Search Our Scientific Publications & Authors

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

University of Mississippi Medical Center, Jackson, MS.

Purpose: Falls are a leading cause of nonfatal injury in the pediatric population, resulting in numerous hospitalizations. Children may not have fully developed reflexive and balancing abilities, rendering them more susceptible to traumatic falls. Here the authors present their findings regarding patterns of facial fracture and concomitant injury seen in the pediatric population secondary to falls. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic Surgery, University of California, Irvine.

Background: Surgical repair of orbital floor fractures aims to improve visual function and appearance. Postoperative care often involves computed tomography (CT) imaging in addition to physical examination. It has yet to be investigated whether postoperative CT imaging influences treatment of orbital floor fractures. Read More

Clin Ter 2018 Nov-Dec;169(6):e265-e268

Section of Diagnostic Imaging - DIBIMED, University of Palermo, Palermo, Italy.

A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. Read More

J Oral Maxillofac Surg 2018 Nov 5. Epub 2018 Nov 5.

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

Purpose: Associated injuries (AIs) are hypothesized to be frequent in geriatric zygomatico-orbital (ZMO) fractures. The study aim was to determine the relation between ZMO fractures and AIs in geriatric patients compared with younger adult patients.

Patients And Methods: A retrospective case-and-control study was carried out on geriatric patients at least 65 years of age (n = 93) and younger adult patients 20 to 30 years of age (n = 68) diagnosed with pure unilateral ZMO fractures. Read More

J Craniomaxillofac Surg 2019 Jan 9;47(1):185-189. Epub 2018 Nov 9.

OMFS-IMPATH Research Group Department of Imaging and Pathology, (Chairperson: Professor Dr. C. Politis), Belgium; Department of Oral and Maxillofacial Surgery, Hasselt University, Diepenbeek, Belgium.

Background: The orbital floor (OrF) and infraorbital rim (IOR) repair in cases of complete destruction is challenging mainly due to the fact that the defect length cannot be measured. The aim of the current study is to develop a method of calculating the Orf length by using the gender and the lengths of the medial, superior and lateral orbital walls (OrW) of the same orbit.

Material And Methods: Ninety-seven (59 male and 38 female) European adult dry skulls were classified according to age: 20-39, 40-59 and 60 years and above. Read More

Emerg Med Clin North Am 2019 Feb;37(1):137-151

Department of Emergency Medicine, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie, Suite 1300, Chicago, IL 60611, USA; Department of Medicine, Northwestern Medicine, Northwestern University Feinber School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA. Electronic address:

Appropriate medical care for a patient with a facial fracture can not only optimize aesthetic outcomes but also prevent the potential morbidity and mortality of delayed treatment. In this article, we focus on the clinical presentations, physical examination findings, diagnostic imaging, consultations, and follow-up that patients with facial fractures need related to their emergency department management. Specifically, we address the nuances of evaluating frontal, orbital, nasal, maxillofacial, and mandibular fractures. Read More

J AAPOS 2018 Dec 23;22(6):415.e1-415.e7. Epub 2018 Oct 23.

Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India. Electronic address:

Purpose: To report the clinical characteristics and management outcomes of orbital fractures in children.

Methods: The medical records of pediatric patients (<18 years of age) who presented with orbital fractures over a 15-year period (January 2001-December 2015) were reviewed retrospectively. The cause of injury, imaging findings, clinical features, management, and outcomes were noted. Read More

Int Ophthalmol 2018 Oct 19. Epub 2018 Oct 19.

Department of Ophthalmology, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, #150 Seongan-ro, Gangdong-gu, Seoul, 05355, South Korea.

Purpose: To investigate the serial choroidal volume change following orbital blow-out fracture (BOF) repair.

Methods: The choroidal volume was measured by optical coherence tomography in patients who underwent BOF repair, preoperatively and postoperatively at 1, 4, 12 and 24 weeks. The orbital volume ratio (OVR) was obtained by dividing the orbital volume of the traumatized orbit by that of the contralateral side using three-dimensional computed tomography imaging. Read More

Cureus 2018 Aug 7;10(8):e3117. Epub 2018 Aug 7.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

Wormian bones are formed due to abnormal ossification centers in various locations in the skull. Genetic and/or environmental factors have been proposed to explain their formation. These bones can be normal anatomical variants or associated with a number of pathological conditions. Read More

Catheter Cardiovasc Interv 2018 Oct 17. Epub 2018 Oct 17.

St. Francis Hospital, Roslyn, New York.

Objectives: We sought to assess plaque modification and stent expansion following orbital atherectomy (OA) for calcified lesions using optical coherence tomography (OCT).

Background: The efficacy of OA for treating calcified lesions is not well studied, especially using intravascular imaging in vivo.

Methods: OCT was performed preprocedure, post-OA, and post-stent (n = 58). Read More

HNO 2018 Nov;66(11):812-826

Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.

For removal of tumors and foreign bodies from the orbit, for treatment of severe inflammatory diseases, and for repositioning of bone fragments following fractures or during reconstruction of the bony orbit, several different surgical approaches are available. During the past decade, improved understanding of the pathology and pathophysiology of particular orbital diseases, advancements in clinical endoscopy and microscopy, the introduction of modern imaging techniques for preoperative visualization of pathologic findings, modern approaches to orbital reconstruction, as well as developments in adjuvant therapy have led to a reduction in invasiveness and development of the modern minimally invasive surgical approaches to the orbit usually used today. This review article aims to describe several surgical approaches to the orbit that are nowadays commonly applied-frequently in the context of interdisciplinary therapy-as well as their indications and potential complications. Read More

J Craniofac Surg 2018 Oct;29(7):1817-1820

Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System.

Purpose: Planes of reference for orbital fractures (PROF) was developed to standardize measurements made on orbital computed tomography scans. This study describes the use of PROF in determining the location along the orbital floor where the posterior ledge (PL) most commonly occurs. The transverse inclination and anterior-posterior inclination of the orbital floor will also be measured. Read More

PLoS One 2018 5;13(10):e0204946. Epub 2018 Oct 5.

Centre for Oral & Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.

The aim of this study was to determine the predictors of post-traumatic enophthalmos (PE) in relation to the internal orbital changes following pure orbital blowout fractures. The design was a 10-year retrospective cross-sectional study analysing 629 medical records and computed tomography (CT) data of patients with orbital fractures from January 2008 to January 2017. Demographic, etiology, co-morbidity and clinical characteristics were obtained from the medical records. Read More

Asian J Neurosurg 2018 Jul-Sep;13(3):935-937

Department of Neurosurgery, Kerala Institute of Medical Science, Trivandrum, Kerala, India.

Orbital encephalocele is a rare catastrophic complication of orbital roof fractures. Early diagnosis of this posttraumatic orbital encephalocele is very crucial because this condition if untreated leads to rapid loss of vision. Whenever displaced orbital roof fracture is identified in a head injury patient, an orbital encephalocele should be suspected. Read More

J Craniofac Surg 2018 Oct;29(7):1965-1968

Unit of Maxillofacial Surgery, Faculty of Medicine and Psychology, Sapienza University, Ospedale Sant'Andrea, Rome.

Nowadays the development of diagnostic imaging, surgical techniques, alloplastic materials, and surgical instruments has made possible a more accurate management of orbital fractures. The aim of the present study was the management of orbital fractures and the solution of particular cases. The use of high-resolution computed tomography makes possible to gain a better understanding of the complex orbit anatomical structure. Read More

J Craniofac Surg 2018 Oct;29(7):e720-e722

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.

Delayed repair of orbital trapdoor fractures can jeopardize the viability of entrapped contents and prolong recovery. Variation in presentations, both clinically and radiographically, complicate prompt diagnosis. The oculocardiac reflex may be the only indication of fracture with entrapped orbital contents, but, unfortunately, the reflex has variable onset patterns and can mimic common diagnoses. Read More

J Craniofac Surg 2018 Oct;29(7):1799-1803

Department of Dentistry and Oral Surgery.

Purpose: Fracture of the frontal bone can be accompanied by damage to the optic canal. The present study uses finite element analysis to identify fracture patterns, suggesting the involvement of the optic canal.

Methods: Ten finite-element skull models were generated from computer tomography data of 10 persons. Read More

J Craniofac Surg 2018 Oct;29(7):1906-1909

Department of Otorhinolaryngology, Karolinska University Hospital.

Background: To approach isolated anterior frontal bone fracture, coronal incision is the common surgical access of choice. This approach has complications such as aesthetically undesirable scarring and alopecia along the incision line. An alternative approach to these fractures is through a supratarsal incision. Read More

Indian J Ophthalmol 2018 09;66(9):1325-1326

Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.

J Craniomaxillofac Surg 2018 Sep 11;46(9):1550-1554. Epub 2018 Jul 11.

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Germany. Electronic address:

Introduction: Treatment decisions for fractures of the orbital floor are based on clinical appearance, ophthalmological examination, and computed tomography (CT) scans. In extensive fractures, decisions are easily made between conservative and surgical treatment. However, objective parameters are rare in inconclusive cases. Read More

J Craniofac Surg 2018 Oct;29(7):1832-1833

Department of Adnexal, Reconstructive and Orbital Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK.

Trapdoor fractures are common in children because of elastic nature of the pediatric bone. Clinical signs and radiological evidence in these cases may be minimal.This study involves a 14-year-old girl who sustained blunt trauma to her left eye. Read More

J Craniomaxillofac Surg 2018 Aug 20;46(8):1258-1262. Epub 2018 Jun 20.

LAFAS, Laboratorio di Anatomia Funzionale dell'Apparato Stomatognatico, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy. Electronic address:

Orbital reconstruction in cases of trauma is usually performed using the unaffected side orbital volume as a reference, but this measurement does not fully consider the anatomical characteristics of orbital surfaces. We propose a novel procedure based on the registration of 3D orbital segmented surfaces. Reconstructed orbits from 20 patients and healthy orbits from 13 control subjects were segmented from the post-operative CT-scans. Read More

J Craniomaxillofac Surg 2018 Sep 13;46(9):1544-1549. Epub 2018 Jun 13.

Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, (Head of Department: Prof. Dr. med. Dr. med. dent. Martin Rücker), Frauenklinikstrasse 24, 8091, Zürich, Switzerland. Electronic address:

Fractures of the orbital floor and medial orbital wall (blowout fractures) are common midface injuries. Diagnostic methods and treatment options have improved over recent years, due to threedimensional image processing and the use of patient-specific implants. Nonetheless, the indications for orbital reconstructive surgery are still controversial. Read More

Dent Traumatol 2018 Oct 20;34(5):378-381. Epub 2018 Aug 20.

Postgraduate Program in Dentistry of Niterói Faculty of Dentisry, Federal Fluminense University (PPGO-FOUFF), Niterói, Rio de Janeiro, Brazil.

Maxillofacial injuries are a regular consequence of sport activities that can force athletes to take a long time off from training and competitions. One way to decrease the time that the athlete needs to get back to his or her training exercises after surgery is to use a custom facemask as a coadjuvant in the postoperative recovery phase. This case report describes the case of a 16-year-old male athlete who suffered facial trauma (orbitozygomatic fractures) during a soccer game. Read More

J Craniomaxillofac Surg 2018 Sep 31;46(9):1533-1538. Epub 2018 May 31.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Germany.

Purpose: Despite the advantages and broad applications of alloplastic resorbable implants, postoperative radiological control is challenging due to its radiolucency. The aim of the present study was to evaluate the radiographic visibility of newly developed materials for orbital floor reconstruction.

Materials And Methods: The radiographic visibility of four different material combinations consisting of poly-(L-lactic acid)/poly-glycolic acid (PLLA/PGA) or poly(D,L-lactic acid) (PDLLA) enriched with magnesium (Mg), hydroxyapatite (HA) or β-tricalcium phosphate (β-TCP) with various layers of thicknesses (0. Read More

BMJ Case Rep 2018 Jun 28;2018. Epub 2018 Jun 28.

Department of Radiology, North Middlesex University Hospital NHS Trust, London, UK.

Orbital blowout fractures are nearly always caused by acute trauma. Non-traumatic cases of orbital blowout fractures have only been rarely described. In this case study, we discuss an orbital blowout fracture directly caused by nose blowing. Read More

Emerg Radiol 2018 Jun 20. Epub 2018 Jun 20.

Division of Trauma and Emergency Imaging, Department of Radiology, Bellevue Hospital/NYU Langone Medical Center, New York, NY, 10016, USA.

This article reviews the conceptual framework, available evidence, and practical considerations pertaining to nascent and emerging advances in patient-centered CT-imaging and CT-guided surgery for maxillofacial trauma. These include cinematic rendering-a novel method for advanced 3D visualization, incorporation of quantitative CT imaging into the assessment of orbital fractures, low-dose CT imaging protocols made possible with contemporary scanners and reconstruction techniques, the rapidly growing use of cone-beam CT, virtual fracture reduction with design software for surgical pre-planning, the use of 3D printing for fabricating models and implants, and new avenues in CT-guided computer-aided surgery. Read More

Middle East Afr J Ophthalmol 2018 Jan-Mar;25(1):56-58

Department of Eye Research Center, Center of Excellence in Medical Education Technology, Mashhad University of Medical Sciences, Mashhad, Iran.

Orbital floor fractures alone or in conjunction with other facial skeletal fractures are the most commonly encountered midfacial fractures. The technological advances in 3-dimensional (3D) printing allow the physical prototyping of 3D models, so creates an accurate representation of the patient's specific anatomy. A 56-year-old Caucasian man with severe hypoglobus and enophthalmos with an extensive blowout fracture was scheduled for reconstruction. Read More

Craniomaxillofac Trauma Reconstr 2018 Jun 5;11(2):96-101. Epub 2018 Feb 5.

Division of Head and Neck Surgery and Communication Sciences, Duke University Medical Center, Durham, North Carolina.

Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution. Read More

Oral Surg Oral Med Oral Pathol Oral Radiol 2018 08 7;126(2):192-197. Epub 2018 May 7.

Clinic for Cranio-Maxillofacial Surgery, University Hospital of Zürich, Department of Oral and Maxillofacial Surgery, Zürich, Switzerland.

Objective: Fractures of the zygoma and orbit are common facial skeleton injuries. Inadequate reduction and internal fixation may result in functional and aesthetic impairment. The aim of this study was to assess the use of intraoperative 3-dimensional (3-D) cone beam computed tomography (CBCT) for determining the intraoperative revision rate and the need for additional reconstruction of the orbit. Read More

Br J Ophthalmol 2018 Jun 1. Epub 2018 Jun 1.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China

Background: Trapdoor fracture is a special type of orbital blowout fracture. Although early surgery is recommended, there still remain some patients delayed by various reasons. In this study, we analysed the clinical characteristics of delayed paediatric patients, especially those with different levels of ocular motility restriction before surgery. Read More

Oral Surg Oral Med Oral Pathol Oral Radiol 2018 Oct 2;126(4):317-321. Epub 2018 May 2.

University of Eastern Piedmont, Novara, Italy.

Objective: The anatomy of the head and neck region is complex as are its implications for maxillofacial pathologic conditions and their surgical treatments. We hypothesize that the assessment of the surgical management of orbital floor fractures by using titanium mesh could represent an appropriate first experimental field for the use of the Anatomage Table in maxillofacial surgery.

Study Design: Patients with unilateral orbital floor fractures were searched for in the hospital database of Novara University Hospital, Novara, Italy. Read More

J Plast Reconstr Aesthet Surg 2018 Jul 28;71(7):1069-1075. Epub 2018 Mar 28.

Department of Plastic and Reconstructive Surgery, Gifu University Hospital, 1-1 Yanagido, Gifu City, 501-1194, Japan.

Introduction: Bone defect reconstruction in orbital wall fractures with absorbable alloplastic such as the unsintered hydroxyapatite and poly L-lactide composite (u-HA/PLLA) system is gaining popularity. The u-HA/PLLA material has osteoconductive and osteosynthetic properties. However, quantitative, long-term outcome data after the use of u-HA/PLLA for orbital wall fractures are lacking. Read More

Dentomaxillofac Radiol 2018 12 31;47(8):20170423. Epub 2018 May 31.

1 Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.

Objectives: To assess the diagnostic reliability of low dose multidetector CT (MDCT) and cone beam CT (CBCT) for zygomaticomaxillary fracture diagnosis.

Methods: Unilateral zygomaticomaxillary fractures were inflicted on four out of six fresh frozen human cadaver head specimens. All specimens were scanned using four MDCT and two CBCT imaging protocols of which the radiation exposure was systematically reduced. Read More

Facial Plast Surg Clin North Am 2018 May;26(2):237-251

Oculofacial Plastic and Reconstructive Surgery, Orbital Surgery and Oncology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17th Street, Miami, FL 33136, USA. Electronic address:

Anatomic, rather than volumetric, reconstruction leads to improved outcomes in orbital reconstruction. Endoscopic visualization improves lighting and magnification of the surgical site and allows the entire operative team to understand and participate in the procedure. Mirror-image overlay display with navigation-guided surgery allows in situ fine adjustment of the implant contours to match the contralateral uninjured orbit. Read More

J Craniomaxillofac Surg 2018 May 21;46(5):795-801. Epub 2018 Mar 21.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine/Graduate School of Medicine, Kagawa University. (Head: Tomohisa NAGASAO), Ikenobe, Japan.

Purpose: The authors hypothesized that the risks of optic canal injury in down-fracturing after Le Fort 3 osteotomy vary depending on the separation patterns of the orbital walls. This study verifies this hypothesis using biomechanical simulation.

Methods: Ten finite-element skull models were produced using computer tomography data from ten persons. Read More

J Craniofac Surg 2018 Jul;29(5):e515-e517

Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Orbital fractures are common. In patients where there is significant loss of the medial wall and orbital floor, anatomic prebent 3-dimensional plates allow efficacious restoration of orbital volume. However, the large size of these plates can result in technical difficulties with plate placement, especially in fractures with complete loss of 2 walls of the orbit. Read More

J Craniomaxillofac Surg 2018 Apr 26;46(4):715-721. Epub 2018 Feb 26.

Department of Oral and Maxillofacial Surgery, Orbital Unit, Academic Medical Centre of Amsterdam (AMC), Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, The Netherlands.

Objective: Advanced three-dimensional (3D) diagnostics and preoperative planning are the first steps in computer-assisted surgery (CAS). They are an integral part of the workflow, and allow the surgeon to adequately assess the fracture and to perform virtual surgery to find the optimal implant position. The goal of this study was to evaluate the accuracy and predictability of 3D diagnostics and preoperative virtual planning without intraoperative navigation in orbital reconstruction. Read More

J Craniomaxillofac Surg 2018 Apr 1;46(4):578-587. Epub 2018 Feb 1.

Klinikum der LMU Muenchen, Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Lindwurmstr. 2a, 80337, München, Germany.

Purpose: Reconstruction of orbital wall fractures is demanding and has improved dramatically with the implementation of new technologies. True-to-original accuracy of reconstruction has been deemed essential for good clinical outcome, and reasons for unfavorable clinical outcome have been researched extensively. However, no detailed analysis on the influence of plate position and surface contour on clinical outcome has yet been published. Read More

J Craniofac Surg 2018 Jun;29(4):e421-e426

Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus.

Isolated orbital wall fractures account for 4% to 16% of all facial fractures. Even a modest change in the position of the bony walls can have a significant impact on orbital volume and globe position. Alloplastic materials or autogenous bone grafts such as the antral maxillary wall can be used to reconstruct small- to medium-size orbital fractures. Read More

Dan Med J 2018 Mar;65(3)

Isolated fractures of the orbital floor or medial wall are often referred to as blowout fractures (BOFs). Debilitating double vision and aesthetic deformity may affect the patients' quality of life and daily living skills, for instance, working or driving a car. The management of blowout fractures is, however, challenging, since not all fractures demand surgery. Read More

J Craniofac Surg 2018 Jun;29(4):980-984

Department of Oral and Maxillofacial Surgery, Ulsan University Hospital, University of Ulsan College of Medicine.

The aim of this study was to evaluate whether the amount of fracture displacement affects postoperative stability of isolated zygomaticomaxillary complex fractures and to determine whether the 1-point fixation method is as stable as 2- or 3-point fixation methods. The authors investigated 14 patients with 1-point fixation in the zygomaticomaxillary area (group A), 14 patients with 2-point fixation in the zygomaticomaxillary and frontozygomatic area (group B), and 13 patients with 3-point fixation in the zygomaticomaxillary, frontozygomatic, and infraorbital rim area (group C). Stability of the reduced zygomaticomaxillary complex was assessed by comparing immediate postoperative cone beam computed tomography images with those obtained at least 3 months later. Read More

J Craniomaxillofac Surg 2018 Apr 20;46(4):547-557. Epub 2017 Nov 20.

Department of Biomedical Engineering, National Yang-Ming University, No. 155, Sec. 2, Linong Street, 112, Taipei, Taiwan. Electronic address:

For this study we developed an anatomical thin titanium mesh (ATTM) plate for Asian zygomaticomaxillary complex (ZMC) fracture repair with reduction guidance and fixation function. The ATTM plate profile was designed as an L-shape to fix at the anterior maxilla and lateral buttress of the ZMC. Computer-aided stamping analysis was performed on four screw-hole patterns in the ATTM plate - a control without screw-holes, square screw-holes, double screw-holes, and large-diameter, double screw-holes - using upper/lower dies of averaged ZMC reconstruction models. Read More

Eur Arch Otorhinolaryngol 2018 Mar 12;275(3):809-813. Epub 2018 Jan 12.

Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Objective: The aim of this study was to assess the infraorbital foramen (IOF) using CT in patients with Zygomaticomaxillary complex (ZMC) fractures (midface fracture).

Patients And Methods: This prospective study was carried out on 49 patients had ZMC fractures (98 sides) and 27 patients (54 sides) with craniomaxillofacial fractures rather than fractured ZMC as a control. Using CT, position of IOF was documented on 3D view in relation to inferior orbital rim, tooth root relation and finally with a novel imaginary line passing between anterior nasal spine and whitnall tubercle. Read More

J Craniomaxillofac Surg 2018 Mar 21;46(3):381-387. Epub 2017 Dec 21.

Plastic and Oral & Maxillofacial Surgery, Department of Surgical Sciences, Uppsala University, (Head of dep. Gunilla Nygård, PhD), Uppsala, Sweden.

Facial fractures often result in changes of the orbital volume. These changes can be measured in three-dimensional (3D) computed tomography (CT) scans for preoperative planning and postoperative evaluation. The aim of this study was to analyze the orbital volume and shape before and after surgical treatment of unilateral orbital fractures using semi-automatic image segmentation and registration techniques. Read More

Ann Plast Surg 2018 Apr;80(4 Suppl 4):S219-S222

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Background: Patients who present for a trauma workup often have a head computed tomography (CT) performed to identify intracranial pathology. Facial fractures are routinely identified in these patients, and further imaging is the norm with dedicated facial CT scans. Additional imaging increases radiation doses; however, it is unclear if additional operative fractures are identified. Read More

Orbit 2018 Oct 10;37(5):375-377. Epub 2018 Jan 10.

a Department of Ophthalmology , University of Pittsburgh Medical Center , Pittsburgh , Pennsylvania , USA.

Silent sinus syndrome was first described as spontaneous enophthalmos and hypoglobus associated with subclinical maxillary sinusitis without prior trauma or surgery. This clinical entity has later been described after trauma in which damage to the ostiomeatal complex leads to atelectasis of the maxillary sinus. We report a case of a 14-year-old boy who presented 4 years after sustaining a non-operative orbital floor fracture with enophthalmos and transient diplopia. Read More

J Craniomaxillofac Surg 2018 Mar 15;46(3):375-380. Epub 2017 Dec 15.

Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, South Korea.

Purpose: Diplopia is a common symptom of blowout fracture (BOF), and can persist after proper surgical management. We compared clinicoradiological findings between patients with recovering diplopia and those with residual diplopia after surgery for orbital BOF.

Materials And Methods: We retrospectively evaluated the CT images of 170 patients with orbital BOF and preoperative diplopia. Read More

J Oral Maxillofac Surg 2018 May 13;76(5):1016-1025. Epub 2017 Dec 13.

Attending Oral and Maxillofacial Surgeon, Legacy Emanuel Medical Center, Head and Neck Institute, Portland, OR.

Purpose: The use of technology to aid in assessment, planning, and management of complex craniomaxillofacial injuries is increasingly common. Preoperative computed tomography (CT) evaluation is considered the standard of care, and intraoperative imaging is becoming increasingly accessible. Limited data exist regarding the implication of intraoperative CT on decision making in the management of all sites of facial fractures. Read More

BMJ Case Rep 2017 Dec 28;2017. Epub 2017 Dec 28.

Department of Neurology, BYL Nair Charitable Hospital, Mumbai, India.

A 16-year-old boy presented with progressive left hemidystonia over 3 years. The possibilities of symptomatic hemidystonia due to focal lesions such as infarct (vasculitis), tumours, tuberculoma, arteriovenous malformations or heredodegenerative disorders such as Wilson disease were considered. Imaging showed a peculiar scar involving right basifrontal region extending upto anterior, centromedian and dorsomedial nuclei of thalamus due to blowout fracture of roof of orbit. Read More