Peter N. Demas

Transmaxillary temporalis transfer for reconstruction of a large palatal defect: Report of a case

The infratemporal transmaxillary transfer of a temporalis myofascial flap for reconstruction of an extensive palatal defect in an adult cleft palate patient is described. A modified temporal approach is discussed.

Orofacial injuries from sport: preventive measures for sports medicine.

AbstractIndividuals worldwide are participating in an expanding arena of vigourous physical activities as well as competitive sports at all levels. The healthful benefits of such activities are unfortunately associated with injury risks that include orofacial soft-and hard-tissue trauma. This article describes the scope and emergency management of sports-related orofacial traumatic injuries that may be encountered by physicians in the field of sports medicine. Since most of these injuries are preventable with the use of protective equipment, specific recommendations are provided for the use of properly fitted mouthguards.

Incidence of Nasolacrimal Injury and Turbinectomy- Associated Atrophic Rhinitis with Le Fort I Osteotomies

Injury to the lacrimal system can occur with trauma, craniofacial surgery, rhinoplasty and nasal antrostomy. Nasolacrimal duct injury may potentially occur with Le Fort I superior repositioning. Atrophic rhinitis is also a potential complication secondary to turbinectomy required during Le Fort I superior repositioning. A review of thirty-four cases over three years of Le Fort I osteotomies with superior repositioning found no postoperative lacrimal injury and no subsequent atrophic rhinitis associated with turbinectomy. An anatomical study relating the position of the nasolacrimal duct opening within the inferior meatus and the distance available for maxillary impaction is reviewed.

The use of tracheotomy in oral and maxillofacial surgery

Tracheotomy is discussed as a method of airway management required in various clinical situations. The anatomy and operative technique involved have been well-established. This paper reviews additional aspects of the procedure: indications, complications, the physiologic effects on tracheolaryngeal function, and postoperative care.

Pediatric facial injuries associated with all-terrain vehicles

All-terrain vehicles (ATVs) are becoming increasingly popular recreational devices. Multiple injuries have been associated with ATV accidents. This report reviews pediatric injuries treated at a regional pediatric trauma center, with special attention to facial trauma, as well as the ATV injury data for the United States.

Infection associated with orbital subcutaneous emphysema

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Management of the oral and maxillofacial surgery patient with end-stage renal disease

Chronic renal failure (CRF) is the consequence of a multitude of diseases that cause permanent destruction of the nephron. Concurrent with renal failure are a host of changes affecting the homeostatic functioning of the individual. This report outlines the pathophysiology of CRF and highlights its effects on surgical manipulation of the oral and maxillofacial region in this patient population. In addition, some of the common physical findings and alterations in blood chemistries frequently observed in these patients are discussed.

Closure of alveolar clefts with corticocancellous block grafts and marrow: A retrospective study

A surgical technique is presented for maxillary alveolar cleft repair that includes a contoured iliac crest corticocancellous block graft and marrow packing, along with closure by a Y-vestibular mucosal advancement flap. A retrospective study of graft survival in 48 cleft sites showed a 94% success rate with no complications; the remaining 6% of the cases showed minor complications.

Facial-skeletal manifestations of Engelmann's disease

Engelmanns disease is a hereditary bone disorder that affects the axial and the appendicular skeleton. The facial examination is altered secondary to the progressive osseous changes. This report presents a case of Engelmanns disease in a patient with maxillofacial trauma and reviews the associated facial and skeletal manifestations.

HepatitisImplications for dental care

Patients with hepatitis and liver dysfunction present an array of pathophysiologic alterations for the practitioner to evaluate. An understanding of how treatment may be affected by liver disease is essential before dental treatment is begun.