scholarly journals Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

2020 ◽  
Author(s):  
Juncar Raluca Iulia ◽  
Paul Andrei Tent ◽  
Juncar Mihai ◽  
Arghir Ioan Anton ◽  
Arghir Cristina Oana ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Nominal Data ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Zygomatic Fracture

Abstract Background: The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods: A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium;53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p<0.025 was considered statistically significant.Results: The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n=179 (73.9%), closed n=179 (73.9%) and complete n=219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n=102 (42.1%) regardless of the fracture pattern (p=1.000). Complete zygomatic fracture (OR – 2.68; p=0.035) and fractures with displacement (OR – 3.66; p=0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p=0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions: Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

scholarly journals Interrelation between facial soft tissue lessions, underlying fracture patterns and treatment of zygomatic bone trauma: a 10 year retrospective study

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Raluca Iulia Juncar ◽  
Paul Andrei Tent ◽  
Mihai Juncar ◽  
Ioan Anton Arghir ◽  
Oana Cristina Arghir ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Facial Soft Tissue ◽  
Nominal Data ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Zygomatic Fracture

Abstract Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions. In this context the clinical diagnosis and the therapeutic indications can be difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue injuries, as well as to assess the type of treatment methods applied depending on the fracture pattern and the results achieved depending on the incidence rate of postoperative complications. We will use these results in order to improve the diagnosis and the establishment of correct treatment of this pathology. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Statistical analysis was performed with the MedCalc Statistical Software version 19.2 (MedCalc Software bvba, Ostend, Belgium; 53 https://www.medcalc.org; 2020). Nominal data were expressed as frequency and percentage. The comparisons of the frequencies of a nominal variable among the categories of another nominal variable were made using the chi-square test. Multivariate logistic regressions were used in order to establish the independent association between variables and lacerations/excoriations. After using the Bonferroni correction for multiple comparisons, a value of p < 0.025 was considered statistically significant. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.9%), closed n = 179 (73.9%) and complete n = 219 (90.5%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.1%) regardless of the fracture pattern (p = 1.000). Complete zygomatic fracture (OR – 2.68; p = 0.035) and fractures with displacement (OR – 3.66; p = 0.012) were independently associated with the presence of laceration. Fractures with displacement (OR – 7.1; p = 0.003) were independently associated with the presence of excoriation. The most frequent type of treatment applied was Gillies reduction (61.9%), followed by ORIF (30.9%). The most frequent postoperative complication was malunion secondary to Gillies treatment (4,6%). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. In the case of displaced, open or comminuted fractures we achieved the best results secondary to ORIF treatment method, while in the case of non-displaced and closed fractures, the best results achieved were secondary to conservative treatment.

scholarly journals Evaluation Of Clinical Features And Treatment Of Zygomatic Bone Fractures: A 10-Year Retrospective Study

2020 ◽  
Author(s):  
Juncar Raluca Iulia ◽  
Paul Andrei Tent ◽  
Juncar Mihai ◽  
Arghir Ioan Anton ◽  
Arghir Cristina Oana ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Features ◽  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Treatment Method ◽  
Fracture Pattern ◽  
Oral And Maxillofacial Surgery ◽  
Correct Treatment ◽  
Zygomatic Bone ◽  
Soft Tissue Lesions

Abstract Background The pattern of zygomatic bone fractures varies in the literature, their features being frequently masked by the presence of associated soft tissue lesions, which make clinical diagnosis and therapeutic indications difficult. The aim of this study was to evaluate the clinical features of zygomatic bone fractures and their interrelation with concomitant overlying soft tissue lesions, in order to improve the diagnosis and the establishment of the correct treatment. We also aimed to assess the type of treatment methods applied depending on the fracture pattern of the zygomatic bone, as well as their effectiveness depending on the incidence rate of postoperative complications. Methods A 10-year retrospective evaluation of midface fractures was performed in patients diagnosed and treated in a tertiary Clinic of Oral and Maxillofacial Surgery. Results The study included 242 patients with zygomatic bone fractures. The majority of the fractures were displaced n = 179 (73.90%), closed n = 179 (73.90%) and complete n = 219 (90.50%). Hematoma was the most frequent associated soft tissue lesion n = 102 (42.15%) regardless of the fracture pattern (p = 1.000). The incidence of lacerations and excoriations was statistically higher in the case of complete (laceration p = 0.0028/ excoriation p = 0.037), displaced and comminuted zygomatic fractures (laceration p = 0.015/ excoriation p = 0.001). The most frequent type of treatment applied was Gillies reduction (61.98%), followed by ORIF (30.99%). The most frequent postoperative complication was malunion secondary to Gillies treatment (p = 002). Conclusions Patients presenting lacerations and excoriations on clinical soft tissue examination will most frequently have an underlying complete, displaced or comminuted zygomatic fracture. The most effective treatment method in the case of displaced, open or comminuted fractures was ORIF, while in the case of non-displaced and closed fractures, conservative treatment was the most effective.

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

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.

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 Diode laser in the surgical treatment of inflammatory fibrous hyperplasia: Case report and literature review

2018 ◽  
Vol 32 (3) ◽  
pp. 154
Author(s):  
Fernando De Oliveira Andriola ◽  
Leonardo Matos Santolim Zanettini ◽  
Ricardo Giacomini De Marco ◽  
Camila Kunz ◽  
Cássia Dos Santos Machado Vaz ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Complete Healing ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Tissue Mass ◽  
Patient Reported ◽  
School Of Dentistry

OBJECTIVE: This article presents a case of inflammatory fibrous hyperplasia (IFH) treated by diode laser surgery, as well as a review of the literature about this pathology.CASE DESCRIPTION: A 55-year-old woman was referred to the Department of Oral and Maxillofacial Surgery, Pontifical Catholic University of Rio Grande do Sul, School of Dentistry, complaining of a discomfort on swallowing due to a soft-tissue mass in the oral cavity that had been developing for approximately 3 years. Intraoral examination revealed multiple exophytic, pedunculated lesions with a smooth surface and pinkish in color, affecting almost the entire right cheek mucosa. The lesion turned out to be a IFH by histopatology. Surgical removal of IFH of the oral mucosa using a diode laser was performed. The lesion was removed in 3 sessions. The patient reported no local symptoms after each irradiation. The clinical appearance 10 months after the last irradiation session demonstrated complete healing and no signals of recurrence.CONCLUSION: Based on the results obtained, we can conclude that diode laser radiation contributes significantly to the advancement of oral surgery and should be considered a valuable resource for the treatment of soft-tissue lesions in the field of oral and maxillofacial surgery.

scholarly journals Tratamento cirúrgico de fratura do complexo zigomatico orbital em paciente vítima de acidente desportivo: relato de caso

2020 ◽  
Vol 9 (6) ◽  
pp. 527-530
Author(s):  
José Jhenikártery Maia de Oliveira ◽  
Micaella Fernandes Farias ◽  
Flaviana Laís Pereira dos Santos ◽  
Artemisa Fernanda Moura Ferreira ◽  
Lucas Alexandre de Morais Santos
Keyword(s):  
Bone Fractures ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Facial Fractures ◽  
Porto Alegre ◽  
Maxillofacial Fractures ◽  
Facial Edema ◽  
Nigerian Population ◽  
Non Surgical Treatment

Introdução: Fraturas no complexo zigomático orbital podem resultar em deslocamento ósseo com alteração do volume orbital e distúrbios funcionais. As complicações associadas aos traumas dessa região podem vir a interferir diretamente na qualidade de vida do indivíduo, dessa forma, faz-se necessário a cirurgia de reposicionamento anatômico do osso. Objetivo: Relatar um caso clínico de fratura do complexo zigomático orbital em paciente vítima de acidente desportivo. Relato de caso: Paciente do sexo masculino, leucoderma, vítima de acidente desportivo, compareceu a um serviço de Cirurgia Bucomaxilofacial da cidade de Recife-PE, apresentando alterações anatômicas visíveis na região zigomática do lado esquerdo da face. Ao exame clínico observou-se assimetria facial, edema, equimose periorbital, hemorragia subconjuntival, perda de volume do lado afetado e desconforto relado pelo paciente, sugerindo fratura do complexo zigomático orbital. A Tomografia Computadorizada mostrou perda da projeção anteroposterior do corpo do osso zigomático esquerdo, com fratura no arco zigomático e descontinuidade da sutura esfenozigomática esquerdas. O corte tomográfico coronal evidenciou aprisionamento do conteúdo orbital por fragmentos presentes no assoalho da órbita, e fratura do pilar zigomático-maxilar. Através de acessos cirúrgicos peri-orbitais (superciliar e subtarsal) foi instalada 1 mini-placa com parafusos (1 em cada acesso), nas regiões da sutura fronto-zigomática e da margem infraorbital. Pelo acesso intraoral foi fixada uma placa no pilar zigomático-maxilar. O tratamento cirúrgico buscou acesso ao esqueleto da órbita, redução anatômica e fixação interna estável com mini-placas e parafusos. Considerações finais: Após 10 dias, observou-se o restabelecimento anatômico da projeção anteroposterior do osso zigomático direto, procedendo à melhora estético-funcional. Descritores: Anatomia Regional; Traumatologia; Fraturas Orbitárias. Referências Obimakinde OS, Ogundipe KO, Rabiu TB, Okoje VN. Maxillofacial fractures in a budding teaching hospital: a study of pattern of presentation and care. Pan Afr Med J. 2017;26:218. Ugboko V, Udoye C, Ndukwe K, Amole A, Aregbesola S. Zygomatic complex fractures in a suburban Nigerian population. Dent Traumatol. 2005;21(2):70-5.  Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre - RS - Brazil. Rev Col Bras Cir. 2017;44(5):491-97. Ramos JC, Almeida MLD, Alencar YCG, de Sousa Filho LF, Figueiredo CHMC, Almeida MSC. Estudo epidemiológico do trauma bucomaxilofacial em um hospital de referência da Paraíba. Rev Col Bras Cir. 2018;45(6):e1978. Wulkan M, Parreira Junior JG, Botter DA. Epidemiologia do trauma facial. Rev Assoc Med Bras. 2005;51(5):290-95. Knight JS, North JF. The classification of malar fractures: an analysis of displacement as a guide to treatment. Br J Plast Su1961;13:325-39. Mendonça JCG, Crivelli DMB. Tratamento de fratura cominutiva do complexo zigomático orbitário com utilização de fio de aço: relato de caso. Rev Bras Cir Cabeça Pescoço. 2012; 41(2):93-5. Hupp JR, Tucker MR, Ellis E.Cirurgia oral e maxilofacial contemporânea. 6. ed. Rio de Janeiro: Elsevier; 2015. p. 1099-1113. Oliva MA. Acesso subciliar para fraturas do complexozigomático-orbitári. Rev Bras Cir Cabeça Pescoço. 2013;42(2):106-8. Soares LP, Gaião L, Santos MESM, Pozza DH, Oliveira MG. Indicações da Tomografia Computadorizada no Diagnóstico das Fraturas Nasoórbito-etmoidais. Rev de Clin Pesq Odontol. 2004;1(1):29-33. Kurita M, Okazaki M, Ozaki M, Tanaka Y, Tsuji N, Takushima A, et al. Patient satisfaction after open reduction and internal fixation of zygomatic bone fractures. J Craniofac Surg .2010;21(7):45–9. Hammer B. Fraturas orbitárias: Diagnóstico, tratamento cirúrgico, correções secundárias. São Paulo: Santos; 2005. Panarello F, Chaves Júnior AC, Leles JLR, Oliveira MG. Análise dos materiais empregados para a reconstrução das fraturas orbitárias – Revisão de literatura. RBC: Rev Int Cir Traumatol Bucomaxilofacial. 2005;3(9):57-64. Kloss FR, Stigler RG, Brandstätter A, Tuli T, Rasse M, Laimer K, Hächl OL, Gassner R. Complications related to midfacial fractures: operative versus non-surgical treatment. Int J Oral Maxillofac Surg. 2011;40(1):33-7. Liedtke FS, Richinho KP, Pisanelli CH, Araf D. Fraturas do soalho da órbita do tipo ‘’Blow-out”: revisão de literatura. Revicience 2005;5(5):8-11.

COMPARISON OF POST EXTRACTION SOCKET HEALING WITH AND WITHOUT USING PLATELET RICH FIBRIN (PRF) – A CLINICAL AND RADIOGRAPHIC STUDY

2021 ◽  
pp. 62-65
Author(s):  
S.P. Indra Kumar ◽  
Kavin T ◽  
Narendar R ◽  
E. Gayathri Priyadharshini ◽  
Akshaya murugan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Maxillofacial Surgery ◽  
Test Group ◽  
Control Group ◽  
Oral And Maxillofacial Surgery ◽  
Soft Tissue Healing ◽  
Extraction Socket ◽  
Platelet Rich Fibrin ◽  
Tissue Healing ◽  
Socket Healing

AIM: The aim of this study is to comparatively evaluate the post extraction socket healing clinically and radiographically with and without using Platelet Rich Fibrin (PRF). MATERIALS AND METHODS: Fifty, otherwise healthy individuals undergoing dental treatment in the department of Oral and Maxillofacial surgery, Vivekananda Dental College for women, Thiruchengode, were randomly selected and the participants were divided into two groups – test group(PRF, n=25) and control group (Blood clot, n=25). Blood was freshly obtained from the participants of the test group and PRF was prepared. PRF was placed in the sockets of the test group and followed by the pressure application and suturing. Control group were allowed to heal naturally. Clinically, soft tissue healing and socket closure were assessed. Radiographic analysis of socket healing done by comparison of pre- and post-operative radiographs. The clinical follow-up assessments were done at an interval of 3 days, 1 week and 4 weeks and the data obtained were assessed. The patients were aged above 18 years, i RESULT: ncluding 33 females and 17 males. The soft tissue and socket healing were higher in the test group when compared with the control group clinically and the mean proportion of radiographic bone ll was signicantly higher in the test group in all the time intervals of 3 days, 1 week and 4 weeks, respectively. Outcome of the study CONCLUSION: demonstrate that the PRF placement in the extraction socket accelerates soft tissue healing and socket healing and increases the bone ll and reduces the bone resorption using clinical and radiographic methods.

scholarly journals 3D Soft-Tissue Prediction Methodologies for Orthognathic Surgery—A Literature Review

2019 ◽  
Vol 9 (21) ◽  
pp. 4550 ◽  
Author(s):  
Elena Carlotta Olivetti ◽  
Sara Nicotera ◽  
Federica Marcolin ◽  
Enrico Vezzetti ◽  
Jacqueline P. A. Sotong ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Literature Review ◽  
Surgical Planning ◽  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Facial Soft Tissue ◽  
Unknown Variable ◽  
Common Planning ◽  
The Face ◽  
Soft Tissue Changes

Three-dimensional technologies have had a wide diffusion in several fields of application throughout the last decades; medicine is no exception and the interest in their introduction in clinical applications has grown with the refinement of such technologies. We focus on the application of 3D methodologies in maxillofacial surgery, where they can give concrete support in surgical planning and in the prediction of involuntary facial soft-tissue changes after planned bony repositioning. The purpose of this literature review is to offer a panorama of the existing prediction methods and software with a comparison of their reliability and to propose a series of still pending issues. Various software are available for surgical planning and for the prediction of tissue displacements, but their reliability is still an unknown variable in respect of the accuracy needed by surgeons. Maxilim, Dolphin and other common planning software provide a realistic result, but with some inaccuracies in specific areas of the face; it also is not totally clear how the prediction is obtained by the software and what is the theoretical model they are based on.

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