Repeated sagittal split osteotomy might impose an increased risk for damage of the inferior alveolar nerve. Another contemporary orthognathic issue is surgical management of malocclusion following condylar resorption. Here we describe a modified C-osteotomy technique as a proposed solution for these difficulties in orthognathic surgery.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
December 2011
Simultaneous fracture of the maxilla and cervical vertebrae rarely occurs in bicycling accidents. The following case report describes a simple technique for closed reduction of a severely comminuted maxillary fracture with shattering of the dentoalveolar process. The combination of a rigid external distractor halo frame on the skull, a Kirschner wire through the maxilla, and an intermaxillary wire fixation resulted in stable vertical and sagittal correction of the fragmented maxilla with adequate access and minimal manipulation and without necessitating removal of the cervical collar.
View Article and Find Full Text PDFPurpose: A patient surviving after a metal projectile penetrates the sphenoid sinus is unusual. Removing a foreign object from this region is challenging because of the difficult access and proximity to delicate structures. The use of navigation-guided endoscopy makes the manipulation of the surgical instruments near delicate structures safer, and the procedure is minimally invasive.
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