Interpersonal Violence-Related Facial Fractures: 12-Year Trends and Surgical Outcomes in a Southern European Level-I Trauma Centre.

Interpersonal violence (IPV) has overtaken road traffic collisions as a leading cause of facial fractures, yet regional data from Southern Europe are limited. We retrospectively reviewed all adults (≥18 y) treated between 1 January 2011 and 31 December 2022 for radiologically confirmed IPV-related facial fractures. Recorded variables were demographics, AO-CMF (Arbeitsgemeinschaft für Osteosynthesefragen-Craniomaxillofacial) fracture site, Facial Injury Severity Score (FISS), presence of facial soft-tissue wounds, treatment modality, and length of stay; associations between variables were explored.

Timing of Dietary Progression After Mandibular Fracture Repair: The Role of Comorbidities and Their Impact on Postoperative Outcomes.

Aim: This retrospective study evaluated whether the timing of dietary progression after mandibular fracture repair influences postoperative complications (wound dehiscence, infection, and reoperation) and assessed how comorbidities, specifically diabetes and chronic kidney disease (CKD), affect these outcomes.

Methods: A retrospective observational analysis was conducted of 1023 patients who underwent open reduction and internal fixation (ORIF) for mandibular fractures between 2012 and 2023. Patients were categorised into Early (<3 weeks), Standard (3 weeks), and Delayed (>4 weeks) groups according to the interval before the introduction of a solid diet.

Effects of the Application of an Oxygen-Enriched Oil-Based Dressing (NovoX-Drop) After Extraction of Impacted Lower Third Molars: A Randomized Controlled Study.

Lower third impacted molar extraction, despite being a routinary procedure for oral and maxillo-facial surgeons, may often result in a significantly negative impact in patient's post-operatory quality of life. Among others, treatments based on oxygen-enriched oils have been shown to provide valuable therapeutic benefits in promoting wound healing, and therefore improving the immediate post-operatory symptomatology. The aim of this triple-blinded randomized controlled study is to supplement the existing evidence in the scientific literature by assessing the effectiveness of NovoX-Drop (Moss S.

The role of ultra-high frequency ultrasound (UHF-US) in the study of early stages of squamous cell carcinoma of the tongue.

Purpose: This study evaluates the prognostic value of ultra-high frequency ultrasonography (UHF-US) in assessing the depth of invasion (DOI) in early-stage tongue squamous cell carcinoma (OSCC). Given the limitations of traditional imaging techniques such as magnetic resonance (MRI) and computed tomography (CT), UHF-US offers a high-resolution alternative for preoperative DOI estimation.

Results: UHF-US demonstrated in literature a high level of accuracy in preoperative DOI measurement, offering improved precision over MRI and CT.

Airway Management in Complex Maxillofacial Trauma: Evaluating the Role of Submental Intubation as a Viable Alternative to Tracheostomy.

Airway management in maxillofacial trauma is a critical and complex challenge, requiring both secure ventilation and optimal surgical access while minimizing risks to vital structures. This study evaluated the efficacy of submental intubation (SMI) as a minimally invasive alternative to tracheostomy in patients with complex maxillofacial fractures. A retrospective analysis of 52 patients treated between 2015 and 2023 was conducted by comparing clinical outcomes between those who underwent SMI (n = 26) and those who underwent tracheostomy (n = 26).

Machine learning in risk assessment for microvascular head and neck surgery.

Purpose: The integration of machine learning (ML) into microvascular surgery for the head and neck offers significant potential to enhance risk stratification, outcome prediction, and decision support. Traditional risk assessment methods are often limited in addressing the dynamic complexity of surgical outcomes. ML can analyze preoperative, intraoperative, and postoperative data to optimize patient management, minimize complications, and improve both functional and aesthetic results.

Outcome of Facial Nerve Integrity After Parotid Gland Surgery With and Without Intraoperative Monitoring: A Ten-Year Retrospective Study.

: Facial nerve injury is one of the most concerning complications of parotid gland surgery, with temporary and permanent dysfunction rates varying widely in the literature. This study aimed to identify factors associated with facial nerve injury during surgery for benign parotid tumors and assess the protective efficacy of intraoperative nerve monitoring (NIM) in preventing nerve injury. : This retrospective study analyzed 329 patients who underwent parotid gland surgery between 2010 and 2023.

Artificial Intelligence in the Surgery-First Approach: Harnessing Deep Learning for Enhanced Condylar Reshaping Analysis: A Retrospective Study.

The surgery-first approach (SFA) in orthognathic surgery eliminates the need for pre-surgical orthodontic treatment, significantly reducing overall treatment time. However, reliance on a compromised occlusion introduces risks of condylar displacement and remodeling. This study employs artificial intelligence (AI) and deep learning to analyze condylar behavior, comparing the outcomes of SFA to the traditional surgery-late approach (SLA).

Efficacy of concentrated growth factor in the surgical treatment of postanaesthetic palatal necrosis.

Background: Although uncommon, adverse local and systemic reactions to local anesthetic administration can occurred. The postanesthetic necrosis is a rare complication which usually involved the palatal region. The wound healing is a complex process regulated by a range of growth factors.

The role of professional oral hygiene in enhancing outcomes of maxillofacial trauma surgery.

Background: The oral cavity poses challenges in surgical interventions due to its microbial flora. Maxillofacial trauma surgeries are vulnerable to infections, complicating recovery. Traditional methods, including antibiotic prophylaxis, have limitations, highlighting the need for complementary strategies.

Retrospective Study over 15-years Period on Zygomathic arch Fractures: A Single Center Experience.

The purpose of this study was to do a retrospective analysis about patients with zygomatic arch who were treated at the department of Maxillofacial Surgery, Regional University Hospital of Ancona, Italy, between 2007 and 2021. Patients were evaluated based on various parameters including age, sex, aetiology, symptoms, comorbidity, clinical findings, zygomatic arch fracture type, other facial fractures, treatment, waiting time before the operation, complications and sequelae. In the period described we recorded 103 zygomatic arch fractures.

A Single Center Experience: A Retrospective Study Over 10-Years Period on Mandible Fractures.

Study Design: The purpose of this study was to do a retrospective analysis about patients with mandibular fracture who were treated at the department of Maxillofacial Surgery, Regional University Hospital of Ancona, Italy, between 2011 and 2021.

Objective: In this study we evaluated clinical and epidemiological findings of mandible fractures focusing on the association between surgical timing, type of surgical approach and mid- and long-term outcomes.

Methods: Patients were evaluated based on various parameters including age, sex, etiology, symptoms, comorbidity, clinical findings, mandible fracture type, other facial fractures, treatment, waiting time before the operation, complications and sequelae.

Fonseca's Questionnaire Is a Useful Tool for Carrying Out the Initial Evaluation of Temporomandibular Disorders in Dental Students.

: Temporomandibular disorders (TMDs) represent a prevalent multifactorial condition that impacts a significant portion of the global population. The objective of this study was to employ Fonseca's questionnaire for an initial assessment of TMDs. A cross-sectional study was conducted on a sample of 250 undergraduates from the Dental School of the University of Perugia, Italy.

New test for systematic skills enhancement and improvement in maxillofacial surgery training: multicentre pilot study.

We know of few studies in the international scientific literature that specifically address the evaluation of surgical and clinical progress among physicians undergoing specialist training in maxillofacial surgery. Identifying a reliable tool to accurately assess both theoretical knowledge and surgical skills of trainees is essential. The primary aim of this study therefore was to design a comprehensive assessment tool that is capable of evaluating both the theoretical and practical skills of physicians undergoing specialist training in maxillofacial surgery.

Reconstruction of oral mucosal defects with regenerative dermal matrix after T1-T2 squamocellular carcinoma resection.

Objective: Resection of tumors of oral cavity usually causes short- or long-term sequelae such as chewing, speech and swallowing impairment. To preserve this function it is necessary to maintain the lining of the oral cavity, the mobility and sensitivity of the tongue. Reconstructive options for oral mucosal defects resulting from tumor resection included primary closure, mucosal and skin grafts, pedicle and microvascular free flaps, and dermal matrix.

Presurgical Virtual Planning and Intraoperative Navigation with 3D-Preformed Mesh: A New Protocol for Primary Orbital Fracture Reconstruction.

Purpose: This pilot study aims to evaluate the feasibility and effectiveness of computer-assisted surgery protocol with 3D-preformed orbital titanium mesh (3D-POTM), using presurgical virtual planning and intraoperative navigation in primary inferomedial orbital fracture reconstruction.

Methods: Between March 2021 and March 2023, perioperative data of patients undergoing surgery for unilateral inferomedial orbital fracture treated with 3D-POTM were analyzed. Presurgical virtual planning with a Standard Triangle Language file of preformed mesh was conducted using the mirrored unaffected contralateral side as a reference, and intraoperative navigation was used.

Reduction of Post-Surgical Facial Edema Following Bromelain and Coumarin Intake in Traumatology: A Prospective Study with 100 Patients.

Bromelain and coumarins are recognized as safe and effective therapeutic agents, used by individuals to treat ailments such as postoperative edema, inflammation and other diseases. Bromelain has been proven to be well absorbed by the body after oral administration, and it has no major side effects even after prolonged use. The purpose of this study is to evaluate the effectiveness of bromelain and other nutraceuticals in reducing post-surgical swelling, pain and the need of anti-inflammatory drugs in maxillofacial post-traumatic surgery.

Prelamination of the Forearm Flap for Soft Palate Reconstruction: A Case Report.

Unlabelled: Microsurgical reconstruction is nowadays the treatment of choice of several head and neck deformities that otherwise could be repaired with limited or unsatisfactory results. The forearm free flap has its own goals expecially the possibility to reconstruct small and extremely specialized anatomical structures such as the soft palate. The abuse of drugs like cocaine, generally taken by sniffing, can produce vascular impairment in nasal and oral tissues producing, as long as the abuse is kept, necrosis of facial anatomical structures and increase of the empty space in the depth of the face or nose.

Nasal Reconstruction in 4-years-old Child Affected by Nasal wing Cleft.

Unlabelled: Congenital and pediatric nasal lesion resection and their reconstructive outcomes are not well studied. A surgeon must consider the site, depth, size, age, etiology and effect on future function (including growth). The path of total reconstruction or of portions of the cartilaginous / cutaneous nasal structure in the pediatric patient must undergo a series of totally different needs with respect to the management of the adult.

The Impact of Professional Oral Hygiene in Orthognathic Surgery.

Introduction: Oral hygiene represents a fundamental element with regard to outcomes in oral and maxillofacial surgery. Both basic hygiene that the patient must perform daily at home and obviously professional hygiene aimed at preventing any complications in the surgical field.

Methods: Patients undergoing orthognathic surgery in our Department of Maxillofacial Surgery in Ancona, in a total number of 137 in the period studied (2016-2021), were divided into 2 groups: period 1, (2016-2018) and period 2 (2019-2021).

Myoepithelial Carcinoma Ex Pleomorphic Adenoma of the Maxillary Sinus: A Case Report and Review of Literature.

Myoepithelial carcinoma ex pleomorphic adenoma is defined as a malignant epithelial neoplasm arising from a primary or recurrent benign pleomorphic adenoma. This type of tumor comprises 3.6% of all salivary gland tumors and 12% of malignant ones.