Treatment of Orbital Medial Wall Fractures with Titanium Mesh Plates Using Retrocaruncular Approach: Outcomes with Different Techniques.

Surgical management of medial wall orbital fractures should be considered to avoid diplopia and posttraumatic enophthalmos. Treatment of these fractures remains a challenge for the maxillofacial surgeon because of complex anatomy and limited vision. This article aims to retrospectively evaluate the outcomes in the repair of medial orbital wall fractures using a retrocaruncular approach and titanium meshes, comparing the placement of the titanium mesh with three different techniques: (1) conventional free hand under direct vision, (2) with the assistance of an endoscope, and (c) with the assistance of a navigation system.

The effect of pillow height on muscle activity of the neck and mid-upper back and patient perception of comfort.

Objective: The purpose of this study was to evaluate the comfort and the electromyographic (EMG) activity of the neck and mid-upper back of asymptomatic adults using foam pillows of 3 different heights.

Methods: Twenty-one asymptomatic adults used foam pillows of 3 different heights (1: 5 cm, 2: 10 cm, and 3: 14 cm). Comfort was assessed using a 100-mm visual analog scale.

Endoscopic removal of an ectopic tooth in maxillary sinus.

Ectopic teeth erupted in the maxillary sinus are rarely reported. Although the causes of eruption of a tooth into the maxillary sinus are unclear, some clinical conditions are suspected to be responsible, such as developmental disturbances (cleft palate), displacement of teeth by trauma, interventions or cyst, infection, genetic factors, crowding, and dense bone. Most cases of ectopic teeth in the maxillary sinus are asymptomatic and are occasionally diagnosed thanks to routine radiographic investigations.

Double consecutive retrobulbar hemorrhage in a high-risk patient in treatment with aspirin and warfarin.

Retrobulbar hemorrhage is a vision-threatening emergency that may occur spontaneously or following facial trauma, orbital surgery, endoscopic sinus surgery, and retrobulbar injections. It may determine visual loss because of central retinal artery occlusion, optic neuropathy from direct compression, or compression of the circulation from mechanical tamponade. In addition to a deterioration in visual acuity with total blindness in the most severe cases, several symptoms and signs can be found, such as a sudden onset of severe pain, proptosis, and ophthalmoplegia.

Management and outcomes of three cases of rhinocerebral mucormycosis.

Mucormycosis is a rare opportunistic infection caused by fungi belonging to Mucorales order. The infection usually starts in the middle or inferior nasal meatus and then spreads to the paranasal sinuses and the orbit. Then it reaches the brain through the ethmoid and the orbit apex and can lead to lethargy, paralysis, and death.

Pathologic mandibular fracture as the presenting manifestation of multiple myeloma.

The authors report on the management of a patient who presented with a pathologic mandibular fracture as the initial presenting sign of multiple myeloma. The patient underwent surgical resection of the mandibular area involved by the pathologic fracture and osteolytic lesion. Then, he was prescribed combined thalidomide, melphalan, and prednisone for systemic treatment.

Mucociliary function during maxillary sinus floor elevation.

Maxillary sinus floor elevation carries the potential risk of compromising the sinus physiology. The aim of this study was to prospectively assess mucociliary function during maxillary sinus augmentation in patients without preoperative signs of maxillary sinusitis. Ten patients underwent unilateral sinus floor elevation under local anesthesia and endoscopic control.

Endoscopic-assisted removal of an intraorbital dislocated dental implant.

Objectives: Displacement of dental implants in the orbit is extremely rare. The aim of this article is to present and discuss the endoscopic management of a dental implant dislocated in the orbit.

Material And Methods: A 40-year-old woman underwent the placement of three dental implants at the upper right molar region, but during the intervention, the implant was displaced in the orbit.

Diagnosis and surgical management of synovial chondromatosis of the temporomandibular joint.

Synovial chondromatosis (SC) of the temporomandibular joint (TMJ) is an uncommon disease, which is characterized by chondrometaplasia of the synovial membrane. It is characterized by cartilaginous metaplasia of the mesenchymal remnants of the synovial tissue of the joints. Loose bodies can be found within the joint space.

[Anatomicosurgical comments on the importance of the spinal accessory nerve].

The preserved integrity of the spinal accessory nerve plays an extremely important role in cervico-facial surgery since the majority of surgical approaches involve this nervous structure. Following a short historical outline of the surgical method, the Authors illustrate the anatomo-topographical aspects and anatomo-surgical problems. A number of points emerge from a review of the literature which are vital to isolate the spinal accessory nerve: 1) the transversal apophysis of the atlas is particularly prominent in the retrostyloid space and lies half-way across an imaginary horizontal segment connecting the mastoid process with the angle of the mandible; 2) the posterior edge of the sternocleidomastoid muscle at approximately six centimetres from the mastoid process; 3) the nervous point of Erb located at the point where the superficial branches of the cervical plexus emerge from the posterior edge of the sternocleidomastoid muscle (the nerve generally emerges from the posterior edge of the sternocleidomastoid muscle two centimetres above this point and two centimetres below it the nerve meets the anterior edge of the trapezius).

[Segmental surgery of the maxilla: the long-term assessment of the dental-periodontal integrity of the osteotomized sites].

Segmentary surgery of the jaws has increased the possibilities of therapeutic orthognathodontic surgery, allowing osteo-dental segments to be moved three-dimensionally to achieve a satisfactory occlusion. One of the potential limits of this method is the possibility of damaging the dental-periodontal structures bordering with the site of osteotomy. The aim of this study was to report the results of a long-term clinical and radiological survey in a group of patients undergoing segmentary surgery, performed without tooth extraction.

[Odontogenic keratocysts: the anatomicopathological characteristics and the clinical and therapeutic aspects. A review of the literature].

The paper contains an extensive review of the literature on keratocysts, a variety of odontogenic cysts with unique clinical features. The anatomo-pathological, radiological and clinical characteristics of the cysts are examined in order to aid diagnosis, which remains however solely histological. In addition, the paper discusses various therapeutic solutions which appear to offer the greatest guarantee that relapses typical of these cystic formations do not occur.

[Fractures of the mandibular condyle in the pediatric age group. Clinical considerations and therapeutic procedures].

The paper analyses the post-traumatic pathology of the T.M. joint in patients in a dynamic growth phase with reference to prognostic and therapeutic factors.