Santhosh Rao

Use of Mono Cortical Screws as an Aid to Zygomatic Complex Fracture Reduction

AbstractIntroductionZygomatic complex fractures by virtue of its anatomic area poses a great challenge in reduction of the fracture. Uses of various methods have been mentioned in English literature.MethodA new technique describing the use of reduction screw with a self-holding screwdriver in reduction of the zygomatic complex fracture. ConclusionWe found the method to be simple and effective and recommend its application in daily practice.

Anterior Segmental Distraction Osteogenesis in the Hypoplastic Cleft Maxilla : Report of Five Cases = إفتراق التكون العظمي للفاصل الأمامي في مرضى نقص تنسج فلج الفك العلوي : عرض لخمس حالات

Orthognathic surgery and distraction osteogenesis play a prime role in the correction of maxillary hypoplasia in patients with cleft lip and palate (CLP). Advancement of the anterior maxilla alone without interfering with the velopharyngeal sphincter may be advantageous in cleft patients, who more commonly have speech deficits and dental crowding. We present a case series of anterior maxillary segmental distraction for maxillary hypoplasia in 5 CLP patients with a one-year follow-up. A custom-made tooth-borne distraction device with a hyrax screw positioned anteroposteriorly was used. The evaluation comprised of hard and soft tissue analysis and speech assessment. A stable occlusion with positive overjet and correction of dental-crowding without extraction was achieved at one year post-distraction. Facial profile and lip support improved. There was no deterioration in speech.

Transoral Removal of Peripheral Osteoma at Sigmoid Notch of the Mandible

Osteoma is a benign osteogenic slow-growing tumor. Though mandible is involved more often than the maxilla only one other case of osteoma sigmoid notch has been mentioned in the English literature till date. Cosmesis and function are the main reasons that dictate the removal of the osteomas, so we preferred to use an intra oral approach to better prevent the scar and achieve good patient acceptance.

Hemangiopericytoma/Solitary fibrous tumor of the buccal mucosa

Hemangiopericytomas (HPCs)/Solitary fibrous tumor are rare neoplasms of vascular origin that occur in head-and-neck region. These tumors arise from capillary pericytes and are difficult to distinguish from other tumors of vascular origin. HPC, initially described by Stout and Murray in 1942, usually occur in the fifth decade of life and account for 3%–5% of all soft-tissue sarcomas and 1% of all vascular tumors. The tumors usually occur in limbs, pelvis, or head-and-neck region; 15%–30% of all HPCs occur in head and neck. We report a case of HPC located in the right buccal area of a 60-year-old man.

Bifurcation of external jugular vein: an anatomical variation during neck dissection

BackgroundThe pattern of venous drainage of head and neck involves single external jugular vein bilaterally.Methods and resultsWe report a case of bifurcation of the external jugular vein observed during a neck dissection procedure.ConclusionsAnatomical variations in drainage pattern of superficial veins of the head and neck are important for head and neck surgeries including for anastomosis during free tissue transfer for head and neck reconstruction.

Screw and Wire Technique for Condylar Fracture Reduction

In case of displaced condylar fractures, ideal reduction during open reduction and internal fixation poses a challenge to the surgeon. This article describes a simple technique to aid reduction with the use of a screw and wire during open treatment.

Transnasal Stabilization in Naso-orbito-ethmoid Fractures: The Easy Way!

Effective management of naso orbito ethmoidal fractures involves both functional and esthetic correction. While functional correction is routinely achieved, in our experience, most secondary deformities resulted from inadequate nasal bridge projection. We hereby suggest a simple technique to stabilize the nasal bridge after mild overcorrection thereby improving the esthetic outcome in naso orbito ethmoidal fractures.

Glossopharyngeal Nerve Block: The Premolar Approach

This is a technical note describing hard tissue landmarks to simplify the intraoral glossopharyngeal nerve block. Our literature review revealed no specific mention of the same procedure in documented data.

Lower Face Asymmetry: Can We Distract the Mandibular Lower Border?

Orthognathic surgery and alloplastic grafting are the main stay in management in hemifacial microsomia. Distraction osteogenesis is used to increase the ramus and corpus length in the management, but here we have described a technique to increase the height of the body of the mandible using the principles of basal osteotomy and distraction osteogenesis.

Cranio-maxillofacial injuries in polytrauma patients

Among the myriad injuries seen in the emergency department, facial trauma is one of the most common. Trauma to the maxillofacial area mandates special attention. Due to their close proximity and frequent involvement, the vital structures in the head and neck region must be evaluated whenever the head and face are injured. Medical literature suggests that early repair of facial injuries, within hours or days, results in better outcomes for function and appearance.