Publications by authors named "A Rachmiel"
As maxillofacial surgery becomes increasingly digitized and the transformative impact of pre-surgical scanning and computer simulation is recognized, this clinical paper presents an algorithm for the selection of interventions in severe congenital oligodontia with Angle class-III malocclusion (OCIII) utilizing such technologies. A complex, multifactorial condition with varying degrees of craniofacial involvement, OCIII is associated with edentulous facial appearance, mandibular prognathism and deep underbite, as well as malocclusion. Our methodology involves the integration of CBCT imaging, intra- and extra- oral scanning, and 3D planning with the assessment of bone volume, number of missing teeth, skeletal discrepancies, and patient compliance in the selection of suitable treatments.
View Article and Find Full Text PDFComputed tomography (CT) is the standard of care imaging in craniomaxillofacial (CMF) trauma. Despite the clear advantages of high-resolution multiplanar and three-dimensional reconstructions, which facilitate accurate diagnosis and provide intraoperative (IO) real-time visual feedback, CT's main drawbacks remain availability, cost, and high radiation exposure. The decision to perform a CT scan is based on the integration of the patient's trauma mechanism, clinical examination, subjective judgment of the CMF surgeon, and the complexity of the surgery if used IO.
View Article and Find Full Text PDFIntroduction: The zygomatic bone has a great impact on the anterior and lateral projection of the midface as well as the proper position of the globe. Primary alignment of zygomatic fractures is very important as secondary reconstruction is far more challenging. Treatment of misaligned zygoma requires refracturing of the bone to allow for repositioning.
View Article and Find Full Text PDFArticle Synopsis
- Maxillofacial metastases, which are rare in head-and-neck cancers, are often mistaken for benign issues, and this study aimed to analyze their clinical features, treatment, and patient outcomes.
- Out of 532 patients studied, 15 (2.8%) had confirmed metastatic lesions, predominantly located in the mandible and associated mainly with adenocarcinomas from gastrointestinal and lung sources.
- The diagnosis of these metastases led to changes in treatment for 60% of patients, with a median survival of just 5 months, and survival was notably shorter for those with intraoral manifestations compared to those with extraoral ones.