Philip L. Maloney

Early immobilization of mandibular fractures: A retrospective study

This study reviews the treatment outcome of 204 fractures in 131 patients over a 33-month period. In the total group, an infection rate of 4.4% was experienced, which is comparable with other reports. However, in complaint patients immobilized within 72 hours of injury, there was a 0% incidence of bone infection in 111 fractures treated by closed reduction and a 2% (one case) incidence of bone infection in 50 fractures treated by open reduction. Thus, of the of 161 fractures treated by closed and/or open reduction with early immobilization in complaint patients, the incidence of posttreatment bone infection was 0.6%. It was not significant whether teeth in the line of fracture were retained or removed. This study supports the principle that compound fractures of the mandible should to be immobilized within 72 hours of the initial trauma.

Mandibular osteomyelitis in the patient with chronic alcoholism: Etiology, management, and statistical correlation

Abstract Although isolated case reports of mandibular osteomyelitis complicating chronic alcoholism appeared in the literature, 1 the frequency of bone infection among patients suffering from chronic alcoholism was not generally recognized. It has become apparent from the following report that the incidence of mandibular osteomyelitis, although rare in the over-all population, increases frequently in patients with a diagnosis of chronic alcoholism. Because of this apparent unique susceptibility, oral surgeons involved in the care of these patients should bear in mind the increased potential for mandibular osteomyelitis, especially in those cases in which mandibular compound fractures are involved.

Fetal alcohol syndrome

A case of fetal alcohol syndrome in an 8-month-old infant is presented. Several of the maxillofacial anomalies associated with this syndrome were present. In addition, a large dentigerous cyst was found, a rare lesion occurring with a deciduous tooth and never before reported in association with fetal alcohol syndrome.

Free mucosal grafts for vestibuloplasty

Abstract Free mucosal grafts for vestibuloplasty were performed on seven dogs of mixed breed. Macroscopic and microscopic findings demonstrated that the grafts were well tolerated and that by the seventeenth day all inflammatory changes had subsided. Vascularization of the graft was complete by the tenth day. Regression was not seen in dogs observed for up to 6 months.

Tongue and multiple cutaneous granular-cell myoblastoma

Abstract The granular-cell myoblastoma usually appears as an asymptomatic lesion in the third to the fifth decades of life. Local excision is the treatment of choice, and removal of wide margins is frequently necessary because many lesions have ill-defined borders. As demonstrated in the case reported here, a complete history and a thorough examination are essential when the oral surgeon encounters an unusual tumor of the oral cavity.

Control of lingual artery hemorrhage in dogs

Abstract When the effects of central ligation were evaluated in sixteen dogs, it was observed that this approach was very ineffective in controlling lingual artery hemorrhage. The only constantly effective result in controlling the bleeding from a severed tongue was obtained when the common carotid arteries were ligated bilaterally; this obviously is neither a practical nor an advisable procedure. It appears that, whenever possible, ligation should be done at the bleeding site or as close to it as exposure allows. It is essential to recognize that, in the head and neck area, collateral circulation is both rapid and extensive.

Gram-negative osteomyelitis. Report of a case.

Summary A case of a gram-negative bone infection has been presented along with a description of the difficulties in management.

Immediate vestibuloplasty with fenestrated and intact full-thickness mucosal grafts

Intact and fenestrated full-thickness palatal mucosal grafts were placed following immediate vestibuloplasty in ten dogs of mixed breed. Macrscopic and microscopic findings indicated that the fenestrated grafts were as effective as the intact grafts in long-term maintenance of bestibular depth.

Squamous-cell carcinoma of the floor of the mouth with extensive mandibular involvement

The case of a patient with an extensive squamous-cell carcinoma of the floor of the mouth with erosion of the mandibular bone is presented. The history and initial clinical picture were consistent with either carcinoma with superimposed infection or chronic osteomyelitis with an acute exacerbation. A discussion of diagnosis and treatment of carcinoma of the floor of the mouth follows this case report.

Skeletal open bite associated with bimaxillary dento-alveolar protrusion, evaluation and treatment

Summary A surgical procedure for correction of open bite malocclusion is reported and evaluated. This occlusal problem is often not correctable by orthodontic means. The facial and occlusal improvement was marked and produced better function, speech and appearance. Some relapse has occurred after nine months of observation. Continued observation is suggested. Maxillo-facial surgical corrections require longitudinal study to validate the effectiveness of the treatment.