Complications of Frontal Sinus Fractures With Emphasis on Chronic Craniofacial Pain and Its Treatment: A Review of 43 Cases
Conclusion: Frequent headaches and complaints of continued pain were the most common complications experienced by our series of patients. We also reviewed treatment strategies for postoperative follow-up and treatment of chronic pain. (Source: Journal of Oral and Maxillofacial Surgery)...
POSTED 08/21/2010 at 01:10 AM --
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Metabolic changes during major craniofacial surgery.
Conclusions: Children undergoing major craniofacial surgery develop a varying degree of perioperative metabolic acidosis persisting for several hours. The maximum BD appears to be related to the amount of intraoperative blood loss and replacement rather than duration of surgery. As it is difficult to predict the extent and duration of metabolic acidosis for an individual patient, this study confirmed our current practice that all patients should be admitted to a neurosurgical high-dependency unit postoperatively for overnight monitoring.
PMID: 20716078 [PubMed - in process] (Source: Paediatric Anaesthesia)...
POSTED 08/20/2010 at 01:27 PM --
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Frontal sinus mucocele in association with fibrous dysplasia: review and report of two cases
We present two paediatric cases of fibrous dysplasia (FD) who presented to the craniofacial neurosurgical clinic with ophthalmological
symptoms associated with sinus mucoceles. The first patient presented with a history of orbital cellulitis and an increasing
bony swelling around the orbit associated with proptosis. Radiological imaging revealed monostotic FD associated with an obstructive
mucocele in the frontal sinus with extension into the orbit. The second patient presented with recurrent conjunctivitis, painful
proptosis, rhinitis and a bony peri-orbital swelling. Both patients had histological diagnoses of frontal mucoceles invading
the orbit in association with FD. They both underwent frontal craniotomies and excision of the mucocele/fibrous dysplastic
complex. In summary, muc......
POSTED 08/20/2010 at 12:00 PM --
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7-Year Retrospective Evaluation of Craniofacial Fractures in Helmeted vs. Non-Helmeted Motorcycle Crashes in Broward County, Florida
Purpose: On July 1, 2000, Florida became the 13th state to amend its mandatory helmet law. Much attention has been focused on death rates and intra-cranial trauma since the amendment. The purpose of this review was to compare the number and types of craniofacial injuries sustained in helmeted vs. non-helmeted motorcyclists involved in crashes. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)...
POSTED 08/20/2010 at 01:05 AM --
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Treatment of Hemifacial Microsomia with Unilateral Temporomandibular Joint Replacement (TMJ Concepts) in Conjunction with Bimaxillary Surgery
Purpose: Hemifacial microsomia (HFM) or Otomandibular dysostosis is a specific condition that describes the unilateral incomplete or hypoplastic development of the facial soft tissues, ear and skeleton. HFM is the second most common facial birth defect after cleft lip and palate with incidences ranging from 1 in 3,500 live births. Temporomandibular total joint prosthesis may be a viable treatment option for patients with absence of the TMJ in hemifacial microsomia. Traditional methods for reconstructing the absent joint and ramus in HFM include, autogenous bone grafts as well as distraction osteogenesis all with variable and sometimes unpredictable results reported in the literature. The craniofacial condition of hemifacial microsomia presents a unique opportunity for placement of a unilat......
POSTED 08/20/2010 at 01:05 AM --
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Imaging findings in craniofacial childhood rhabdomyosarcoma
Abstract Rhabdomyosarcoma (RMS) is the commonest paediatric soft-tissue sarcoma constituting 3â5% of all malignancies in childhood.
RMS has a predilection for the head and neck area and tumours in this location account for 40% of all childhood RMS cases.
In this review we address the clinical and imaging presentations of craniofacial RMS, discuss the most appropriate imaging
techniques, present characteristic imaging features and offer an overview of differential diagnostic considerations. Post-treatment
changes will be briefly addressed.
Content Type Journal ArticleDOI 10.1007/s00247-010-1787-3Authors
Nicole J. M. Freling, Radiology Department, Academic Medical Centre, Meibergdreef 9, Amsterdam, 1105 AZ The NetherlandsJohannes H. M. Merks, Paediatric Oncology, Acad......
POSTED 08/19/2010 at 11:38 AM --
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Metabolic changes during major craniofacial surgery
Summary (Source: Pediatric Anesthesia)...
POSTED 08/18/2010 at 12:06 AM --
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Globe preservation surgery for a paranasal tumor with orbital extension.
We describe the management dilemma of a patient with orbital extension of a frontal sinus squamous cell carcinoma. The patient underwent combined craniofacial and transnasal macroscopic excision with globe preservation. Traditional approach for a sinus tumor that has invaded the orbit would be an exenteration. The favorable outcome of the case reported here raises the possibility of considering this approach more frequently.
PMID: 20712512 [PubMed - as supplied by publisher] (Source: Orbit)...
POSTED 08/15/2010 at 06:00 PM --
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Improving clinical recognition of marfan syndrome.
CONCLUSIONS: Musculoskeletal clinicians should be aware of the diagnostic features of Marfan syndrome. Patients with three to four physically evident features, or two highly specific features (e.g., thumb and wrist signs, craniofacial features, dural ectasia, or protrusio), should be carefully reexamined and possibly referred for an echocardiogram or a genetics consultation. LEVEL OF EVIDENCE: Diagnostic Level II. See Instructions to Authors for a complete description of levels of evidence.
PMID: 20686061 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)...
POSTED 08/07/2010 at 06:30 AM --
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Musculoskeletal findings of loeys-dietz syndrome.
CONCLUSIONS: Patients with Loeys-Dietz syndrome commonly present to the orthopaedic surgeon with cervical malformations, spinal and foot deformities, and findings in the craniofacial and cutaneous systems. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.
PMID: 20686062 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)...
POSTED 08/07/2010 at 06:30 AM --
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Decreasing the effective radiation dose in pediatric craniofacial CT by changing head position
Conclusion Altering the position of the head by extending the neck during pediatric craniofacial CT imaging statistically reduces the
effective radiation dose while maintaining the diagnostic quality of the images.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00247-010-1788-2Authors
Ryne A. Didier, Oregon Health and Science University School of Medicine Portland OR USAAnna A. Kuang, Oregon Health and Science University Department of Plastic and Reconstructive Surgery Portland OR USADaniel L. Schwartz, Oregon Health and Science University Department of Psychiatry Portland OR USANathan R. Selden, Oregon Health and Science University Department of Neurological Surgery Portland OR USADonna M. Stevens, Oregon Health and Science University Department o......
POSTED 08/04/2010 at 03:23 PM --
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Musculoskeletal Findings of Loeys-Dietz Syndrome
Conclusions:
Patients with Loeys-Dietz syndrome commonly present to the orthopaedic surgeon with cervical malformations, spinal and foot deformities, and findings in the craniofacial and cutaneous systems.
Level of Evidence:
Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])...
POSTED 08/04/2010 at 12:30 PM --
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[The impact of cleft lip and palate on the parent-child relationships.]
Authors: Grollemund B, Galliani E, Soupre V, Vazquez MP, Guedeney A, Danion A
Cleft lips and palates (CLPs) are the most common human facial malformations. Depending on the ethnic and/or geographical origin of the studied populations, they can affect up to 1/500 newborns. The treatment of these patients is multidisciplinary because these malformations have not only aesthetic consequences but also functional consequences as the phonation, hearing, deglutition, mastication and ventilation are altered. These consequences can also be psychological since the building of the body image, the way others perceive it, is likely to be seriously altered. In Europe there are over 210 reference hospitals for children affected by CLP. Besides, about 190 different protocols were identified. So far no ......
POSTED 08/01/2010 at 06:00 PM --
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Long-term follow-up of deep brain stimulation for Meige syndrome.
Conclusions Bilateral GPi DBS may be an effective and safe treatment for medically refractory Meige syndrome. The results are comparable with those reported in the literature. Sustained and long-term improvement in symptoms does appear to be reproducible across reports. The authors' patient with Parkinson disease and associated craniofacial dystonia syndrome undergoing bilateral STN DBS noted immediate and sustained improvement in his symptoms. Further study is required, but these results, along with the other reports, suggest that bilateral GPi DBS is an effective treatment for medically refractory Meige syndrome.
PMID: 20672922 [PubMed - in process] (Source: Neurosurgical Focus)...
POSTED 07/31/2010 at 06:00 PM --
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The inner table calvarial bone graft harvest: a source of primary bone graft in the management of craniomaxillofacial skeletal injuries
Abstract Increased mechanization and pace of life have increased road traffic accidents and other grievous injuries in the past few
years. These patients frequently have complicated injuries involving soft tissue and the craniomaxillofacial skeleton. The
extracorporeal harvest of the inner table of the calvaria for reconstruction of craniofacial defects following trauma has
been explored in this study. Twelve patients of craniomaxillofacial injuries were considered in this study from November 2007
to November 2009 (2 years). The inner table of the calvaria was utilized as a source of bone graft in patients who required
concomitant craniectomy for management of associated intracranial injuries in this study. No complications pertaining to bone
graft harvest or fixation......
POSTED 07/30/2010 at 11:53 AM --
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Topological optimization for designing patient-specific large craniofacial segmental bone replacements [Medical_Sciences]
Restoring normal function and appearance after massive facial injuries with bone loss is an important unsolved problem in surgery. An... (Source: Proceedings of the National Academy of Sciences)...
POSTED 07/27/2010 at 11:13 AM --
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Common primary fibroblastic growth factor receptor-related craniosynostosis syndromes: A pictorial review
In this study, we present two representative cases having the Apert and Pfeiffer syndromes, respectively, and discuss their clinical presentation, sequel and surgical implications. (Source: Journal of Pediatric Neurosciences)...
POSTED 07/23/2010 at 03:04 AM --
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Use of Transnasal Jet VentilationâAssisted Fiberoptic Intubation in Obstructive Sleep Apnea Patients Undergoing Orthognathic Surgery: A New Technique
Obstructive sleep apnea patients undergoing orthognathic surgery present a challenge to the anesthesiologist. These patients have a complex interplay of soft and hard tissues contributing to a difficult airway. Obstructive sleep apnea patients have been reported to have increased body mass index, hypotonicity of the hypopharynx leading to upper airway collapsibility, and large tongue and redundant soft palate that can obstruct the airway. Obstructive sleep apnea patients can also have abnormalities in the skeletal craniofacial structures, such as retrusive maxillomandibular complex and retrogenial and steep mandibular plane. The combination of these soft and hard tissue abnormalities make intubation via direct laryngoscope difficult. (Source: Journal of Oral and Maxillofacial Surgery)...
POSTED 07/21/2010 at 12:43 AM --
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Experience in East Asian Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping [Unknown Section Name (research-article)]
Conclusion As optimal strategy for aesthetic facial contouring surgery in East Asians, reduction malarplasty and mandibular reshaping were proven to be safe, effective, and easily handled techniques for modifying the square-shaped face. (Source: Archives of Facial Plastic Surgery)...
POSTED 07/19/2010 at 08:02 PM --
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Experience in East Asian Facial Recontouring: Reduction Malarplasty and Mandibular Reshaping [Original Article]
Conclusion As optimal strategy for aesthetic facial contouring surgery in East Asians, reduction malarplasty and mandibular reshaping were proven to be safe, effective, and easily handled techniques for modifying the square-shaped face. (Source: Archives of Facial Plastic Surgery)...
POSTED 07/19/2010 at 08:02 PM --
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