scholarly journals Abscess of the anterior belly of the digastric muscle: a case report

2019 ◽  
Vol 101 (7) ◽  
pp. e150-e153
Author(s):  
A Thompson ◽  
M Pankhania
Keyword(s):  
Surgical Intervention ◽  
Multimodality Imaging ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Digastric Muscle ◽  
High Dependency ◽  
Anterior Belly ◽  
Neurovascular Structures ◽  
Learning Points ◽  
Nose And Throat

Abscess of the anterior belly of the digastric muscle has not been previously described and could pose a diagnostic and interventional dilemma. This case summarises the clinical, microbiological, radiological and surgical issues encountered and suggests learning points for clinicians posed with similar presentations. We recommend timely assessment by an appropriately trained clinician in either ear, nose and throat or oral and maxillofacial surgery, admission to a closely observable environment with airway-trained nursing staff and with potential for escalation to high dependency or intensive care in the event of airway compromise, as well as early involvement of an anaesthetist. Multimodality imaging should be performed to identify and localise an abscess collection or phlegmon, including an orthopantomogram in anticipation of odontogenic source and dental extraction as a definitive intervention. Surgical intervention for the abscess collection should be considered with consideration of the important neurovascular structures in this region.

scholarly journals Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Elvira Ferrés-Amat ◽  
Tomasa Pastor-Vera ◽  
Paula Rodríguez-Alessi ◽  
Eduard Ferrés-Amat ◽  
Javier Mareque-Bueno ◽  
...  
Keyword(s):  
Weight Gain ◽  
Speech Therapy ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Myofunctional Therapy ◽  
Before And After ◽  
The Subject ◽  
Poor Weight Gain ◽  
Stimulation Of

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

scholarly journals Effect of COVID-19 pandemic on orofacial and respiratory infections in ear, nose, and throat and oral and maxillofacial surgery emergency departments: a retrospective study of 7900 patients

2021 ◽  
Author(s):  
Aleksi Haapanen ◽  
Johanna Uittamo ◽  
Jussi Furuholm ◽  
Antti Mäkitie ◽  
Johanna Snäll
Keyword(s):  
Emergency Department ◽  
Respiratory Infection ◽  
Emergency Departments ◽  
Respiratory Infections ◽  
Maxillofacial Surgery ◽  
Emergency Department Visits ◽  
Outcome Variable ◽  
Oral And Maxillofacial Surgery ◽  
Patient Profile ◽  
Nose And Throat

Abstract Objectives The study purpose was to evaluate the effects of the COVID-19 pandemic on the rate and disease profile of orofacial and respiratory infections in oral and maxillofacial surgery (OMFS) and ear, nose, and throat (ENT) emergency units. Materials and methods Records of patients with orofacial or respiratory infection, or infectious symptoms, diagnosed in the OMFS or ENT Emergency Departments of the Helsinki University Hospital, Helsinki, Finland between 1st March and 30th October 2020 and the corresponding periods in 2018 and 2019 were reviewed. The main outcome variable was the occurrence of studied infections during the evaluated periods. Other study variables were age, gender, residence area, speciality, specific cause for the emergency department visit and admission to ward. Results There was a significant 37% decrease in the number of infection patients in 2020 compared to the years 2019 and 2018 (1894 vs. 2929 and 3077, respectively, p < .001). A mean decrease of 51% (from 1319 and 1249 patients in 2018 and 2019, respectively, to 592 patients in 2020) was seen in the “Other ENT respiratory infection” category. ENT patients were 51% less likely to be admitted to the ward in 2020 compared to 2019 and 2018 (p = .013). Conclusion A significant decrease was observed in the volume of emergency department visits for orofacial and respiratory infections during the COVID-19-pandemic in 2020 compared to the non-COVID periods. Clinical relevance It seems that social distancing, facial mask wearing, and other infection prevention precautions have changed the accustomed patient profile in orofacial and respiratory infections.

Decontamination and Traceability of Flexible Endoscopes

2007 ◽  
Vol 17 (6) ◽  
pp. 257-264 ◽  
Author(s):  
Angus Crawford
Keyword(s):  
General Hospital ◽  
Maxillofacial Surgery ◽  
Cost Effective ◽  
Daily Basis ◽  
Oral And Maxillofacial Surgery ◽  
Nose And Throat ◽  
Hospital Use

The Ear, Nose and Throat (ENT) and Oral and Maxillofacial Surgery (OMFS) departments at Glasgow's Southern General Hospital use their 21 flexible endoscopes on a daily basis for a variety of surgical and anaesthetic procedures, including difficult intubations and the examination of the throat and airway. This article will examine the possible risks to the patient with these procedures and some cost-effective methods of minimising those risks within these departments.

The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: a cadaveric feasibility study

2007 ◽  
Vol 106 (4) ◽  
pp. 677-679 ◽  
Author(s):  
R. Shane Tubbs ◽  
Marios Loukas ◽  
Mohammadali M. Shoja ◽  
Leslie Acakpo-Satchivi ◽  
John C. Wellons ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Skin Incision ◽  
Digastric Muscle ◽  
Facial Muscle ◽  
Muscle Paralysis ◽  
Mean Diameter ◽  
Human Cadavers ◽  
The Mean ◽  
Anterior Belly ◽  
Neurovascular Structures

Object Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures. Methods Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin incision, the nerve to the mylohyoid and facial nerve were identified. The nerve to the mylohyoid was transected at its point of entrance into the anterior belly of the digastric muscle. Measurements were made of the length and diameter of the nerve to the mylohyoid, and this nerve was repositioned superiorly to the various temporofacial and cervicofacial parts of the extracranial branches of the facial nerve. All specimens had a nerve to the mylohyoid. The mean length of this nerve available inferior to the mandible was 5.5 cm and the mean diameter was 1 mm. In all specimens, the nerve to the mylohyoid reached the facial nerve stem and the temporofacial and cervicofacial trunks without tension. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions To the authors' knowledge, the use of the nerve to the mylohyoid for facial nerve reanimation has not been explored previously. Based on the results of this cadaveric study, the use of the nerve to the mylohyoid may be considered for facial nerve reanimation procedures.

scholarly journals Orthognathic Surgical Rehabilitation in a Patient with Nemaline Rod Myopathy: A Case Report

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Faisal A Quereshy ◽  
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Surgical Planning ◽  
Surgical Intervention ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Hospital Stays ◽  
Staged Treatment ◽  
Disease Specific

A case report of the 5-year treatment path of a female patient with Nemaline Rod Myopathy treated by the Department of Oral and Maxillofacial Surgery and the Department of Craniofacial Orthodontics at the Case Western Reserve University in Cleveland, Ohio is presented. Myopathic patients present with disease-specific facies that requires extensive surgical intervention. Additionally, these patients are medically complex, requiring extensive pre and post-surgical planning to avoid adverse events. Our multi-disciplinary and multi-staged treatment plan required no extended post-surgical hospital stays or emergent interventions and she was to reach her stated goal of closing her lips and speaking.

scholarly journals Branchial cleft cyst. Particularities of diagnosis and treatment. Clinical case

2021 ◽  
Vol 3 (59) ◽  
pp. 71-77
Author(s):  
Gabriela Tverdohleb ◽  
◽  
Dumitru Sirbu ◽  
Stanislav Strisca ◽  
◽  
...  
Keyword(s):  
Clinical Case ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Diagnostic Methods ◽  
Cervical Region ◽  
Oral And Maxillofacial Surgery ◽  
Anatomical Structures ◽  
Additional Information ◽  
Branchial Cleft ◽  
Surgery Department

Branchial cysts are rare congenital malformations which arise due to the partial or complete involution of branchial apparatus in the development of the human embryo, causing huge discomfort to the patient. The objective of the study is to investigate the clinical picture, the evolution, the diagnostic methods of the branchial cysts to optimize the treatment tactics. A clinical case will be presented of a 40–years–old patient which was admitted to IMU IMSP in the Oral and Maxillofacial Surgery Department with the diagnosis of a left lateral branchial cyst. The patient accuses aesthetic disorders and the presence of a voluminous swelling which was located in the upper left lateral cervical region that began 2 years ago with episodes of frequent superinfection, gradually increasing in size. Therefore, a clinical and paraclinical examination was performed (laboratory tests, ultrasonography) to specify the diagnosis and to provide additional information on adjacent anatomical structures that may influence the tactics of the surgical treatment. A surgical intervention such as „removal of the swelling” was advised. Following the excision of the cyst under general anesthesia, the postoperative period passed without any particularities. Early diagnosis will reduce the increase in size of the branchial cysts preventing inflammatory complications with their superinfection.

True grit? Learning points from a facial soft tissue wound

2020 ◽  
Vol 11 (4) ◽  
pp. 196-197
Author(s):  
Zachary Cole-Healy ◽  
Damian Broderick ◽  
Richard M Graham
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Maxillofacial Surgery ◽  
High Index ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Junior Staff ◽  
High Index Of Suspicion ◽  
Learning Points ◽  
Foreign Body Implantation

We write this short piece regarding a recently referred case to our oral and maxillofacial surgery (OMFS) unit, which highlights several important learning points for OMFS junior staff. We describe a pertinent case in which the importance of history, examination and relevant investigations during the workup of soft tissue facial injuries is illustrated. Fundamentally, all facial traumatic wounds require a thorough assessment that is performed with a high index of suspicion of foreign body implantation. This case report highlights that all facial traumatic wounds require a thorough assessment performed with a high index of suspicion for foreign body implantation.

scholarly journals Perception by Laypersons and Healthcare Professionals Towards Oral and Maxillofacial Surgery

2013 ◽  
Vol 12 (2) ◽  
pp. 199-208
Author(s):  
Nur Afifah Mohd Nor ◽  
Ramizu Shaari ◽  
Mohammad Khursheed Alam ◽  
Shaifulizan Abdul Rahman
Keyword(s):  
Undergraduate Students ◽  
Healthcare Professionals ◽  
Wide Spectrum ◽  
Maxillofacial Surgery ◽  
Medical Science ◽  
Oral And Maxillofacial Surgery ◽  
Medical Undergraduate ◽  
Medical Undergraduate Students ◽  
Nose And Throat ◽  
Dental Professionals

Background: Oral and maxillofacial surgery (OMFS) is a surgical branch of dentistry that deals with the wide spectrum of diseases, injuries and defects in the maxillofacial region. There are plenty of people who have lack of awareness towards the wide surgical scope provided by OMFS as reported by previous study done in Boston in 1996. The purpose of this study was to assess the level of awareness among the general public and healthcare professionals towards Oral and Maxillofacial Surgery specialty in Hospital Universiti Sains Malaysia (HUSM). Materials and Methods: A total of 186 standardized questionnaire was distributed to 6 groups of respondents which include laypersons attending HUSM, 4th year dental and medical students, dental officers, medical officers and paramedical workers from various departments such as Emergency department, Ear, Nose and Throat (ENT) department, medical family clinic and dental clinic of HUSM. Results: The data showed that 100% of students and practitioners had heard of OMFS, whereas only 68.9% of the laypersons have heard of the specialty. Furthermore, only 11.6% of the lay responders had been treated by an OMFS. The full results also suggested that about 50% of laypersons, 35% of medical professionals and 30% of dental professionals had lack of understanding about the range of care provided by OMFS specialty. Conclusion: A thorough education need to be implemented among dental and medical undergraduate students as well as professionals so that they can make a proper referral later on and automatically provide correct information to the laypersons. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 199-208 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14950

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