Hellenic Archives of Oral & Maxillofacial Surgery最新文献_第4页

GUIDED IMPLANT PLACEMENT ON EDENTULOUS MAXILLA TO AVOID DAMAGE TO ACCESSORY BRANCHES OF THE CANALIS SINUOSUS: A CASE REPORT 上颌骨无牙引导种植避免损伤窦管副支1例

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p9

Konstantinos Kouvas, V. Kouvas

{"title":"GUIDED IMPLANT PLACEMENT ON EDENTULOUS MAXILLA TO AVOID DAMAGE TO ACCESSORY BRANCHES OF THE CANALIS SINUOSUS: A CASE REPORT","authors":"Konstantinos Kouvas, V. Kouvas","doi":"10.54936/haoms231p9","DOIUrl":"https://doi.org/10.54936/haoms231p9","url":null,"abstract":"Introduction The canalis sinuosus (CS) is an anatomical structure arising from the infraorbital nerve. It is a neuromuscular canal, carrying the anterior superior alveolar nerve and vessels. Rarely, accessory bilateral branches of CS are observed on cone beam computed tomography(CBCT) images, during implant planning, in the anterior maxilla region. It is an important anatomical structure often overlooked by surgeons and not visible by conventional radiographs. Case report A case of anatomical variation in the CS with accessory branches was detected after a CBCT was performed on an edentulous 72 years old male patient pre operatively for implant placement. On the examination of the axial slices of the CBCT, additional foramina lateral and anterior to the nasopalatine foramen were observed. By tracing into the bone from these foramina, it was observed that these accessory canals communicate with the CS. Implant planning was performed, respecting these canals and a surgical guide was fabricated, using the dual scan protocol from the patient’s denture. A post-op CBCT was performed to determine the accuracy of our guide and the position of the implants. No post-op complications were observed. Conclusion Several cases of intractable pain following implant placement in the anterior maxilla have been reported. Damage to the CS and its accessory canals may be the cause. Knowledge of these anatomical variations is of great importance and the use of guided implant placement is a useful tool to avoid iatrogenic surgical trauma and post-op surgical distress to the patient.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121778413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IMPLANT PLACEMENT WITH SIMULTANEOUS SINUS FLOOR ELEVATION IN THE PRESENCE OF A LARGE SINUS MUCOCELE: A CASE REPORT 种植体放置与同时窦底抬高存在一个大的窦粘液囊肿:1例报告

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231o24

Despoina Gkoutzoula, Vasilia Triantafilou, P. Christopoulos

引用次数: 0

Head and neck reconstruction with free vascularized flaps; our experience 游离带血管皮瓣重建头颈部;我们的经验

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p17

D. Tatsis, T. Grivas, A. Antoniou, Solon Politis, A. Louizakis, Konstantinos Paraskevopoulos, A. Spyropoulou, K. Vahtsevanos

{"title":"Head and neck reconstruction with free vascularized flaps; our experience","authors":"D. Tatsis, T. Grivas, A. Antoniou, Solon Politis, A. Louizakis, Konstantinos Paraskevopoulos, A. Spyropoulou, K. Vahtsevanos","doi":"10.54936/haoms231p17","DOIUrl":"https://doi.org/10.54936/haoms231p17","url":null,"abstract":"Objectives The available data of the use of free vascularized flaps in head and neck reconstruction in a single centre is presented. Materials and Methods All patients who received a free vascularized flap in our department in the past 5 years (2017-2021) were recorded. Results 21 patients were included, 20 oncologic patients and self-inflicted gunshot injury patient. As far as the oncologic patients are concerned, 10 patients received a free flap in the same stage as tumour resection, 4 received a free flap after disease recurrence, and 6 received a free flap after a disease-free period, either for a post-surgical correction of a deformity or to manage post-therapy complications, such as osteoradionecrosis or trismus. In total the survival rate of the oncologic patients is 60%. No major post-surgical complications were observed as far as the flap survival was concerned. The anterolateral thigh flap and fibula flap were the most preferred for reconstruction in 8 and 8 cases respectively. The radial forearm free flap was used in 3 patients and the gracilis flap in 2 patients. Conclusion The contribution of our Department in the use of free vascularized flaps, despite small, indicates that they can be effectively used in patients either as immediate reconstruction or a reconstruction in a 2-step approach. Mortality rates are associated with disease recurrence or other major comorbidities of the patients. This experience can be the basis for further expansion of the free flap reconstruction surgery in our Department. ","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126172586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of orthodontic treatment on the periodontal tissues 正畸治疗对牙周组织的影响

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p6

Efstratios Charisis, Panagiotis Giasimakopoulos, Stefania Kavakoglou, Danae Mylona

{"title":"The effect of orthodontic treatment on the periodontal tissues","authors":"Efstratios Charisis, Panagiotis Giasimakopoulos, Stefania Kavakoglou, Danae Mylona","doi":"10.54936/haoms231p6","DOIUrl":"https://doi.org/10.54936/haoms231p6","url":null,"abstract":"INTRODUCTION Reduced periodontal support is a challenge that clinicians often face during rehabilitation of compromised dentition. The close and intricate relationship between the periodontal tissues and the processes of tooth movement suggest that adjunct orthodontic therapy may play an important role in overcoming these problems. On the other hand, excessive movement of teeth beyond the anatomic boundaries of the alveolar process is commonly believed to contribute to further destruction of the periodontal tissues PURPOSE: To highlight the importance the periodontium health and root of the tooth during the orthodontic treatment METHOD: A literature review for the last five years was performed, with keywords such as: orthodontic appliances, healthy periodontium, recessions, systemic reviews. RESULTS: Root resorption can be observed during the orthodontic treatment which can follow up to tooth mobility as well as losing the tooth due to the treatment CONCLUSIONS: The correction of some orthodontic problems, such as excessively tipped molars, traumatic deep-bites and flared and spaced incisors, maybe particularly beneficial in periodontally compromised patients who are motivated to undergo treatment and demonstrate stable periodontal conditions. However, several factors may contribute to a harmful periodontal response including the use of heavy forces, inappropriate force systems and poor oral hygiene. Excessive and unrealistic tooth movements are also likely to result in reduced alveolar bone thickness, especially in patients with thin cortical plates. On the other hand, the response of the soft tissues is less predictable and likely to be influenced by multiple factors.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126450984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

MULTIPLE CERVICAL SPACES’ SECONDARY EMPHYSEMA CAUSED BY A MANDIBULAR ANGLE FRACTURE FROM ASSAULT, REPORT OF A CASE. 攻击致下颌角骨折致多颈椎间隙继发性肺气肿1例。

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p16

D. Tatsis, V. Alexoudi, A. Louizakis, Solon Politis, K. Athanassios

{"title":"MULTIPLE CERVICAL SPACES’ SECONDARY EMPHYSEMA CAUSED BY A MANDIBULAR ANGLE FRACTURE FROM ASSAULT, REPORT OF A CASE.","authors":"D. Tatsis, V. Alexoudi, A. Louizakis, Solon Politis, K. Athanassios","doi":"10.54936/haoms231p16","DOIUrl":"https://doi.org/10.54936/haoms231p16","url":null,"abstract":"Objectives To present a case of subcutaneous cervicofacial emphysema of a patient with a closed mandibular angle fracture after interpersonal violence. Case Report A 36-year-old male was transferred from a regional hospital after a referred interpersonal violence incident. The patient sustained a fracture of the left mandibular angle, as well as a right clavicular fracture, which was treated conservatively by the referring hospital. As depicted by the CT scan, a large emphysema involving the buccal, submandibular, pterygomasseterial and lateral pharyngeal spaces of the left side. Clinically the patient had a positive Hamman’s sign. An open reduction was decided with internal rigid fixation. The postoperative course was uneventful. Conclusions Cervicofacial emphysema, despite not unusual in fractures involving the midface, due to communication with the paranasal sinuses, is a rather rare complication of mandibular fractures. Proper clinical and imaging examination is required to exclude expansion of the air to the mediastinum, which can be a life-threatening complication.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124417720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“THUNDER – LIKE” PLASTY FOR TWIN NASAL TIP DEFECTS. TECHNIQUE DESCRIPTION AND INDICATIONS 双鼻尖缺损“雷样”成形术。技术说明及适应症

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p8

Dimitrios Kanoutos, Rodopi Koursoumi

{"title":"“THUNDER – LIKE” PLASTY FOR TWIN NASAL TIP DEFECTS. TECHNIQUE DESCRIPTION AND INDICATIONS","authors":"Dimitrios Kanoutos, Rodopi Koursoumi","doi":"10.54936/haoms231p8","DOIUrl":"https://doi.org/10.54936/haoms231p8","url":null,"abstract":"INTRODUCTION: Reconstructive approaches to nasal tip defects are always challenging to perform, depending on the age of the patient, shape of the nose, local anatomy and adjacent structures. Many techniques have been described, each one with its advantages and limitations. AIM: Our aim is a new technique description designed for the reconstruction of twin defects of the nasal tip. The decision-making, the step-by-step description, and its application to a male patient are explained in detail. MATERIAL - METHOD: A 61 years old male patient was referred to our department with two benign lesions of the nasal tip. Due to their proximity, a simultaneous excision was planned in a way that allowed both adequate excision and minor defect dimensions. The remaining defect was reconstructed with a combination of 2 rotation flaps and 2 V-Y plasties. RESULTS: Very good skin match (color and texture). Suture lines are barely detectable because they are buried in the anatomical border between the nasal tip and the alar area. No consequences for the alar shape or the columella are mentioned (deviation, stricture, narrowing or flattening respectively). CONCLUSION: This technique has been influenced by the “East – West plasty”. Its innovative elements are: 1. The upper triangle hereafter contains the second lesion. 2. The V-Y plasties we intendedly added on top of each rotation flap limit loss of length resulting in well aligned scars. The technique is advisable for benign lesions, in situ malignancies or for centers performing Mohs micrographic surgery.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127176378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Head and neck cancers in paediatric population including recent advances 儿童头颈癌，包括最近的进展

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms2312533

J. Neville, A. Singh, N. Mishra, J. A. Kumar, A. Krishnan, Ravina Rajpoot

{"title":"Head and neck cancers in paediatric population including recent advances","authors":"J. Neville, A. Singh, N. Mishra, J. A. Kumar, A. Krishnan, Ravina Rajpoot","doi":"10.54936/haoms2312533","DOIUrl":"https://doi.org/10.54936/haoms2312533","url":null,"abstract":"Addressing health issues in paediatric population poses a major challenge to health care providers due to lack of child’s capability in expressing varied range of symptoms through which they undergo which may be of utmost diagnostic significance, thereby delaying early diagnosis. Unfortunately, Cancer is well known to be a common cause for increase in mortality rates in children. To achieve early diagnosis, careful attention to constellation symptoms portrayed by chid and/or parents suggestive of malignancy may aid in earlier diagnosis. With no disparity between early and late diagnosed cases, treatment modalities such as radio/chemotherapy and surgeries poses risk of recurrence, short and long term effects due to chemo/ radiation. To overcome all the aforementioned facts, new perspectives like targeted immunotherapy and Proton beam therapy proves beneficial and prevents children from emotional and physical trauma and primarily, from peer pressure. Updating with common head and cancers and advances in treatment may facilitate health care professionals in early diagnosis thereby, preventing disease progression. This article briefs about commonly occuring head and neck tumors in paediatrics, latest updates, advancements and an overview of impact of Global pandemic on current oncology practices with special concern on outcomes to be faced post pandemic.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"253 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115006987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Minimal clinically important differences in Quality-of-Life Questionnaires EORTC QLQ-C30 and QLQ-HN35, in head and neck cancer patients according to the European Organization for Research and Treatment of Cancer. 根据欧洲癌症研究和治疗组织，评估头颈癌患者生活质量问卷EORTC QLQ-C30和QLQ-HN35的最小临床重要差异。

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p11

A. Louizakis, Solon Politis, K. Athanassios, S. Triaridis, A. Printza, Jannis Konstantinidis, K. Antoniades

{"title":"Evaluating the Minimal clinically important differences in Quality-of-Life Questionnaires EORTC QLQ-C30 and QLQ-HN35, in head and neck cancer patients according to the European Organization for Research and Treatment of Cancer.","authors":"A. Louizakis, Solon Politis, K. Athanassios, S. Triaridis, A. Printza, Jannis Konstantinidis, K. Antoniades","doi":"10.54936/haoms231p11","DOIUrl":"https://doi.org/10.54936/haoms231p11","url":null,"abstract":"Objective Specific and certified quality of life (QoL) Instruments, regarding the EORTC QLQ-C30 and EORTC QLQ-HN35 are used to evaluate the scale of change that is clinically significant in a number of diagnosed and treated head and neck cancer patients. The purpose of the study was to calculate both the statistical and the clinical impact that the disease and the treatment had, in the life of those patients. Materials and Methods The patients answered the EORTC QLQ-C30 and EORTC QLQ-HN35 questionnaires at baseline and in a two-month follow-up period. The calculation of the Minimal clinically important differences (MCID) was feasible via anchor and distribution-based methods both for deterioration and improvement. The anchor used for determining the meaningful change was the Karnofsky Performance (KPS). Results In patients that deteriorated, the symptoms that reached statistical significant meaningful change were greater. Using the KPS anchor, results for meaningful change values in a range from 7.2 (physical functioning) to 16.7 units (Global Health Status) for deterioration were recorded, whereas for improvement, the values ranged from 1.6 (role functioning) to 6.6units (Global Health Status). For both Instruments used, the distribution-based estimates were as good as 0.5 SD. Conclusion The EORTC QLQ-C30 and QLQ-HN35 questionnaires and especially the significant changes on them are important tools when used to evaluate the effect and the outcome of the treatment methods in QoL and also for follow-up reasons. MCIDs are also useful for sample size determination and clinical trial purposes.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132922185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AUTOLOGOUS BONE GRAFTS – INDICATIONS AND RESTRICTIONS 自体骨移植-适应症和限制

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231p12

A. Papatheodorou, Konstantinos Petsinis, Stavros Sarivalassis

{"title":"AUTOLOGOUS BONE GRAFTS – INDICATIONS AND RESTRICTIONS","authors":"A. Papatheodorou, Konstantinos Petsinis, Stavros Sarivalassis","doi":"10.54936/haoms231p12","DOIUrl":"https://doi.org/10.54936/haoms231p12","url":null,"abstract":"INTRODUCTION : Autologous bone grafts and especially intraoral autografts have been used with increasing success for centuries and remain in common use today. They involve the transport of bone from an intraoral donor site to a different intraoral site, in the same patient. AIM AND METHOD: The aim of this poster is to introduce the intraoral autogenous bone grafts and evaluate the indications and restrictions of these techniques. MATERIAL AND METHOD: Autografts are commonly obtained from intraoral sites such as: symphysis mandible, ramus mandible, anterior sinus wall and lateral zygomatic buttress. Autograft bone harvested from mandibular ramus is used when the requiring augmentation is less than 4mm in thickness and span a maximum of four teeth. Although this graft presents a risk of damage to the inferior alveolar nerve, it is associated with secondary complications compared to other intraoral sites. Generally, indications for bone augmentation procedures are determined by means of the following parameters: a)Presence of severe alveolar ridge atrophy rated classes IV and V according to the Cawood and Howell classification b)Residual maxillary bone less than 5 mm from the alveolar crest to the sinus floor. RESULTS: Even when major augmentation procedures with autografts had to be carried out for severely resorbed jaws, success rates exceeding 95% have been achieved. CONCLUSION: Although, autolografts occasionally have significant drawbacks, such as increased postoperative morbidity, the need of secondary surgical visit and the lack of sufficient bone mass at the donor site, it is still regarded as the gold standard in alveolar reconstruction, due to its osteoconduction, osteoinduction and osteogenesis-inducing characteristics.","PeriodicalId":164809,"journal":{"name":"Hellenic Archives of Oral & Maxillofacial Surgery","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132913337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dental implants surgery and systematic diseases 植牙手术和系统性疾病

Hellenic Archives of Oral & Maxillofacial Surgery Pub Date : 2022-04-01 DOI: 10.54936/haoms231o26

Konstantinos Petsinis, M. Solomou, Tasos Savva, Theodoros Bafaloukos, D. Papadakis, Giorgos Pantelas

引用次数: 0

Hellenic Archives of Oral &amp; Maxillofacial Surgery最新文献

Hellenic Archives of Oral & Maxillofacial Surgery最新文献