Comprehensive surgical. Orthodontic treatment of class III malocclusion in cleft patient involving minimally invasive surgery Case report and literature review.

Aim: Surgical and orthodontic treatment of a teenage cleft patient.

Case Report: Authors describe the case of a 13 year old female cleft patient presented with class III malocclusion RESULT: The patient underwent comprehensive surgical secondary bone grafting and orthodontic treatment. Stable skeletal and occlusal class I relationship was achived and maintained in the post treatment observation period till the age of 16.

Removal of dental implants: review of five different techniques.

The aims of this study were to review five different explantation techniques for the removal of failing implants and to propose a practical clinical protocol. During a 10-year period, 95 implants were explanted from 81 patients. Explantation techniques used were the bur-forceps (BF), neo bur-elevator-forceps (ηBEF), trephine drill (TD), high torque wrench (HTW), and scalpel-forceps (SF) techniques.

Neurolytic effects of ampicillin on the rat infraorbital nerve.

Purpose: The aim of this study was to investigate the histomorphological changes of the infraorbital nerve of rats treated with ampicillin.

Materials And Methods: The infraorbital nerve was approached through the infraorbital foramen, and 0.01 ml of ampicillin dissolved in distilled water was injected taking care not to damage the nerve.

Resonance frequency analysis as a reliable criterion for early loading of sandblasted/acid-etched active surface implants placed by the osteotome sinus floor elevation technique.

Purpose: This study was intended to investigate, through resonance frequency analysis (RFA), the stability of implants placed in an early loading protocol via the osteotome sinus floor elevation technique in the posterior maxilla. All implants featured a sandblasted/acid-etched active surface.

Materials And Methods: An early loading protocol was considered for patients in whom implants with a sandblasted, large-grit/acid-etched active surface (SLActive) were placed in the posterior maxilla by the osteotome sinus floor elevation technique.

Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum.

The anatomy of the pterygopalatine fossa pertinent to the technique of maxillary nerve block at the foramen rotundum was investigated and the ability of inexperienced surgeons to apply the required angles of the injection needle to the sagittal plane in a clinical environment. In 85 dried human skulls the volume, length, width and depth of 159 intact pterygopalatine fossae were measured. The frequency of reaching the sphenopalatine foramen using a 20 G spinal needle advanced from the frontozygomatic angle through the pterygomaxillary fissure was determined.

Effects of Carnoy's solution on blood vessels of the axillary fossa of rats.

Carnoy's solution is applied to reduce the recurrence of odontogenic keratocysts and unicystic ameloblastomas. The deleterious action of this fixative on nerves has been studied but no attention has been paid to its effects on nearby vessels. The aim of this study was to investigate the effects of Carnoy's solution on blood vessels.

Effects of streptomycin on the rat infraorbital nerve.

Introduction: It has been reported that streptomycin can have anti-neuralgic effects. However, the mode of action is unknown. This article was intended to investigate eventual neurolytic effects of streptomycin on peripheral nerves when applied topically.

Mandibular nerve block at the oval foramen using reliable landmarks: refinement of a previously described procedure.

The aim of this study was to improve the injection technique when blocking the mandibular nerve at the oval foramen by using consistent landmarks. The lower lateral orbital angle (LLOA) and the junction of the external acoustic canal and the mastoid process (AM) proved to be reliable landmarks. Distances between landmarks for the localization of the puncture point (PP), cranial indices as well as the angle of the injection needle to the sagittal plane were calculated on 22 human dried skulls.

Blocks of the foramen rotundum and the oval foramen: a reappraisal of extraoral maxillary and mandibular nerve injections.

Objective: To present our experience of regional anaesthesia with blocks of the foramen rotundum and the oval foramen.

Design: Open study.

Setting: University Hospital, Beograd, Yugoslavia.

Galeal skin island flap in the reconstruction of scalp defects caused by missile injuries.

The use of the galeal skin island flap pedicled either on the superficial temporal or occipital vessels for coverage of scalp defects following neurosurgical treatment of cranial missile injuries, is presented. This technique was applied in seven consecutive patients. The defect was closed in all patients, however, only in three without complications.

Is carbamazepine less effective in the treatment of trigeminal neuralgia when prescribed by oral and maxillofacial surgeons?

Carbamazepine therapy is generally suggested as a first line of treatment for patients with idiopathic trigeminal neuralgia (ITN). This study was intended to investigate patient compliance and effects of carbamazepine in a group of ITN patients referred to oral and maxillofacial surgeons. A total of 19 patients with ITN who were taking carbamazepine as recommended and were unlikely to go into spontaneous remission were analyzed in a retrospective study.

Prognostic significance of cortical perforation in the recurrence of central giant cell granulomas of the jaws.

This paper was intended to present clinicopathological findings of 31 cases with central giant cell granuloma of the jaws (CGCG) as well as the prognostic significance of the histologically confirmed cortical perforation. The subjects of the study were 22 females and 7 males with age range from 7 to 69 years. CGCG occurred predominantly in the premolar and intercanine region of both jaws.

Hanhart's syndrome with facial asymmetry: case report.

An unusual variant of Hanhart's syndrome associated with facial asymmetry in a female patient is presented together with surgical treatment of her facial anomalies. Following reconstruction which included bimaxillary osteotomies and osteopericranial and pericranial flaps, a good aesthetic result was achieved which enabled the psychological and social rehabilitation of the patient.

Correction of facial deformities with pericranial and osteopericranial flaps.

Pericranial or osteopericranial flaps pedicled on the superficial temporal vessels were used in the correction of various facial deformities in 16 patients. In 5 patients orthognathic surgery was also performed. In all patients a significant aesthetic improvement was achieved.

Surgical treatment of posttraumatic enophthalmos: a study of 72 patients.

The present article deals with the surgical experience of treating 72 patients for posttraumatic enophthalmos. Patients were divided into the following 4 groups with respect to the type of injury and the time of surgery: Group 1, recent midfacial injuries with orbital floor fractures; Group 2, recent blow-out fractures; Group 3, neglected blow-out fractures; and Group 4, neglected fractures of the zygoma or the zygomatic-maxillary complex. Osteoplasty of the floor of the orbit was performed in all groups with bone or cartilage grafts such as lamina from the anterior maxillary wall, iliac and calvarial graft as well as rib cartilage.

Reconstruction of full-thickness cheek defect affecting the oral commissure by galeal skin island flap: a case report.

This article describes the use of the galeal skin island flap in the reconstruction of a full-thickness cheek defect affecting the oral commissure, created after radical surgery in a 60-year-old patient suffering from carcinoma of the cheek. Advantages and drawbacks of the described technique are discussed.

The buccal fat pad in the closure of oro-antral communications: a study of 56 cases.

This article describes the surgical technique, indications and possible complications of the use of the buccal fat pad in the closure of oro-antral communications (OAC), following tooth extraction, in 56 cases. The technique was successful in all patients and did not interfere with the buccal sulcus depth. It is concluded that it can be safely applied in the closure of OAC.

The effects of streptomycin on autotomy.

Thirty-six rats with sciatic nerve transections and autotomy scores 1-2 were divided into 3 groups. Two groups were re-operated and injected with streptomycin sulphate or saline into the polyethylene tube around the neuroma. In the third group, streptomycin was injected at the sciatic nerve, extraneurally, proximal to the tube.

Altering the angulation of a curved osteotome--does it have effects on the type of pterygomaxillary disjunction in Le Fort I osteotomy? An experimental study.

A standard Le Fort I osteotomy was performed on 12 cadavers to determine whether the incidence of pterygoid plate fractures could be reduced by increasing the angle of the curved osteotome relative to the sagittal plane. In the group where an osteotome with the usual angulation was employed, fractures occurred on 9 of 12 sides. In the increased angulation group, 5 of 12 pterygoid plates were fractured.

Pterygoid plate separation using an oscillating saw in Le Fort I osteotomy. Technical note.

An oscillating saw is used to achieve pterygomaxillary separation. The procedure is quick and simple to perform and avoids the potentially hazardous use of osteotomes for this purpose. Down fracture of the maxilla allows visual confirmation of the integrity of the pterygoid plates.

Effects of glycerol on the rat infraorbital nerve: an experimental study.

Glycerol was injected into the infraorbital canal of 12 rats to determine neurolytic effects on the peripheral trigeminal nerve. Saline and 90% ethanol were injected in control animals. One week after the injection, histopathological changes were noted in both glycerol and alcohol groups.

Peripheral streptomycin/lidocaine injections versus lidocaine alone in the treatment of idiopathic trigeminal neuralgia. A double blind controlled trial.

Seventeen patients with long-lasting idiopathic trigeminal neuralgia (ITN) were treated with either five, weekly peripheral streptomycin/lidocaine (S/L) or lidocaine alone injections, in a double blind controlled study. Eight patients responded initially to the treatment in the S/L group and three patients in the lidocaine group. Pain recurred in four patients from the S/L group within two weeks and six months following the last injection.