scholarly journals Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Gustavo A. Lauand ◽  
Felipe G. G. P. Lima ◽  
Ricardo P. da Silva ◽  
Larissa Rodrigues Santiago ◽  
Jonas B. Dantas ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Social Risk ◽  
Surgical Access ◽  
Mechanical Removal ◽  
The Social ◽  
Thorough Debridement ◽  
Purulent Drainage

A 42 year old patient was referred to the Department of Oral and Maxillofacial Surgery of the Federal University of Uberlândia, for treatment of mandibular fractures (condyles and symphysis), a victim of a run over. The symphysis was surgically approached, using as surgical access the pre-existing laceration in the submental region. Five days after discharge, the patient returned with dehiscence of the wound and physical examination showed infestation by larvae in the symphysis. Mechanical removal and debridement were performed under local anesthesia, where plate exposure was noted. The patient underwent oral ivermectin therapy, intravenous antibiotic therapy and a thorough debridement was performed under general anesthesia due to the invasion of deep spaces in the supra-hyoid region. After 2 weeks, it presented with purulent drainage at the site. The miniplates were replaced by a 2.4 mm reconstruction plate and antibiotic therapy was maintained. Due to the social risk, the patient remained hospitalized for 45 days, when he was discharged with outpatient return, but did not attend the returns.

Chemical Reactions of Iodoform in the Study of Post-Extraction Alveolites

2017 ◽  
Vol 68 (10) ◽  
pp. 2378-2381
Author(s):  
Cristian Budacu ◽  
Mihai Constantin ◽  
Iulia Chiscop ◽  
Carmen Gabriela Stelea ◽  
Raluca Dragomir
Keyword(s):  
Healing Process ◽  
Maxillofacial Surgery ◽  
Post Treatment ◽  
Dental Extraction ◽  
Oral And Maxillofacial Surgery ◽  
Key Factors ◽  
Mucosal Regeneration ◽  
Prophylactic Measures ◽  
The Social ◽  
The Face

Post-operative alveolitis is a topical issue in dental practice, which is also reflected by the etiopathogenic aspects. The conservative principle requires the maintenance of dento-periodontal units in the arch for as long as possible, but there are situations where dental extraction is required. The healing process of the post-surgical wound is complex and involves processes of gingival mucosal regeneration and bone reshaping, involving several local factors: wound size, presence of infection, alveolar vascularization, intraalveolar foreign bodies, and general factors, especially general condition, age and body reactivity. The quality, structure, maintenance, and retraction of the clot are key factors in the formation of connective tissue during the healing of the post-extraction would. At the Oral and Maxillofacial Surgery Clinic of Gala�i, during a 2-year period between January 2015 and December 30, 2016, 2780 patients that required surgery - dental extraction were consulted and diagnosed. We found that among those 2780 patients with dental extractions 105 (3.77%) had post-treatment alveolitis. No post-surgical alveolitis from the case study was complicated by osteomyelitis of the jaws or by suppurations of the superficial or deep compartments of the face. The prophylactic measures in each dental extraction, together with the correct and timely curative treatment, combined with the dentist�s competence and responsibility, can shorten the time of suffering, actively combating the risk factor and accelerating the social reintegration of the patient with post-treatment alveolitis.

Mandibular Bone Fractures in elderly patients with reference to etiology of trauma

2021 ◽  
Vol 15 (8) ◽  
pp. 1920-1922
Author(s):  
Nabeela Riaz ◽  
Samreen Younas ◽  
Ijaz Ur Rehman ◽  
Ahmad Abdul Haseeb ◽  
Saba Hanif ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Mandibular Bone ◽  
Mandibular Injuries

Aim: to explore the mandibular bone fractures in elderly patients with reference to etiology of trauma. Methodology: This was a descriptive study conducted in the department of Oral and Maxillofacial Surgery KEMU/ Mayo Hospital Lahore. Elderly patients (age 60-100years) with mandibular bone fractures. Results: Aetiology of trauma leading to mandibular fractures was as follows; there were 79(65.83%) cases of RTA, 32(26.66%) falls, 4(3.33%) assaults and there were only 3(2.5%) cases of industrial injury. Conclusion: To conclude, this study depicts that road traffic accidents were the predominant cause of injury in the studied age group. Elderly patients need more care and attention, especially after traumatic incidents and lead to financial burden in hospitals Keywords: Maxillofacial trauma, Elderly population, Mandibular injuries, Elderly fractures

scholarly journals Clinical and Epidemiological Study on Patients with Mandibular Fractures within the Oral and Maxillofacial Surgery Compartment in the Sibiu County Clinical Emergency Hospital between 2013-2018

2019 ◽  
Vol 24 (4) ◽  
pp. 68-72
Author(s):  
Bogdan Ioan Petraşcu ◽  
Dan Sabău
Keyword(s):  
Epidemiological Study ◽  
Accidental Falls ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Etiological Factors ◽  
Emergency Hospital ◽  
Car Accidents ◽  
Clinical Emergency

Abstract Traumatology from the oral and maxillofacial area represents a very important and frequent pathology within this specialty, the mandibular fractures occupying the first place in terms of location and frequency due to the anatomical prominent position of the mandible. The first three etiological factors are represented by aggressions, accidental falls and car accidents. This article, accomplished in collaboration with the statistical service of the Sibiu County Clinical Emergency Hospital, aims at analysing the distribution by sex, origin environments, levels of studies, presentation of patients, analysis which was broken down by days of the week, frequent symptoms of these types of pathologies, for a period of 5 years, between 2013-2018.

scholarly journals Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

2017 ◽  
Vol 18 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Rafaella de S Leão ◽  
Edmilson Z da S Júnior ◽  
Marília GM de Alencar ◽  
Raisa Q Catunda ◽  
Sandra LD de Moraes ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Recurrent Dislocation ◽  
Complete Denture ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Movement ◽  
Technical Adequacy ◽  
Surgical Access ◽  
Tmj Dislocation

ABSTRACT Aim To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. Introduction There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. Conclusion The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. Clinical significance A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases. How to cite this article de S Leão R, da S Júnior EZ, de Alencar MGM, Catunda RQ, de Moraes SLD, do E Vasconcelos BC. Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure. J Contemp Dent Pract 2017;18(4):337-341.

scholarly journals GEOMETRICAL MODELS OF MANDIBLE FRACTURE AND PLATE IMPLANT

2018 ◽  
Vol 16 (3) ◽  
pp. 369 ◽  
Author(s):  
Karim Husain ◽  
Mohammed Rashid ◽  
Nikola Vitković ◽  
Jelena Mitić ◽  
Jelena Milovanović ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Fracture Site ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Anatomical Features ◽  
Mandible Fracture ◽  
Human Bones ◽  
Fixation Techniques ◽  
Bone Fragments ◽  
The Creation

In the oral and maxillofacial surgery, there is a requirement to provide the best possible treatment for the patient with mandibular fractures. This treatment presumes application of reduction and fixation techniques for proper stabilization of the fracture site. The reduction of the bone fragments and their fixation is much better performed when geometry and morphology of the bone and osteofixation elements (e.g. plates) are properly defined. In this paper, a new healthcare procedure, which enables application of personalized plate implants for the fixation of the mandibular fractures, is presented. Geometrical models of mandible and plate implants, presented in this research, were created by means of the Method of Anatomical Features (MAF), which has been already applied to the creation of accurate geometrical models of various human bones, plates and fixators. By using such geometrically and anatomically accurate models, orthopedic and maxillofacial surgeons can better perform pre-operative tasks of simulating and planning the operation, as well as an intraoperative task of implanting the personalized plate into the patient body.

scholarly journals Evaluation of Secondary Chronic Suppurative Osteomyelitis of Jaw in 15 Cases: A Retrospective Analysis

2021 ◽  
Author(s):  
Varsha Manekar ◽  
Vandana Gadve ◽  
Vijaya Dhote ◽  
Sulabha Radke
Keyword(s):  
Antibiotic Therapy ◽  
Chronic Osteomyelitis ◽  
Imaging Techniques ◽  
Demographic Data ◽  
Correct Diagnosis ◽  
Maxillofacial Surgery ◽  
Signs And Symptoms ◽  
Oral And Maxillofacial Surgery ◽  
Odontogenic Infections ◽  
Common Causes

Introduction: Chronic osteomyelitis may become a refractory condition and is more difficult to treat. Therefore, for correct diagnosis and evaluation of chronic osteomylitis, primary health care practitioners must have knowledge of signs and symptoms associated with osteomyelitis for effective management. Aim: To evaluate secondary chronic suppurative osteomyelitis of jaw in 15 cases. Materials and Methods: This was a retrospective study of all patients treated for maxillo-mandibular secondary chronic osteomyelitis over a period of six years (January 2013 to December 2018) in Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Nagpur, Maharashtra, India. This study was carried out in between November 2019 to November 2020. A total of fifteen cases were identified which were diagnosed as Secondary Chronic Suppurative Osteomyelitis (SCO) and treated for same. The cases were evaluated for demographic data, risk factors, aetiology, clinical presentation, radiological findings and the management. Data was collected through retrospective search of records and was arranged in descriptive tabular format without statistical analysis. Results: Out of 15 cases 9 (60%) were female. The patients ranged in age from 21 to 56 years with a mean age of 36.6±9.0 years. The mean age at first symptoms was 35.5 years (20-55), with a standard deviation of 9.12 years. The distribution of osteomyelitis in the jaws was dominated by the cases that occurred in the mandible i.e., 73.33% (11 cases) and the maxilla 26.66% (four cases) with most common involved site was body and angle region of mandible (eight cases) followed by premolar region two cases and anterior region one case. In this study, five cases (33.33%) had carious lesion and seven cases (46.67%) had infected extraction socket. Other causes of infection were osteoradionecrosis in one case and superimposed infection like mucormycosis in two cases. The most common causes of chronic osteomyelitis of the jaws were directly related to odontogenic infections like infected unhealed socket. Decortication and curettage was done in four cases. Decortication and sequestrectomy were performed in five cases and debridement of necrosed bone in three cases. Sinus opening, debridement of necrosed wall and packing were done in three cases of SCO involving maxilla. Duration of antibiotic therapy in all patients averaged five weeks. Conclusion: The accurate diagnosis with the help of recent imaging techniques, adequate antibiotic therapy as well as surgical treatment was keys for the success of SCO management.

In the emergency department

2018 ◽  
Author(s):  
Luke Cascarini ◽  
Clare Schilling ◽  
Ben Gurney ◽  
Peter Brennan
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Soft Tissue Injuries ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Soft Tissue Infections ◽  
Penetrating Injuries ◽  
Orbital Floor Fractures ◽  
Zygomatic Fractures

This chapter discusses oral and maxillofacial surgery in the A&E department, including, The paediatric OMFS patient, Overview of maxillofacial trauma, Mandibular fractures, Zygomatic fractures, Orbital floor fractures, Maxillary fractures, Nose, naso-ethmoidal, and frontal bone fractures, Face and scalp soft tissue injuries, Penetrating injuries to the neck, Intra-oral injuries, Dento-alveolar trauma, Dento-alveolar infections, Post-extraction complications, Head and neck soft tissue infections, Salivary gland diseases, and Miscellaneous conditions

Comparison of Preauricular Approach Versus Retromandibular Approach in Management of Condylar Fractures

2021 ◽  
Vol 15 (8) ◽  
pp. 2137-2140
Author(s):  
Ashfaq ur Rahim ◽  
Sadiq Ali ◽  
Muhammad Nauman ◽  
Tannaza Qayyum ◽  
Abdullah Khan ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Maxillofacial Surgery ◽  
Conventional Technique ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Surgical Methods ◽  
Mandible Fractures ◽  
Preauricular Approach ◽  
Condyle Fracture ◽  
Condylar Fractures

Objectives: Surgical treatment of patients with multiple mandibular fractures involving condylar segments may be a difficult proposition for a maxillofacial surgeon. These fractures can be double or triple fractures of the lower mandible and can also be associated with other fractures of the face. While many authors have suggested that the conventional approach to reducing and stabilizing a mandibular symphysis / para-symphysis fracture is appropriate before addressing a fractured condyle, there is another school of thought that suggests that the condylar segment should be reduced and repaired first. This article aims to review the results of operations where the reduction and fixation of a fractured condyle is performed prior to other associated mandible fractures, and to explore the effectiveness of various surgical methods including preauricular and retromandibular proposed in this case. Place and Duration: In the Oral and Maxillofacial surgery department of Faryal Dental College, Lahore for two-years duration from Jan 2018 to Jan 2020. Material and methods: The study included 60 surgically treated patients with multiple mandible fractures (double / triple), including the condyle component. For treatment of the fractured condylar segments, the preauricular and retromandibular (anterior parotid-transmasseteric) approach was used. Results: Condyle fracture was the first segment to be managed during sequencing of surgical treatment, regardless of the method used. First, good reduction and stabilization have been achieved with limited complications in treating a condyle fracture. Conclusion: While it is the surgeon's prerogative to sort multiple mandible fractures, addressing the condylar segment first provides the operator with a viable alternative to the conventional technique. Key words: condylar fractures, multiple mandibular fractures, preauricular approach, retromandibular approach

Prevalence and pattern of oral and maxillofacial trauma in Chhattisgarh- A retrospective study

2021 ◽  
Vol 7 (3) ◽  
pp. 131-134
Author(s):  
Sushmita Batra ◽  
Surabhi Singhai ◽  
Pramod Krishna B ◽  
Rajdeep Singh ◽  
Sushant Soni
Keyword(s):  
Maxillofacial Surgery ◽  
The Body ◽  
Maxillofacial Trauma ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
High Morbidity ◽  
Maxillofacial Injuries ◽  
Facial Region ◽  
Clinical Records

Maxillofacial trauma is any physical trauma to the facial region, commonly encountered by maxillofacial surgeons, and is often associated with high morbidity and so constitute quite a significant portion of the workload of the oral and maxillofacial surgeon. Maxillofacial injuries can occur as an isolated injury or may be associated with multiple injuries in other parts of the body. To assess the patterns, etiology, and treatment modalities of maxillofacial trauma in a teaching hospital in central India, over a 12-year period. Patients with maxillofacial trauma were identified using the department database and clinical records. 264 patients were identified with maxillofacial trauma in the department of oral and maxillofacial surgery between January 2006 and December 2018. The study showed that there was a male preponderance in all age groups over female. Of the 264 patients with maxillofacial injuries, 83,33% had isolated lower face (mandibular) fractures, followed by midface fractures (10.60%) and panfacial fractures (6.06%). Road traffic accidents (87.12%) were the most common form of etiology for trauma followed by assaults (10.98%). Most trauma were treated with open reduction internal fixation (89%) than closed reduction (11%). The etiology and pattern of maxillofacial injuries reflect the trauma patterns within the community and can thus provide a guide to help design programs toward prevention and treatment.

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