not been treated previously, and it was necessary to treat the fracture sequel. Refraction was performed with a new reduction and fixation through titanium plates and screws, showing that, even being late, the procedure to reduce the fracture sequela was effective, even with the correct functional occlusal adjustment.

Sequencing of panfacial fracture repair

2021 ◽  
pp. 827-830
Author(s):  
Jiten D. Parmar ◽  
Lachlan M. Carter
Keyword(s):  
Soft Tissues ◽  
Fracture Repair ◽  
Three Dimensions ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Face Height ◽  
The Face ◽  
Panfacial Fractures ◽  
The Individual ◽  
Panfacial Fracture

Panfacial fractures involve multiple fractures of the upper, middle, and lower thirds of the face. In management of panfacial fractures, the individual fracture techniques and approaches described in the previous chapters in Section 7 are combined to restore bony continuity of the facial skeleton and provide an aesthetic and functional drape of the overlying soft tissues. The aim in treatment of panfacial fractures is to restore the anatomical buttresses of the face in three dimensions, thus restoring vertical face height, horizontal width, and anteroposterior projection.

scholarly journals Demonstration of the possibilities of reconstructive surgical interventions for closure of the exposed bones of the facial skeleton and cranial vault due to extensive defects of various etiologies

2021 ◽  
Vol 27 (2) ◽  
pp. 163-168
Author(s):  
S.B. Bogdanov ◽  
◽  
G.A. Zabunyan ◽  
D.N. Marchenko ◽  
A.N. Blazhenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissues ◽  
Greater Omentum ◽  
Cortical Plate ◽  
Facial Skeleton ◽  
Surgical Interventions ◽  
Aesthetic Result ◽  
Complete Restoration ◽  
The Face ◽  
The Aesthetic

Introduction Surgical treatment of patients with tissue defects of the scalp and face is challenging for surgeons. It is an integral part of the social and labor rehabilitation of such patients. Exposure of the skull bones after extensive polyetiological resections creates a difficult task for reconstruction of complete or partial loss of soft tissues of the head. Autologous dermoplasty, simple in its technical implementation, is impractical on the bones of the facial and cerebral skull because insufficient vascularization of the wound bed creates a risk of early rejection of the graft. The aim of the study was development and evaluation of the effectiveness of the method of restoring the integrity of the skin of the head and face inh extensive defects with exposure of the bones of the skull. Materials and methods Аnalysis of the methods and results of reconstructive surgical treatment of three patients with extensive defects in the tissues of the scalp and face at the Research Institute of the Ochapovsky Regional Clinic Hospital No.1 in 2018-2020. Results The immediate result of surgical treatment was a complete restoration of the skin with the maximum possible preservation of underlying deep anatomical structures after a radical one-step removal of non-viable tissues, both soft and bony. Subjectively, the patients were satisfied. The aesthetic result obtained in all cases satisfied both the patients and the surgical team. Conclusion The treatment of extensive defects of the soft tissues of the face and bones of the skull is a doable task, provided certain conditions are met. Removal of the affected tissues with simultaneous plasty of the resulting wound defect with a autologous greater omentum and skin autografts allows one to simultaneously solve the problem of plastic closure of wound defects of such localization. When performing osteonecrectomy of the outer cortical plate of the skull to the bleeding layer, conditions are created for survival of a free skin autograft on the bone.

Sign in / Sign up

Export Citation Format

Share Document