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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
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The skeleton is subdivided into two major divisions—the axial skeleton and the appendicular skeleton. The axial skeleton forms the vertical, central axis of the body. It includes all of the bones of the head, neck, chest, and back. It protects the brain, spinal cord, heart, and lungs. It also serves as the attachment site for muscles that move the head, neck, and back and for muscles that act across the shoulder and hip joints to move their corresponding limbs.
The axial skeleton of the...
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Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
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Access Osteotomy in the Maxillofacial Skeleton.

K Kamalpathey1, Maj Gen N K Sahoo2, Col P K Chattopadhyay1

  • 1Department of Oral and Maxillofacial Surgery, Army Dental Centre (R&R), Delhi, India.

Annals of Maxillofacial Surgery
|July 18, 2017
PubMed
Summary
This summary is machine-generated.

Modular osteotomies provide critical surgical access for difficult craniomaxillofacial tumors. These techniques offer effective tumor removal with minimal long-term complications, enhancing patient outcomes.

Keywords:
Juvenile angiofibromaLe Fort I osteotomymandibulotomysquamous cell carcinomatransfacial approach

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Oncology

Background:

  • Surgical access to craniomaxillofacial tumors relies on modular osteotomies.
  • Tumor characteristics dictate the most appropriate surgical approach.

Purpose of the Study:

  • To review surgical accesses for inaccessible craniomaxillofacial tumors.
  • To evaluate the efficacy and safety of various osteotomy techniques.

Main Methods:

  • Retrospective review of 9 cases operated between July 2008 and June 2010.
  • Surgical approaches included transfacial, transoral, lip-split mandibulotomy, and orbital rim osteotomy.
  • Tumors treated: juvenile nasoangiofibroma, squamous cell carcinoma of the base of the tongue, orbital floor tumor.

Main Results:

  • 33.33% of patients experienced temporary infraorbital or mandibular symphysis paresthesia, resolving within 6 months.
  • No patients showed occlusal discrepancy or neuromotor deficits.
  • No recurrence was observed during the one-year follow-up.

Conclusions:

  • Modular osteotomies are effective for accessing and removing challenging craniomaxillofacial tumors.
  • These surgical approaches demonstrate a favorable safety profile with manageable short-term complications.