Jakša Grgurević

Glandular odontogenic cyst: a case report and clinicopathologic analysis of the relationship to central mucoepidermoid carcinoma.

Glandular odontogenic cyst (GOC), an unusual multilocular cystic lesion of jaws exhibiting the features of both botryoid odontogenic cyst and mucoepidermoid tumor has been reported recently as a new entity with uncertain histogenesis. The World Health Organization named GOC as an independent pathologic entity and classified it as a developmental odontogenic epithelial cyst. We report an additional case, describe its clinicopathologic features, and discuss the similarity to the central mucoepidermoid carcinoma.

Maxillary Fragment Stabilization After Le Fort I Fracture With 1 Screw Pair per Plate

PURPOSE The aim of the present study was to determine whether plates with only 1 screw pair can be used for Le Fort I fracture management. Good postoperative results motivated the direct application of mandible fixation principles to the fractured midface region without additional experimental research. However, the amount and distribution of the forces in the midface region is different from those on the mandible. MATERIALS AND METHODS Testing was conducted on plastic anatomic models. The validity of the experimental model was tested before the fixation techniques were compared. Standard miniplates and miniscrews were used for fixation of the maxilla. The model surface strain analysis was conducted using the noncontact object grating method, which enabled the surface strain measurement without direct influence on the measured model. RESULTS In 2 screw pair fixation, the outer screw pair has little effect on the local strain distribution, but it lowers the contact forces along the crack. One screw pair fixation is stable enough for fixation, but it has a greater strain peak at the crack edges. CONCLUSION Our results showed that 1 screw pair per plate was enough for stable fixation, and 2 or more screw pairs should only be used when the bone fragment at the fracture site cannot sufficiently transmit forces along the crack.

Protective intramedullary fixation after harvest of an osteocutaneous radial free flap

The osteocutaneous radial free flap, even after 30 years, is still considered to be the “workhorse“ for head and neck reconstruction. A high incidence of donor site fractures has remained a major problem, however. The technique described here is a method developed for the prophylaxis of fractures of the donor site of the harvested radial bone and is based on a modification of the intramedullary Rush nail fixation. The data were collected from 18 patients in whom the radial forearm free flap had been used during reconstruction. None of the prophylactically-nailed radii fractured. The complications experienced with this technique are general complications, such as scarring of the forearm and dehiscence of the wound. This technique is simple, and has given excellent results. Aesthetic and functional results were comparable to those of other flaps used for reconstruction. We recommend this technique because of its simplicity, vascular safety, and cost effectiveness.

Modified Millard's technique in operations for unilateral cleft lip.

Abstract Many approaches have been described, but the rotation-advancement technique described by Millard remains one of the most popular repair techniques for correction of cleft lip. The technique described here is a modified method that can be used in primary cleft surgery but also for secondary correction, using the same incision with a small modification in design. Thirty-two patients were followed up for two years, all of whom had good postoperative results without secondary correction. The modification provides rotation and elongation of the lip where it is needed. This technique can be useful for all aspects of secondary cleft lip correction, but is also useful in primary surgery when the cleft side is too short.

BOTRYOID CYST, A RARE TYPE OF ODONTOGENIC CYST

Botryoid cyst, a rare type of odontogenic cyst, is usually considered a multilocular variant of lateral periodontal cyst. It was first described in 1973, and up to the present less than a hundred cases have been reported in the literature. Botryoid cysts are characterized by a multilocular histologic finding and a higher risk of recurrence than lateral periodontal cysts. In this article, we present a case of botryoid cyst from our clinical practice, accompanied by literature review of previous cases reported in the literature so far. Study results showed that botryoid cysts mostly affected population in their fifties, with a slight female (53.5%) predominance over males (46.5%). The mandible was the most frequently affected region, accounting for 70 (83.3%) cases. Maxilla was only sporadically affected accounting for 14 (16.7%) cases. Radiographic appearance of botryoid cysts can be multilocular or unilocular. It is concluded that the recurrence rate is relatively high (30.1%), therefore long term follow up is needed.

Myofascial Pain in War Veterans with Post-Traumatic Stress Disorder

Abstract Objectives: This study is aimed to investigate occurrence of myofascial pain syndrome in a group of Croatian war veterans suffering from post-traumatic stress disorder [PTSD] and to compare them with a healthy normal control [HNC] group, and to describe the most frequent locations of trigger points in the head and neck region. Methods: A total of 202 male subjects participated in the examination. They were divided into a group of war veterans suffering from a PTSD and an HNC group. The first group consisted of 101 war veterans with PTSD [mean age = 47.22 years, range = 33–73 years]; the HNC group consisted of 101 subjects [mean age = 46.72 years, range = 34–61 years] who did not participate in the War of Independence. Results: The PTSD group revealed a higher prevalence of headaches [p < 0.001], cervical spine problems [p < 0.001], jaw clicking and popping [p = 0.032], teeth grinding or clenching during the day [p < 0.001], teeth grinding or clenching while sleeping [p < 0.001], jaw ache in the morning [p < 0.001], jaw problems while chewing [p < 0.001], parafunctions [p < 0.001], muscle stiffness [p < 0.001], and trigger points [p < 0.001] than the HNC group. Conclusion: The frequency of myofascial pain among war veterans with PTSD is significantly higher than in the HNC group. Myofascial pain must be considered among patients with PTSD, and if diagnosed must be treated in order to improve primary therapy of PTSD, and to improve quality of life of the patients.