1/8. Critical hemorrhage in the floor of the mouth during implant placement in the first mandibular premolar position: a case report.Although dental implantation is considered to be a safe surgical procedure, this report focuses on a critical hemorrhaging episode associated with implant placement in the first mandibular premolar position. Excessive bleeding and formation of massive lingual, sublingual, and submandibular hematomas were the result of arterial trauma that occurred during the osteotomy preparation. The vascular injury was induced through a perforation of the lingual mandibular cortex. Critical bleeding was conservatively controlled and the case was further handled efficiently with an expectant airway management in a hospital environment. Similar case reports are reviewed in an attempt to draw attention to this rare but potentially life-endangering risk of implant dentistry. Common causes of severe hemorrhage in the floor of the mouth, anatomical considerations, bleeding control measures, and related airway issues are also discussed.- - - - - - - - - - ranking = 1keywords = mouth (Clic here for more details about this article) |
2/8. External and internal rigid fixation.A 25-year-old labourer sustained submandibular and intra-oral injuries in an unusual industrial site accident. He fell from above onto steel reinforcing rods which were set in concrete and projecting two metres above the concrete floor. He was impaled by a rod which entered the mouth beneath the right side of the mandible and exited from the mouth passing upwards in front of the nose. The management of this patient is discussed with particular emphasis on the method of obtaining an airway for surgery. Due to the proximity of the rigidly embedded reinforcing rod to the nose, mouth and midline of the neck, an awake tracheostomy under local anaesthesia was conducted. The alternatives to this approach with their potential complications are discussed. In addition possible pre-, peri- and post-operative surgical complications for this case are outlined.- - - - - - - - - - ranking = 0.6keywords = mouth (Clic here for more details about this article) |
3/8. Primary reconstruction of a major loss of lower jaw by an animal bite using a "rib sandwich" pectoralis major island flap.A 20 weeks pregnant woman was bitten by a wild bear which took away the central portion of her jaw. A single stage primary reconstruction was performed using a composite pedicled pectoralis major "rib sandwich" island flap. This provided continence of the mouth, allowing her to feed herself within 3 weeks of the operation and to speak reasonably by 6 weeks.- - - - - - - - - - ranking = 0.2keywords = mouth (Clic here for more details about this article) |
4/8. Tubed free flap combined with split-rib-graft for reconstruction of multiple oral cavity defects. A case report.The successful use of a conventional bone graft for mandibular reconstruction in combination with a free forearm flap is described. Two separate intraoral mucosal defects, one in the mandible and one in the palate, were covered, using the same flap and partial tubing of the flap. Three weeks post-flap-transfer the flap was successfully divided. A safe reliable and versatile technique combining nonvascularized bone graft and free flap for simultaneous reconstruction of mandibular and intraoral mucosal defects is described. Simultaneous coverage of multiple intraoral defects with tubing of the flap is found to be possible.- - - - - - - - - - ranking = 0.74771669840963keywords = oral cavity, cavity (Clic here for more details about this article) |
5/8. Degloving injury of the mandible.A young boy fell off his bicycle, striking his face on the pavement. On arrival in the emergency department, his only apparent injuries were facial abrasions; however, further examination of his oral cavity revealed that the soft tissues overlying the mandible had been stripped from the bone. Oral Surgery was consulted and the patient was taken to the operating room, where debridement and primary closure of the wound was performed under general anesthesia. Soft tissue injuries that result from a shearing or stripping force are termed degloving injuries, which are described best in relation to injuries of the hand, although other body parts can be involved. We report the case of a degloving injury of the mandible, an injury that has not been reported previously.- - - - - - - - - - ranking = 0.18692917460241keywords = oral cavity, cavity (Clic here for more details about this article) |
6/8. 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 = 0.2keywords = mouth (Clic here for more details about this article) |
7/8. Lower face reconstruction using a neurosensory osteocutaneous radial forearm flap and Webster modification lip repair.An innervated bipaddled osteocutaneous radial forearm free flap was combined with a Webster modification lip repair to successfully reconstruct in one stage the lower face following a devastating shotgun injury with loss of the anterior mandible, floor of the mouth, full-thickness chin, and subtotal lower lip. In addition to a pleasing aesthetic appearance with restoration of facial contour, the patient had a sensate flap with intelligible speech and no problems with drooling or mastication. This approach to a most complex reconstructive problem is technically feasible with a satisfactory aesthetic and functional outcome.- - - - - - - - - - ranking = 0.2keywords = mouth (Clic here for more details about this article) |
8/8. Use of complete dentures to stabilize a segmentally resected mandible: a clinical report.Although edentulous patients with a midline segmental resection of the mandible can rarely be treated prosthodontically, this patient's dental condition was managed with some success. This success may be related to preservation of the floor of the mouth with graft. By maximum extension of the denture borders and an interlocking occlusion, a mutual stabilization of the residual segments and the denture was achieved in the static condition, which improved swallowing, control of drooling, and self-esteem. Because of the independent muscle function of each side of the mandible, mastication could not be restored adequately.- - - - - - - - - - ranking = 0.2keywords = mouth (Clic here for more details about this article) |