ENT & OMF
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 24.
Interaural Correlation Fails to Account for Detection in a Classic Binaural Task: Dynamic ITDs Dominate N0Sπ Detection
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Abstract Binaural signal detection in an NoSπ task relies on interaural disparities introduced by adding an antiphasic signal to diotic
noise. What metric of interaural disparity best predicts performance? Some models use interaural correlation; others differentiate
between dynamic interaural time differences (ITDs) and interaural level differences (ILDs) of the effective stimulus. To examine
the relative contributions of ITDs and ILDs in binaural detection, we developed a novel signal processing technique that selectively
degrades different aspects (potential cues) of binaural stimuli (e.g., only ITDs are ...
Source: JARO - Journal of the Association for Research in Otolaryngology - September 17, 2009 Category: ENT & OMF Tags: JARO - Journal of the Association for Research in Otolaryngology Source Type: journals
Noise-induced hearing loss evolution: influence of age and exposure to noise
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In conclusion our data support the hypothesis that once NIHL has manifested, it tends to worsen slightly with continued noise
exposure and that progressive hearing loss is chiefly due to aging. However, in individuals with NIHL, age-related hearing
loss is significantly less at frequencies damaged by noise than in non-noise-exposed individuals.
Content Type Journal ArticleCategory OtologyDOI 10.1007/s00405-009-1096-3Authors
Roberto Albera, University of Turin Department of Clinical Physiopathology, II Chair of ENT Turin ItalyMichelangelo Lacilla, University of Turin Department of Clinical Physiopathology, II Chair o...
Source: European Archives of Oto-Rhino-Laryngology - September 17, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Identification of polymorphisms in the RNase3 gene and the association with allergic rhinitis
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Abstract Eosinophil cationic protein (ECP), a potent cytotoxic molecule, is released by activated eosinophils. ECP has been suggested
to be involved in tissue remodeling of allergic diseases. The ECP (RNase3) gene is a candidate gene in atopic diseases. RNase3 polymorphisms have been reported to have an association with atopy. We determined whether polymorphisms in the RNase3 gene are associated with allergic rhinitis in a Korean population. The Taqman assay, restriction fragment length polymorphism
(PCR-RFLP), and high-resolution melt (HRM) were used for genotyping. Three single nucleotide polymorphisms (SNPs...
Source: European Archives of Oto-Rhino-Laryngology - September 17, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Social withdrawal after laryngectomy
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Abstract This investigation focuses on the psychosocial concomitants of a laryngectomy. Semistructured interviews were conducted with
218 laryngectomized patients. Standardised questionnaires were used to assess patients’ social activity (FPAL, EORTC QLQ-C30),
intelligibility of speech (PLTT, FPAL), mental well-being (HADS), and perceived stigmatisation (FPAL). More than 40% of the
patients withdrew from conversation. Only one-third of all patients regularly took part in social activities. About 87% perceived
stigmatisation because of their changed voice and more than 50% felt embarrassed because of their ...
Source: European Archives of Oto-Rhino-Laryngology - September 17, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Destructive tumours of the larynx mimicking osteosarcoma: two cases of osteoblastoma with organ-saving resection and follow-up
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Abstract Osteoblastoma of the larynx is an extremely rare type of locally progressive and destructive tumour which is mimicking osteosarcoma
radiologically and histologically. Since prognostic and therapeutic strategies for benign osteoblastoma differ from the more
common osteosarcoma of the larynx, a meticulous pre-operative histological diagnosis is required to avoid over-therapy. We
report about two patients with osteoblastoma of the larynx with organ-saving resection and long-period follow-up without tumour
recurrence. A review of the literature detected five further osteoblastomas of the larynx, all in ...
Source: European Archives of Oto-Rhino-Laryngology - September 17, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Clinical and psychological characteristics of TMD patients with trauma history
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Conclusions: Temporomandibular disorders patients with trauma history displayed more severe subjective, objective, and psychological dysfunction than those without trauma history. Pain of myogenous origin, history of physical trauma, and psychosocial dysfunction were all closely related.
Source: Oral Diseases - September 16, 2009 Category: ENT & OMF Authors: H-II Kim, J-Y Lee, Y-K Kim, H-S Kho Source Type: journals
Primary salivary gland type carcinoma of the nasopharynx: Therapeutic outcomes and prognostic factors
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Conclusions.SNPC is a malignancy with generally favorable prognosis. In T1-T2 patients with well-differentiated tumors, SNPC should be treated by combined surgical operation and radiotherapy. Cranial nerve invasion, tumor residue, and distant metastases were independent factors affecting OS. © 2009 Wiley Periodicals, Inc. Head Neck, 2009
Source: Head and Neck - September 16, 2009 Category: ENT & OMF Authors: Tian-Run Liu, Fu-Jin Chen, Chao-Nan Qian, Xiang Guo, Mu-Sheng Zeng, Zhu-Ming Guo, Jie-Hua He, Jing-Yan Cao, An-Kui Yang, Guan-Ping Zhang Source Type: journals
Ear microbiology reports: a need for better communication with the microbiologists
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Abstract Most ENT surgeons treat discharging ears with topical antibiotics but many may not routinely utilise ear microbiology specimens.
One reason could be that ear microbiology reports may not reflect their usual therapeutic options. This paper explores how
microbiology departments in England process ear swabs. We carried out a telephone questionnaire of 104 microbiology departments
in England. Results were obtained from 95 hospitals. Various culture methods are used, with sensitivity testing for up to
51 different antibiotics. Only five are licensed for topical use. Systemic antibiotics seemed to be pref...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
The response to sodium valproate of patients with sinus headaches with normal endoscopic and CT findings
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In conclusion, a majority of “sinus headache” patients do not show any positive sino-nasal pathologic finding.
Therefore, we have to consider migraine headache as a considerable cause and sodium valproate as an effective conservative
treatment.
Content Type Journal ArticleCategory RhinologyDOI 10.1007/s00405-009-1090-9Authors
Mohammad Hossein Dadgarnia, Shahid Sadoughi University of Medical Sciences Department of Otolaryngology, Head and Neck Surgery, Shahid Sadoughi General Hospital Yazd IranSaeed Atighechi, Shahid Sadoughi University of Medical Sciences Department of Otolaryngology, Head and Neck Surgery, Shah...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Speech and swallowing after surgical treatment of advanced oral and oropharyngeal carcinoma: a systematic review of the literature
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Abstract Purpose of this review is the evaluation of speech and swallowing function after surgical treatment for advanced oral and
oropharyngeal carcinoma. A systematic literature search (1993–2009), yielding 1,220 hits. The predefined criteria for inclusion
in this systematic review were oral or oropharyngeal cancer, surgical treatment, speech and/or swallow function outcome, T-stage ≥ 2,
patient cohort > 20, adequate description of the patient cohort in terms of tumor (sub) site, and low risk of bias (Cochrane
criteria). Twelve studies fulfilled the predefined criteria. The resul...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
The evaluation of vestibular functions in patients with pseudoexfoliation syndrome
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In conclusion, the
patients with PEX, there may be a vestibular involvement in the pathological level in the inner ear. Larger clinical studies,
experimental animal studies, and post mortem studies in humans are needed to disclose the pathology in the vestibulocochlear
system in the patients with PEX.
Content Type Journal ArticleCategory OtologyDOI 10.1007/s00405-009-1093-6Authors
Burak Turgut, Fırat University Department of Ophthalmology, Faculty of Medicine Elazig TurkeyHayrettin Cengiz Alpay, Fırat University Department of Otorhinolaryngology, Faculty of Medicine 23119 Elazig TurkeyMehmet Kaan Kaya, Fırat Uni...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Outcome of conservation surgery for laryngeal carcinoma: an 8-year trial
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Abstract The purpose of this report is to review the experience of our institution with conservative surgery for laryngeal cancer.
In this retrospective study, a review was made of 85 patients treated with conservation surgery between 1998 and 2005. At
least 2 years of follow-up period (mean 46.6 months) was achieved for all the patients. We evaluated age, tobacco and alcohol
intake, T stage, histopathological differentiation and localization of tumor, subglottic extension, anterior commissure invasion,
vocal cord mobility, surgical margins, type of surgery applied, and post-operative radiotherapy ...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Long-term outcome analysis after surgical salvage for recurrent tonsil carcinoma following radical radiotherapy
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In conclusion, in spite of the fact that the patients in this study had been treated prior to
the widespread introduction of altered fractionation and concurrent chemoradiation for advanced tonsil carcinoma, it demonstrates
the poor prognosis of recurrent disease. Despite the poor prognosis, 20% of patients will be alive at 5 years and therefore
salvage surgery should be considered when possible.
Content Type Journal ArticleCategory Head and NeckDOI 10.1007/s00405-009-1070-0Authors
Gideon Y. Bachar, University of Toronto Department of Otolaryngology—Head and Neck Surgery, Princess Margaret Hospital 610 Unive...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Safety aspects of Cluster immunotherapy with semi-depot allergen extracts in seasonal allergic rhinoconjunctivitis
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Abstract In addition to allergen avoidance and pharmaceutical medication, specific immunotherapy (SIT) stands for the third most important
mainstay offered to allergic patients. SIT has been widely used in pollen-allergic rhinitis, and clinical efficacy has been
validated in several controlled clinical trials. Classic SIT protocols begin with an initial dose-increase period (subcutaneous
injections of gradually ascending dosages of the allergen extract in weekly intervals) followed by the dose-maintenance period.
However, dosage schedules are not commonly standardized yet. Cluster-SIT is an accelerated proce...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
Mental health after laryngectomy and partial laryngectomy: a comparative study
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Abstract Patients treated for laryngeal cancer are confronted daily with the effects of the operation. The choice of treatment method
can have a significant impact on psychosocial adjustment. Three hundred and six out-patients who underwent surgical treatment
for laryngeal cancer within the last two decades were interviewed in their own homes using the structured clinical interview
for DSM-IV (SCID). Psychiatric disorders were diagnosed among 17.3% of the partial laryngectomy patients (PL) and 22.2% of
the patients with total laryngectomy (LE). In comparing four variables (age, time elapsed since diagnosis, ...
Source: European Archives of Oto-Rhino-Laryngology - September 16, 2009 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: journals
An Alternative Technique for Genioglossus Muscle Advancement in Phase I Surgery in the Treatment of Obstructive Sleep Apnea
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Surgery continues to be a mainstay in the management of patients with obstructive sleep apnea. The only 100% cure for upper airway obstruction is the tracheostomy, first described for this use by Kuhlo et al in 1969. Because of the numerous comorbidities associated with tracheostomy, most patients are reluctant to undergo this procedure. The standard of care currently follows a 2-stage surgical approach, as put forth by the Riley-Powell Stanford protocol. Stage I involves a combinations of procedures including uvulopalatopharyngoplasty, nasal surgery, surgery of the base of the tongue, hyoid suspension, and anterior mandib...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Nagi M. Demian, Jeff Alford, Mas Takashima Tags: Technical Note Source Type: journals
News and Announcements
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Three oral and maxillofacial surgery residents are recipients of the 2009 Resident Research Awards: Elda L. Fisher, DMD
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: News and Announcements Source Type: journals
Reader's Circle Continuing Education Program
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: News and Announcements Source Type: journals
Masthead
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: Frontmatter Source Type: journals
Editorial Board
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: Frontmatter Source Type: journals
Notice to Contributors
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: Frontmatter Source Type: journals
Table of Contents
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: Frontmatter Source Type: journals
AAOMS Author Disclosure forms
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Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Tags: Frontmatter Source Type: journals
Alternative Method to Reposition the Dislocated Transport Segment During Vertical Alveolar Distraction
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Alveolar distraction osteogenesis has become widely used for the reconstruction of the alveolar ridge when rehabilitation with dental implants is required. Particularly in the anterior maxilla, to satisfy the high esthetic demands, requires not only well-anchored implants, but also sufficient soft and hard tissue to achieve natural-looking results. With the alveolar distraction technique, both bone and soft tissue augmentation can be achieved.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Erdem Kilic, Kerem Kilic, Alper Alkan Tags: Case Reports Source Type: journals
Partial Facial Hemihyperplasia With Unusual Soft Tissue Anomalies: Long-Term Follow-Up
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We report the case of a 12-year-old girl followed for 13 years and operated on 2 times for a moderate form of PFH involving bone, skin, and subcutaneous tissues. Long-term follow-up for this disease has rarely been described, and the effects of surgery are poorly known. Our case illustrates the recurrence risks after cessation of growth and provides the first confirmation of the normal histology of bone lesions in PFH.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Roman Hossein Khonsari, Pierre Corre, Ludovic Arzul, Jacques-Marie Mercier Tags: Case Reports Source Type: journals
Effects of Transmandibular Symphyseal Distraction on Teeth, Bone, and Temporomandibular Joint
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Conclusions: The clinical and radiologic results of the present study have shown that a transmandibular distractor is a clinically effective bone-borne distractor for the correction of mandibular transverse deficiencies and anterior crowding. The follow-up cephalograms and CT scans showed the transverse skeletal stability of the distraction procedure and no permanent temporomandibular dysfunction. However, additional multicenter studies with more patients are necessary to precisely evaluate the long-term postdistraction changes on the skeleton, teeth, and temporomandibular joint.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Tayfun Gunbay, M. Cemal Akay, Aynur Aras, Murat Gomel Tags: Basic and Patient-Oriented Research Source Type: journals
Modified Animal Model and Computer-Assisted Approach for Dentoalveolar Distraction Osteogenesis to Reconstruct Unilateral Maxillectomy Defect
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Conclusions: The novel method to develop an animal model with a unilateral maxillary defect was feasible, and the animal model was suitable to develop the reconstruction method for unilateral maxillary defect cases with dentoalveolar DO. Computer-assisted surgical planning and simulation improved the reliability of the maxillofacial surgery, especially for the complex cases. The novel idea to reconstruct the unilateral maxillary defect with dentoalveolar DO was proved through the model experiment.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Zhihong Feng, Jinlong Zhao, Libin Zhou, Yan Dong, Yimin Zhao Tags: Basic and Patient-Oriented Research Source Type: journals
Does Hyoid Bone Resection According to Sistrunk Influence Normal Craniofacial Growth? A Cephalometric Study
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Conclusions: Several vertical and horizontal skeletal and dental cephalometric parameters were shown to be different by trend when compared with control values. A possible negative impact on craniofacial growth potential and direction as a result of hyoid resection in early age according to Sistrunk cannot be excluded.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Isabella M. Joss-Vassalli, Christof U. Joss, Urs Gebauer Tags: Basic and Patient-Oriented Research Source Type: journals
The Effect of Maxillary Multidirectional Movement on Nasal Respiration
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Conclusion: Impaction and advancement of the maxilla can improve nasal respiratory function, but maxillary impaction and setback reduce nasal respiratory function. Hence candidates for maxillary impaction and setback must be informed about decreased nasal respiratory function.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Mehdi Ghoreishian, Rasoul Gheisari Tags: Basic and Patient-Oriented Research Source Type: journals
Comparison of Bipartite Versus Tripartite Osteotomy for Maxillary Transversal Expansion Using 3-Dimensional Preoperative and Postexpansion Computed Tomography Data
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Conclusions: Tripartite paramedian osteotomy allowed greater overall symmetric expansion compared with bipartite median osteotomy, with, however, a decline in transverse widening to the posterior. Bipartite osteotomy should be preferred whenever good periodontal status permits greater vestibular bone loss and a midline diastema and asymmetric expansion and a midline shift will be tolerated by the patient. Tripartite osteotomy should be chosen whenever a midline diastema and shift, septal and columellar dislocation, asymmetric expansion, and larger distraction forces on the paradontia, resulting in vestibular attachment los...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Constantin A. Landes, Katharina Laudemann, Oksana Petruchin, Martin G. Mack, Stefan Kopp, Björn Ludwig, Robert A. Sader, Oliver Seitz Tags: Basic and Patient-Oriented Research Source Type: journals
Modified 2-Flap Technique in the Correction of the Wide “∩”-Shaped Incomplete Cleft Palate
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Incomplete cleft palate involves a defect of the soft palate and partial hard palate, in which the cleft does not reach the incisive foramen. In most patients with incomplete cleft palate, the shape of the cleft resembles a circumflex, where the anterior part of the cleft is much narrower than the posterior part. It is easy to close a circumflex-shaped cleft without tension by the classic 2-flap technique. However, there are some cases with a wide “∩”-shaped cleft in which the anterior part of cleft is almost as wide as the posterior part. The wide ∩-shaped incomplete cleft palate is always apparent in patients wit...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Bing Shi, Xing He, Qian Zheng, Yang Wan, Sheng Li, Qiang Xu, Dawei Lu, Lishu Liao Tags: Case Reports Source Type: journals
Clinical Review of Factors Leading to Perioperative Dissatisfaction Related to Orthognathic Surgery
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Conclusion: Written information about possible sequelae and the recovery period and patients' consent to the surgical procedure may be helpful in proper communication, which may reduce patients' perioperative dissatisfaction.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Sunjong Kim, Sang-Wan Shin, Inho Han, Sook Haeng Joe, Myung-Rae Kim, Jong-Jin Kwon Tags: Basic and Patient-Oriented Research Source Type: journals
Postoperative Nasal Forms After Presurgical Nasoalveolar Molding Followed by Medial-Upward Advancement of Nasolabial Components With Vestibular Expansion for Children With Unilateral Complete Cleft Lip and Palate
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Conclusions: Our management of cleft lip nose will provide good nasal forms with minimum invasion in patients with UCLP. Long-term follow-up will be necessary to clarify effects on the growth of nasal tissues reconstructed in infancy.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Norifumi Nakamura, Masaaki Sasaguri, Etsuro Nozoe, Kazuhide Nishihara, Hiroko Hasegawa, Seiji Nakamura Tags: Basic and Patient-Oriented Research Source Type: journals
Mandibular Traction—An Alternative Treatment in Infants With Pierre Robin Sequence
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Conclusions: Surgical therapy using mandibular traction is a minimally invasive alternative to more invasive procedures because no serious complications such as scars or damage to the nerves were encountered.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Winnie Pradel, Günter Lauer, Jürgen Dinger, Uwe Eckelt Tags: Basic and Patient-Oriented Research Source Type: journals
Changes of Mandibular Movement Tracings After the Correction of Mandibular Protrusion by Bilateral Sagittal Split Ramus Osteotomy
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Conclusion: After correction by BSSRO, the mandibular movement tracings in mandibular protrusion patients will be altered to be similar to those in subjects in the control group, which we believe might support the return of mandibular functional movements in treated patients.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Dahui Wang, Hongjun Fu, Rongsheng Zeng, Xiaoping Yang Tags: Basic and Patient-Oriented Research Source Type: journals
A Simple Mechanism for Measuring and Adjusting Distraction Forces During Maxillary Advancement
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Conclusions: Through this mechanism, direct measurement and adjustment of distraction forces during maxillary advancement was possible. The unbalanced pattern of forces observed in patients with cleft suggests the necessity of individual adjustments for controlling pain and clinical symptoms. Accordingly, assessment of distraction forces during maxillary distraction osteogenesis is extremely helpful in understanding the biomechanics of the distraction process.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Eduardo Yugo Suzuki, Boonsiva Suzuki Tags: Basic and Patient-Oriented Research Source Type: journals
Speedy Surgical Orthodontic Treatment With Skeletal Anchorage in Adults—Sagittal Correction and Open Bite Correction
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Conclusions: Speedy orthodontics allows for more precise control of anterior segment retraction in adult protrusion patients and can be used for posterior segment intrusion. This technology is powerful, easy to apply, and provides a significant advance in surgical orthodontics.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Kyu-Rhim Chung, Masaharu Mitsugi, Baek-Soo Lee, Takahiro Kanno, Won Lee, Seong-Hun Kim Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Accelerated Osteogenic Orthodontics Technique: A 1-Stage Surgically Facilitated Rapid Orthodontic Technique With Alveolar Augmentation
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Conclusion: The accelerated osteogenic orthodontics technique provides for efficient and stable orthodontic tooth movement. Frequently, the teeth can be moved further in one third to one fourth the time required for traditional orthodontics alone. This is a physiologically based treatment consistent with a regional acceleratory phenomenon and maintaining an adequate blood supply is essential.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: M. Thomas Wilcko, William M. Wilcko, Jeffrey J. Pulver, Nabil F. Bissada, Jerry E. Bouquot Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Periodontal Accelerated Osteogenic Orthodontics: A Description of the Surgical Technique
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Periodontal accelerated osteogenic orthodontics (PAOO) is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting, and the application of orthodontic forces. This procedure is theoretically based on the bone healing pattern known as the regional acceleratory phenomenon (RAP). PAOO results in an increase in alveolar bone width, shorter treatment time, increased post-treatment stability, and decreased amount of apical root resorption. The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Kevin G. Murphy, M. Thomas Wilcko, William M. Wilcko, Donald J. Ferguson Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Computer Simulation and Rapid Prototyping for the Reconstruction of the Mandible
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Augmented-reality environments, that is, computer graphics merged with 3-dimensional representations of anatomic regions generated from imaging modalities (mainly computed tomography [CT] and magnetic resonance imaging), have their background in well-known and well-established conventional image-guided surgery, which we can describe as the “first generation of navigation.” Although the surgeon is solely supplied with “information,” this technology significantly expands the range of the intraoperatively available information. Nevertheless, it does not provide any kind of haptic feedback, and the transfer of all the ...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Philipp Juergens, Zdzislaw Krol, Hans-Florian Zeilhofer, Joerg Beinemann, Kurt Schicho, Rolf Ewers, Clemens Klug Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Clinical Foundation for Efficient Treatment of Obstructive Sleep Apnea
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Only a few decades ago, the entity known as obstructive sleep apnea (OSA) was unknown and untreated. Now, there is a rush to put literally millions of Americans on continuous positive airway pressure devices. Community practice standards are changing yearly under pressure from strong forces based on economic incentives for industry, government, and physicians, independent of the actual medical evidence supporting treatment and efficacy. Medicare has lowered the diagnostic threshold for diagnosis and reimbursement; the International Classification of Sleep Disorders, Revision 2 (2005) has allowed OSA to be diagnosed exclusi...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Richard M. Dasheiff, Richard Finn Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Diagnosis, Treatment Planning, and Surgical Correction of Obstructive Sleep Apnea
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The aim of this report is to present the scientific rationale for considering maxillomandibular advancement as the surgical treatment of choice in selected patients with obstructive sleep apnea syndrome; review the treatment planning that will identify those patients who would benefit from this procedure; review the surgical techniques; and review the patient outcomes after maxillomandibular advancement surgery. Patients with obstructive sleep apnea syndrome who have demonstrable retropositioning of the maxilla and mandible should be informed of maxillomandibular advancement as the primary surgical treatment for obstructiv...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Reginald Goodday Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Transport Distraction Osteogenesis for Reconstruction of the Ramus-Condyle Unit of the Temporomandibular Joint: Surgical Technique
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The use of transport distraction osteogenesis (DO) in temporomandibular joint (TMJ) reconstruction has previously been described. It is a very effective technique that offers an alternative to autogenous bone grafting and prosthetic total joint replacement in reconstruction of the ramus-condyle unit (RCU).
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Harry C. Schwartz Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Characteristics and Corrective Outcome of Face Asymmetry by Orthognathic Surgery
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Conclusion: Fitting skeletal landmarks into a double-cross grid on posteroanterior cephalogram is an attainable guide and goal for 2-jaw orthognathic correction of facial asymmetry. Symmetry was achieved and facial profile was improved after surgery and remained stable afterward. The decrease of intergonial width indicated considerable remodeling of the bilateral gonial angle after surgery.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Ellen Wen-Ching Ko, Chiung Shing Huang, Yu Ray Chen Tags: Basic and Patient-Oriented Research Source Type: journals
Effect on Maxillary Arch Development of Early 2-Stage Palatoplasty by Modified Furlow Technique and Conventional 1-Stage Palatoplasty in Children With Complete Unilateral Cleft Lip and Palate
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Conclusion: These results demonstrate that ETS has a considerable benefit for the palatal development of patients with complete unilateral cleft lip and palate compared with PB.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Tadashi Yamanishi, Juntaro Nishio, Hiroshi Kohara, Yoshiko Hirano, Michiyo Sako, Yukiko Yamanishi, Tadafumi Adachi, Shigenori Miya, Takao Mukai Tags: Basic and Patient-Oriented Research Source Type: journals
A New Reliable Method for Alveolar Bone Grafting at About 6 Years of Age
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When the timing of alveolar bone grafting is based on the eruptive progress of the permanent maxillary canine tooth, the surgical procedure is, by definition, delayed until the late mixed dentition phase. This treatment strategy overlooks both the crown length and the periodontal condition of the maxillary permanent incisors adjacent to the cleft defect. One should perform alveolar bone grafting at the time of eruption of the maxillary central incisor at about 5.5 to 6 years of age.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: David S. Precious Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Building Nonhospital-Based Platforms for Ambulatory Orthognathic Surgery: Facility, Anesthesia, and Price Considerations
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The discovery of orthognathic surgical techniques led to an explosion of the scope of oral surgery. In the latter half of the 20th century, the elucidation of the biologic basis of corrective jaw and craniofacial surgery expanded the armamentarium of surgeons and even led to a change in the name of the specialty to oral and maxillofacial surgery (OMFS). In the United States, training programs increased from 36 to 48 months to meet the educational demands of the expanded scope. The desire for additional medical and surgical training also led to innovation in the surgical residency programs of the specialty. Armed with a mor...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Jeffrey B. Carter, Ali E. Mohammad Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Safe, Efficient, and Cost-Effective Orthognathic Surgery in the Outpatient Setting
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There has been a dramatic decline in the number of orthognathic surgery cases over the past 15 to 20 years. This decrease is a result of several compounding factors including decreasing coverage by major medical insurance companies and increasing health care costs. The difficulty associated with making orthognathic surgery financially practical has turned the interest of many oral and maxillofacial surgeons away from orthognathic procedures. The combination of these factors has resulted in decreased availability of surgeons participating in the correction of dentofacial deformities and has forced orthodontists and patients...
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Brian B. Farrell, Myron R. Tucker Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
The Accredited Cosmetic Facial Surgery Office: A Paradigm Shift in Oral and Maxillofacial Surgery
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In the recent past, it was not unusual to admit elective surgery patients the day before their surgery to obtain the laboratory assessment, history, and physical examination and to “settle them in” to the hospital routine. Today, outpatient surgery is the norm, and the surgeon must justify any hospital stay. Also, surgical reimbursement is much lower than in the past, and efficiency in care is needed.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Joe Niamtu Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
Three-Dimensional Treatment Planning of Orthognathic Surgery in the Era of Virtual Imaging
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Conclusions: The potential benefits and actual limits of an integrated 3D virtual approach for the treatment of the patient with a maxillofacial deformity are discussed comprehensively from our experience using 3D virtual treatment planning clinically.
Source: Journal of Oral and Maxillofacial Surgery - September 16, 2009 Category: ENT & OMF Authors: Gwen R.J. Swennen, Wouter Mollemans, Filip Schutyser Tags: A Paradigm Shift in Orthognathic Surgery: A Special Series Part I Source Type: journals
