Savannah Gelesko

Computer-Aided Orthognathic Surgery

Computer-Aided Orthognathic Surgery Savannah Gelesko, DDS, Michael R. Markiewicz, DDS, MPH, MD, Katherine Weimer, MS, R. Bryan Bell, DDS, MD* Department of Oral and Maxillofacial Surgery, Oregon Health and Science University, Mail code: SDOMS, 611 Southwest Campus Drive, Portland, OR 97239, USA Virtual Surgical Planning, Medical Modeling Inc, 17301 West Colfax Avenue, Suite 300, Golden, CO 80401, USA Oral, Head, and Neck Cancer Program, Providence Cancer Center, Providence Portland Medical Center, 4805 NE Glisan Street, Portland, OR 97213, USA Trauma Service/Oral and Maxillofacial Surgery Service, Legacy Emanuel Medical Center, 2801 North Gantenbein, Portland, OR 97227, USA

Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta-analysis

Free tissue transfer is commonly used in the reconstruction of post‐ablative defects of the mandible. Due to lack of statistical power, comparing the survival of various free flaps, even in large studies, is challenging. The purpose of this study was to perform a meta‐analysis comparing the survival of the most commonly used free flaps for mandibular reconstruction.

Responsible and Prudent Imaging in the Diagnosis and Management of Facial Fractures

This article reviews the current standard of care in imaging considerations for the diagnosis and management of craniomaxillofacial trauma. Injury-specific imaging techniques and options for computer-aided surgery as related to craniomaxillofacial trauma are reviewed, including preoperative planning, intraoperative navigation, and intraoperative computed tomography. Specific imaging considerations by anatomic region include frontal sinus fractures, temporal bone fractures, midfacial fractures, mandible fractures, laryngotracheal injuries, and vascular injuries. Imaging considerations in the pediatric trauma patient are also discussed. Responsible postoperative imaging as it relates to facial trauma management and outcomes assessment is reviewed.

Updates in Management of Craniomaxillofacial Gunshot Wounds and Reconstruction of the Mandible

This article includes updates in the management of mandibular trauma and reconstruction as they relate to maxillomandibular fixation screws, custom hardware, virtual surgical planning, and protocols for use of computer-aided surgery and navigation when managing composite defects from gunshot injuries to the face.

Routine Screening Radiography for Retained Wire Following Arch Bar Removal Is Not Indicated

PURPOSE To estimate the screening test value of routine radiography after arch bar wire removal by assessing the incidence of retained wires and the importance of their sequelae. MATERIALS AND METHODS This was a retrospective medical record review. Records of arch bar removal procedures were examined and divided into those screened with radiography after removal (screen group) and those that were not screened (comparison group). The incidence of retained wire was calculated for each group. Study variables included wire-related radiographic or clinical findings. RESULTS Records of 546 mandible fractures were reviewed; 95 met the study criteria. Most exclusions were due to lack of arch bars, missing postoperative radiographs, or insufficient postoperative documentation. Of the 55 records in the screen group, 1 wire was detected (2%); of the 40 records in the comparison group, 1 wire was detected (3%). The total incidence of retained wire findings was not statistically different between the 2 groups and there were no adverse wire-related sequelae reported by any of the 95 patients. CONCLUSION Because of the low incidence of retained wires and wire-related sequelae, routine imaging after wire removal is probably not an effective screening test for retained wire and should be limited to situations in which there is clinical suspicion of retained wire.