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Anatomical study of phrenic nerve course in relation to neck dissection
E-Poster Presentation our experience STDD is an option worthy of consideration when managing IMC, which has failed with CSOE.
Reference Koford, T., et al. (2005). Treatment of an ankylosed central incisor by single tooth dento-osseous osteotomy and a simple distraction device. Am J Orthod Dentofac Orthop, 127(January (1)), 72–80.
http://dx.doi.org/10.1016/j.ijom.2015.08.118 The reconstruction of human bite injury to infra-orbital region – report of a challenging case M. Halsnad ∗ , W.S. Hislop, E. Dunbar, A. Gardner Department of Oral & Maxillofacial Surgery, University Hospital Crosshouse, Kilmarnock, Scotland, United Kingdom Background: A 40-year-old male presented to the Accident & Emergency Department following an alleged assault. He had sustained a human bite injury to the left infra-orbital region with associated infraorbital nerve paraesthesia. The defect measured 3 cm × 4 cm sparing lid margin with full thickness skin loss. There was no associated bony injury. The management and reconstruction technique of the defect and post-operative outcome is illustrated with clinical photographs. Methods: Initial management consisted of debridement, pain relief, wound dressings under local anaesthesia and systemic antibiotics. Following a period of tissue granulation, a delayed primary surgical reconstruction was planned. Under a general anaesthesia, the reconstruction was completed with a combination of an ipsilateral laterally pedicled upper lid skin flap (Tripier transposition flap) as well as a full thickness skin graft harvested from contra-lateral upper lid blepharoplasty to achieve an optimal functional and aesthetic result. Conclusion: The lower eyelid/infra orbital defect is generally a difficult area to reconstruct. Skin grafting is an option but can cause severe contracture resulting in difficult ectropion. The age of the patient is critical in deciding the type and site of skin flap donor sites for reconstruction. Although a satisfactory aesthetic and functional result was achieved in this case, further scar revision may be required to achieve normal lid laxity. http://dx.doi.org/10.1016/j.ijom.2015.08.119
e223
Methods: We examined 17 cadavers. We determined the point where the phrenic nerve arises from the cervical plexus as point A, and the points where it transverses the posterior and anterior margins of the scalene anterior muscle as B and C. Next, a vertical line to the clavicle was drawn from points A, B and C and the lowest point of the mastoid process. For the vertical position, we measured the length of the line, while for the horizontal position, we measured the length from the sternal end of the clavicle to the node of the vertical line. Findings: For the vertical measurements, the length was 6.0 cm and percentage to the length from the clavicle to the lowest point of the mastoid process was 58% at point A, while those at point B were 4.3 cm, and at point C were 1.6 cm. For the horizontal measurements at point A, the length to the sternal end of the clavicle was 6.5 cm and percentage to the length of the clavicle was 44.5%, while those were 5.9 cm and 4.6 cm in points B and C, respectively. Conclusions: We analysed the relationship of the phrenic nerve with the clavicle and mastoid process. http://dx.doi.org/10.1016/j.ijom.2015.08.120 Sialadenosis excision in pediatric patient (a case report) O. Hamzah ∗ , A. Latief, R. Sudiro Universitas Indonesia, Jakarta, Indonesia Background: Sialadenosis is an uncommon disease of the salivary glands, characterized by asymptomatic enlargement of the salivary glands. This condition usually does not affect salivary gland function. Since systemic diseases or conditions such as diabetes mellitus and alcoholism related to the development of sialadenosis are rare in children, almost all cases with sialadenosis have been reported in adults. Objectives: To report management of a sialadenosis case in paediatric patient. Case and management: A 6-year-old boy was brought to Department of Oral and Maxillofacial Surgery Tangerang General Hospital by his parents with chief complaint mass on the floor of the mouth since 2 months. The mass was firm and well defined. We performed surgical excision of the mass through intra oral approach. The histopathology result concluded that the mass was sialadenosis. Conclusion: Surgical excision through intra oral approach is a treatment of choice for sialadenosis in paediatric patient, as it provides fewer complications and clinically shows good result.
Anatomical study of phrenic nerve course in relation to neck dissection
http://dx.doi.org/10.1016/j.ijom.2015.08.121
T. Hamada 1,∗ , A. Usami 2 , A. Kishi 2 , H. Kon 1 , M. Usuda 1 , N. Morikage 1 , I. Kawahara 1 , S. Takada 1 , T. Ohno 1
The financial burden of acute deep-space odontogenic infections
1 Department of Oral and Maxillofacial Surgery, Ohu University School of Dentistry, Koriyama, Japan 2 Department of Morphological Biology, Ohu University School of Dentistry, Koriyama, Japan
J. Han ∗ , I. Liau, K. Bayetto, A. Cheng, P. Sambrook, A. Goss
Background: Phrenic nerve palsy will worsen respiratory function. But, there are no reports regarding the topographical relationship between the phrenic nerve and anatomical landmarks in the neck dissection region. Objectives: The present study sought to clarify the course of the phrenic nerve in the neck region.
Background: Acute odontogenic infections are one of the most commonly managed pathologies by oral and maxillofacial surgeons in Australia. Although these infections are usually preventable, various barriers to the prevention of these infections lead to the involvement of deep fascial spaces, which almost always require surgical intervention in an inpatient-setting. Despite posing a significant public health burden, Australian data evaluating
Oral & Maxillofacial Surgery, Royal Adelaide Hospital, Adelaide, Australia
Reference Koford, T., et al. (2005). Treatment of an ankylosed central incisor by single tooth dento-osseous osteotomy and a simple distraction device. Am J Orthod Dentofac Orthop, 127(January (1)), 72–80.
http://dx.doi.org/10.1016/j.ijom.2015.08.118 The reconstruction of human bite injury to infra-orbital region – report of a challenging case M. Halsnad ∗ , W.S. Hislop, E. Dunbar, A. Gardner Department of Oral & Maxillofacial Surgery, University Hospital Crosshouse, Kilmarnock, Scotland, United Kingdom Background: A 40-year-old male presented to the Accident & Emergency Department following an alleged assault. He had sustained a human bite injury to the left infra-orbital region with associated infraorbital nerve paraesthesia. The defect measured 3 cm × 4 cm sparing lid margin with full thickness skin loss. There was no associated bony injury. The management and reconstruction technique of the defect and post-operative outcome is illustrated with clinical photographs. Methods: Initial management consisted of debridement, pain relief, wound dressings under local anaesthesia and systemic antibiotics. Following a period of tissue granulation, a delayed primary surgical reconstruction was planned. Under a general anaesthesia, the reconstruction was completed with a combination of an ipsilateral laterally pedicled upper lid skin flap (Tripier transposition flap) as well as a full thickness skin graft harvested from contra-lateral upper lid blepharoplasty to achieve an optimal functional and aesthetic result. Conclusion: The lower eyelid/infra orbital defect is generally a difficult area to reconstruct. Skin grafting is an option but can cause severe contracture resulting in difficult ectropion. The age of the patient is critical in deciding the type and site of skin flap donor sites for reconstruction. Although a satisfactory aesthetic and functional result was achieved in this case, further scar revision may be required to achieve normal lid laxity. http://dx.doi.org/10.1016/j.ijom.2015.08.119
e223
Methods: We examined 17 cadavers. We determined the point where the phrenic nerve arises from the cervical plexus as point A, and the points where it transverses the posterior and anterior margins of the scalene anterior muscle as B and C. Next, a vertical line to the clavicle was drawn from points A, B and C and the lowest point of the mastoid process. For the vertical position, we measured the length of the line, while for the horizontal position, we measured the length from the sternal end of the clavicle to the node of the vertical line. Findings: For the vertical measurements, the length was 6.0 cm and percentage to the length from the clavicle to the lowest point of the mastoid process was 58% at point A, while those at point B were 4.3 cm, and at point C were 1.6 cm. For the horizontal measurements at point A, the length to the sternal end of the clavicle was 6.5 cm and percentage to the length of the clavicle was 44.5%, while those were 5.9 cm and 4.6 cm in points B and C, respectively. Conclusions: We analysed the relationship of the phrenic nerve with the clavicle and mastoid process. http://dx.doi.org/10.1016/j.ijom.2015.08.120 Sialadenosis excision in pediatric patient (a case report) O. Hamzah ∗ , A. Latief, R. Sudiro Universitas Indonesia, Jakarta, Indonesia Background: Sialadenosis is an uncommon disease of the salivary glands, characterized by asymptomatic enlargement of the salivary glands. This condition usually does not affect salivary gland function. Since systemic diseases or conditions such as diabetes mellitus and alcoholism related to the development of sialadenosis are rare in children, almost all cases with sialadenosis have been reported in adults. Objectives: To report management of a sialadenosis case in paediatric patient. Case and management: A 6-year-old boy was brought to Department of Oral and Maxillofacial Surgery Tangerang General Hospital by his parents with chief complaint mass on the floor of the mouth since 2 months. The mass was firm and well defined. We performed surgical excision of the mass through intra oral approach. The histopathology result concluded that the mass was sialadenosis. Conclusion: Surgical excision through intra oral approach is a treatment of choice for sialadenosis in paediatric patient, as it provides fewer complications and clinically shows good result.
Anatomical study of phrenic nerve course in relation to neck dissection
http://dx.doi.org/10.1016/j.ijom.2015.08.121
T. Hamada 1,∗ , A. Usami 2 , A. Kishi 2 , H. Kon 1 , M. Usuda 1 , N. Morikage 1 , I. Kawahara 1 , S. Takada 1 , T. Ohno 1
The financial burden of acute deep-space odontogenic infections
1 Department of Oral and Maxillofacial Surgery, Ohu University School of Dentistry, Koriyama, Japan 2 Department of Morphological Biology, Ohu University School of Dentistry, Koriyama, Japan
J. Han ∗ , I. Liau, K. Bayetto, A. Cheng, P. Sambrook, A. Goss
Background: Phrenic nerve palsy will worsen respiratory function. But, there are no reports regarding the topographical relationship between the phrenic nerve and anatomical landmarks in the neck dissection region. Objectives: The present study sought to clarify the course of the phrenic nerve in the neck region.
Background: Acute odontogenic infections are one of the most commonly managed pathologies by oral and maxillofacial surgeons in Australia. Although these infections are usually preventable, various barriers to the prevention of these infections lead to the involvement of deep fascial spaces, which almost always require surgical intervention in an inpatient-setting. Despite posing a significant public health burden, Australian data evaluating
Oral & Maxillofacial Surgery, Royal Adelaide Hospital, Adelaide, Australia