{"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}
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}
Roya Moafi , Amir Al-Adili , Johanna Ahlén Swartling , Payam Farzad
{"title":"Management of two postoperative pseudoaneurysms after Le Fort I osteotomy","authors":"Roya Moafi , Amir Al-Adili , Johanna Ahlén Swartling , Payam Farzad","doi":"10.1016/j.omsc.2024.100367","DOIUrl":"10.1016/j.omsc.2024.100367","url":null,"abstract":"<div><p>Orthognathic surgery is widely used to treat dentofacial deformities. Among the surgical techniques used for addressing dentofacial malformations, the Le fort I maxillary osteotomy remains a workhorse surgical technique; however, significant complications can arise. One of the most serious complications is a pseudoaneurysm that results from injury to a terminal branch of the internal maxillary artery. This report describes two cases of pseudoaneurysms following Le Fort I osteotomy during a 10-year period at our high surgical volume unit which were treated in 2 different ways.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100367"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000233/pdfft?md5=6034137ee5d254d97feb02fc2d7fb5c9&pid=1-s2.0-S2214541924000233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850237","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":"Two cases of extensive maxillofacial injury following mauling by bears: Sri Lankan experience","authors":"Liyanaarachchige Anushan Hiranya Jayasinghe , Nilupulie Perera , Sandya Abeyratne , Perumal Kiritharan","doi":"10.1016/j.omsc.2024.100364","DOIUrl":"10.1016/j.omsc.2024.100364","url":null,"abstract":"<div><p>Domestic animal bites are commonly encountered in Oral and Maxillofacial (OMF) practice, whereas bear attacks are a rare trauma situation that OMF surgeons deal with in their practice. Two case reports presented here are infrequent extensive injuries that required significant surgical undertaking. Two male victims who were mauled by bears, demonstrated injuries around the middle one third, periorbital and central face. Salient features of the injuries on these occasions were almost all degloved tissues, can be put together as a complex jigsaw. The approach taken was to clean, debride and build from deep to superficial with maximum preservation of tissues.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100364"},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000208/pdfft?md5=458017f7b8cbd26e916559d0752c8c1d&pid=1-s2.0-S2214541924000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728787","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}
Salaheldin Awouda , Gustavo Andres Grimaldi Finol , Enas Mohammed , Malaz Adam , Moustafa Al Khalil
{"title":"Strawberry gingivitis and salivary gland enlargement as Debut symptoms of Pediatric granulomatosis with polyangiitis, using a multimodality and comprehensive diagnosis work up - A case report","authors":"Salaheldin Awouda , Gustavo Andres Grimaldi Finol , Enas Mohammed , Malaz Adam , Moustafa Al Khalil","doi":"10.1016/j.omsc.2024.100363","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100363","url":null,"abstract":"<div><p>Granulomatosis with Polyangiitis previously called Wegener's granulomatosis is quite a rare condition that affects multiple organs. It's a serious disorder marked by inflammation that causes tissue damage in the upper and lower respiratory tract, glomerulonephritis, and vasculitis, which can be fatal. This illness can present in either a limited or generalized form. The limited version tends to progress slowly, while the more widespread form can rapidly lead to failure of multiple organs. One of the challenges in diagnosing is that its early symptoms are nonspecific.</p><p>We are presenting a case of 16-year-old girl come in with a rather unusual presentation. Her symptoms kicked off with strawberry gingivitis and swelling of the salivary glands. In our report, we delve into the details of her clinical signs, what we found on the radiological scans, and how we approached treatment.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100363"},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000191/pdfft?md5=9bf8946c41587160ce8fabd173f2cd1d&pid=1-s2.0-S2214541924000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605465","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}
Iman Malakuti , Anna Persson , Anders Näsman , Gunnar Liminga , Petter Gavelin , Andreas Thor
{"title":"Oral and maxillofacial manifestations in young patients with Hyalin fibromatosis syndrome: A case series","authors":"Iman Malakuti , Anna Persson , Anders Näsman , Gunnar Liminga , Petter Gavelin , Andreas Thor","doi":"10.1016/j.omsc.2024.100362","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100362","url":null,"abstract":"<div><h3>Study design</h3><p>Case report.</p></div><div><h3>Objective</h3><p>To present two cases of young children with Hyaline Fibromatosis Syndrome and their oral and maxillofacial manifestations.</p></div><div><h3>Methods</h3><p>The different oral and maxillofacial manifestations were clinically examined in detail. The patients were treated with surgical excisions of their gingival hyperplasias and soft tissue tumors of the head.</p></div><div><h3>Results</h3><p>Relief of pain from ears, scalp and intraoral was obtained, resulting in a normal eating and nutritional habits despite absence of teeth. Improved esthetics.</p></div><div><h3>Conclusion</h3><p>This paper underscores the importance of early diagnosis and prompt therapeutic interventions in managing Hyaline Fibromatosis Syndrome. This report contributes to the growing body of knowledge regarding this rare disorder and emphasizes the importance of a multidisciplinary approach in achieving favorable outcomes for patients afflicted with HFS.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100362"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221454192400018X/pdfft?md5=cddd529eabcd65399246ad3e70c18aab&pid=1-s2.0-S221454192400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486977","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}
Fawaz H. Alotaibi , Marwa Hatem , Abdulrahman Hesham , Yousef Alshamrani , David Kim , Jehan Abdulsattar
{"title":"Radiation-induced osteosarcoma of the parotid gland and mandible: A case report and literature review","authors":"Fawaz H. Alotaibi , Marwa Hatem , Abdulrahman Hesham , Yousef Alshamrani , David Kim , Jehan Abdulsattar","doi":"10.1016/j.omsc.2024.100360","DOIUrl":"https://doi.org/10.1016/j.omsc.2024.100360","url":null,"abstract":"<div><p>Radiation therapy in treatment of head and neck cancer has contributed to improved survival rate of cancer patients. However, this is accompanied by a potential rise in post radiation complications including radiation induced malignancies and osteoradionecrosis.</p><p>Radiation Induced Osteosarcoma (RIOS) is rarely reported. In this paper, we report an unusual case of RIOS involving the parotid gland and mandible that was initially misdiagnosed as Osteoradionecrosis (ORN) provide a comprehensive review of the literature.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100360"},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000166/pdfft?md5=c9e4ed60263f2f039bd15db9499b4dfc&pid=1-s2.0-S2214541924000166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324819","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 , Mohammad Mehdi Taheri , Amirali Asadi , Rashin Bahrami , Nariman Nikparto
{"title":"Myositis ossificans traumatica of masticatory muscles: A case report and review of the literature","authors":"Amir Jalal Abbasi , Mohammad Mehdi Taheri , Amirali Asadi , Rashin Bahrami , Nariman Nikparto","doi":"10.1016/j.omsc.2024.100361","DOIUrl":"10.1016/j.omsc.2024.100361","url":null,"abstract":"<div><p>Myositis ossificans traumatica (MOT) is a rare condition characterized by nonneoplastic, heterotopic bone formation in the masticatory muscles following acute trauma. It usually occurs between the second and seventh decades of life in both genders. Although MOT of the masticatory muscles is not frequently reported in the literature, a common clinical finding is the progressive limitation of motion in the mandible. Managing this condition can be challenging. The available evidence regarding the effectiveness of conservative management, such as physical therapy and interpositional materials, is inconclusive based on the literature. Therefore, the preferred treatment for MOT is the surgical excision of the osseous mass. Under general anesthesia, the calcified muscle is completely removed. Surgical excision often leads to remission, although some patients may experience recurrent episodes. The purpose of this article is to review and discuss cases of MOT of masticatory muscles reported from 2014 to date. In addition to this literature review, we report a rare case involving a 9-year-old boy with recurring MOT of the right medial pterygoid muscles. The boy had a history of receiving a right-side mandibular nerve block injection and subsequently experienced a gradual decrease in the maximum incisal opening.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"10 3","pages":"Article 100361"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214541924000178/pdfft?md5=efe7a77674eeb207f77eca8a89a01317&pid=1-s2.0-S2214541924000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398511","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}