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Delayed intraoral wound healing in patients on bisphosphonates
Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...
Oncological and functional outcomes of transoral robotic surgery for oropharyngeal cancer
Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...
Outcomes of transoral robotic surgery for oropharyngeal cancer
Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...Durjoy – the Hong Kong story
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....
Rib grafts for mandibular reconstruction
The mandible provides support for the function of the lips, floor of mouth and tongue, and provision of oral competence and function such as swallowing, chewing and speech. Reconstruction of the mandible following ablation thus requires good bone stock to...How developments in maxillofacial surgery have contributed to improved quality of life for patients
The patient perspective, functional outcomes and morbidity are key factors that influence ‘quality of life’ [1,2]. There are many examples of how developments in oral and maxillofacial surgery have improved the outcome and ‘quality of life’ for patients with head,...Treating the male patient with dermal fillers
Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...
Inferior alveolar nerve (IAN) recovery after ORIF fractured mandible
Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra oral or extra oral incision. Nerve injury or dysfunction is often seen preoperatively and...
Diagnosis of osteonecrosis of the jaw
Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...
Righting the paralysed lip
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...
Post-cancer prosthodontic reconstruction
A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...
