In the Hippocratic-Galenic medical literature, the term. âcrisisâ (from krinein: ... interested individuals may download the abstract book. We sincerely hope that this ...
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
Abstracts from the XXth Congress of the EACMFS
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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˘lua˘M., Vicol C., Boiteanu 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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
Bruges, Belgium, 14-18th September, 2010
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
Abstracts from the XXth Congress of the EACMFS
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
1
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
2
Bruges, Belgium, 14-18th September, 2010
3
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
4
Bruges, Belgium, 14-18th September, 2010
5
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
6
Bruges, Belgium, 14-18th September, 2010
7
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
8
Bruges, Belgium, 14-18th September, 2010
9
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
10
Bruges, Belgium, 14-18th September, 2010
11
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.
O0107
12
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.
O0108
13
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
14
Bruges, Belgium, 14-18th September, 2010
15
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
16
Bruges, Belgium, 14-18th September, 2010
17
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
18
Bruges, Belgium, 14-18th September, 2010
19
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
20
Bruges, Belgium, 14-18th September, 2010
21
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.
O0205
22
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.
O0206
23
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
24
Bruges, Belgium, 14-18th September, 2010
25
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.
O0208
26
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
27
28
Abstracts from the XXth Congress of the EACMFS
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
1
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.
O0302
29
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.
O0303
30
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
31
32
Abstracts from the XXth Congress of the EACMFS
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.
O0307
33
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
34
Bruges, Belgium, 14-18th September, 2010
35
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
36
Bruges, Belgium, 14-18th September, 2010
37
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
38
Bruges, Belgium, 14-18th September, 2010
39
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
40
Bruges, Belgium, 14-18th September, 2010
41
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
O0402
42
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.
O0403
43
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.
O0404
44
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
45
46
Abstracts from the XXth Congress of the EACMFS
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
47
48
Abstracts from the XXth Congress of the EACMFS
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.
O0407
49
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
50
Bruges, Belgium, 14-18th September, 2010
51
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.
O0409
52
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
53
54
Abstracts from the XXth Congress of the EACMFS
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
55
56
Abstracts from the XXth Congress of the EACMFS
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.
O0503
57
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.
O0504
58
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
59
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
O0506
60
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