10,866 results match your criteria Facial Fractures

Comparison of Fracture Resistance between Single-cone and Warm Vertical Compaction Technique Using Bio-C Sealer in Mandibular Incisors: An Study.

J Contemp Dent Pract 2022 Feb 1;23(2):143-148. Epub 2022 Feb 1.

Department of Endodontics, Faculty of Dentistry, St Joseph University, Beirut, Lebanon, Phone: +009611421000, e-mail:

Aim: The aim of the study was to compare the fracture resistance of the single-cone technique with the warm vertical compaction technique (WVCT) in mandibular incisors using Bio-C sealer®, by applying a compressive force using a universal testing machine (UTM) (Instron 5943; Instron, Norwood, Massachusetts, USA).

Materials And Methods: Twenty-two mandibular incisors were selected and divided into two groups after applying the same shaping protocol. To assess the influence of the wave vertical compaction technique on the fracture resistance, the first group was obturated by a single-cone obturation technique (SCOT) ( = 12), and the second group was obturated with a WVCT ( = 10). Read More

View Article and Full-Text PDF
February 2022

Usefulness of customized titanium plates for midface contouring surgery.

Int J Surg Case Rep 2022 Jun 18;96:107324. Epub 2022 Jun 18.

Nagumo Clinic Osaka, Osaka, Japan.

Introduction And Importance: In our department, we have been performing bone reconstructions on a case-by-case basis using vascularized free tissue transfers and custom-made artificial bones (HA). While these procedures have specific advantages, they are also limited in terms of the invasiveness as well as the stability and strength of implants. In the present study, we describe the use of a CTP to achieve minimally invasive midface plastic surgery with the superior moldability of a 3D structure and reliable stability compared to the use of autologous tissue. Read More

View Article and Full-Text PDF

Computer-assisted intraoral approach in the management of infected comminuted mandibular fractures: Technical notes.

J Stomatol Oral Maxillofac Surg 2022 Jun 18. Epub 2022 Jun 18.

Department of Stomatology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China. Electronic address:

In the extraoral approach for mandibular fractures, facial scars and facial nerve injury are common complications. Herein, we introduce an improved surgical technique to reduce fragments of infected comminuted mandibular fractures with the assistance of computer software. Firstly, the model was reset by 3-dimensional (3D) printing, and then the titanium plate was reconstructed on the model. Read More

View Article and Full-Text PDF

Assessing technical skill in ankle fracture surgery from the postoperative radiograph : pilot development and validation of a final product analysis core outcome set.

Bone Jt Open 2022 Jun;3(6):502-509

Department of Trauma & Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Aims: To identify a core outcome set of postoperative radiographic measurements to assess technical skill in ankle fracture open reduction internal fixation (ORIF), and to validate these against Van der Vleuten's criteria for effective assessment.

Methods: An e-Delphi exercise was undertaken at a major trauma centre (n = 39) to identify relevant parameters. Feasibility was tested by two authors. Read More

View Article and Full-Text PDF

Point-of-care computer-assisted design and manufacturing technology and its utility in post-traumatic mandibular reconstruction: An Australian public hospital experience.

SAGE Open Med Case Rep 2022 14;10:2050313X221103733. Epub 2022 Jun 14.

Department of Oral and Maxillofacial Surgery, Royal Perth Hospital, Perth, WA, Australia.

Application of load-bearing osteosynthesis plates is the current gold-standard management for complex mandibular fractures. Traditionally, this has required a transcutaneous submandibular approach, carrying with it the risk of damage to the facial nerve and obvious extraoral scarring. The existing literature describes the use of computer-assisted design and manufacturing technology through external vendors to aid transoral mandibular reconstruction. Read More

View Article and Full-Text PDF

Hospital service use following an injury hospitalisation for young males and females in a population-level matched retrospective cohort study.

Injury 2022 Jun 14. Epub 2022 Jun 14.

Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Background: Children and young people who sustain injuries resulting in a hospital admission may experience adverse effects for months or years following the event. Understanding the attributable burden and health service needs is vital for public health planning as well as individual care provision. This study aims to identify the hospitalised morbidity associated with injury among young people by sex using a population-level matched cohort. Read More

View Article and Full-Text PDF

Ophthalmic Complications Associated with Zygomatic Complex Fractures: A Randomised Descriptive Clinical Study.

J Maxillofac Oral Surg 2022 Jun 3;21(2):386-395. Epub 2020 Sep 3.

Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences and Research Centre, Bangalore, India.

Background And Objectives: Trauma to the maxillofacial region is usually associated with varying degrees of disruption of the soft and hard tissues in the region and injuries to the neighbouring structures such as eyes, brain, nasal apparatus and paranasal sinuses. Injuries to the middle third of the face commonly destroys the integrity of the orbital skeleton, and are frequently complicated by injury to the eye, ranging between 2.7 and 67% as reported in the literature. Read More

View Article and Full-Text PDF

Reconstruction of Orbital Floor Fractures with Titanium Micromesh: Our Experience.

J Maxillofac Oral Surg 2022 Jun 9;21(2):369-378. Epub 2020 Jul 9.

Department of General Dentistry, Dr SN Medical College, Jodhpur, 342010 India.

Aims And Objective: The purpose of this study was to assess the use and accuracy of the titanium micromesh for primary internal orbital reconstruction in cases of either pure or impure orbital blowout fractures.

Design: Retrospective case series of 21 patients with a mean follow-up of 12 months.

Place: Department of Dental Surgery of a teaching tertiary medical college Hospital. Read More

View Article and Full-Text PDF

Grossly Depressed Frontal Bone Fracture in a Paediatric Patient: A Case Report.

J Maxillofac Oral Surg 2022 Jun 6;21(2):442-446. Epub 2020 Oct 6.

Department of Plastic and Reconstructive Surgery, SDM Craniofacial Research Centre, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheswar University, Dharwad, Karnataka 580009 India.

This study highlights the management of a grossly depressed frontal bone fracture with obvious deformity in a paediatric patient as facial fracture management is frequently intricate and challenging, particularly within the paediatric population as compared to adult. Paediatric fractures have a greater capacity to remodel, but the paediatric brain and craniofacial skeleton are still developing which puts the children at risk for unique complications, such as growing skull fractures. Read More

View Article and Full-Text PDF

Efficiency of the 2-mm Titanium Lambda Plate for Open Reduction and Internal Fixation of Subcondylar Fractures of the Mandible: A Prospective Clinical Study.

J Maxillofac Oral Surg 2022 Jun 10;21(2):379-385. Epub 2020 Aug 10.

Goa Dental College and Hospital, Panaji, Goa India.

Aim: To carry out clinical in vivo evaluation of efficiency of the 2-mm lambda plate for open reduction and internal fixation of condylar fractures.

Materials And Methods: This prospective clinical study was conducted on a group of 16 patients who underwent open reduction for subcondylar fractures of the mandible and fixation using a 2-mm 7-holed titanium lambda miniplate.

Results: The average surgical time was found to be 79. Read More

View Article and Full-Text PDF

A Prospective Randomized Study to Assess the Quality of Life in Post-Operative Recovery Phase in Patients Undergoing Surgery for Isolated Vertically Undisplaced Mandibular Parasymphysis Fracture Using Twin Mix Solution.

J Maxillofac Oral Surg 2022 Jun 31;21(2):413-419. Epub 2020 Oct 31.

Department of Conservative Dentistry and Endodontics, People's College of Dental Sciences and Research Center, People's University, Bhanpur, Bhopal, Madhya Pradesh 462037 India.

Purpose: Trauma is a major cause for facial fractures commonly encountered by maxillofacial surgeons. Mandible is commonly involved in facial trauma resulting in an isolated fracture or associated with other facial bones due to its prominent location in the facial skeleton. This study was undertaken to investigate the quality of life (QoL) post-operatively in patients diagnosed with undisplaced parasymphysis fracture who underwent open reduction and internal fixation (ORIF) under local anesthesia (LA) using the twin mix (TM) solution. Read More

View Article and Full-Text PDF

Recurrent Metatarsal Fractures in a Patient With Cushing Disease: A Case Report.

Cureus 2022 May 15;14(5):e25015. Epub 2022 May 15.

Department of Orthopaedic Surgery, Mayo Clinic, Jacksonville, USA.

Cushing syndrome (CS) can result from excess exposure to exogenous or endogenous glucocorticoids. The most common endogenous cause of CS is an adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma, known as Cushing disease (CD). Patients typically present with characteristics including truncal obesity, moon facies, facial plethora, proximal muscle weakness, easy bruising, and striae. Read More

View Article and Full-Text PDF

A Case of Geroderma Osteodysplasticum Syndrome: Unique Clinical Findings.

Glob Med Genet 2022 Jun 17;9(2):175-178. Epub 2021 Dec 17.

Collage of Medicine, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia.

Geroderma osteodysplasticum (GO; MIM 231070) is characterized by a typical progeroid facial appearance, wrinkled, lax skin, joint laxity, skeletal abnormalities with variable degree of osteopenia, frequent fractures, scoliosis, bowed long bones, vertebral collapse, and hyperextensible fingers. The disorder results from mutations in the GORAB-golgin, RAB6 interacting. This gene encodes a member of the golgin family, a group of coiled-coil proteins on golgin that maps to chromosome 1q24. Read More

View Article and Full-Text PDF

X-Linked Spinal Muscular Atrophy 2 due to a Synonymous Variant in the Gene in a Family with Novel Findings from Turkey.

Mol Syndromol 2022 May 4;13(3):246-253. Epub 2022 Feb 4.

Department of Medical Genetics, Medical Faculty, Adiyaman University, Adiyaman, Turkey.

Spinal muscular atrophy, X-linked 2 (SMAX2) is a rare type of spinal muscular atrophy characterized by muscle weakness, hypotonia, areflexia, myopathic face, tongue fibrillations, contractures, bone fractures, and cryptorchidism. Variants of the gene lead to SMAX2. The gene encodes a protein that activates the ubiquitin pathway which is responsible for protein degradation. Read More

View Article and Full-Text PDF

"A" stands for airway - Which factors guide the need for on-scene airway management in facial fracture patients?

BMC Emerg Med 2022 Jun 15;22(1):110. Epub 2022 Jun 15.

Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, P.O. Box, 100, FI-00029 HUS, Helsinki, Finland.

Background: Numerous guidelines highlight the need for early airway management in facial trauma patients since specific fracture patterns may induce airway obstruction. However, the incidence of these hallmark injuries, including flail mandibles and posterior displacement of the maxilla, is contentious. We aim to evaluate specific trauma-related variables in facial fracture patients, which affect the need for on-scene versus in-hospital airway management. Read More

View Article and Full-Text PDF

Predicting Difficult Airway Intubation Based on Maxillofacial Trauma: A Retrospective Study.

Cureus 2022 May 9;14(5):e24844. Epub 2022 May 9.

Surgery, St. Joseph's University Medical Center, Paterson, USA.

Purpose The purpose of this study was to determine which types of facial injuries in traumatic patients' wounds cause difficult intubation for anesthesiology team. By anticipating potential complications with airway management, the surgeons can be better prepared for emergent cricothyrotomy if needed. This could include prior to the planned procedure in the operating room (OR) as well as in emergent conditions in trauma bay. Read More

View Article and Full-Text PDF

Rate of conversion to secondary arthroplasty after femoral neck fractures in 796 younger patients treated with internal fixation: a Swedish national register-based study.

Acta Orthop 2022 Jun 14;93:547-553. Epub 2022 Jun 14.

Department of Orthopaedics, Lund University, Skåne University Hospital, Malmö, Sweden; Swedish Fracture Register, Gothenburg, Sweden; Swedish Arthroplasty Register, Gothenburg, Sweden.

Background And Purpose: In younger patients with a femoral neck fracture (FNF), internal fixation is the recommended treatment regardless of displacement. Healing complications are often treated with arthroplasty. We determined the rate of conversion to arthroplasty up to 5 years after fixation of either undisplaced FNFs (uFNFs) or displaced FNFs (dFNFs). Read More

View Article and Full-Text PDF

Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study.

Cureus 2022 Jun 12;14(6):e25861. Epub 2022 Jun 12.

Psychiatry, School of Medicine, National Defense Medical College, Tokorozawa, JPN.

Background Fall from a height is a common cause of trauma requiring emergency care; in many cases, the trauma team needs to urgently develop the initial treatment strategy. The mechanism of injury (intentional or accidental) is an important factor in predicting trauma patterns and severity. We aimed to describe how the severity of injuries in each body region contributes to overall trauma severity and skeletal trauma patterns in intentional and accidental falls. Read More

View Article and Full-Text PDF

Surgical Treatment of Marginal Impaction Injuries of The Acetabulum Associated with Posterior Wall Fractures.

JBJS Essent Surg Tech 2022 Jan-Mar;12(1). Epub 2022 Mar 3.

Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, United Kingdom.

Posterior-wall acetabular fractures have been reported to be associated with marginal impaction characteristics in approximately 16% to 38% of cases. Early recognition of this special entity of joint impaction is essential for effective preoperative planning, intraoperative execution, and favorable outcomes. The 2-level reconstruction technique is safe and effective in experienced hands. Read More

View Article and Full-Text PDF

Isolated Bilateral Macular Edema due to Le Fort Type 1 and Mandibular Fracture: A Case Report.

Beyoglu Eye J 2022 27;7(2):150-153. Epub 2022 May 27.

Department of Ophthalmology, Niğde Ömer Halisdemir University, Faculty of Medicine, Niğde, Turkey.

We report the diagnosis and follow-up process of a case who had bilateral macular edema after blunt facial trauma. A 36-year-old male patient with Le Fort type 1 and mandibular fracture without direct ocular trauma referred to the ophthalmology clinic. Visual acuity was 0. Read More

View Article and Full-Text PDF

A novel ultrasound-guided minimally invasive technique for the treatment of extracapsular condylar fractures.

J Craniomaxillofac Surg 2022 Jun 1;50(6):473-477. Epub 2022 Jun 1.

Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe Cleft and Craniofacial Center, Ankara, Turkey. Electronic address:

The aim of this study was to present a novel ultrasound-guided minimally invasive technique for the treatment of extracapsular condylar fractures and evaluate its long-term outcomes. Seven patients with isolated extracapsular condylar fractures with a noncomminuted proximal segment were included in this study. Ultrasound was used for identification of the position of the bone segments and intraoperative confirmation of appropriate reduction. Read More

View Article and Full-Text PDF

Patterns and characteristics of maxillofacial fractures in women.

Oral Maxillofac Surg 2022 Jun 9. Epub 2022 Jun 9.

Australian Craniofacial Unit, North Adelaide, 72 King William St, Adelaide, SA, 5006, Australia.

Purpose: Facial trauma in women is complex with physical, psychosocial, and cultural influences impacting clinical presentations. Although multifactorial, assaults and falls are principally reported as the main causes.

Methods: A retrospective review was conducted from January 2012 to January 2017 at the Women and Children's Hospital and Royal Adelaide Hospital, Adelaide. Read More

View Article and Full-Text PDF

Mid-facial soft tissue re-suspension following skeletal fixation after maxillofacial trauma-a prospective case series study.

Oral Maxillofac Surg 2022 Jun 7. Epub 2022 Jun 7.

Department of Oral and Maxillofacial Surgery, KLEVK Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research, Belgaum, 590010, Karnataka, India.

Purpose: Open reduction and internal fixation (ORIF) is used for reduction and stabilization of facial fractures. Despite perfect anatomic skeletal reduction, subtle asymmetries are seen in facial appearance as mid-facial soft tissue often reattaches to the respective facial bones in an aberrant, mostly lower in position. Thus, the present study evaluates the effectiveness of mid-facial soft tissue re-suspension procedure to prevent changes in mid-facial soft tissue profile after ORIF of maxillo-facial fractures. Read More

View Article and Full-Text PDF

When disaster strikes in the ring: A 20-year study of head and neck injuries secondary to boxing.

Br J Oral Maxillofac Surg 2021 Sep 30. Epub 2021 Sep 30.

University of Pennsylvania School of Dental Medicine, Philadelphia, PA, United States.

Purpose: The purpose of this study is to explore the patterns of head and neck injuries secondary to boxing.

Materials And Methods: We conducted a 20-year retrospective cross-sectional study using the National Electronic Injury Submission System (NEISS). We derived the predictor variables from both patient and injury characteristics. Read More

View Article and Full-Text PDF
September 2021

An epidemiologic retrospective study of maxillofacial traumatology in the elderly.

J Stomatol Oral Maxillofac Surg 2022 Jun 1. Epub 2022 Jun 1.

Chirurgie Maxillo-Faciale, stomatologie et odontologie hospitalière, CHU Besançon, 25000, Besançon, France.

Introduction: The elderly population, which is more active than before, is increasingly suffering from trauma (loss of reflexes and systemic pathologic conditions). Surgical management may be more controversial due to the potential consequences of general anesthesia and the sometimes negligible consequences of functional management. The main objective of this study was to analyze the causes and location of facial fractures in subjects older than 65 years. Read More

View Article and Full-Text PDF

The Effect of Humanized Nursing Intervention Guided by Computed Tomography Images on Elderly Patients Undergoing Anesthesia for Femur Intertrochanteric Fractures under Intelligent Reconstruction Algorithm.

Comput Math Methods Med 2022 24;2022:5070518. Epub 2022 May 24.

Department of Anesthesia Surgery Department, Changsha Fourth Hospital, Changsha, 410006 Hunan, China.

This research was aimed at analyzing the effect of humanized nursing intervention combined with computed tomography (CT) imaging in the surgical anesthesia of femur intertrochanteric fractures (FIF) in the elderly. An image reconstruction algorithm was proposed based on nonlocal mean (NLM) algorithm, which was named as ONLM, and its performance was analyzed. A total of 114 elderly patients with FIF were equally and randomly divided into a humanized nursing group (57 cases) and a routine nursing group (57 cases). Read More

View Article and Full-Text PDF

Study on Multipoint and Zoning Coordinated Prevention of Gas and Coal Spontaneous Combustion in Highly Gassy and Spontaneous Combustion-Prone Coal Seam.

ACS Omega 2022 May 11;7(20):17305-17329. Epub 2022 May 11.

College of Safety Science and Engineering, Liaoning Technical University, Fuxin 123000, Liaoning Province, China.

Coal spontaneous combustion in gob often induces gas explosion accidents. To solve the frequent occurrence of gas and coal spontaneous combustion (GCSC) symbiotic disaster of highly gassy and spontaneous combustion-prone short-distance coal seams, the stope space of a complex working face formed by the old gob above and the coal seam mined below in Hengda Mine is divided into three zones, a completely connected zone, a partially connected zone, and an unconnected zone, according to the connectivity degree of fractures. A numerical model is established to study the relationship between gas drainage and coal spontaneous combustion. Read More

View Article and Full-Text PDF

A medical ethics review of elective orthopaedic surgery management during the pandemic COVID-19 Era.

Ann Med Surg (Lond) 2022 Jun 24;78:103845. Epub 2022 May 24.

Department of Statistics, Faculty of Mathematics and Natural Science, Tadulako University, Palu, (Central Sulawesi), Indonesia.

Introduction: Orthopaedic surgeons may wonder what preparation and recuperation would be like during pandemics. We are concerned about the patient's safety during the operation. All surgical centres have received instructions to discontinue all elective surgery operations, although urgent surgical cases are still being carried out. Read More

View Article and Full-Text PDF

A retrospective cohort study on the aetiology and characteristics of maxillofacial fractures presenting to a tertiary centre in the UK.

Ann Med Surg (Lond) 2022 May 12;77:103622. Epub 2022 Apr 12.

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, B15 2GW, UK.

Introduction: Approximately 3 million facial injuries occur annually, some of which result in maxillofacial fractures. The aim of our study was to evaluate the aetiology and characteristics of maxillofacial fractures presenting to the Queen Elizabeth Hospital in Birmingham.

Methods: The medical records for 809 patients treated for maxillofacial fractures were retrospectively reviewed between the dates of 01/01/2016 to 30/06/2017. Read More

View Article and Full-Text PDF

Are the Elderly With Maxillofacial Injuries at Increased Risk of Associated Injuries?

J Oral Maxillofac Surg 2022 May 2. Epub 2022 May 2.

Professor, Department of Oral and Maxillofacial Surgery, University of Turku and Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland.

Purpose: As the geriatric population continues to increase, more elderly patients with maxillofacial injuries are encountered in emergency rooms. It can be hypothesized that advanced age increases the risk of associated injuries (AIs). The purpose of the study was to estimate the frequency of AI and measure the association between age and risk for AI among a sample of patients with facial fractures. Read More

View Article and Full-Text PDF