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Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis
There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...
A conservative approach to treat ameloblastoma
Ameloblastoma is a relatively rare odontogenic tumour that is benign but locally aggressive. Additionally they tend to recur locally. These are rare accounting for 1% of oral tumours and occur almost exclusively in the jaws. It is more common in...
Condylar fractures – current thinking
The author presents a review of 133 papers, most of which are recent and some of which are historic. The topic examined is that of condylar fractures including condylar neck and coronoid process. This topic has always been controversial and...
In vivo animals model shows no disadvantages of osteosynthesis with pins compared to titanium screws for condylar fractures
The advantages of resorbable pins have been proved in craniofacial surgeries. Here the authors extend its use to fractures of the condylar head, which are surgically challenging. The authors aimed to compare in vivo, the stability of fixation of condylar...
A comprehensive proforma for maxillo-facial trauma
The authors begin by emphasising the importance of complete medical records in maxillo-facial trauma by pointing to the fact that the records not only provide the necessary clinical information but also provide legal protection of both the patient and the...
Surgery for class III malocclusions pharyngeal airway and sleep apnoea effects
Thirty-three patients from Brazil were assessed for obstructive sleep apnoea and hypopnoea syndrome pre- and six months postoperatively. The 33 patients were made up of nine having mandibular set back surgery, six maxillary advancement and 18 bi-maxillary surgery. They identified...
Blindness after orthognathic surgery
This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...
SPECT scans not justified in growth of the mandibular condyle
This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...
One anastomosis or two
This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...
When to treat a fractured mandible?
This is a prospective study from Brisbane of 215 patients with a total of 359 fractures of the mandible. Nine outcome variables were analysed with a further 19 included to adjust for potential confounding. Treatment delay was found not to...
Cycle helmets protective against facial injuries?
This is a meta-analysis completed by a maxillofacial unit on the South Coast of England. Nine studies from an initial literature review of 102 were included in the analysis. Cycling has been reported as the cause of 3-20% of facial...
