{"title":"Mandibular ramus distraction osteogenesis and Lefort I osteotomy for obstructive sleep apnea: A case report monitored with home respiratory polygraphy","authors":"Galder Hernando Martín , Pilar Rubio-Bueno , Ana Martínez Gil-Ortega , Joaquín Durán-Cantolla","doi":"10.1016/j.omsc.2024.100377","DOIUrl":"10.1016/j.omsc.2024.100377","url":null,"abstract":"<div><div>A new monitoring protocol for orthognathic surgery for addressing obstructive sleep apnea syndrome in adult patients using bilateral internal ramus distraction (BIRD) followed by Lefort I osteotomy and monitored by HRP is presented. This strategy is part of an outpatient major surgery protocol and includes preoperative 3d virtual planning, followed by surgery under general anesthesia with endoscopic assistance.</div><div>Following the procedure, patients are typically discharged on the same day, with the vertical lengthening of the mandibular ramus starting after a 5-day period and progressing at a speed of 0.5–1 mm per day over a period of 10–50 days. The process carries on until the negative dental overjet exceeds 10 mm or the apnea-hypopnea index falls beneath 15 events per hour, demonstrating a curative level.</div><div>Mandibular advancement monitorization based on clinical, polygraphic, or polysomnographic criteria enables the surgeon to meet the individual needs of each patient. The distractors are typically maintained in position for six months following elongation of 10–25 mm to ensure proper consolidation.</div><div>BIRD followed by LeFort I osteotomy, has demonstrated significant efficacy as a treatment for obstructive sleep apnea syndrome in adult patients, irrespective of the presence of retrognathia. Furthermore, this approach may offer particular advantages for patients with severe cardiovascular disease or diabetes.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"11 1","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mujtaba Bala , K. Hakki Karagozoglu , Ramat Oyebunmi Braimah , Abdurrazaq Olanrewaju Taiwo , Ibrahim Kayode Suleiman , Abubakar Abdullahi Bello
{"title":"Noma recurrence in an adult: A case report from the Noma Children Hospital, Sokoto, Nigeria","authors":"Mujtaba Bala , K. Hakki Karagozoglu , Ramat Oyebunmi Braimah , Abdurrazaq Olanrewaju Taiwo , Ibrahim Kayode Suleiman , Abubakar Abdullahi Bello","doi":"10.1016/j.omsc.2024.100376","DOIUrl":"10.1016/j.omsc.2024.100376","url":null,"abstract":"<div><div>Noma, also known as gangrenous stomatitis, is a devastating gangrenous infection of the mouth that predominantly affects children living in the poorest regions of the world. Although rare, noma can also affect adults, particularly those who are immunocompromised. Controversy exists about whether noma can recur. We report a case of a 65-year old man with recurrence of noma symptoms 2 years after his initial presentation. The patient responded well to antibiotic therapy, supportive care and serial debridement. This case demonstrates that noma can recur in adults, even after successful treatment of the initial treatment.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142654900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amir Jalal Abbasi , Somayeh Niakan , Seyed Mohammad Reza Noori , Rashin Bahrami , Nariman Nikparto
{"title":"Virtual surgical planning and custom titanium prosthesis for complex secondary mandibular reconstruction following gunshot injury: A case report","authors":"Amir Jalal Abbasi , Somayeh Niakan , Seyed Mohammad Reza Noori , Rashin Bahrami , Nariman Nikparto","doi":"10.1016/j.omsc.2024.100375","DOIUrl":"10.1016/j.omsc.2024.100375","url":null,"abstract":"<div><div>Advancements in reconstructive surgical techniques in the head and neck area have significantly improved the aesthetic and functional reconstruction of patients. Microsurgical techniques, virtual surgical planning (VSP), CAD-CAM technology, intraoperative dynamic navigation, and advanced implantology have greatly enhanced mandible reconstruction. The authors present a case report of a 30-year-old male who suffered a severe mandibular deformity from a gunshot injury. He underwent a complex reconstruction process that involved initial soft tissue repair followed by VSP for customized titanium prosthesis implantation and dental rehabilitation. Advanced software was used to aid in precise surgical and prosthetic design, ultimately restoring the patient's mandibular structure, chin alignment, and facial harmony. This innovative approach, which demonstrates the effectiveness of integrating digital technologies with surgical precision for intricate mandibular reconstructions following trauma, has a profound impact. It provides superior functional and aesthetic results compared to conventional methods, significantly improving the patient's quality of life.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100375"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeremie Oliver Piña , Gabriel Grisham , Chang min Richard Yim
{"title":"Simultaneous intraoral vertical ramus osteotomy and high condylectomy with custom internal fixation","authors":"Jeremie Oliver Piña , Gabriel Grisham , Chang min Richard Yim","doi":"10.1016/j.omsc.2024.100374","DOIUrl":"10.1016/j.omsc.2024.100374","url":null,"abstract":"<div><div>Condylar hyperplasia is a rare disorder typically associated with excess bone growth presenting unilaterally causing facial asymmetry. Oftentimes, patients will present with temporomandibular joint discrepancies as well as occlusion issues. While the pathogenesis and etiology are not well understood, surgical treatment options have been well defined and typically result in favorable clinical outcomes. Herein, we present a case of an 18-year-old female patient with a history of right condylar hyperplasia Type 1B who underwent simultaneous right mandibular high condylectomy with disc repositioning and intraoral vertical ramus osteotomy (IVRO), left mandibular sagittal split osteotomy (SSO), and 3-piece Lefort I osteotomy with bone grafting. To our knowledge, this is the first reported case in which the patient received bilateral customized hardware for simultaneous high condylectomy and IVRO, SSO, Lefort osteotomy.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100374"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Djo technique: A novel technique for unilateral cleft lip","authors":"Djohansjah Marzoeki","doi":"10.1016/j.omsc.2024.100373","DOIUrl":"10.1016/j.omsc.2024.100373","url":null,"abstract":"<div><div>In unilateral cleft lip, elevation of the cleft side of the philtrum follows the elevation of the whole philtrum, beginning from the point where the philtral ridge of the normal side meets the vermilion. To inferiorly rotate this segment of the lip, the incision line must pass through the entire width of the philtrum. If the incision is limited only partially across the philtrum, anatomical correction will not be achieved. Here, the Djo technique for unilateral cleft lips is introduced. This technique is based on the accurate measurement of lip deficiency on the affected side. A triangular flap was created to fill the gap and correct the deficit.</div><div>The design is made by marking points A, B and C on the white roll where the philtrum meets the vermillion. D and E are points where the philtrum ridges meet the nasal sills. To achieve downward rotation of point C to the level of point A, line m is made from D to F at the philtrum ridge of the normal side. After incision, a triangular gap is produced. This gap will be filled by triangular isosceles flap the cleft side of the lip.</div><div>During the first week of healing process, the white skin roll was in a symmetrical line and the lip was not retracted. All the patients demonstrated a good result.</div><div>The main advantage of the Djo Technique is its design, where the points and lines on the part to be incised have been measured with an accurate calculation.</div></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fabrizio Ferretti , Matteo Savoini , Giovanni Gerbino , Paolo Asperio
{"title":"Le Fort I and posterior maxillary segmental osteotomy for prosthodontic rehabilitation: A case report and review of the literature","authors":"Fabrizio Ferretti , Matteo Savoini , Giovanni Gerbino , Paolo Asperio","doi":"10.1016/j.omsc.2024.100371","DOIUrl":"10.1016/j.omsc.2024.100371","url":null,"abstract":"<div><h3>Purpose</h3><p>to describe a surgical treatment of a case in vertical posterior maxillary alveolar ridge excess and to perform a literature review of various surgical options.</p></div><div><h3>Methods</h3><p>we described a patient treated with a Le Fort I and a posterior maxillary segmental osteotomy (PMSO) for prosthodontic rehabilitation. A literature review on surgical treatments in posterior maxillary alveolar ridge excess is performed on Scopus, Embase, Pubmed and Cochrane with specific keywords.</p></div><div><h3>Results</h3><p>the case described is finally rehabilitated with implants in the mandible according to a correct Spee curve and occlusal plane. 49 articles describe surgical procedures of vertical posterior maxillary alveolar ridge excess. Only two reviews are described.</p></div><div><h3>Discussion</h3><p>literature has paid little attention to different combined orthognathic surgery procedures in prosthodontic rehabilitation of posterior maxilla. The orthognathic option is sometimes considered aggressive and difficult but with proper knowledge of the technique and surgical experience, correct and stable modification of inter arch space can be reached with predictability.</p></div><div><h3>Conclusion</h3><p>correct surgical and dental prosthetic planning are important to achieve a stable functional and aesthetic solution for patients.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100371"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000270/pdfft?md5=5485b329bbc03bf7bda44958ada345bc&pid=1-s2.0-S2214541924000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oday Bisher, Jafar Hamdy, Majd Al Najjar, Ali Khalil
{"title":"Severe fascial space infection following botulinum toxin treatment – A rare and critical case report","authors":"Oday Bisher, Jafar Hamdy, Majd Al Najjar, Ali Khalil","doi":"10.1016/j.omsc.2024.100372","DOIUrl":"10.1016/j.omsc.2024.100372","url":null,"abstract":"<div><p>Botox treatment has become a popular method for reducing facial lines and wrinkles and rejuvenating the signs of aging. However, like any procedure, Botox can lead to temporary and minor complications. In the presence of certain systemic diseases such as diabetes mellitus, it is essential to take additional precautionary measures that should not be ignored, as it could turn into a life-threatening situation which may need to surgical intervention. Therefore, the key to success lies in ensuring that the procedure is carried out by skilled professionals, conducting a comprehensive medical history assessment, despite the simplicity of the procedure. Thus, we present a case of A 52-year-old diabetic woman came with a severe facial phlegmon persisting for 7 days and mentioned a previous Botox treatment 8 days ago. Drainage of the phlegmon was performed under general anesthesia using an intraoral vestibular approach.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000282/pdfft?md5=c401fecb173b1230abd38d3a890c4209&pid=1-s2.0-S2214541924000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aggressive Brown tumors of the maxilla and mandible post-parathyroidectomy in chronic renal failure: A case report and literature review","authors":"Hesam Abbasi , Rashin Bahrami , Mohammad Amin Amiri , Nariman Nikparto , Maryam Zangooei Booshehri , Haleh Keshvari , Hossein Daneste","doi":"10.1016/j.omsc.2024.100370","DOIUrl":"10.1016/j.omsc.2024.100370","url":null,"abstract":"<div><p>Brown tumor is a condition associated with hyperparathyroidism that can affect various bones, including the facial skeleton. These tumors are typically well-defined radiolucent lesions but can grow large and cause disfigurement. It is crucial to diagnose brown tumors especially in the jaws early, as those involving the maxillo-mandibular region can exhibit highly aggressive behavior. Also, following parathyroidectomy or normalization of parathyroid hormone (PTH) levels, patients should be closely monitored for the presence of brown tumors. It is advisable to consider the removal of brown tumors even after the correction of underlying hyperparathyroidism. Regular follow-up examinations are necessary to assess the progression or regression of these tumors. In this study, we present a case of a 42-year-old female with renal failure and a history of parathyroidectomy presented with brown tumors in both jaws. The tumors showed aggressive characteristics such as cortical expansion and significant patient discomfort. After clinical and radiological evaluation, the patient underwent surgical excision, which involved total mandibulectomy and maxillectomy. The excised tissue was then subjected to histopathological analysis; the results confirmed brown tumor in both jaws.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 4","pages":"Article 100370"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000269/pdfft?md5=cab7dff91820a7f87dcc84973639eb22&pid=1-s2.0-S2214541924000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Initial experience with ovine forestomach matrix graft for glossectomy defect reconstruction: A case series","authors":"Terry Su","doi":"10.1016/j.omsc.2024.100369","DOIUrl":"10.1016/j.omsc.2024.100369","url":null,"abstract":"<div><p>Soft tissue reconstruction of oral cavity defects, such as glossectomy defects secondary to malignancy, pose a challenge for head and neck, oral, and maxillofacial surgeons. Reconstruction options for mucosal defects include primary closure, healing by secondary intention, full mucosal and split-thickness skin grafts, pedicled flaps, and microvascular free flaps. Biological grafts have become an integral part of the modern reconstructive ladder and are widely used for the regeneration of various soft tissue defects, including oral defects. This case series describes our initial experience using ovine forestomach matrix grafts in tongue and oral cavity reconstruction. Oral reconstruction using ovine forestomach matrix grafts was undertaken on three patients post wide excision and resulted in good functional and cosmetic outcomes. The rate of tissue formation provided by the graft and the grafts’ relative resistance to the hostile environment of the oral cavity support further clinical research to validate the use of these devices in oral reconstruction.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000257/pdfft?md5=9444bb57ac1a7579d6b5cff2907f50c5&pid=1-s2.0-S2214541924000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mai Alotaibi , Ahmad Gh Alkandari , Khalid T. Karkar , Daniel Falbo
{"title":"Rare complication following surgically assisted rapid palatal expansion: A case report of unilateral lingual anesthesia with a hypothesized etiology","authors":"Mai Alotaibi , Ahmad Gh Alkandari , Khalid T. Karkar , Daniel Falbo","doi":"10.1016/j.omsc.2024.100368","DOIUrl":"10.1016/j.omsc.2024.100368","url":null,"abstract":"<div><p>Surgically assisted rapid palatal expansion (SARPE) is a type of surgical intervention to correct a transverse maxillary deficiency in skeletally mature patients. Complications associated with SARPE can be divided into intraoperative complications such as hemorrhage, or postoperative complications that are associated with inadequate suture release. We present a case of a twenty-four year old female patient who reported a left-sided lingual anesthesia following the surgery. We hypothesized the cause to be related to peri-operative hematoma formation at the left maxillary region. Patient was managed conservatively, followed up periodically for three months and showed gradual improvement and complete recovery.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100368"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000245/pdfft?md5=b9cf27bcea9ea1dca3eb175f5aba850a&pid=1-s2.0-S2214541924000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}