PubMed · 16849061
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Pawan Gautam, Ashima Valiathan. 2006. Asymmetries.. https://doi.org/10.1016/j.ajodo.2006.05.018
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Osteochondroma of the facial skeleton is a rare tumour that is usually managed by maxillofacial surgeons. In countries where this service is not available, or is provided by inexperienced surgeons, the management is difficult. We describe a case of osteochondroma of the glenoid fossa that was managed by surgeons with experience in temporomandibular surgery.
It is customary in maxillofacial surgical practice for all patients who have undergone open reduction and or fixation of a fracture of the zygomatic complex to have postoperative radiographs taken before they are discharged. These radiographs are often not reviewed before the patient's departure and in many cases have no bearing on the patient's management. We prospectively reviewed over a 3-month period all patients who were treated for fractures of the zygomatic complex and had no postoperative radiographs. None of these patients had to return to the operating theatre for a further operation, which emphasises the lack of clinical evidence to support routine postoperative radiography in the management of fractures of the zygomatic complex.
Successful management of the persistently crooked nose after a previous trauma or surgery is best achieved through careful analysis of the problem and clear communication with the patient regarding his or her goals of revision surgery. To address the nose in a systematic fashion, the surgeon should divide the crooked nose into horizontal thirds with appropriate management directed toward the structural abnormality in each third. A review of the treatment of the postrhinoplasty and posttraumatic crooked nose is presented with an emphasis on re-establishing structural support and improving appearance while preserving or creating a functional nasal airway.