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.

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.

scholarly journals Serum Sickness Secondary to Fluoxetine

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Fatema S Esaa ◽  
Pooja R Shah ◽  
Lisa A Beck
Keyword(s):  
Treatment Plan ◽  
Hospitalized Patients ◽  
Serum Sickness ◽  
Unique Case ◽  
Pathophysiologic Mechanism ◽  
Appropriate Treatment ◽  
Culprit Drug ◽  
Life Threatening

Drug-related cutaneous eruptions are common, affecting approximately 2-3% of hospitalized patients, and can vary in severity from benign to life-threatening. Understanding the pathophysiologic mechanism of the eruption is important for being able to identify the culprit drug and develop an appropriate treatment plan. We present a unique case of serum sickness that presented with a pruritic dermatitis associated with arthralgias and hypocomplementemia, observed shortly after initiation of fluoxetine.

scholarly journals An unusual presentation of partial hemifacial hyperplasia

2021 ◽  
Vol 7 (5) ◽  
pp. 900
Author(s):  
Amit S. Date ◽  
Amrapali Keny Pawar ◽  
Pooja Kamath ◽  
Treville Pereira
Keyword(s):  
Congenital Malformation ◽  
Soft Tissues ◽  
Surgical Intervention ◽  
Facial Asymmetry ◽  
Unusual Presentation ◽  
Main Concern ◽  
Complete Evaluation ◽  
Facial Swelling ◽  
The Face

<p class="abstract">Partial hemifacial hyperplasia is a rare congenital malformation characterized by prominent unilateral overdevelopment of some of the hard and soft tissues of the face. This uncommon diagnosis should be considered while examining facial asymmetry. We report a case of slowly enlarging right facial swelling which turned out to be enlarged zygomtic arch. Complete evaluation led us to believe continued condylar hyperactivity as the underlying reason for worsening deformity. We offer an explanation for the same. Minimal surgical intervention led to significant aesthetic improvement which was patients main concern.</p>

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.

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 Regression models of teleradiographic parameters according to the Bjork method in young men and young women with orthognathic occlusion

2021 ◽  
Vol 25 (3) ◽  
pp. 376-380
Author(s):  
V. V. Vakhovskyi
Keyword(s):  
Young Women ◽  
Regression Models ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Young Men ◽  
Coefficient Of Determination ◽  
Regression Equations ◽  
The Third ◽  
Promising Area ◽  
The Face

Annotation. The ability to predict the values of certain teleradiographic indicators and their correlations for young people in need of dental care is a promising area of research. The data obtained will be able to more accurately help doctors build a treatment plan. The aim of the study was to build and analyze regression models of teleradiographic parameters according to the Bjork method in young men and young women with orthognathic occlusion. Cephalometric analysis of lateral teleradiograms (49 young men and 76 young women with orthognathic occlusion) according to the modification of the Bjork A. – CFT-Bjork method, performed using OnyxCeph³™ software, 3DPro version, from Image Instruments GmbH, Germany. Cephalometric parameters were divided into three groups: the first – metric characteristics of the skull, which are used as baseline indicators; the second – indicators of the upper and lower jaws; third – indicators that characterize the position of the teeth relative to each other, cranial structures and the profile of the soft tissues of the face. Regression models of teleradiographic indicators by the Bjork method are built in the license package “Statistica 6.0”. When modeling teleradiography indicators according to the Bjork method, which were included in the second group, depending on the indicators of the first group in young men with orthognathic occlusion, 9 out of 13 possible reliable regression models with a coefficient of determination greater than 0.5 (R2 = from 0.528 to 0.775) were constructed. The constructed regression equations most often include the value of the angles S-N-Pog, NSL/NL, NSL/ML, NL/ML, A-N-Pog, S-N-B and the distance Ii-Is. In young women with orthognathic occlusion, 7 reliable models of indicators of the third group were constructed depending on the indicators of the first and second groups (R2 = from 0.508 to 0.844). The constructed regression equations most often include the value of the angles NSL/ML, NL/ML, A-N-Pog, ML/RL and A-N-B. In young men and young women, the models of indicators belonging to the second group, depending on the indicators of the first group, had coefficients of determination less than 0.5, or were not built at all.

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.

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 The Role of Orthodontic Treatment and Prosthetics during the Recovery Period after Surgical Treatment

2021 ◽  
pp. 156-162
Author(s):  
Timerlan Aslambekovich Kadiyev ◽  
Muslim Kazbekovich Aigumov ◽  
Tatyana Timokhina ◽  
Kirill Dmitrievich Baranov ◽  
Marina Mikhailovna Krekova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Recovery Period ◽  
Interdisciplinary Approach ◽  
Postoperative Rehabilitation ◽  
Appropriate Treatment ◽  
Final Treatment

The present paper considers the role of orthodontic treatment and prosthetics in the recovery period after surgical treatment of an injury to the maxillofacial area. Analyzing the sources within the framework of the research topic, the author cconcludes tthat surgical treatment of maxillofacial trauma and postoperative rehabilitation often requires an interdisciplinary approach, which makes it a difficult task. This is due to the fact that these injuries usually affect several structures of the oral cavity and face, including hard and soft tissues, often causing malocclusion. Thus, the clinical picture and the appropriate treatment strategy may vary greatly from one person to another. Therefore, before drawing up a final treatment plan, a thorough and thoughtful multidisciplinary assessment of each patient is necessary.

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.

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