1/18. Assessment, documentation, and treatment of a developing facial asymmetry following early childhood injury.Prepubertal trauma is often implicated as the cause of asymmetric growth of the mandible. A series of photographs taken before and after early childhood injury to the orofacial complex illustrates the development of a three-dimensional dentofacial deformity in a patient. The diagnosis and combined surgical orthodontic treatment plan to correct the facial asymmetry and malocclusion are discussed.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
2/18. temporomandibular joint ankylosis: review of thirty-two cases.I have reviewed aetiology, sex, age at time of treatment, clinical features, radiographic findings, anaesthetic techniques, surgical treatment, complications, and results in 32 patients with ankylosis of the temporomandibular joint. Trauma and infection were the commonest causes of ankylosis: 50% and 41%, (n = 13), respectively. The 21-30 year age group had the most trauma cases. Twenty (63%) of the patients presented with bilateral ankylosis. Failing to do jaw-opening exercises was the main cause of relapse.- - - - - - - - - - ranking = 0.034900809757554keywords = jaw (Clic here for more details about this article) |
3/18. Non-free osteoplasty of the mandible in maxillofacial gunshot wounds: mandibular reconstruction by compression-osteodistraction.We have treated 33 young men with medium to large (3-8 cm) bony and soft tissue defects of the lower third of the face caused by gunshot wounds. After debridement, collapsing the proximal segments for primary approximation of soft and hard tissues and a closed osteotomy of a small fragment of mandible, we used an original compression-distraction device, designed in 1982 and tested during 1983 (analogous devices were absent at that time) to reposition the mandible and cause callus to form (during distraction) between the fragment and to use the remaining stumps of bone to fill in the defect. The soft tissues were repaired at the same time. Twenty-eight of the patients presented within a few hours of injury, and the remaining five had old injuries. The only complications were in the group with old injuries where four patients developed abscesses that required drainage, but these did not interfere with the process of osteogenesis. All 33 patients had good functional and aesthetic results within 3-4.5 months. The method allows a bloodless minimally traumatic procedure which can be carried out in one stage. The results compare very favourably with the classic methods of the treatment of mandibular gunshot injuries.- - - - - - - - - - ranking = 6keywords = mandible (Clic here for more details about this article) |
4/18. Malformation in the primary and permanent dentitions following trauma prior to tooth eruption: a case report.Dento-facial injuries that occur prior to the eruption of teeth in the primary dentition are rare, but can result in damage to the primary dentition. We report a rare case where an injury to the anterior maxilla and mandible of an infant prior to primary tooth eruption resulted in hypoplasia, displacement and impaction of the primary dentition and damage to a developing permanent tooth.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
5/18. Traumatic bone cyst--a case report.Traumatic bone cyst is an asymptomatic, slow growing, non expansile lesion commonly diagnosed during routine radiographic examination of the jaw bones. It is more frequently seen in young age, with predilection for anterior region of the mandible leading to a dramatic healing of the lesion. A typical case of traumatic bone cyst in a 12 year old girl is reported. A routine radiologic assessment of the patient with panoramic radiograph revealed a fairly large lesion in the anterior region of the mandible. On surgical exploration, clinical diagnosis was confirmed. Post operative successive radiograph shows progressive osseous healing.- - - - - - - - - - ranking = 2.0349008097576keywords = mandible, jaw (Clic here for more details about this article) |
6/18. An unusual cause of locked jaw and its airway management.We describe the management of a patient impaled through the medial aspect of the left orbit by the brake lever of a mountain bike which immobilized her jaw by obstructing the right coronoid process of the mandible and blocked access to the mouth and trachea. The fire service used special equipment to cut out the rest of the bike from the handle bar. The patient with the penetrating brake lever attached to the handlebar in situ was transported to the hospital by rescue helicopter. The assessment and safe airway management and potential difficulties are discussed.- - - - - - - - - - ranking = 1.1745040487878keywords = mandible, jaw (Clic here for more details about this article) |
7/18. Traumatic carotid cavernous sinus fistula due to a gun shot injury.A case of a traumatic carotid cavernous sinus fistula is presented, the result of a bullet passing through both condylar regions of the mandible. The fistula was occluded by a detachable balloon brought in place using endovascular techniques.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
8/18. The missing maxilla: restoring aesthetic balance with mandibular surgery.Traumatic loss of large portions of the maxilla remains uncommon. Reconstruction demands careful attention to both the anatomy of the primary deformity as well as the associated secondary changes if there is to be acceptable restoration of facial aesthetics and function. In concert with rebuilding the missing maxilla, reconstruction may frequently involve repositioning the apparently undisturbed mandible.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
9/18. North American Burkitt's lymphoma presenting with intraoral symptoms.A case is presented in which posterior tooth mobility and pain, bilateral intraoral swelling of the mandible, and anterior open bite following an incident of facial trauma were the presenting symptoms of a 4-year-old, white American male with Burkitt-type malignant lymphoma. Radiographic examination revealed multiple osteolytic lesions in the body of the mandible, with loss of osseous trabecular architecture, and generalized loss of lamina dura in both maxillary and mandibular arches. The patient also had bone marrow involvement at the time of diagnosis. Following the initial course of chemotherapy, the patient experienced a significant resolution of the bilateral mandibular swelling, anterior open bite, tooth mobility, and dental pain. Relapse occurred shortly after remission was achieved, with tumor metastasis to the central nervous system and testes. The tumor remained resistant to further chemotherapeutic treatments and radiation strategems. Because of renal and metabolic complications, Burkitt's lymphoma constitutes an oncologic emergency. If untreated, this rapidly growing tumor is fatal. Early interception and referral of these cases by the examining dentist is crucial.- - - - - - - - - - ranking = 2keywords = mandible (Clic here for more details about this article) |
10/18. Internal carotid pseudoaneurysm as a late complication of maxillofacial missile wound.A delayed formation of a pseudoaneurysm of the internal carotid artery occurred secondary to a gunshot wound of the maxillofacial region. Its treatment concurrent with the treatment of a severely comminuted fracture of the mandible has been reported.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
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