scholarly journals Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Tsutomu Nomura ◽  
Megumi Kishimoto ◽  
Hirohisa Iwaki ◽  
Atsushi Ochi ◽  
Seiji Kishimoto

Introduction. We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results. The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid process was seen. Two courses of induction chemotherapy were administered prior to the operation. Because there was no evidence of anterior maxillary invasion, the maxillary swing approach was chosen. The left anterior maxilla was cut and swung laterally, preserving the blood supply. After removal of the palatal tumor, the maxilla was repositioned and the defect was restored with an anterior lateral thigh flap. Postoperative course was typical, and facial appearance, speech, and masticatory function were satisfactory. Conclusions. This technique is particularly useful for preserving appearance as well as speech and mastication.

2021 ◽  
pp. 659-663
Author(s):  
Shimon Kurtz ◽  
Maayan Fradkin

We describe a case of Urrets-Zavalia syndrome (UZS) in a healthy 56-year-old woman who underwent femtosecond-assisted phacoemulsification with intraocular lens implantation in both eyes. One month after an uneventful postoperative course in the left eye, the right eye was operated. Dilated pupil which was nonreactive to light appeared on day 21 postoperatively. This was discovered upon examination following anterior chamber inflammatory reaction which occurred 2 weeks following her surgery. Our case report emphasizes the importance and danger in developing UZS even if the reaction in the anterior chamber does not occur immediately after surgery. In addition, the importance of intraocular pressure follow-up in the period after UZS is acknowledged.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Rodney J. Vergotine

A case of two fibrotic lesions of the oral mucosa in a 17-month-old African-American female is reported. Both lesions occurred on the anterior maxilla, one lesion pedunculated on the buccal attached gingiva and the other lesion sessile on the palate. Histological examination characterized the buccal lesion as focal fibrous hyperplasia (FFH) and the palatal lesion as a giant cell fibroma (GCF). A case is made for continuing the consideration of GCF as a histologically distinct entity from FFH but that no difference in clinical impact between the two lesions exists.


Microsurgery ◽  
2009 ◽  
Vol 29 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Marco Romeo ◽  
Giuseppe Cuccia ◽  
Benedetto Manasseri ◽  
Gabriele Delia ◽  
Giovanni Risitano ◽  
...  

Author(s):  
Fahad Umer ◽  
Saqib Habib

Traumatic oral injuries present their own unique restorative challenges to the clinician due to their variable clinical presentation. In such cases, achieving optimum aesthetics and function in the maxillary aesthetic zone is challenging. This case report describes the rehabilitation of a patient with immediate implant placement after suffering trauma to the oral cavity resulting in a complete loss (avulsion) of a permanent central incisor tooth. In order to preserve the existing soft and hard tissue and to achieve predictable and aesthetically pleasing results, we decided to place an immediate implant as opposed to replantation of the avulsed tooth. Flapless implant surgery was planned and a dental implant (Bio horizons Implant Systems, Inc.) was placed following non-submerged protocol. At six month’s follow-up, the clinical and radiographic examination revealed a well osseo-integrated implant with an intact buccal cortical plate. Continuous...


2020 ◽  
Vol 12 (4) ◽  
pp. 337-340
Author(s):  
Niki Tadayon ◽  
Sina Zarrintan ◽  
Seyed Mohammad Reza Kalantar-Motamedi

We report a case of 66-year-old woman with true aneurysm of the right brachial artery. She presented with acute upper extremity ischemia. The hand was cold and parenthesized and distal pulses were absent. CT angiography (CTA) revealed a 20*25 mm true brachial artery aneurysm. The aneurysm was thrombosed without distal run-off. We excised the aneurysm and reestablished the arterial flow by a reverse saphenous interposition graft. The postoperative course was uneventful.


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
J. S. Vieira ◽  
E. M. Brandão-Filho ◽  
F. R. Deliberador ◽  
J. C. Zielak ◽  
A. F. Giovanini ◽  
...  

Fresh frozen allograft bone is routinely used in orthopedic surgery for the reconstruction of large bone defects, and its use in oral and maxillofacial surgery is increasing. The purpose of this case was to demonstrate the installation of dental implants and the use of fresh frozen bone for reconstruction of anterior maxilla in the same surgery. This case report presents the insertion of dental implants followed immediately by a placement of fresh frozen allograft in block and particle for a reconstruction of atrophic anterior maxillary in the same surgery. Ten months subsequent to this procedure, provisional fixed prosthesis was installed on the implants. Four months later (postoperative month 14), the final fixed prosthesis was installed and the clinical success was observed. The insertion of dental implants followed immediately by a placement of fresh frozen allograft is a safe and efficient process that results in the successful return of dental function and aesthetic rehabilitation for the patient.


1996 ◽  
Vol 33 (5) ◽  
pp. 445-449 ◽  
Author(s):  
Takafumi Susami ◽  
Takayuki Kuroda ◽  
Teruo Amagasa

Some adult cleft palate patients show severe maxillary transverse contraction and posterior crossbite. This case report demonstrates successful surgical-orthodontic treatment of such a patient. Surgically assisted rapid maxillary expansion (SA-RME) was completed prior to comprehensive orthodontic treatment. The osteotomy was performed on both the buccal and lingual aspects of the posterior maxillary alveolus. A Hyrax-type maxillary-expansion appliance was used, and the screw (0.2 mm, one quarter turn) was turned two or three times per day. Comprehensive orthodontic treatment was initiated after extraction of the mandibular first premolars and four third molars. The maxillary lateral incisors were also extracted after active orthodontic treatment. The amount of expansion achieved using SA-RME was greater at the posterior than at the anterior maxilla. Midpalatal suture opening occurred. After orthodontic treatment, occlusal stability was satisfactory. This case demonstrates the effectiveness of SA-RME in adult cleft palate patients with severe posterior crossbite.


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