Factors Associated With Complications and Failure in Transoral, Mandible Fracture Repair.

Objective: Open reduction internal fixation (ORIF) of the mandible has been a well-studied topic. However, there has not been a study investigating the relationship between suture type and complications.

Methods: A retrospective chart review of patients who sustained mandibular fractures was conducted at an urban level I trauma center (2010-2018).

BCOR-Rearranged Sarcoma of the Tonsil.

A tonsillar mass in a young patient with no medical issues routinely presents as an infectious process. Practitioners must maintain a broad differential if diagnostic testing does not support an infection. Neoplasm must be excluded.

Leech Therapy for Complex Facial Lacerations.

Facial trauma can pose challenging reconstructive obstacles in both maintaining tissue viability and restoring aesthetic appearance. Medicinal leech therapy can help to promote vascular decompression in the setting of venous congestion. A retrospective chart review was conducted to identify patients who underwent medicinal leech therapy following venous stasis secondary to repair of a complex facial laceration.

An Update on Maxillary Fractures: A Heterogenous Group.

Background: The purpose of this study was to review the different types of maxillary fractures and highlight their diagnostic and therapeutic differences.

Methods: A retrospective chart review of patients who sustained maxillary fractures was conducted through the Einstein Healthcare Network during the years 2016-2017. Descriptive statistics and chi-square analysis were used to categorize continuous and categorical variables, respectively.

Comparison of Maxillofacial Trauma Patterns in the Urban Versus Suburban Environment: A Pilot Study.

Introduction: Assault appears to be the most frequent cause of facial fractures in certain urban trauma centers, possibly due to the ease of acquiring weapons and increasingly aggressive behavior. The objectives of this study were to identify specific demographic, socioeconomic, maxillofacial fracture, and assault patterns in urban versus suburban communities.

Methods: A retrospective chart review of patients who sustained maxillofacial fractures from August 2014 through August 2016 at one urban campus, Einstein Medical Center, Philadelphia, and two suburban campuses, Einstein Medical Center Montgomery and Elkins Park.

Management of Isolated Zygomatic Arch Fractures and a Review of External Fixation Techniques.

Introduction: Fractures of the zygomatic bone can present with complicated aesthetic and neurological pathology. Specifically, management of isolated zygomatic fracture has been sparsely discussed in the literature, and most studies are based upon older techniques. Here, we compare the results of 2 critical operative techniques as well as review the available literature in the setting of isolated zygomatic fractures.

Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants.

Background: Nasal fractures constitute the largest proportion of facial trauma each year, however, there is no consensus management. In this study, we investingated the role of the consultant and the functional and aesthetic outcomes of procedures performed to address nasal bone fractures.

Methods: A retrospective chart review of patients who sustained nasal bone fractures was conducted from 8/1/14 through 1/23/18.

Substance Use and Maxillofacial Trauma: A Comprehensive Patient Profile.

Purpose: Maxillofacial trauma confers an increased risk of long-term clinical sequelae with a substantial economic burden on the health care system. Substance use has long been correlated with an increased risk of trauma, yet to date, a comprehensive profile of substance users incurring facial fractures has not been established. We aimed to establish patterns and trends of substance use and specific substances in the setting of maxillofacial trauma.

Comparing Urban Maxillofacial Trauma Patterns to the National Trauma Data Bank©.

Objectives: We aimed to determine whether certain maxillofacial fracture patterns and injury mechanisms were more prevalent in an urban environment. In addition, we aimed to determine if maxillofacial trauma incidence correlated with income.

Methods: Data was collected from Einstein Healthcare Network and Temple University Health System.

Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management.

To present six cases of bronchogenic cysts while highlighting the diagnosis and management of this anomaly. A retrospective chart review was conducted using our institution's Pathology database. The database was queried for "bronchogenic cyst.

Submandibular Gland Epithelial-Myoepithelial Carcinoma with Osseous Metastasis: A First Reported Case and Review of the Literature.

Epithelial-myoepithelial carcinoma (EMC) is a low grade tumor that comprises 1% of all salivary tumors. Local recurrence is not uncommon, but rarely does this tumor demonstrate distant metastasis. We describe a case of a 53-year old female presenting with an asymptomatic, slowly enlarging left submandibular neck mass.

Sebaceous carcinoma of the parotid gland: a case report and review of the literature.

Sebaceous carcinoma is a rare malignancy primarily affecting the periocular sebaceous glands. Sebaceous carcinoma of the parotid gland is exceedingly rare, with only 30 cases reported in the literature. Our case brings this total to 31.

Esophageal hamartoma as an unusual cause of neonatal apnea and bradycardia.

Esophageal hamartoma is a rare entity, as only 7 cases have been previously reported in the English-language literature. Common symptoms include dysphagia, weight loss, and vomiting. Life-threatening airway obstruction can also occur.

Marginal-zone B-cell lymphoma of the bony palate presenting as sinusitis.

The diagnosis of low-grade B-cell lymphoma consistent with marginal-zone lymphoma has proven to be challenging when the disease involves the hard palate. The diagnosis is complicated by the nonspecific nature of the presenting symptoms and a difficult-to-differentiate histologic picture. We describe a case of low-grade B-cell lymphoma of the hard palate with a delayed presentation.

Nevoid basal cell carcinoma syndrome and fetal rhabdomyoma: a case study.

Fetal rhabdomyoma is not generally considered part of nevoid basal cell carcinoma syndrome. However, a review of the literature revealed five patients with this syndrome who also had fetal rhabdomyomas in various locations. We report the first patient with nevoid basal cell carcinoma syndrome and a fetal rhabdomyoma of the tongue.

Speech discrimination in the sensorineural hearing loss patient: how is it affected by background noise?

There are patients who have normal hearing below 3,000 Hz and normal speech discrimination who still complain of hearing difficulty, especially when background noise is present. The objective of this study is to document the fact that these individuals have a significant hearing impairment that is not detected with routine testing. We retrospectively reviewed 67 audiograms selected for 50-dB loss or greater at 3, 4, 6, and 8 kHz and speech discrimination scores better than 80%.

Metastatic hypernephroma to the larynx: an unusual presentation.

We report a renal cell carcinoma which presented as a metastasis to the larynx. The only preoperative clue to the diagnosis was its hypervascularity.

Adult supraglottitis due to herpes simplex virus.

Changes in the concepts regarding epiglottis have occurred over the last two decades. Supraglottis, once thought to occur exclusively in the pediatric population, is now recognized in adults. Supraglottis is a well-defined syndrome usually caused by a bacterial infection by Haemophilus influenzae type B.

The laryngeal mucocele. Imaging analysis of a rare lesion.

Four patients with laryngeal mucocele (fluid-filled laryngocele) are described. Two laryngeal mucoceles were external, lying outside the thyrohyoid membrane, and two were combined, lying both internal and external to the membrane. The combined laryngeal mucoceles presented with both neck mass and hoarseness.

Acquired disruptions of the incudostapedial articulation: diagnosis with CT.

To determine the best technique for diagnosing incudostapedial joint disruption with computed tomography (CT), the authors reviewed 15 surgically proved cases. In each case, the articulation was depicted on axial but not coronal images. Disruption was due to inflammation in ten cases and trauma in five.

Synthetic ossicular replacements: normal and abnormal CT appearance.

Twenty-two patients with synthetic ossicular replacements were studied with computed tomography (CT). Twelve patients had total ossicular replacement prostheses (TORPs), and ten patients had partial ossicular replacement prostheses (PORPs). Good results were achieved in 12 patients (eight with TORPs and four with PORPs).

Ossicular erosions in the dry ear: CT diagnosis.

Erosions of the ossicular chain that occurred as a complication of noncholesteatomatous chronic otitis media were studied with computed tomography (CT) in 55 patients. The incus (particularly the long and lenticular processes) was the ossicle most commonly involved (50 cases). Coronal and axial CT sections were complementary in the diagnosis of these erosions.