XXth Congress of the European Association for

Abstracts from the

XXth Congress of the European Association for Cranio-Maxillo-Facial Surgery Bruges (Belgium), September 14-18th, 2010

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission, in writing, from the publisher.

Foreword Dear friends and colleagues, It is an honour for me to have been entrusted with the Presidency and organisation of the XX Congress of the European Association for CranioMaxillo-Facial Surgery. We have worked hard over the past five years to offer you an outstanding scientific and clinical conference as well as an entertaining social and cultural programme. The scientific programme with 23 master-classes, 20 keynote lectures, 9 symposia of guest societies, the Celesnic and Levignac lectures and over 400 free papers will cover the latest advances of our specialty, aiming to improve our knowledge, skills and ultimately patient care. Customarily, an abstract book is there to help the participants choose the presentations they wish to attend. The economic crisis has made us think outside of the box. In the Hippocratic-Galenic medical literature, the term “crisis” (from krinein: separate, judge, decide) signifies a turning point in a disease, a sudden change for better or worse. The Executive Committee has decided to include the abstract summaries in the on-site programme booklet and to publish the abstracts as a pdf document in the website www.EACMFS2010.org and www.eurofaces.com. Participants and interested individuals may download the abstract book. We sincerely hope that this “crisis” will prove to be a change for the better. Presenters were notified that their abstract would be included as is in this abstractbook, without language corrections. However, we have been in a position to edit these summaries for more clarity for the on-site programme. Furthermore, we are most grateful to the Scientific Committee and the reviewers for scrutinising over 1200 abstracts in such a short time. Let me reiterate that it has been a real joy and privilege for the Organizing Committee and I to be entrusted with such a challenging project and we hope you will enjoy the Congress!

Maurice Mommaerts MD, DMD, PhD

President EACMFS 2008-2010 President EACMFS2010

III

EACMFS2010 LOCAL ORGANISING COMMITTEE Johan Abeloos Calix De Clercq Philippe Lamoral Nathalie Neyt Wendy Cortier

Bernard Bonte Francis De Ketelaere Frank Lippens Gwen Swennen

EACMFS2010 SCIENTIFIC COMMITTEE Philippe Daelemans Hervé Reychler Joseph Schoenaers

Eric Fossion Serge Schepers Georges Wackens

EXTENDED ORGANISING COMMITTEE (neighbouring countries) Belgium Tom De Backer Geert Van Hemelen Carlos Verhelst France François Cheynet Bernard Devauchelle Christophe Meyer

Etienne Piette Serge Schepers

Pascal Delcampe Jacques Mercier Sylvie Testelin

Germany Michael Ehrenfeld Alexander Kübler Klaus Wolff

Mark Farmand Friedrich W. Neukam

The Netherlands Eddy Becking Just de Mol van Otterloo Peter Gooris Johan Jansma Ludi Smeele

Stefaan Bergé Jan de Visscher Theo Hoppenreijs Thys Merkx

V

VI

Abstracts from the XXth Congress of the EACMFS

SECRETARIES OF EACMFS2006 AND EACMFS2008 Manlio Galiè

Javier Gonzales-Lagunas

EACMFS EXECUTIVE COMMITTEE President

Maurice Mommaerts, Belgium

Immediate Past President

Luigi Clauser, Italy

Senior President Elect

Miso Virag, Croatia

President Elect

Daniel Hrusak, Czeck Republic

Treasurer

Klaus Grätz, Switzerland

Editor in Chief

Joerg Wiltfang, Germany

Acting Secretary General

Henri Thuau, United Kingdom

Assistant Secretary

Nick Kalavrezos, United Kingdom

Education & Training Officer Julio Acero, Spain Media Development Officer Hans-Peter Howaldt, Germany Executive Support – Secretariat Administrator Jill McFarland, United Kingdom

Index Front page ...........................................................................................................................

I

Foreword .............................................................................................................................

III

Is Mona Lisa Beautiful?

Pitak-Arnnop P., Hemprich A., Dhanuthai K., Pausch N. C. . .................................................

Which Work - Related Stressors Are Present Among Maxillofacial And Ent Surgeons?

Knezevic B., Knezevic P., Golubic R., Milosevic M., Fazlic H., Mustajbegovic J. .....................

Andreas Vesalius Of Brussels. The Founder Of Modern Scientific Anatomy

Ezsias A., Ratcliffe S., Sima A. .............................................................................................

European Law For The European Maxillofacial Surgeons Ii

Ezsias A. . .............................................................................................................................

Heinrich Von Pfalzpaint – Bavarian Military Surgeon And Pioneer Of Nasal Reconstruction More Than A Century Before Tagliacozzi

Greig A., Gohritz A., Geishauser M., Weisser C., Mühlbauer W. ............................................

Greek Craniomaxillofacial Trauma Surgery In The 2Nd World War: The Experience Of The Greco-Italian War 1940-1941.

Mylonas A. I., Papadopoulou E. C. ........................................................................................

First Testimony Of Paul Tessier Works

Guichard B., Denglehem C., Moure C., Testelin S., Devauchelle B. ........................................

Extended Fibula-Flaps For Large Tumours Requiring Simultaneous Upper And Lower Jaw Reconstruction.

Von Jackowski J. A., Grätz K. W., Bredell M. G. .....................................................................

Sequence Of Cranio-Fronto-Orbital Reconstruction In Syndromic Pansynostosis Assisted With Distraction Osteogenesis And Tissue Expansion

Singhal V. K. .........................................................................................................................

1

2 4 6

8

10 12

13

14

Facial Flushing Following Monobloc Fronto-Facial Distraction.

Vourvachis M., Cobb A. R. M., Ahmed J., Wyatt M., Owase Jeelani N. U., Dunaway D., Hayward R. . .........................................................................................................................

Fronto-Orbito-Maxillary Advancement By Internal Distraction In Craniofacial Dysostosis Syndromes – A Technical Modification

Adolphs N., Klein M., Haberl H., Menneking H., Hoffmeister B. .............................................

16

18 VII

VIII


Orbit Osteogenesis Distraction In Three Dimensions. A New Treatment Alternative For Patients With Anophthalmia Or Microphthalmia. Case Report.

Navas - Aparicio M. C., Hernández - Carmona S. .................................................................

Orbital Changes Following Le Fort Iii Advancement In Syndromic Craniosynostosis: Quantitative Evaluation Of Orbital Volume, Infra-Orbital Rim And Globe Position

Nout E. .................................................................................................................................

Orbital Malposition In Congenital Deformities

Tieghi R., Clauser L. C. . ........................................................................................................

Realtime-Navigated, Customized Correction Of Superior Sulcus Deformity And Enophthalmos In Anophthalmic Patients Using 3D Titanium-Meshes

Rana M., Essig H., Rücker M., Eckardt A., Kokemüller H., Gellrich N.-C. ................................

Navigation Guided Reduction Of The Skull Bone In Extremely Rare Cases Of Hyperplastic Calvarial Bone

Jürgens P., Beinemann J., Zeilhofer H.-F. . ............................................................................

Complex Approach For Tongue Angiodysplasias Treatment

Korotkikh N., Stepanov I., Sherbinin A., Timoshin I., Olshanskii M. . ......................................

Intralesional Bleomycin Injection In The Treatment Of Head & Neck Vascular Birthmarks – A 6 Year Review

Sainsbury D., Chalmers R., Kessell G., Hampton F., Guhan A., Muir T. ....................................

Vascular Anomalies Of The Face In Childhood: Diagnosis And Treatment

Zama M., Urbani U., Santecchia L., Spuntarelli G., El Hachem M., Diociaiuti A., Falappa P. . ..

Distraction Osteogenesis For Severe Cleft Maxillary Hypoplasia: Results In Growing And Non Growing Patients

Colletti G., Bozzetti A., Meazzini M. C., Ferrari M., Rossetti G., Allevi F., Brusati R. . ...............

Microvascular Mandible Reconstruction In Hemifacial Microsomia

Garcia Recuero I. I., Romance García A. I., Diaz R. G., Garcia A. F., del Valle A. F., Calleja P. E.

Paediatric Mandibular Resection: Is Reconstruction Always Necessary?

Sharma P., Green J., Williams R., Monaghan A. .....................................................................

20

22 23

24

26 27

29 30

31 33 34

Treatment Of Airway Obstruction In Infants With Pierre Robin Sequence By Mandibular Distraction Osteogenesis

Desmedt M., Nadjmi N., Van Hemelen G., Van de Perre J., Vanassche B., Vercruysse H., Defrancq J., Noorman Van der Dussen F. .............................................................................

Quantification Appraisal Of Mandibular Internal Curvilinear Distraction

Aizenbud D., Hazan-Molina H., Thimmappa B., Hopkins E. M., Schendel S. A. ......................

Current Approaches To The Methods Of Reconstructive Rhinoplasty Choice.

Mustafaev M., Kerimov V., Khotova A. . .................................................................................

Role Of Septal Extension Graft In Controlling Tip Projection

Afshar N. ..............................................................................................................................

36 38 40 42

Bruges, Belgium, 14-18th September, 2010

A Different Method For Lateral Crural Strut Graft Placement

Afshar N. ..............................................................................................................................

Diced Rib Cartilage Graft Technique With Minimal Incision For Rhinoplasty: Harvesting And Dicing Technique

Kim P. C., Huang W. C. . .........................................................................................................

A Study Of Alterations In Nasal Tip Sensibility Following Wide Dissection In Corrective Rhinoplasty

Choi Y.-S., Kim D. S., Oh D. Y., Moon S. H., Byeon J. H., Seo B. C. ...........................................

Necessity Of Wide Dissection In The Correction Of Deviated Nose

Moon S.-H., Choi Y.-S., Oh D.-Y., Byeon J.-H., Seo B.-C. .........................................................

Open Approach For Posttraumatic Rhinoplasty

Uglesic V. . ............................................................................................................................

Piezo-Cut For Nasal Bone Osteotomies In Rhinoplasty

Robiony M. ...........................................................................................................................

Secondary Cleft Nose Septorhinoplasty Sequelae Compared To Aesthetic And Post-Traumatic Septorhinoplasty

Landes C., Seitz O., Santo G., Schuebel F., Sader R. ..............................................................

How To Identify During Surgery The Extracranial Trunk Of The Facial Nerve? – The Tragal Pointer And The Posterior Belly Of The Digastric Muscle As Valuable Landmarks –

Baksa G., Molnar G., Patonay L., Mommaerts M. Y. ...............................................................

IX

43

44

45 47 49 50

52

53

Rehabilitation Thecnique In Long- Standing Facial Paralysis.

Rosón Gómez S., Naval-Gías L., Rodriguez- Campo F. J., Sánchez C., Fernández J., García T., Sastre Pérez J., Capote Moreno A. L., Díaz González F. ........................................................

Facial Animation In Patients With Moebius And Moebius-Like Syndromes

Ferri A., Bianchi B., Ferrari S., Copelli C., Sesenna E. ............................................................

Orbiculairs Cross Transfer In Patients With Facial Palsy

Chan W. H., Sadiq S. A. .........................................................................................................

Use Of The Masseter Motor Nerve In Facial Animation With Free Muscle Transfer

Copelli C., Bianchi B., Ferrari S., Ferri A., Sesenna E. ............................................................

Correction Of Lagophthalmos Of Bell’s Palsy Via Lenghthening Of The Upper Eyelid And Elevation Of The Lower Eyelid With Autogenous Grafts.

Anastassov G. E. ..................................................................................................................

Rehabilitation Of Patients With Mimic Muscles Contraction After Myoplasy Treated With Acupuncture

Pohodenko-Chudakova I., Chudakov O., Chudakova T. .........................................................

Evaluation Of The Accuracy Of Maxillary Repositioning After 3D Virtual Planning Of Orthognathic Surgery: A Prospective Study

Swennen G., Mollemans W., Schutyser F., Lamoral P., De Clercq C. . .....................................

55 57 58

59

60

61

63

X


Cone Beam Computed Tomography Assessment Of Nasal Septal Deviation Changes Following Surgical Rapid Maxillary Expansion

Defrancq E., Weckx K., Defrancq J., Nadjmi N., Van Hemelen G. ...........................................

The Long-Term Stability Of Ramus Lengthening Resulted Following Closing A Skeletal Open Bite With Mandibular Counterclockwise Rotation Using A Modified Inverted L Osteotomy

Aymach Z., Nei H., Kawamura H., Van Sickels J. ...................................................................

Le Fort 1 Advancement Osteotomies Of 1 Cm Or More

Bhatia S., Jones J., Bocca A., Sugar A. W. .............................................................................

Changes After Surgically Assisted Maxillary Expansion (Sarme) To The Dentoalveolar, Palatal And Nasal Structures By Using Tooth-Borne Distraction Devices

Seeberger R., Kater W., Hofele C., Freier K., Thiele O. C. . ......................................................

Transpalatal Distraction - A Standardized Technique?

Lenz J.-H., Ueding M., Bernd H.-E., Frerich B., Fischer J. ......................................................

Does Surgical Assisted Rapid Maxillary Expansion (Sarme) Influence Stability Of Mandibular Symphyseal Distraction (Msd)?

Amadori S., Pironi M., Bianchi A., Marchetti C. . ....................................................................

Postoperative Stability Of Sagittal Split Ramus Osteotomy Combined With Posterior Bending Of Mandibular Distal Segment In Patients With Facial Asymmetry

Hwang S. J., Yang H. J., Jung Y.-U. . ......................................................................................

Asymmetrical Sagittal Mandibular Ramus Osteotomies

Schwartz H. C. .....................................................................................................................

Surgical Treatment Of The Patients With The 2 Class Of Malocclusion. Aesthetic Aspects Of The Soft Tissue Changes.

Drobyshev A., Kurakin K., Drobysheva N., Merzhvinskaya E., Dibirov T., Sviridov E. ..............

64

66 67

69 70

72

74 75

76

Psychological Effects Of Orthognathic Surgery: Assesment Of Dissatisfaction Risk Factors

Battini J., Tayeb T., Potard C., Courtois R., Jonas C., Bedhet N., Zagala B., Mercier J.-A., Simon E., Reveillere C., Goga D. . ..........................................................................................

Early Distraction Of The Maxilla In Craniofacial Anomalies And Growth Impact

Galie M., Tieghi R., Clauser L. C. ...........................................................................................

Simultaneous And Differential Distraction Osteogenesis Of Cranial And Midface Bone Using Rigid External Distractor For Patients With Syndromic Craniofacial Stenosis.

Medra A. M. . ........................................................................................................................

78

80

82


Application Of The Mandibular Outer Cotex Bone Graft For The Mandibular Distraction Osteogenesis

Lai G. ....................................................................................................................................

Antley-Bixler-Syndrome - Staged Interdisciplinary Management From Birth To Adolescence – A Case Report

Adolphs N., Klein M., Haberl H., Menneking H., Graul-Neumann L., Hoffmeister B. ...............

Contemporary Management Of Craniofacial Fibrous Dysplasia - The Uk Perspective

Evans M. J., Dover S., Nishikawa H., Solanki G., Rodriguez D. .............................................

Unilateral Proptosis As Primary Presentation Of Systemic Sarcoidosis : Report Of Two Cases

Neiva C., Dakpe S., Delattre E., Boutte P., Smail A., Devauchelle B. .....................................

XI

84

85

87

88

Evaluation Of Craniofacial Anthropometric Calliper Measurements In Positional Head Deformity

Wilbrand J.-F., Wilbrand M., Schaaf H., Pons-Kuehnemann J., Boedecker R.-H., Blecher J.-C., Christophis P., Howaldt H.-P. . ............................................................................................... 89

What Is The Optimal Time To Start Helmet Therapy In Positional Plagiocephaly?

Kluba S., Kraut W., Blecher C., Krimmel M., Reinert S. . .........................................................

Pfeiffer Syndrome: Analysis Of A Series And Development Of A New Classification System

Greig A., Wagner J., Warren S., Grayson B., McCarthy J. G. ...................................................

Serial Head Circumference And Neurodevelopmental Screening After Surgical Correction For Single- And Multiple-Suture Craniosynostosis

Singhal V. K., Carlisle M., Mehta S. .......................................................................................

Use Of Distraction Osteogenesis To Change Endocranial Morphology In Unilateral Coronal Craniosynostosis Patients

Choi J. W., Koh K. S., Ra Y. S. . ...............................................................................................

Basal Cell Carcinoma Of The Head And Neck

Abu-Serriah M., Khan Z., Woo P., Ameerally P. .......................................................................

91

93

95

97 99

The Introduction Of A Novel Health Service Delivery Model For Managing Basal Cell Carcinoma (Bcc) Of Head And Neck

Abu-Serriah M., PN W., Ameerally P. ..................................................................................... 100

Complications Of Local Reconstruction After Wide Local Resection Of Facial Skin Cancer

Cheng L. H., Ali E., Ratcliffe S., Qureshi R., Boindala D., Pozo-Garcia L., Bull R. ..................... 101

An Incidence And 5 Year Follow Up Of Atypical Fibroxanthoma: A Proposed Algorithm

Singh M., Ilankovan V., Walji S., Ramchandani P., Gulati A. .................................................... 103

XII


Merkel Cell Carcinoma Of The Head And Neck – A Series Of 12 Cases

Moorthy A., Ilankovan V. ....................................................................................................... 105

Dermatofibrosarcoma Of The Head And Neck Report Of 7 Cases

Briki S., Karray F., Dhouib M., Hablani H., Mallek M., Abdelmoula M. .................................... 106

Thyroglossal Duct Cysts: Size Is Not Everything

Sherman J. A., Bhatia S. ....................................................................................................... 107

Stensen’S Duct Line. An Anatomical, Clinical And Radiological Study

Chossegros C., Gormezano M., Varoquaux A., Salles F. ......................................................... 108

Increased Salivary Flow Rate And Reduced Xerostomia After Hyperbaric Oxygen Treatment Of Previously Irradiated Head And Neck Cancer Patients.

Forner L., Hyldegaard O., Schack Von Brockdorff A., Specht L., Andersen E., Hillerup S., Jansen E., Nauntofte B., Beier Jensen S. .............................................................................. 110

Significance And Treatment Of Lymph Node Metastases In Salivary Gland Malignancy

Popovski V., Benedetti A., Janevska V. .................................................................................. 111

Elective Neck Dissection In The Reatment Of Early, Node-Negative Oral Squamous Cell Carcinoma

Thiele O., Seeberger R., Scherfler S., Freier K. ...................................................................... 112

The Use Of Subcutaneous Pedicled Nasolabial Flaps For Anterior Mouth Floor Reconstruction. A Ten-Year Retrospective Study.

Lazaridou M., Zouloumis L., Dimitrakopoulos I., Tilaveridis I., Lazaridis N. ........................... 114

The Submental Island Flap In Oral Cavity Reconstruction

Ferrari S., Copelli C., Bianchi B., Ferri A., Boni P., Sesenna E. ................................................ 116

Patient-Specific Reconstruction Plating

Abeloos J., Clijmans T., Gelaude F., Mommaerts M., Vander Sloten J. ................................... 117

Paragangliomas Of The Head And Neck: Review Of 14 Cases

Salmi E., Kinnunen I., Aitasalo K. . ........................................................................................ 118

Extra-Capsular Dissection Of Benign Parotid Tumours- A 10-Year Experience

George K., McGurk M. . ......................................................................................................... 120

Frontal Bone Fractures: A Series Of 9 Cases

Burnay T., Valença-Filipe R., Neto T., Linhares P., Silva Á., Bilhoto J. . .................................... 122

Ultrasound Activated Pin Fixation (Sonic Weld) In Maxillo-Facial Fractures: Five Years Experience

Giudice M., Cristofaro M., Giudice A., Colangeli W., Amantea M. . ......................................... 124

Closure Of Dural Defect In The Anterior Cranial Fossa Fractures - - ThreeLayer Plasty

Wanyura H., Kamin´ski A., Stopa Z., Oczkowski R. ................................................................. 125


XIII

Quantitative Volume Replacement Using Bioactive Glass In The Treatment Of Post-Traumatic Enophthalmos

Chan C.-H. ............................................................................................................................ 126

The Evolution Of The Customised Titanium Implant For Post-Traumatic Orbital Wall Reconstruction

Mustafa S. F., Evans P. L., Bocca A., Key S. J., Sugar A.W. ..................................................... 128

The Role Of Prefabricated Mesh In Postraumatic Orbital Volume Correction.

Falguera M. I., Heredero S., Gutierrez R., Sanchez-Aniceto G., Zubillaga I. ........................... 130

Isolated Inferior Rectus Muscle Rupture After Orbital Trauma

Tomasetti P., Bredell M. G., Grätz K. W., Jacobsen C. . ........................................................... 131

Intra-Operative Computational Mirroring Planning Using A Mobile C-Arm Cone-Beam Ct With Flat-Panel Detector And Navigation Guidance In Primary Bilateral Midfacial Fractures.

Terzic A., Momjian A., Scolozzi P. .......................................................................................... 132

Lipotransfer In Facial Reconstructive Surgery

Arampatzis G., Ghanaati S., Schuebel F., Santo G., Sader R., Costan V., Landes C. . ............... 134

Structural Fat Graft In Hiv Patients With Facial Wasting Induced By Pharmacologic Therapy

Rauso R., Sangiovanni V., Cobellis G., Tartaro G. ................................................................... 135

Arteriovenous Fistula On Forehead After Autologous Fat Injection: A Case Report

Moon S.-H., Oh D.-Y., Choi Y.-S., Byeon J.-H., Seo B.-C. ......................................................... 137

Corrective Surgery Of Face And Jaw

Oroz A., Poljovka R., Sjerobabin N., Mesterovic M. . .............................................................. 138

Sagittal Split Genioplasty

Schendel S. A. ...................................................................................................................... 139

An Evidence-Based Treatment Algorithm For Pneumosinus Dilatans Frontalis

Shaikh Z. S., Bainton R. ........................................................................................................ 141

Simulation-Guided Navigation For Polyethylene Malar Implants Positioning In Surgery Of Facial Deformities

Badiali G., Lancellotti L., Bianchi A., Marchetti C. .................................................................. 142

Correction Of Earlobe Cleft With Tongue-In-Groove Technique

Moon S.-H., Byeon J.-H., Oh D.-Y., Choi Y.-S., Seo B.-C. ......................................................... 144

Research Of “Quality Of Life” Of Patients With Total Defects Of An Auricle After The Surgical Treatment

Chkadua T., Brusova L. ......................................................................................................... 145

XIV


Auricular Rehabilitation With Bone-Anchored Titanium Implants

Sastre Perez J., Naval L., Rodriguez Campo F. J., Muñoz M., Gil-Diez J. L., Damborena E., Diaz F. J. ............................................................................................................................... 147

Evaluation Of Surgically Assisted Rapid Maxillary Expansion With Or Without Pterygomaxillary Disjunction Based Upon Preoperative And Post-Expansion 3D Computed Tomography Data

Laudemann K., Petruchin O., Mack M., Kopp S., Sader R., Seitz O., Landes C. ....................... 148

One Stage Surgical Procedure For Correction Of Adult Maxillary Hypoplasia In The Three Dimensions, Study Of 14 Cases.

Fotso J., Charezinski M., Balon Perin A., Glineur R. . ............................................................. 149

Evaluation Of The Three-Dimensional Soft Tissue Changes After Anterior Segmental Maxillary Osteotomy

Shawky M. M., Elgareeb T. I., Abu Hummos L. A.-H. ............................................................. 151

Use Of Bio-Oss Collagen® In Le Fort I Osteotomies: Randomized Prospective Split Mouth Study

Rohner D., Zizelmann C., Hammer B. .................................................................................... 153

The Postoperative Stability Following Downward Movement Of Maxilla With Le Fort I Inclined Osteotomy At Lateral Nasal Cavity Wall

Yang H. J., Hwang S. J. ......................................................................................................... 154

Upper Jaw Osteotomy With Immediate Bone Grafting Of Patients With Cleft Lip And Palate

Fedotov R. N., Topolnickij O. Z., Pershina M. A., Borovitskaya N. N. ...................................... 156

Le Fort I Down Facture Predictable And Controllable Procedure

Jagielak M. J., Michalski P., Jagielak A., Socha M., Rogus´ P., Wichrowski P. ......................... 158

Chin Management In Severe Class Ii Division 2 Patients

Grybauskas S. ...................................................................................................................... 159

Skeletal Stability Following Mandibular Setback With Bilateral Sagittal Split Osteotomy: Monocortical Fixation Using A 2.0-Mm Locking Plate System Versus Non-Locking Plate System

Suzuki M., Hamada Y., Horie A., Yata H., Yamasaki Y. . ........................................................... 160

Patient Centred Functional Outcome Measurement In Orthognathic Surgery-A Review Of 301 Consecutive Operated Cases

Rafiq R., Woolley E., Richardson D. ....................................................................................... 162

Effect Of Mono And Bimaxillary Advancement On Pharyngeal Airway Volume: Cone-Beam Computerized Tomography Evaluation

Guijarro-Martínez R., Hernández-Alfaro F., Mareque J. ........................................................ 163

The Use Of Intraoperative Navigation To Assist Resection Of Cranial Base Tumors.

Ruiz-Laza L., González-García R., Villanueva-Alcojol L., González-Ballester D., Rubio-Correa I., Mata-Gómez J., Manzano D., Moreno-García C., Monje Gil F. ...................... 165


XV

Reaching The Spheno-Palatine Ganglion With An Oral Approach Using Image Guided Surgery

Gill-More R., Lorean A. ......................................................................................................... 167

Post-Traumatic Zygomatic Osteotomy; The Value Of 3D Planning And Customised Repositioning Templates

Mustafa S. F., Bhatia S., Evans P. L., Bocca A., Key S. J., Sugar A. W. . ................................... 168

Operating Theatre Efficiency: An Evidence-Based Algorithm To Maximise Theatre Usage

Collier J. M., Ali N. ................................................................................................................ 170

Orbital Floor Fractures In Patients Over 65 Years- New Visualisation Technologies And A Retrospective Study

Berg-Boerner I., Kober C., Berg S., Kunz C., Zeilhofer H.-F., Schwenzer-Zimmerer K. ........... 171

Influence Of Erbium Laser Irradiation On Healing Of Wound Defect On The Buccal Mucosa Of Rats

Tarasenko S., Vavilova T. P., Tarasenko I. V., Shulakov V. V., Mazur K. V. ................................. 173

Effects Of Blocking Periodontal Sensation During Clenching On Brain Activation –Application On Fmri Analysis-

Muroi Y., Hamada M., Akamine Y., Oota K., Fujii T., Kondo M., Kakudo K. ............................... 175

Giant Cell Arteritis - A Clinical, Histological Or Colour Duplex Sonography Diagnosis?

Barba Recreo P., Mirada E., Guerra L., Morán M. J., Del Castillo J. L., Cebrián J. L., Nistal M., Burgueño M. ........................................................................................................................ 177

Improved Facial Profile Outcome Assessment Using A 3D Anthropometric Mask

Claes P. D. H., Walters M. J., Clement J. G. . .......................................................................... 179

Condilectomy In Growing Age Patients

Anghinoni M. L., Copelli C., Elisa F., Ferri A., Magri A. S., Gritti A., Boni P., Sesenna E. ........... 180

Tmj Arthroscopic Surgery With A Ho:Yag Laser For Disk Displacement Without Reduction Or Osteoarthritis: One-Year Postoperative Results

Kurita K., Ogita M., Shimizu M. ............................................................................................. 181

Navigation Assisted Tmj Ankylosis Release

Avanessian J., Kichenaradjou A., Sneddon K., Collyer J. ....................................................... 182

Temporomandibular Joint, Skull Base And Mandibular Ramus Functional Reconstruction With Homologous Bank Tissue And Free Flap. A Case Report With 40 Months Follow-Up

Maranzano M., Rizzo R., Sorato R., Cicognini A., Mazzoleni G. .............................................. 183

Long Term Functional Results After Condylectomy In Active Laterognathia

Colletti G., Bazzacchi R., Pedrazzoli M., Autelitano L., Brusati R. . ......................................... 185

Does Magnetic Resonance Imaging Of The Temporomandibular Joint Have Any Impact On Treatment Decisions?

Bayoumi S., Stocker J., Hedley N. ......................................................................................... 186

XVI


Hyperplasia Of The Mandibular Condyle: Clinical, Histopathological And Treatment Considerations. A Series Of 36 Patients

Villanueva Alcojol L., Monje Gil F., Gonzalez Garcia R., Gonzalez Ballester D., Rubio Correa I., Ruiz Laza L., Manzano Solo D., Moreno Garcia C., Mateo Arias J. ......................................... 188

Relationship Between Tmj Radiographic Changes And Bone Mineral Density: A Population Based Study

Jagur O., Kull M., Leibur E., Kallikorm R., Loorits D., Lember M., Voog-Oras Ü. . .................... 190

Tmj Disc Perforation: An Arthroscopy Retrospective Clinical Study

Davis A. L., Rielo J. M. G., Martin-Granizo R. ........................................................................ 192

Clinical Trials Of The Effect Of Human Adipose Tissue-Derived Mesenchymal Stem Cell(Asc) In Progressive Hemifacial Atrophy

Choi J. W., Park E. J., Koh K. S., Rah C. C., Chung J. S., Shin I. S. . ......................................... 193

Potential Of Regenerative Medicine Of Bone Tissue Using The Autologous Umbilical Cord And Umbilical Cord Blood

Baba K., Yamazaki Y., Aoyanagi K., Takeda A., Uchinuma E. .................................................. 195

Transforming Growth Factor B In Scarless Wound Heaing-Myth Or Reality

Ujam A., Grose R., Al-Hadad I. . ............................................................................................. 196

Epithelio-Mesenchymal Transformation During Tooth Development.

Stembirek J., Buchtova M., Matalova E., Stransky J., Míšek I. . ............................................. 198

Hif1alpha And Mib1: Molecular Markers In Oral Squamous Cell Carcinoma And Their Impact On Survival - Retrospective Analysis On 186 Patients

Kansy , Schoenfisch B., Reinert S., Munz A., Zeilhofer H.-F., Hoffmann J. . ............................ 199

Biomechanical Analysis Of Evolving Bone Transport Forces In Human Mandibular Bone Transport

Schouman T., Dubois G., Raoul G., Ferri J. ............................................................................ 200

Alveolar Cleft Osteoplasty Using Qualified Tissue-Engineered Osteogenic Material

Hibi H., Yamada Y., Ueda M. .................................................................................................. 202

Degradable Poly (Dl-Lactide-Co-Glycolide) (Plga) Artificial Nerve Conduits With Dental Pulp Cells Promotes Facial Nerve Regeneration

Sasaki R., Aoki S., Yamato M., Watabane Y., Uchiyama H., Ogiuchi H., Wada K., Okano T., Ando T. ................................................................................................................................. 204

Inducing Human Bone Marrow To Safety Autologous Bioreactor Suitable For Bone Reconstruction Surgery.

Philippart P. R., Meuleman N., DeBruyn C., Bron D., Lagneaux L. .......................................... 206

Strong Upregulation Of Osteogenic Genes In Stem Cell Microspheres Compared To Differentiated Monolayer Cultures And Superior Cell Loading Efficiency Of Biomaterials By Inoculation With Microspheres

Langenbach F., Naujoks C., Kelz M., Kübler N. R., Kögler G., Handschel J. ............................ 208


XVII

Biocompatibility Of Differentially Treated Titanium And Zirconium Oxide Surfaces With Osteogenically Differentiated Unrestricted Somatic Stem Cells.

Kelz M., Langenbach F., Handschel J., Naujoks C., Kübler N., Depprich R. ............................ 210

Improving The Effects Of Bmp By Repeated Application In A Rat Model

Becker S. T., Beck-Broichsitter B., Bolte H., Wiltfang J., Warnke P. ........................................ 212

Bone-Anchored Ear Episthesis Combined With Facial Lipostructure As Treatment For Microtia And Hemifacial Microsomia: A Case Report And Review Of The Literature

Verdeja R., Fratino M., Zahno R., Schellenberg M. B. ............................................................ 213

Custom Made Titanium Plate Cranioplasty For Cranial Reconstruction: An Audit Of 100 Cranioplasties

Williams L. R., Shayegi B., Fan K. F., Bentley R. P. ................................................................. 214

Complex Acquired Orbital Anophtalmos : 150 Cases

Sorrel Dejerine E. ................................................................................................................. 216

Reconstruction Of Bilateral Maxillary Defects

Bianchi B., Ferri A., Ferrari S., Copelli C., Leporati M., Sesenna E. ......................................... 217

Iliac Crest Free Flap For Maxillary Reconstruction

Ferri A., Bianchi B., Ferrari S., Copelli C., Boni P., Sesenna E. ................................................ 218

New Possibilities For The Zygoma Implant

Guerrero C. A., Sabogal A., Henriquez M., Gonzalez M. ......................................................... 219

Mandibular Reconstruction Using Transport-Disc-Distraction Osteogenesis: Our Experience With 7 Cases And Additional Procedures That Include Orthognatic Surgery And Dental Implants Rehabilitation.

Pingarrón L., González T., Arias J., Navarro I., Cebrián J. L., Burgueño M. ............................. 221

Lengthening Temporalis Myoplasty For Lip Reanimation In The Same Time As Fibula Free Flap For Mandibular Reconstruction. About 2 Cases.

Bénateau H., Labbé D., Ory L., Mundreuil M., Soubeyrand E., Guillou-Jamard M.-R., Compère J.-F. ....................................................................................................................... 223

How To Do It ? :Avoiding Scar For Middle Facial Approach(Tumor Surgery And Reconstruction)

Testelin S., Dunaud O., Dakpe S., Orye J., Devauchelle B. . ................................................... 225

Influence Of Platelet-Rich Plasma On The Histological Characteristics Of The Autologous Fat Graft On The Upper Lip Of Rabbits

Rodríguez Flores J., Palomar Gallego M. A., Torres García-Denche J., Rodríguez Peralto J. L., Enguita Valls A. B. ................................................................................................................ 227

Adverse Outcomes Of Injectable Facial Fillers. Diagnosis And Treatment.

Anastassov G. E. .................................................................................................................. 228

Minimally Invasive Perioral Rejuvenation: Techniques And Outcomes

Marti K. C., Skouteris C. A., Mylonas A. . ............................................................................... 229

XVIII


Caution In Enhancing Secondary Indications For Facial Lifting

Bouzaiene M., Touil H., Hmid M. ........................................................................................... 230

A Quantitative Assessment Of The Magnitude And Duration Of The Effect Of Botulinum Toxin Treatment For Masseteric Hypertrophy

Collier J. M., Zou L. ............................................................................................................... 231

A New Technique Of Treating Pneumosinus Dilatans Frontalis

Shaikh Z. S., Bainton R. ........................................................................................................ 232

A Pictorial Review Of Ct Angiogram (Cta) In Head And Neck Cancer Imaging

Boye T., Yousefpour A., Smith A., Hoggard N. ........................................................................ 233

The Use Of Digital Volume Tomography (Cone Beam Ct) For Mapping Of The Angiosome Of The Face

Plachtovics M., Molnar G., Baksa G., Mommaerts M. Y. . ....................................................... 234

Cone-Beam Computer Tomography - A Diagnostic And Treatment-Planning Tool For Impacted Teeth In Paediatric Patients

Barba Recreo P., Pingarrón L., Moran M. J., Martín M., Burgueño M. .................................... 236

Automated Segmentation Of Teeth From Cone-Beam Ct Images

Keustermans J., Mollemans W., Schutyser F., Vandermeulen D., Suetens P. ......................... 237

Mathematical Description Of Suture Maintenance Using Visco-Elastic Equations

Khonsari R. H., Bresch D., Calvez V. ...................................................................................... 239

Application Of The Artificial Neural Network For Jaw Bone Structure Analysis

Arkuszewski P., Gaszynska E., Kruk A. . ................................................................................ 241

Three Dimensional Soft Tissue Volumetchanges After Bsso Advancement

Maal T. J., Kouwenberg H., Plooij J. M., Verhamme L. M., De Koning M., Bergé S. J. . ........... 242

Craniofacial Repercussions Of Intentional Skull Deformations

Khonsari R. H., Corre P., Elias M., Hirsch J., Nysjö J., Salagnac J.-M., Charlier P., Cabanis E.-A., Friess M. ....................................................................................................... 244

Significance Of High-Resolution Ultrasound In The Differential Diagnosis Of Infantile Cranial Deformity

Krimmel M., Will B., Wolff M., Kluba S., Haas-Lude K., Schäfer J., Schuhmann M., Reinert S. ............................................................................................................................. 245

Illustration Of Changes In Deformational Brachycephaly In Children After Molding Therapy Using 3D Photography

Schaaf H., Malik C. Y., Streckbein P., Kerkmann H., Pons-Kuehnemann J., Howaldt H.-P., Wilbrand J.-F. ....................................................................................................................... 246

Total Mandibulectomy Reconstruction. Functional Aspects

Martinez-Perez D., Rey Biel J., Ruiz Jiménez J., Gutierrez Fonseca R. ................................. 248


XIX

Reconstructive Experience With Conventional Free Flaps In The Oro-Maxillofacial Region

Oberna F., Sántha B., Juhász T., Kozma P., Sass T., Tóth I., Svébis M. . ................................... 249

Microsugical Reconstruction Of Maxillary Defects

Peng X., Mao C., Yu G.-Y., Guo C.-B., Huang M.-X., Zhang Y., Zhang L., Wang Y. ...................... 250

Optimisation Of The Results Of Microsurgical Autotransplantation In MaxilloFacial Area

Verbo E., Kulakov A., Nerobeyev A., Butsan S., Perfiliev S., Hohlachev S. .............................. 251

Ulnar Forearm Free Flap For Reconstruction Of Facial Defect: A Case Report

Acosta M., Ramos B., Haro J. J. ............................................................................................ 252

Medial Sural Artery Flap In The Head&Neck Reconstruction. Report Of 3 Cases And Review Of The Literature.

Arribas-Garcia I., Gomez Oliveira G., Gregoire J., Alvarez M., Martinez C. ............................. 254

The Medial Sural Perforator Free Flap For The Oropharyngeal Reconstruction

Choi J. W., Koh K. S., Kim S. Y., Nam S. Y., Choi S. H. . ............................................................ 255

Medial Sural Artery Perforator Flap For Intra-Oral Reconstruction Following Cancer Ablation

Heredero Jung S., Dean Ferrer A., Alamillos F., Segui P. . ...................................................... 256

The Value Of The Microsurgery In The Plasty Of The Oro-Maxillo-Facial Soft Tissue Defects

Costan V.-V., Gogalniceanu D., Pieptu D., Popescu E., Ba˘da˘lua˘M., Vicol C., Boiteanu O. .. 258

Free Flaps Reconstruction Of Head And Neck Defects In Elderly Patients

Copelli C., Ferrari S., Bianchi B., Ferri A., Boni P., Sesenna E. ................................................ 259

Microvascular Flap Or Not - A Persisting Dilemma In The Reconstruction Of Elderly Maxillofacial Cancer Patients?

Kesting M. R., Rohleder N., Hasler R., Hoelzle F., Wolff K. D. ................................................. 260

Clinical Outcome Of Free-Flap Reconstruction Of Maxillofacial Defects In The Treatment Of Aggressive Odontogenic Tumours: Radical Approach Is Superior To A Conservative Approach?

Arenaz J., Iglesias E., García-Rozado Á., Ferreras J., Vázquez I., Luaces R., Patiño B., Lorenzo F., Collado J., López-Cedrún J. L. . ........................................................................... 261

Reliability Of Planning Procedures In Orthognathic Surgery

Carlino F. .............................................................................................................................. 263

Accuracy And Reliability Of Cbct Cephalometric Analysis Of Hard And Soft Tissues.

Swennen G., De Clercq C., Moerenhout B., De Graeve X. ...................................................... 265

XX


Automated Superimposition Of 3D Cbct Data For Orthognathic And Facial Surgery: A Validation Study.

Swennen G., De Clercq C., Molleman W., Schutyser F. . ........................................................ 266

Principals Of Diagnosis And Treatment Planning For Patients With Mandibular Asymmetries.

Sviridov E., Drobyshev A., Dibirov T., Kurakin K., Drobysheva N. ........................................... 267

Planning And Performing Mandibular Distraction With Stereolithographic Cutting Guides

Seeberger R., Thiele O. C., Scherfler S., Hofele C., Freier K. .................................................. 268

Surgical Treatment Of Laterogenia - A Report Of Four Different Surgery Plans

Hrusak D., Andrle P., Hauer L., Jambura J., Bernát L. ............................................................ 269

Treatment Planning Protocol For Adult Jaws Asymmetries

Dibirov T., Drobyshev A., Drobysheva N., Sviridov E., Kurakin K., Glushko A. ......................... 270

Tridimensional Cephalometric Analysis In Orthognathic Surgery; Cbct Data Acquired And Standard Measurements

Lancellotti L., Pironi M., Bianchi A., Marchetti C. . ................................................................. 272

Simulation Guided Navigation: Proposal Of A New Method To Improve Reproducibility In Orthognathic Surgery

Bianchi A., Badiali G., Mazzoni S., Amadori S., Marchetti C. .................................................. 274

The Frequency And Effect Of Previous Courses Of Orthodontic Treatment On The Combined Orthognathic Management Of Dentofacial Deformities In The United Kingdom.

Collier J. M., Khamashta-Ledezma L., Ali N. ......................................................................... 276

Genioplasty Strategies

Consorti G., Denes S. A., Clauser L. C. . ................................................................................. 278

Microcirculation Of The Naso-Labial Part Of The Facial Artery Angiosome In Unilateral Clefts Compared To Normal

Mueller A. A., Schumann D., Schwenzer-Zimmerer K., Reddy R., Zeilhofer H.-F., Sailer H. F., Mueller-Gerbl M., Reddy G. S. . ............................................................................................. 280

The Changing Of Upper Lip Height And Nostril Floor After Grafting Bone In The Unilateral Cleft Lip And Alveolus Patients

Choi T. H., Kim S. .................................................................................................................. 282

Retrospective Evaluation Of Patients Treated For Cleft Lip And Palate During Charity Missions In The Philippines.

Cohrs L., Jacobsen H.-C., Hakim S., Trenkle T., Sieg P. .......................................................... 284

Acelluar Allogenic Dermis, A Good Option For Correcting The Free Border Deficiency In Secondary Deformity Of Cleft Lip

Koh K. S. .............................................................................................................................. 286


XXI

Two Stage Palatoplasty Using Modified Furlow

Nadjmi N., Van Erum R. ........................................................................................................ 288

Two-Flap Palatoplasty: 10-Year Single Surgeon Experience

Nierzwicki B., Singhal V., Daifallah T. .................................................................................... 289

Outcomes Following Intravelar Veloplasty Repair Of Submucous Cleft Palates

Jones S. D., Drake D., Barrett J. L. ........................................................................................ 291

The Use Of Buccal Fat Pad (Bfp) As A Pedicled Graft In Cleft Palate Surgery

Gröbe A., Eichhorn W., Pohlenz P., Heiland M., Bleßmann M. . ............................................... 293

Drinking And Tongue Function In Children With Cleft Palate - First Ultrasonographic Findings

Kuttenberger J. J., Herzog C., Caduff J. ................................................................................ 295

The Midline Pharyngeal Flap In The Management Of Velopharyngeal Incompetence (V.P.I.): Retrospective Study Of A 23 Year Cohort Of Cleft Patients At A Single Hospital

Moar K., Bruce S., McMahon S., Van Eeden S. ...................................................................... 297

Treatment Of Choice For Temporo-Mandibular-Joint Condylar Fractures – The Modified Aptm Approach.

Abu El-Naaj I., Leiser Y., Braun R., Peled M. .......................................................................... 299

Treatment Of Diacapitular Mandibular Condyle Fractures By Ultrasound-Aided Insertion Of Resorbable Pins – An Animal Study

Schneider M., Schmiedekampf R., Kuchta A., Eckelt U. ........................................................ 300

Standpoint In The Endoscopically Assisted Open Reduction And Internal Fixation Of The Condylar Mandibular Fractures

Wanyura H., Stopa Z., Zmorzynski M. ................................................................................... 301

The Role Of Pre-Operative 3-Dimension Ct Evaluation Of Type B Intracapsular Condylar Fractures To Determine The Feasibility Of Lag Screw Osteosynthesis.

Collier J. M., Bridle C., Makdissi J., Holmes S. ...................................................................... 302

Different Surgical Choices In Condilar Fractures Management

Arangio P., Scopelliti D., Amodeo G., Giuliani G., Spallaccia F., Fatone F. ................................ 303

Endoscopic Approach For Mandibular Condyle Fracture: Design Of Animal Training Model On Sheep.

Luaces-Rey R., Arenaz J., López-Cedrún J. L., Centeno A., López E., García-Rozado Á., Iglesas E., Pombo M. ............................................................................................................ 305

The Retromandibular Transparotid Approach: Our Clinical Experience

Girotto R., Messi M., Balercia P. ............................................................................................ 307

XXII


Treatment Of Mandibular Angle Fractures. Comparison Of 2 Internal Fixation Techniques.

Gisbert Alemany N., Navarro Cuéllar I., Cebrián Carretero J. L., Del Castillo Pardo-Vera J. L., Barba Recreo P., Burgueño García M. . ................................................................................. 309

Fracture Gap In Panoramic Radiography After Fixation Of Mandibular Angle Fractures Using Lag Screws Versus Miniplates

Schaaf H., Kaubruegge S., Kerkmann H., Streckbein P., Malik C. Y., Howaldt H.-P., Wilbrand J.-F. ....................................................................................................................... 311

Analysis Of Wait Times For Treatment Of Mandible Fractures By Oral & Maxillofacial Surgeons At A Manitoba Tertiary Care Hospital

Elgazzar R. F., Darichuk L. .................................................................................................... 313

Atrophic Edentulous Mandibular Fractures: Our Experience

Rocchetta D., Rebuffini E., Spinelli G. ................................................................................... 314

Mandible Can Be Reconstructed With Free Bone Flap After Chemoradiation

Kinnunen I., Irjala H., Aitasalo K. ........................................................................................... 316

Free Fibula Flap Mandibular Reconstruction In A Patient With Evans Syndrome

Anesi A., Bedogni A., Valsecchi S., Fior A., Bissolotti G., Chiarini L., Nocini P. F. ..................... 317

Functional Evaluation Of Oral And Maxillofacial Reconstruction After Tumor Resection Using Vascularized Free Bone Flaps

Yamashita Y., Yamamoto N., Yamauti K., Miyamato I., Takahashi T. ....................................... 319

Sterolithographic Models In Mandibular Free Flaps Reconstruction Surgery

Martínez-Seijas P., Arruti-González J., Martín-Rodríguez J., Rad-Carrera J., Esnal-Leal F., Díaz-Galvis J., Díaz-Basterra G. ........................................................................................... 321

Influence Of Rehabilitation With Implants After Mandibular Reconstruction With Free Fibular Flap On The Quality Of Life

Jacobsen H.-C., Hakim S. G., Wahnschaff F., Sieg P. ............................................................. 323

Free Fibula Flap For Composite Mandibular Defect Reconstruction: Our Experience

Dinu C., Baciut G., Moldovan I., Baciut M., Rotaru H., Rotaru A., Mitre I., Opris B. . ................. 324

Bony Free Flap In Mandibular Reconstruction After Osteoradionecrosis: A Retrospective Study Of 40 Patients

Deffrennes G., Ferri J., Raoul G. ............................................................................................ 325

Serratus Anterior Osteomyocutaneous Free Flap – An Option To Reconstruct The Midface Defects – A Case Report

Burnay T., Silva P., Valença-Filipe R., Horta R., Costa J., Neto T., Silva Á., Bilhoto J. ............... 327

Palato-Maxillary Reconstruction With The Scapular Angle Free Flap Harvested On The Thoraco-Dorsal Pedicle.

Lavaquerie S., Lemaire A., Dunaud O., Boutte P., Testelin S., Devauchelle B. ........................ 329


XXIII

Early Clinical Experience With The Medial Sural Artery Perforator Flap In Head And Neck Reconstruction In Caucasian Patients

Girotto R., Messi M., Balercia P. ............................................................................................ 330

Total Nose Reconstruction. An Update

De Riu G., Carta E., Soma D., Tullio A. .................................................................................... 332

Forehead Flaps For Nasal Reconstruction - A Case Series

Walji S., Moorthy A., Paraneetharan S., Ramchandani P., Ilankovan V. . ................................. 333

Post-Traumatic Nasal Reconstruction In Afghan Man Victim Of A Policy Dispute

Rocchetta D., Spinelli G., Raffaini M., Giannini D. .................................................................. 334

Hellix Microsurgical Flap For Alar Reconstruction

Rodriguez Fernandez J. ....................................................................................................... 336

Nasal Reconstruction Using Extraoral Implants

Antal M., Novak P., Jozsef P., Nagy K. .................................................................................... 337

Intraoral Vertical Ramus Osteotomy For Correction Of Mandibular Deformity - Complication -

Yamaguchi Y., Nishimura K., Okano T., Endou M. . ................................................................. 338

Endoscopically Assisted Sagittal Split Osteotomy Versus Classical Open Sagittal Split Osteotomy. Comparison Between Swelling And Post-Operative Sensibility Recovery.

Claeys T., Mommaerts M. Y. .................................................................................................. 339

Mandibular Distraction Osteogenesis In Medium Adult Deficits? An Alternative Procedure Compared To Sagittal Split Osteotomy?

Siegmund B., Zünddorf G., Goppold K., Schubert T., Bschorer R. . ......................................... 340

Compliance Of Record Keeping For Orthognathic Surgical Patients With The Bos / Baoms Minimum Dataset Guidelines: A Comparative Multi-Centre Audit

Dewi F., Jones S. D., Ghaly G., Cronin A., Drake D., Davidson M. ............................................ 342

Fibroscopic Findings In Patients Following Maxillary Osteotomies In Orthognathic Surgery

Pngarrón L., Arias J., Chamorro M., Cebrián J. L., Navarro I., Burgueño M. ........................... 344

Rehabilitation Of The Atrophic Posterior Maxilla Using Zygomatic And Pterygoid Implants: 20 Years Of Experience Raspall G., Maizcurrana A. . .................................................................................................. 346

A Minimum 5-Year Prospective Follow Up Study On 136 Patients Treated Either With Implants With A Machined Surface (Brånemark Mk Iii) Or An Oxidized Surface (Brånemark Tiunite Mark Iii). One Stage, Two Stage And Immediate Loading Protocols Were Used

Jungner M., Lundqvist P., Lundgren S. . ................................................................................ 347

XXIV


Allogenic Bone Graft In Gross Post-Traumatic Maxillary Reconstructions; Our Experience In 20 Consecutive Cases

Torres S., Magaudda E., Falzea R., Orlando I. ........................................................................ 348

Heat Production During Different Ultrasonic And Conventional Osteotomy Preparation For Dental Implants

Rashad A., Prochnow N., Schmitz I., Jackowski J., Maurer P. . .............................................. 350

Histomorphometric Analysis Of New Bone Obtained By Osteogenic Periosteal Distraction In Ovariectomized Rabbits

Bayar G. R., Gunaydin Y., Ortakoglu K., Gunhan O., Aydintug Y. S., Sencimen M. . .................. 351

Validation Of Implant Placement In The Edentulous Maxilla Using A Mucosally Supported Surgical Template

Verhamme L., Maal T., Soehardi R., Meijer G., Bergé S. . ....................................................... 352

The Innate Osteogenic Potential Of The Maxillary Sinus (Schneiderian) Membrane

Srouji S., Ben david D., Riminnuci M., Bianco P. .................................................................... 354

Le Fort I Osteotomy As A New Modality Enhancing Implant Outcome; Case Series

Ismail A., SADEK H. .............................................................................................................. 355

Clinical Evaluation Of Using Papillary Prservation Flap On The Peri-Implant Interproximal Crestal Bone Loss Around Anterior Maxillary Impants

El Swify A. A. ........................................................................................................................ 356

Clinical Usabilty Of Trauma Scores In The Field Of Maxillofacial Surgery

Dubois L., Helmers R., Leijdesdorff A., Lam P., Goslings C., Kroon F. . .................................... 357

Emergency Treatment Of The Patients With Associated Cranio-Maxillofacial Trauma

Palarie V., Hatu D., Kämmerer P. W., Palarie N. ...................................................................... 359

Antibiotic Prophylaxis In Orbital Fractures: Is A One Day Postoperative Regimen As Effective As Five Days? A Randomized, Double-Blind And PlaceboControlled Clinical Study In 122 Patients.

Zix J. A., Lieger O., Schaller B., Iizuka T. ................................................................................ 361

Human Bite Injuries To The Head & Neck: Current Trends & Management Protocols In The Uk

Mustafa S. F., Jenkins G., Patton D. W., Sugar A. W. .............................................................. 362

The New Method Of The Coronal Approach

Logvinenko I., Malanchuk V. ................................................................................................. 364

Non Surgical Treatment Of Condylar Fracture In Children: Analysis Of 30 Consecutive Cases

Spuntarelli G., Urbani U., Santecchia L., Custureri V., Chianella L., Zama M. . ........................ 366

Orbital Roof Fractures In Children: The Importance Of The Anterior Cranial Base Reconstruction

Zama M., Spuntarelli G., Santecchia L., Urbani U. ................................................................. 367


XXV

Patterns Of Frontobasal And Frontal Sinus Fractures In Children

Thorén H., Seto I., Buettner M., Schaller B., Suominen-Taipale L., Iizuka T. . ......................... 368

Delays In Emergency Oral And Maxillofacial Operating -5 Years Later

Kalantzis A., Weisters M., Saeed N. ...................................................................................... 369

Retrospective Evaluation Of Miniplates Removal

Rauso R., Tartaro G., Biondi P., Stea S. .................................................................................. 370

Biodegradable Osteosynthesis Materials In Oral And Maxillofacial Surgery. Five Years Experience Of Use In Children

Christopoulos P., Theologi-Lygidakis N., Tzerbos F., Dimtsas S., Iatrou I. . ............................. 371

A Reconstructive Protocol Proposal For Middle Third Of Face Rreconstruction In Post Ablative Surgery For Oncological Purposes

Maranzano M. ...................................................................................................................... 372

The Use Of The Thoracodorsal Artery Perforator – Scapula (Tdap-Scapula) Free Flap In The Reconstruction Of Complex Facial Defects.

Martin T., Parmar S. .............................................................................................................. 373

Reconstruction Of Midfacial Defects Using Subscapular System Composite Flaps- Review Of 8 Cases

Moldovan I. G., Baciut G., Dinu C., Baciut M., Vacaras S., Rotaru H. ....................................... 374

First Results Of Free Flap Transfer With The Aid Of Binocular Loupes Only.

Karpenko A., Roman L., Chumanikhina N., Sibgatullin R. ...................................................... 375

Microdialysis: A New Tool For Free Flap Monitoring In The Head & Neck Region

Scannell J., Lyons A. . ........................................................................................................... 377

Surgical Planning With Stereolithography For Mandibular Reconstruction. A Prospective Study.

Sieira R., Marí A., Arranz C., Monner A., Juarez I., Cuscó S. . ................................................. 379

Analysis Of The Microvascular Flap Failures-Lesson Learned!

Lanisnik B., Cizmarevic B., Levart P., Debevc D. .................................................................... 381

Internal Mammary Vessels For Reconstruction In Vessel Depleted Necks With An Open Sternotomy Approach

Bhatia S., Mustafa S., Cronin A. J., O’Keefe P. A., Fardy M. J. ................................................ 383

The Impact Of Free Flap Reconstruction On The Quality Of Life After Ablative Surgery For Oral Cancer

Boeckmann R. A., Schulze S., Rau A., Kunkel M., Kessler P. .................................................. 384

Diagnostic Image Enhancing Magnetic Resonance Angiography And Osteofasciocutaneous Fibular Flap

Coll Anglada M., Pérez García V., Ochandiano Caycoia S., Navarro Cuéllar C., Acero Sanz J., Navarro Vila C. . .................................................................................................................... 386

XXVI


Influence Of Orthognathic Surgery On Nasality And Nasalance

Wermker K., Fedke A.-K., Stamm T., Joos U., Kleinheinz J. ................................................... 388

Modifications Of Nasal Width In Maxillary Advancements After Le Fort I Osteotomy

Talpos S., Urtila F., Urtila E., Pricop M., Bita R., Streian F., Savencu C., Talpos C., Crisan A., Crisan R., Ogodescu A. ......................................................................................................... 390

Three-Segment Versus Two-Segment Osteotomy For Surgically Assisted Rapid Maxillary Expansion

Landes C., Laudemann K., Petruchin O., Mack M., Kopp S., Ludwig B., Sader R., Seitz O. . .... 391

Comparison Of Tooth- And Bone-Borne Devices In Surgically Assisted Rapid Maxillary Expansion By Three-Dimensional Computed Tomography

Landes C., Laudemann K., Schuebel F., Petruchin O., Seitz O., Mack M., Kopp S., Sader R. ... 393

Biodegrabable Versus Titanium Osteosynthesis In Traumatology And Orthognathic Surgery. Early Results Of A Prospective Randomized Clinical Trial.

van Bakelen N., Buijs J., Jansma J., Hoppenreijs T., Bergsma E., de Visscher J., Stegenga B., Bos R. . ................................................................................................................................. 395

Postoperative Computed Tomography Study Of Pterygomaxillary Disjunction With A Lefort I Osteotomy

Navarro I., González J., Mirada E., Cebrián J. L., Chamorro M., García-Raya P., Moreno P., Burgueño M. ........................................................................................................................ 397

Computed Tomography Investigation Of Temporomandibular Joint In Surgery Of Dento -Maxillary Anomalies

Bucur A., Dinca˘O., Popescu M., Ionescu H, Vla˘dan C., Totan C. .............................................. 399

Perioperative Antibiotic Prophylaxis In Orthognathic Surgery: A Systematic Review And Meta-Analysis Of Randomized Clinical Trials

Tan S. K., Lo J., Zwahlen R. A. ............................................................................................... 400

Multilple Endocrine Neoplasia 2B Syndrome: Maxillofacial Considerations In A Potentially Lethal Disease

Mac Intosh B. ....................................................................................................................... 401

Orthognatic Surgery In Pycnodysostosis: A Case Report

Mareque Bueno J., Hernandez Alfaro F., Arenaz J. . .............................................................. 403

3-D Assessment Of Facial Development In Children With Cleft Lip And Cleft Lip And Palate

Krimmel M., Kluba S., Breidt M., Bacher M., Buelthoff H., Reinert S. ..................................... 404

Threedimensional Analysis Of Symmetry In Patients With Cleft Lip, Alveolus And Palate

Wermker K., Proll C., Kruse-Lösler B., Dirksen D., Doering S., Kleinheinz J., Joos U. ............. 405

Assessment Of The Symmetry Of Unilateral Cleft Noses Post-Rhinoplasty Our Experience

Gosla S. R., Reddy R. G., Devarakonda V., Sailer H. F., Mommaerts M. Y. . ............................. 407


XXVII

Comparison Of Nasal Symmetry After Primary Cleft Lip Repair With And Without Septoplasty

Nagy K., Van Roy S., Gosla Reddy S., Reddy R. R., Bergé S., Schoenaers J., Mommaerts M. Y. 409

Morphological Modifications Induced By Forked Flap In Bilateral Cleft Lip Nasal Sequellae

Ory L., Corre P., Perrin J.-P., Azzis O., Mercier J. .................................................................... 411

Modified Millard’s Technique In Unilateral Cleft Lip Surgery

Knez˘evic´ P., Milic´ M., Jokic´ D., Jokic´ D. . ............................................................................... 412

Evaluation Of Functional Nasolabial Muscular Balance In Cleft Lip Revision Surgery During Growth

Ramos - Medina B., Gomez A., Acosta M. ............................................................................. 414

Evaluation Of Transversal Maxillary Growth After Surgical Closure Of Cleft Palate: Comparison Of Two Different Techniques

Loomans N., decombel O., Verdonck A., Carels C., Mommaerts M., Vanderpoorten V., Schoenaers J. ...................................................................................................................... 416

Does The Soft Palate Continue To Grow And Undergo Functional Changes Between The Ages Of 10 And 20 In Previously Repaired Unilateral Cleft Lip And Palate Patients

Van Eeden S., Birch M., Sommerlad B. ................................................................................. 418

Outcomes Of Sphincter Pharyngoplasty And Surgical Management Of Velopharyngeal Insufficiency: A 10-Year Experience

Singhal V. K. ......................................................................................................................... 419

Position And Function Of The Tongue In Children With Cleft Lip And Palate

Nadtochiy A., Starikova N., Safronova U., Udalova N., Kudryavzeva A. .................................. 420

Video Assisted Closure Of Cleft Palate. Preliminary Report Of Technical Support And Usefulness

Bouzaiene M., Touil H., Belghith M. . ..................................................................................... 422

Alveolar Bone Grafting As A Day Surgery Procedure?

Ananth S., Ayliffe P., Black A., Wilson R., Patel J., Patel V. ...................................................... 423

Treatment Options For Tessier No 2 And 3 Facial Clefts

Gosla S. R., Reddy R. G., Ansari M. A. A., Obwegeser J., Sailer H. F., Mommaerts M. Y. ......... 424

Cleft Children Niger - An Ambitious Humanitarian Project Of The Cci

Gidea Paraschivescu E., Sailer H., Kaka M., Urtila F. ............................................................. 426

Localization Of The Hoxc Homeobox Gene Family During Palate Formation In Mice

Hirata A., Tsuji T., Imura H., Yamada T., Ueno T., Mishima K., Minami K., Natsume N., Sugahara T., Nakamura H. .................................................................................................... 428

XXVIII


Study Of The Effectiveness Of 0.2% Bioadhesive Chlorhexidine Gel In The Prevention Of Dry Socket After Wisdom Teeth Extraction

Rubio-Palau J., Garcia-Linares J., Mareque-Bueno J., Hueto-Madrid J. A., Gonzalez-Lagunas J., Raspall-Martin G. . ............................................................................................................... 430

Studies On Neurotoxicity Of Local Anaesthetics

Hillerup S., Bakke M., Thomsen C. E., Larsen J. O., Jensen R. H., Ersbøll B. K. ...................... 432

A Comparative Study Of A 980 Nm Diode Laser And Co2 Laser In The Treatment Of Oral Leukoplakia.

Marti K. C., Skouteris C. A., Nikitakis N. ................................................................................ 433

The Use Of Cone Beam Ct For Removal Of Wisdom Teeth Changes The Surgical Approach Dramatically; A Comparative Study To Conventional Panoramic Radiography.

Ghaeminia H., Meijer G. J., Soehardi A., Borstlap W. A., Mulder J., Maal T. J., Bergé S. J. ...... 435

Orofacial Destructions Linked To Cocaine Abuse: A Systematic Approach

Bertolus C., Mazouz-Dorval S., Chaine A., Goudot P. ............................................................. 437

A New Surgical Approach To Reduce Anchyloglossia After Oncology Surgery

Marinho J. S., Moreira J. L. . ................................................................................................. 438

Mediastinitis Complications And Mortality: Our Experience.

Martínez-Seijas P., Zabaleta-Jiménez J., Martín-Rodríguez J., Aguinagalde-Valiente B., Fuentes-Gago M., Arruti-González J., Izquierdo-Elena J. M., Hernández-Ortiz C. ................. 439

Descending Necrotizing Mediastinitis: Serious Complication Of Odontogenic Infections.

Mirada Donisa E., Muñoz Caro J. M., Navarro Cuéllar I., Gisbert Alemany N., Guiñales Díaz de Cevallos J., Cardennas Gómez J., Burgueño García M. ............................. 441

Severe Odontogenic Infections: Therapeutic Factors

Sánchez Burgos R., Mirada Donisa E., Arias Gallo J., Paño Pardo J. R., Navarro Cuellar I., Burgueño García M. ............................................................................................................. 442

Establishing An European Osteoradionecrosis Database And Network.

Forner L., Smeele L. ............................................................................................................. 444

The Methods Of Alveolar Bone Reconstruction Before Dental Implant Treatment

Mouraev A. A., Ivanov S. Y., Yamurkova N. F., Solodkiy V. G. .................................................. 446

Correlation Of Podoplanin With Cervical Lymph Node Metastasis And Prognosis In Oral Cancer

Scheer M., Kreppel M., Drebber U., Zoeller J. E. . .................................................................. 448

The Implications Of A Positive Sentinel Node In Head And Neck Cancer Management

Dequanter D., Shahla M., Paulus P., Lothaire P. ..................................................................... 450


XXIX

Cervical Metastasis From Maxillary Squamous Cell Carcinoma

Dalal A., McLennan A. S. . ..................................................................................................... 452

Correlation Between Tumor Thickness And Nodal Status In The Mandibular Mucosa Carcinoma

Girotto R., Rubini C., Del Vecchio D., Balercia P. .................................................................... 453

Comparative Study Of The Neck Dissection In Patients With Oral Cancer

Joshi Otero J., Lozano Rosado R., Rollon Mayordomo A., Sanchez-Molini M. . ..................... 454

Craniofacial Metastases - Therapy And Prognosis

Thiele O., Freier K., Scherfler S., Seeberger R. ...................................................................... 456

Postoperative Delirium After Oncologic Surgery Of Oral Squamous Cell Carcinoma – Results Of A Prospective Clinical Trial On Predictability Using The Audit.

Werner M., Wasmuth I., Wermker K., Kleinheinz J. ............................................................... 458

The Buccinator Myomucosal Flap In Oral Reconstruction

Javadian R., Shahla M., Aubert C., Deniz Y., Loeb I. ............................................................... 460

Survival Of The Oral Squamous Cell Carcinoma At University Hospitals Of Leuven.

Van Genechten M., Lenssen O., Bila M., Philippe V., Schoenaers J. ....................................... 461

Quality Of Life And Functional Status In Head And Neck Cancer Patients: Does Quality Of Life Predict Long-Term Survival?

Tarsitano A., Pizzigallo A., Lombardi G., Marchetti C. ............................................................ 462

Chromosomal Instability Predicts The Progression Of Premalignant Oral Lesions

Siebers T., Hamers R., Otte-Höller I., Speel E. J., Kremer B., Laak J. V. D., Slootweg P., Merkx M. .............................................................................................................................. 464

Benign Orofacial Tumors With Aggressive Behavior In Children

Theologie-Lygidakis N., Leventis M., Kolomvos N., Iatrou I. .................................................. 466

The Use Of Enucleation In The Treatment Of Giant Odontogenic Keratocysts

Muresan O., Lung T. .............................................................................................................. 467

Munchmeyer’s Disease - One Rare Case Report & Review Of Literature

Sheth S. B., Mommaerts M. . ................................................................................................ 468

Immunohistological Analysis Of Immunocompetent Cells In Chronic Osteomyelitis Of The Jaw

Nolting T., Wermker K., Joos U., Kleinheinz J. ....................................................................... 469

Surgical Treatment Ameloblastomas In Our Cases

Salihu S., Heta N., Sejfija O., Gjinolli F., Prekazi M., Berisha S., Kelmendi A., Uka S., Salihaj N. . ............................................................................................................................ 470

XXX


Arteriovenous Malformations Of The Mandible – Diagnostics, Treatment, Rehabilitation

Grishin A. A., Tarasenko S. I., Smirnov S. N., Ivanov A. V. . ..................................................... 472

Intraosseous Vascular Malformations Of The Craniofacial Region. Classification And Treatment Update.

Gomez E. M., Martin M., Lopez-Gutierrez J. C., Pingarrón L. ................................................. 474

Histological Features Of Human Alveolar Bone Exposed To Nitrogen-Containing Bisphosphonates: A Pilot Study.

Bettini G., Bedogni A., Totola A., Blandamura S., Saia G., Nocini P. F. ..................................... 475

Outcomes And Recurrence Rate Of Bisphosphonate-Related Osteonecrosis Of The Jaws Following Surgical Resection: Long-Term Results Of A Prospective Multicenter Study

Bedogni A., Bettini G., Saia G., Tronchet A., Totola A., Ferronato G., Nocini P. F. ...................... 477

The Role Of Surgical Therapy In The Management Of Intravenous Bisphosphonate Related Osteonecrosis Of The Jaw.

Wilde F., Heufelder M., Winter K., Hendricks J., Frerich B., Schramm A., Hemprich A. ........... 479

Nationwide Survey For Bisphosphonate-Related Osteonecrosis Of The Jaws In Japan

Urade M., Tanaka N., Kimura H., Kurita K., Seto K., Fukuda J. . .............................................. 480

Evolution In The Composition Of The Bronj Patient Population: A Clinical Review Of 100 Patients Over 7 Years.

Schoenaers J. H., Grosjean L., Grysolle A., Moerenhout B., Schoenaers N., Combes F. ......... 482

Treatment Of Bisphosphonate Related Osteonecrosis Of The Jaws (BRONJ) Assessed By Stage Classification In A Cohort Of 41 Danish Cases.

Schiodt M., Hallund M., Worsaae N., Jensen L. T. . ................................................................ 483

Study Of Jaws Bones In Patients With Bisphosphonate-Related Osteonecrosis Using Digital Bone Densitometry.

Pelaz A., Junquera L., Martínez-Nistal Á., Gallego L., Villarreal P., Hernando J., Santamarta T. R., Megías J. .................................................................................................. 485

Craniofacial Skeletal Architecture And Obstructive Sleep Apnea Syndrome Severity

Santos Gil N. A., Costa e Sousa R. A., Monteiro C. ................................................................ 487

Technical Improvements In The Surgical Treatment Of Obstructive Sleep Apnoea Syndrome (Osas).

Toma L., Brevi B., Scozzafava E., Sesenna E. ........................................................................ 489

Mandibular Distraction Osteogenesis To Treat Obstructive Sleep Apnoea Syndrome (Osas): Proposal And Considerations.

Brevi B., Toma L., Fontana E., Sesenna E. ............................................................................. 491


XXXI

Long-Term Follow-Up In Patients Affected By Obstructive Sleep Apnoea Syndrome (Osas) Treated By Bimaxillary Advancement

Toma L., Brevi B., Gritti A., Sesenna E. .................................................................................. 493

Modified Genioplasty For Treating Obstructive Sleep Apnea Syndrome (Osas).

Toma L., Brevi B., Magri A., Sesenna E. ................................................................................ 494

Mmrpmp(Maxillomandibular Complex Rotation With Posterior Maxillary Pivot) Concept For Obstructive Sleep Apnea Syndrome ; Preliminary Report About Simultaneous Functional And Aesthetic Correction

Kim P. C., Park D. H. .............................................................................................................. 496

Computerized 3D Airway Analysis: Validation And Results In Bimaxillary Advancement Surgery

Schendel S. A., Powell N. . .................................................................................................... 497

Volumetric Three-Dimensional-Ct Evaluation Of Upper Airway In Obstructive Sleep Apnea (Osa) Patients By Maxillomandibular Advancement (Mma) Surgery

Lancellotti L., Mazzoni S., Bianchi A., Marchetti C. . .............................................................. 499

Airway Analyisis Following Distraction Lengthening Of The Infant Mandible

Looby J. F., Schendel S. A., Hopkins E. M. . ........................................................................... 501

An Innovative Medical Device (Lingua Flex Tongue Retainer®) For The Treatment Of Obstructive Sleep Apnea Syndrome. Results Of The Pilot Study.

Meyer C., Sanders I., Chatelain B., Istria N., Ricbourg B., Dwyer C. . ...................................... 502

Extensive Tumors Of Frontoorbitoethmoidal Region-15 Years Expiriance

Krasic D., Cosic A., Radovic P., Pesic Z., Buric N. ................................................................... 504

Simultaneous Management Of The Enophthalmos And Sinus Pathology In Silent Sinus Syndrome: A Report Of Three Cases

Ferri A., Oretti G., Anghinoni M. L., Bianchi B., Ferrari S., Copelli C., Sesenna E. .................... 505

Endoscopic Marsupialization Of A Nasolabial Cyst And A Nasopalatine Duct Cyst : Case Report

Kim D. H., Jeon E.-U., Park Y.-S., Son H. ................................................................................ 506

A Severe Complication Of Maxillary Sinusitis: The Cerebral Abscess. Case Report.

Onisor-Gligor F., Muresan O., Lung T., Juncar M. ................................................................... 507

Unbiased Usage Of T Cell Receptor Alpha And Beta Variable Regions Genes In Nasal Polyps Of Chronic Rhinosinusitis Patients : No Correlation With Superantigen Effect

Kumagai K., Gotoh A., Shiobara N., Kobayashi H., Eguchi T., Yamamoto H., Ishii T., Hamada Y., Suzuki R. .............................................................................................................................. 509

XXXII


Candida Maxillary Sinusitis As An Occupational Disease

Mourouzis C., Gkinis G., Dais P., Stathopoulos P., Velegraki A., Rallis G. . ............................... 511

Proper Aproach To The Promotion Process Of The Head And Neck Malignant Skin Tumors Prevention

Jerinic-Racic A., Toskovic N. ................................................................................................ 512

Is There A Need For Removal The Submandibular Gland In Neck Dissections?

Von Jackowski J. A., Grätz K. W., Kruse A. L. ........................................................................ 513

Sarcomas Of Head And Neck. Treatment Modalities And Clinical Outcomes.

Lalabekyan B., Karavidas K., Jay A., Flanagan A., Whelan J., Strauss S., Vourvachis M., Newman L., Liew C., Kalavrezos N. . ..................................................................................... 514

Limits Of Surgical Treatment In Advanced Stages Of Oral Floor And Tongue Cancer-How Far Can We Go

Gidea Paraschivescu E., Ianes E., Paraschivescu C. ............................................................. 515

Subsequent Primary Tumors Following Oral Cancer

Blivajs I., Virag M. ................................................................................................................. 517

Surgical Tracheostomy And Excision Of Thyroid Isthmus

Cheng L. H., Ali E., Boindala D., Ratcliffe S., Ghosh R., Tan L., Watson D., Peters C., Levy S., Heron C., Sankaranarayanan A. . .......................................................................................... 518

Reconstructive Strategies In Treatment Of Malignant Skin Tumors Of The Head And The Neck

Tanaskovic N. S. ................................................................................................................... 519

Novel Composite Implants For Craniofacial Reoconstruction

Aitasalo K., Peltola M., Vallittu P. ........................................................................................... 520

3D Custom-Made Implants For The Reconstruction Of Craniofacial Bone Defects At Seven Years Of Use

Rotar H., Baciut G., Stan H., Florian S., Schumacher R., Chezan H., Kim S.-G., Dinu C., Bran S., Baciut M., Rotaru A., Hurubeanu L. ....................................................................................... 522

Maxilofacial Epithesis For The Restoration Of The Two Lower Parts Of The Face Of A Donor In Human Facial Transplantation

Infante-Cossio P., Gonzalez-Padilla J.-D., Garcia-Perla-Garcia A., Hernandez-Guisado J.-M., Gonzalez-Guerrero S., Martinez-de-Fuentes R., Sicilia-Castro D., Gomez-Cia T. . ................. 523

Gaining Maxillary Access In Severe Hypoplastic Maxilla By Combination Of Distraction And Bone Harvesting

Gaspar R. Y., Srougy S., Moyger G. ........................................................................................ 525

Complex Maxilofacial Defects Rehabilitation With Zygomaticus Implants – The Experience At The University Hospital Birmingham

Hanu-Cernat L. M., Martin T., Parmar S., Sharp I., Monaghan A., Dover S. . ........................... 526


XXXIII

A New Technique In Reconstruction Of Continuity Defects In Irradiated Mandibles.

Hillerup S., Andersen M., Thorn J. J. ..................................................................................... 528

Facial Allotransplantation- Can The Maxilla And Mandibular Symphysis Survive On The Facial Artery?

Molnar G., Baksa G., Plachtovics M., Patonay L., Mommaerts M. Y. ...................................... 529

The Free Groin Flap In Hemifacial Volume Reconstruction.

Cobb A., Koudstaal M., Bulstrode N., Lloyd T., Dunaway D. . .................................................. 531

Treatment Outcome After Ablative Tumour Surgery Of The Jaw And Reconstruction Using Free Fibula Flap And Endosseous Implants

Attia S., Schaaf H., Howaldt H. P. .......................................................................................... 533

Planning And Modeling Bone-Reconstructive Interventions In ZygomaticoNaso-Fronto-Orbital Region

Butsan S., Khokhlachev S., Perfiliev S., Yighitaliev S., Sukharskiy I., Gileva K. ...................... 535

Pain Is A Prognostic Factor In Association With Cancer Growth Pattern And Clinical Stage In Patients With Oral Squamous Cell Carcinoma

Sato J., Yamazaki Y., Satoh A., Notani K.-I., Kitagawa Y. ........................................................ 537

Induction Chemotherapy Response- And Recurrence Rates In Correlation With N0 Or N+ Stage In Oral Squamous Cell Cancer (Oscc).

Olasz L., Szalma J., Orsi E., Gelencsér G., Nyárády Z. . .......................................................... 539

Differentiation Between Benign And Malign Transformed Precancerous Lesions Of The Oral Mucosa With Mage-A-Antigens

Müller-Richter U. D., Krauss E., Rauthe S., Böhm H., Klammert U., Gattenlöhner S., Kübler A. C., Reuther T. ......................................................................................................... 540

Analysis Of Yb-1 Expression Allows Stratification Of Grade Ii Tumors Into Groups At Long And Short Survivors In Head And Neck Cancer Patients

Kolk A., Mengele K., Mantwill K., Kremer M., Kesting M., Pautke C., Wolff K.-D., Holm P. S. . ... 541

Protein Dsg3: A New Potential Marker For The Prediction And The Detection Of Oscc Lymph Node Metastasis?

Poli T., Silini E. M., Gutkind J., Molinolo A., Patel V., Balestreri A., Lombardi M., Campanini N., Lanfranco D., Scozzafava E., Sesenna E. .............................................................................. 543

Hpv-Dna Prevalence And Hpv Type Distribution In Squamous Cell Carcinomas Of The Oral Cavity And Oropharynx.

Silini E. M., Lombardi M., Corcione L., Campanini N., D’Adda T., Pizzi S., Dal Bello B., Poli T., Balestreri A., Scozzafava E., Lanfranco D., Sesenna E. ......................................................... 545

Evaluation Of Immunohistochemical And Biomolecular Parameters As Markers Of The Biological Behaviour Of Head And Neck Carcinomas: Preliminary Results Of A Multicenter Italian Project

Balestreri A., Poli T. , Lanfranco D., Cocchi R., Marchetti C., Foschini M. P., Farnedi A., Perris R., Scozzafava E., Bertani N., Rossi S., Badiali G., Sesenna E. .................................................... 547

XXXIV


Integration Of Clinical, Histopathological, Radiological And Biomolecular Data For Prediction Of Oral Squamous Cell Cancer (Oscc) Recurrence: The Neomark Project’S First Report

Poli T., Balestreri A., Lanfranco D., Scozzafava E., Chiari G., Ardigò D., Silini E. M., Lombardi M., Perris R., Bertani N., Rossi S., Sesenna E. . ........................................................................... 549

Histolological Investigations Of Three Different Dental Implants In Irradiated Bone. An Animal Experimental Study.

Konstantinovic V., Aleksic Z., Vasic J., Bienengräber V., Öri F., Kopp S., Ihde S. ...................... 551

A Cross-Sectional Survey Of Dental Implant Training Among Uk And Irish Omfs Specialist Registrars

Kumar S., Kalantzis A., Heliotis M. ........................................................................................ 553

Immediate Function In Extremely Resorbed Maxilla By Means Of Four Zygomatic Implants: A Preliminary Report

Davo R., Pons O. ................................................................................................................... 554

Combination Of Ridge Augmentation And Inferior Alveolar Nerve Transposition In Severe Atrophic Lower Posterior Alveolar Ridge To Improve Crown/ Implant Ratio.

Laster Z., Kablan F. ............................................................................................................... 555

Beta-Tricalcium Phosphate With Type I Collagen For Simple Preservation Of The Extraction Socket: Clinical, Histomorphometric And Immunohistochemical Observations

Brkovic B. M., Dragana A. ..................................................................................................... 556

Tibial Cancellous Bone Grafting In Jaw Reconstruction – 10 Years Of Experience In Taiwan

Ko E. C., Chen M. Y., Chang C.-M., Chang I. P., Igawa K. ........................................................ 558

Evaluation Of Implant-Stability In The Maxilla- A Comparison Of Dynamic Insertion Torque And Periotest

Ofer M., Benedek A., Sieg P., Hakim S. G. .............................................................................. 559

Retrospective Study Of 511 Consecutive Parietal Bone Harvesting Over 10 Years

Touzet S., Ferri J., Wojcik T., Raoul G. .................................................................................... 560

Cone-Beam Ct, Micro-Ct And Histomorphometry For Determining Radiological Bone Density Of Jaw Bones In The Site Of Insertion Of Endosseous Dental Implants.

González-García R., Monje F. ................................................................................................ 562

Screening Recurrence And Lymph Node Metastases In Head And Neck Cancer: The Role Of Computer Tomography In Follow-Up

Kruse A. L., Rivelli V., Grätz K. W. . ......................................................................................... 564

Interim Results Of The Sentinel European Node Trial (Sent)

Schilling C., Gurney B., McGurk M. ....................................................................................... 565


XXXV

Indocyanin Green Fluorescent Imaging For Sentinel Lymph Node Detection In Oropharyngeal Cancer, Preliminary Findings.

Bredell M. . ........................................................................................................................... 566

Multi-Center Validation Of A Lymph Node Metastasis Gene-Expression Signature For Head And Neck Squamous Cell Carcinomas

Leusink F. K. J., van Hooff S. R., Roepman ., van Diest P. J., Baatenburg de Jong R. J., Koole R., Slootweg P. J., Takes R. P., Holstege F. C. P. ........................................................... 567

Hypoxic Stress And Its Prognostic Significance In Oral Squamous Cell Carcinoma

Eckert A. W., Schütze A., Lautner M. H., Schubert J., Bilkenroth U., Taubert H. ...................... 568

Assessment Of Oral Intake In Oral And Oro-Pharyngeal Cancer Patients. A 5 Years Retrospective Study.

Cotrufo S., Balasundram S., Shache A., Karavidas K., Lalabekyan B., Govender R., Rogers P., Liew C., Kalavrezos N. ......................................................................................................... 570

Oral Carcinoma Cuniculatum: 7 Case Reports

Kalantzis A., Shah K., Bond S., Watt-Smith S., Anand R. ........................................................ 572

A Case Series Of Metastatic Renal Cell Carcinoma To The Head And Neck Region And A Review Of The Literature.

Kotecha S., Praveen P., Parmar S., Al-Hadad I. ...................................................................... 574

Electrochemotherapy With Intravenous Bleomycin In The Local Treatment Of Head And Neck Cancers: Our Clinical Experience.

Gargiulo M., Papa A., Capasso P., Cubicciotti G., Parascandolo S., Monda G. . ....................... 576

Reconstruction Of Hemiglossectomy Defects For T1 And T2 Squamous Cell Carcinoma With An Innovative And Simple Musculo Mucosal Lateral Splited Rotational Flap

Alkhalil M. N. . ...................................................................................................................... 578

Modular Endoprosthesis For Mandibular Body Reconstruction- A Follow Up Study In Radiated Macaca Fascicularis Animals

Lee S., Lye K. W., Wong C. W., Chin F., Tideman H., Jansen J. A., Stoelinga P. J., Merkx T. M. . 579

Titanium Mesh Vs. Resorbable Polylactide Plates In Orbital Reconstruction: A Comparative Study Of 66 Cases

Lieger O., Schaller B., Kellner-Weldon F., Iizuka T. . ............................................................... 580

Comparison Of The Supporting Strength Of A Poly L-Lactic, D-Lactic Acid (Pldla) Sheet And Porous Polyethylene (Medpor®) For The Reconstruction Of Orbital Floor Fractures

Hwang K., Huan F. ................................................................................................................ 581

Managment Of Nasal Trauma: Our Experience

Maremonti P., Pederneschi N. . ............................................................................................. 583

XXXVI


Transoral Endoscopically-Assisted Osteosynthesis In Condylar Process Fractures Of The Mandible. Surgical Technique And Results In 44 Fractures.

Goizueta-Adame C., Pastor-Zuazaga D., Agüero -De Dios E., Sebastián-López C., Delhom J. 585

Outcome Of Secondary Bone Grafting In Patients With Unilateral Cleft Lip And Palate. An Analysis Of Postoperative Bone Height.

Sjöström M. . ........................................................................................................................ 586

Atypical Case Of Congenital Maxillomandibular Fusion With Duplication Of The Craniofacial Midline

Pingarrón Martín L., Martín Pérez M., Gómez García E., Rodríguez J. I., Palacios Weiss E., Burgueño García M. ............................................................................................................. 587

Three-Dimensional Reconstruction Of Foetal Skull In Cornelia-Delange Syndrome: Comparative Morphological Study

Olszewski R., Goret-Nicaise M., Reychler H. . ....................................................................... 588

A Comprehensive Mutational Analysis Of Genes Implicated In Craniosynostosis

Rachwalski M., Keupp K., Li Y., Alanay Y., Akarsu N., Wollnik B. ............................................. 589

Diagnostic Accuracy Of Planar Bone Scintigraphy In Mandibular Asymmetry Using A New Reference

Lo J., Yau Y., Cheung L. K. ..................................................................................................... 591

Analysis Of Postoperative Clinical Results Of Bssro By Monocortical Fixation Using Locking Plate Fixation-Comparison With Bicortical Fixation Using Screw

Kabasawa Y., Sato M., Kikuchi T., Sato Y., Higuchi Y., Takahashi Y., Omura K. . ....................... 592

Use Of Ultrasonic Bonescalpel In Orthognatic Procedures

Dammous S., Darche V., Gilles R. .......................................................................................... 593

Correlation Between The Orientation Of The Oclussal Plane And The Risk Of Relapse In The Surgical Treatment Of Class Iii Anomalies

Bucur A., Dinca˘O., Popescu M., Ionescu H., Vla˘ dan C., Totan C. ............................................. 595

Activated Autologous Bone Marrow For Bone Tissue Engineering In The Maxillofacial Area: Clinical Application In Preprosthetic Surgery.

Shahla M., Lemaitre A., Loeb I., Medin Rey S., Pochet R., Philippart P. .................................. 596

The Correction Of Oxidative Stress In Complex Therapy Of Patients With Odontogenic Flegmons

Mustafaev M., Kharaeva Z., Gendugova O., Mustafaeva F. . .................................................. 597

Our Experience With Autologous Mesenchymal Stem Cells In Maxillofacial Surgery

Stanko P., Mracna J., Poruban D., Holly D., Stebel A., Vojtassak J. ......................................... 599

Slow Release Of Bmp-2 Loaded On Electrospun Scaffolds For Regeneration Of Bone Defect: In Vitro And In Vivo Study

Srouji S., Zussman E. . .......................................................................................................... 600


XXXVII

Rare Forms Of Central And Laterofacial Cancer

Talpos S., Urtila F., Urtila E., Covrig V. .................................................................................... 601

Evaluation Of Preoperative Hemoglobin Level As A Prognostic Factor For Oral Squamous Cell Carcinoma

Kruse A. L., Cordella C., Bredell M., Grätz K. W. ..................................................................... 603

Postoperative Cervical Irrigation For Odontogenic Descending Necrotizing Mediastinitis

Cheng L. H., Khaw M., Shorafa M., Parker G. ........................................................................ 604

Staging And Grading As Prognostic Factors In Maxillary Squamous Cell Carcinoma

Poeschl P. W., Russmueller G., Seemann R., Schopper C., Klug C., Sulzbacher I., Ewers R. ..... 606

Negative-Pressure Pulmonary Edema As Unusual Complication After MaxilloFacial Surgery: 2 Cases Report And Revue Of The Literature

Verdeja R., Mondragon P., Lang F. ......................................................................................... 607

Ethics And Aesthetics In Orthognathic Surgery

Miotti A. M., Dovier A., Bozzo C., Napolitano C., Miotti F. A. ................................................... 608

The Effects Of Osteoformin On Mineralization And Quality Of Newly Formed Bone During Rapid Mandibular Distraction Osteogenesis In Rabbits

Pampu A. A., Senel F. C., Dayisoylu E. H., Onder E., Dolanmaz D., Yilmaz Altintas¸ N., Cankaya M. .......................................................................................................................... 609

The Surgical Operation Note Database: Improving The Accuracy And Quality Of Operation Note-Keeping And Facilitating Payment By Results

Chiu G. A., Woodwards R. T. .................................................................................................. 611

Academic Swordfighting - A Way Of Body Modification?

Heinicke A., Alsfasser G., Lenz J. H. ...................................................................................... 612

Oral & Maxillofacial Surgery – A Survey Of Student Doctor’s Perspectives

Shastri M., Cheng L. ............................................................................................................. 613

Treatment Of Recurrent Labial Oedema In A Pacient With Melkersson-Rosenthal Syndrome

Mesquita M. C., Ferreira S., Nunes R., Bitoque S., Sanz D., Duarte J., Ferreira A. . ................ 615

Chordoma In Paranasal Sinuses

Noori R. ................................................................................................................................ 617

Nutrition Treatment Of Patients After Extensive Operation In The Maxillofacial Region”

Polakowska L., Grodecka J., Arkuszewski P., Plewinska A. . ................................................. 618

Designing And Building An Osce “Objective Structured Clinical Examination” In Oral And Craniomaxillofacial Surgery For Dental Students

Landes C., Schuebel F., Hoefer S., Sader R. . ......................................................................... 620

XXXVIII


Research Ethics And Surgeons: A Survey Of Oral And Maxillofacial SurgeonAuthors

Pitak-Arnnop P., Pausch N. C., Dhanuthai K., Hervé C., Meningaud J.-P., Sader R., Hemprich A. ......................................................................................................................... 622

Synovial Chondromatosis Of The Temporomandibular Joint

Wolff J., Farmand M. ............................................................................................................ 624

Surgical Management Of Primary Chronic Osteomyelitis Of The Jaws In Children

Theologie-Lygidakis N., Schoinohoriti O., Iatrou I. ................................................................ 625

Combined Epithelial Odontogenic Tumor

Nierzwicki B. L., Kern R., Auch C. . ........................................................................................ 626

Prognostic Criteria Of Development Of Atypical Forms Of Jaw Osteomyelitis Of Drug Addicted People

Petrov B., Fomichev I., Fomichev S., Dmitriev V. ................................................................... 628

Median Mandibular Cyst In A 4-Year-Old Child

Seres L., Varga R., Rasko Z., Rago P., Piffko J. ....................................................................... 629

Odontogenic Keratocysts In 37 Patients Treated In The Department Of Craniomaxillofacial Surgery, Medical University Of Warsaw

Wanyura H., Stopa Z., Brzozowski F., Samolczyk-Wanyura D. . ............................................. 630

Adenomatoid Odontogenic Tumour. Report Of The Two Cases

Zaleckas L., Senkus L., Pedisiene R., Povilaityte J. ............................................................... 631

Cranial And Orbital Roof Reconstruction In A Frontal Bone Osteoma With Orbital Extension: A Case Report

Neto T., Burnay T., Linhares P., Silva Á., Baldaia H., Bilhoto J. ................................................ 633

Eagle’s Syndrome: A Comparison Of Trans- And Extra-Oral Surgical Approaches

Gangidi S. R., Esson M., Bowden J. . ..................................................................................... 635

Frontometaphyseal Dysplasia – Case Report And Review Of The Literature

Wermker K., Nolting T., Jung S., Joos U., Kleinheinz J. .......................................................... 636

Odontogenic Cysts: A Clinical Study Of 214 Cases

Wu Y. N., Hu Y., Song X.-M. ................................................................................................... 637

Chondromyxoid Fibroma Of The Maxilla: Report Of A New Case

Sahuquillo-Arce E., Garcia-Monleon L., Barrios-Sanchez G. M., Cremades-Mira A., Pla Esparza M. A., Charro-Huerga E. .................................................................................... 638

An Extraordinary Case Of Osteomyelitis: Case Report And Review Of The Literature

Spaas C., Lenssen O., Nagy K., Vuylsteke P., Schoenaers J. .................................................. 639

Coronoid Process Osteochondroma. A Case Report

Coll Anglada M., Acero Sanz J., Thomas Santamaría A., Maza Muela C., López de Atalaya J., Salmerón Escobar J. I. ......................................................................................................... 640


XXXIX

Synchronous Giant Cell Granuloma And Central Odontogenic Fibroma: Think Before You Scrape

Kusanale A. .......................................................................................................................... 642

Osteochondroma Of The Coronoid Process: An Unusual Cause Of Limited Mouth Opening

Ferreira S., Nunes R., Bitoque S., Sanz D., Mesquita M., Duarte J., Marcelino J. P. ................ 643

Giant Neglected Mandibular Ameloblastoma: About Two Cases Report

Benazzou S., Abdenbitsen A., Boulaadas M., Essakalli L., Kzadri M. ..................................... 644

Giant Pindborg Tumor Of The Maxilla

Rubal X. . .............................................................................................................................. 645

Ossifying Fibroma In The Zygomatic Arch. A Case Report.

Navas - Aparicio M. C. ......................................................................................................... 646

Maxillary Central Giant Cell Granuloma, A Combined Vestibular And Palate Approach

Martínez-Seijas P., Arruti-González J., Martín-Rodríguez J., Esnal-Leal F., Díaz-Galvis L., Díaz-Basterra G., Rad-Carrera J. ......................................................................................... 648

Odontogenic Keratocysts: Epidemiology And Treatment

Sánchez Burgos R., Cebrián Carretero J. L., Gisbert Alemany N., Pingarrón Martín L., Barba Recreo P., Burgueño García M. . ................................................................................. 650

Endoscopic Assisted Surgery: Excision Of Frontal And Temporo-Zygomatic Lesions. A Report Of Two Cases

Abbas S. A. B., Popat A., Visavadia B., Mills C. . ..................................................................... 651

A Curious Case Of Multiple Giant Cell Lesions Of The Facial Skeleton

Popat A., Abbas S., Mills C., Visavadia B. ............................................................................... 652

Evaluation Of Histopathological Changes After Pamidronate Usage In Rats

Senel F., Pampu A., Duman Kadioglu M., Cankaya M., Muci E., Ersoz S., Gunhan O. .............. 653

Study On Surgical Therapy For Bisphosphonate-Related Osteonecrosis Of The Jaw

Yago K., Yoshida S., Kizu H., Shiba H., Asanami S. ................................................................. 654

How To Reduce The Risks Of Bisphosphonate-Related Osteonecrosis Of The Jaws (Bronj) Among Urological Cancer Patients Requiring Bisphosphonate Therapy

Cheng L. H., Turner B., Ali E., Ezsias A., Qureshi R., Boindala D., Pati J., Wells P., Slater S., Choy C., Ornstein M. ............................................................................................................. 656

Treament Optimisation For Patients With Osteonecrosis Of The Jaws Under Bisphosphonate Therapy.

Skoulatos M., Hassfeld S., Bonitz L. . .................................................................................... 658

Osteonecrosis Of The Jaws Associated With Antiresorptive Drugs. Six Years Of Learning In A Single Center.

Jacobsen C., Grätz K. W. ....................................................................................................... 659

XL


Conservative Treatment Of Bisphosphonate Related Osteonecrosis Of The Jaw – Report Of 18 Cases

Hauer L., Hrusak D., Hosticka L., Andrle P., Jambura J., Vyskocil V. ....................................... 660

Bone Density Measurement As A Useful Tool In The Diagnosis, Prophylaxis And Treatment Of Bisphosphonate Associated Osteopathy Of The Jaw

Metzler P., Lübbers H. T., Grätz K. W., Jacobsen C. ................................................................ 662

Rehabilitated Dental Foci Before Bisphosphonate Therapy – Results Of A Monocentric, Prospective Study

Just A.1, Reich W., Setz J. M., Fornara P., Schubert J., Taubert H., Eckert A. W. ...................... 663

Prevalence And Clinical Feature Of Bisphosphonate-Related Osteonecrosis Of Jaw(Bronj) About Intravenous Bisphosphonate Administrated Multiple Myeloma Patients: Retrospective Study

Woo-Sung C. ........................................................................................................................ 665

Using Er:Yag In Patients With Osteonecrosis Of The Jaw Receiving Bisphosphonate Therapy

Tarasenko S., Shipkova T. P., Khurkhurov B. R., Dymnikov A. B., Zhukova N. A. ..................... 667

Bisphosphonate Related Osteonecrosis Of The Jaw- Single Institution Experience

Kocˇar M., Sapundjiev D., Dovšak T., Didanovicˇ V., Kansky A. .................................................. 669

Massive Osteonecrosis Of The Mandible Associated With The Use Of Bisphosphonates. A Case Report.

Gregoire J., Arribas-Garcia I., Alvarez M., Gómez Oliveira G., Martinez C. ............................. 670

Treatment Of Bisphosphonate - Associated Osteonecrosis Of The Jaws By Combining Bone Resection And Autologous Platelet - Rich Plasma: Report Of 3 Cases

Czako L., Hirjak D., Beno M. .................................................................................................. 672

A Broken Toothbrush Remaining For Period Of 9 Years In Parapharyngeal Space

Krzymanski G., Wojdas A., Jurkiewicz D. .............................................................................. 673

Submental Orotracheal Intubation

Slimani F., Abdane M., Benjelloun A., Chekkoury-Idrissi A. ................................................... 674

Elastic And Visco-Elastic Properties Of The Cortical And Spongious Bone In Patients With Mandible Fractures

Kopchak A., Malanchuk V., Shidlovskiy N. . ........................................................................... 675

Clinical And Radiological Outcome Of Plated Subcondylar Fractures

Zweifel D. F., Obwegeser J., Bredell M. . ............................................................................... 677

Orbital Hemorrhage In Patients With Orbital Fractures Receiving Oral Anticoagulants

Maurer P., Hollstein S., Mizziani T., Jung F., Hengerer F. ........................................................ 678


XLI

Small Incision An Ddual-Top Screws For Treatment Of Simple Depressed Anterior Frontal Sinus Fractures

Moon S.-H., Byeon J.-H., Oh D.-O., Choi Y.-S., Seo B.-C. ........................................................ 679

Adversus Doctrinam Hippocraticam: Our Experience On More Than 50 Cases Of Surgical Treatment Of Fractures Of The Condylar Process

Vercruysse H. J., Javadian R., Shahla M., Loeb I. .................................................................. 680

Use Of Tcp Plates In Condylar Fracture Osteosynthesis

Yanai C., Nariai Y., Kondo S., Tatsumi H., Ishibashi H., Sekine J. ............................................ 681

Treatment Of Patients With Multiple Dislocations Of The Facial Skeleton

Samolczyk-Wanyura D. K., Jonasz M., Szal/win´ski M., Walerzak K. ...................................... 682

An Audit Into Documentation Of Visual Acuity In Patients Suffering Orbital Floor And Zygoma Fractures

Tahim A., Bryant C., Greaney L., Rashid A., Fan K. ................................................................. 683

Posttraumatic Mucocele Of The Frontal Sinus: A Never Ending Story ?

Meyns J., Hes J., Scheerlinck J., Smets L., Sofie S., Van Veen A., Warringa S. ....................... 685

Treatment Of Mandibular Fractures: Comparing Linea Obliqua Plate And The Grid Plate

Höfer S. H., Ha L., Sader R., Landes C. .................................................................................. 686

Craniofacial Reconstruction With Custom Made Polyetheretherketone (Peek) Implants.

Momjian A., Imholz B., Scolozzi P. ......................................................................................... 687

Orbital Pediatric Fractures

Falguera M. I., Leopoldo M., Hens E., Garcia-Recuero I., Romance A. I. ................................ 688

Orbital Floor Fractures: A Retrospective Study Of 63 Cases

Jambura J., Hrušák D., Andrle P., Hauer L., Hosticˇ ka L. ......................................................... 689

Dental Injuries Seen At The Military Hospital, Diyarbakir, 2005-2007

Altug H. A., Altug H., Sahin S., Sencimen M. . ........................................................................ 691

Maxillofacial Trauma In Tripoli And North Western & Mid Province Of The Libya

Kurdi S. E. M., Alarbi M. S., Abdulnnabi A. M., Eshteba H. M. ................................................ 692

Facial Soft Tissue Injuries Presenting To University Hospital Birmingham, Uk Between August 2008 And March 2010.

Martin T., McVeigh K., Parmar S. . ......................................................................................... 694

Oral Stings By Spermatophores Of Squid

Iwai T., Yajima Y., Ohya T., Ohhara Y., Mitsunaga S., Hirota M., Mitsudo K., Tohnai I. ............... 695

Injuries Of The Frontal Sinus In The Material From The Department Of CranioMaxillo-Facial Surgery In Lodz

Zielinska-Kazmierska B., Plewinska A., Grodecka J. ............................................................ 696

XLII


Outcomes After A 100 Patient Pilot Study For The Management Of Low Energy Maxillofacial Trauma As Elective Day Case Surgery

Collier J. M., Farooq S., Parminter D., Bridle C., Holmes S. .................................................... 697

The True Incidence Of Post-Operative Retrobulbar Haemorrhage Following Maxillofacial Trauma Surgery And A Review Of Uk Practice

Collier J. M., Farooq S. ......................................................................................................... 698

Greenstick Fracture Of The Adult Mandible

Messahel A., Clark S., Horner K., Rushton V. E. ..................................................................... 699

Quantification Of Facial Trauma Injury On The Basis Of Impact And Mechanism Of Injury

Azim S. A., Holmes S. ........................................................................................................... 700

Mini Retromandibular Approach To The Condyle In Panfacial Fractures

Biglioli F., Rabbiosi D., Tarabbia F., Mandelli F., Riva F., Colletti G. .......................................... 701

Frontal Sinus Fracture, A Clinical Case

Pimentel M. R., Rodrigues H., Castanho P., Costa O. P. .......................................................... 702

Penetrating Skull And Brain Injury Due To A Dog Bite: A Cautionary Tale For The Unwary

Kusanale A., Brenan P., Mcleod N. ........................................................................................ 703

An Unsual Case Of Myositis Osssificans Following Coronoidectomy:Literature Review For Evidence Based Treatment

Kusanale A., Mackenzie N. ................................................................................................... 704

Foreign Bodies In Maxillofacial Traumatology: Impressive Cases With Minimal Relapse

Irthum C., Mondié J.-M., Barthélémy I. ................................................................................. 706

Orbital Floors – What’s Up?

Banks R. J., Keith D., Stocker J., Goodson M. . ...................................................................... 707

Severe Facial Trauma In The Last Period Of Pregnancy. How To Achieve Treatment?

Bouzaiene M., Touil H. .......................................................................................................... 709

Management Of Acute Burns In Case Of Hand Face Syndrome. Assessment Of Our Attitude

Bouzaiene M., Touil H., Hmid M. ........................................................................................... 710

Surgical Treatment Of Intracapsular Condylar Fractures

Hirjak D., Machon V., Beno M., Czako L. ................................................................................ 711

Positive Acupuncture Effects On The Inferior Alveolar Nerve After Its Traumatic Injury Experimentaly According To The Morphological Examination Data

Pohodenko-Chudakova I., Nedzvedz M., Avdeeva E. . .......................................................... 712


XLIII

Results Of Complex Treatment For Patients With Traumatic Neuritis Of The Inferior Alveolar Nerve With Diadens Acupuncture Device Based On The Immunological Indices

Pohodenko-Chudakova I., Zhernossek N., Oganova E., Avdeeva E. . .................................... 714

New Approaches To The Tactics Of Surgical Treatment Of Patients With Zygomatico-Orbital Complex Damages

Mustafaev M., Vorokov E. ..................................................................................................... 716

The Regulation Of Jaw Healing By Native Cytokines Complex

Mustafaev M., Kharaeva Z., Tarchokova E., Toews P. . ........................................................... 718

Quality Management And Maxillofacial Surgery: A Prospective Study Of Compliance With A Post Orbital Surgery Observational Chart

Al Hashemi B. A., Muhammad J. K. ...................................................................................... 720

Use Of Alloplastic Materials For Orbit Reconstruction.

Arkuszewski P., Tyndorf M., Przygonski A. ............................................................................ 722

Pathological Fracture Of Mandible

Tyndorf M., Manowska B., Arkuszewski P., Gaszynska E. . .................................................... 723

Management Of Panfaciale Fractures

Arkuszewski P., Tyndorf M., Gaszynska E., Hilt T., Grodecka J., Neskoromna-Jedrzejczak A. . 724

Intraoral Transmucosal Osteosynthesis For Fractures Of Corpus And Angle Of The Mandible

Kaduk W. .............................................................................................................................. 725

Reconstruction Of Traumatic Cranial Defects In Children Using A Combination Of Osteoinductive And Resorbable Materials

Bos R., Hoving E., Wagemakers M. ....................................................................................... 727

Postoperative Computerized Volume Analysis Of The Orbit Vs. Standardized Qualitative Assessment Of Implant Position: What Correlates Best With The Outcome?

Lieger O., Schaller B., Polska E., Kellner-Weldon F., Iizuka T. . ............................................... 728

A Multicentre Study On The Use And Accuracy Of A Low-Profile Titanium Mesh For Primary Reconstruction Of The Orbit

Lieger O., Schaller B., Kellner-Weldon F., Bhatt V., Sharp I., Iizuka T. . .................................... 730

Evaluation Of Infection Rate In Treatment Of Mandibular Treated With A 2.4 Mm Ao Locking Reconstruction Plate

Afshar N. .............................................................................................................................. 732

Subcranial Approach. Technical Aspects And Application In Craniofacial Trauma

Zubillaga Rodríguez I., Falguera Uceda M. I., Sánchez Aniceto G., Montalvo Moreno J. J. . .. 733

Condylar Process Fractures, Five Years Experience In Our Recently Created Department.

Galan Hernandez R., Duarte B., Bucci T., González J., Castrillo M., Cuesta M. ....................... 734

XLIV


Evaluation Of Applied Force On Orbital Floor Defects – A Cadaver Study

Birkenfeld F., Steiner M., Becker M. E., Menzebach M., Wiltfang J., Kern M., Becker S. T., Lucius R. .............................................................................................................................. 735

Transoral Approach To The Fracture Of The Base Of Mandibular Condyle By Subcondylar Retractor: A Cadaveric Study

PavlovicˇF., Zˇerdoner D. ......................................................................................................... 736

Secondary Reconstruction Of Facial Defects After Gunshot Wounds

Ochandiano S., Pérez V., Vila I., Coll M., Herrera J., Navarro-Vila C. ....................................... 737

Is It Safe To Use Of Carbonated Calcium Phosphate Bone Cement And Resorbable Plates For The Treatment Of Frontal Sinus Fractures? Three Cases Report.

Luaces-Rey R., Arenaz J., García-Rozado A., Iglesias E., Pombo M., Lopez-Cedrún J. L. . ..... 738

Management Of The Complex Of Jaw Fractures In The Context Of Politrauma. A Case Report

Vila I., Navarro-Cuéllar C., Herrera J., Pérez V., Coll M., Thomas A., Navarro-Vila C. . ............. 740

A Survey Of Post-Operative Management Of Orbital Floor Fractures In Uk Oral And Maxillofacial Surgery Units

Abbas S. A. B., Al Asaadi Z., Shah J., Amin M., Heliotis M. ..................................................... 742

Complex Orbital Injuries: Principles Of Volumetric Restoration

Galie’ M., Denes S. A., Clauser L. C. ...................................................................................... 743

Facial Identity Loss After Severe Burns And Tumors - Reconstructive Surgery And Its Limitations

Drommer R. B. ..................................................................................................................... 744

Does The Removal Of Lower Third Molar Tooth Reduce Infection Rate Of Mandibular Angle Fracture?

Li J., Abu-Serriah M., Zahran M., Ameerally P. ...................................................................... 745

Facial Trauma: A Case Of Potentially Fatal Distracting Injuries

Bisase B., Vadukul J., Lavery K. ............................................................................................ 746

A Case Series Of Undetected Intranasal Impression Material In Cleft Patients

Jones S. D., Drake D. ............................................................................................................ 747

Long Term Follow Up Of A Child With A Rare Facomatosis - Encephalocraniocutaneous Lipomatosis

Andrejko S., Saligova J. ........................................................................................................ 749

Congenital Oral Tumors And Cleft Palate: About 2 Cases

Omezzine Frikha M., Moatemri R., Chelbi M., Mrad Dali K., Bouslama S., Mziou Z., Ayachi S., Khochtali H. ......................................................................................................................... 750

The Role Of Congenital Hypotonia In The Development Of Early Coronoid Hyperplasia

Guijarro-Martínez R., Puche M., Pérez-Herrezuelo G., Solís I., Marqués M., Pascual J. V. . .... 751


XLV

Secondary Bone Grafting Of Cleft Lip And Palate Patients. Ten Years (19992008) Experience Of The Pécs Cleft Team

Olasz L., Vástyán A., Bergqvist Å., Nyárády Z., Lovász M., Szalma J., Herényi G. ................... 752

Sphincter Pharyngoplasty And Superiorly Based Pharyngeal Flap- Videonasopharyngoscopic Evaluation And Phoniatric Outcome

Mahrous A. A., Oyoun A. A. ................................................................................................... 753

Role Of Genetics In Cleft Lip And Palate :Simplified

Sheth S. B., Rao S. ................................................................................................................ 754

Growth Of The Maxillary Arch Between 3 And 10 Years Of Unilateral Cleft Lip And Palate Patients.

Soots M. ............................................................................................................................... 755

Rotation Osteotomies In Treatment Of The Post Cleft Deformities Of The Facial Skeleton.

Jagielak M. J., Michalski P., Jagielak A., Rogus´ P. . ............................................................... 756

The Effect Of Bernoulli’s Principle On Primary And Secondary Palatoplasty

Reddy R. R., Gosla Reddy S., Mommaerts M., Berge S. J. ..................................................... 757

Bilateral Simultaneous Lip Reconstruction In Bclp-Patients Using A Modiffied Tennisson Randall Technique

Scheer M., Kasemian N., Saffar M., Braumann B., Zöller J. E. ............................................... 759

Goldhar Syndrome – Case Report

Urtila F. C., Urtila E., Talpos S., Urtila R., Urtila P. .................................................................... 760

Closure Of Alveolar Clefts With Segmental Maxillary Distraction In Children With Unilateral Clefts

Zemann W., Pichelmayer M., Kärcher H. ............................................................................... 762

Application Of Nasal Septal Cartilage And Iliac Bone Grafts In The Treatment Of Cleft Lip Nasal Deformity

Doi Y., Asano K., Koshiji C., Izumi S., Kawamata H., Takato T., Imai Y. ..................................... 764

Complete Unilateral Maxillomandibular Bony Fusion In A Yemenian Child

Lenz J.-H., Heinicke A., Abdo M. ........................................................................................... 766

Dealing With A Case Of Intraoral Teratoma And Review Of Literature

Dakpe S., Neiva C., Bitar G., Lavaquerie S., Gbaguidi C., Testelin S. . ..................................... 768

Orthognathic Surgery In Cleft Patients At The University Hospitals Of Leuven

De Temmerman G., Schoenaers J. . ...................................................................................... 770

Dentoalveolar Development In Children With Cleft Lip And Palate After Early Orthopedic Treatment

Starikova N., Nadtochiy A., Korolenkova M., Kruk N. ............................................................. 771

XLVI


Parafunctional Tongue Activity As A Risk Factor For Maxilla Retromicrognathia In Patients With Unilateral Cleft Lip And Palate: Tongue Function Correction

Starikova N., Nadtochiy A., Safronova U., Udalova N. ............................................................ 772

Cleft Lip And Palate Surgery: A Ten-Year Review In The South Of Spain

Leopoldo-Rodado M., Infante-Cossío P., Hens-Aumente E., García-Perla A., Belmonte-Caro R., González-Padilla D. .............................................................................................................. 774

Maternal Celiac Disease As A Predisposing Factor For The Birth Of Cleft Defects: A Pilot Study

Amingad A. B., Reddy S. G., Reddy R. R., Markus A. F., Sailer H. F., Mommaerts M. Y. ........... 776

Microvascular Reconstruction Of Mandibluar Defects In Pediatric Patients

Ferri A., Bianchi B., Ferrari S., Copelli C., Sesenna E. ............................................................ 778

Early Bone Healing And Inflammatory Responses After Ultrasonic And Conventional Osteotomy In Rabbits

Maurer P., Hollstein S., Zoidl G., Prochnow N. . ...................................................................... 779

Indications For The Scapula Flap In Complex Facial Reconstruction

Musgrove B. T., Blackburn T. ................................................................................................ 780

Treatment Planning Protocol For Adults With Jaws Anomalies Accompanied By Narrow Maxilla

Drobyshev A., Drobysheva N., Klipa I., Glushko A., Vodakhova A. .......................................... 781

Experience In Mandibular Total And Subtotal Defects Vascularized Composite Autografts Reconstruction

Lysenko A., Lysenko S., Galich S. .......................................................................................... 783

The Application Of Autogenous Bone Graft In Surgically Treated Tumor Patients.

Samolczyk-Wanyura D. K., Jonasz M., Zawadzki P., Chomicki P. .......................................... 785

Morbidity Evaluation Of Iliac Crest Bone Grafting For The Rehabilitation Of Maxillofacial Defects In Children

Schoinohoriti O., Kolomvos N., Theologie-Lygidakis N., Tzerbos F., Iatrou I. ......................... 787

Distraction Osteogenesis With Herbst Appliance Retention To Produce Significant Mandibular Lengthening Inbilaterl Tessier 7 Clefts Due To Amniotic Bands

Ylikontiola L. P., Sandor G. K., Harila V. H., Pirttiniemi P. M. ................................................... 788

Reconstruction Of Mandibular Defects - A Clinical Retrospective Review Over A 25-Year Period

Rana M., Morraru J., Sinikovic B., Kokemüller H., Friedrichs S., Gellrich N., Eckardt A. ......... 789

3D Modeling - Use For Defects Recovery In Maxillofacial Surgery

Liberda O., Rusznyak F., Machalka M., Perina V., Sprlakova A. .............................................. 790


XLVII

Mandible Reconstruction With Pre-Formed Reconstruction Plates: A Model Study.

Wilde F., Marcus P., Winter K., Heufelder M., Riese C., Saul T., Schramm A. ........................... 791

Distraction Osteogenesis Versus Fibula’S Free Flap For Mandibular Reconstruction After Gunshot Injury

Wojcik T., Ferri J., Touzet S., Schouman T., Raoul G. .............................................................. 793

Reverse Temporalis Muscle Flap. Anatomical Study And Place In CranioMaxillo-Facial Surgery.

Bénateau H., Rod J., Ory L., Soubeyrand E., Labbé D., Taupin A., Salame E., Compère J.-F. ..... 795

Structural Fat Grafing. Optimizing Maxillofacial & Craniofacial Results

Tieghi R., Clauser L. C. . ........................................................................................................ 796

Micromorphometrical Analysis Of Different Ultrasonic Osteotomy Devices At The Rabbit Skull

Hollstein S., Vogel J., Heyroth F., Prochnow N., Maurer P. ...................................................... 797

Contour Plastics Mandible By Biopolimer Allotranspalntate Company “Porex”

Khachatryan G., Harutyunyan H., Vardanyan A., Karapetyan E., Khachatryan L., Khoury G. .... 798

Elimination Of Posttraumatic Defects And Deformations Of A Midface Individually-Modellized Implants

Davydov D. V., Brusova L. A., Tabet A. A. A. . .......................................................................... 799

Double Opposing Flaps Commissuroplasty. A Technique To Treat Microstomia After Oncologic Resection

Alamillos Granados F. J., Dean Ferrer A., García de Marcos J. A., Heredero Jung S. . ........... 800

Free Flap Reconstruction In Elderly Patients

Riba F., Ramon G., Tomasso B., Javier G., Manuel C., Blanca D., Matias C. ............................ 801

Rotation-Advancement Yu’S Flap For Reconstruction Of Large Lower Lip Defects: Analysis Of 32 Cases

Belmonte-Caro R., Garcia-Perla-Garcia A., Infante-Cossio P., Torres-Carranza E., Gutierrez-Perez J. L. ............................................................................................................ 802

Reconstruction Of The Labial Commisure After Oncological Surgery: A New Design

Acosta M., Ramos B., Gómez A. ............................................................................................ 804

Use Of The Trapezius Flap For Reconstruction After Oncological Resection Of Head And Neck Tumours

Acosta M., Ramos B., Gómez A. ............................................................................................ 805

Reconstruction Problems After Tumoral Exision In Lower Floor Of The Face

Ibric-Cioranu V., Petrescu-Seceleanu V., Ibric-Cioranu S. .................................................... 806

Giant Odontogenic Fibromyxoma – A Case Presentation

Bucur A., DincaˇO., Totan C., Vlaˇdan C., Ionescu H., Bucur M. B. . ............................................ 808

XLVIII


Cranial Reconstruction With A Peek Optima-Lk Patient Specific Implant: Case Report.

Gisbert Alemany N., Cebrián Carretero J. L., Sánchez Burgos R., Mirada Donisa E., Chamorro Pons M., Burgueño García M. .............................................................................. 809

Use Of The Erbium-Yag Laser For The Correction Of Rhinophyma. About 6 Cases.

Parmentier J., Martin T., Trijolet J.-P., Goga D., Laure B. ........................................................ 810

A New Method To Improve Defects Of The Mandibular Angle Using An Asymmetrical Bone Distraction Technique

Muñoz-Guerra M. F., Rodriguez-Campo F. J., Roson-Gomez S., Cho-Lee G.-Y., Sanchez-Acedo C., Naval-Gías L. ......................................................................................... 811

3D Virtual Planning Of An Osteotomy: Present Or Future?

Van Hemelen G., Renier L. S., Desmedt M. J., Van Genechten M. L., Jespers P., Mollemans W. . ..................................................................................................................... 812

3D-Model Creation Of The Maxillo-Facial Region Structures

Korotkikh N., Stepanov I., Stanislav I., Larina O., Morozov A. ................................................ 814

Integration Accuracy Of Digital Dental Models And 3D Ct Images By Sequential Point- And Surface-Based Markerless Registration

Kim B. C., Lee C. E., Park W., Kang S. H., Zhengguo P., Yi C. K., Lee S.-W. .............................. 815

Clinical Experiences Of Digital Model Surgery And The Rapid-Prototyped Wafer For Maxillary Orthognathic Surgery

Kim B. C., Lee C. E., Park W., Kim M.-E., Zhengguo P., Yoo H.-U., Yi C. K., Lee S.-W. ............... 816

Facial Analysis And Its Application In Facial Profile Surgery Using Speical Designer And Template

Kim P. C., Park D. .................................................................................................................. 817

Quantitative Validation Of A Computer Aided Maxillofacial Planning System, Focusing On Soft Tissue Deformations

Nadjmi N., Defrancq E., Mollemans W., Van Hemelen G., Defrancq J., Vercruysse H., Van der Dussen N., Vanassche B., Van De Perre J., Bergé S. . ............................................... 818

The Implant Surgery Based On Computer Simulation Surgical Stent And The Assessment With The Image Fusion Technique

Lee J. H., Kim S. M., Paeng J. Y., Kim M. J. . .......................................................................... 819

Real-Time Monitoring System Of Oral And Maxillofacial Surgery Usuing High–Definition Live Camera (Hdlc) With 10Mm Diameter Endoscope.

Kamei K., Hamada Y., Ito M., Ohashi Y., Takeda J., Gomi Y., Kobayakawa M. .......................... 820

Automated Three-Dimensional Cephalometric Landmark Identification

Keustermans J., Swennen G., Mollemans W., Schutyser F., Vandermeulen D., Suetens P. ..... 821

Removal Of The Retained Suture Needle Under C-Arm Fluoroscopy

Gulses A., Sencimen M., Bayar G. R. . ................................................................................... 823


XLIX

The Assessment Of Bone Invasion Of The Mandible Gingival Carcinoma By The 3-D Computed Tomography Using Sim/Plant

Asano K., Wakui T., Doi Y., Kawamata H., Imai Y. .................................................................... 824

Three-Dimensional Cone-Beam Ct Imaging And Simulation For Orthognathic Surgery

Takahashi T., Yamauchi K., Miyamoto I., Yamashita Y. ........................................................... 826

Accuracy Of Cone-Beam Ct, Computed Tomography And Single Photon Emission Computed Tomography In Detecting Bone Invasion By Oral Squamous Cell Carcinoma

Taner C., Ofer M., Jacobsen H. C., Sieg P., Hakim S. G. .......................................................... 827

Doppler Colour Flow Ultrasound Assessment Of Neck Vasculature Prior To Pharyngoplasty

Kittur M., Weeks O., Evans S., Drake D. ................................................................................. 829

The Intramandibular Course Of The Inferior Alveolar Nerve And Its Clinical Significance For Distraction And Implantology

Lautner N. V., McCoy M., Krenkel C. ...................................................................................... 831

Comparison Of 3D Preoperative Planning And Surgical Outcome In Bimaxillary Procedures

Plooij J. M., van Loon B., Maal T. J., de Koning M., Borstlap W. A., Bergé S. J. ...................... 832

Variation Of The Face In Rest Using 3D Stereophotogrammetry

Maal T., Verhamme L. M., Loon B. V., Plooij J. M., Bronkhorst E. M., Bergé S. J. .................... 833

A Prospective Study On The Accuracy Of Mucosally Supported

D’haese J., Elaut L., Vandevelde T., Debruyn H. . ................................................................... 835

Can Combined 3 D Spect/Ct Improve Accuracy In Detection Of Bone Invasion And Determination Of Resection Margins In Head And Neck Tumors Compared To Conventional Imaging Modalities?

Kolk A., Dinges D., Müller S., Weitz J., Wolff K.-D., Schwaiger M., Scheidhauer K., Hölzle F., Pautke C. . ............................................................................................................................ 836

Iphone - An Aid To The Management Of Oral & Maxillofacial Surgery Patients

Banks R. J., Adams J., Kennedy M., Shakir A. ....................................................................... 837

How And When Are The Stereolithographic Models Useful?

Dunaud O., Guichard B., Taha F., Bitar G., Lemaire A., Devauchelle B. ................................... 838

Cone Beam Ct As A Tool In The Diagnosis And Treatment Planning Of Maxillary Impacted Canines

Moran Soto M. J., Concejo Cútoli C. ..................................................................................... 839

Expression Of Cancer Testis Antigens In Oral Leukoplakia And Oral Squamous Cell Carcinoma.

Skorodumova L. V., Mouraev A. A., Zakharova E. S., Ivanov S. Y., Zaderenko I. A., Shepelev M. V., Korobko I. V., Larin S. S. ............................................................................... 840

L


How Do Long-Term Survivors Of Testicular Cancer In Norway Evaluate Their Oral Health And Cost Of Oral Care? Preliminary Results

Wilberg P., Fosså S. D., Herlofson B. B. ................................................................................. 841

Functional Analysis Of Epcam In Oral Squamous Cell Carcinoma Cell Lines

Inoue H., Dateoka S., Ugaki Y., Ohnishi Y., Nakajima M., Kakudo K. ....................................... 843

Association Between A Functional Polymorphism In The Matrix Metalloproteinase 9 Gene (Mmp-9, 1562 C>T) And Risk Of Oral Scquamous Cell Carcinoma (Oscc) In Serbian Patients

Jelovac D., Konstantinovic V., Boskovic M., Ilic B., Popovic B., Vukadinovic M., Milasin J. ..... 845

Expression Of Hypoxia-Inducible Factor-1 Alpha In Oral Squamous Cell Carcinoma

Noguchi N., Kawashiri S., Kato K., Yoshizawa K., Kitahara H., Yamamoto E. . ........................ 847

Head And Neck Cancer In The Twenty-First Century In Clinical Material In The Department Of Cranio-Maxillo-Facial Surgery In The Medical University Of Lodz.

Plewinska A., Zielinska-Kazmierska B., Grodecka J., Manowska B. ..................................... 849

How Oral And Maxillofacial Surgeons Can Influence The Outcome Of Stop Smoking Behaviour By Adopting The Transtheoretical Model Of Behaviour Change And Health Belief Model

Cheng L. H., Kyriacou C., Ali E., Ezsias A., Ratcliffe S., Boindala D., Qureshi R., Balogun C. . .. 850

How To Facilitate The Uptake Of Hospital Specialist Stop Smoking Service Among Our New Patients In Busy Outpatient Clinics?

Cheng L. H., Kyriacou C., Ali E., Ezsias A., Ratcliffe S., Boindala D., Qureshi R., Balogun C., Patel S., Elsaadany A., Azim A., Walton A. ............................................................................. 852

Oral Submucous Fibrosis In Young Asian Children In The Uk

Cheng L. H., Killick Z., Dattani N., Parbhoo A. . ...................................................................... 854

Determination Of The Origin Of The Squamous Cell Carcinoma Of Oral Floor By Microarray Analysis

Kawamata H., Izumi S., Imai Y. . ............................................................................................ 856

Over Expression Of Heparanase In Oral Cancer, It’s Role In Prognosis And Cellular Differentiation

Leiser Y., Abu-El Naaj I., Sabo E., Peled M., Vlodavsky I. . ...................................................... 858

Prognostic Significance Of Fdg-Pet In Patients With Oral Squamous Cell Carcinoma

Abe T., Hata H., Yamazaki Y., Satoh A., Notani K., Tamaki N., Kitagawa Y. ............................... 859

Oral Metastasis Of The Mediastinal Germ Cell Tumor (Yolk Sac)

Bayar G. R., Gulses A., Sencimen M., Aydıntug Y. S., Arpaci F., Gunhan O. ............................. 860

Melanotic Neuroectodermal Tumor In A Three-Month-Old Infant (Case Report)

Varga R., Pintér G., Seres L., Raskó Z., Kaiser L., Piffkó J. ..................................................... 861


LI

Nosocomial Transmission Of Methicillin Resistant Staphylococcus Auresus In Patients Following Oncologic Surgeries

Gaszynska E., Manowska B., Tyndorf M., Arkuszewski P. . .................................................... 862

Differential Gene Expression Of The Proto-Oncogene Vav3 And The Transcript Variant Vav3.1 In Oral Squamous Cell Carcinoma

Trenkle T., Hakim S. G., Sieg P. .............................................................................................. 863

Thymoma With Immunodeficiency (Good’S Syndrome) Presenting Recurrent Herpetic Hyperplastic Lesions In The Mouth

Aydintug Y. S., Bayar G. R., Ozkan A., Gunhan O., Musabak U. ............................................... 865

Effects Of Crm197 With Cisplatin, A Specific Inhibitor Of Hb-Egf, In Oral Cancer

Dateoka S., Inoue H., Minamino Y., Ugaki Y., Ohnishi Y., Nakajima M., Kakudo K. . ................. 867

Malt Lymphoma With Masseteric Localization Feigning A Cellulite Of Dental Origin: About One Case

Hajji F., Khalfi L., Abouchadi A., El Khatib K., Nassih M., Rzin A. . ........................................... 869

The Chemokine Receptor Cxcr4 Mediates Cancer Stem Cell Properties In Oral Squamous Cell Carcinoma

Collier J. M., Farthing P., Waseem A. ..................................................................................... 871

Epcam Is Infrequently Expressed On Hematogenously Disseminated Tumor Cells In Cancers Of The Digestive Tract.

Sproll C., Vay C., Will D., Vaerst A.-C., Schumacher S., Baldus S. E., Topp S., Knoefel W. T., Kübler N., Zimmermann A., Stoecklein N. H. . ....................................................................... 872

Transoral Approach For Treatment Of Primary Posterior Wall Oropharyngeal Carcinoma. Report Of A Case And Literature Review

Zouloumis L., Tilaveridis I., Papadopoulou A., Koutsonikolas D., Lazaridis N. . ...................... 873

Influence Of Surgical Treatment And Radiotherapy Of Advanced Intraoral Cancers On Complete Blood Count, Levels Of B And T Lymphocytes And Acute Inflammatory Response.

Dovsak T., Ihan A., DidanovicˇV., Kansky A., Ihan Hren N. ....................................................... 874

Thyroid Dysfunction After Radiotherapy Of Head And Neck Cancer

Bernát L., Hrušák D., Walter J. .............................................................................................. 875

Squamous Cell Carcinoma Of The Oral Cavity In Slovakians - An Epidemiological Study Of 622 Patients

Czako L., Hirjak D., Stanko P., Beno M. .................................................................................. 876

Factors Related To Functional Outcomes And Quality Of Life In Long-Term Oral Cancer Survivors. A Comparison With Spanish General Population Norms.

Herce J., Rollon A., Lozano R., Salazar C. I., Sanchez-Molini M., Gallana S., Mayorga F. ........ 877

LII


Abrikossoff’S Tumor A Rare Oral Tumor: Case Report And Literature Review

Melero Luque M., Arranz Obispo C., Ferrer Fuentes A., Morla A., Gomez San Gil G., Mari Roig A., Juarez Escalona I., Cusco Albors S., Monner Dieguez A. ................................. 878

Multimodal/Associated Treatment (Surgery Plus Interferon 2B) For Aggressive Central Giant Cell Granuloma: Report Of Two Cases.

Scozzafava E., Poli T., Balestreri A., Lanfranco D., Sesenna E. .............................................. 880

Microsurgical Autotransplantation Of Tissue Complexes In Treatment Of The Skin Cancer

Korotkikh N., Hodorkovskii M., Petrov B., Azarova T. ............................................................. 882

Lingual, Inferior Alveolar And Facial Nerve Reconstruction Using A Decellularized Nerve Allograft

Zweifel C. J., Kruse A., Zweifel D., Grätz K. W., Bredell M. G. ................................................. 883

Rehabilitation With Endosseous Implants In Fibula Free-Flap Mandibular Reconstruction

Ferrari S., Copelli C., Bianchi B., Ferri A., Sesenna E. ............................................................ 884

Review Of Microvascular Reconstruction Of The Mandible

Dediol E., Uglesic V., Knezevic P., Milenovic A. ...................................................................... 885

Success Rate And Outcomes Of Free Flaps Reconstructions In Elderly Patients

Kasumovic´ M., Uglešic´ V., Milic´ M. . ...................................................................................... 887

Folded Anterolateral Thigh Free Flap For Reconstruction Of Large PharyngoCutaneous Fistulae And Anterior Neck Defects

Dean Ferrer A., Heredero Jung S., Alamillos Granados F. J., Jurado Ramos A. ..................... 888

A Triple 3D Sjablone Concept For Reconstructing A Mandible With A Fibula Free Flap

Dieleman F., Weijs W., Maal T., Barkhuysen R., Merkx T., Bergé S. ......................................... 890

Functional Results After Tongue Replacement

Sehhati-Chafai-Leuwer S., Bschorer R. . .............................................................................. 891

Radial Forearm Flap (Rff) Donor Site Morbidity In Primary Reconstruction Of The Head And Neck Region

Juhász T., Lévai N., Kondákor I., Oberna F. ............................................................................ 892

Anastomosis Between Mylohyoid Nerve And Lingual Nerve: Anatomical Description And Clinical Relevance

Toure G. ................................................................................................................................ 893

Process Of Formation And Consolidation Of An Oral And Maxillofacial Microsurgery Unit

Martínez-Seijas P., Martín-Rodríguez J., Arruti-González J., Rad-Carrera J., Esnal-Leal F., Díaz-Galvis L., Díaz-Basterra G. ........................................................................................... 894


LIII

Agressive Fibromatosis Of The Pediatric Mandible. Case Report

Gomez E. M., Arias J., Martín M., Pingarron L., Sanchez R. . ................................................. 896

New Virtual Reality Applications On Facial Oncologic Reconstruction.

Hens-Aumente E., Infante-Cossio P., Leopoldo-Rodado M., Sicilia-Castro D., Gomez-Cia T., Gonzalez-Padilla D. .............................................................................................................. 897

Can The Anterolateral Thigh Flap Replace The Radial Forearm Flap For Intraoral Reconstruction?

Kesting M. R., Wolff K.-D., Hasler R., Kolk A., Mücke T. ......................................................... 898

Clinical And Polisomnographic Evaluation Of 20 Consecutive Classe Ii Obstructive Sleep Apnea Patients Treated By Counterclockwise Rotation And Advancement Of The Maxillomandibular Complex.

Cifuentes J., Barrera A., Gantz A. .......................................................................................... 899

Role Of Genioplasty In Patients Affected With Osas Undergoing Maxillomandibular Advancement

Galioto S., Di Petrillo A., Pastori M., Arecchi A. ...................................................................... 900

Mandibular Advancement Appliances In Patients With Osa.

Martin-Rodriguez J., Arruti-González J. A., Esnal-Leal F., Rad-Carrera J., Martínez-Seijas P., Díaz-Basterra G., Díaz-Galvis L., Luque-Díez R. . .................................................................. 901

Secondary Orbital Implant Covered With Autogenous Fascia Lata: Long Term Follow-Up

Guyot L., Lari N., Thiery G., Cheynet F., Paganelli A., Blanc J.-L. ............................................ 902

Anatomically Designed Titanium Plate

Logvinenko I. . ...................................................................................................................... 903

Lacrimal Disorders Caused By Fractures To The Medial Facial Zone.

Chepurnii Y. Y., Malanchuk V. A. ............................................................................................ 904

A Treatment Strategy For Patients Prersenting With Graves’ Orbitopathy

Gooris P. J. . .......................................................................................................................... 906

Orbital Skeleton Symmetry In Human – Guide For Individual Implant Of Damaged Walls

Kozakiewicz M., Elgalal M., Walkowiak B., Olszycki M., Loba P., Stefanczyk L. ..................... 908

Two-Wall Orbital Decompression For Thyroid Eye Disease – A Two-Disciplinary Surgical Approach To Management

Gangidi S. R., Sundararaj D., Irvine F., Mclennan A. . ............................................................. 909

Paraganglioma Of The Orbit: Report Of 3 Cases

Slavik R., Stebel A., Streckova E., Galbavy S., Chynoransky M., Poruban D. .......................... 910

Hyperthyroidism Exaggerating Retrobulbar Haemorrhage

Kichenaradjou A., Fan K. ...................................................................................................... 911

LIV


Development Of Surgical Guide For Three-Dimensional Positioning Of Titanium Mesh In Post-Traumatic Orbital Floor Fractures

Olszewski R., Dockx J., Reychler H. ...................................................................................... 912

Eyelids Surgery In Endocrine Orbitopathy

Tieghi R., Denes S. A., Clauser L. C. ...................................................................................... 913

Endocrine Orbitopathy: An Algorithm Of Treatment

Tieghi R., Galiè M., Clauser L. C. ........................................................................................... 914

Surgical Treatment Of Graves Orbitopaty – Our Experience

Costan V. V., Vicol C., Preda C., Cristea C., Moisii L., Boisteanu O., Bogdanici C. ..................... 915

Intraorbital Foreign Body. Detection By A Limitation Of Mouth Opening

Benazzou S., Boulaadas M., Abdellah E. H., Berraho A., Kzadri M. ........................................ 916

Structural Fat Grafting Of The Orbit And Periorbital As Complementary Thecnique In Reconstruction Of An Anophthalmic Orbit

Rosón Gómez S., Naval Gías L., Rodriguez-Campo F. J., Sanchez C., Fernández J., Garcia T., Sastre- Pérez J., Díaz-González F. ........................................................................................ 917

Balanced Bilateral Orbital Advancement In Congenital Exophthalmos.

Ramos - Medina B., Acosta M., Gomez A. ............................................................................. 919

Preliminary Results On Anophtalmic Orbit Reconstruction Using Autologous Oral Mucosa Fibroblast Transplantion

Gutierrez Jimenez A., García Recuero I., Romance Garcia A. I., Barceló Mendiguchia A., Cherro Samper R., Fernández del Valle Fernández A., Meana Infiesta A., Carrillo Arroyo I., Espinosa Calleja P. . ................................................................................................................... 921

The Application Of Hilotherapy In Oral & Maxillofacial Surgery

Ramsay-Baggs P. ................................................................................................................. 922

A Stability Of Nasal Change After Le Fort 1 Osteotomy With Alar Base Cinch Suture

Muto T., Akizuki K., Tsichida Y., Takahashi M. ........................................................................ 923

Standardized Soft-Tissue Analysis And Transfer With Face-O-Meter In Genioplasty.

Streckbein P., Roell D., Schaaf H., Wilbrand J.-F., Kerkmann H., Krenkel C., Howaldt H.-P., Malik C. Y. . ........................................................................................................................... 924

Acoustic Analysis Of The Korean Vowel Sound Before And After Orthognathic Surgery

Kim G. .................................................................................................................................. 925

Clinical Results Of Obwegeser Ii Method For Correction Of Severe Mandibular Protrusion

Minami K., Mori Y., Imura H., Fujiwara K., Niimi T., Natsume N., Sugahara T. ......................... 926

Bimaxillar Osteotomy And Condylar Hyperplasia

Moatemri R., Beltaief A., Ayachi S., Omezzine M., Mziou Z., Chelbi M., Gaied Hsine N., Slama A., Khochtali H. .......................................................................................................... 927


LV

Setback Maxillary Osteotomy (About 4 Cases)

Moatemri R., Frikha N., Mziou Z., Chelbi M., Omezzine M., Ayachi S., Slama A., Khochtali H. . 928

Hemimandibular Hyperplasia: Report Of Three Cases

Takata Y., Oguri S., Goto S., Nagasaka H., Kawamura H. . ...................................................... 929

The The Frontal Characteristics And Treatment Changes Of The Lower Facial Portions After Sagittal Split Ramus Osteotomy In Cl Iii Malocclusion

Park N. S., Noh K.-O., Kook Y.-H. ........................................................................................... 930

Prospective Analysis Of Patient Perceptions Of Orthognathic Surgery

Williams R. ........................................................................................................................... 931

Distraction Osteogenesis Of Reconstructed Mandible With Fibula: A Case Report

Kocˇar M., Didanovic´ V. .......................................................................................................... 933

Are Jaw Closing Muscles More Effective After Bsso?

Dicker G., Spronsen P. V., Ginkel F. V., Castelijns J., Koolstra J. H., Schijndel R. V., Tuinzing B. 935

Orthognatic Surgery Conducted By Piezoelectric Saw

Jagielak M. J., Michalski P., Jagielak A., Socha M., Rogus´ P. . ............................................... 937

Determination Of The Condylar Position After Bilateral Sagittal Osteotomy Of The Mandible

Petrovic D., Vuckovic I., Pesic Z., Petrovic S. ......................................................................... 938

Patient Experiences Of An Inpatient Admission For Orthognathic Surgery

Thomas M. P., Drew E., Farrier J., Knepil G. . ......................................................................... 939

A Study On Bone-Contact To Inter-Segmental Length Ratio Of Rigid Screws Used In Bssro For Mandibular Setback.

Kwon Y.-W., Shin H.-I., Cho S.-M., Kim C.-H., Kim S.-H., Park J. U. . ....................................... 940

Orthognathic Surgery In A Patient With Melnick-Needles-Syndrom

Wermker K., Ziebura T., Flieger S., Joos U., Kleinheinz J. ...................................................... 941

Treatment Of Skeletal Class Ill Malocclusion And Open Bite By Orthognathic Surgery: A Case Report

Sencimen M., Sabuncuoglu F., Altug H. A., Gulses A., Olmez H., Dogan N. . ........................... 942

The Use Of Hydroxiapatite Blocks For Maxillary Downgrafting And Large Advancements

Grybauskas S. ...................................................................................................................... 943

The Use Of Piezosurgery In Pterygomaxillary Disjunction

Nagy K., Spaas C., Schoenaers J. ......................................................................................... 944

A Method In Securing Endotracheal Tubes For Orthognathic Surgery

Mannion C. J., Starr D. G., Thind J. . ...................................................................................... 945

Muscolar Activity Monitoring During Mandibular Osteotomies Procedures For Condylar Position Control, A Prospective Study

Maranzano M., Radovich F., Guastalla P., Furlan S., Clarich G. . ............................................. 946

LVI


Postoperative Analgesia In Orthognathic Surgery Patients: Diclofenac Sodium Or Paracetamol?

Cimen E., Tüzüner-Öncül A.-M., Cambazoglu M., Kucukyavuz Z. .......................................... 948

Retrospective Study Of The Stability And Scheletal Relapse After Mandibular Sagittal Split Osteotomy And Fixation With Only Two Bicortical Screws

Stea S., Sarti E., Biondi P. . .................................................................................................... 950

Morphological Characterics And Surgical Procedure Of Hyperplasia Of The Tendon And Aponeurosis Of Masticatory Muscles (Hytam).

Kubo H., Yoshimoto H., Ohnishi Y., Kakudo K., Mori Y., Nakajima M., Gotoh M., Nishiura A. .... 951

Piezosurgery A New Way For Osteotomies In Orthognathic Patients Robiony M. ........................................................................................................................... 953

Clinical Evaluation Of A New Rigid Fixation System In Orthognathic Surgery

Ronchi P., Palazzolo V., Valsecchi S. ...................................................................................... 955

Orthognatic Surgery In Cherubism: A Case Report.

Mareque Bueno J., Hernandez Alfaro F., Arenaz J. . .............................................................. 957

Custom Tmj Prosthesis And Bimaxillary Orthognathic Surgery - Case Report

Hirjak D., Machon V., Beno M., Czako L. ................................................................................ 958

High Oblique Mandibular Osteotomy In Orthognathic Surgery, Preliminary Results

Landes C., Schuebel F., Ballon A., Santo G., Ghanaati S., Seitz O., Sader R. ........................... 959

The Effect Of Treatment Of Mandibular Prognathism By Bssro Technique On Pulmonary Function

Afshar N. .............................................................................................................................. 960

3D Planning And Cad/Cam Surgical Splints In Orthognathic Surgery

Aboul-Hosn S., Hernández Alfaro F. ...................................................................................... 961

A Biomechanical Test Set-Up For Sagital Split Osteotomy Plates

Spiegel A., Pochlatko N., Mullis A. ........................................................................................ 963

Application Of Novel Facial Analysis In For Complex Cranio-Maxillo-Facial Cases.

Walters M. J., Claes P. D. H., Sillifant P. ................................................................................. 965

The Advantages Of The Tridim Software For Prediction Modelling The Orhodontic-Surgical Mangement Of Dento-Maxillary Anomalies

Bucur A., Popescu M., Dincaˇ O., Vlaˇdan C., Bucur M. B. ........................................................ 966

Incidence Of Complications And Difficulties Related To Orthognathic Surgery; Retrospective Report

Sadek H., Ismail A. . ............................................................................................................. 967


LVII

Intraoperative Control Of The Maxillary Position During Orthognatic Surgery – Routinely Use Of A 3D-Realtime Navigation

Jürgens P., Beinemann J., Zeilhofer H.-F. . ............................................................................ 968

Comparative Study Between Nano-Hydroxyapatite And Hydroxyapatite Graft On The Rabbit Calvarial Defect Model

Lee S. W., Kim S.-G., Kwon K. J., Park Y.-W. . ......................................................................... 970

Evaluation Of Osteogenic Potential Of Silk Sponge With 10% ß-Tcp In The Rabbit Calvarial Defect Model

Lee S. W., Kim S.-G., Kwon K. J., Park Y.-W. . ......................................................................... 971

Morphological And Functional Characteristics Of Cells Cultured On Nanostructured Titanium

Hrusak D., Hájková L., Dluhoš L. ........................................................................................... 972

Finite Element Analysis Of The Chin Augmentation Using Inkjet-Printed Custom-Made Tricalcium Phosphate Implant

Igawa K., Takato T., Rasmusson L., Thomsen P., Sasaki K., Ko E. ........................................... 974

Maxillary Reconstructions With Homologous Versus Autologous Bone: Comparing The Clinical Results

Carlino F. .............................................................................................................................. 975

A Novel Concept In Implant Utility

Marinho J. S. ........................................................................................................................ 977

Middle Face Rehabilitation After 35 Years Of Oncology Surgery Excision. A Case Report

Marinho J. S., Moreira J. L. . ................................................................................................. 978

An Alternative Gbr Technique

Rauso R., Rauso G. M., Tartaro G., Santagata M. ................................................................... 979

Standardized Horizontal Reconstruction Of The Alveolar Ridge Using Press-Fit Bone Cylinders: Technical Note And 4 Years Experience

Streckbein P., Malik C. Y., Schaaf H., Wilbrand J.-F., Howaldt H.-P., Streckbein R. G. ............. 980

Avoiding Crestal Bone Overload And Microgaps - Biomechanics Of Conical Implant-Abutment Connections

Streckbein P., Streckbein R. G., Flach M. .............................................................................. 981

The Use Of Implants For Orthopedic Reabilitation Of Patients With Postoperative Defects Of The Middle Face Zone

Korotkikh N., Lesnykh N., Petrov I., Petrov A. . ...................................................................... 982

Bilateral Maxillary Sinus Elevation With Or Without Platelet-Rich Fibrin: Study Of The Angiogenesis With Magnetic Resonance In A Case Report

Morandi G., Maglione M., Bertolotto M. ................................................................................ 983

The Occlusal Reconstruction With Dental Implant For Oral Cancer Patients

Sumida T., Murase R., Ishikawa A., Oka R., Hamakawa T., Fujita Y., Nakashiro K.-I., Hamakawa H. . ..................................................................................................................... 985

LVIII


Effects Of Alpha-Tricalcium Phosphate On New Bone Formation In Alveolar Bone Defect: An Experimental Study In Dogs

Hamada H., Shimada K., Kubo K., Muroi Y., Kubota R., Shoju Y., Haeniwa H., Tsunokuma M., Nakajima M., Kakudo K. ....................................................................................................... 986

Is Inflamed Extractions Socket Contraindication For Immediate Placement?

Kocˇar M. ............................................................................................................................... 988

Oral Rehabilitation Using Ct Assisted Implant Surgery In Microvascular Reconstructed Mandibles.

Tullio A., Meloni S. M., Pisano M., Massarelli O., De Riu G. .................................................... 990

Allogenic Bone Graft In Gross Post-Traumatic Maxillary Reconstructions; Our Experience In 20 Consecutive Patients

Torres S., Falzea R., Magaudda E., Cristiano G., Orlandi I. ..................................................... 991

Modern Guided Implant Placement In Achieving High Precision.

Kulakov A. A., Sukharskiy I. I., Butsan S. B., Perfiliev S. A., Khokhlachev S. B., Chernenkiy M. M. . ............................................................................................................... 993

Alveolar Ridge Augmentation By Means Of Titanium Mesh And Autogenous Particulate Bone Grafts: Factors Related To Clinical Outcomes.

Miyamoto I., Takahashi T., Yamauchi K., Yamamoto N., Yamashita Y. ..................................... 995

Reconstruction Of Severely Atrophic Maxilla And Mandible With Calvarial Bone Graft For Implant-Supported Oral Rehabilitation

Bucci T., Cuesta Gil M., Gonzalez Martin-Moro J., Galan Hernandez R., Castrillo Tambay M., Duarte Ruiz B., Riba Garcia F. ............................................................................................... 997

The Use Of Distraction Osteogenesis To Widen Extremely Narrow Edentulous Maxillary Alveolar Crest

Laster Z. ............................................................................................................................... 999

Severe Infectious Complications After Peek-Derived Implants Placement

Khonsari R. H., Bouguila J., Perrin J.-P., Corre P. ................................................................... 1000

Computed Tomography Of The Anatomic Relationship Between The Pterygopalatine Fossa And The Zygomaticomaxillary Buttress

Ort S., Ramachandran B., Mirro E., Caparso A., Roberson J. . ................................................ 1001

Endosseous Dental Implants In A Liver Transplanted Patient With Neurological Impairment Associated To Immunosuppressive Therapy And Intracranial Bleeding: A Case Report

Lozano C. E., Pauwels A., Medina C. E., Idrovo V., Vera A. ...................................................... 1003

Singleton-Merton Syndrome – Treatment Of A European Sibpair

Nolting T., Wermker K., Rutsch F., Joos U., Kleinheinz J. . ...................................................... 1005

Fares Wedge Technique: A New Simple Method For Three-Dimentional Ridge Augmentation

Kablan F. K. .......................................................................................................................... 1007


LIX

Differential Choice Of Atrophied Jaw Section Alveoloplasty

Yaremenko A., Novikov S. ..................................................................................................... 1008

Modified Le Fort 1 Maxillary Osteotomy And Bone Grafts In Maxillary Atrophy

Maranzano M. ...................................................................................................................... 1010

Surgical Templates For Dental Implantation, Sinus-Lift And Tunnel Technique Of Alveolar Ridge Augmentation

Gerasimov A. S., Yaremenko A. I. . ........................................................................................ 1011

Ridge Augmentation With Pre-Shaped, Collagenic Heterologous Spongy Bone Blocks

Biondi P., Pasqualini F., Sarti E., Stea S. ................................................................................ 1013

Biocompatibility And Biodegradation Of A Native, Porcine Pericardium Membrane. Results Of An In Vitro/In Vivo Examination.

Rothamel D., Smeets R., Scheer M., Mischkowski R., Dreiseidler T., Ritter L., Zöller J. ......... 1015

A Comparison Study Of Times Of Implant Placement: At The Same Time Vs. Before Distractor Removal

Iwata M., Shirakami K., Hidaka S., Yamamoto N., Kamijyo H. ................................................ 1017

Survival Rate Of Conical Implants: Retrospective Study Of A 12-Month In Function Follow-Up.

Chen A., Caramês J., Coelho P. V. .......................................................................................... 1018

Clinical Applications Of Autogenous Bone Block Grafts For Alveolar Ridge Augmentation

Shabanovich A. .................................................................................................................... 1020

Clinical Applications Of Piezosurgical Technique In Maxillofacial Surgery

Shabanovich A. .................................................................................................................... 1021

Surgical Driver As An Essential Tool For The Insertion Of Nobel Active Implants For Immediate Loading

Stajcic Z.1,*, Stojkovic´ G.1, Stojcˇev Stajcˇic´ L. . ........................................................................ 1022

Determination Of Biochemical Indices Information Of The Serum For Prediction Of Dental Implantation Results

Pohodenko-Chudakova I., Karsyuk Y. ................................................................................... 1023

Effect Of Beta-Tricalcium Phosphate And Platelet-Rich Plasma On New Bone Formation In Alveolar Bone Defects Around Dental Implants Of Dogs

Kakudo K., Yamaguchi T., Haeniwa H. ................................................................................... 1025

Biopsy And 3D Cone Beam Radiodensitometry In Evaluation Of Hydroxyapatite ( Hap)/Tissue Hybrid After Maxillary Sinus Floor Elevation

Salms G., Skagers A., Feldmane L., Pilmane M. .................................................................... 1027

Split Mouth Comparative Clinical And Histological Study: NanocrystallineHydroxylapatite-Based Versus Bovine-Based Bone Substitutes

Landes C., Ghanaati S., Stübinger S., Kirkpatrick J., Sader R. ............................................... 1029

LX


Pericranium Graft In Preprosthethic Surgery Of Atrophied Maxillary Bone

Autelitano L., Rabbiosi D., Bazzacchi R., Marelli S., Valassina D., Bardazzi A. . ...................... 1030

Maxillary Atrophy: Onlay And Inlay Bone Grafting, Sinus Lift In Le Fort I Osteotomy

Martínez-Seijas P., Arruti-González J., Martín-Rodríguez J., Esnal-Leal F., Díaz-Galvis L., Díaz-Basterra G., Rad-Carrera J. ......................................................................................... 1032

Implant Survival In Augmented Sinus With Polyglcolic, Polylactic Bone Substitute; Prospective Clinical Study

Ismail A. ............................................................................................................................... 1034

Clinical Outcome Of Zirconium Titanium Implant Placed Immediately After Extraction; Prospective Clinical Study

Ismail A. ............................................................................................................................... 1035

Alveolar Distraction Osteogenesis. Is It The Solution To The Vertical Osseous Dilemma?

Navarro I., Vázquez E., Gómez E., Múñoz J. M., Pingarrón L., Arias J., Chamorro M., Burgueño M. ........................................................................................................................ 1036

Flap Less And Sinus Slot Techniques: Improving Zygomatic Implants Position And Surgical Insertion

Ramos - Medina B., Gomez A., Acosta M. ............................................................................. 1037

Bone Graft Remodeling After Ridge Reconstruction With Autogenous Bone And Statin

Sadek H. G. .......................................................................................................................... 1039

An Assessment On Osteogenic Performance In Nude Mice With Used Simvastatin In The Stem Cell Separated From Human Sinus Mucosa Membrane

Yun K.-I., Lee S.-G., Park J.-U. . ............................................................................................. 1040

Fresh Extraction Sockets, Immediate Loading Of Implants And Fixed Bridge Work

Brabant P. M. K. . .................................................................................................................. 1041

Perinatal Risk Factors For Non-Syndromic Craniosynostosis

Guijarro-Martínez R., Miragall L., Bordes V., Pérez-Herrezuelo G., Iglesias M. E., Pascual J. V. ......................................................................................................................... 1042

The Bamboo Scaffold Technique For Dynamic Cranioplastic Vault Reconstruction In The Treatment Of Craniosynostosis

Wilbrand J.-F., Streckbein P., Malik C. Y., Matthias P., Christophis P., Howaldt H.-P., Schaaf H. 1043

Side Effects In Cranial Orthotic Therapy In Early Infancy

Wilbrand J.-F., Wilbrand M., Streckbein P., Schaaf H., Howaldt H.-P. ..................................... 1044

A Trauma Related Unilateral Coronoid Hyperplasia Resulting In Restriction Of The Mandibular Movement

Bayar G. R., Akcam T., Gulses A., Sencimen M., Gunhan O. ................................................... 1046


LXI

Recurrent Insufficient Distraction Osteogenesis In A Severe Case Of Hypomandibular Facio-Cranial Dysostosis

Jacobsen H.-C., Hakim S. G., Sieg P. ..................................................................................... 1047

Immediate Reconstruction Of Extensive Mandibular Defects By Split Rib Bundle Bone Graft Following Resection Of Aggressive Mandibular Tumors

Medra A. . ............................................................................................................................. 1049

Frontal Lobe Imaging Changes Following Frontofacial Monobloc Surgery

Cobb A. R. M., Boavida P., Saunders D., Hayward R. ............................................................. 1051

Changes In The Function Of The Temporomandibular Joint After Frontofacial Monobloc Advancement By Distraction.

Cobb A. R. M., Vourvachis M., Lloyd T., Evans R., Dunaway D. ............................................... 1053

Craniofacial Teratomas

Vourvachis M., Cobb A. R. M., Britto J., Hayward R., Dunaway D. ......................................... 1054

Bipartition Distraction In A Child With Apert And Sturge-Weber Syndromes.

Vourvachis M., Cobb A. R. M., Britto J., Hayward R., Dunaway D. ......................................... 1055

Infiltrating Lipomatosis Of The Face: Report Of Three Cases And Review Of The Literature

Kamal D., Breton P., Bouletreau P. ......................................................................................... 1057

Early Osteodistraction In Emifacial Microsomia. A Case Report Of A Syndromic Case.

Maranzano M., Callea M., Sabaron D., Guastalla P., Furlan S., Radovich F., Clarich G. . .......... 1058

Surgical Facial Corrections In Acromegaly. Report Of A Case.

Schepers R., Jansma J. ........................................................................................................ 1060

Treatment Of The Arteriovenous Malformations Of The Head And Neck: Our Experience

Fontana E., Poli T., Balestreri A., Scozzafava E., Gritti A., Sesenna E. .................................... 1062

Histomorphology Of Salivary Glands After Ligature And Reconstruction Of Common Carotid Artery In Rabbits

Stamers K., Skagers A., Pilmane M., Pastars K., Feldmane L. ............................................... 1064

Combined Disorders Of Parotid Gland And Temporomandibular Joint: Clinic, Diagnostic And Correction

Morozov A. N., Korotkikh N., Kartavtseva N., Dremina I., Yailaev H. . ..................................... 1066

Long-Term Results Of Partial Superficial Parotidectomy

Ilic M. P., Stojanovic S. S., Kiralj A. I. . ................................................................................... 1067

Rare Minor Salivary Gland Tumour Of The Tongue: Clear Cell Adenocarcinoma

Novak P., Nemeth I., Hamar S., Tiszlavicz L., Sonkodi I., Nagy K. ........................................... 1068

LXII


The Cross Wire Technique For Localising Proximal Parotid Duct And Parenchymal Calculi

Sherman J. A., Allen S. ......................................................................................................... 1069

A Case Of Sjögren’S Syndrome With Remarkable Swelling Of Major Salivary Glands Relating To Localized Amyloidosis

Kimura H., Kubota K., Kobayasi W., Sato H., Sakaki H., Kon T., Nakagawa H. . ....................... 1070

Chemo-Radiation Versus Surgical Treatment For Salivary Gland Lymphoepithelial Carcinoma

Leiser Y., Abu El-Naaj I., Peled M. ......................................................................................... 1072

Polymorphous Low Grade Adenocarcinoma – A Case Series And Review Of The Current Literature

Abu El-Naaj I., Leiser Y., Wolff A., Peled M. . .......................................................................... 1073

Decreased Pattern Of Cd34+ Microvessels In Minor Salivary Gland Tissue And Oral Mucosa In Patients With Oral Chronic Graft Versus Host Disease

Ohbayashi Y., Miyake M., Iwasaki A., Ogawa T., Ohnishi H., Kushida Y., Haba R., Matsui Y. .... 1074

Protein Identification From Submandibular Salivary Stones With Maldi-Tof Mass Spectrometry

Szalma J., Böddi K., Lempel E., Szabó Z., Nyárády Z., Olasz L., Takátsy A. . ........................... 1076

Malt Lymphoma Arising From Lymphoepithelial Lesion In Parotid Gland

Popovski V., Panchevski G., Lazareska M. ............................................................................ 1077

First-Bite Syndrome: A New Theory

Hodges S., McGurk M. ......................................................................................................... 1078

Primary Lymphoepithelial Parotid Gland Tumor: A Case Report

Thomas A., Perez V., Coll M., Vila I., Verdaguer J.J., Acero J., Navarro Cuellar C., Garcia L., Navarro Vila C. ..................................................................................................................... 1079

Parotidectomy In Children And Young Adults: A Review Of 10 Cases

Singh R., Telfer M. ............................................................................................................... 1080

Can We Remove The Preauricular Incision: Modified Rhytidectomy Incision In Parotidectomy

Wu Y.-N., Chen J. ................................................................................................................. 1081

Indications For An Elective Neck Dissection In Patients With Salivary Gland Tumours: A 20-Year Experience

Luksic I., Virag M., Manojlovic S., Trutin Ostovic K. . ............................................................ 1082

Kimura’s Disease: A Rare Cause Of Cervical Mass In Western Countries

Sahuquillo-Arce E., Pla-Esparza M.A., Charro-Huerga E., Alemany-Monraval P., Garcia-Monleon L., Barrios-Sanchez G.M. . ......................................................................... 1083

Carcinoma Ex-Pleomorphic Adenoma Of A Minor Salivary Gland

Rodrigues H.C.V.S., Pimentel M.R.1, Esteves J.M. ................................................................ 1085

Late Parotid Metastasis Of Renal Origin

Rodrigues H.C.V.S., Pimentel M.R., Esteves J.M., Paixão L. ................................................. 1086


LXIII

Small Cell Carcinoma Occurs In The Mouth Floor With Metastasis In The Neck Region

Iwai R., Ogawa Y., Morita S. ................................................................................................. 1087

Endoscopically-Assisted Submandibular Sialoadenectomy

Iwai T., Matsui Y., Yajima Y., Ohya T., Ohhara Y., Chikumaru H., Hirota M., Mitsudo K., Tohnai I. ............................................................................................................................... 1088

Investigation Of The Dose-Dependent Radioprotective Effect Of Lidocaine On The Parotid And Submandibular Gland Of Rabbits During Fractionated Irradiation.

Benedek G.A., Su Y.-X., Meller B., Dendorfer A., Klinger M., Sieg P., Ofer M., Rades D., Hakim S. .............................................................................................................................. 1089

Epidemiological Profile Of Major And Minor Salivary Gland Tumors: Retrospective Study Of 54 Cases

Hajji F., El Khatib K., Sabani H., Abouchadi A., Nassih M., Rzin A. ........................................ 1090

Application Of Ultrasonography And Ultrasound-Guided Aspiration In Diagnosis And Treatment Of Acute Inflammation Of Soft Tissues In Maxillofacial Region And Neck

Yaremenko A., PPETROV N. .................................................................................................. 1091

Our Actual Attitude In Parotidectomy

Costan V.V., Popescu E., Boiteanu O., Vicol C. ...................................................................... 1093

Two Step Marginal Resection For Benign Parotid Tumors: Report Of A New Technique.

Alkhalil M.N. ........................................................................................................................ 1094

Management Of Chronic Parotid Duct Dilatation

Scannell J., McGurk M. . ...................................................................................................... 1095

Complete Congenital Agenesis Of All Major Salivary Glands, Case Report And Review Of The Literature

Pham Dang N., Picard M., Mondié J.M., Barthélémy I. ........................................................ 1097

Methods Of Efficient Application Of Digital Sialography In Clinical Practice

Shchipskiy A.V., Demurhchjan M., Zubkova Y. . .................................................................... 1098

Primary Parotic Duct Dilation

Martínez-Seijas P., Arruti-González J., Esnal-Leal F., Martín-Rodríguez J., Rad-Carrera J., Díaz-Galvis L., Díaz-Basterra G. . ......................................................................................... 1099

Benign Metastasizing Pleomorphic Adenoma: A Case Report And Literature Review

Melero Luque M., Arranz Obispo C.D., Ferrer Fuertes A., Morla A., Mari Roig A., Juarez Escalona I., Cuscó Albors S., Gomez San Gil G., Monner Dieguez A. ........................ 1100

Treatment Of Chronic Parenchymatous Parotitis In Children

Moskalenko G., Topolnitskiy O.Z. ......................................................................................... 1101

LXIV


Full Thickness Skin Grafts For Temporary And For Potential Definitive Closures Of Defects In The Context Of The Microscopic-Controlled Surgery For The Removal Of Malignant Facial Skin Tumours

Tischendorf L. ...................................................................................................................... 1102

Naso-Orbital Basal Cell Carcinoma: The Importance Of Primary Surgery

Schrey A.R., Suominen E., Aitasalo K. . ................................................................................ 1103

Differential Diagnosis Of An Extensive Facial Defect

Raskó Z., Seres L., Varga R., Piffkó J., Barzó P., Varga E. ..................................................... 1104

Five-Years Survival Of Patient With Advanced Lower And Upper Lip Carcinoma

Andrejko S. .......................................................................................................................... 1105

Giant Epidermal Inclusion Cyst Of Face

Baek S.-O., Jung S.-N., Ho K., Sohn W.-I., Kim S.-W. . .......................................................... 1106

The Pattern Of Regional Metastases Of Cutaneous Squamous Cell Carcinomas Of The Head And Neck Region

Gulati A., Surendrakumar G., Ramchandani P., Pearson I., Hussein K. . ............................... 1107

An Unusual ‘Basal Cell Carcinoma’

Al-Hadad I., Chadha A., Robson A., Bounds G. ..................................................................... 1108

Tissue Changes After The Application Of Carbon Dioxide Laser In MaxilloFacial Surgery – Is Everything Known?

Wanyura H., Walczak E., Franczyk R., Iwan´czyk B., Stopa Z., Fudalej M., Prochorec-Sobieszek M. ..................................................................................................... 1109

Surgical Dermatology - A Year In The Life Of A Maxillofacial Surgery Trainee

Hodges S. ............................................................................................................................ 1110

Reconstruction Of Large Defect Of The Lip In Aged Patients: Report Of Two Cases

Bucci T., Galan Hernandez R., Duarte Ruiz B., Gonzalez Martin-Moro J., Castrillo Tambay M., Riba Garcia F., Cuesta Gil M. . ............................................................. 1111

Cervical Pyoderma Gangraenosum – Case Report And Review Of The Literature

Wermker K., Fillies T., Kruse-Lösler B., Kleinheinz J., Joos U. ............................................. 1112

Leishmaniasis Of The Lip: A Case Report.

Voisin C.A., Glineur R., Evrard L. .......................................................................................... 1113

Interest Of Sentinel Lymph Node Technique In The Treatment Of High-Risk Sqamous Cell Carcinoma Of The Skin In The Head And Neck Area

FRISON L., Domergue S., Fabien L.P., Yachouh J. ................................................................ 1114

Kaposiform Hemangioendothelioma; A Case Review

Joshi Otero J., Rollon Mayordomo A., Manrique Aragon I., De La Cruz L., Sanchez Molini M., Rodriguez Berart P. ................................................................................................................ 1115


LXV

Outcomes Of Cutaneous Scc

Banks R.J., Jones N., Mughal N., Goodson M. ..................................................................... 1116

Apocrine Cystadenoma Of Upper Eyelid

Del Amo Fernández De Velasco A., Escrig de Teigeiro M., González Otero S., Pérez Mies B. . 1117

Basal Cell Carcinoma Of The Nose Study About 58 Cases

Briki S., Dhouib M., Karray F., Mallek M., Hablani H., Abdelmoula M. .................................. 1118

Massive Cervical Bacillary Angiomatosis In An Aids Patient

Ferrer Fuertes A.I., Juarez Escalona I., Cuscó Albors S., Marí Roig A., Arranz Obispo C., Melero Luque M., Morla A., Gomez San-Gil G., Monnner Diéguez A. ................................... 1119

Access To The Skull-Base And Temporomandibular Joint For The Head And Neck Surgeon

Suhr M.A. . ........................................................................................................................... 1121

Radical Resection And Reconstruction Of A Spheno-Orbital Meningioma

Heredero Jung S., Solivera Vela J., Dean Ferrer A., Alamillos Granados F. .......................... 1122

Skeletal Surgical Anatomy Of The Pterygopalatine Fossa For A Trans-Oral Posterior Maxillary Approach To The Sphenopalatine Ganglion

Papay F., Steiner C., Ramachandran B., Caparso A. ............................................................. 1123

Mid-Facial Translocation In Children. A Case Report

Acero Sanz J., Coll Anglada M., Vila Masana I., López López A., Asensio Guerrero R.E., Navarro Vila C. ..................................................................................................................... 1125

Oropharyngeal Infantile Myofibroma Compromising the Airway

García-Perla A., Belmonte-Caro R., Infante-Cossio P., Esteban-Ortega F., Muñoz-Ramos M. 1126

Esthesioneuroblastoma: A Case Report

Vila I., Perez V., Thomas A., Maza C., López A., Asensio R. ................................................... 1127

Principe’S Directed Bone Regeneration In Treatment Of Perforating Maxillary Sinuses

Korotkikh N., Larina O. ......................................................................................................... 1128

Post Traumatic Ethmoidal Mucocele With Orbital Erosion And Acute Exophtalmus In Pediatric Age

Torres S., Falzea R., Magaudda E. ....................................................................................... 1129

Maxillary Sinusitis!! Account For Missing Teeth

Azim S.A., Boindala D., Ali E., Qureshi R., Elsadaany A., Ezsias A. ....................................... 1130

First Experience With Infrahyoid Musculocutaneous Flap For Head And Neck Reconstruction

Karpenko A., Roman L., Chumanikhina N., Sibgatullin R. .................................................... 1131

Lingual Nerve Injury Following Laryngeal Mask Airway Intubation

Guyot L., Lari N., Le Baron M., Iniesta A., Chossegros C. ..................................................... 1132

LXVI


Correct Site Surgery In Oral Surgical Procedures: Clinical Application And Patient Perspectives

Knepil G.J., Harvey C.T. ........................................................................................................ 1133

Closure of Oro-Antral Communication with Buccal Fat Pad

Pampu A.A., Ozkaynak O.N., Cizmeci Senel F., Dayisoylu E.H., Yilmaz Altintas N., Cankaya M. . ........................................................................................................................ 1134

Treatment of Self-Inflicted Oral Trauma in a Comatose Patient

Kim H.L., Yun K.I. ................................................................................................................. 1135

Hemangioma Of The Mandible In 7 Year Old Girl-Case Report

Prekazi Loxha M., Sejfija O., Gjinolli F., Salihu S., Kelmendi A., Heta N., Berisha S. ............. 1136

The Mechanical Strength Of Orthodontic Infrazygomatic Mini-Implant

Chen C.M., Lai S.-S., Yang J.F. . ............................................................................................ 1137

The Mechanical Strength Of Miniscrew-Miniplate For Skeletal Anchorage

Yang J.F., Chen C.M., Lai S.T. ............................................................................................... 1138

A Case Of Congenital Unilateral Maxillo-Mandibular Bony Fusion In An 8-Years-Old Girl

Koeda S., Takata Y., Inahara H., Goto S., Nagasaka H., Kawamura H. .................................. 1139

Ankyloglosia Correction: Z-Plasty Combined With Genioglossus Myotomy

Moon S.-H., Choi Y.-S., Oh D.-Y., Byeon J.-H., Seo B.-C. ....................................................... 1140

Placement of Endosseous Mini Dental Implants in a Child with Ectodermal Dysplasia

Ozkaynak O., Altintas S.H., Taskesen F., Dayisoylu E.H., Kusgoz A. . .................................... 1141

Surgical Management of Inferior Alveolar Nerve Injury due to Overfilling of a Root Canal Sealer

Pampu A., Tasdemir T., Senel F.C., Atasoy K.T., Sezgin Ö.S. ................................................. 1142

Necrotising Fasciitis: Rare Acute Infection Of The Head And Neck

Hat K., Aljinovic´-Ratkovic´ N., Hat J., Macan D. ..................................................................... 1143

Teeth Reimplantation In Rats With Experimentally Induced Arthritis

Vardas E., Leventis M., Tesseromatis C., Kolokoudias M., Tsamouri M., Theologie-Lygidakis N., Iatrou I., Alexandridis C. . ............................................................... 1144

The Study of Post-Operative Analgesia in the Extraction of the Third Molar, Including Local Anaesthesia

Maglione M., Bulfone E., Lucangelo U. ................................................................................ 1145

Oral Lipomas – Beware Of Being Misled

Kumar S., Kalantzis A., Dhariwal D. ..................................................................................... 1146

Palatal Debulking In Aperts Syndrome – A Case Report

Kumar S., Chong D. . ............................................................................................................ 1147

Unusual Solitary Osteoma In Medial Pterygoid Muscle

Janjatov B., Eric´ M., Šojic´ D. ................................................................................................. 1148


LXVII

The Effect of the Extent of Root Curvature and Inferior Alveolar Canal-Root Tip Overlap to the Risk Assessment After Mandibular Third Molar Surgery

Szalma J., Lempel E., Csuta T., Nyárády Z., Jeges S., Olasz L. . ........................................... 1149

The Use Of Cone-Beam Computed Tomography (Cbct) In Dentoalveolar Surgery

Patel R.D., Holmes S., Whitley S., Makdissi J. . .................................................................... 1150

Change In Laryngoscopy Grade After Mandibular Distraction

Patel N., Bhatt V., Dhanda J., Monaghan A., Williams R. ...................................................... 1151

Impalement Injuries Of The Oral Cavity

Patel N., Mcveigh K., Palmer S. ........................................................................................... 1152

The Effeciacy Of Mylohyoid Nerve Anaesthesia on Dental Implant Placement at the Edentulous Posterior Mandibular Ridge

Sencimen M., Altug H.A., Varol A., Dogan N., Kocabiyik N., Gulses A. .................................. 1153

Fixed Combination of Human Coagulation Factors, Fibrinogen and Thrombin, on Ready to Use Collagen Patch: Our Experience in Utilisation in OralMaxillofacial Surgery

Fornaseri C., Bernardi M., Nasi A., Spada M.C., Ruffino S. . ................................................. 1154

Reliable Soft Tissue Reconstruction Of Intraoral Defects Following Malignant Tumor Resection With Platysma-Myocutaneous Flap: A Review Of 36 Cases

Lemound J., Kokemueller H., Eckardt A., Ruecker M., Gellrich N.-C. ................................... 1155

Consent In Maxillofacial Out Patient Department

Forbes-Haley C., Thomas C.V., Drake D. . ............................................................................. 1156

Impacted Maxillary Teeth With Labial Location. Outcomes Of The Surgical Exposure

Lozano R., Rollón A., Sánchez-Moliní M., Salazar C., Coello J.A. ......................................... 1157

Disease Modifying Antirheumatic Drugs: a Risk Factor for Oral and Maxillofacial Surgery? - A Review of Current Evidence

Annussek T., Kleinheinz J., Joos U., Becker H., Nolting T., Wermker K. . .............................. 1158

Assessement Of Pathology And Abnormality In Orthopantomograph Taken For Presurgical Planning Of Impacted Teeth And Their Treatments

Altug H.A., Altug H., Sencimen M., Sahin S., Dogan N. ........................................................ 1159

Histomorphometric Analysis Of Different Latency Periods Effect On New Bone Obtained By Periosteal Distraction: An Experimental Study In The Rabbit Model

Altug H.A., Aydıntug Y.S., Sencimen M., Gunhan O., Bayar G.R., Ortakoglu K., Dogan N. ..... 1160

Intraseptal Anaesthesia Obtained By Aricaine With Epinephrine

Brkovic B.M., Biocanin V., Dragica S., Todorovic L. .............................................................. 1161

Image Guided Correction Of Mandibular Asymmetry In Patient With Garre’s Osteomyelitis Under Endoscopic And Navigational Guidance

Iwai T., Yajima Y., Ohya T., Ohhara Y., Shibasaki M., Chikumaru H., Hirota M., Mitsudo K., Tohnai I. ............................................................................................................................... 1162

LXVIII


Pedicled Flaps In Oral And Maxillofacial Surgery

Eckert A.W., Lautner M.H., Taubert H., Schubert J. .............................................................. 1163

Autotransplantation Of Teeth With Surgical Templates

Gerasimov A.S., Maslov M.V. . .............................................................................................. 1164

Treatment Of Oroantral Perforations: A New Method

Wes J.T., Wes M.F., Wes B.J., van Merkesteyn R. ................................................................. 1165

Is Blood Pressure Monitoring During Oral & Maxillofacial Surgery Under La & Iv Sedation Necessary

Banks R.J., Abu-Serriah M. . ................................................................................................ 1166

Dermoid Cyst of the Floor of the Mouth: A Case Report

Nunes R.A., Duarte J., Lopez D., Mesquita M., Bitoque S., Ferreira S., Amado I., Ferreira A. ............................................................................................................................ 1167

Antibacterial Efficacy Of Selected Antibiotics For Irrigation Of Bone Chips

Uryga D., Stypulkowska J., Zaleska M., Bulanda M., Romaniszyn D., Sadecki D. ................ 1169

Cryosurgery of Haemangiomas of the Lips and Oral Mucosa

Sadecki D., Zaleska M., Uryga D. ......................................................................................... 1170

Peculiarities Of The Resident Microflora In Patients With Odontogenous Phlegmons And Abscesses

Suleymanov A., Mingazov G., Hasanova S., Kamalov U. . ..................................................... 1171

Application of Er:Yag And CO2 Laser in Treatment of Verrucous Leukoplakia

Tarasenko S., Evgrafova A.O., Tarasenko I.V., Drobyshev A.Y., Shtrunova L.N. ..................... 1172

Application Of Er:Yag And Nd:Yag Lasers And Intraoperative Microfocus XRay Investigation In Patients With Radicular Cysts Of Jaws

Tarasenko S., Piyamov R.R., Morozova E.A., Tarasenko I.V., Mazur L.G. .............................. 1173

Prediction Of Organs And Systems Involvement Of Patients With Niduses Of Chronic Odontogenic Infection With Diadens Method Of Diagnostics

Pohodenko-Chudakova I., Molodova T. ................................................................................ 1174

Antibiotics For Step-By-Step Treatment Of Pyoinflammatory Diseases In Maxillofacial Area

Pohodenko-Chudakova I., Chudakov O., Kabanova S. . ........................................................ 1175

Information Value of Leukocytic Indices of Intoxication for Patients with Odontogenic Phlegmons in Maxillofacial Area

Pohodenko-Chudakova I., Kabanova A. ............................................................................... 1176

Proposed Algorithm Of Restorative Treatment Of Gingival Defects After Removal Of Epulides

Bednarczyk A., Inglot M., Zaleska M., Uryga D. ................................................................... 1177

Low Molecular-Weight Heparin Profilaxis In Oral Surgery Of Thromboembolic Patients

Nyárády Z., Márki E., Orsi E., Szalma J., Gelencsér G., Nagy K., Olasz L. . ........................... 1178


LXIX

An Unusual Case Of Ludwig’S Angina Caused By Morganella Morganii: Is “Normal” Flora… Normal?!

Abu-Serriah M., Lee C., Gallagher J. . .................................................................................. 1179

New Combined Technique Using Local Flaps For Clousure Of Cocaine-Induced Oronasal Communications

Del Amo Fernández De Velasco A., Escrig de Teigeiro M., Fernández Alba J. . ........................ 1181

Primary Closure Vs Secondary Closure in Third Molar Surgery, Evaluation of Pain and Swelling

Cordero E.M., Sadovnik I., Romo L., Vallejos D. ................................................................... 1182

External Platform Dental Implants: Multicentric Retrospective Study

Davis A.L., Martin-Granizo R., García Rielo J.M., Noushady F.F. ........................................... 1183

Marsupialization: A Therapeutic Option For Giant Maxillo-Mandibular Cyst

Barba Recreo P., Del Castillo J.L., Moran M.J., Gisbert N., Sanchez R., Burgueño M. ......... 1184

Telemedicine-Based Presurgical Management For Impacted Third Molars Patology

Herce J., Lozano R., Salazar C.I., Rollon A., Soto M.T., Garcia A., Silva J.P., Herce M. .......... 1185

Increase Of Mouth Cavity Carcinoma Incidency – Regional Spread, Surgical Treatment And Patological Analysis

Jerinic-Racic A., Tatic Z. ...................................................................................................... 1186

Histologic Comparison Of The Effects Of Platelet Rich Fibrin And Tricalcium Phosphate Graft Material On Bone Healing In Experimentally Constituted Defects in Pigs

Yilmaz D., Dogan N., Sencimen M., Gulses A., Kurkcu M. .................................................... 1187

The Histological Examination Of The Effect Of Low Molecular Weight Heparin On Wound Healing In Diabetic Rats

Oral B., Dogan N., Sencimen M., Bayar G.R. ........................................................................ 1188

Compliance With National Institute For Clinical Excellence (Nice) Guidelines On The Removal Of Third Molar

Li J., Abu-Serriah M., Tuopar D., Ameerally P. ...................................................................... 1189

Clinical, X- Ray And Ct Diagnosis Of Supernumerary Teeth In Children

Galperina R.L., Topolnitskiy O.Z., Ilyina S.B., Al-Gafra A. ...................................................... 1190

Ultrasound And Ultrasound Guided Fine Needle Aspiration Cytology Assessment Of Neck Lymphadenopathy In Head And Neck Squamous Cell Carcinoma

Dulguerov N., Young H., Norris P., Kocjan G., Morley S., Beale T., Liew C., Kalavrezos N. .... 1191

Prelaminated Temporoparietal Fascia Free Flap for Reconstruction of the Floor of the Mouth-Presentation of the Case

Didanovic V., Kansky A., Eberlinc A., Dovsak T., Kocar M., Ihan Hren N. . ............................. 1192

Congenital Head And Neck Giant Teratoma: Report Of 2 Cases

Ferri A., Bianchi B., Ferrari S., Copelli C., Magri A.S., Sesenna E. ........................................ 1193

LXX


The Role Of 18Fdg Pet-Ct In Head And Neck Cancer Staging Before Planned Curative Surgery

Pietka T., Szalus N., Dziuk M. . ............................................................................................. 1194

Mandibular Reconstruction With Reconstruction Plate – Own Experiences

Da,browski J., Przybysz J., Pietka T., Chloupek A., Krzymanski G. . ...................................... 1195

Myxofibrosarcoma Of The Maxilla Following Massive Osteolysis - A Case Report

Ashikaga Y., Ono M., Kobori Y., Ohiro Y., Horimukai H., Nishikata S., Shindo M., Totsuka Y. . 1196

Large Ameloblastic Carcinoma Of The Mandible With Multiple Pulmonary Metastases: Report Of A Case

Kuribayashi K., Ono M., Ashikaga Y., Ohiro Y., Shindoh M., Totsuka Y. . ................................ 1197

Juvenile Active Ossifying Fibroma Of The Mandible Which Passed For Postoperative Five Years

Yamaguchi K., Numata M., Sato S., Kawamura H. ............................................................... 1198

Reconstruction In Omf Region - Simple Or Double Free Flaps

Mihalache G.D., Costan V.V., Melian G., Boisteanu O., Vicol C. . ............................................ 1199

An Intraoperative Assessment To Confirm Resected Surgical Margin And Clearance In Tongue Carcinomas Using Ultrasonography

Kodama M., Tominaga K., Khanal A., Habu M., Yoshioka I., Fukuta J. .................................. 1200

Metastatic Tumors Of The Mandible

Omezzine M.F., Chelbi M., Moatemri R., Romdhane E., Ayachi S., Mziou Z., Khochtali H. . .. 1201

Descending Necrotizing Mediastinitis – Surgery Approach

Kiralj A., Ilic M.P., Markov B., Pejakovic B., Nalic B. ............................................................. 1202

Myomucosal Flaps in Palate Defects Reconstruction

Copelli C., Ferrari S., Bianchi B., Ferri A., Sesenna E. .......................................................... 1203

Clinical Significance Of Cortactin And Cyclin D1 Expression In Squamous Cell Carcinoma Of The Tongue

Nakamori K., Dehari H., Imai T., Miyazaki A., Ogi K., Anbo N., Shimanishi M., Hiratsuka H. . 1204

Methods Of Pain Control For Thyroid Surgery

Cheng L.H., Davies M., Ali E. ................................................................................................ 1205

Excision Of An Extensive Calcified Retrosternal Thyroid Isthmus As Part Of Surgical Tracheostomy

Cheng L.H., Shastri M., Sankaranarayanan A., Wilson R., Offiah C., Richards P., Piper K., Calaminici M., Berney D. ..................................................................................................... 1206

Efficiency of the Neck Lump Clinic When Compared With General Clinic in Oral & Maxillofacial Surgery

Cheng L.H., Ali E., Siddik D., Altaf B., Geddes L., Dajani H., Rowe S., Burke S. .................... 1207

Iatrogenic Transverse Cervical Nerve Injury Following Thyroid Surgery In A Uk District General Hospital

Cheng L.H., Qureshi R., Chowdhary S., Ali E., Pararajasingham J., Anderson J., Medici F., Emery M. ............................................................................................................................. 1208


LXXI

Are Anterolateral Thigh Flaps More Susceptible To Complications Following Secondary Surgery? Three Case Reports

Lison I.M., Kruse A.L., Grätz K.W., Bredell M.G. . .................................................................. 1209

Preoperative Concurrent Chemoradiotherapy Improved Treatment Outcome Of The Advanced Lower Gum Cancer

Ono M., Kuribayashi K., Ashikaga Y., Ohiro Y., Tei K., Kitagawa Y., Totsuka Y. ....................... 1210

The Influence Of Close Surgical Margins On Local Recurrence And Disease Specific Survival In Oral And Oro-Pharyngeal Cancer

Wong L.S., McMahon J., Devine J., McLellan D., Thompson E., Farrow A., Moos K., Ayoub A. . 1211

Impact On Departmental Income In The Uk Of Coding Errors: An Audit Of Coding Of Microvascular Free Tissue Transfer Cases Using Opcs-4.

Moar K., Rogers S. ............................................................................................................... 1212

Ultrasonic Scalpel In Neck Dissection

Dean Ferrer A., Alamillos Granados F.J., Ruiz Masera J.J., Heredero Jung S. . ......................... 1213

Diagnostic Efficacy Of Sentinel Node Biopsy In Oral Squamous Cell Carcinoma (Fis P1020482): 78 Cases

Salazar-Fernandez C.I., Gallana-Alvarez S., Pereira-Gallardo S., de la Rivas P., Teresa C., Joshi J., Rodriguez-Berat P. ................................................................................................. 1214

Hemangiopericytoma Of Head And Neck: A Report Of Two Cases With Different Malignant Potential

Stebel A., Slavik R., Holly D., Chynoransky M., Poruban D. .................................................. 1215

Morbidity Study In Donor Forearm After Radial Free Flap For Orofacial Reconstruction

Lozano R., Mayorga F., Herce J., Gallana S., Joshi J. ........................................................... 1216

Synovialsarcoma Of The Head And Neck – Case Report And Review Of The Literature

Wermker K., Werner M., Fillies T., Joos U., Kleinheinz J. ..................................................... 1217

Squamous Cell Carcinoma Arising In A Dentigerous Cyst

Colbert S., Evans B. . ............................................................................................................ 1218

Palliation Of Recurrence Of Head And Neck Carcinoma With Interstitial Photodynamic Therapy

Witjes M., Tan B., Karakullukcu B., van Veen R., Sterenborg D., Roodenburg J., Robinson D. . 1220

Age And Comorbidity As Prognostic Factors For Oral Squamous Cell Carcinoma In Elderly Patient Over 80 Years Old

Pizzigallo A., Badiali G., Bassi M., Campobassi A., Marchetti C. .......................................... 1221

Head And Neck Lump Evaluation. The Increasing Role Of Ultrasound Guided Core Tissue Biopsy. What Now For Fnac?

Barry T., Goel M., Stonard C., Chow K., Orr R., Doyle P. ........................................................ 1222

A Forgotten Flap!! – Osteomyocutaneous Pectoralis Major Flap

Ramalingam A.K., Visavadia B., Gilhooly M. . ....................................................................... 1223

LXXII


The Method And The Results Of Treatment Of The Malignant Tumours Of The Jaw And The Maxillary Sinus Region In The Material From The Department Of Cranio-Maxillo - Facial Surgery From The Medical University In Lodz.

Zielinska-Kazmierska B., Grodecka J., Plewinska A. ........................................................... 1224

Osteosarcoma Of Mandible: Clinical And Radiological Characteristics - Therapeutic Modalities

Hajji F., Meziane M., Dib N., Aebdenbi Tsen A., Boulaadas M., Essakalli L. . ........................... 1225

Quality Of Life In Patients Treated For Cancer Of The Oral Cavity And Oropharynx

Lihs A., Hoffmann J., Krimmel M., Gülicher D., Schuck N., Reinert S. .................................. 1226

The Benefit Of Hyperbaric Oxygen Therapy In The Symptomatic Management Of Patients With Osteoradionecrosis Of The Mandible

Collier J.M., Christou J., Clifford N., Bridle C. . ..................................................................... 1227

Chondroma Of The Thyroid Cartilage Presenting As An Anterior Neck Lump – A Rare Case

Al Asaadi Z., Abbas S., Visavadia B. ..................................................................................... 1228

Ectopic Lingual And Submandibular Thyroid Tissue: A Case Report

Fernandez Dominguez M., Sanchez Sanchez R., Pezzi Rodriguez M., Bullido y Gomez Heras E., Gonzalez Corchón M.A., Muñoz Guerra M., Mancha De La Plata M. . ...................................................................................................... 1229

Expression Of Cytokeratine Bcl-2 And Bax In Keratocyst Odontogenic Tumour And Orthokeratinized Odontogenic Cyst

Morita S., Hayashi T., Tsuji K., Iseki T., Wato M., Tanaka A. .................................................. 1230

Follow-Up In Langerhans Cell Histiocytosis Involving Mandible And Femoral Neck In An Adult

Biondi P., Sarti E., Stea S....................................................................................................... 1231

Pterygoid Muscle Metastasis As A First Sign Of A Gastric Adenocarcinoma

Figurelli S., Anesi A., Pollastri G., Ruscitti F., Bondì V., Chiarini L. ........................................ 1232

Complications, Co-Morbidities And Outcomes In Elderly Head And Neck Cancer Patients

Dequanter D., Shahla M., Paulus P., Lothaire P. ................................................................... 1233

Metastasis Of A Papillary Carcinoma Of The Thyroid Gland In A Branchial Cyst

Paulus P.B., Dequanter D., Shahla M., Nagy N., Lothaire P. .................................................. 1234

Head & Neck Tissue Bank: 3,5 Years Of Experience

Karavidas K., Patel N., Gratrix F., Kalavrezos N., Boshoff C. ................................................. 1235

The High Significance Of Pn And Angioinvasion As Tumor Prognostic Factors In Tongue Squamous Cell Carcinomas

Sousa D.A., Coelho P.V., André S., Esteves S. ....................................................................... 1237


LXXIII

Increase Of Mouth Cavity Carcinoma Incidency – Regional Spread, Surgical Treatment And Patological Analysis

Racic A.J., Tatic Z., Todorovic M. .......................................................................................... 1239

Temporary Geniohyoid Pull-Out Of The Tongue To Approach The Oral Cavity For Tumour Resection.

Kerkmann H., Wilbrand J.F., Streckbein P., Howaldt H.P., Mauser E., Schaaf H. . ................. 1240

Parapharyngeal Space Tumors. Surgical Management

Rey J., Ruiz Jiménez J., Martínez Pérez D. .......................................................................... 1241

Chemodectoma Of The Vagal Nerve

Martínez-Seijas P., Arruti-González J., Martín-Rodríguez J., Esnal-Leal F., Rad-Carrera J., Díaz-Galvis L., Díaz-Basterra G. . ......................................................................................... 1242

Fused 18F-Fdg Pet And Ct In Head And Neck Malignant Tumors: Developement Of A Diagnostic Protocol And Hitological Correlation.

Gonzalez Martín-Moro J., Dominguez Ferreras E., Garcia Vicente A.M., Cuesta Gil M., Molino Trinidad C., Soriano Castrejon A., Galan Hernandez R., Bucci T. .............................. 1243

Maxillary Neurosarcoma Report Of A Case

Briki S., Mallek M., Hablani H., Dhouib M., Karray F., Abdelmoula M. .................................. 1244

Oral Squamous Cell Carcinoma Survival: A Ten Year Retrospective Review

Ferrer Fuertes A.I., Arranz Obispo C., Marí Roig A., Juárez Escalona I., Cuscó Albors S., Monner Diéguez A., Melero Luque M., Morla A., Gómez San-Gil G. ..................................... 1245

Primary Oral Mucosal Melanoma And Sentinel Lymph Node Treatment

Pelaz A., Villarreal P., Junquera L., Gallego L., Hernando J., Santamarta T.R. ...................... 1246

Mandibular Metastasis: A Retrospective Study Of 23 Patients

González-Pérez L.M., Sánchez-Gallego F., Infante-Cossío P. ............................................... 1248

Neck Lymphadenectomy And Harmonic Scalpel. Our Experience And Potential Pitfalls

Gómez Oliveira G., Arribas Garcia I., Álvarez Flores M., Gregoire Ferriol J., Martínez Gimeno C. . 1249

The Yield Of Fine Needle Aspiration Cytology (Fnac) In The Head And Neck Lump Clinic

Sheikh H.T., Abu-Serriah M., Hook A., Khan T., Ameerally P. ................................................ 1250

Sentinel Lymph Node Biopsy In The Management Of Oral Cancer. Eight Years Of Experience

Patino Seijas B., Arenaz Bua J., Iglesias Candal E., Pombo Castro M., López-Cedrún Cembranos J.L. ............................................................................................ 1251

Malignant Melanoma - Dorset Experience

Singh M., Komisarovas L., Jaysinghe C., Seah T.E., Ilankovan V. ......................................... 1252

Reconstructive Operations At Head And Neck Cancer

Azizyan R., Badalyan A. ....................................................................................................... 1253

Absence Of A Tmj After Post-Traumatic Avulsion Of A Condyle: Stability After Orthognathic Surgery

Carlino F. .............................................................................................................................. 1255

LXXIV


Refractory Temporomandibular Joint Ankylosis In 5-Year-Old Patient

Nierzwicki B.L., Singhal V., Auch C. . .................................................................................... 1257

Diagnosis For Hyperplasia Of The Tendon And Aponeurosis Of Masticatory Muscles With Square Mandible

Inoue T., Kawakami T., Kirita T. . ........................................................................................... 1259

Relationship Between Temporomandibular Joint Arthroscopic Findings And The Effect Of Arthrocentesis

Kuraki M., Kawakami T., Inoue T., Ohkochi N., Okazawa N., Kirita T. . .................................. 1260

Jacob’s Disease: A Rare Condition

Burnay T., Valença-Filipe R., Neto T., Silva Á., Bilhoto J. ...................................................... 1261

3-Dimensional Simulation Of Tmj Movement In Patients With Different Anteroposterior Condylar Position

Yang H.J., Chang A.R., Kim D.S., Yi W.J., Hwang S.J. . .......................................................... 1262

Infectious Arthritis Of The Temporo Mandibular Joint

Moatemri R., Ayachi S., Bouslama S., Omezzine M., Chelbi M., Mziou Z., Slama A., Khochtali H. ......................................................................................................................... 1263

Simple Surgical Removal Of Interfering Osteophytes In Patients With Chronic Closed Lock Of The Temporomandibular Joint

Hamada Y., Saito T., Nakaoka K., Arai G., Horiuchi T., Kumagai K. ........................................ 1264

The Expression Of Il-6, Il-1Β In Temporomandibular Joint Internal Derangement

Lee S.H., Yoon H.-J., Choi W.-U., Lim J.-S. . .......................................................................... 1266

Evaluation Of Mouth Opening Exercise In Patients With Nonreducing Disc Displacement Treated By Pumping Of The Temporomandibular Joint: Recurrent Rate Of Dysfunction

Sato S., Inahara H., Kawamura H. . ...................................................................................... 1267

Mr Imaging Of Temporomandibular Joint- Data Processing

Liberda O., Bulik O., Machalka M., Sprlakova A., Bartusek K., Smekal Z. ............................ 1269

Prolonged Matrix Metalloproteinase-3 High Expression After Cyclic Compressive Load On Human Synovial Cells In Three-Dimensional Cultured Tissue

Akamine Y., Kakudo K., Muroi Y., Yoshikawa H., Nakata K. .................................................. 1270

Synovial Chondromatosis – Temporomandibular Joint Dysfunction

Rusznyak F., Liberda O., Perina V. ........................................................................................ 1272

Eminectomy With/Without High Condylectomy Under Local Anesthesia For Habitual Dislocation Of The Tmj

Segami N. ............................................................................................................................ 1274

Telemedicine In Temporomandibular Disorders

Salazar-Fernandez C.I., Herce-Lopez J., Martín J., Castilla F., Lozano R., Sanchez-Molini M. . . 1275


LXXV

Intra-Articular Pressure In The Human Temporomandibular Joint.

Thomas A., Casares G., Navarro Cuellar C., Ochandiano S., Coll M., Vila I., Garcia Monleon L., Navarro Vila C. . ..................................................................................... 1276

Condylar Erosion Into Middle Cranial Fossa

Kichenaradjou A., Lung P., Connor S., Fan K. ....................................................................... 1277

An Unusual Case Of Tmj Pain And Positional Hearing Loss Caused By An Osteoma Of Mandibular Condyle

Boye T., Doyle P. ................................................................................................................... 1278

Condylar Hyperplasia: Correlating Spect And Histopathology

García Rielo J.M., López Davis A., Martín-Granizo López R., Falahat F., Coca M.P., Mucientes J., Ortega L., Carreras J.L., Berguer A. ............................................................... 1279

Bilateral Customised Alloplastic Temperomandibular Joint Replacement In A Young Patient

Ananth S., Ayliffe P., Korczak P. ............................................................................................ 1280

Coronoid Hyperplasia In The Pediatric Age

Consorti G., Tieghi R., Denes S.A., Clauser L.C. . .................................................................. 1281

Hyperplasia Of The Mandibular Condyle: Clinical, Histopathological And Treatment Considerations. A Series Of 36 Patients

Villanueva Alcojol L., Monje Gil F., Gonzalez Garcia R., Gonzalez Ballester D., Rubio Correa I., Ruiz Laza L., Manzano Solo D., Moreno Garcia C., Mateo Arias J. . ............ 1282

Intraarticular Morphine Application For Pain Management In Patients With Temporomandibular Joint Disorders

Ziegler C., Wiechnik J. ......................................................................................................... 1283

Treatment Of Temporomandibular Joint Ankylosis By A Specifically Designed Titanium Fossa Prosthesis

Guven O. .............................................................................................................................. 1284

The Ability Of Inflammatory Markers And Mediators To Predict Development Of Bone Erosions And Bone Loss In The Temporomandibular Joint With Rheumatoid Arthritis.

Voog-Oras Ü., Alstergren P., Jagur O., Eliasson S., Leibur E., Kallikorm R., Kopp S. . ........... 1285

Advantages And New Possibilities By Implementation Of The First Tmj Arthroscope With Integrated Working Channel Into Endoscopic Surgery

Kaduk W., Podmelle F. . ........................................................................................................ 1287

Open Bite After Total Joint Replacement

Machon V., Hirjak D., Foltan R., Klima K. .............................................................................. 1288

Changes On T2-Weighted Mri In A Case Of Synovial Chondromatosis Of The Temporomandibular Joint Followed For 17 Years

Mori Y., Gotoh M., Kubo H., Kakudo K. ................................................................................. 1289

Botulinum Toxin Type A As Treatment Of Chronic Pain In Temporomandibular Disorders: A Prospective Study On 20 Cases

Denglehem C., Raoul G., Maes J.-M., Ferri J. . ..................................................................... 1290

LXXVI


Bipolar And Monopolar Radiofrequency Treatment For Temporomandibular Joint Advanced Arthroscopic Surgery

Kawakami T., Inoue T., Fujita H., Kuraki M., Kirita T. ............................................................ 1291

Surgical Treatment Of Tumoral Temporomandibular Pathology With Alloplastic Joint Replacement

González Pérez L.M., Hassan Amselem D., Pérez Ceballos J.L. ........................................... 1292

Modified Dautrey Procedure (Zygomatic Arch Down Fracture) In Temporomandibular Joint Recurrent Dislocation. A Review Of 20 Cases

Ramos-Medina B., Acosta M., Gomez A. .............................................................................. 1293

Mri-Results Of Intraoperative Sonographic Condylar Positioning In Orthognatic Surgery

Ballon A., Bethge L., Mack M., Sader R., Landes C.A. .......................................................... 1294

Arthroscopy For Internal Derangement Of The Temporomandibular Joint In Stages Ii-Iv Of Wilkes: Use Of Resorbable Pins (Smart Nails). Preliminary Report In 21 Joints

Goizueta-Adame C., Agüero-De Dios E., Pastor-Zuazaga D., Sebastián-López C., Delhom J. ..... 1295

Histological Examination On Bone Augmentation With Β-Tricalcium Phosphate And A Thermoplastic Bioresorbable Plate

Kojima T., Amizuka N., Suzuki A., Yoshizawa M., Oda K., Maeda T., Saito C. ........................ 1296

Antitumor Activity Of Cationic Liposome-Mediated Bax Mrna Transfer In Oral Malignant Tumor Cells

Takeoka T., Okumura K., Nomura J., Inui M., Tagawa T. ....................................................... 1297

Localization Of Heparan Sulfate And Heparanase During Palatal Bone Formation In Palatogenesis In Mice

Sugahara T., Hirata A., Minami K., Imura H. ......................................................................... 1298

Proliferative And Differential Potentials Of Human Bone Marrow-Derived Mesenchymal Cells Cultured With Autologous Serum

Yamazaki Y., Takeda A., Baba K., Uchinuma E. ..................................................................... 1299

The Effect Of Autologous Platelet Rich Plasma In Combination With A Synthetic Graft Material On Osteogenesis Of Cranial Defects In Rabbits. Experimental Study

Faratzis G., Eleftheriadis E., Chrysomali E., Leventis M., Dontas I., Khaldi L., Eleftheriadi I., Alexandridis C. . ................................................................................................................... 1300

The Effect Of Autologous Platelet Rich Plasma On The Osteoinductive Potential Of Allogenic Demineralized Bone Matrix. An Experimental Study In Rabbits

Leventis M., Eleftheriadis E., Oikonomopoulou P., Vardas E., Vavouraki H., Dontas I., Khaldi L., Eleftheriadi I., Alexandridis C. .............................................................................. 1301

Bone Regeneration With Adult Stem Cells: Animal Model

Maglione M., Salvador E., Melato M., Ruaro M.E., Di Lenarda R. . ....................................... 1303

Basic Investigation Of Regenerative Therapy For Bone Using Sca-1 Positive Cells Derived From Mouse Tongue Muscle

Harada K., Itashiki Y., Takenawa T., Harada T., Ueyama Y. .................................................... 1304


LXXVII

Reconstruction Of Critical Size Mandibular Defects Of The Immunoincompetent Rat With Human Adult Stemcells

Malik C.Y., Jaeckel S., Schaaf H., Zahner D., Kramer M., Gizewski E.R., Koehler K., Howaldt H.-P., Streckbein P. . ............................................................................................... 1305

In Vitro Expansion Of Porcine Articular Cartilage Cells On Two Different Collagen Membranes Under Optimized Culture Conditions

Nitsche T., Kurz B., Wiltfang J., Warnke P.H. . ....................................................................... 1306

Selection Of Antihypertensive Drugs In The Management Of Bone Metabolic Disease

Shimizu H., Nakagami H., Morita S., Morishita R. . .............................................................. 1307

Cord Blood Stem Cells Exceed Embryonic Stem Cells In Inducing Ectopic Bone Formation In Vivo

Handschel J., Langenbach F., Naujoks C., Kübler N.R., Berr K., Kögler G., Depprich R. ....... 1308

Implications Of Different Gestagens And Gestagen-Combinations On Human Endothelial Cells

Wermker K., Nolting L., Joos U., Kleinheinz J., Nolting T. . ................................................... 1309

Impact Of Dag-Stimulation On The Synthesis Of Mineral And The Osteogenic Differentiation Of Human Cord Blood Stem Cells

Naujoks C., Lammers L., Berr K., Depprich R., Langenbach F., Wiesmann H.-P., Kübler N., Kögler G., Handschel J. . ...................................................................................................... 1311

Clinical Potential Of A Nanocrystalline Hydroxyapatite-Based Biomaterial: Assessment Of Tissue Reaction In Subcutaneous Tissue In Wistar Rats, Goats Muscle And Human Maxillary Sinuses

Ghanaati S., Orth C., Barbeck M., Stübinger S., Landes C., Willershausen I., Petruchin O., Korzinskas T., Kirkpatrick C.J., Sader R. .............................................................................. 1313

Bone Substitute Materials In Regeneration Of Head And Neck Carcinoma Patients: A Comparative Clinical And Histological Study On Nanocrystaline Hydroxyapatite-Based Vs. Bovine Based Bone Substitutes In A Sinus Augmentation Split Mouth Design Study

Ghanaati S., Landes C., Stubinger S., Saldamli B., Seitz O., Barbeck M., Willershausen I., Obreja K., Schübel F., Kirkpatrick C.J., Sader R. .................................................................. 1314

Human Small-Calibred Tissue-Engineered Vascular Grafts For Reconstruction After Ablative Tumor Surgery

Heine J., Schmiedl A., Wiltfang J., Haverich A., Kallenbach K. ............................................. 1315

Bioresorbable Polymer Bone Substitutes As An Alternative In Reduction Of Iatrogenic Bone Graft Donor Site Morbidity In Tibial Tuberosity. A Sheep Model

Lavrador C., Coelho P.V., Mascarenhas R.D., Gorna K., Gogolewski S. ................................. 1317

The Early Immunollogical Markers Of Development Of Gingivitis During Orthodontic Treatment

Mustafaev M., Kharaeva Z., Zshazaeva Z., Mustafaeva F. . .................................................. 1319

LXXVIII


Entry Requirements For Higher Training In Oral And Maxillofacial Surgery In United Kingdom, Switzerland And Germany

Borumandi F., Magennis P. . ................................................................................................. 1321

What Do Patients In The United Kingdom Expect From An Oral & Maxillofacial Surgery Unit Website?

Abu-Serriah M., Hicks A., Gallagher J., Ameerally P. . .......................................................... 1322

Weblectures- An Adjuvant To Training. Experience In Oral & Maxillofacial Surgery Teaching

Prabhu I.S., Brown A.E., Akhtar S., Patel M., Edwards A. ..................................................... 1323 Author Index ........................................................................................................................ 1325

Legend O-0105 = O0105 Oral presentation P-1816 = P1816 Poster presentation

Is Mona Lisa Beautiful? Pitak-Arnnop P.1, 2, Hemprich A.1, Dhanuthai K.3, Pausch N. C.1,* 1 Department of Oral, Craniomaxillofacial and Facial Plastic Surgery , Faculty of Medicine, University Hospital of Leipzig, Leipzig, Germany, 2Laboratory of Medical Ethics and Legal Medicine , Faculty of Medicine, University Paris 5 (René Descartes), Paris, France, 3Department of Oral Pathology , Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

Objectives: Mona Lisa (La Joconde [French]) is regarded as the most famous painting in the world. Public perceptions suggest that she be one of the most beautiful women. The aim of this study was to determine the influence of painting compositions on the Mona Lisa’s beauty in term of facial femininity, youthfulness and attractiveness. Material and Method: Using a cross-sectional study design, we enrolled a sample of dental students at the University of Leipzig. The predictor variables were portrait’s compositions: gender and midface length. To make the painting different, we replaced the Mona Lisa’s composition with 3 other portraits (1 male, 1 female and 1 female with the shortened Mona Lisa’s midface) compared with the original Mona Lisa’s portrait. The outcome variables included the estimated age, facial femininity, youthfulness and attractiveness. Descriptive and univariate statistics were computed as indicated. The level of statistical significance was set at P < 0.05. Results: The sample was composed of 107 subjects (76 females [71%]) with a mean age of 24.8 ± 2.6 years. The panel estimated the Mona Lisa’s age at 32.3 ± 5.6 years. The facial femininity, youthfulness and attractiveness were influenced by the genders of the painting compositions (P < 0.001), but not by the shortened midface (P > 0.05). Summary: The results of this study suggest that the Mona Lisa’s face is in the middle-aged adulthood. Her facial femininity, youthfulness and attractiveness depend on the painting compositions.

O0101

1

Which Work- Related Stressors Are Present Among Maxillofacial And Ent Surgeons? Knezevic B.1, Knezevic P.2,*, Golubic R.3, 4, Milosevic M.3, 4, Fazlic H.3, 4, Mustajbegovic J.3, 4 CROATIAN INSTITUTE FOR HEALTH PROTECTION, 2Clinical Hospital Dubrava, 3Andrija Stampar School of Public Health, 4Zagreb University School of Medicine, Zagreb, Croatia

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Objectives: The analyses of the medical practice in hospitals showed that hospitals are one of the most stressful workplaces. Psychological distress during long period of time among healthcare professionals has negative effects on their own health and work ability as well as on quality of care provided to patients. This paper is a report of a study conducted to determine which occupational stressors are present in the working environment of maxillofacial surgeons and ear nose and throat (ENT) surgeons and to estimate which stressors and to what extent predict physicians’ work ability. Material and Method: A cross-sectional study was conducted on more than 700 physicians in Croatian hospitals. This paper presents the results related to maxillofacial and ENT surgeons. Questionnaires were distributed to a convenience sample of 67 maxillofacial surgeons and ENT surgeons employed at Croatian hospital. Data were collected using the Occupational Stress Assessment Questionnaire and Work Ability Index (WAI) Questionnaire. Binary logistic regression was performed to assess how stressors and other socio-demographic characteristics predict work ability groups. Results: Majority of participants were males (44 males v.s. 23 females). Participants’ median age was 42.0 years with interquartile range being 30.0-55.0 years. We identified six major groups of occupational stressors: 1.Organization of work and financial issues, 2.Public criticism, 3.Professional and intellectual demands, 4. Shift work, 5.Interpersonal conflicts at workplace, 6. Hazards at workplace. Median WAI was 41 with interquartile range being 36.7-42.0, which indicated good work ability. Binary logistic regression model showed that none of the associations between the stressors and WAI was statistically significant. The association between age and WAI was inverse and statistically significant (OR =0.906, 95% CI 0.828-0.990). Maxillofacial surgery is a highly demanding profession. Surgeons are exposed to multiple occupational stressors. However, in our study stressors were not substantially correlated with low work ability. Summary: This paper is a report of a study conducted to determine which occupational stressors are present in maxillofacial surgeons’ work and working environment O0102

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and to estimate which stressors and to what extent predict surgeons’ work ability. Maxillofacial surgeons are exposed to wide range of stressors in the workplace, but stressors do not seem to be significant predictors of low work ability. Professional and intellectual demands could protect good work ability. Our statistical model showed that older age was considerably associated with decreased work ability.

Andreas Vesalius Of Brussels. The Founder Of Modern Scientific Anatomy Ezsias A.1,*, Ratcliffe S.1, Sima A.2 1 DEPT of MAXILLOFACIAL SURGERY, HOMERTON UNIVERSITY HOSPITAL, LONDON, United Kingdom, 2Dept. of Public Health, SEMMELWEIS MEDICAL SCHOOL, Budapest, Hungary

Objectives: Vesalius, a native of Flanders was personal physician and surgeon to the Holy Roman Emperor Charles V and later King Philip II of Spain. He attended the two most famous surgical events of the XVI century, the fatal orbital injuries of King Henry II of France, husband of Catherine of Medici and the head injuries of Don Carlos, Heir of Spain in 1662. Henry’s injuries were sustained in the last medieval French jousting in 1559, an event, many believed was foretold by Nostradamus in his enigmatic quatrains in 1555[1]. Vesalius’ detailed, factual post-mortem records shed light to the full extent and nature of Henry II’s injuries. He was a contemporary of Ambroise Pare who was also in attendance at the deathbed of Henry. Vesalius served several of Charles V’s wars where as an army field surgeon acquired further considerable hand-on surgical experience putting to good use of his, at that time unparalleled, anatomical experience. Material and Method: However, his lasting fame connected to the publication of De humani corporis fabrica libri septem (short: Fabrica) in 1543 at the age of 28. The same year another student of Padua (amongst others a physician too) Copernicus, also published De revolutionibus orbium coelestium , firmly establishing the heliocentric concept of our solar system. Therefore 1543 marked the dawn of a new scientific age in Europe based on research, experiment and meticulously recorded observational studies. Results: Vesalius came from a long and distinguished family of physicians. His father was an imperial pharmacist. He studied in Brussels and matriculated in Louvain under the name of Andreas van Wesel de Bruxella. He pursued his medical studies in Paris, Louvain and Padua where he obtained his medical degree on 5 December 1537. Next day he took over the chair of Anatomy and Surgery there. Padua was regarded as one of the foremost universities of that age. As a professor he actively participated in editing three Galenic texts (On the dissection of nerves, On the dissection of veins [1] Century 1, Quatrain 35 O0103

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and arteries and Nine books on anatomical procedures) for the famous Giunta edition of Galen’s collected works, published in 1541. Vesalius was amongst the first who appreciated the importance of detailed illustrations for learning and exploited fully the new medium, printing, which revolutionised teaching and studying as digital media has done in recent years. Summary: A brief summary of the fatal orbital injuries of King Henry II of France based on Vesalius’ post-mortem records as well as his scientific achievements in the advancement of the knowledge of anatomy of the cranio-maxillofacial region and his contributions that set a decisive new direction for medicine and surgery in Europe based on systematic research will be presented.

European Law For The European Maxillofacial Surgeons II Ezsias A.1,* 1 DEPT of MAXILLOFACIAL SURGERY, HOMERTON UNIVERSITY HOSPITAL, LONDON, United Kingdom

Objectives: Two years ago at the XIX Congress in Bologna[1] a brief summary was given of the history of the now European Union and how medical and dental practices and regulations developed over a period of 50 years since the Treaty of Rome in 1957. The concept and fundamental rights, enshrined in treaty obligations, of free movements of goods, providing and receiving services were explained. The mutual recognition of qualifications, under-, post- and specialty ones, granted by different national institutions and licensing bodies of the member states of the EU as a basis for such rights were touched upon. Material and Method: Many rights have been clarified and developed by the European Court of Justice (EJC). It has enhanced, defined and interpreted the extents and limits of those articles that established the bases and concepts of entitlements indicated or expressed in a concise or nascent form in the Constitutive Treaties. (eg: the rights of foreign, non-EU nationals obtained their specialist qualifications but not their original medical degree in one EU countries to practice in the EU). Results: The Treaties, Regulations, Directives, Decisions, Recommendations, Opinions as well as the Rulings of the ECJ now embrace all aspects of medical, surgical and dental practices including maxillofacial surgery in the 27 countries. Of course the primary, secondary and derived laws are much wider than regulating the practice of medicine, dentistry or any of the allied professions. It also includes “to receive health care services” across national boundaries in an emergency and in a scheduled, routine way. These have huge practical implications for national healthcare systems as at any given time large number of EU citizens live and work at or indeed retired in other member states where they have considerable rights not only to the hosting states’ healthcare but also their social security system. The EU has also promulgated legislation regulating clinical research and marketing of drugs and pharmaceuticals. There are laws with regard to patients’ rights, on [1] European Law for the European Maxillofacial Surgeons J Craniomaxillofac Surg 36(S):58, 2008 O0104

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data protection and product liability as well as promotion and regulation of public health. Summary: Since the XIX Congress in Bologna in 2008 many legislation, regulations, directives and indeed the Treaty of Lisbon as well as a number of important rulings of the ECJ have come into force having further considerable implications for all member states, their citizens as well as practicing and retired maxillofacial surgeons. A brief summary and update will be given by the author, who is a practicing consultant maxillofacial surgeon as well as a barrister at the English Bar, on the current state of affairs and their implications for all of us who are engaged directly or indirectly with Cranio-Maxillofacial surgery in the European Union.

Heinrich Von Pfalzpaint – Bavarian Military Surgeon And Pioneer Of Nasal Reconstruction More Than A Century Before Tagliacozzi Greig A.1,*, Gohritz A.2, Geishauser M.3, Weisser C.4, Mühlbauer W.5 1 Craniofacial Plastic Surgery Department, GREAT ORMOND STREET HOSPITAL, London, United Kingdom, 2Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, 3Plastic Surgery, Starnberg Hospital, Starnberg, 4Department of Surgery, University of Würzburg, Würzburg, 5Plastic Surgery, ATOS Clinic, München, Germany

Objectives: Heinrich von Pfalzpaint, a Bavarian military surgeon of the Teutonic Knight Order, gave a detailed account of ‘How to create a new nose if it has been chopped off and the dogs have eaten it’ in his manual on wound care ‘Bündt-Ertznei’ around 1460. He also described inhalational anaesthesia, the surgical extraction of bullets, cleft lip repair and insisted on surgical cleanliness. Only five copies of his manuscript were in existence and they were not rediscovered and printed until 1868. Had this treatise become known when it was written, Pfalzpaint would have been the first author to describe rhinoplasty in Europe. He is rarely referenced in the literature. We present von Pfalzpaint’s contribution to reconstructive surgery, his insights on wound care and his chapter on the pedicled arm flap rhinoplasty. His treatise is translated and compared to Tagliacozzi’s approach described in 1597, more than a century later. Material and Method: Pfalzpaint’s technique for nasal reconstruction was performed in two stages. After informed consent about pain and duration of the procedure, he cut an undelayed skin flap including the subcutaneous tissue from the biceps area, sutured it into the nasal defect and bandaged the arm to the head. After eight to ten days he divided the pedicle, inset the flap and fashioned the nasal dorsum, alae and columella. He emphasised complete immobilisation, nostril formation techniques and the differences between fresh versus scarred defects. Results: His manuscript showed Pfalzpaint as an experienced surgeon of great manual dexterity and remarkable innovative spirit. He was ahead of his time regarding his knowledge of wound care, insistence on surgical cleanliness and his technically easier arm flap rhinoplasty compared to Tagliacozzi’s method. His expertise in wound care and discovery of skin as a ‘plastic material’ made Heinrich von Pfalzpaint a great pioneer of reconstructive surgery in Europe. Summary: Heinrich von Pfalzpaint, a Bavarian military surgeon, gave a detailed O0105

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account of ‘How to create a new nose if it has been chopped off and the dogs have eaten it’ in his manual on wound care ‘Bündt-Ertznei’ around 1460. Only five copies of his manuscript were in existence and they were not rediscovered and printed until 1868. Had this treatise become known when it was written, Pfalzpaint would have been the first author to describe rhinoplasty in Europe. He is rarely referenced in the literature. We present von Pfalzpaint’s contribution to reconstructive surgery, his insights on wound care and his chapter on the pedicled arm flap rhinoplasty. His treatise is translated and compared to Tagliacozzi’s approach described in 1597, more than a century later. His expertise in wound care and discovery of skin as a ‘plastic material’ made Heinrich von Pfalzpaint a great pioneer of reconstructive surgery in Europe.

Greek Craniomaxillofacial Trauma Surgery In The 2Nd World War: The Experience Of The Greco-Italian War 1940-1941. Mylonas A. I.1,*, Papadopoulou E. C.2 1 2

Department of Oral and Maxillofacial Surgery, “Metropolitan” Hospital, Neo Faliro, Piraeus, ”P. D. Marinopoulos” Pharmacy, Athens, Greece

Objectives: Introduction War craniomaxillofacial injuries consist an important chapter of emergency war surgery. During the Greco-Italian war in 1940-1941, the survived patients with maxillofacial trauma, who were transferred to various hospitals of Athens, reached almost 200 casualties. Material and Method: Material and methods In this retrospective clinical and statistical study of traumatologic and historic interest, 78 severely injured men are presented, having been in most of the cases severe cranio-maxillofacial casualties of the Greco-Italian war in 1940-1941. These craniomaxillofacial trauma patients were admitted and treated at the Maxillofacial Surgery Department of War Casualties (M.S.D.W.C.) of the “Hellenic Red Cross” Hospital, from November 8, 1940 to June 1, 1944, as they are described in detail in the book “Maxillofacial War Surgery”, edited by Th. I. Mavrogordatos and Or. A. Louridis, in 1945, in Athens, Greece. The craniomaxillofacial injuries of the 78 trauma patients included 40 fractures of the middle-third of the facial skeleton (14 patients), 110 fractures of the lower-third of the facial skeleton (54 patients), and 64 combined fractures of the middle (n=40) and lower-third (n=24) of the facial skeleton (10 patients). Results: Results The therapeutic management of the middle and lower-third fractures of the facial skeleton included: 1) closed reduction of maxillary fractures with application of intermaxillary traction, and fixation of the jaw-bones by binding the teeth of both the maxilla and mandible with bronze or stainless steel wire, using dental occlusion as a guide. An elastic and pressing or cephalomaxillary bandage made of plaster, or a Barton or Barrel bandage, were used to reinforce fixation, 2) Open reduction of mandibular fractures with intraoral and extraoral approach, and fixation of the jaw-bones by binding the teeth of both the maxilla and mandible with bronze or stainless steel wire, using dental occlusion as a guide. In cases of oblique deviation of the fractuO0106

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red fragments, vestibular arch bars made of thick stainless chromium steel or bronze wire were used in the upper and lower teeth, to align the fractured fragments, but many times and for holding the fragments as well in cases of bone loss. Autologous bone grafts from the anterior iliac crest, the tibia, and the 7th rib, were used for the reconstruction of mandibular osseous defects. Summary: Conclusions The successful management of craniomaxillofacial war injuries at the Maxillofacial Surgery Department of War Casualties of the “Hellenic Red Cross” Hospital, during the Greco-Italian war in 1940-1941, brings into notice the surgical skills and expertise of the pioneers Greek craniomaxillofacial surgeons at that time. It is remarkable even today, how with the commonest of the means and the most essentially necessary of the special devices, such a unique and admirable therapeutic achievement was accomplished.

First Testimony Of Paul Tessier Works Guichard B.1,*, Denglehem C.1, Moure C.1, Testelin S.1, Devauchelle B.1 1

maxillofacial surgery departement , UNIVERSITY HOSPITAL, Amiens , France

Objectives: PAUL TESSIER died on 2008 January and left us a huge surgical heritage regarding surgical procedure, surgical spirit and inspiration, an eternal leadership but also an historic collection. Could it be possible to summarize this entire life of works? Material and Method: The TESSIER collection in now available in Amiens since it is the property of the French Association of Maxillo-Facial Surgeons which was founded by Paul Tessier between others. This collection constitutes obviously a reference for many many studies, analysis and works in all aspects of the speciality. It is constituted of 20 m3 documents, drawings, surgical tool prototypes ,malformation surgery and plastic surgery iconographies, papers about first and second surgical “revolution”, historic pictures library of skulls coming from all around the world and an exceptional skull collection. Results: We take here the opportunity to illustrate the evolution of Paul Tessier thinking regarding the conception and then the management of the surgical treatment of teleorbitism or other craniofacial osteotomies through the analysis of skull pieces of this library. Summary: PAUL TESSIER died on 2008 January and left us a huge surgical heritage regarding surgical procedure, surgical spirit and inspiration, an eternal leadership but also an historic collection We take here the opportunity to illustrate the evolution of Paul Tessier thinking regarding the conception and then the management of the surgical treatment of teleorbitism or other craniofacial osteotomies through the analysis of skull pieces of this library.

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Extended Fibula-Flaps For Large Tumours Requiring Simultaneous Upper And Lower Jaw Reconstruction. Von Jackowski J. A.1,*, Grätz K. W.1, Bredell M. G.1 1

Cranio-maxillo-facial-surgery, UNIVERSITIY HOSPITAL, Zürich, Switzerland

Objectives: Extensive T4 carcinomas involving the mandible and maxilla imply significant reconstructive challenges. The aim is to describe the reconstructive surgical technique and results of two cases involving the simultaneous reconstruction of the maxilla and mandible. Material and Method: Two patients with a T4-tumour of primarily the mandible with infiltration to the maxilla presented for resection and direct reconstruction. Reconstructive challenges were the involvement of an extended part of the maxilla and mandible with associated soft tissue defects including the associated functional requirements. Preoperative Positron emission tomography (PET) and Magnetic resonance tomography (MRI) were used for surgical planning. Lower leg angiography was performed demonstrating normal 3 vessel run off with at least two potential septo-cutaneous/muscular skin perforators with good distribution on Doppler examination. Results: Reconstruction of the combined mandibular and maxilla defects could be achieved using one osseous-cutaneous fibula free vascularised flap with an extended skin paddle. The skin flap could be mobilised and folded with one perforator supplying the maxilla and one the mandibular soft tissue component. Both results were judged to have a good functional outcome without any signs of flap loss and no significant donor site morbidity was involved. Mouth opening recovered to within normal limits. Summary: In conclusion, the osseo-cutaneous fibula free vascularised flap with an extended skin paddle is a good option with good outcome and should be taken into consideration for large combined bone and soft tissue defects involving both the mandible and maxilla.

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Sequence Of Cranio-Fronto-Orbital Reconstruction In Syndromic Pansynostosis Assisted With Distraction Osteogenesis And Tissue Expansion Singhal V. K.1, 2,* Pediatric Plastic Surgery and Craniofacial Surgery, University Of Missouri-kansas City, Pediatric Plastic Surgery and Craniofacial Surgery, Children’s Mercy Hospital, Kansas City, United States 1 2

Objectives: Syndromic multiple suture Synostosis children run a higher risk of developing Chiari Malformation, increased intracranial tension and symptoms and signs related to these conditions. They may have other associated malformations, developmental delays including lower IQ. They may present with generalized cranial growth restriction and need repeated surgeries The objective of this presentation is to evaluate the sequence of craniofacial surgical procedures available that may minimize the need for other adjunctive neurosurgical procedures needed for increased intracranial tension and Chiari malformation such as VP shunt and posterior fossa decompression. Other important aspect of this presentation is how to prevent excessive forehead height and problems associated with a tight scalp envelop Material and Method: The presentation includes experience with 25 syndromic pansynostotic children undergoing no more than two procedures to achieve the desired Cranial-Fronto-orbital correction, satisfactory aesthetic results without the need for VP shunt and/or decompression for Chiari malformation. The discussion would include the sequence of two common procedures, i.e., Total calvarial expansion & reshaping; and Bilateral Fronto-orbital Advancement. It is also intended to discuss the role of tissue expansion versus distraction osteogenesis at the second procedure Results: When Fronto-Orbital advancement is done as a first stage for Fronto-orbital hypoplasia in a pansynostotic syndromic child with exorbitism, there was substantially higher need for VP shunt, Chiari decompression and complications associated with orbital swelling and exophthalmos. These were avoided in similar group of patients if they underwent total calvarial expansion and reshaping as the first procedure. Soft tissue complications at the second procedure were much higher when tissue expansion or distraction procedures were not applied to it. Summary: Conclusion would suggest that Total calvarial expansion as a first procedure if done adequately, would allow expansion of the posterior fossa and rest O0201

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of the cranium thereby avoiding the need for Chiari decompression and VP shunt. It would also demonstrate that relatively high forehead can be prevented by performing bilateral Fronto-Orbital advancement at the second stage. Application of Fronto-Orbital distraction or preoperative tissue expansion would minimize the complications associated with tight soft tissue envelop associated with multiple surgeries

Facial Flushing Following Monobloc Fronto-Facial Distraction. Vourvachis M.1,*, Cobb A. R. M.1, Ahmed J.2, Wyatt M.2, Owase Jeelani N. U.3, Dunaway D.1, Hayward R.3 1 Craniofacial Surgery, 2Paediatric Otolaryngology, 3Neurosurgery, Great Ormond Street Hospital, London, United Kingdom

Objectives: Patients with syndromic complex craniosynostosis frequently present with functional problems such as raised intracranial pressure, proptosis, obstructive sleep apnoeas and failure to thrive. The monobloc frontofacial advancement has the ability to correct all of these functional problems in one procedure. The aim of this case series is to present an unusual complication, with which monobloc frontofacial advancement may be associated. Material and Method: A case series is presented of four children who developed severe, intermittent facial flushing, after undergoing frontofacial monobloc advancement by distraction. Results: Four female children aged 6 to 8 years with Crouzon or Pfeiffer syndromes and severe functional problems, were treated with a monobloc fronto-facial distraction using the rigid external distractor (RED) frame. Following removal of the frame, they developed intermittent but severe facial flushing. The flushing spontaneously settled in three patients after up to four years, but persists in the other child seven years after her surgery. The flushing can be due to a disturbance of cutaneous vasomotor control, affecting one or both sides of the face. The cutaneous vasomotor control is regulated through a balance between sympathetic and parasympathetic inputs via the pterygopalatine ganglion and the flushing could be associated with an imbalance in the regulation of cutaneous vasomotor control, leading to an over-activity of one input or an underactivity of the other. The monobloc procedure involves an osteotomy of the lateral pterygoid plate, which is in close proximity to the pterygopalatine ganglion and/or its pre- and post-ganglionic fibres. Any potential injury to the ganglion or its fibres can result in an impairment of the cutaneous vasomotor control and give rise to the facial flushing observed in our series. Summary: Monobloc frontofacial advancement using the RED frame can treat functional problems such as exophthalmos, raised intracranial pressure and upper airway difficulties in one operation. We present a series of four cases of severe, inO0202

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termittent facial flushing following monobloc distraction and we discuss the anatomy and physiology of the pterygopalatine ganglion, as well as the potential mechanisms that may be responsible for this unique complication, that has never been reported in the world’s literature. This phenomenon has been observed in four children undergoing this procedure out of a total of seventy cases.

Fronto-Orbito-Maxillary Advancement By Internal Distraction In Craniofacial Dysostosis Syndromes – A Technical Modification Adolphs N.1,*, Klein M.2, Haberl H.3, Menneking H.1, Hoffmeister B.1 1 KLINIK FÜR MUND-,KIEFER-,GESICHTSCHIRURGIE, RUDOLF-VIRCHOW-KLINIKUM, CHARITE BERLIN, CENTRUM 9, Berlin, 2Klinik für MKG-Chirurgie, Fachklinik Hornheide an der Westfälischen Wilhelms Universität, Münster-Handorf, 3Pädiatrische Neurochirurgie, Centrum 15, RUDOLF-VIRCHOW-KLINIKUM, CHARITE BERLIN, CENTRUM 9, Berlin, Germany

Objectives: In craniofacial dysostosis syndromes (CFD) complex disturbance of growth pattern of neuro- and viscerocranium is present. Modern surgical management in CFD is staged with respect to severity of the deformity, age and development of the patient which are determining matter and timing of surgical intervention. For individual surgical planning three dimensional analysis of the deformity has to be performed in order to reconstruct specific aesthetic units with respect to the different growth patterns of neuro- and viscerocranium. Surgical techniques have to be chosen according to the desired corrections in sagittal, transverse and horizontal planes. Since its introduction to the field of maxillofacial surgery by McCarthy distraction osteogenesis (DO) has become an accepted technique for the correction of extreme skeletal situations as severe maxillofacial growth deficiencies can be compensated by the principle of gradual bone lengthening according to Ilizarov. However there are still controversies about indications, limitations and technical specifications. Material and Method: If midfacial retrusion and anterior cranial vault malformation should be addressed simultaneously in CFD the surgical plan might consist in fronto-orbital remodelling by a floating technique according to Marchac and Renier in combination with the advancement of the zygomatico-maxillary complex after LeFortIII disimpaction by one pair of internal distraction devices as fronto-orbito-maxillary advancement. We present our experiences with this technical modification in three patients affected by syndromic craniosynostosis between 2,5 and 13 years. Results: Fronto-orbito-maxillary advancement resulted in an obvious improvement of the skeletal situation with functional improvements in all three patients. Correct positioning of the devices in an anterocaudal direction near to the center of resistance of the facial mass seems crucial for a successful procedure. Adequate stability of the devices during a sufficient period of time must be provided for bony consolidation O0203

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in the distracted areas. However different complications had to be managed. Follow up varies between 12 and 30 months. Summary: Simultaneous management of midfacial retrusion and anterior cranial vault deformity in children affected by craniofacial dysostosis is possible by combining LeFort-III-advancement and anterior cranial vault remodelling as fronto-orbitomaxillary advancement using one pair of internal distraction devices. As surgical correction must aim to compensate complex growth deficiency in CFD even early midfacial advancement by internal distraction osteogenesis in combination with cranial vault remodelling seems conclusive and might therefore contribute to modern treatment concepts.

Orbit Osteogenesis Distraction In Three Dimensions. A New Treatment Alternative For Patients With Anophthalmia Or Microphthalmia. Case Report. Navas - Aparicio M. C.1,*, Hernández - Carmona S.2 1 Oral and Maxillofacial Department, HOSPITAL NACIONAL DE NIÑOS / UNIVERSIDAD COSTA RICA , 2HOSPITAL NACIONAL DE NIÑOS , San José, Costa Rica

Objectives: The inadequate development of the ocular globe has effects on the orbit growth and its content, because of the lack of stimulus by the extreme loss of function, for the development and growth of these structures, with functional, physical and psychological consequences. Examples of this orbital malformations are anophthalmia and microphthalmia. The aim of the treatment is to stimulate the right growth of the orbit for the future rehabilitation with an ocular prothesis. As handling forms, it can be mentioned: ocular prothesis, use of conformers, tissue expanders, dermafat grafts, permanence of the orbital cyst (if it is present), orbital osteotomy, palpebral surgery and combination of these, among others. Although the majority of these treatments provides very good results, there are severe cases in which it is not possible to obtain the right orbital volume and size conditions with those methods. That is why it must be considered a new treatment alternative by an osteogenesis distraction. Material and Method: There is a 6/1 year old female with bilateral cleft lip and palate, and right anophthalmia under treatment in the Craniofacial Clinic of the Hospital Nacional de Niños. For her severe anophthalmia, there was no possibility of a convencional treatment for the future positioning of an ocular prosthesis. So, it was decided to design an orbital distractor, which movement should be in the way of an expansion and front advancement of the orbita, in order to obtain an orbital cavity and to place the ocular prothesis. This surgery was done after the approval of the Clinical Ethics Commitee of the Hospital, the procedure explanation to the patient’s parents and their agreement to carry out the surgery of orbital osteotomy and orbital distractor positioning. Under general anesthesia and with a bicoronal boarding, it was done the segmental osteotomy of the right orbit, and the positioning of the orbital distractor, that was supported by an external rigid halo fixed at the cranial level. The distractor was brought into operation at the seventh postoperative day, with a combination of front movement and orbit walls expansion. Results: The orbit front movement reached 7 mm, after the distractor was moO0204

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ved 1 mm per day. The lateral walls expansion reached 5mm and the medial walls reached between 1.5 and 2.25 mm, after each wall was moved 0.25 mm each time it was brought into operation. The period of consolidation was 22 days. Once it was reached the orbital cavity, the ocular prosthesis positioning was done four and a half months after the distractor was taken off. Summary: Distraction osteogenesis is an alternative treatment that allows the bony regeneration. Even though nowadays it is used in all craniofacial areas, it had not been considered like an alternative for the orbit “per se” in order to get three-dimensional orbital cavity in its width, length and depth, in severe cases of anophthalmia and microphthalmia, in which other conventional therapeutic measures are useless. In the present case, the design of the distractor was the best to obtain the orbital cavity and the positioning of the ocular prothesis, but it is important to modify the size of the distractor for patient’s comfort, so it could be prevented the ulcers by pressure because of the contact of the distractor with the skin and its movement.

Orbital Changes Following Le Fort Iii Advancement In Syndromic Craniosynostosis: Quantitative Evaluation Of Orbital Volume, Infra-Orbital Rim And Globe Position Nout E.1,* 1

Oral and maxillofacial surgery, ERASMUS MC, Rotterdam, Netherlands

Objectives: Patients with syndromic craniosynostosis often suffer from shallow orbits due to midface hypoplasia. The present study aims to evaluate quantitatively the influence of Le Fort III advancement on orbital volume, position of the infraorbital rim and globe-position. Material and Method: Pre- and postoperative CT-scans of 18 syndromic craniosynostosis patients were analyzed. In each scan, segmentation of the left and right orbit was performed and the infra-orbital rim and globe were marked. By superimposing the pre- and postoperative scan and the creation of a reference coordinate system, the movement of the infra-orbital rim and globe was evaluated. Results: Orbital volume increased significantly (p < 0.001) with 27.2% for the left and 28.4% for the right orbit. A significant anterior movement of the left infra-orbital rim of 12.0 mm (sd 4.2) and right infra-orbital rim of 12.8 mm (sd 4.9) were found. A significant medial movement of 1.7 mm (sd 2.2) of the left globe and 1.5 mm (sd 1.9) of the right globe were found (p < 0.005). There was a significant correlation (rs = 0.498, p = 0.035 (left) and 0.642, p=0.018 (right)), between the anterior infraorbital rim movement and the orbital volume gain. Summary: Significant orbital volume gain has been demonstrated after Le Fort III advancement. The position of the infra-orbital rim was significantly transferred anterior, whereas the position of the globe remained relatively unaffected.

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Orbital Malposition In Congenital Deformities Tieghi R.1,*, Clauser L. C.1 1 UNIT OF CRANIO MAXILLOFACIAL SURGERY, S. ANNA HOSPITAL & UNIVERSITY, Ferrara, Italy

Objectives: A patient with orbital malposition associated with craniofacial deformities requires growth, functional, morphological and psycosocial considerations.Congenital malposition of the orbits, globe and adnexa are multiple and of different type. Material and Method: It is knows that the orbit influences the development of the craniofacial skeleton during the growth as well as influences the development of structures such as the globe, eyelids, lacrimal ducts, extraocular muscles and conjunctiva. The orbital skeleton is involved in almost all craniofacial deformities: craniosynostosys, syndromal craniofacial synostosis, hypertelorbitism, hypotelorbitism, orbital dystopia, mycrophthalmia. One of the main concepts in craniofacial surgery is that the surgical act must be three-dimensional, considering that in each deformity the main movement for correcting the wrong position, follows the distorted orbital axis. Results: A different spectrum of cranio orbito facial deformities is discussed. The orbital movements depend on the deformities in the orbital and periorbital area. As an example in hypertelorbitism the main movement is transversal, in orbital dystopia is vertical, in orbitostenosis the main movment is in the sagittal direction. When moving orbits the surgeon must take into consideration the useful orbit, that is the part of the orbit that lies 1 cm in front of the orbital foramen. Summary: Many craniofacial deformities requirie orbital and periorbital surgeries. The orbital movements are sagittal, vertical, transversal in any case 3D. Eyelids and adnexa must be always taken into consideration. The author exposes the experience in treating different types of orbital malposition in congenital craniofacial deformities.

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Realtime-Navigated, Customized Correction Of Superior Sulcus Deformity And Enophthalmos In Anophthalmic Patients Using 3D Titanium-Meshes Rana M.1,*, Essig H.1, Rücker M.1, Eckardt A.1, Kokemüller H.1, Gellrich N.-C.1 1

Oral and Maxillofacial Surgery, MEDICHAL HIGHSCHOOL HANNOVER, Hannover, Germany

Objectives: Ablative surgery of the orbit is often associated with dramatic changes in facial geometry. Surgical intervention is often necessary to correct functional and aesthetical appearance in those patients who are anophthalmic, having an intact eyelid appearance together with an orbital prosthesis. This group of anophthalmic patients is known to have in 100% a combined problem of hypophthalmic, enophthalmic anophthalmos including a considerable functional and cosmetic deformity. The outcome of the surgical correction depends on qualtiy and quantity of remaining orbital soft tissues and the shape of orbital implants and their adequate placement. In the case of comparatively small rearrangements, the impact of implants on soft tissues can be estimated by surgeons on the basis of their experience. However, large deformities in complex cases (including large deformation of soft tissue or asymmetry) can be hardly predicted on the basis of simple empirical considerations. Material and Method: The purpose of this case report with five patients was to investigate long-term effectiveness (one year after surgery) of a new procedure with realtime-navigated computer assisted customized orbital titanium meshes. Anophthalmic patients with superior sulcus deformity or enophthalmos were enrolled in this study. First, the appearance and projection of the orbital prosthesis together with the periorbital soft tissues was examined using 3D optical FaceScan, to compare the degree of superior sulcus deformity and, additionally, exophthalmometric value was examined via Naugle exophthalmometer. Volume and structure of extraocular muscles, soft tissue and bony structure of the orbital walls was examined using high resolution multi-slice tomographic scanning. In order to evaluate the accuracy of the implant relocation using the customized orbital titanium meshes, the position and the shape of the installed meshes was reconstructed and analyzed from time-series of tomographic data. Results: The patient cohort consists 5 patients (3 males, 2 females). With the virtual model of the patient, various case scenarios of the surgical operation and its impact on soft tissue could be studied. In all cases, the orbital prosthesis was reloO0207

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cated to a new position. These innovative technical approaches showed a successful post-operative outcome of patients functional and aesthetical appearance. Summary: Computer-assisted navigated surgery has many advantages in comparison with conventional surgical techniques. Quality assurance due to better preparation, shorter operation time and lower costs are the benefit of soft tissue predictions via the finite element method. These innovative technical approaches promise a successful post-operative outcome of patients functional and aesthetical appearance.

Navigation Guided Reduction Of The Skull Bone In Extremely Rare Cases Of Hyperplastic Calvarial Bone Jürgens P.1,*, Beinemann J.1, Zeilhofer H.-F.1 1

Oral & Maxillofacial Surgery, UNIVERSITY HOSPITAL BASEL, Basel, Switzerland

Objectives: Disorders of the bone metabolism leading to unilateral as well asymmetrical hyperplastic deformation of the skull bone are extremely rare entities. Material and Method: In this presentation we will demonstrate the process chain from diagnostics to surgical procedure in two delicate cases: first patient was a 21year old male with craniometaphyseal dysplasia – disorder of the bone metabolism linked to a Mutation of the 5p15.2 gene. Based on a 3D-CT-Scan a virtual model was generated that showed a bone thickness over 5o mm. With a mathematical algorithm a new bone surface in a distance of 6mm from an optimized inner surface was generated to create a new skull with physiological thickness. The distance mapping between the virtual new surface and the current surface showed values between 45mm and 6mm. These extreme variations did not allow a reducing surgery without depth control. For transferring the surgical plan into the OR environment a newly developed 3D-real-time navigation prototype was used. In a second case a 6-year-old boy with a unilateral overgrowth of the frontoparietal bone caused by a Proteus-Syndrome was planned in a comparable way – just that the new bony surface was initially created by mirroring and then mathematically optimized. For transfer the surgical plan to the patient in this case a surgical guide was used to perform controlled depth drilling in predefined position all over the malformed bone. To have additional control, the system for intraoperative navigation was used as well. Results: In this work we present a workflow for planning and realizing surgical procedures in patients with extremely rare malformations. In both cases the basis for planning and transfer was the same but in each case it was adopted to the individual requirements of the patient. Summary: This presentation focusses the special application of navigational technology in CMF-surgery to provide extraordinary support in the surgical procedure of non daily routine cases. Without this approach the handling and intraoperative management would run into crucial complications.

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Complex Approach For Tongue Angiodysplasias Treatment Korotkikh N.1,*, Stepanov I.1, Sherbinin A.1, Timoshin I.1, Olshanskii M.1 1 Oral and Maxillo-facial surgery Department, VORONEZH STATE MEDICAL ACADEMY, Voronezh, Russian Federation

Objectives: Angiodysplasias of the tongue are rare pathology presenting serious problem not only for maxillofacial surgery but esthetic surgery. New trend in approach for this pathology consist of different techniques applied within multimodal complex interferences of specialists. The anatomic interrelation of rich vascularisated masses and organs, as well physiological and functional properties do not allow possible complete recovery even after successful surgery. The recurrence, cosmetic defects or functional disorders if monotherapy performed often occur. Endovascular transcatheter embolotherapy and transcutaneus sclerotherapy gives the possibility to obtain the best outcome and fewer side effects. Material and Method: From 1996 till 2010 years 26 patients (17 male, 9 female, mean age 53± 8 years) with angiodysplasia of the tongue were observed in our maxillofacial surgery clinic. In 9 cases first signs of disease were registered at birth. The rest already had the disease for periods of time from 2 months to 20 years at time of the first observation. Surgical treatment was applied in 21 patients. In 19 patients partial glossectomy was done. Transcutaneus sclerotherpy with ethanol and aethoxysklerol in combination with endovascular embolotherapy in 3 cases was successfully provided. In 4 cases selective bilateral catheterization of lingual arteries and endovascular microembolization by PVA-300µ via right transfemoral access was successfully performed. Written informed consent was not given by 5 patients. We could only report fact of disease present. Follow up in 5-years period 14 patients were exanimate by Doppler ultrasound color mapping (n=4), angiography (n=9), CT (n=2), MRI (n=2). Results: The recurrences of the disease were reported in 3 cases after surgical treatment. No recurrences were found within 24 months in patients operated on after endovascular embolotherapy. In 3 cases after successful embolotherapy insignificant ischemic disorders were revealed. In only one case after proximal bilateral embolization of lingual arteries tongues necrosis was occurred. It completely resolved during 1 month without any problems. During 6, 12, 18 months in follow-up period the recurrences of the disease were O0301

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not reported. The tongue retained its function in all cases. Summary: Differentiation and multimodal approach to the treatment of tongues angiodysplasia will be able to provide the best results. Endovascular therapy play sufficient role and become the fist line method in such patients. In some cases this method may be the method of the choice as alternative to glossektomy.

Intralesional Bleomycin Injection In The Treatment Of Head & Neck Vascular Birthmarks – A 6 Year Review Sainsbury D.1,*, Chalmers R.1, Kessell G.2, Hampton F.3, Guhan A.3, Muir T.1 Reconstructive Plastic Surgery, 2Department of Anaesthesia, 3Respiratory Medicine, JAMES COOK UNIVERSITY HOSPITAL, MIDDLESBROUGH, United Kingdom

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Objectives: We present the novel use of a chemotherapeutic agent as a scarless treatment for vascular birthmarks. 92 patients have received intralesional bleomycin injection (IBI) for vascular birthmarks of the head and neck region over a six year period. Material and Method: Patient demographics, clinical response, treatment and complication details were prospectively recorded. Treatment was administered by a single operator using percutaneous IBI. Serial standardised photographs allowed lesional response to be assessed. Adult and paediatric pulmonologists provided respiratory surveillance. Results: 46 venous malformations, 27 haemangiomas, 9 lymphatic malformations, 6 mixed malformations, 2 cystic hygromas, 1 arteriovenous malformations and 1 capillary malformation underwent IBI. 19 patients were 1 year or younger, 19 were aged 2-12 years and 54 were over 12 years. 52% patients completed treatment in a mean of 5.1 sessions and 125 days. Complete resolution occurred in 60%, significant improvement in 27%, with a 98% overall response rate. One patient each developed skin ulceration, blistering, infection, bruising and rash. Transient swelling and bruising occured in four patients. Two patients developed transient skin hyperpigmentation. One patient required intubation following treatment of a pan-facial and thoracic lymphatic malformation. A full recovery ensued. No patients developed pulmonary fibrosis. One malformation recurred. Summary: Our single site multi-disciplinary team has successfully treated complex and recurrent vascular anomalies in the head and neck region using IBI as a nonsurgical option with minimal complication and recurrence profiles.

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Vascular Anomalies Of The Face In Childhood: Diagnosis And Treatment Zama M.1,*, Urbani U.1, Santecchia L.1, Spuntarelli G.1, El Hachem M.2, Diociaiuti A.2, Falappa P.3 1 Dep. Plastic Surgery - Maxillofacial Unit, 2Dermatology Unit, 3Interventional Radiology Unit, CHILDREN’S HOSPITAL BAMBINO GESU, Rome, Italy

Objectives: Vascular Anomalies (VA) are the most common anomalies in paediatric population occurring in about 1% of children. According to ISSVA classification we distinguish two types of vascular anomalies: vascular tumours (VT) and vascular malformations (MAV). About 60 % of VA are localized in head and neck area. The management of VA is challenging: simple cases are easy to treat while complex cases need a multidisciplinary approach. Material and Method: Our team consists of: dermatologist, plastic surgeon, interventional radiologist, pathologist and ophthalmologist. In our team every VA involving the face are discussed to find the better treatment for the patient. A review of about 50 consecutive surgical cases treated in the last 18 months are analyzed with particular attention on the pathology, the localization and the possibility of treatment. Authors will show the surgical approach to head and neck VA in terms of indications, surgical strategy and results. Results: The result is an algorithm that consider the functional and aesthetic problems with the different therapeutic procedures that can be used. The team approach is useful because it open to wide variety of techniques that can be used alone or combined. The multidisciplinary team approach has a lot of advantages: the final results can be better or easily obtained, severe cases can be approached more safely, risk of incorrect treatment is lower. Summary: Vascular Anomalies (VA) are the most common abnormalities of paediatric age and 60% of cases involve the head. Our multidisciplinary team analyze every case to find the best choice of treatment for the patients. The team approach is useful because it open to wide choose of techniques that can be used alone or combined to obtain the best outcome for the patient.

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Distraction Osteogenesis For Severe Cleft Maxillary Hypoplasia: Results In Growing And Non Growing Patients Colletti G.1,*, Bozzetti A.2, Meazzini M. C.1, Ferrari M.1, Rossetti G.1, Allevi F.1, Brusati R.1 1 Maxillo-Facial Surgery. San Paolo Hospital, Milan. Head Prof. R. Brusati, University of Milan, Milan, 2MAXILLO-FACIAL SURGERY, Ospedale Nuovo San Gerardo, Monza., University of Milan Bicocca, Monza, Italy

Objectives: Rigid external distraction osteogenesis has been demonstrated a safe and highly effective procedure for the treatment of severely retruded cleft lip and palate patients. The purpose of this study was to evaluate immediate result, long term skeletal stability and effect on velopharingeal function after maxillary distraction osteogenesis. Material and Method: The study included 8 growing patients (average age 8 years) and 10 non growing patients (average age 24 years) with unilateral or bilateral cleft lip and palate and a severe midface retrusion treated with distraction osteogenesis. An external device with dental anchorage was utilized. Lateral cephalometric x rays were performed pre-op, at the end of distraction osteogenesis and at different follow up times. The average follow up was 4 years (range 1-8 years). Parameters evaluated in the immediate post-op x rays were vertical and horizontal maxillary movement, mandibular and occlusal plane angle changes and soft palate movement. In the subsequent follow up x rays vertical and horizontal relapse, mandibular and occlusal plane angle changes and soft palate adaptation were analyzed. A speech pathologist evaluated the sample pre, immediately post op and 1 year post op. Results: The immediate result showed a good maxillary advancement, with morphological and aesthetic restoration in both growing and non growing groups. The long term follow up showed a moderate vertical and horizontal relapse in growing patients probably due to disproportionate growth inherent in cleft lip and palate patients, non growing patients showed a stable horizontal maxillary position and a slight vertical relapse. Two patients, borderline pre-op, showed velopharyngeal incompetence and a velopharyngoplasty was performed about 1 year post distraction, speech was temporarily impaired in other patients but no velopharyngeal incompetence was detected any longer at 1 year follow up. O0306

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Summary: In this study the Authors evaluate their results with rigid external maxillary distraction in growing and non growing cleft patients affected by severe maxillary hypoplasia. Long term stability and velopharyngeal function are considered.

Microvascular Mandible Reconstruction In Hemifacial Microsomia Garcia Recuero I. I.1,*, Romance García A. I.1, Diaz R. G.1, Garcia A. F.1, del Valle A. F.1, Calleja P. E.1 1

Craniomaxillofacial unit, H.U 12 DE OCTUBRE.MADRID.SPAIN, Madrid, Spain

Objectives: Mandible reconstruction in cases of severe hemifacial microsomia (Pruzansky IIb & III stages),is one of the most challenge treatment that the craniomaxillofacial surgeons have to achieve.These patients needs mandible and soft tissue reconstruction to improve the narrowness of the upper airway and avoid tracheostomy, also improving the aesthetics,speech and socialize conditions. Material and Method: We present our clinical series about four cases of microvascular mandible and soft tissue reconstruction of patients with severe hemifacial microsomia ( Pruzansky IIb & III ).Our flap of choice in these patients is the osteomyocutaneous fibula flap.All the flaps were raised before evaluation of the patient condition by our pediatric orthopedic team, that insert at the time of sugery an internal fixation device to stabilize and preserve the function of the lower leg.The range of age oscillate from 36 months to 9 years, and the follow up period from 12 months to 3 years.All the patients was females. Results: All the the procedures had achieved success, with no major infectious complications or donor site morbidity.The patient of 36 months of age that has preoperative tracheostomy before previous failed mandible reconstructions attempted in others institutions, was successfully decannulated.The patients with mixed dentition needs bite-block therapy to maintain the posterior open bite achieved,stimulate the upper maxilla growth and avoid major remodelation of the fibula bone of the flap. Summary: Reconstruction of the mandible with fibula osteomyocutaneous free flap in severe hemifacial microsomia cases is a predictible,effective and low morbidity method to restore the bone and soft tissue anatomy, improving the aesthetic and functional conditions of the patient.In these patients we need to aport new bone to allow future osteogenic distraction procedures.

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Paediatric Mandibular Resection: Is Reconstruction Always Necessary? Sharma P.1,*, Green J.2, Williams R.1, Monaghan A.1 1 Oral and Maxillofacial, BIRMINGHAM CHILDREN’S HOSPITAL, 2Oral and Maxillofacial, QUEEN ELIZABETH HOSPITAL, Birmingham, United Kingdom

Objectives: Treatment for pathology of the mandible may result in resection of the affected segment. This presents the surgeon with challenges relating to the size of the defect and options for reconstruction. In paediatric patients, there are case reports of spontaneous regeneration of segments of excised mandibles resulting in reduced or no need for surgical reconstruction. We present four such cases treated at Birmingham Children’s Hospital, Birmingham, U.K. Material and Method: The age at presentation ranged from 6 to 12 years. Three patients were male and one female. All lesions were histologically benign (ossifying fibroma, aneurysmal bone cyst and arteriovenous malformation) and periosteum was preserved during resection. The patients underwent regular clinical and radiographic follow up. Results: In all four cases, evidence of spontaneous regeneration both clinically and radiographically was seen between 3 and 5 months post resection. The planned delay prior to reconstruction led to patients requiring a less aggressive approach to reconstruction than had previously been expected. In all four cases, evidence of spontaneous regeneration both clinically and radiographically was seen between 3 and 5 months post resection. The planned delay prior to reconstruction led to patients requiring a less aggressive approach to reconstruction than had previously been expected. Summary: Mandibular resection presents the surgeon with challenges relating to the size of the defect and options for reconstruction. We present four cases treated at Birmingham Children’s Hospital of spontaneous regeneration of segments of excised mandibles resulting in reduced or no need for surgical reconstruction. In all four cases, evidence of spontaneous regeneration both clinically and radiographically was seen between 3 and 5 months post resection. The planned delay prior to reconstruction led to patients requiring a less aggressive approach to reconstruction than had previously been expected. Based on these cases as well as other case reports previously, there is now a level O0308

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of expected spontaneous mandibular regeneration and final reconstruction is delayed until the spontaneous healing is complete.

Treatment Of Airway Obstruction In Infants With Pierre Robin Sequence By Mandibular Distraction Osteogenesis Desmedt M.1,*, Nadjmi N.1, Van Hemelen G.1, Van de Perre J.1, Vanassche B.1, Vercruysse H.1, Defrancq J.1, Noorman Van der Dussen F.1 1

Craniomaxillofacial Surgery Association, EEUWFEESTKLINIEK ANTWERP, Antwerp, Belgium

Objectives: Clinical evaluation of mandibular distraction osteogenesis as a treatment of airway obstruction in infants with micrognathia. Material and Method: Twenty babies born with Pierre Robin sequence, who had severe obstructive airway symptoms with awake and feeding problems were treated. All had repeated apnea monitor triggering and abnormal sleep study. Polysomnografic study showed RDI of 16.27 to 17.05. In all cases the airway obstruction was treated with pressure support breathing. In four cases a percutaneus gastrostomy tube was placed to deal with the feeding problem. All patients showed worsening of their condition so that application of a tracheotomy was considered. The paediatric Molina Distractor was used in all cases to lengthen the mandible at 2 to 6 months of age. Distraction started at the day of surgery with a rate of 2 mm per day and continued till a normal intermaxillary relationship was achieved. Results: The airway problems were completely solved at the end of distraction in all cases. The feeding problems were solved in eighteen cases immediately after distraction, and diminished in two cases. After follow up period of 16 months to 9 years all patients had an adequate airway with negligible scaring. Mandibular distraction osteogenesis may be useful to avoid tracheostomy in infants with micrognathia. Summary: Twenty babies born with Pierre Robin sequence, who had severe obstructive airway symptoms with awake and feeding problems were treated. All had repeated apnea monitor triggering, and abnormal sleep study. Polysomnografic study showed RDI of 16.27 to 17.05. In all cases the airway obstruction was treated with pressure support breathing. In four cases a percutaneus gastrostomy tube was placed to deal with the feeding problem. All patients showed worsening of their condition so that application of a tracheotomy was considered. The paediatric Molina Distractor was used in all cases to lengthen the mandible at 2 to 6 months of age. Distraction started at the day of surgery with a rate of 2 mm per day, and continued O0309

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till a normal intermaxillary relationship was achieved. The airway problems were completely solved at the end of distraction in all cases. The feeding problems were solved in eighteen cases immediately after distraction and diminished in two cases. After follow up period of 16 months to 9 years all patients had an adequate airway with negligible scaring. Mandibular distraction osteogenesis may be useful to avoid tracheostomy in infants with micrognathia.

Quantification Appraisal Of Mandibular Internal Curvilinear Distraction Aizenbud D.1, Hazan-Molina H.1, Thimmappa B.2,*, Hopkins E. M.2, Schendel S. A.2 1 Orthodontic and Craniofacial Center, Graduate School of Dentistry, Rambam Health Care Campus and Bruce Rappaport Faculty of Medicine – Technion, Israel Institute of Technology, Haifa, Israel, 2Division of Plastic Surgery, Lucile Packard Children’s Hospital, Stanford University Medical Center, Palo Alto, California, United States

Objectives: The aim of this study is to quantify the sagittal and vertical mandibular changes achieved by curvilinear distraction and to evaluate the 3D influences on facial structure. Material and Method: Forty patients (20 male and 20 female) with an age range of 5 to 55 years, who underwent mandibular distraction by a curvilinear distractor from 12/1999 to 08/2007 at Lucil Packard Children’s Hospital at Stanford, California, were included. Preoperative, postoperative and follow-up (at least 2 years post distraction) panoramic and lateral cephalometric x-rays were traced by plotting different skeletal landmark points and analyzed. The mandibular internal curvilinear distractor design produces a curvilinear displacement of the bone that provides the ideal three-dimensional movement compared to straight displacement devices, even if they are multi-vector. In this way correction of craniofacial deformities are obtained in an anatomical manner, secondary to the simultaneous bidirectional (rotational and translational) mandibular movement with a curved distractor. Results: All patients tolerated the curvilinear distraction process well to completion. The average follow-up was 30.02 ±22.67 months. The average mandibular horizontal advancement was 8-9 mm and 6-8 mm in the panoramic and cephalometric x-rays respectively whereas the vertical change was 10-12 mm and 10-11 mm respectively. However, when comparing the post distraction and the long term follow up measurements, a relapse of 1-2 mm and 0.5-2.5 mm was recorded for both the panoramic and cephalometric measurements in the vertical and horizontal dimensions respectively. A very high correlation was found between the two radiographs (r=0.92). Summary: Curvilinear internal distraction was found to be significantly stable when comparing the long term follow-up measurements to postoperative data revealed in the panoramic and lateral cephlometric x-rays for the two dimensions. O0310

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Mandibular distraction with an internal curvilinear device was found effective in obtaining a stable correction of craniofacial deformities that is anatomical as this type of distraction resembles normal mandibular growth on an spiral that closely conforms to a logarithmic curve.

Current Approaches To The Methods Of Reconstructive Rhinoplasty Choice. Mustafaev M.1,*, Kerimov V.1, Khotova A.1 1

UNIVERSITY HOSPITAL, Nalchik, Russian Federation

Objectives: The steady increase of quantity of the patient addresses concerning the rhinoplasty and the quantity of “plastic surgeons”, a high percentage of the aesthetic and functional rhinoplasty complications, the absence of a clear algorithm of method choice of rhinoplasty in the literature have determined the urgency of our research. The algorithm development of methods choice of reconstructive rhinoplasty to obtain optimal functional and aesthetic results that remain for long-term periods. Material and Method: We studied case histories from the clinics for 2006 -2008, conducted a study on clinic’s patients own observations. The standard of checkup of this patients group included:  Clinical and laboratory checkup of the patient;  Photo of the face in 4 projections before the operation, after the operation in different terms;  Radiography of the skull (paranasal sinuses in the nasal-chin projection, paranasal sinuses in a straight line projection, teleradiography in side view with a filter of the soft tissues).  In the case of dissatisfaction of the standard extent of checkup it was recommended to conduct a multispiral computed tomography with 3D reconstruction. Both open and closed rhinoplasty methods were used in the patients’ treatment. A combination of methods of open and closed reduction rhinoplasty was carried in the case of a combination of tip of the nose deformation with high elongated pyramid of the nose which could not be eliminated from the closed access. Results: In 84 cases of these case histories “a deformation of the external nose” was diagnosed. Operations on the functional indications were carried for 9 patients, on aesthetic indications for -18, on mixed indications for - 42 patients. 93 patients who had rhinoplasty drew their own observations for the period from July 2008 to January 2010. A tactics of surgical treatment which includes the mandatory restoration of all anatomical structures of the nose, conductivity of the respiratory tracts, remodeling of ligamentous apparatus of the tip of the nose in order to stabilize it was worked out. That allows to raise the effectiveness of surgical operations and stability of clinical results. The worked out combined method has been applied successfully in the 20 O0401

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patients’ treatment. The essence of the method is in rearrangement of open access rhinoplasty for the formation of the distal parts of the nose and reducing functional rhinoplasty to reduce the height of the nose pyramid. When combined method the open access allows to form cartilage structures in the distal parts of the nose as accurate as possible under visual control, while keeping the back of the nose and the natural connection of the lateral cartilage, quadrangular cartilage and the nose bones, mukoperiost does not exfoliate from the roof of nasal passages. Summary: The complex assessment (objective and subjective) of the received aesthetic and functional results showed the effectiveness of the combined method of rhinoplasty.

Role Of Septal Extension Graft In Controlling Tip Projection Afshar N.1,* 1

Oral and Maxillofacial surgery, SHAHID MOHAMADI, Bandarabbas, Iran, Islamic Republic Of

Objectives: Obtaining and maintaining adequate tip projection has been a challenge in rhinoplasty, especially open approach, and different methods have been proposed to achieve this goal. One of these methods is septal extension graft, introduced by Byrd and colleagues, which can have magnificent effect in increasing and controlling tip projection. Material and Method: In our study, tip projection of 30 patients who underwent open rhinoplasty by one surgeon and had bilateral septal extension graft for maintaining or increasing tip projection were evaluated. Follow-up assessments were carried out for 1 year. Results: At the 1-year postoperative assessment projection was found satisfactory with approximately 0.7 mm projection lost between 3 months and 1 year after the surgery. Summary: Obtaining and maintaing adequate projection is a key factor in rhinoplasty.Bilateral septal extension graft as is indicated by this study can have dramatic effects in achieving this goal

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A Different Method For Lateral Crural Strut Graft Placement Afshar N.1,* 1

Oral and Maxillofacial surgery, SHAHID MOHAMADI, Bandarabbas, Iran, Islamic Republic Of

Objectives: Lateral crural strut graft since 1997, which was introduced by Gunter and Friedman, has been used in rhinoplasty for correction of alar rim deformities. However, dissection of lateral crura from underneath vestibular skin is difficult especially in the original method which dissection is done form cephalic margin of lateral just to caudal margin. Material and Method: In our study, 8 primary rhinoplasty patients were evaluated and lateral cruel strut graft was placed bilaterally and through a 3mm-pocket which was created from caudal to cephalic margin of lateral crura, and at the end of surgery it was covered with vestibular skin which was sutured to anterior alar rim skin. Results: A 6-month follow-up showed no infection, exposure, resorbtion or graft loss and alar contour was excellent. Summary: lateral crural strut graft has been used in rhinoplaty for correction of alar rim deformities.In original method, its placement is through a challengng pocket created from cephalic marigin of lateral crura, but we did it through caudal margin which was easier to make without any posoperative complication such as infection, exposure or resorbtion.

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Diced Rib Cartilage Graft Technique With Minimal Incision For Rhinoplasty: Harvesting And Dicing Technique Kim P. C.1,*, Huang W. C.2 1 plastic surgery department, DAEGU CATHOLIC MEDICAL CENTER, Daegu, Korea, Republic Of, 2plastic surgery department, Chang Gung Memorial Hospital, Chiayi, Taiwan, China

Objectives: Diced rib cartilage grafting described by Erol has been being used extensively in the world due to advantage of the pliability. However, traditional harvesting technique of rib cartilage has long scar, possible pneumothorax, and severe pain due to extensive dissection and resection of some rib cartilage. In this study, scooping technique was developed for harvesting of diced rib cartilage to reduce the donor site morbidity Material and Method: May 2008 to Feb 2010,there have been 137patients who had been performed by diced rib cartilage grafting for rhinoplasty. Using small incision on chest (1.2 to 2.0 cm), cartilage was harvested from just outer layer of costal cartilage with carving instrument. Harvested costal cartilage was diced into microparticulates about 0.2 to 0.5 mm2 with cartilage dicer. This diced particulates were put into modified 1cc syringe and inserted into nasal dorsal framework in each patient. Results: All patients were satisfied with donor aspects and recipient aspects except 2 patients who were suffered from post-operative inflammation on chest incision wound. However it was subsided with adequate dressing in a week after operation. Incision length was 1.2 to 2.0(avg. 1.4 cm) and average harvesting time of cartilage was 12 min (9 to 17 min), and average amount of harvested cartilage was 1.35 cc(0.45 to 2.65 cc), and average volume of inserted cartilage was 0.8 cc., Summary: This technique is a safe technique to avoid pneumothorax and only requires small incision with about 1.5 cm, which minimizes significant pain on chest, minimize donor morbidity. We report our simple harvesting technique of rib cartilage for rhinoplasty with satisfactory and safe result.

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A Study Of Alterations In Nasal Tip Sensibility Following Wide Dissection In Corrective Rhinoplasty Choi Y.-S.1,*, Kim D. S.1, Oh D. Y.2, Moon S. H.2, Byeon J. H.3, Seo B. C.4 1 plastic and reconstructive surgery, ST. VINCENT HOSP. THE CATHOLIC UNIVERSITY OF KOREA, Suwon, 2plastic and reconstructive surgery, Seoul St. Mary’s hospital, 3plastic and reconstructive surgery, St. Mary’s hospital, seoul, 4plastic and reconstructive surgery, BuCheon St.Mary’s hospital, BuCheon, Korea, Republic Of

Objectives: Even though a lot of complications after open rhinoplasty has been reported, incidence and clinical courses about alterations in nasal tip sensibility originating from injury of external nasal nerve has not been studied well. For accurate osteotomies of corrective rhinoplasty, direct visualization via wide dissection over the nasal bone is inevitable. But the troublesome fact is that this method can damage the external nasal nerve. The purpose of this study was to identify the incidence and the times of recovery between patients undergoing wide dissection in corrective rhinoplasty. Material and Method: In a retrospective study, 68 of 95 consecutive patients undergoing corrective rhinoplasty between Jan 2005 and March 2009 were included. 27 patients did not come back for long term follow up and were excluded. There were 38 males and 30 females. All patients underwent open rhinoplasty for correction of deviation using lateral and paramedian osteotomies. The surgeon’s osteotomy technique prefers wide dissection over the nasal bones including frontal process of the maxilla and using a reciprocating saw under the direct visualization for accuracy. At this time, external nasal branch of anterior ethmoidal nerve was severed. All patients received questioning and testing of nasal sensibility preoperatively, and once a month up to 1 year postoperatively. Patients were asked about any alterations of nasal sensibility and cutaneous pressure was tested with a digit comparing nasal tip with cheek. Sensory change was scored on a scale of 0 to 10. 0 points was rated when there was no sensation above the nasal tip, and 10 points was rated when there was no sensory difference between the cheek and the nasal tip. Incidence of sensibility change, time of recovery and visual analysis score was assessed. Results: Alteration of nasal tip sensation was perceived in 16 patients of 68, which was 23.5% and there was no significant difference between males and females. The average score was 6.75 point(between 1-8). Sensory change in nasal tip lasted average O0405

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9.5 months (between 1 to 12months) . None of the patients complained about the change during follow-up and had recovered in all patients by 1 year after surgery. Summary: Direct visualization on nasal osteotomies can bring better outcome, but due to possibility of nerve injury, this method has not been widely accepted. Our study indicates that even when the external nasal nerve is transected, sensory alteration occurs in only a portion of patients, and even then, significant recovery was observed by 1 year. This may be due to recovery of the external nasal nerve itself, or to collateral sprouting from the nerves supplying the adjacent areas of nasal skin. Therefore, a wide dissection for accurate osteotomies in corrective rhinoplasty could be acceptable procedure for better cosmetic outcome and these data could be used to the patient’s education about the possibility and clinical course of alteration in nasal tip sensibility.

Necessity Of Wide Dissection In The Correction Of Deviated Nose Moon S.-H.1,*, Choi Y.-S.2, Oh D.-Y.1, Byeon J.-H.3, Seo B.-C.4 1 Plastic & Reconstructive Surgery, Seoul St, Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul, 2Plastic & Reconstructive Surgery, St, Vincent’s Hospital, College of Medicine, Catholic University of Korea, Kyunggi-do, 3Plastic & Reconstructive Surgery, St, Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul, 4Plastic & Reconstructive Surgery, Bucheon St, Mary’s Hospital, College of Medicine, Catholic University of Korea, Kyunggi-do, Korea, Republic Of

Objectives: When performing dissection during correction of the deviated nose, generally operators perform minimal tissue dissection in order to prevent vascular compromise of the skin and soft tissue envelope. However, in cases where trauma is the cause of the deviation, soft tissue abnormalities due to bony deformation, swelling and hematoma accompany the changes in bone or cartilage structures. Thus both the nasal skeleton and soft tissue components act as limiting factors in correction of the deviated nose. These facts taken into consideration, the authors performed correction with accurate osteotomies using a saw under direct vision through the space made by wide dissection of the soft tissue and skin, followed by accurate repositioning of the bone and cartilage, and complete redraping of the envelope. Material and Method: 95 patients who were treated for deviated nose from January, 2005 until March, 2009 received correction through an open approach. Wide dissection was done from the nasion to the nasomaxillary junction in order to perform exact lateral osteotomies. Using a saw, paramedian and lateral osteotomy was undergone, followed by an incomplete greenstick fracture. A swing-door procedure of the upper lateral cartilage aligned the whole nasal skeleton along the midline. Soft tissue including the periosteum was elevated through wide undermining and dissection, and was repositioned in order to correct the deviation. Implant insertion or tip plasty was done simultaneously if necessary, or if desired by the patient. Patients were followed up for at least 1 year after surgery and observed for recurrence, while patient satisfaction was surveyed. Results: 78 male patients and 17 female patients were treated, and 24 patients (25%) received implant insertion. During the follow up period, deviated nose did not recur in 93 patients (97.9%), and most were pleased with the shape of their nose. Disposition of the implant occurred in 2(2.1%) patients, and additional corrective operations were satisfactory. O0406

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Summary: Problems associated with correction of deviated nose include recurrence of the curvature, undercorrection, and overcorrection. Complications such as these may occur due to incomplete osteotomies, lack of soft tissue release or insufficient skeletal repositioning under limited exposure of the nasal bone and cartilage. Therefore, the authors think that exact positioning of the osteotomies under direct visualization enabled by wide dissection, and ample exposure followed by complete repositioning of the soft tissue may facilitate thorough correction and prevention of recurrence.

Open Approach For Posttraumatic Rhinoplasty Uglesic V.1,* 1

Maxillofacial department, UNIVERSITIY HOSPITAL DUBRAVA, Zagreb, Croatia

Objectives: To present open rhinoplasty approach for posttraumatic noses. Posttraumatic rhinoplasty is divided into three thirds: rhinoplasty for upper, middle and lower deformities of the nose.For every separate entity, a group of surgical maneuvers and their targets, is presented and discussed. Material and Method: Common feature for the above mentioned thirds is septoplasty. The approach, septoplasty targets and surgical maneuvers to reach those targets are discussed. For the lower third, role and technique of the columela strut, shield graft, tip graft, onlay grafts and LLC suture modifications are analyzed and shown. For the middle third, role and surgical technique of spreader, onlay grafts and its combination are presented. Different osteotomy techniques and camouflage for upper third is analyzed. Results: Each surgical procedure will be explained and their results will be shown. Summary: Each nose is a special entity and therefore needs to be analyzed as a whole, but for the purpose of this presentation, posttraumatic nose deformities are divided into the lower, middle and upper third. For every separate entity, a group of surgical maneuvers and their target, is presented and discussed.

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Piezo-Cut For Nasal Bone Osteotomies In Rhinoplasty Robiony M.1,* 1 Associate Professor of Maxillo Facial Surgery Departement of Surgical Science University of Udine, University of Udine, Udine, Italy

Objectives: Two basic techniques for lateral osteotomy have been developed to date; the internal (endonasal) continuous technique and the external (percutaneous) perforating method. Numerous investigators have subjectively reported that the application of the two techniques results in less postoperative ecchymosis and edema compared to the use of other techniques, but an alternative and gentle method for performing lateral osteotomy or bony hump removal has not been proposed yet. The Author present a new soft and safe technique to perform nasal osteotomy in rhinoplasty using piezomedical device (PMD), and emphasize the advantages of this method. Material and Method: The PMD is an innovative prototype that is able to convert electric current into ultrasonic waves, through a special transducer. The ultrasounds thus obtained are transmitted to a specific handpiece and cause the vibration of the appropriate cutting scalpels. PMD is unique in that the cutting action occurs only when the tool is used on mineralized tissues; it stops on soft tissues. The PMD is provided with 2 handpieces and with 2 peristaltic pumps connected to the control unit, allowing the user to perform continuous operation without interruptions to substitute insert tips. 25 rhinoplasty have been performer during years 2006-2008. The intervention is performed under either general. In the first event, either open or closed rhinoplasty technique can be preferred. After preliminary rhinoplasty steps, including dorsal hump removal or medial nasal osteotomy, a 2-mm incision of the skin, of the underlying superficial muscolo-aponeurotic system (SMAS) tissues, and of the periosteum is performer 8 to 10 mm medially and downward from medial cantus. A curved, narrow, and unguarded tip of the PMD scalpel is inserted through the incision, to the bony surface. The scalpel is manually pushed cranially and caudally into the incision, to produce minimal periosteal detachment, restricted to the ideal line of the lateral osteotomy. The vibrating scalpel is moved continuously along the ideal line of the osteotomy, gently pressuring the bony surface. The obtained osteotomy is not strictly perforating but almost continuous, and it is entirely completed from the access position. After the procedure is performed on the opposite site, a greenstick infracture is obtained with minimal hand pressure at the canthal level. Results: All patients were evaluated for ecchymosis, bleeding, edema, and scarring O0408

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immediately postoperatively, at one week and at two weeks after surgery. This is not a comparative study, but positive preliminary clinical evidence was observed in all patients treated with this new method. Reduction of bleeding during surgery, minor edema, periorbital ecchymosis, and no visible scarring were noted immediately after surgery. Summary: The aim of this report is to introduce the use of the Piezo medical device (PMD) in rhinoplasty, in order to provide a more delicate and handy tool for the lateral percutaneous osteotomies, as an alternative to the standard chisel. Technical characteristics, indications, advantages, and limitations are discussed

Secondary Cleft Nose Septorhinoplasty Sequelae Compared To Aesthetic And Post-Traumatic Septorhinoplasty Landes C.1,*, Seitz O.1, Santo G.1, Schuebel F.1, Sader R.1 1 Oral, Craniofacial and Plastic Facial Surgery, Goethe University Medical Center, Frankfurt am Main, Germany

Objectives: A comparison was made between post-traumatic and esthetic rhinoplasties to cleft septorhinoplasty outcomes using a simple penalty point score system. Material and Method: One-hundred and twenty patients were included, 60 thereof were clp patients, 60 esthetic and post-traumatic corrections. Preoperative and three months postoperative standard photographs were analyzed by independent expert observers. En-face: symmetry, profile: dorsum, tip projection, alae, nose length and the nasolabial angle were judged. Results: Patients reached post-operatively scores with fewer penalty points. Complex problems as combined columellar and septal asymmetry were solved within the clp and posttraumatic deviations with micro-plate septum fixation and extracorporeal septoplasy. Tongue-in-groove and alar sliding procedures were applied for reduction and rotation of tip projection. Alar reduction and grafts were repeatedly applied and in cases of imperfect dorsum a bovine collagen membrane smoothed or slightly augmented the reduced areas, occasionally filled with diced cartilage in major augmentation requirements. One persisting problem remained thick overlying soft tissues mostly in bilateral clp situations that did nor permanently resolve even after heightening of the nasal projection. Summary: A comparison was made between post-traumatic and esthetic rhinoplasties to cleft septorhinoplasty outcomes using a simple penalty point score system. Further follow-up is required for long term results, complex rhinoplasty techniques are repeatedly necessary for satisfying results. Biomedical tissue substitutes can reasonably support tissue as shown with bovine collagen membranes. Another study deals with the patient perception and satisfaction not addressed here.

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How To Identify During Surgery The Extracranial Trunk Of The Facial Nerve? – The Tragal Pointer And The Posterior Belly Of The Digastric Muscle As Valuable Landmarks – Baksa G.1,*, Molnar G.1, Patonay L.1, Mommaerts M. Y.2 Department of Anatomy, Histology and Embryology, SEMMELWEIS UNIVERSITY, Budapest, Hungary, 2Department of Surgery and Diagnosis Division of Maxillo-Facial Surgery Bruges Facial Transplant Team, AZ St. Jan, Brugge, Belgium 1

Objectives: Iatrogenic facial nerve injury caused by inappropriate surgical manipulation with its severe consequences is a well-known problem for different type of surgeons and a huge number of paretic patients. Furthermore, when preparing a free facial flap for facial allotransplantation safe and atraumatic isolation of the nerve trunk is mandatory for surgical success. A lot of unnecessary complications can be avoided with better knowledge and application of anatomical landmarks. However the literature is quite contradictory and confusing when describing possible orienting structures. In this study the authors investigate and compare the usability of two previously described landmarks, the tragal pointer and the posterior belly of the digastric muscle for intraoperative identification of the extracranial facial nerve trunk. Material and Method: This investigation was carried out on both sides of twelve formalin embalmed (24 specimens) and four fresh (8 specimens) cadaver heads. Age range of the investigated patients was between 43 and 87 years. After removal of a preauricular skin flap and careful extracapsular mobilization of the parotid gland the posterior belly of the digastric muscle and the cartilage of the external auditory meatus were dissected layer-by-layer. In six specimens special interest was spent to related vascular structures. Patients with known pathologies and deformities of the region were excluded from this study. Results: Both the posterior belly of the digastric muscle and the tragal pointer were clearly identified in all of our specimens. The muscle – according to past anatomical descriptions – was in all cases a constant structure indicating the cranial exiting of the nerve trunk with its anterior margin. The tragal pointer showed only minor variations in shape and was always located on the most anteromedial portion of the external auditory meatal cartilage pointing directly at the facial nerve. In the six specimens O0501

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investigated also for vascular relationships the posterior auricular artery and vein were found about one centimetre superficially and parallel to the facial nerve trunk. Summary: Posterior belly of the digastric muscle and the tragal pointer are safe and anatomically constant landmarks for identification of the facial nerve trunk. Application of these structures during surgery allows also the less atraumatic extracapsular mobilization of the parotid gland. However when dealing with a space occupying lesion some translocation of the digastric muscle should be expected, while the tragal pointer remains a constant landmark with an unchanged shape and location.

Rehabilitation Thecnique In Long- Standing Facial Paralysis. Rosón Gómez S.1,*, Naval-Gías L.1, Rodriguez- Campo F. J.1, Sánchez C.1, Fernández J.1, García T.1, Sastre Pérez J.1, Capote Moreno A. L.1, Díaz González F.1 1

Oral & Maxillofacial Surgery, University Hospital La Princesa, Madrid, Spain

Objectives: The facial paralysis is a global problem. One should approach surgery on the paralyzed face with clearly defined, muscle specific objectives. Realistic goals of surgery include 1) corneal protection; 2) a normal resting tone; and 3) a dynamic symmetrical smile. Temporalis muscle transpositions has been used for many years in attempts to reanimate the face in long-standing facial paralysis. It has proved to be helpful when the mimetic muscles are either nonexisten or nonfuncional or the distal facial nerve is fibrotic. The authors presented a modification of Labbé technique applied to restore the lateral smile in long-standing facial paralysis with important muscular atrophia. Material and Method: From 2008 to 2010, seven patients were treated at the Facial Paralysis Unit in La Princesa University Hospital. The average time evolution of facial paralysis was 8 years (range, 4-25). The ratio of men to women was 5:2. Patients’ ages ranged from 42-54. We performed temporalis muscle transposition without dissected off the coronoids process to obtain symmetrical dynamic smile. Seven gold height were implantated in upper eyelid. Results: The results obtained have been very sucessful and encouraging. We achieved a complete eyelid closure and a correct superolateral smile. We completed the rehabilitation with botox in the sane hemifacial to get better symmetry. In three weeks after the surgery , all the patients were included in a rehabilitation program with specially trained physical therapist during a six months period. Summary: The surgeon must first determine the area of greatest concern to the patient, whether functional or esthetic, then determine realistically what can be reconstructed, and finally decide which muscle action to try to reproduce and by what means. Probably the most coveted goal of both patient and surgeon is a symmetrical dynamic smile. Unfortunately this is also the most difficult goal to achieve surgically. In choosing an appropriate regional muscle for transfer, one must first define the principal vector of the patient’s contralateral smile. If the main vector is superolateral in the direction of pull of the zygomaticus major muscle, the temporalis muscle without O0502

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dissected off the coronoids process is the best choice to be used in long-standing facial paralysis with important muscular atrophia. Therefore, the goal of the facial paralysis rehabiltation is to obtain harmony and symmetry in both hemifacial sides.

Facial Animation In Patients With Moebius And Moebius-Like Syndromes Ferri A.1,*, Bianchi B.1, Ferrari S.1, Copelli C.1, Sesenna E.1 1

Head and Neck, UNIVERSITY HOSPITAL OF PARMA, Parma, Italy

Objectives: Moebius syndrome, a rare congenital disorder of varying severity, involves multiple cranial nerves and is characterised predominantly by bilateral or unilateral paralysis of the facial and abducens nerves. We review the surgical techniques used, the strategies of reconstruction surrounding their use and the outcomes. We focus on functional issues such as oral competence, speech and the extent of animation and its impact on these patients. Both early and late complications are discussed. Material and Method: In this study, we report on 28 patients with Moebius and Moebius-like syndromes seen and treated surgically for facial animation with gracilis muscle transplant from 2003 to December 2009 at the Operative Unit of Maxillofacial Surgery, Head and Neck Department, University of Parma, Italy. The contralateral facial nerve was used in ten procedures, the motor nerve to the masseter muscle was used in 18 patients, with a total of 38 free-muscle transplantations. Results: All the flaps were transplanted succesfully, with optimal aesthetical and functional results. We obtained a high degree of patient satisfaction; the majority were happy with the results and reported improvement in self-esteem and social interaction. Summary: The restoration of even a small degree of facial movement can be gratifying in terms of function and verbal and nonverbal communication. Gracilis muscle transplants can be considered in our experience as the first choice for facial animation in Moebius Syndrome.

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Orbiculairs Cross Transfer In Patients With Facial Palsy Chan W. H.1, 2,*, Sadiq S. A.2 Head and Neck, Preston Royal Infirmary, Lancashire, 2MANCHESTER ROYAL INFIRMARY, Manchester, United Kingdom

1

Objectives: To apply dynamic facial reconstruction techniques to patients suffering from permanent facial palsy to provide both a static life to the lower lid and midface and also provide a dynamic improvement in blink rate. Material and Method: To transfer working contralateral orbicularis via a sub cutaneous, supra nasal transverse tunnel to the affected side of the face on a pedicle. Results: 3 patients with grade 4 facial palsy underwent orbicularis cross transfer grafting. In addition to a static mechanical bulk effect, the transposed working orbicularis provided dynamic improvement in spontaneous involuntary blink rate and also improvement in voluntary contraction. Summary: Current surgical methods of correction to prevent corneal exposure such as lateral tarsal strip, SOOF and mid face lift in patients with facial palsy are limited to static based lifts of the mid face and lower lid. The technique described herein represents an innovate technique that maybe used to provide a static lift and also dynamically improve involuntary blink rate and voluntary contraction.

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Use Of The Masseter Motor Nerve In Facial Animation With Free Muscle Transfer Copelli C.1,*, Bianchi B.1, Ferrari S.1, Ferri A.1, Sesenna E.1 1 Maxillo-Facial Surgery - Head and Neck department, UNIVERSITY-HOSPITAL OF PARMA, Parma, Italy

Objectives: Facial paralysis is a congenital or acquired disorder of varying severity leading to an asymmetric or absent facial expression. It represents an important debilitation both from the aesthetical and functional point of view. The Authors evaluate their experience on the effectiveness of the masseter motor nerve in providing adequate innervation to a free muscle transfer for lower facial reanimation. They review indications and surgical technique used and the outcomes focusing on functional issues such as oral competence, speech and the extent of animation and its impact on these patients. Material and Method: The records of patients with facial paralysis seen between 2003 and September 2008 at the Operative Unit of Maxillofacial Surgery of the University of Parma, Italy, were reviewed. Only patients treated with gracilis muscle transplantation innervated by the motor nerve to the masseter muscle were included in the study.Standardised neurological examination was performed in all cases. Facial expression, oral motor function and speech were evaluated clinically, and the majority of patients during their first office visit underwent electromyographic examinations. All patients were videotaped and photographed with particular attention to facial expression, oral motor function and speech both pre and post-operatively. The smile was evaluated under the functional and aesthetic point of view using the Facial Grading System proposed by Terzis in 1997 and dynamic measurements were performed on each side evaluating the commissure movements. Results: Between 2003 and 2008, at the Department of Maxillofacial Surgery, University of Parma, Italy, 21 patients with facial paralysis underwent facial reanimation with gracilis transplant reinnervated by the masseter motor nerve. In this series, all free-muscle transplantations survived transfer, and no flap was lost. Facial symmetry at rest and whilst smiling was excellent or good in most cases and we observed a significant improvement in speech and oral competence. Summary: The masseter motor nerve can be considered a powerful and reliable donor nerve, allowing to obtain a commissure and upper lip movement similar to those of the normal site for amount and direction. This is why there may be a large role for the masseter motor nerve in innervation of patient with facial paralysis. O0505

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Correction Of Lagophthalmos Of Bell’s Palsy Via Lenghthening Of The Upper Eyelid And Elevation Of The Lower Eyelid With Autogenous Grafts. Anastassov G. E.1,* 1

Maxillofacial Surgery, MOUNT SINAI SCHOOL OF MEDICINE, New York, United States

Objectives: Bell’s palsy causes lagophthalmos of the involved eyelids. Secondary to the atonicity of the eyelids xerophthalmia, conjunctivitis and epiphora develops. There are dynamic (muscle transfers) and static (gold weights, tarsorrhaphy) approaches to alleviate these problems. In this technical note we describe a surgical method for lengthening of the retracted upper eyelid (levator aponeurosis) with autogenous temporalis fascia and elevation of the lower eyelid with transplantation of autogenous morselized conchal cartilage graft. Other adjunctive procedures aiding to achieve facial balance (rhytidectomy, neuro-muscular blockade) will be discussed. Material and Method: The diagnostic and therapeutic decisions will be discussed. The surgical technique will be illustrated. Patients will be presented treated by the author’s technique. Short and long-term follow-ups will be illustrated. Results: All of the patients treated had adequate palpebral occlusion and alleviation of symptoms of exposure. Improvement of the facial balance was accomplished. There were no lower eyelid irregularities as consequence of cartilage warping. Some decrease of downward gaze was present in some of the patients. Summary: In cases where there is incomplete paralysis, where there is still some residual degree of muscle contracture, which is insufficient for eye protection as well as periorbital balance we utilize this technique, which provides for improvement of these symptoms. If the paralysis is complete this technique will not accomplish adequate relieve of symptoms. In this case re-animation of the eyelids with either temporalis muscle transfers or free micro neurovascular muscle transfers are indicated. If these options are not available permanent tarsorrhaphy will be required

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Rehabilitation Of Patients With Mimic Muscles Contraction After Myoplasy Treated With Acupuncture Pohodenko-Chudakova I.1,*, Chudakov O.1, Chudakova T.1 1

Oral Surgery Chair, BELARUSIAN STATE MEDICAL UNIVERSITY, Minsk, Belarus

Objectives: One of the most effective component of the complex treatment of peripheral nerve system diseases as well as traumas is acupuncture combined with standard treatment for patients with facial nerve diseases. But there is no information in the medical literature regarding the complex rehabilitation with acupuncture of patients with contraction of mimic muscles after myoplasty. The aim of the work was to determine effectiveness of rehabilitation therapy combined with acupuncture after myoplasty for patients with contraction of the mimic muscles. Material and Method: We examined 24 persons with contraction of the mimic muscles due to the peripheral traumatic injuries of the facial nerve. All patients were divided into two groups in 12 persons of each group. Patients of the first group underwent standard treatment and rehabilitation therapy course. Patients of the second group had complex treatment and rehabilitation therapy combined with acupuncture. Treatment and rehabilitation effectiveness was evaluated according to the electromyography indices and level of the functional tests. Indices were checked before treatment (first examination), after the treatment (second examination) and 6 months after the treatment (third examination - long-term results). Results: Indices of the examinations before treatment for the patients of the first and second groups had no authentic difference and they were significantly different with standard indices (p