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Annals of Maxillofacial Surgery

Heena Mazhar, Ratna Samudrawar, Rubi Gupta, Mukesh Kumar Kashyap
Cherubism is a rare benign, autosomal-dominant inherited fibro-osseous lesion of jaw characterized by excessive bone degradation of the upper and lower jaws followed by the development of fibrous tissue masses. It is usually self-limiting; it starts in early childhood and involutes by puberty. The purpose of this clinical report is to describe a nonfamilial case of cherubism on a teenager female patient first treated by calcitonin nasal spray followed by surgical resection and recontouring after puberty.
July 2018: Annals of Maxillofacial Surgery
Tanmoy Nath, Mohammed Imran, Kaling Megu, Adil Shafath, Kesang Wangdi Thongdok
There is a little available literature on injuries sustained due to bear attacks and their management. Bears are agile wild animals and injuries sustained after a bear attack have varying patterns. In general, such cases present to the emergency department with severe maxillofacial injuries with varying patterns, thereby limiting the use of common protocol for the management of such injuries. The aim of this article is to add to the current available literature on bear attacks, a present case of management of maxillofacial injury involving the orbit sustained after a bear attack...
July 2018: Annals of Maxillofacial Surgery
Stefan Ihde, Antonina Ihde
This article explains, based on a long-term observation, the hard-tissue reaction to different endosseous implant surfaces and different implant designs. A patient who had received a full maxillary implant-supported restoration on basal implants and compression screws followed by immediate loading presented no clinical problems at the 20-year follow-up, but the X-ray examination revealed different hard tissue reactions to different implant types. No bone loss was found around lateral basal implants with fully polished vertical aspects, whereas crater-like bone loss was observed around the vertical shafts of implants with a roughened surface and macromechanical retentions...
July 2018: Annals of Maxillofacial Surgery
Kishore Moturi, Vini Kaila
Cervicofacial actinomycosis is an invasive destructive infectious syndrome, caused by Gram-positive, branching filamentous bacteria, Actinomyces . Most of the cases are traced to an odontogenic source with periapical abscess and posttraumatic or surgical complications with poor hygiene and immunosuppression as contributing factors. Diagnosis is often delayed because of nonspecific and prolonged symptoms usually mimicking a malignant or a granulomatous lesion. Solitary or multiple abscesses and fistula formation across normal tissue planes accompany chronic draining lesions and may lead to invasion of viscera...
July 2018: Annals of Maxillofacial Surgery
Kalyani Gelada, Rajshekhar Halli, Husain Mograwala, Sanjana Sethi
Actinomycosis is a suppurative and often chronic bacterial infection most commonly caused by Actinomyces israelii . Actinomycotic infections may mimic more common oral diseases or present in a similar way to malignant disease. Treatment of actinomycosis involves surgical removal of the infected tissue and appropriate antibiotic therapy to eliminate the infection. Rarely seen in day-to-day dental practice, actinomycosis of the oral cavity is a highly significant condition due to its aggressive and locally destructive nature...
July 2018: Annals of Maxillofacial Surgery
Mikhail Daya Attie, Isabella Alessandra Anderson, Jason Portnof
Osteomyelitis of the mandible is most commonly caused by bacterial infections and is rarely linked to fungal infections. In 2003, Friedman et al. studied the relationship of multiple drugs including marijuana, opioids, nicotine, and alcohol and its effect on the immune system. It is important to consider potential risks and complications of patients who are immunocompromised and present a history of substance abuse. These complications include infections and osteomyelitis which can be associated with multiple microorganisms; some of the most common microorganisms isolated in mandibular osteomyelitis include Streptococcus , Eikenella , and Candida ...
July 2018: Annals of Maxillofacial Surgery
Manjunath Reddy, Vijay Mehetre, Priyadarshani Jayprakash Gir, Varsha Ranmare
Zimmermann-Laband syndrome is a rare condition which manifests as hereditary gingival tissue hypertrophy along with other clinical features. Till date, only few cases have been reported in the literature. This case report focuses on an extremely rare presentation of Zimmermann-Laband syndrome in a twin. There has not been a single case report of Zimmermann-Laband syndrome in twins.
July 2018: Annals of Maxillofacial Surgery
Mukesh Kumar Singhal, Ramakant Dandriyal, Asish Aggarwal, Anshika Agarwal, Sudhir Yadav, Prashant Baranwal
Implant placement is a challenge in the anterior maxilla if the available bone is reduced and esthetics is challenging. The ideal implant position should be considered in all three dimensions: mesiodistal, apicocoronal, and orofacial. This article includes a review and a case report for the anatomical and clinical perspective of implant placement in nasopalatine foramen (near incisal canal). In this case report, the edentulous space is mutilated in between the area #12 and #21 teeth. Therefore, only one, 3...
July 2018: Annals of Maxillofacial Surgery
Luiz Fernando Magacho Da Silva, Jonathan Ribeiro Da Silva, Fabrizio Albieri, Rodrigo Dos Santos Pereira
Dental trauma is a common injury observed at dental practices that normally occurs in young patients. It especially affects the anterior teeth, although trauma to the posterior teeth can also be observed frequently when caused by high-impact trauma and masticatory forces. Horizontal root fracture in the posterior teeth is even more rare and involves a more specific type of trauma. This article reports the case of a second molar root fracture that happened during the removal of an impacted wisdom tooth. The patient had no discomfort associated with the event, and the tooth had no change in sensibility or mobility during follow-up...
July 2018: Annals of Maxillofacial Surgery
Mohammed Salman Basha
Throat packing/pharyngeal packing routinely was done during almost all otorhinolaryngology and head and neck surgery, dental, and oral and maxillofacial surgeries. We present an unusual case of a pharyngeal throat pack inadvertently left behind postextubation. The pack was subsequently identified and retrieved successfully from the gastrointestinal tract.
July 2018: Annals of Maxillofacial Surgery
Mariano Sebastian Chutchurru, Maria Isabel Brusca, Roberto Palavecino
Ameloblastoma is a benign but locally invasive odontogenic tumor that causes significant morbidity. The aim is to study an ameloblastoma treatment with reconstruction using titanium plates adapted using stereolithographic models. A 48-year-old female patient referred due to asymptomatic osteolytic lesion between teeth 47 and 48 discovered during routine radiographic study. The pathoanatomical study described a desmoplastic ameloblastoma. Due to the possibility of it being a malignant lesion, a computerized axial tomography scan was performed, which showed that the tumor was not malignant...
July 2018: Annals of Maxillofacial Surgery
Masakazu Hamada, Hidetaka Shimizu, Ayako Takasu, Kyoko Nishiyama, Yoshiaki Yura
Intraosseous venous malformation of the mandible is rare. A 59-year-old woman was referred to our hospital for evaluation of a radiolucent lesion in the left body of the mandible that had been detected on a routine radiologic dental checkup. The patient wished for follow-up rather than operation. After 2 years' follow-up, the radiolucent lesion had slowly grown, and the patient decided to have an operation. The lesion was removed surgically using the piezosurgery system, and conservation of the inferior alveolar nerve was achieved under general anesthesia...
July 2018: Annals of Maxillofacial Surgery
Vikas Sharma, Sunil Kumar, Ashwani Sethi
Very few cases of parotid oncocytoma have been reported in literature. Because of its rarity (<1% of salivary gland tumors) and clinical presentation of the tumor, there is a tendency among the clinicians to misdiagnose it as pleomorphic adenoma, hemangioma, or other forms of oncocytosis. Only a histopathological examination can confirm it. We evaluate here a case of swelling of the parotid gland in a 70-year-old male who had the tumor for over 9 years to reach a diagnosis. Furthermore, our aim is to bring to the forefront how these lesions require a comprehensive workup and how to choose the best treatment strategy...
July 2018: Annals of Maxillofacial Surgery
Sujeeth Kumar Shetty, Usha Hegde, Garima Agarwal, H S Sreeshyla
Tenosynovial giant cell tumor (TGCT), a benign proliferative lesion arising from the synovial membrane of the joints, is rarely seen in the temporomandibular joint. It frequently presents as a painful, preauricular swelling and affects the jaw functions. Two types of TGCT seen are diffuse TGCT (TGCT-D) and localized TGCT. A case of TGCT-D is described here, the highlight of the case being extensive areas of chondroid metaplasia which mimicked chondroid lesions, but was ruled out based on negative immunohistochemical findings within the tumor cells...
July 2018: Annals of Maxillofacial Surgery
Selva Kumar Thulasirman, Guruprasad Thuasidoss, N Komagan Prabhu, V B Krishnakumar Raja
Ameloblastic fibro-odontoma (AFO) is a benign, mixed odontogenic tumor of epithelial and mesenchymal origin. It is predominantly seen in the younger age group, with delayed or altered eruption of teeth. Being clinically asymptomatic, this is identified incidentally during routine radiographic examination. Although considered to be nonaggressive with minimal tendency for recurrence, AFO requires surgical excision with long-term follow-up. This paper presents a rare case report of an 11-year-old boy, who was provisionally diagnosed with complex odontoma and later turned out to be AFO of the mandible...
July 2018: Annals of Maxillofacial Surgery
Arpita Kapur, Vinay Kapur
Sedation in dentistry has been a controversial topic due to questions being raised over its safety, especially in dental chair. Dental fear and anxiety are not only common in children but also significantly prevalent among adults due to high intensity of pain. Sharing of airway between the anesthesiologist and the dentist remains the greatest challenge. The purpose of this review is to study the recent trends in conscious sedation in the field of dentistry from an anesthesiologist's perspective. It will provide a practical outline of the pharmacokinetics, pharmacodynamics, and routes of administration of the drugs or gases used...
July 2018: Annals of Maxillofacial Surgery
Pedro Henrique Silva Gomes Ferreira, Danila De Oliveira, Ciro Borges Duailibe De Deus, Roberta Okamoto
The aim of this study was to use a literature review to evaluate and compare the different biomaterials used in surgeries for the closure of the palatal and alveolar clefts as alternatives to isolated autografting. For the search strategy, the PubMed and Medline databases were used with the indexing terms "'cleft palate' (Mesh), 'biocompatible materials' (Mesh), and 'dentistry' (Mesh)." There was no restriction on language or publication time. After the research, 26 articles were found, and then, only the filter for clinical trials was selected...
July 2018: Annals of Maxillofacial Surgery
Elavenil Panneerselvam, Saravanan Chellappazham, Sasikala Balasubramanian, V B Krishnakumar Raja
Purpose: Open reduction and internal fixation of high condylar fractures is challenging. The difficulty gets compounded when the condylar head is medially displaced or dislocated. The surgical procedure is limited by inadequate visibility and restricted access to the fractured condyle for proper reduction and fixation. When conventional methods of reduction fail, "osteotomy-osteosynthesis" is performed to retrieve and fix the fractured condylar head. However, they are extensive surgeries and associated with morbidity...
July 2018: Annals of Maxillofacial Surgery
Rajesh B Dhirawani, S M Balaji, Sauvik Singha, Anshalika Agrawal
Bell's palsy is an idiopathic facial paralysis which is a lower motor neuron disorder. The ultimate goal of treatment is normalization of paralyzed hemi -face with symmetrical smile and face along with corneal protection. The aim of this article is to revisit all the current options available for management of facial nerve paralysis with main concentration on best surgical management in long-standing cases i.e. regional muscle transfer using temporalis tendon with fascia lata. A Case Report of a 38 year old Indian male is reported with chronic facial palsy...
July 2018: Annals of Maxillofacial Surgery
Jan Oliver Voss, Jörg-Sven Kühl, Maike Holm, Kathrin Hauptmann, Nicolai Adolphs
Allogeneic hematopoietic stem cell transplantation (HSCT) is an established therapy and is without alternative for certain groups of patients. Successful HSCT induces both long-lasting remission and tolerance without the need for further immunosuppression. In this case, cellular repair and regenerative processes work in a physiologic manner allowing elective surgical procedures, such as the interdisciplinary correction of dentofacial anomalies. Here, we report the successful management of transverse maxillary deficiency by transpalatal distraction and subsequent orthodontic treatment in a 12-year-old boy who underwent HSCT for high-risk acute lymphoblastic leukemia at 5 years of age...
July 2018: Annals of Maxillofacial Surgery
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