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Internal wiring of maxillary-zygomatic fractures
Volume Number
tumors
ABSTRACTS
12 I
OF CURRENT
LITERATURE
123
The malignant tumors of bones of the maxillofacial area are the sarcomas. These are treated by radical or block excision of the bone and surrounding soft tissues. T. J. C.
A New Surgical Procedure for the Creation of a False Temporomandibular Joint in Cases of Ankylosis by Means of Non-electrolytic Metal. A. E. Smith and M. Robinson. Am. J. Surg. 94: 837, December,
1957.
A new surgical procedure is presented in the treatment of ankylosis of the temporomandibular joint. Following the removal of the condylar and coronoid processes, a nonA movable hinge electrolytic metal inlay is held firm with the use of special screws. is created. The authors report having done twelve such procedures and state that normal intermaxillary relation, a normal profile, and usable masticator organ can be re-established. One case is reported in detail. T. J. C.
Radical Surgery for Intraoral and W. F. Harrigan.
Cancer With Preservation
of the Mandible.
Am. J. Surg. 94: 857, December,
F. S. Butler
1957.
The authors give credit to the dental profession for the detection of Intraoral cancer is classified as atomic (location) and histologic ant1 cell grade). When a tumor of the oral mucosa is found early, readily visible, size, and free of bony attachment, an “en bloc pull-through procedure” mandible is not removed. When the lesion is large and involves bone, mandible is removed with the lesion. Four cases are described in detail.
intraoral cancer. (tissue diagnosis 1 cm. or less in The is used. a portion of the
T. J. C.
Plastic Repair for Total Loss of Mandible.
J. B. Erich.
Am. J. Surg. 94: 851, December,
1957. A method is described in which a tubed flap of skin and an intraoral appliance are used to restore desirable esthetic and functional restoration when dible is lost. A clavicular tubal flap is prepared and eventually inlaid in a direction between the chin and the floor of the mouth. With this procedure thetic appliance is much more stable in the mouth and need not be attached to denture. Two cases are reported. T.
Internal
Wiring
D. Radiog.
of Maxillary-Zygomatic & Photog.
Fractures.
J. L. Bradley
prosthetic the manhorizontal the prosthe upper
J. C.
and G. H. Bonette.
31: 10, 1958.
According to the authors, internal wiring of fractures of the maxillae and zygoma has been extremely valuable as an adjunct to standard methods of treatment. Three cases are presented. Case 1 had a freely movable horizontal segment of the maxillae. Arch bars were applied to the maxillary and mandibular teeth, then bilateral suspension wires were placed around the zygomas and fastened to the maxillary arch bar. Case 2 had fractures of the left maxilla and zygoma as well as the left mandible. After the sygomatic arch was elevated, a wire was passed through the frontal process of the frontal bone and secured to the arch bar. Another wire was passed over the zygomatic arch on the opposite side and attached to the arch bar.
ABSTRACTS
124
OF CIJRREXT
0. s.. 0. .\I. & 0. !’ .1.11111<1ry, I’lC’,
LITERATURE
Case 3 had fractures of both the zygoma and the maxillae. After apphed, wires were passed through holes that were drilled in the orbital frontal bones and attachetl to the arch bar. The article is well illustrated.
arch bars were process of both
T. J. C. Dental
Extraction in Hemophilia. Taylor. Lancet 2: 363, August,
C. Weshart, 1957.
C. -4. Smith,
J. E. Honey,
Transfusions of fresh plasma and the application of dental aid in the prevention of bleeding after the removal of teeth.
splints
and K.
have
been
B. an
Before the extraction, a molded splint of acrylic resin is made to fit over the The splint permits gentle pressure to be empty sockets which will remain after surgery. exerted on the margin of the gums and prevents the clot, forming after extraction, from being dislodged. The plasma from four pints of blood is transfused one hour before surgery at such a rate that the transfusion is completed as the extraction is started. Before application the splints are lined with calcium-alginate gauze which has been soaked in Russel’s vipor venom; they are kept in place for seven days, during which time one liter of plasma may be given daily. T. J. C.
Hemangioma With Phlebolites: 31: 16, 1958.
A Diagnostic Problem. K. H. Thoma.
Thoma presents an interesting cheek for fifteen years. An x-ray examination mass was removed surgically,
case. The patient,
disclosed numerous and the pathologist
aged 57 years,
calcified reported
D. Radiog.
& Photog.
had a “lump”
in her
bodies within the tumor. The hemangioma with phlebolites. T. J. C.
Postoperative Edema in Maxillofacial Surgery: Prevention and Treatment With Promet&wine. P. R. Wohlgemuth and J. R. O’Brien. Am. J. Surg. 94: 537, October, 1957. Promethazine is a drug also has pronounced sedative,
with strong antiemetic,
antihistaminic and antiedemic
and atropine-like actions.
properties.
It
Promethazine was administered preoperatively to forty patients requiring maxillofacial surgery. The oases selected were those in which edematous swelling is a frequent postoperative development. Thirty-six of the patients received the drug in doses of 25 mg. the night before surgery; a similar dose was repeated one hour prior to anesthesia, and 25 mg. was given each night thereafter postoperatively. In four of the patients, admitted with severe flacial trauma and prepared for immediate surgery, the drug was administered intramuscularly in doses of 50 mg. one hour preoperatively and, similarly, every twelve hours for the first two postoperative days. The results of this therapy are evaluated primarily on the basis of clinical impression, since the edema following such surgery depends on so many variables that it would be impossible to standardize the effect of a single medication. However, the over-all pioture in this series indicated that promethazine exerted a definite antiedemie The results appeared comparable with those which were obtained previously by effect. using local injection of hyaluronidase at the operative site. No edema developed in three patients, slight edema occurred in thirty-three patients, and there was m,oderate edema in two patients. In only two was the swelling severe, and in these two eases a postoperative pressure dressing, which is standard practice in these operations, was not applied. T. J. C.
tumors
ABSTRACTS
12 I
OF CURRENT
LITERATURE
123
The malignant tumors of bones of the maxillofacial area are the sarcomas. These are treated by radical or block excision of the bone and surrounding soft tissues. T. J. C.
A New Surgical Procedure for the Creation of a False Temporomandibular Joint in Cases of Ankylosis by Means of Non-electrolytic Metal. A. E. Smith and M. Robinson. Am. J. Surg. 94: 837, December,
1957.
A new surgical procedure is presented in the treatment of ankylosis of the temporomandibular joint. Following the removal of the condylar and coronoid processes, a nonA movable hinge electrolytic metal inlay is held firm with the use of special screws. is created. The authors report having done twelve such procedures and state that normal intermaxillary relation, a normal profile, and usable masticator organ can be re-established. One case is reported in detail. T. J. C.
Radical Surgery for Intraoral and W. F. Harrigan.
Cancer With Preservation
of the Mandible.
Am. J. Surg. 94: 857, December,
F. S. Butler
1957.
The authors give credit to the dental profession for the detection of Intraoral cancer is classified as atomic (location) and histologic ant1 cell grade). When a tumor of the oral mucosa is found early, readily visible, size, and free of bony attachment, an “en bloc pull-through procedure” mandible is not removed. When the lesion is large and involves bone, mandible is removed with the lesion. Four cases are described in detail.
intraoral cancer. (tissue diagnosis 1 cm. or less in The is used. a portion of the
T. J. C.
Plastic Repair for Total Loss of Mandible.
J. B. Erich.
Am. J. Surg. 94: 851, December,
1957. A method is described in which a tubed flap of skin and an intraoral appliance are used to restore desirable esthetic and functional restoration when dible is lost. A clavicular tubal flap is prepared and eventually inlaid in a direction between the chin and the floor of the mouth. With this procedure thetic appliance is much more stable in the mouth and need not be attached to denture. Two cases are reported. T.
Internal
Wiring
D. Radiog.
of Maxillary-Zygomatic & Photog.
Fractures.
J. L. Bradley
prosthetic the manhorizontal the prosthe upper
J. C.
and G. H. Bonette.
31: 10, 1958.
According to the authors, internal wiring of fractures of the maxillae and zygoma has been extremely valuable as an adjunct to standard methods of treatment. Three cases are presented. Case 1 had a freely movable horizontal segment of the maxillae. Arch bars were applied to the maxillary and mandibular teeth, then bilateral suspension wires were placed around the zygomas and fastened to the maxillary arch bar. Case 2 had fractures of the left maxilla and zygoma as well as the left mandible. After the sygomatic arch was elevated, a wire was passed through the frontal process of the frontal bone and secured to the arch bar. Another wire was passed over the zygomatic arch on the opposite side and attached to the arch bar.
ABSTRACTS
124
OF CIJRREXT
0. s.. 0. .\I. & 0. !’ .1.11111<1ry, I’lC’,
LITERATURE
Case 3 had fractures of both the zygoma and the maxillae. After apphed, wires were passed through holes that were drilled in the orbital frontal bones and attachetl to the arch bar. The article is well illustrated.
arch bars were process of both
T. J. C. Dental
Extraction in Hemophilia. Taylor. Lancet 2: 363, August,
C. Weshart, 1957.
C. -4. Smith,
J. E. Honey,
Transfusions of fresh plasma and the application of dental aid in the prevention of bleeding after the removal of teeth.
splints
and K.
have
been
B. an
Before the extraction, a molded splint of acrylic resin is made to fit over the The splint permits gentle pressure to be empty sockets which will remain after surgery. exerted on the margin of the gums and prevents the clot, forming after extraction, from being dislodged. The plasma from four pints of blood is transfused one hour before surgery at such a rate that the transfusion is completed as the extraction is started. Before application the splints are lined with calcium-alginate gauze which has been soaked in Russel’s vipor venom; they are kept in place for seven days, during which time one liter of plasma may be given daily. T. J. C.
Hemangioma With Phlebolites: 31: 16, 1958.
A Diagnostic Problem. K. H. Thoma.
Thoma presents an interesting cheek for fifteen years. An x-ray examination mass was removed surgically,
case. The patient,
disclosed numerous and the pathologist
aged 57 years,
calcified reported
D. Radiog.
& Photog.
had a “lump”
in her
bodies within the tumor. The hemangioma with phlebolites. T. J. C.
Postoperative Edema in Maxillofacial Surgery: Prevention and Treatment With Promet&wine. P. R. Wohlgemuth and J. R. O’Brien. Am. J. Surg. 94: 537, October, 1957. Promethazine is a drug also has pronounced sedative,
with strong antiemetic,
antihistaminic and antiedemic
and atropine-like actions.
properties.
It
Promethazine was administered preoperatively to forty patients requiring maxillofacial surgery. The oases selected were those in which edematous swelling is a frequent postoperative development. Thirty-six of the patients received the drug in doses of 25 mg. the night before surgery; a similar dose was repeated one hour prior to anesthesia, and 25 mg. was given each night thereafter postoperatively. In four of the patients, admitted with severe flacial trauma and prepared for immediate surgery, the drug was administered intramuscularly in doses of 50 mg. one hour preoperatively and, similarly, every twelve hours for the first two postoperative days. The results of this therapy are evaluated primarily on the basis of clinical impression, since the edema following such surgery depends on so many variables that it would be impossible to standardize the effect of a single medication. However, the over-all pioture in this series indicated that promethazine exerted a definite antiedemie The results appeared comparable with those which were obtained previously by effect. using local injection of hyaluronidase at the operative site. No edema developed in three patients, slight edema occurred in thirty-three patients, and there was m,oderate edema in two patients. In only two was the swelling severe, and in these two eases a postoperative pressure dressing, which is standard practice in these operations, was not applied. T. J. C.