The Effects of Preoperative Radiotherapy on Head and Neck Free Flap Anastomosis Success.

Purpose: The long-term survival benefit of neoadjuvant radiotherapy for oropharyngeal tumors is controversially discussed in the literature. To bring more light into this important debate, we evaluated our cases.

Patients And Methods: In this retrospective study the main focus was the relationship between neoadjuvant irradiation and anastomosis failure.

[Not Available].

TMJ-like symptoms as first sign of a tumorous disease. Metastasis as an uncommon origin of the symptoms (in German).

Anatomic (positional) variation of maxillary wisdom teeth with special regard to the maxillary sinus.

The removal of wisdom teeth is one of the most common interventions in oral surgery. In order to avoid complications, a profound knowledge of the anatomy of teeth and adjacent tissues is crucial. In the case of maxillary wisdom teeth, their relationship to the maxillary sinus, to the pterygoid fossa, to the maxillary tuber and the adjacent venous plexus is particularly important.

[CEOT - Calcified anomalies in dental X-ray. A case-based review of differential diagnoses in radiopaque lesions in maxilla and mandible].

The calcifying epithelial odontogenic tumor (CEOT) is a benign tumor entity, usually localized in the molar region of the lower jaw. CEOT is not known for a destructive growth pattern, nevertheless it grows expansive. To properly diagnose a CEOT, histological verification is necessary.

Frequency and anatomy of the retromolar canal - implications for the dental practice.

The retromolar canal (RMC) is an anatomical variant of the mandibular canal. Apart from blood vessels it also contains accessory nerve fibers and is clinically important, because its presence can account for failures of mandibular block anesthesias and in rare cases, injuries of its neurovascular bundle can lead to complications such as hemorrhages and dysesthesias. The aim of this retrospective case study was to analyze the frequency and anatomy of the RMC using cone beam computed tomography (CBCT) in order to draw conclusions for the dental practice.

[Preventive vaccinations in dentistry].

The purpose of this current paper is to give a simple update and overview about vaccinations for dental health care workers considering the new guidelines published in February 2014 by the Swiss Federal Office of Public Health. It is recommended to have at least a valid protection against hepatitis B, measles, mumps, rubella, influenza, varicella, diphtheria, tetanus, poliomyelitis and pertussis. Dental health care workers are highly exposed and high risk carriers for inoculable diseases, therefore regular refreshment of vaccinations is necessary for public health and their own health.

[Local anaesthetics – mechanisms and risks].

A large variety of local anaesthetics is widely used in dental clinic. Cautious application is essential in order to avoid adverse events of potentially lethal nature. The objective of this article is to present an overview of the mechanisms and to underline potentially lethal adverse effects and contraindications.

[Metastases in the temporomandibular joint: a review from 1954 to 2013. Rare causes for temporomandibular disorders].

Introduction: Metastatic lesions make up approximately 1% of all oral cancers.A comparatively rare location is the temporomandibular joint.Leading symptoms can be misdirecting, especially in the beginning,because they are frequently similar or even identical to those occurring in temporomandibular disorders.

[An atypical Stafne cavity-multi-chamber bone lesion with bucal expansion. A case report].

In the literature Stafne bone cavities are mostly described for male patients in their fifth and sixth decade. Usually the lingual cavities appear as ovoid lesions located unilateral in the molar region of the lower jaw underneath the inferior alveolar nerve. Classically they contain parts of the submandibular gland.

Variations in the anatomical positioning of impacted mandibular wisdom teeth and their practical implications.

Surgical removal of impacted third molars is one of the most frequent procedures in oral surgery. Here, three-dimensional (3D) imaging is often used, yet its necessity is still being heavily debated. The aim of the study was to describe the variation in the anatomical positioning of third mandibular molars, and, by doing so, examine the necessity of 3D imaging.

The inferior alveolar nerve's loop at the mental foramen and its implications for surgery.

Background: In this study, the authors aimed to identify and measure the anterior extension of the alveolar loop (aAL) and the caudal extension of the alveolar loop (cAL) of the inferior alveolar nerve by using cone-beam computed tomography (CBCT). They also aimed to provide recommendations for surgery in the anterior mandible.

Methods: In this retrospective case study of the frequency and extension of aAL and cAL, the authors evaluated 1,384 mandibular sites in 694 CBCT scans of dentate and partly edentulous patients, performed mainly for further diagnosis before removal of the mandibular third molars between January 2009 and February 2013, by using multiplanar reconstructions.

[Modern technologies in cranio-maxillofacial surgery].

Modern technologies are influencing medicine everyday. The oral and maxillofacial surgery meet the worlds from medicine and dentistry. So technologies from both fields are utilized.

Stafne bone cavities: systematic algorithm for diagnosis derived from retrospective data over a 5-year period.

Stafne bone cavities are usually found in men 50-70 years old. Typically they appear as lingual, open, ovoid lesions of the molar region of the lower jaw, and most contain parts of the submandibular gland. We have retrospectively examined panoramic radiographs acquired over a 5-year period.

[Facial pain- a rare cause. Impacted lower third molars causing primarily "unclear" facial pain: a case report].

Orofacial pain often causes special difficulties to patients and dentists. Numerous differential diagnoses require the utilization of a coordinated diagnostic concept. Often, multiple causes lead to the need for a complex treatment plan.

Evaluation of two dental registration-splint techniques for surgical navigation in cranio-maxillofacial surgery.

Background: Surgical navigation requires precise registration of the pre-operative image dataset to the patient in the operation theatre. Different marker-based and marker-free registration techniques are available, each of them with advantages and disadvantages regarding precision and clinical handling. In this model study, the precision of two dental splint techniques for marker-based registration is analyzed.

Demodicidosis: an uncommon erythema after cranio-maxillofacial surgery.

Demodex mites are commonly found in the healthy population, but the pathogenesis of demodicidosis has still not been clarified, though it is usually found in cases of immune deficiency. A 45-year-old man presented with an unusual outbreak of erythema and swelling 6 months after resection and chemoradiotherapy for a squamous cell carcinoma of the anterior floor of the mouth. The cheek was biopsied and histological examination showed demodicidosis.

Growing skull fractures after craniosynostosis repair: risk factors and treatment algorithm.

Growing skull fractures (GSFs) are rare complications after severe head injuries in the early childhood and rarely occur after craniosynostosis repair. The aim of this study was to define an algorithm for sufficient treatment for GSF after craniofacial procedures. Literature research was performed to clarify risk factors for GSFs after cranial vault reshaping.

The Reliability of a Three-Dimensional Photo System- (3dMDface-) Based Evaluation of the Face in Cleft Lip Infants.

Ample data exists about the high precision of three-dimensional (3D) scanning devices and their data acquisition of the facial surface. However, a question remains regarding which facial landmarks are reliable if identified in 3D images taken under clinical circumstances. Sources of error to be addressed could be technical, user dependent, or patient respectively anatomy related.

The impact of frozen sections on final surgical margins in squamous cell carcinoma of the oral cavity and lips: a retrospective analysis over an 11 years period.

Background: Taking intraoperative frozen sections (FS) is a widely used procedure in oncologic surgery. However so far no evidence of an association of FS analysis and premalignant changes in the surgical margin exists. Therefore, the aim of this study was to evaluate the impact of FS on different categories of the final margins of squamous cell carcinoma (SCC) of the oral cavity and lips.

Pretreatment thrombocytosis: a prognostic marker for oral squamous cell carcinoma?

Purpose: Thrombocytosis associated with poorer prognoses seems to be a frequent preoperative finding in different kind of cancers. The aim of the present study was to evaluate whether thrombocytosis can be used as a prognostic marker for oral squamous cell carcinoma (SCC).

Methods: Altogether, 288 patients with oral SCC were considered, as well as all platelet counts between 1 and 5 days prior to surgical treatment, recurrence rate, and lymph node metastasis.

Microvascular tissue transfer in cleft palate patients: advocacy of the prelaminated radial free forearm flap.

The closure of wide palatal clefts and recurrent oronasal fistulae may be challenging. After repeated failure of conventional techniques, microvascular tissue transfer may be indicated in the closure of such fistulae. Depending on the location and the size of the palatal fistula, different tissues are required to sufficiently close the palatal gaps.

An evaluation of the preoperative hemoglobin level as a prognostic factor for oral squamous cell carcinoma.

Background: Hypoxia seems to be an influencing factor for oral squamous cell carcinomas (SCC), and several immunohistochemical markers have been discussed in this regard. The aim of the present study was to evaluate preoperative hemoglobin levels as a prognostic factor for oral SCC.

Materials And Methods: The files of 287 patients who had been treated for oral SCC between 1999 and 2008 were studied retrospectively.