Maxillofacial Abnormalities
Maxillofacial Injuries
Maxillofacial Prosthesis
Surgery, Oral
Oral Surgical Procedures
Maxillofacial Prosthesis Implantation
The role of folic acid in oral clefting. (1/31)
The objective of this study is to describe the role of periconceptional folic acid supplementation and assess it's potential in the prevention of foetal abnormalities, and consists of a review of the literature undertaken using an electronic and hand search. This includes research trials and methodology associated with folic acid supplementation. It is recommended that all women planning to conceive should supplement their diet with folic acid in order to prevent abnormalities in neural tube development, particularly if there is a history of a previously affected pregnancy. There is increasing evidence that folic acid supplementation may, in addition, reduce the incidence of oral facial clefting. Further research with multi-disciplinary approaches in biochemistry, genetics, gene/environment interactions, and embryology are indicated. (+info)An analysis of the skeletal relationships in a group of young people with hypodontia. (2/31)
The objective of this investigation was to examine the dentofacial features of a group of patients with hypodontia, in particular assessing whether cephalometric analysis confirmed the clinical assumption of a reduced lower face height, and to determine the relationship of these facial features with different numbers of missing teeth. It took the form of a cephalometric study, undertaken in a dedicated Dental Hospital clinic for patients with hypodontia. The study group comprised 59 patients seen on the Hypodontia Clinic: 32 females, 27 males, mean age 13.1+/-3.1 years (range 6-23 years). The average number of missing teeth was 7 (SD 5), ranging from 1 to 21. The mean SNA, SNB, and MMA angles were within normal limits, but there was a statistically significant reduction in the MMA when more than one tooth type was missing (P = 0.007) and the ANB angle decreased as the number of missing tooth types increased (P = 0.034). The mean values for the whole sample were within the normal range and did not demonstrate any feature specific to the group, but patients with more severe hypodontia showed tendencies to a Class III skeletal relationship and a reduced maxillary-mandibular planes angle. (+info)Thalassemias and their dental implications. (3/31)
Thalassemias constitute a form of anemia that pose clear problems in relation to dental treatment. Dental professionals must be aware of the treatment adaptations required in patients with severe forms of beta-thalassemia. Until medical research is able to afford a definitive solution to these diseases (thereby greatly simplifying the dental management of such patients), effort will continue to center on the improvement of available therapeutic modalities, with the aim of obtaining effective and inexpensive oral chelators and drugs that either individually or in combination allow increases in fetal hemoglobin levels. Undoubtedly, the use of such measures together with serial blood transfusions has made it possible for an ever increasing number of patients with beta-thalassemia to reach adult age, where the provision of integral rather than merely palliative dental treatment must be seriously considered. At present, the clinical orofacial manifestations caused by the erythroid mass expanding the facial bones - resulting in dental malocclusions and protrusions tend to be less intense as a result of early medical treatment. In the future, gene therapy may be expected to allow a normal facial appearance thanks to complete healing of the patient. (+info)Airway management in an infant with congenital centrofacial dysgenesia. (4/31)
The use of a laryngeal mask airway (LMA) on two occasions, in a 53-day-old and 270-day-old male infant with Tessier N.3 and N.4 facial defects, using sedation and topical anaesthesia is described. The LMA was used to manage the airway and facilitate inhalation induction of anaesthesia as the facial deformities were thought to be too extensive for the safe use of a facemask. The LMA is an alternative to a facemask and secures the airway and facilitates the inhalation induction of anaesthesia in paediatric patients with severe facial deformities. (+info)Collagen XI sequence variations in nonsyndromic cleft palate, Robin sequence and micrognathia. (5/31)
Cleft palate is a common birth defect, but its etiopathogenesis is mostly unknown. Several studies have shown that cleft palate has a strong genetic component. Robin sequence consists of three of the following four findings: micrognathia, glossoptosis, obstructive apnea, and cleft palate. While cleft palate is mainly nonsyndromic, about 80 percent of Robin sequence cases are associated with syndromes. Mutations in genes coding for cartilage collagens II and XI, COL2A1, COL11A1 and COL11A2, have been shown to cause chondrodysplasias that are commonly associated with Robin sequence, micrognathia or cleft palate. We therefore analyzed a cohort of 24 patients with nonsyndromic Robin sequence, 17 with nonsyndromic cleft palate and 21 with nonsyndromic micrognathia for mutations in COL11A2. A total of 23 Robin sequence patients were also analyzed for mutations in COL2A1 and COL11A1. We detected two disease-associated mutations in patients with Robin sequence, an Arg to stop codon mutation in COL11A2 and a splicing mutation in COL11A1. Two putatively disease-associated sequence variations were found in COL11A1 in Robin sequence patients, one in COL11A2 in a patient with micrognathia and one in COL2A1 in two patients with Robin sequence. The results showed that sequence variations in these genes can play a role in the etiology of Robin sequence, cleft palate and micrognathia but are not common causes of these phenotypes. (+info)Spectrum of dentofacial deformities: a retrospective survey. (6/31)
INTRODUCTION: This retrospective study investigates the spectrum of dentofacial deformities, demographic profile, management and surgical outcomes of orthognathic patients treated in the University Hospital in Malaysia. MATERIALS AND METHODS: Over a period of 10 years (1989 to 1999), 34 patients with dentofacial deformities who had orthognathic surgery were reviewed; patients with cleft lip and palate or syndromes were excluded. RESULTS: The mean age (range, 17 to 35 years) of the patients was 24.3 years and the ratio of female to male was 2.4:1. The predominant ethnic group was Chinese, with females (47.1%) forming the largest group. The main reason for seeking surgery was aesthetic improvement (41%). The majority of the patients had skeletal class III pattern (91%) and bilateral sagittal split osteotomy was the most common surgery done (82%). Postoperative complications were mainly paraesthesia/numbness (56%) and infection (15%). In long-term review, 2 (6%) patients had persistent numbness of the inferior alveolar nerve. CONCLUSION: The findings suggest that the majority of the patients are young adult female students with skeletal class III pattern and treated for mandibular prognathism. The complication of persistent numbness and higher rate of postoperative infection indicate that longterm reviews and good antibiotic prophylaxis/therapy are necessary. (+info)Oromaxillofacial osseous abnormality in Sturge-Weber syndrome: case report and review of the literature. (7/31)
We report a case of a 17-month-old child affected by Sturge-Weber syndrome who had unusually rapid overgrowth of the left frontal, temporal, orbital, and maxillary regions. CT angiography illustrated osteohypertrophy with periostitis and associated soft tissue hypertrophy directly corresponding to the distribution of the cutaneous port-wine stain. Extended maxillectomy was performed because of rapid growth and clinical debilitation, with surgical pathology revealing juvenile ossifying fibroma. (+info)Mowat-Wilson syndrome. (8/31)
Mowat-Wilson syndrome (MWS) is a multiple congenital anomaly syndrome characterized by a distinct facial phenotype (high forehead, frontal bossing, large eyebrows, medially flaring and sparse in the middle part, hypertelorism, deep set but large eyes, large and uplifted ear lobes, with a central depression, saddle nose with prominent rounded nasal tip, prominent columella, open mouth, with M-shaped upper lip, frequent smiling, and a prominent but narrow and triangular pointed chin), moderate-to-severe intellectual deficiency, epilepsy and variable congenital malformations including Hirschsprung disease (HSCR), genitourinary anomalies (in particular hypospadias in males), congenital heart defects, agenesis of the corpus callosum and eye anomalies. The prevalence of MWS is currently unknown, but 171 patients have been reported so far. It seems probable that MWS is under-diagnosed, particularly in patients without HSCR. MWS is caused by heterozygous mutations or deletions in the Zinc finger E-box-binding homeobox 2 gene, ZEB2, previously called ZFHX1B (SIP1). To date, over 100 deletions/mutations have been reported in patients with a typical phenotype; they are frequently whole gene deletions or truncating mutations, suggesting that haploinsufficiency is the main pathological mechanism. Studies of genotype-phenotype analysis show that facial gestalt and delayed psychomotor development are constant clinical features, while the frequent and severe congenital malformations are variable. In a small number of patients, unusual mutations can lead to an atypical phenotype. The facial phenotype is particularly important for the initial clinical diagnosis and provides the hallmark warranting ZEB2 mutational analysis, even in the absence of HSCR. The majority of MWS cases reported so far were sporadic, therefore the recurrence risk is low. Nevertheless, rare cases of sibling recurrence have been observed. Congenital malformations and seizures require precocious clinical investigation with intervention of several specialists (including neonatologists and pediatricians). Psychomotor development is delayed in all patients, therefore rehabilitation (physical therapy, psychomotor and speech therapy) should be started as soon as possible. (+info)Maxillofacial abnormalities, also known as craniofacial anomalies, refer to a broad range of structural and functional disorders that affect the development of the skull, face, jaws, and related soft tissues. These abnormalities can result from genetic factors, environmental influences, or a combination of both. They can vary in severity, from minor cosmetic issues to significant impairments of vital functions such as breathing, speaking, and eating.
Examples of maxillofacial abnormalities include cleft lip and palate, craniosynostosis (premature fusion of the skull bones), hemifacial microsomia (underdevelopment of one side of the face), and various other congenital anomalies. These conditions may require multidisciplinary treatment involving surgeons, orthodontists, speech therapists, and other healthcare professionals to address both functional and aesthetic concerns.
Maxillofacial injuries, also known as facial trauma, refer to injuries that occur in the face and/or maxillofacial region. This region includes the bones of the upper jaw (maxilla), lower jaw (mandible), cheeks, eyes, nose, and forehead. Maxillofacial injuries can range from minor soft tissue injuries, such as lacerations or bruises, to more severe injuries involving fractures of the facial bones. These types of injuries may result from various causes, including motor vehicle accidents, sports-related injuries, interpersonal violence, and falls. Treatment for maxillofacial injuries typically involves a multidisciplinary approach, involving specialists such as oral and maxillofacial surgeons, plastic surgeons, and emergency medicine physicians.
A maxillofacial prosthesis is a custom-made device used to replace all or part of a facial feature, such as an eye, ear, nose, or lip, that has been lost due to trauma, cancer surgery, or other causes. It is typically made from materials like silicone, acrylic, or nylon and is designed to mimic the appearance and texture of natural skin and tissues.
Maxillofacial prostheses are created by trained professionals called maxillofacial prosthodontists, who have specialized training in the diagnosis, treatment planning, and rehabilitation of patients with facial defects. The process of creating a maxillofacial prosthesis typically involves taking an impression of the affected area, creating a custom-made mold, and then fabricating the prosthesis to fit precisely over the defect.
Maxillofacial prostheses can help improve patients' appearance, self-confidence, and quality of life by restoring their facial symmetry and functionality. They may also help protect the underlying tissues and structures from injury or infection, and can be used in conjunction with other treatments, such as radiation therapy or chemotherapy, to enhance their effectiveness.
Oral surgery is a specialized branch of dentistry that focuses on the diagnosis and surgical treatment of various conditions related to the mouth, teeth, jaws, and facial structures. Some of the common procedures performed by oral surgeons include:
1. Tooth extractions: Removal of severely decayed, damaged, or impacted teeth, such as wisdom teeth.
2. Dental implant placement: Surgical insertion of titanium posts that serve as artificial tooth roots to support dental restorations like crowns, bridges, or dentures.
3. Jaw surgery (orthognathic surgery): Corrective procedures for misaligned jaws, uneven bite, or sleep apnea caused by structural jaw abnormalities.
4. Oral pathology: Diagnosis and treatment of benign and malignant growths or lesions in the oral cavity, including biopsies and removal of tumors.
5. Temporomandibular joint (TMJ) disorders: Surgical intervention for issues related to the joint that connects the jawbone to the skull, such as arthroscopy, open joint surgery, or total joint replacement.
6. Facial trauma reconstruction: Repair of fractured facial bones, soft tissue injuries, and lacerations resulting from accidents, sports injuries, or interpersonal violence.
7. Cleft lip and palate repair: Surgical correction of congenital deformities affecting the upper lip and hard/soft palate.
8. Sleep apnea treatment: Surgical reduction or removal of excess tissue in the throat to alleviate airway obstruction and improve breathing during sleep.
9. Cosmetic procedures: Enhancement of facial aesthetics through various techniques, such as chin or cheekbone augmentation, lip reshaping, or scar revision.
Oral surgeons typically complete a four-year dental school program followed by an additional four to six years of specialized surgical training in a hospital-based residency program. They are qualified to administer general anesthesia and often perform procedures in a hospital setting or outpatient surgical center.
Maxillary fractures, also known as Le Fort fractures, are complex fractures that involve the upper jaw or maxilla. Named after the French surgeon René Le Fort who first described them in 1901, these fractures are categorized into three types (Le Fort I, II, III) based on the pattern and level of bone involvement.
1. Le Fort I fracture: This type of maxillary fracture involves a horizontal separation through the lower part of the maxilla, just above the teeth's roots. It often results from direct blows to the lower face or chin.
2. Le Fort II fracture: A Le Fort II fracture is characterized by a pyramidal-shaped fracture pattern that extends from the nasal bridge through the inferior orbital rim and maxilla, ending at the pterygoid plates. This type of fracture usually results from forceful impacts to the midface or nose.
3. Le Fort III fracture: A Le Fort III fracture is a severe craniofacial injury that involves both the upper and lower parts of the face. It is also known as a "craniofacial dysjunction" because it separates the facial bones from the skull base. The fracture line extends through the nasal bridge, orbital rims, zygomatic arches, and maxilla, ending at the pterygoid plates. Le Fort III fractures typically result from high-impact trauma to the face, such as car accidents or assaults.
These fractures often require surgical intervention for proper alignment and stabilization of the facial bones.
Oral surgical procedures refer to various types of surgeries performed in the oral cavity and maxillofacial region, which includes the mouth, jaws, face, and skull. These procedures are typically performed by oral and maxillofacial surgeons, who are dental specialists with extensive training in surgical procedures involving the mouth, jaws, and face.
Some common examples of oral surgical procedures include:
1. Tooth extractions: This involves removing a tooth that is damaged beyond repair or causing problems for the surrounding teeth. Wisdom tooth removal is a common type of tooth extraction.
2. Dental implant placement: This procedure involves placing a small titanium post in the jawbone to serve as a replacement root for a missing tooth. A dental crown is then attached to the implant, creating a natural-looking and functional replacement tooth.
3. Jaw surgery: Also known as orthognathic surgery, this procedure involves repositioning the jaws to correct bite problems or facial asymmetry.
4. Biopsy: This procedure involves removing a small sample of tissue from the oral cavity for laboratory analysis, often to diagnose suspicious lesions or growths.
5. Lesion removal: This procedure involves removing benign or malignant growths from the oral cavity, such as tumors or cysts.
6. Temporomandibular joint (TMJ) surgery: This procedure involves treating disorders of the TMJ, which connects the jawbone to the skull and allows for movement when eating, speaking, and yawning.
7. Facial reconstruction: This procedure involves rebuilding or reshaping the facial bones after trauma, cancer surgery, or other conditions that affect the face.
Overall, oral surgical procedures are an important part of dental and medical care, helping to diagnose and treat a wide range of conditions affecting the mouth, jaws, and face.
Maxillofacial prosthesis implantation is a medical procedure that involves the surgical placement of osseointegrated implants (fixtures that are integrated into the bone) to support and retain a custom-made maxillofacial prosthesis. This type of prosthesis is designed to replace all or part of the facial structures, such as the eyes, nose, ears, or jaw, which may be missing due to congenital defects, trauma, or cancer resection.
The implantation procedure typically involves several steps:
1. Pre-surgical planning: This includes taking detailed measurements and creating a custom-made surgical guide based on the patient's anatomy.
2. Surgical placement of implants: The surgeon uses the surgical guide to place the implants in the bone at precise locations and angles.
3. Healing period: After the surgery, the implants are allowed to heal and integrate with the bone for several months.
4. Prosthesis fabrication: Once the implants have integrated, an impression is taken of the implant abutments (the parts that protrude through the gums) and a custom-made prosthesis is created.
5. Delivery of the prosthesis: The prosthesis is attached to the implant abutments using screws or other attachments.
Maxillofacial prosthesis implantation can significantly improve the patient's quality of life by restoring facial function, appearance, and speech. However, it requires careful planning, surgical skill, and close collaboration between the surgeon, prosthodontist, and patient.
A mandibular fracture is a break or crack in the lower jaw (mandible) bone. It can occur at any point along the mandible, but common sites include the condyle (the rounded end near the ear), the angle (the curved part of the jaw), and the symphysis (the area where the two halves of the jaw meet in the front). Mandibular fractures are typically caused by trauma, such as a direct blow to the face or a fall. Symptoms may include pain, swelling, bruising, difficulty chewing or speaking, and malocclusion (misalignment) of the teeth. Treatment usually involves immobilization with wires or screws to allow the bone to heal properly.
Maxillary neoplasms refer to abnormal growths or tumors in the maxilla, which is the upper jaw bone. These growths can be benign (non-cancerous) or malignant (cancerous). Benign neoplasms are slow-growing and do not spread to other parts of the body, while malignant neoplasms can invade surrounding tissues and spread to distant sites.
Maxillary neoplasms can cause various symptoms such as swelling, pain, numbness, loose teeth, or difficulty in chewing or swallowing. They may also cause nasal congestion, nosebleeds, or visual changes if they affect the eye or orbit. The diagnosis of maxillary neoplasms usually involves a combination of clinical examination, imaging studies such as CT or MRI scans, and biopsy to determine the type and extent of the tumor.
Treatment options for maxillary neoplasms depend on several factors, including the type, size, location, and stage of the tumor, as well as the patient's overall health and preferences. Treatment may include surgery, radiation therapy, chemotherapy, or a combination of these modalities. Regular follow-up care is essential to monitor for recurrence or metastasis and ensure optimal outcomes.
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