J Rittersma, R G van der Veld, A V van Gool, J Koppendraaier
{"title":"Stable fragment fixation in orthognathic surgery: review of 30 cases.","authors":"J Rittersma, R G van der Veld, A V van Gool, J Koppendraaier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A method of stable fragment fixation in maxillary and mandibular orthognathic surgery is described. In 30 cases, the follow-up was long enough (one to five years) to promote review of the results. As expected, stability and wound healing were excellent. The method is comfortable for the patient, prevents excessive weight loss, and reduces postoperative morbidity and the length of stay in hospital. The incidence of permanent damage to the mandibular alveolar nerve is the same as with conventional fixation methods. Special attention was given to the possible occurrence of TMJ problems that might result from the condylar rotations. Neither clinical or radiographic evidence of TMJ damage could be established. The method of stable fragment fixation can be especially advocated in bimaxillary and edentulous cases and cases prone to osseous relapse.</p>","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"671-5"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17992327","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}
{"title":"Muscular and mandibular adaptation after lengthening, detachment, and reattachment of the masseter muscle.","authors":"G M Yellich, J A McNamara, J C Ungerleider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This investigation was undertaken to study the skeletal and muscular adaptations in the mandible after lengthening, detachment, and reattachment of the masseter. Placing the bite-opening appliance and altering the length of the masseter, with and without surgical detachment and reattachment, resulted in a number of mascular and skeletal adaptations: First, a posterior and inferior rotation of the mandible was produced. In the experimental period, forward repositioning of the gonial angle and upward repositioning of the symphyseal region occurred. The amount of skeletal repositioning was greater in those animals in which the associated musculature was not detached. Second, if the masseter muscle was lengthened and not detached from the mandible, a gradual return of the muscle to its original length was observed. After 48 weeks, a 50% return occurred. Third, if a muscle was lengthened and then surgically detached, immediate shortening of the muscle occurred in an anterior and superior direction, with ultimate reattachment often at a length shorter than the original. Fourth, if a muscle was surgically detached and then surgically reattached without placement of a bite-opening appliance, a slight shortening of the muscle occurred. Fifth, if the bite was opened and the masseter was surgically detached and then surgically reattached, the muscle returned to its approximate original length and had a more predictable postsurgical positioning. It may be concluded that, in surgical procedures where lengthening of the masticatory muscles is mandatory, it is beneficial, if possible, to surgically detach these muscles from their insertions. In doing so, one would maintain the original orientation of the muscle and at the same time presumably impose less stress on the newly placed, surgically repositioned skeletal elements.</p>","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"656-65"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17992325","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}
{"title":"Reconstruction of the anterior floor of the mouth using a labial mucosal flap.","authors":"A K Adamo, R G Hardwood, V A Cardo, C Monet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"Definitive extirpative surgery alone is no longer an acceptable approach to the management of intra-oral carcinoma. With the resultant functional impairment of the oral cavity, it is incumbent upon the surgeon to accept the responsibility for performing a well-conceived plan of surgical reconstruction.\" Two cases are presented in this paper, both of which had T2 squamous cell carcinoma lesions of the anterior floor of the mouth. Each case was amendable to wide excision with marginal mandibulectomy and neck dissection. Closure in the first case was accomplished in the conventional manner by suturing the tongue anteriorly to the lip, necessitating a secondary skin graft vestibuloplasty to restore function and esthetics. Had postoperative radiotherapy been required, such a procedure may not have been possible or would have been difficult. Most surgeons agree that the best time to correct any deformity is at the first operation. In the second case, this was accomplished by the use of a simple mucosal pedicle flap supported by a surgical stent. Serious complications may have been avoided if a secondary reconstructive procedure had to be performed after radiotherapy.</p>","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"681-6"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17992329","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}
{"title":"Long-term follow-up donor and recipient sites after autologous bone grafts for reconstruction of the facial skeleton.","authors":"P Stoll, W Schilli","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"676-7"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18069693","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}
{"title":"Severe facial and cervical infections associated with gas-producing bacteria: report of two cases.","authors":"A A Gonty, E R Costich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"702-7"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18069696","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}
{"title":"Primary repair of Stensen's duct after hemifacial transection: report of case.","authors":"B H Hendler, P D Quinn, A Moon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"687-9"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17992330","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}
{"title":"Odontoma of the maxillary sinus: report of case.","authors":"N Zachariades, J Koundouris, A P Angelopoulous","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"697-8"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17993732","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}
{"title":"Large idiopathic bone defect of the mandible.","authors":"R Scott, J R Hayward","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 9","pages":"709-12"},"PeriodicalIF":0.0,"publicationDate":"1981-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17993734","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}
A C Stein, D M Blank, A J Bennett, B D Gold, J Berger
{"title":"Acute myelomonocytic leukemia in a patient with Fanconi's anemia.","authors":"A C Stein, D M Blank, A J Bennett, B D Gold, J Berger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 8","pages":"624-7"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17990908","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}
{"title":"Internal derangements of the temporomandibular joint: correlation of arthrography with surgical findings.","authors":"S L Bronstein, B J Tomasetti, D E Ryan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The diagnosis of dysfunctional temporomandibular joint (TMJ) disorders unresponsive to nonsurgical treatments heretofore has often been empirical. With the development of TMJ arthrography, diagnosis has been greatly improved; an accurate picture of the condition of the joint now provides a substantial base on which to build a rational and reasonable treatment plan. Clinical symptoms can be accurately correlated with the radiographic picture, a valid surgical procedure can be performed because the joint condition is known, and a meaningful prognosis can be determined. Successful management, however, very often requires multifaceted treatment consisting not only of surgery but also of bite-plate, occlusal, restorative, and physical therapy, both preoperatively and postoperatively.</p>","PeriodicalId":76017,"journal":{"name":"Journal of oral surgery (American Dental Association : 1965)","volume":"39 8","pages":"572-84"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17990901","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}