scholarly journals The Management of Patients after Surgical Treatment of Maxillofacial Tumors

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
D. Rolski ◽  
J. Kostrzewa-Janicka ◽  
P. Zawadzki ◽  
K. Życińska ◽  
E. Mierzwińska-Nastalska
Keyword(s):  
Surgical Treatment ◽  
Neck Region ◽  
Prosthetic Rehabilitation ◽  
Living Situation ◽  
Loss Of Face ◽  
Management Algorithm ◽  
Stomatognathic System ◽  
The Face ◽  
Therapeutic Needs ◽  
Supplementary Treatment

Morphological and functional disturbances induced by postsurgical defects and loss of tissues in the stomatognathic system due to the treatment of tumors in the maxillofacial region determine the therapeutic needs of patients. The study aimed at clinical and epidemiological evaluation of patients under prosthetic treatment in order to establish the algorithm for rehabilitation. The study group was composed of the patients after midface surgery (45.74%); surgery in a lower part of the face (47.38%); mixed postoperative losses (3.44%); loss of face tissues and surgery in other locations in the head and neck region (3.44%). The supplementary treatment was applied in 69.63% of patients. Clinical and additional examinations were performed to obtain the picture of postoperative loss, its magnitude, and location to plan the strategy of prosthetic rehabilitation. The management algorithm for prosthetic rehabilitation in patients after surgical treatment of maxillofacial neoplasms was based on its division in stages. The location and magnitude of postoperative losses, as well as the implementation of supplementary treatment of the patients after treatment of maxillofacial tumors, influence the planning of prosthetic rehabilitation that plays a key role and facilitates the patients’ return to their prior living situation, occupational and family lives.

Orbital Trauma

Neurotrauma ◽  
2019 ◽  
pp. 113-120
Author(s):  
Aaron R. Plitt ◽  
Benjamin Kafka ◽  
Tarek Y. El Ahmadieh ◽  
Christopher J. Madden
Keyword(s):  
Surgical Treatment ◽  
Head And Neck ◽  
Extraocular Muscle ◽  
Neck Region ◽  
Orbital Fracture ◽  
Common Symptom ◽  
Orbital Trauma ◽  
Head And Neck Region ◽  
Globe Rupture ◽  
The Face

Orbital and ocular trauma occurs in 10–17% of all cases of trauma. There should be a high suspicion for orbital injury in patients with blunt trauma to the head and neck region, especially in the setting of periorbital ecchymosis. CT of the face should be performed to assess for fractures. Signs of globe rupture or entrapment of an extraocular muscle are indications for emergent surgical treatment. In the absence of those signs, surgery can be delayed to allow for resolution of edema. Surgical indications are primarily cosmetic. After an orbital fracture is diagnosed, the patient should be monitored with serial ophthalmologic exams to assess for cosmetic deformity, visual decline, or diplopia. The most common symptom after surgical repair of a fracture is diplopia, which often resolves with time. Overall, in the absence of emergent signs (i.e., globe rupture and entrapment), orbital trauma should be treated symptomatically with surgical intervention for cosmesis.

scholarly journals Infantile haemangioma: 5-year experience at the vascular anomaly clinic

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Amr Abdelhamid AbouZeid ◽  
Iman A. Ragab ◽  
Shaimaa Abdelsattar Mohammad ◽  
Wael Ahmed Ghanem ◽  
Haytham Mohamed Nasser ◽  
...  
Keyword(s):  
Neck Region ◽  
Vascular Anomaly ◽  
Paediatric Population ◽  
Favourable Outcome ◽  
Tumour Regression ◽  
Main Body ◽  
Female Predominance ◽  
The Face ◽  
Spontaneous Involution ◽  
Infantile Haemangiomas

Abstract Background Infantile haemangiomas (IH) represent a common benign vascular tumour affecting the paediatric population. Infantile haemangiomas are characterised by a natural history differentiating it from other vascular anomalies. After a transient proliferative phase in early infancy, the tumour passes through a plateau phase before going into spontaneous involution. In this report, we tried to share our experience over the last 5 years in managing cases presenting with IH at a specialised vascular anomaly clinic. Main body of abstract This report included cases of IH who were attending the vascular anomaly clinic during the period 2015 through 2019. Data of all patients attending the clinic were retrospectively examined. Files of 103 cases with IH were available for review. The diagnosis of IH was usually straight forward owing to the typical history and characteristic findings at clinical examination. A significant female predominance was noticed. Generally, IH were more common in the head and neck region (70%). Active intervention was necessary in specific situations (eye occlusion, airway involvement, large lesions with skin ulcerations). Whenever intervention proved to be necessary, propranolol was chosen as the first line of treatment with a favourable response detected in about 90% of cases. Surgery was still a valid option (6%) for lesions amenable to resection; however, we must put in consideration that most lesions will spontaneously regress. Conclusion Infantile haemangiomas are common benign vascular tumours of infancy with relatively few complications. Cosmesis is a major concern especially for lesions affecting the face. Propranolol can induce tumour regression in most cases, and generally, a favourable outcome can be anticipated.

scholarly journals Myocardial Infarction as a Rare Cause of Otalgia

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Riza Dundar ◽  
Erkan Kulduk ◽  
Fatih Kemal Soy ◽  
Ersin Sengul ◽  
Faruk Ertas
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Surgical Treatment ◽  
Coronary Artery Stenosis ◽  
Pathological Finding ◽  
Neck Region ◽  
Abnormal Finding ◽  
Head And Neck Region ◽  
Severe Coronary Artery ◽  
Otoscopic Examination

Aim. To present a case referred to our clinic with severe right ear pain but without any abnormal finding during otological examination and diagnosed as myocardial infarction and also to draw attention to otalgia which can occur secondary to myocardial infarction.Case Report. An 87-year-old female admitted with right ear pain lasting for nearly 12 hours and sweating on the head and neck region. On otolaryngologic examination, any pathological finding was not encountered. Her electrocardiogram revealed findings consistent with myocardial infarction. Her troponin values were 0.175 ng/L at 1 hour, and 0.574 ng/L at 3 hours. The patient was diagnosed as non-ST MI, and her required initial therapies were performed. On cardiac angiography, very severe coronary artery stenosis was detected, and surgical treatment was recommended for the patient. The patient who rejected surgical treatment was discharged with prescription of medical treatment.Conclusion. Especially in elderly patients with complaints of ear pain but without any abnormal finding on otoscopic examination, cardiac pathologies should be conceived.

SURGICAL TREATMENT OF HEMIATROPHY OF THE FACE

1940 ◽  
Vol 115 (5) ◽  
pp. 348 ◽  
Author(s):  
V. H. KAZANJIAN ◽  
SOMERS H. STURGIS
Keyword(s):  
Surgical Treatment ◽  
The Face

Noma and Necrotizing Fasciitis of the Face and Neck

2021 ◽  
Author(s):  
Lauren E. Miller ◽  
David A. Shaye
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Head And Neck ◽  
Subcutaneous Tissue ◽  
Neck Region ◽  
Superficial Fascia ◽  
Soft Tissue Infections ◽  
Head And Neck Region ◽  
Necrotizing Soft Tissue Infections ◽  
The Face

AbstractNecrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

scholarly journals Chondroid syringoma of the upper lip: a rare entity

2020 ◽  
Vol 6 (10) ◽  
pp. 1900
Author(s):  
Ashiya Goel ◽  
Aman . ◽  
Vinny Raheja ◽  
Manisha Kumari
Keyword(s):  
Differential Diagnosis ◽  
Normal Tissue ◽  
Neck Region ◽  
Rare Entity ◽  
Upper Lip ◽  
Head And Neck Region ◽  
Chondroid Syringoma ◽  
The Face ◽  
Slow Growing

<p class="abstract"><span lang="EN-US">Chondroid syringomas are uncommon cutaneous neoplasms of sweat gland origin which are slow-growing, nontender, subcutaneous or intracutaneous in location and often occurring in the head and neck region. Chondroid syringoma should be considered in the differential diagnosis of any subcutaneous nodule over the face. The clinician may miss the diagnosis of this lesion and if it is suspected, tumour should be excised with a margin of normal tissue and regular follow up should be done.</span></p>

scholarly journals The chemotherapy and radiation in low-grade myofibroblastic sarcoma: is there a role?

2020 ◽  
Author(s):  
Yao Xu ◽  
Guijun Xu ◽  
Xin Wang ◽  
Min Mao ◽  
Haixiao Wu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Surgical Treatment ◽  
Head And Neck ◽  
Radiation Treatment ◽  
Treatment Strategies ◽  
Neck Region ◽  
Low Grade ◽  
Myofibroblastic Sarcoma ◽  
Kaplan Meier ◽  
Cox Proportional Hazard Regression

Abstract Background: Low-grade myofibroblastic sarcoma (LGMS) is a rare entity with a predilection in the head and neck. There are still no optimal treatment strategies for LGMS. We aimed to investigate the role of chemotherapy and radiation treatment for LGMS. Survival estimate was performed and prognostic factors were identified.Methods: Based on the Surveillance, Epidemiology, and End Result (SEER) database, LGMS patients diagnosed between 2001 and 2015 were involved in our study. Kaplan-Meier curves and log-rank tests were used to estimate overall survival. Cox proportional hazard regression model was performed to identify prognostic factors.Results: A total of 96 eligible patients with LGMS were included, among which 86 (89.6%) received surgical treatment. Twenty-eight (29.2%) patients received radiation treatment while chemotherapy was offered to 20 (10.4%) patients. The median age was 55.0 years old with 22 cases occurred in head and neck region. The mean OS was 125.2 (95%CI 106.3-144.2) months while 1-, 3-, 5- and 10-year OS rates were 88%, 77%, 70% and 59%, respectively. Age older than 60 years, positive nodal status and no surgical treatment were independent prognostic factors for patients with LGMS. Chemotherapy and radiation were not independent prognostic factors for LGMS.Conclusions: Several prognostic factors for LGMS were revealed in this study. Surgical resection is the main therapy while chemotherapy and radiation showed limited effects on survival improvement. Thus, chemotherapy and/or radiation should not be routinely performed in LGMS.

scholarly journals Lockdown 1.0 mishaps in Bangalore: an observational study on head and neck injuries

2021 ◽  
Vol 7 (7) ◽  
pp. 1100
Author(s):  
Smitha S. G. ◽  
Suhasini Hanumaiah ◽  
Arunima Sheeja
Keyword(s):  
Observational Study ◽  
Head And Neck ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Neck Region ◽  
Research Centre ◽  
Neck Injuries ◽  
Road Traffic Accidents ◽  
The Face ◽  
The Government

<p class="abstract"><strong>Background:</strong> The government of India imposed a nationwide lockdown from 24 March to 14 April 2020, to contain the highly contagious corona virus. The aim of the study was to reflect upon the psychosocial impact of lockdown 1.0 on the population in terms of assaults, self-inflicted injuries and road traffic accidents during the 21 days of lockdown.</p><p class="abstract"><strong>Methods:</strong> This was a prospective observational study done in KIMS hospital and research centre during nation-wide lockdown 1.0 i.e. from 24 March to 14 April 2020. Patients who visited emergency medicine department with history of assault, self-inflicted injuries, road traffic accidents sustaining injuries to ear, nose, neck and other regions of the face were included in the study.</p><p class="abstract"><strong>Results:</strong> A total of 32 patients who sustained injuries in the head and neck region during the 21-day lockdown period and came to our institution were included. Out of the 32 injuries, 6 injuries were to the ear, 12 to nose,5 to the neck region and 9 to other facial regions. There were 18 assault cases causing head and neck injuries,3 were self-inflicted wounds and rest were injuries due to road traffic accidents.</p><p class="abstract"><strong>Conclusions:</strong> Several problems emerged following the forced quarantine to combat COVID-19. These inexorable circumstances which are beyond normal experience, lead to stress, anxiety and a feeling of helplessness in all. There is a need to ameliorate people’s access to mental health support services geared towards providing measures for developing healthy coping mechanisms during such crisis.</p>

scholarly journals Anatomical Variation of Facial Artery Branch: A Case Report

2018 ◽  
Vol 35 (04) ◽  
pp. 218-220
Author(s):  
Guilherme Brasil ◽  
Josete Mazon
Keyword(s):  
Case Report ◽  
Anatomical Variation ◽  
Neck Region ◽  
Facial Artery ◽  
Invasive Procedures ◽  
Head And Neck Region ◽  
Face Region ◽  
The Face ◽  
Artery Branch ◽  
Anomalous Branch

Introduction The facial artery and its branches are the major vessels that supply blood to the face region. This artery and its branches can present variations in path and branching pattern and thus complicate the location of these arteries during invasive procedures. There is still a great need to inform and clarify the variant or unusual organization of the display of these arteries. Case Report During the dissection of the head and neck region of a cadaver, an anomalous branch of the unilateral facial artery was observed in the superior labial artery. Conclusion The lack of knowledge about the possible pathways of the facial artery and its branches can lead to errors in surgical procedures or fillers, causing severe complications to the facial structures.

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