Fixation of jaw fractures with a new and simple method of wiring

ABSTRACTS

OF

CURRENT

I”33

I,ITERATURE

Pharyngoplasty by muscle transplantation consists of a mucomuscular flap baficd upThis is raised on each lateral pharyngcal wall, the upper end of each flap lYi% ward. at the level of the lower border of the adenoid pad. Each flap consists of the whole t,hickof the lateral ness and width of the lateral pharyngral wall, that is, it has the mucosa pharyngeal wall on its superficial surface and the subjacent lateral pharyngeal muscles on its deep surface. The two flaps are then transposed upward and inward until they lie with their deep muscle surfaces in a transverse mucosal defect creatrd across the posterior pharyngeal wall at the lower level of the adenoid pad. contractile, posterior pharyngeal ridge is produced, and In this way, a prominent, considerable narrowing of the transverse diameter of the pharynx follows closure of the secondary defects on the lateral walls of the pharynx which result from the raising of the two mucomuscular flaps. The palate is then closed by a modification of the V-Y proc,rdure by freshening and suturing in two layers. The step-by-step details are given. T. J. C. Fixation

of Oesterr.

Jaw Fractures With a New and Ztschr. Stomatol. 49: 652, 1952.

Simple

Method

of

Wiring.

H.

Obwegeser.

The author describes a new method of permanent horizontal wiring fixation similar to continuous loop wiring described by C. Stout. each of which is turned 90 degrees; dental A 0.7 mm. wire is bent in several loops, floss is inserted in each loop. This wire splint is attached lingually to the teeth. Then dental floss and the loops are passed between the teeth to the labial side. The distal end of the wire is passed through the loops, which are then twisted. The loops may be used for intermaxillary wire or elastic fixation. The wire splint also may be twisted across the fracture line, which in certain cases causes a retention of the fragments without any flxation against the maxilla. The method is indicated for fractures where a sufficient number of teeth are present,. P. w. the

Unusual

Tumors

and

Cysts

of the

Neck.

A. J. Jackson.

Arch.

Surg.

70:

895, June,

1955.

The author presents case reports of eleven unusual tumors of the neck. Included are various types of carcinoma, sarcoma, huge adenomata of the thyroid, carcinogenic branchial cyst, Boeck’s sarcoid, Mikulicz ‘s disease, hygroma, metastatic tumor, hemangio-eniiothelioma of the submaxillary gland, dermoid cyst of the floor of the mouth, and a calcified branchial Cpt. He also presents his calsification of tumors and cysts of the neck: 1. Tumors of the Thyroid and Parathyroid Glands.Thyroid: Adenoma, carcinoma, sarcoma. Parathyroid: Adenoma, carcinoma. 2. Tmors of the Salivary Glands.-Mixed tumor, primary malignant neoplasm, cysts. 3. Primary Tumors of the Lymph Glands.-Hodgkin’s disease, lymphosarcoma, lymphoepithelioma, leukemia, endothelioma. 4. Secondary Tumors of the Neck.-Metastasis from the buccal cavity, direct extension from the buccal cavity, metastasis from below the clavicle, 5. Benign Tumors.-Lipoma, myoma, dermoid, chondroma, hemangioma, lymphangioma, atheromatous cyst, scbnc~ous cyst, fibroma, adenoma, keloid, cylindroma, xanthoma. 6. lJnu.sual Tumors.--Mikulicz ‘s disease, carotid body tumor, neuroblastoma, neurofibroma, ganglioneuroma, Boeck’s sarcoid. 7. Cysts and RstzlZas.--Thyroglossal, branchial (benign, malignant), hygroma. 8. Infiammatory Lesions.-Nonsuppurative lymphadenitis, suppurative lymphadenitis, tubercular lymphadenitis, diffuse cellulitis (Ludwig’s angina), actinomycosis. T. J. C.