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At least 181 records · Page 10Linked to original sources
PubMed2005

Ultrastructure of the epidermal maxilla II-gland of Scutigera coleoptrata (Chilopoda, Notostigmophora) and the ground pattern of epidermal gland organs in Myriapoda.

The epidermal maxilla II-gland of Scutigera coleoptrata was investigated using light and electron microscopy. The glandular epithelium surrounds a spacious integumental cavity at the base of the maxilla II. The gland is formed as a compound gland organ that is composed of thousands of epidermal gland units. Each of them consists of four different cell types: a secretory cell, an accessory or intermediary cell, and a proximal and distal canal cell. The intermediary and the two canal cells form a conducting canal. Only in the most distal part of the intermediary cell is the canal lined by a cuticle. In the area of the two canal cells, the conducting canal is completely covered by a cuticle. The canal passes through the cuticle and opens into the spacious integumental cavity, which serves as a secretion reservoir. The structural organization of the epidermal maxilla II-gland was compared to that of other compound epidermal gland organs in Chilopoda and Diplopoda. All these glandular organs in Myriapoda share the same ground pattern.

Animals↗
PubMed1999

[Minimally invasive sinus lift. Limits and possibilities in the atrophic maxilla].

The minimal invasive sinus lift is a procedure done by osteotome technique via a crestal approach in contrast to the sinus elevation via lateral osteotomy to achieve adequate bone-height for setting of implants. The purpose of this anatomical and clinical study was to evaluate by endoscopic control if the minimal sinus lift is practicable by a residual bone height of less than 8 mm without mucosal damage. An endoscopic controlled sinus lift was done on 10 fresh cadavers. The original bone height was 3-6 mm in the lateral maxilla. The sinus mucosa was elevated by an osteotome at least up to 10 mm. A sinus augmentation was performed with a bone substitute material (Algipore) over the implant bed. There was no tear visible on endoscopic control. Finally, the maxilla was removed and the mucosa inspected. No laceration of the mucosa was found in any case. The clinical study included 7 patients. 5 Patients had bone condensation, augmentation of bone and implantation of 13 mm implants in a one stage procedure. The originally bone height was between 6-8 mm in all patients. One of the five patients did show a small perforation of the mucosa during mucosal elevation at one implant-bed. The implant was inserted and an endoscopic control after 6 weeks showed regular mucosa. 2 patients received augmentation only at a primary bone height of only 3-5 mm. A post-operative CT-scan showed that the bone height was augmented to a total height of 13-16 mm. As a result of our study a sufficient bone height can be achieved by the minimal invasive sinus lift procedure. The advantage of this crestal approach is the protection of the intraosseous vessels in the maxilla and less postoperative morbidity. As a disadvantage, the insertion of bone material limited only to the area surrounding the implant bed, might be discussed.

Aged↗
PubMed2005

[Mucinous sweat gland carcinoma of a toe with metastasis to the maxilla. A case report].

Malignant tumors of the maxilla are rare. In addition to primary tumors metastatic disease has to be considered. Renal cell carcinomas, carcinomas of the breast, lung and adenocarcinomas are constituting the most frequent primary lesions for maxillary metastases. To the best of our knowledge, we present the first case of a mucinous sweat gland carcinoma metastasizing to the maxilla four years after primary diagnosis. Thirty-two months after resecting the hemimaxilla, there are no signs of local recurrence. Although skin tumors only rarely develop distant metastases, sweat gland carcinomas should be included in the differential diagnosis of tumors metastasizing to the maxilla.

Adenocarcinoma, Mucinous↗
PubMed1990

Aggressive fibromatosis of the maxilla. Report of a case and review of the literature.

Aggressive fibromatosis is a rare tumor of the jaws. Its occurrence in the maxilla is even more exceptional. The case of a 14-year-old girl with a peripheral fibromatosis of the palatal process of the maxilla is described. The lesion manifested as a painless swelling. On initial excision, a diagnosis of fibroma was made. After recurrence and reevaluation of the microscopic slides, a final diagnosis of aggressive fibromatosis was established. The features of this case and 12 similar lesions of the maxilla previously described in the literature are analyzed and discussed.

Adolescent↗
PubMed1989

Forward traction of the maxilla with cleft lip and palate in mixed and permanent dentitions.

The effect of forward maxillary protraction with the Delaire type facial mask was studied in fourteen patients with cleft lip and palate. Traction on the maxilla was initiated between 9 and 15 years of age and the duration ranged from 5 go 36 months, averaging 19 months. The average magnitude of the traction forces was 300-400 gm. Parallel or downward direction of the forces in relation to the occlusal plane were used from the first molars and the precanine loops of the arch wire. Forward movement of the maxilla was observed in five 9-11-year-old patients. No movement was observed in nine patients over 11-years of age. In spite of the poor results of forward movement of the maxilla in the older patients, the facial mask therapy proved to be successful in correction of the anterior crossbite, spacing of the dental arch, and as an anchor in widening the upper dental arch.

Adolescent↗
PubMed1975

Desmoplastic fibroma of maxilla.

Desmoplastic fibroma of the long bones is very rare and has been mentioned in the literature, but there is no mention in the literature of desmoplastic fibroma occurring in relation to maxilla. The first case of desmoplastic fibroma of the maxilla is reported. Conservative surgery is recommended for desmoplastic fibroma of the maxilla to avoid facial deformity.

Adult↗
PubMed2003

Brånemark and ITI dental implants in the human bone-grafted maxilla: a comparative evaluation.

The development of new characteristics concerning implant surface makes it interesting to clinically compare different implant systems in the bone-grafted maxilla. The aim of this evaluation was to compare clinical data of a two-staged procedure on the augmented extremely atrophic maxilla using either Brånemark- or ITI-fixures. In 25 patients (18 females, seven males) the severely atrophied maxilla was reconstructed with autogenous iliac or mandibular bone and either Brånemark or ITI implants. Seventy-eight Brånemark implants and 80 SLA-ITI implants were inserted in the augmented bone and the patients were followed between 20 and 67 months post implantation. The bone graft was transplanted to add bony volume in the maxillary sinus, the anterior floor of the nose and/or the alveolar ridge. After a healing period of 4(1/2) months, dental implants were inserted and left for healing for 8 months. Twelve consecutive patients received machine-surfaced Brånemark fixtures and 13 consecutive patients received SLA-ITI fixtures. Gradual loading was applied after healing abutment application. After 6 months the permanent prosthetic reconstruction was provided to the patient, either as a fixed or removable bridge. Comparison in survival rate was performed: 15 machined Brånemark fixtures were lost, resulting in an overall survival rate of 81%. Two ITI fixtures were lost, resulting in an overall survival rate of 98%. The results of this evaluation show that sandblasted large grit acid etched surface-treated ITI implants has a significant higher survival rate than machine-surfaced Brånemark implants in autogenous grafted maxillary bone.

Adult↗
PubMed2000

A new method for the radiological investigation of residual ridge resorption in the maxilla.

OBJECTIVES: To develop a new method for assessing residual ridge resorption in the edentulous maxilla. METHODS: Defined experimental and reference areas in the maxilla were drawn on transparent film laid over a panoramic radiograph and digitized. Bone areas were measured with an integrated planimetry program and expressed as a ratio R. The effect of positioning errors on reliability of the method was investigated on dry skulls. The correlation between the change in ratio and actual bone loss was examined by progressively reducing the height of an artificial residual ridge on one skull. RESULTS: The coefficient of variation for the absolute ratio in different head positions was < 0.05 and its correlation coefficient of the change in R and the degree of resorption was r2 > or = 98.3%, P = 0.0001. CONCLUSIONS: Comparison of the experimental area with the reference area on serial panoramic radiographs appears suitable for the assessment of residual resorption in the maxilla.

Bone Resorption↗
PubMed1999

Extended Transsphenoidal Approach with Sigma-shape Osteotomy of the Maxilla: Technical Note.

The traditional sublabial transsphenoidal approach offers a limited operative field. This report describes a simple surgical technique to widen the sublabial transsphenoidal window to access the midline lesions from the planum sphenoidale to the lower clivus. This technique was developed on the basis of clinical experience and on data obtained by cadaveric dissection study. Following a sublabial incision and separation of the bilateral septal mucosa, a small Sigma-shape osteotomy of the maxilla, including the anterior nasal spine, was performed with a surgical saw. The width of the entrance to the nasal cavity ranged from 32 to 38 mm. Although the plexus of the anterior superior alveolar nerve was partially cut, our clinical experience revealed no significant sensory loss of the incisors after the Sigma-shape osteotomy. The nasal orests of the maxilla and palatine bone were drilled out, and the roof of the nasopharynx was then incised to expose the lower clival bone. Although extradural sellar or clival lesions were the focus of this approach, the intradural anatomical structures examined by cadaveric study were presented. The extended transsphenoidal approach with Sigma-shape osteotomy of the maxilla is a simple technique and provides widened access to the sellar and clival regions.

Journal Article↗
PubMed2002

The role of occlusal stress and gingival infection in the formation of exostoses on mandible and maxilla from Neolithic China.

Exostoses on the mandible and maxilla is a frequently observed bone growth of controversial aetiology. The aim of this study is to analyse environmental factors that may stimulate the formation of exostoses on different regions of the maxilla and mandible. Sixty-six well-preserved crania from Neolithic China were studied for the presence of buccal exostoses on the maxilla (BE) and lingual exostoses on the mandible (LME). Other oral health indicators, such as occlusal wear on molars, pathology of temporomandibular joint (TMJ), carious lesions, calculus accretion, periodontal disease, and antemortem tooth loss were recorded. Buccal maxillary exostosis was unusually common on the Neolithic skulls from China, which thus resemble the Sinantropus crania described by Weidenreich (1943). We report a significant Spearman correlation between BE and LME (rho = 0.54, P < 0.00001), suggesting a partially shared aetiology of these two types of exostoses. The highest correlations between either form of exostoses and any oral indicator of stress were found for pathology at TMJ (rho = 0.46, P < 0.0001 for both types of exostoses). Smaller but significant correlations were observed between LME and the age adjusted wear rate on lower molars, as well as between BE and indicators of oral/dental pathology, e.g. caries, calculus, periodontoses, and antemortem tooth loss. Both types of exostoses tended to increase in frequency with age, although a significant trend was observed only for BE. We conclude that formation of exostoses is a complex process that can be invoked by any agent causing damage and inflammation of gingival tissue. However, severe occlusal stress, which is often manifested in TMJ disorder, is the main environmental factor leading to exostosis development in genetically pre-disposed individuals.

Adult↗
PubMed2006

Giant cell tumour (central giant cell lesion) of the maxilla.

The giant cell tumour (GCT) is a benign, locally invasive lesion that accounts for about 20% of benign bone tumours. Approximately 2% of all GCTs arise in the head and neck region. Giant cell lesions in the craniofacial skeleton other than the jaws are uncommon; the majority of them occur in the sphenoid, ethmoid and temporal bones. GCT of the maxilla has seldom been described. We present the case of an 83-year-old patient with an advanced GCT of the left maxilla who underwent en bloc resection through maxillectomy. Reconstruction of the orbitary frame and maxilla was performed with autologous calvaria and a temporalis muscle pedicled flap. Our successful maxillary reconstruction based on the association between autologous calvarial bone sticks bent with titanium miniplates and a temporalis muscle pedicled flap allowed the involvement of only one donor area for both hard and soft tissues. At 1-year follow-up, our patient showed no evidence of recurrent GCT, with satisfactory aesthetic results.

Aged, 80 and over↗
PubMed2003

Treatment of fractures of the mandible and maxilla by mini titanium plate fixation systems in dogs and cats.

Mini titanium plates were used to repair certain fractures of the maxilla and mandible in dogs and cats, under general anaesthesia. The location of the fractures treated were: corpus mandible, one dog; corpus mandible and symphysis, two dogs; caudal mandible, two dogs; rostral mandible, one dog; maxilla, one dog; nasal bone, one dog; corpus mandible and symphysis, one cat; caudal mandible, one cat; and maxilla, one cat. The healing periods varied from 6 to 9 weeks. In seven cases, implants were removed after a period of 3.5 to 18 months. In four cases the implants were left in place. The follow up period was between 8 and 36 months. In ten cases the procedure was successful, however in one case the outcome was not satisfactory due to a broken plate. There were no instances of dental malocclusion, nonunion, malunion, osteomyelitis or soft tissue infection. Eating, playing with toys, a fast transition to solid food and a quick return to normal jaw movements were observed. In our hands, the mini titanium plate fixation system was a safe and effective method for repairing certain maxillary and mandibular fractures in dogs and cats.

Animals↗
PubMed2004

Diffuse sclerosing osteomyelitis in the maxilla: case report.

A case of diffuse sclerosing osteomyelitis (DSO) in the maxilla of a 25-year-old male is presented. His chief complaint was recurrent painless swelling in the maxillary right molar region over a 3-year-period. The periapical and panoramic radiographs of the right maxilla showed diffuse sclerotic areas. Computed tomography (CT) indicated a high density area in the right maxilla. Although the tentative diagnosis was fibrous dysplasia on the basis of history, clinical symptoms and radiologic examination, the biopsy results supported chronic diffuse sclerosing osteomyelitis. The maxillary location and the painless course of the lesion in a male patient is a rare occurrence.

Adult↗
PubMed1998

Squamous odontogenic tumor of the maxilla: report of a case.

A case of squamous odontogenic tumor (SOT) of the maxilla related to an embedded tooth in a 42-year-old Japanese woman is described. The patient felt a slight pain of her left maxilla 2 months before visiting our dental hospital. Histologically, the tumor consisted of a proliferation of round and elongated epithelial islands of well-differentiated squamous epithelium separated by a fibrous stroma. The epithelial nests varied in size, and were composed of cuboidal or squamous cells of basal layer and matured intermediate cells with prominent intercellular bridges. Although no calcified materials were found, microcystic degeneration was occasionally observed in the epithelial islands. These findings indicated that this tumor is a SOT of the maxilla.

Adult↗
PubMed1999

Fractures of the rostral portion of the mandible and maxilla in horses: 89 cases (1979-1997).

OBJECTIVE: To compare fracture locations, repair methods, complications, and outcomes of horses with fractures of the rostral portions of the mandible and maxilla. DESIGN: Retrospective study. ANIMALS: 89 horses with fractures of the rostral portions of the mandible and maxilla. PROCEDURE: Medical records and radiographs were reviewed. Fractures were categorized by fracture location and stability. Postoperative complications and long-term outcome were determined by clinical examination and telephone interviews with horse owners. RESULTS: 4 fracture types were recognized. Fractures involving just the alveolar plate (33%) and those involving the alveolar plate and the body of the bone (32%) were most common and were often repaired by interdental wiring. Unilateral fractures of the mandible (11%) were managed without surgery if stable. Unstable fractures were repaired with wires, a U-shaped bar (U-bar), or a bone plate. Bilateral fractures (24%) were often repaired with orthopedic wires in foals or with a U-bar, acrylic splint, wires, or bone plate in adult horses. In 2 horses, bilateral fractures were managed conservatively. Short-term complications developed in 24 of 89 (27%) horses. Soft tissue infections and wire loosening or failure were the most common short-term and long-term complications. Wire replacement was not required in any horses after release from hospital. Persistent draining tracts were most often associated with bone sequestration. Long-term functional and cosmetic outcomes were favorable for all fracture types and repair methods. CLINICAL IMPLICATIONS: Although complications in horses with fractures of the mandible and maxilla are common, long-term prognoses for functional and cosmetic outcome are favorable.

Animals↗
PubMed1999

Reconstruction of the severely atrophic maxilla in a young adult with periodontosis.

Reconstruction of the atrophic maxilla in a young adult presents unique challenges. This article describes reconstruction in a 30-year-old patient using a two-stage procedure. Bilateral maxillary sinus augmentations with simultaneous corticocancellous grafting to the anterior maxilla and alveolar ridge were performed. Eight endosseous implant fixtures were subsequently placed into the maxilla after a five-month healing phase. Six months later the implants were uncovered, healing abutments placed and a maxillary vestibuloplasty performed. The rationale behind this treatment and a review of the literature are discussed.

Adult↗
PubMed2000

Human maxilla bone response to 30 degrees oriented impacts and comparison with frontal bone impacts.

The aims of this study were to compare the responses of human maxilla and frontal bones under 30 degrees-oriented impacts. Maxilla and frontal bones of the same subject were impacted by a guided horizontal steel cylinder. Linear acceleration time histories and force time histories were plotted and corridors were proposed for maxilla bone response. Sensitivity of head dynamics in regard to impact energy level and localization showed the protection of the intracranial contents by the facial bones crushing. Injury risk curves were established for impact on frontal bone, showing a 50% risk injury for impact energy of 265 J or impact force of 7500 N.

Acceleration↗
PubMedDate not supplied

Radiation-induced chondrosarcoma of the maxilla 7-year after combined chemoradiation for tonsillar lymphoma.

Radiation-induced sarcoma is a rare complication of radiation therapy. We report a case of radiation-induced chondrosarcoma of the maxilla. An 80-year-old Persian woman developed radiation-induced chondrosarcoma of the left maxilla 7 years after combined chemotherapy and external beam radiation therapy for the Ann Arbor stage IE malignant lymphoma of the right tonsil. She underwent suboptimal tumour resection and died due to extensive locoregional disease 8 months later. An English language literature search of Medline using the terms chondrosarcoma, radiation-induced sarcoma and maxilla revealed only one earlier reported case. We describe the clinical and pathological features of this case and review the literature on radiation-induced sarcomas.

Aged↗