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Κυριακή 17 Απριλίου 2022

Treatment of sagittal fracture of the mandibular condyle using resorbable-screw osteosynthesis

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This study aimed to explore the applicability of resorbable-screw osteosynthesis in the treatment of SFMC. (Source: Journal of Oral and Maxillofacial Surgery)
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Females Have Worse Overall and Disease-Specific Survival In HPV-Negative Oropharyngeal Squamous Cell Carcinoma

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Although sex (male versus female) has been identified as an independent prognostic factor in human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC), the role of sex in HPV-negative OPSCC is less understood. The purpose of this study was to measure the association between sex and HPV-negative OPSCC disease-specific survival (DSS) and overall survival (OS). (Source: Journal of Oral and Maxillofacial Surgery)
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Pediatric-Antiresorptive Use: Should We Intervene on Third Molars Early?

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The recent article by Cimba et al raises an important question that has not been fully answered by the current literature.1 Pediatric patients affected by various skeletal disorders have received antiresorptive medications since around 1998.2 Historically, pamidronate has been the treatment of choice with a recent shift to zoledronate. To date, there have been no reported cases of medication related osteonecrosis of the jaws (MRONJ) in the pediatric population. The reason for this has not been fully elucidated. (Source: Journal of Oral and Maxillofacial Surgery)
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Accuracy and precision of the CTA perforator localization technique for virtual surgical planning of composite osteocutaneous fibular free flaps in head and neck reconstruction.

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Virtual surgical planning (VSP), computer aided design/computer aided modeling (CAD/CAM), and three-dimensional (3D) printing technology have been shown to improve surgical accuracy and efficiency in head and neck reconstruction. However, persisting criticism of the technology is that it does not adequately address the soft-tissue related aspects of the reconstructive surgery. Prior publication on the computed tomographic angiography (CTA) perforator localization technique has demonstrated how soft tissue planning can be incorporated directly into existing VSP workflows. (Source: Journal of Oral and Maxillofacial Surgery)
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Are Incisional Biopsies Reliable to Select Definitive Treatment in Patients with Ameloblastoma of the Jaws? A 15-year Interdisciplinary Retrospective Study

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Ameloblastomas are tumors of odontogenic epithelium that, although benign, can have a locally aggressive course causing significant morbidity. WHO classifies ameloblastomas as 1 of 3 variants: solid/multicystic, unicystic, and peripheral. Resection, the standard treatment, is deemed curative, but can be debilitating to the patient. Unicystic subtype is considered less aggressive and could be treated with enucleation and curettage. The mercurial presentation of ameloblastomas makes the chosen treatment modality essential in decreasing the recurrence rates and associated morbidity. (Source: Journal of Oral and Maxillofacial Surgery)
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Is the Er:YAG laser effective in reducing pain, edema and trismus after removal of impacted mandibular third molars? A meta-analysis.

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: Removal of impacted third molars, can be associated with complications such as pain, edema, trismus, that can increase the morbidity of this procedure. The purpose of this study is to determine whether the Er:YAG laser is effective in reducing pain, swelling and trismus compared to rotary instruments in removing impacted lower third molars (3 LM`s). (Source: Journal of Oral and Maxillofacial Surgery)
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Oral Rehabilitation of an Adult Cleft Palate Patient with Zygomatic Implant-supported Obturator Prosthesis: A Case Report

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With advancement in medical services and their accessibility across the country, as well as growing awareness among the patient population, it is rare to find an adult with an untreated cleft lip and/or palate nowadays. Treatment of these patients to restore form and function can be challenging, often yielding less-than-satisfactory outcomes. In current literature, there have been case reports of patients with atrophic maxilla or severe maxillary defects after oncologic resections, where zygomatic implants have been utilized for fabrication of a fixed maxillary prosthesis. (Source: Journal of Oral and Maxillofacial Surgery)
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Modified Lip Revision Surgery For The Severe Whistle Lip Deformity In Bilateral Cleft Lip

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Whistle deformity is a sequela of primary surgical repair of the bilateral cleft lip that leads to a vertical tissue deficiency and a non-functional orbicularis oris muscle in the medial portion of the upper lip. This sequel is significantly limiting functionally and esthetically. We propose a complete labial revision with a secondary cheiloplasty of Mulliken and a submucosal inferiorly based flap in the central tubercle to increase the volume at this usually deficient area. (Source: Journal of Oral and Maxillofacial Surgery)
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Is inferior alveolar nerve block needed to perform implant surgery in the posterior mandible? A randomized controlled trial.

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This study aimed to compare the efficacy of the 2 techniques using articaine 4% with epinephrine 1:100,000. (Source: Journal of Oral and Maxillofacial Surgery)
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Intraoperative flap warming: The novel use of a sterile cardiac forced warm air blanket for maintaining optimal flap perfusion.

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The two-team approach in major head and neck/reconstructive surgery can occasionally lead to delays between flap harvest and detachment, due to the complexity and length of the ablative procedure. In order to minimize the potential for flap cooling and the adverse impact on microcirculation, active warming can be beneficial.(1) Intraoperative flap warming to either maintain or improve circulation during free flap harvesting has been performed with a variety of passive and active techniques,(2) however limitations such as a lack of consistent temperature regulation, lack of sterility, inability to directly visualise the flap or the need for acquisition of new equipment for a niche area meant that an ideal solution was lacking. (Source: Journal of Oral and Maxillofacial Surgery)
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Pseudoaneurysms after Le Fort I Osteotomy at a Single High-surgical-volume Institution

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The Le Fort I maxillary osteotomy remains a workhorse surgical technique for addressing dentofacial deformities; however, significant complications can arise. One of the most serious complications is a pseudoaneurysm that results from injury to a terminal branch of the internal maxillary artery. The bleeding episodes normally develop 10 days to 4 weeks post-hospital discharge. Typically, these are minor sentinel bleeding preceding a hemorrhagic episode that results in an emergency room visit. While rare, significant morbidity has been reported, and bleeding can be rapid and in some instances mortal. (Source: Journal of Oral and Maxillofacial Surgery)
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Cellular fibroadenoma versus phyllodes tumors: A pre‐operative diagnostic approach based on radiological and cytological features

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Abstract

Objective

This study has been designed in an effort to identify the clinico-radiological and cytological features that could effectively help in differentiating cellular fibroadenoma (CFA) and phyllodes tumors (PT), which have several overlapping characteristics.

Method

Histologically proven cases of CFA and PT were reviewed. Cytological features were assessed and categorized. Clinical and radiological details were also evaluated and he the two groups were compared statistically.

Results

A total of 43 FA and 52 PT were specimens were reviewed. Mean age and tumor size for CFA and PT were 26.05 and 36.94 years, and 3.7 and 6.4 cm, respectively. Univariate analysis and regression models revealed that age >30 years, BIRADS grade of 4 or more, marked cellularity of stromal fragments, more than 30% spindle cells in background cell population and presence of traversing blood vessels in stromal fragments increased the odds of a tumor being phyllodes. The binary logistic regression model was able to predict PT accurately in 87.2% cases (p <  .001).

Conclusion

PT and CFA could be differentiated if cytological findings are cautiously correlated clinically and radiologically. Age, BIRADS category along with assessment of stromal fragments and background population can effectively distinguish between CFA and PT.

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Training the pronunciation of L2 vowels under different conditions: the use of non-lexical materials and masking noise

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Via Phonetica

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Phonetica. 2022 Apr 15. doi: 10.1515/phon-2022-2018. Online ahead of print.ABSTRACTThe current study extends traditional perceptual high-variability phonetic training (HVPT) in a foreign language learning context by implementing a comprehensive training paradigm that combines perception (discrimination and identification) and production (immediate repetition) training tasks and by exploring two potentially enhancing training conditions: the use of non-lexical training stimuli and the presence of masking noise during production training. We assessed training effects on L1-Spanish/Catalan bilingual EFL learners' production of a difficult English vowel contrast (/æ/-/ʌ/). The participants (N = 62) were randomly assigned to either non-lexical (N = 24) or lexical (N = 24) training and were fu...
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