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At least 469 records · Page 26Linked to original sources
PubMed2005

The correction of auricular and mandibular deformities in auriculo-condylar syndrome.

Auriculo-condylar syndrome is a rare genetic syndrome. The characteristic features of the syndrome are auricular deformity and mandibular hypoplasia. The special auricular deformity is called a question mark ear because of the appearance of the auricle. A 21-year-old male patient with auriculo-condylar syndrome is presented. The auricular deformities are treated by local flaps and anterior scoring. The mandibular contour deformity is corrected by porous polyethylene implant. Both reconstructions were successful, and patient satisfaction was good.

Adult↗
PubMed1977

Replacement of the central arch of the mandible by an implant.

The use of an alloplastic implant to fill the defect after resection of the central part of the mandible is described. This procedure makes the post-operative course more acceptable for the patient, and facilitates later reconstruction by a free bone graft in the absence of recurrence.

Adult↗
PubMed1978

Traumatic ankylosis of the temporomandibular joint.

Traumatic injuries to the region of the temporomandibular joint (TMJ) may result in varying degrees of hypomobility of the mandible. The physical and psychological problems associated with restricted jaw opening are outlined. The different forms of ankylosis are mentioned. The rationale behind the various surgical approaches to the problem is outlined, and mention is made of current concepts in joint reconstruction. The importance of supportive adjunctive therapy in the postoperative period, is emphasized.

Adult↗
PubMed1996

Augmentation mentoplasty with solid silicone.

Chin retrusion is important to the facial plastic surgeon, as it is a commonly encountered defect in patients seeking rhinoplasty. Careful pre-operative evaluation may identify patients who could benefit from concurrent augmentation mentoplasty. Augmentation mentoplasty using pre-formed silicone implants, placed sub-periosteally using an extraoral approach in a total of 40 patients were studied. The procedure proved to be relatively straightforward, rewarding and associated with very little morbidity. Hard silicone appears to be a reliable and safe implant material for augmentation mentoplasty in terms of host tolerance, including infection. There were no clinical side-effects from the minimal bone resorption which could be noted in eight out of 13 patients studied radiographically.

Adult↗
PubMed1977

Reconstruction of alveolar ridge and jaw defects resulting from gunshot wounds.

Reconstruction and rehabilitation of acquired defects of the oral cavity is an important dental service. Severe deformities of the jaws may result secondary to gunshot wounds of the oral-facial region. New advances in soft and hard tissue surgical reconstruction can be of great benefit to the patient when coupled with prosthetic rehabilitation. In recent years there has been a significant increase in the incidence of gunshot wounds in the civilian population in the United States, and those of the mouth and jaws are relatively common-place. Gunshot wounds to the face and jaws may cause gross destruction of tissues. Although immediate definitive treatment of wounds reduces the mutilating effect, a significant number of patients require extensive reconstructive procedures. In addition, prosthetic rehabilitation is almost always needed. The purpose of this paper is to briefly review some recent advances in reconstruction of the maxilla and mandible following gunshot injuries.

Alveolar Process↗
PubMed1992

Masticatory function in hemimandibulectomy patients.

Surgical resection of a segment or loss of continuity of the mandible can adversely affect most of the structures essential for mastication. Five subjects who had hemimandibular resections for cure of squamous cell carcinoma were studied. Masticatory function tests were conducted pre- and post-surgery and post-prosthetic rehabilitation. A 0.5-g Frito corn chip served as the test food, and a sieve analysis was used to evaluate swallowing threshold and masticatory performance. Ten controls were studied in order to determine corresponding normative scores. Post-surgery results indicate that the extent of mandibular resection and loss of continuity tend to decrease masticatory function. The time required to perform the mastication test, and the number of strokes required to achieve swallowing threshold were increased. Prosthetic rehabilitation did improve masticatory function in some patients. Loss of mandibular continuity may not be an absolute predictor of decreased masticatory function.

Adult↗
PubMed1986

Mandibular reconstruction with metal plate and myocutaneous flap.

The combination of a myocutaneous flap with a three dimensional, bendable reconstruction plate has provided very satisfactory results in restoration of mandibular defects following surgical resections in irradiated patients. Twenty-four cases have been treated and evaluated prospectively using this technique. Patients requiring postoperative irradiation were excluded from this study. Two groups were identified. Group A (n = 20) required a myocutaneous flap to resurface the soft tissue defect and Group B (n = 4) were treated by primary closure. No failures were encountered in the group handled primarily with a myocutaneous flap combined with an AO plate. One failure occurred in the group closed primarily. Nine (38%) of the patients have maintained their plate for over 1 year. Twelve (55%) have functioned for more than 9 months. Of the remaining three (7%), one failed and the other two have been in place for more than 5 months. The results of this study demonstrate that a well-vascularized soft tissue bed in combination with stainless steel plate provides a very satisfactory, functional, esthetic and reliable method in rehabilitation of mandibular defects primarily in irradiated patients.

Adolescent↗
PubMed1989

Primary placement of osseointegrated implants in microvascular mandibular reconstruction.

The goal of mandibular reconstruction is to rehabilitate the patient by restoring occlusal relationships, lower facial contour, oral continence, and a denture-bearing surface. One of the major advantages of the use of vascularized bone over all other methods of mandibular reconstruction is its ability to achieve dental rehabilitation rapidly. The use of osseointegrated dental implants is a valuable adjunct in oral rehabilitation. It provides the most rigid form of stabilization to withstand the forces of mastication. In situations in which soft tissue reconstruction or the height of the alveolar ridge is not sufficient for a tissue-borne denture, implants offer the most suitable alternative. Mandibular reconstruction with free tissue transfer techniques is ideally suited for the placement of implants. These can be inserted at the time of mandibular reconstruction. Four months after surgery, when the integration process has occurred, the implants are unroofed, loaded, and ready for prosthetic placement. We will present several representative patients who underwent mandibular reconstruction with microvascular free bone transfer who have been successfully rehabilitated by osseointegrated implants. The process of osseointegration, different types of dental implants, and issues regarding radiation and implants are discussed. This is the first report of dental rehabilitation by primary placement of dental implants in patients undergoing microvascular mandibular reconstruction.

Adenocarcinoma, Bronchiolo-Alveolar↗