1/10. Reconstruction of the horizontal rami of the mandible following avulsion in childhood.A 7-year-old boy was involved in a road traffic accident in October 1971, and apparently had been dragged along face downwards with resultant avulsion of the entire horizontal mandibular rami, and most of the mandibular alveolar soft tissue and teeth. Repair by metal implants was attempted but these proved unsatisfactory, and soft tissue replacement for the missing alveolus was carried out by flap raised from arm. Rib grafting was carried out on three occasions at almost yearly intervals, but each time, probably owing to vascular insufficiency, non-union (or more correctly non-replacement) occurred in the left canine region. To "import" a new blood supply, and free some of the scar tissue, a compound muscle/bone/skin flap bearing the clavicle and sternomastoid muscle was transposed to the mandibular bed. This form of grafting was used extensively in world war i to repair facial gunshot wounds, and the transposed blood supply enabled success in the pre-antibiotic period. Bony union is now satisfactory 5 years after injuries and dentures have been recently fitted; speech is normal, the child's facial contours acceptable, and mastication has been satisfactory during this period.- - - - - - - - - - ranking = 1keywords = alveolar (Clic here for more details about this article) |
2/10. Use of the free medialis pedis flap in orofacial reconstruction: report of two cases.The medialis pedis flap is a fasciocutaneous flap based on a branch of the medial plantar artery. The authors have used this flap in the reconstruction of skin defects of the hands and fingers because its skin is very similar in texture, color, and thickness. Because of its characteristics, this flap can also be applicable for orofacial reconstruction, when small or thin skin coverage is needed. Two cases are reported in which free medialis pedis flaps were used to reconstruct the eye socket in one patient and the alveolar ridge in the other. The authors concluded that the skin of the medialis pedis flap is not flexible enough and thus less suitable than the radial forearm flap for reconstruction of defects in which flexible skin is required, such as eye-socket reconstruction. However, reduced flexibility of the medialis pedis flap may provide an advantage in reconstruction of the gingiva and palate, where thin and rigid coverage is necessary.- - - - - - - - - - ranking = 1keywords = alveolar (Clic here for more details about this article) |
3/10. rehabilitation of a patient with severe dentoalveolar injuries: a case report with a 10-year follow-up.This clinical report describes the emotional and physical rehabilitation of a young man. The impact of the injuries sustained and repeated failure of traditional dental treatment methods had caused the patient to become quite withdrawn. A successful outcome followed surgical placement of multiple titanium plasma-sprayed cylindrical fixtures in severely damaged dental supporting tissues to serve as intermediary abutments for complex maxillary and mandibular fixed prostheses. The loss of crestal bone during the postprosthetic years is determined. The advantages only implant dentistry could bring are identified.- - - - - - - - - - ranking = 4keywords = alveolar (Clic here for more details about this article) |
4/10. Spontaneous bone regeneration of the mandible in an elderly patient: a case report and review of the literature.Spontaneous bone regeneration is an unexpected phenomenon that may take place in large mandibular defects secondary to trauma and tumor resection. One explanation for this unusual healing course is that it may be derived from the mechanism of fracture healing. A review of the literature presents several factors that may influence this process, such as the presence of periosteum and bony fragments, mandibular stabilization, soft tissue protection, the presence of infection, and a young age. Previous reports of spontaneous mandibular regeneration have all taken place in relatively young patients (5-35 years old). This paper reports a case of spontaneous bone regeneration in a 58-year-old woman who sustained an injury to her mandible from an explosive blast, and presents some explanations on how such an event could take place.- - - - - - - - - - ranking = 0.0041767829676651keywords = process (Clic here for more details about this article) |
5/10. Distraction osteogenesis in an anterior mandibular bone defect utilizing lingual periosteal release: a case report.This clinical report presents a modified distraction technique to achieve height in the vector of distraction. The success of distraction osteogenesis depends on both biologic and biomechanical factors. The focus in this case is on correcting the direction of distraction; incorrect distraction direction is a frequent complication associated with distraction osteogenesis in the mandible. A 21-year-old man presented with a 10-mm vertical bone defect in the anterior mandible caused by facial trauma. The treatment chosen was distraction osteogenesis. After osteotomizing a bone segment and slitting the lingual periosteum, the bone segment was advanced anteriorly 4 mm and an extra-alveolar distraction device was applied. This approach allows the distraction device to be placed vertically, thus preventing lingual shift. The newly created alveolar ridge fully met prosthodontic requirements for a predictable outcome.- - - - - - - - - - ranking = 2keywords = alveolar (Clic here for more details about this article) |
6/10. Loss of permanent mandibular lateral incisor and canine tooth buds through extraoral sinus: report of a case.Extraoral sinus tract may occur as a result of an inflammatory process associated with the necrotic pulp. Several non odontogenic disorders may also produce an extraoral sinus tract, the differential diagnosis of these clinical findings is of prime importance in providing appropriate clinical care. Presented here is a case report of 4 year old female child with extraoral sinus tract through which the tooth buds of mandibular permanent left lateral incisor and mandibular permanent left canine were lost. The extraoral sinus was due to mandibular left primary canine with class IX fracture (Ellis and Davey's classification).- - - - - - - - - - ranking = 0.0041767829676651keywords = process (Clic here for more details about this article) |
7/10. Bilateral microneurosurgical reconstruction of inferior alveolar nerves via autogenous sural nerve transplantation.Microneurosurgical operative techniques permit satisfactory restoration of sensation in many lesions of the inferior alveolar nerve. Therefore, restoration of the sensory deficit is becoming increasingly more important in the total functional rehabilitation of individuals with mandibular continuity defects involving transection of or permanent damage to the inferior alveolar nerve. This article reviews the case history of a young man who underwent bilateral osseous mandibular reconstruction and microneurosurgical reconstruction of his inferior alveolar nerves following severe maxillofacial trauma. A new technique for isolating the sural nerve is introduced to facilitate harvesting of the graft. Scanning electron microscopic examination of the resected proximal inferior alveolar nerve is recommended to determine the prognosis for regeneration across the proximal anastomosis and to decide whether secondary resection and reanastomosis of the distal anastomosis is indicated when anesthesia persists 9 to 12 months after initial transplantation of a long donor nerve.- - - - - - - - - - ranking = 8keywords = alveolar (Clic here for more details about this article) |
8/10. ankylosis of the temporalis-coronoid complex of the mandible.ankylosis of the temporalis-coronoid complex is a clinical entity. The etiology is usually direct trauma to the temporalis muscle or coronoid process of the mandible. It is difficult to differentiate diagnostically from ankylosis of the adjacent temporomandibular joint, and should always be considered in the differential diagnosis of inability to open the mouth. The treatment is always surgical and the intraoral approach is favored. The cure rate with this modality of therapy has been gratifying.- - - - - - - - - - ranking = 0.0041767829676651keywords = process (Clic here for more details about this article) |
9/10. Long-term progression of a traumatic bone cyst. A case report.Through a series of similarly produced panoramic films, a chronologic picture of a traumatic bone cyst is demonstrated. This case represents a progressive rather than static lesion. The progression of the lesion is indicative of a etiologic process other than the solitary inciting event usually associated with traumatic bone cysts.- - - - - - - - - - ranking = 0.0041767829676651keywords = process (Clic here for more details about this article) |
10/10. Treatment of facial asymmetry with a functional appliance: a case report.A five-year-old girl, who had a facial asymmetry from trauma to the condyle, was treated by a hybrid functional appliance. At the end of 1 year 5 months of treatment, symmetry was gained and condylar process showed a significant development.- - - - - - - - - - ranking = 0.0041767829676651keywords = process (Clic here for more details about this article) |
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