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Evaluation of the condyle remodeling after costochondral graft in growing children with temporomandibular joint ankylosis and jaw deformity
261 2. Henzi, I., Walder, B., & Tramèr, M. R. (2000). Dexamethasone for the prevention of postoperative nausea and vomiting: a quantitative systematic review. Anesth Analg, 90, 186–194.
Conclusion: CCG is a reliable method to treat TMJ ankylosis with jaw bone deformity in growing children. It has growing ability but the long-term results still need observation.
http://dx.doi.org/10.1016/j.ijom.2017.02.878
http://dx.doi.org/10.1016/j.ijom.2017.02.880
Paediatric mandibular fractures: report of a case in a five-month-old child
Conservative management of isolated orbital floor fractures: a retrospective review in a single institution
B. Harding ∗ , J. Clohessy, P. Mehanna
J. Hung ∗ , K.J. Poon, N.M.H. Teo, E.C.H. Hing, H.J. Lee, V. Nallathamby, Y.L. Yap, W.C. Ong, J. Lim, L. Teo, T.C. Lim
John Hunter Hospital, New South Wales, Australia Mandibular fractures in young children are rare presentations. They pose certain questions regarding the optimum surgical management plan and outcome. A developing facial skeleton and the presence of unerupted tooth buds give cause for consideration. Paediatric mandibular fractures require different surgical strategies to be employed, in comparison with adult mandibular fractures. A conservative approach has generally been accepted. This case report describes a 5-month-old girl who sustained a left-sided mandibular body fracture following a fall from her walker. Treatment options and rationale for surgery versus conservative management in this rare case are presented. Additional factors, such as child abuse are considered. A literature review focused on the management of the young paediatric mandible fracture was performed to offer a more comprehensive overview of this unique subset of paediatric maxillofacial injury. http://dx.doi.org/10.1016/j.ijom.2017.02.879 Evaluation of the condyle remodeling after costochondral graft in growing children with temporomandibular joint ankylosis and jaw deformity D.M. He ∗ , J.Y. Zhao Shanghai 9th People’s Hospital, China Background: Children with temporomandibular joint (TMJ) ankylosis and jaw deformity can be treated by costochondral graft (CCG) for simultaneously release ankylosis and correct jaw bone deformity. But the long-term results have not been reported yet. Objectives: This study is to evaluate its long-term result in growing children who had TMJ ankylosis and jaw bone deformity. Methods: Patients from 2010 to 2014 with unilateral TMJ ankylosis and jaw deformity treated by CCG were evaluated. Their computed tomography data within one week after surgery and during at least one-year follow-up were measured by ProPlan CMF 1.4 software. Condyle-ramus, chin deviation and the length of CCG were measured and compared after operation and during follow-up. SPSS 17.0 software was used for statistical analysis. Findings: Eight patients with a mean age of 5.4 years (range, 3–8 years) were included in the study. The mean follow-up period was 2.2 years. The mean condyle-ramus elongation by CCG was 6.25 mm and chin deviation correction was 5.62 mm after surgery. The mean growth of CCG was 4.78 mm. The mean mandibular ramus growth was 3.71 mm in the healthy side and 2.03 mm in the affected side (P = 0.089).
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System, Singapore Background: The orbital floor has the largest area of the four orbital walls and is commonly fractured following maxillofacial trauma sustained in road traffic accidents, assault and falls. Surgical management of orbital floor fractures seeks to restore the anatomy of the orbit and prevent ophthalmic sequelae such as diplopia, limitation of extraocular muscles and enophthalmos. However, surgery is not without risk and recent studies have demonstrated the persistence of symptoms despite surgical management. In this study, we determine if surgical management is always required to minimise ophthalmic symptoms. Methods: We identified all patients with orbital fractures which were conservatively managed in the National University Health System, Singapore between 2012 and 2014. Patients with bilateral orbital injuries, a history of orbital trauma or ophthalmological conditions were excluded from this study. Patients with orbital fractures involving the roof, medial wall or lateral wall were also excluded. 39 consecutive patients were identified and we reviewed their medical records to identify the presence of diplopia, extraocular muscle limitation and enophthalmos at 12 months after the injury. Results: At presentation, five patients had diplopia, 11 had limitation of extraocular muscles and two had enophthalmos. None of these complications were noted during follow-up at 12 months after the injury. Conclusion: Orbital floor fractures can be managed surgically or conservatively. In this series, we have demonstrated that conservative management may be sufficient in some cases and surgical intervention may not be necessary. This study is supported by DSRB application 2016/00348. http://dx.doi.org/10.1016/j.ijom.2017.02.881 Intraoperative use of three-dimensional C-arm for facial fractures L. Jones ∗ , B. Heape, B. Flint, G. Kushner, B. Alpert University of Louisville, KY, United States Background: Intraoperative C-arm technology has improved to include three-dimensional (3D) imaging with coronal, axial and sagittal views. This has the advantage of intraoperative analysis of fracture reduction and fixation in facial fractures. Objectives: The study examines the utility and cost effectiveness of intraoperative 3D C-arm technology. Methods: We utilised a retrospective chart analysis of 20 consecutive facial fracture patients from March 2015 until July 2016
Conclusion: CCG is a reliable method to treat TMJ ankylosis with jaw bone deformity in growing children. It has growing ability but the long-term results still need observation.
http://dx.doi.org/10.1016/j.ijom.2017.02.878
http://dx.doi.org/10.1016/j.ijom.2017.02.880
Paediatric mandibular fractures: report of a case in a five-month-old child
Conservative management of isolated orbital floor fractures: a retrospective review in a single institution
B. Harding ∗ , J. Clohessy, P. Mehanna
J. Hung ∗ , K.J. Poon, N.M.H. Teo, E.C.H. Hing, H.J. Lee, V. Nallathamby, Y.L. Yap, W.C. Ong, J. Lim, L. Teo, T.C. Lim
John Hunter Hospital, New South Wales, Australia Mandibular fractures in young children are rare presentations. They pose certain questions regarding the optimum surgical management plan and outcome. A developing facial skeleton and the presence of unerupted tooth buds give cause for consideration. Paediatric mandibular fractures require different surgical strategies to be employed, in comparison with adult mandibular fractures. A conservative approach has generally been accepted. This case report describes a 5-month-old girl who sustained a left-sided mandibular body fracture following a fall from her walker. Treatment options and rationale for surgery versus conservative management in this rare case are presented. Additional factors, such as child abuse are considered. A literature review focused on the management of the young paediatric mandible fracture was performed to offer a more comprehensive overview of this unique subset of paediatric maxillofacial injury. http://dx.doi.org/10.1016/j.ijom.2017.02.879 Evaluation of the condyle remodeling after costochondral graft in growing children with temporomandibular joint ankylosis and jaw deformity D.M. He ∗ , J.Y. Zhao Shanghai 9th People’s Hospital, China Background: Children with temporomandibular joint (TMJ) ankylosis and jaw deformity can be treated by costochondral graft (CCG) for simultaneously release ankylosis and correct jaw bone deformity. But the long-term results have not been reported yet. Objectives: This study is to evaluate its long-term result in growing children who had TMJ ankylosis and jaw bone deformity. Methods: Patients from 2010 to 2014 with unilateral TMJ ankylosis and jaw deformity treated by CCG were evaluated. Their computed tomography data within one week after surgery and during at least one-year follow-up were measured by ProPlan CMF 1.4 software. Condyle-ramus, chin deviation and the length of CCG were measured and compared after operation and during follow-up. SPSS 17.0 software was used for statistical analysis. Findings: Eight patients with a mean age of 5.4 years (range, 3–8 years) were included in the study. The mean follow-up period was 2.2 years. The mean condyle-ramus elongation by CCG was 6.25 mm and chin deviation correction was 5.62 mm after surgery. The mean growth of CCG was 4.78 mm. The mean mandibular ramus growth was 3.71 mm in the healthy side and 2.03 mm in the affected side (P = 0.089).
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Health System, Singapore Background: The orbital floor has the largest area of the four orbital walls and is commonly fractured following maxillofacial trauma sustained in road traffic accidents, assault and falls. Surgical management of orbital floor fractures seeks to restore the anatomy of the orbit and prevent ophthalmic sequelae such as diplopia, limitation of extraocular muscles and enophthalmos. However, surgery is not without risk and recent studies have demonstrated the persistence of symptoms despite surgical management. In this study, we determine if surgical management is always required to minimise ophthalmic symptoms. Methods: We identified all patients with orbital fractures which were conservatively managed in the National University Health System, Singapore between 2012 and 2014. Patients with bilateral orbital injuries, a history of orbital trauma or ophthalmological conditions were excluded from this study. Patients with orbital fractures involving the roof, medial wall or lateral wall were also excluded. 39 consecutive patients were identified and we reviewed their medical records to identify the presence of diplopia, extraocular muscle limitation and enophthalmos at 12 months after the injury. Results: At presentation, five patients had diplopia, 11 had limitation of extraocular muscles and two had enophthalmos. None of these complications were noted during follow-up at 12 months after the injury. Conclusion: Orbital floor fractures can be managed surgically or conservatively. In this series, we have demonstrated that conservative management may be sufficient in some cases and surgical intervention may not be necessary. This study is supported by DSRB application 2016/00348. http://dx.doi.org/10.1016/j.ijom.2017.02.881 Intraoperative use of three-dimensional C-arm for facial fractures L. Jones ∗ , B. Heape, B. Flint, G. Kushner, B. Alpert University of Louisville, KY, United States Background: Intraoperative C-arm technology has improved to include three-dimensional (3D) imaging with coronal, axial and sagittal views. This has the advantage of intraoperative analysis of fracture reduction and fixation in facial fractures. Objectives: The study examines the utility and cost effectiveness of intraoperative 3D C-arm technology. Methods: We utilised a retrospective chart analysis of 20 consecutive facial fracture patients from March 2015 until July 2016