Rationale: Complex fractures of the maxillofacial region can require staged interventions to achieve optimal outcomes. A significant example of this are complex fractures of the orbital floor, which may be difficult to restore during primary treatment. The secondary correction is often required which can be using stock- or customised implants.
Patient Concerns: A previously operated case of panfacial trauma presented with an aesthetic concern regarding the asymmetrical appearance of his eyes.
Diagnosis: On clinical and radiological evaluation, the patient was diagnosed with enophthalmos of the left eye secondary to orbital floor fracture.
Treatment: A patient-specific implant (PSI) was fabricated and placed for orbital floor reconstruction.
Outcomes: Postoperatively, aesthetic and functional outcomes were satisfactory.
Take-away Lessons: This case report highlights the use of PSIs in orbital floor reconstruction, made possible due to the advent of virtual surgical planning and three-dimensional printing in the field of oral and maxillofacial surgery.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828059 | PMC |
http://dx.doi.org/10.4103/ams.ams_22_24 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
February 2025
Basaksehir Cam and Sakura City Hospital, Başakşehir, Istanbul, Turkey.
Difficult airway management in oromaxillofacial tumor surgery poses significant challenges for anesthesiologists. We present two case reports of patients with mandibular malignant tumors and maxillary osteosarcoma who underwent surgery under general anesthesia. Preoperative assessment revealed a mass involving the right mandible, completely covering the inside of the mouth and invading the floor of the mouth in the first case, and a mass in the left maxilla extending to the zygomatic arch and orbital floor in the second case.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), Room 4057, 4th Floor, Academic Block, New Delhi, India.
Massive epistaxis due to rupture of Intracranial Internal carotid artery (ICA) pseudoaneurysm is rarely encountered in Otolaryngology emergency but when it does, it requires immediate action. To provide an update on the approach toward diagnosis and management of patients with ruptured intracranial ICA pseudoaneurysm from an otolaryngologist perspective. The PubMed library was searched for previously published reviews, systematic reviews, or meta-analyses for intracranial ICA pseudoaneurysm, and a narrative review was formulated with a focus on Otolaryngology practice.
View Article and Find Full Text PDFAsian J Neurosurg
March 2025
Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.
The persistent craniopharyngeal canal is a rare, well-corticated midline congenital bony defect through the sphenoid bone between the sellar floor and the nasopharyngeal roof. The prevalence of persistent craniopharyngeal canal is reported to be 0.42%.
View Article and Find Full Text PDFAdv Ophthalmol Pract Res
October 2024
Department of Ophthalmology, University of Santo Tomas Hospital, Espana Boulevard, Sampaloc, Manila, Philippines.
Int J Surg Case Rep
February 2025
Universidad San Francisco, Quito, Ecuador.
Introduction And Importance: Odontogenic myxoma (OM) is an infrequent benign mesenchymal odontogenic tumor of the jaws composed of rounded and angular cells dispersed in an abundant mucoid stroma. An aggressive and vascularized presentation is unusual.
Case Presentation: A 68-year-old woman was evaluated for a mass located under the palate and extended to the cheek.
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