Surgical procedures for crown lengthening with restorative and aesthetic purposes: Case series.

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

Download Full-text

Injuries, treatment, and impairment caused by different types of fireworks; results of a 10 year multicenter retrospective cohort study

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine ◽

10.1186/s13049-020-00811-z ◽

2021 ◽

Vol 29 (1) ◽

Author(s):

Daan T. Van Yperen ◽

Esther M. M. Van Lieshout ◽

J. Niels Dijkshoorn ◽

Cornelis H. Van der Vlies ◽

Michael H. J. Verhofstad

Keyword(s):

Surgical Procedures ◽

Hospital Admissions ◽

Case Series ◽

Secondary Outcome ◽

Number Of Patients ◽

Whole Person ◽

Type Of Injury ◽

Clear Increase ◽

Level 1 Trauma Center ◽

Head Neck

Abstract Objectives The primary aim of this study was to evaluate the number of patients reported to a hospital with injuries from consumer fireworks in the months December–January in the past 10 years, and to describe the association between the type of fireworks, injury pattern, treatment, and permanent impairment. Methods A multicenter, retrospective, observational case series. Patients were selected from two hospitals in the Southwest Netherlands: a level 1 trauma center and a specialized burn center. All patients with any fireworks-related injuries treated between December 1 and January 31, during 2007 (December) to 2017 (January), were eligible for participation. The primary outcome was the number of patients with any type of injury caused by fireworks. The secondary outcome measures were patient and injury characteristics, treatment details, and whole person impairment (WPI). The percentage WPI expresses a patient’s degree of permanent impairments as a result of fireworks-related injuries. Results Of the 297 eligible patients, 272 patients were included. From 2007 to 2017, between 21 and 40 patients were treated, and no clear increase or decrease was observed in the number of patients and in the number of patients per type of fireworks. Explosive fireworks mainly caused upper extremity (N = 65; 68%) injuries, while rockets (N = 24; 41%) and aerials (N = 7; 41%) mainly affected the head/neck. Decorative fireworks predominantly resulted in burns (N = 82; 68%), and explosive fireworks in soft tissue lacerations (N = 24; 25%), fractures (N = 16; 17%), and amputations (N = 14; 15%). Patients injured by explosive and homemade fireworks were most often admitted to a hospital (respectively N = 24; 36% and N = 12; 80%), and resulted in the highest proportion undergoing surgical procedures (respectively N = 22; 33% and N = 7; 47%). WPI found in this study was between 0 to 95%, with a median of 0%. In 34 (14%) patients, the injuries resulted in a WPI of ≥1%, mostly as a result of explosive fireworks (N = 18; 53%). Conclusion This study found no increase or decrease in the number of patients treated in two specialized hospitals. Explosive and homemade fireworks could be considered as most dangerous, as they result into the most hospital admissions, surgical procedures, and into the most injuries with permanent impairment as a result.

Download Full-text

Frontal Sinus Drainage in Acute Pediatric Sinusitis With Intracranial Complications

American Journal of Rhinology and Allergy ◽

10.1177/1945892421991311 ◽

2021 ◽

pp. 194589242199131

Author(s):

Stephen R. Chorney ◽

Adva Buzi ◽

Mark D. Rizzi

Keyword(s):

Surgical Procedures ◽

Frontal Sinus ◽

Case Series ◽

Primary Objective ◽

Acute Sinusitis ◽

Intracranial Abscess ◽

Repeat Surgery ◽

Initial Surgery ◽

Intracranial Complications ◽

Sinus Drainage

Background The indication for frontal sinus drainage is uncertain when managing pediatric acute sinusitis with intracranial complications. Objective The primary objective was to determine if addressing the frontal sinus reduced need for subsequent surgical procedures in children presenting with acute sinusitis complicated by intracranial abscess. Methods A case series with chart review was performed at a tertiary children’s hospital between 2007 and 2019. Children under 18 years of age requiring surgery for complicated acute sinusitis that included the frontal sinus with noncontiguous intracranial abscess were included. Outcomes were compared among children for whom the frontal sinus was drained endoscopically, opened intracranially, or left undrained. Results Thirty-five children with a mean age of 11.1 years (95% CI: 9.9-12.3) met inclusion. Most presented with epidural abscess (37%). Hospitalizations lasted 12.9 days (95% CI: 10.2-15.5), 46% required a second surgery, 11% required three or more surgeries, and 31% were readmitted within 60 days. Initial surgery for 29% included endoscopic frontal sinusotomy, 34% had a frontal sinus cranialization and 37% did not have any initial drainage of the frontal sinus. Groups were similar with respect to demographics, severity of infection, need for repeat surgery, length of stay, and readmissions (p > .05). Further, persistence of cranial neuropathies, seizures, or major neurological sequelae after discharge were no different among groups (p > .05). Conclusion Drainage of the frontal sinus, when technically feasible, was not associated with reduced surgical procedures or increased complications and there is unclear benefit on measured clinical outcomes.

Download Full-text

Oral Surgical Procedures Performed Safely in Patients With Head and Neck Arteriovenous Malformations: A Retrospective Case Series of 12 Patients

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2015.10.012 ◽

2016 ◽

Vol 74 (2) ◽

pp. 255.e1-255.e8 ◽

Cited By ~ 5

Author(s):

Abdul Basit Karim ◽

Sean Lindsey ◽

Brian Bovino ◽

Alejandro Berenstein

Keyword(s):

Head And Neck ◽

Surgical Procedures ◽

Arteriovenous Malformations ◽

Case Series ◽

Retrospective Case ◽

Oral Surgical Procedures ◽

Retrospective Case Series

Download Full-text

Pathological sectiomania in maxillofacial surgery - the phenomenon of fixed obsession with surgical procedures: clinical case series

Stomatologiya ◽

10.17116/stomat20199803156 ◽

2019 ◽

Vol 98 (3) ◽

pp. 56

Author(s):

D. Z. Kekelidze ◽

A. I. Nerobeev ◽

A. A. Shmilovich

Keyword(s):

Surgical Procedures ◽

Clinical Case ◽

Maxillofacial Surgery ◽

Case Series

Download Full-text

Concurrent surgeries in ENT: a cost-effective and safe approach in patients requiring multiple definitive procedures

The Journal of Laryngology & Otology ◽

10.1258/002221504322731592 ◽

2004 ◽

Vol 118 (1) ◽

pp. 31-33 ◽

Cited By ~ 1

Author(s):

Achamma Balraj ◽

Mary Kurien ◽

Anand Job

Keyword(s):

Surgical Procedures ◽

Tertiary Care ◽

Case Series ◽

Cost Effective ◽

Definitive Treatment ◽

Tertiary Care Centre ◽

Retrospective Case ◽

Average Hospital ◽

Duration Of Surgery

Treatment of the predisposing factors that are identified in the nose and throat in several ENT diseases is mandatory prior to the definitive management of the latter. When surgical management is indicated it has been traditional to use staged procedures. This study was undertaken to assess the role of concurrent surgical procedures in ENT and evaluate their cost-effectiveness compared to similar staged procedures. This was a retrospective case series of 100 consecutive patients undergoing concurrent and similar staged ENT surgical procedures. On analysis, it was noted that the average duration of surgery, anaesthesia and hospital stay was significantly less in the concurrent procedures group than in the staged procedures (2.35/3.1.hours; 3.05/3.30.hours and 2.5/6.5 days, respectively). The average hospital bill for the concurrent procedures was also lower than for the staged procedures. Hence, in patients requiring multiple ENT surgical procedures for definitive treatment, concurrent procedures are more cost-effective than staged procedures and should be considered the treatment of choice in a tertiary care centre.

Download Full-text