Temporomandibular joint (TMJ) dislocation is a common occurrence, but diagnosis can be missed if patients do not complain. Delayed presentation complicates the management of a straightforward reduction. We present a case of a 24-year-old man who had bilateral TMJ dislocation of unknown duration after motor vehicle accident. The accident left him bedridden with speech difficulty. He was totally dependent on Ryles' and percutaneous endoscopic gastrotomy tubes for feeding. Computed tomography revealed dislocation of condyles anterior to articular eminences. The bilateral TMJ dislocations were reduced surgically via bicoronal with preauricular extension approaches. However, the surgery was challenging due to tissue changes around the joint accompanied by masticatory muscles atrophy. Postoperatively, he was placed on intermaxillary fixation for 2 weeks followed by elastics training. Three months later, the patient's mastication returned completely to function. Delayed management of bilateral TMJ dislocation is undoubtedly challenging and somewhat frustrating; nevertheless, we manage to achieve satisfactory outcome in improving the patient's quality of life.

Frontal bone fracture is a common facial bone fracture which commonly involved the outer table part. Most of the time outer table fracture is treated conservatively. However, when there is involvement of orbital wall fracture, as well as entrapment of extraocular muscle, surgical intervention via open reduction and internal fixation is needed. We described a case of outer table frontal bone fracture with left orbital roof fracture complicated with superior rectus muscle entrapment which was successfully treated via open reduction and internal fixation.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 167-169

Introduction: Reconstruction of the primary defect following resection of primary tumour is part of the surgical treatment of head and neck cancer. The present paper reports a case of reconstruction of medium size through and through defect of the cheek with the transverse platysma myocutaneous flap combined with the temporalis flap. Materials and Methods: A 78 years old Chinese male with presented with biopsy proven squamous cell carcinoma of the cheek mucosa. After excision a medium size (about 4cm by 5cm) through and through defect of the cheek was present. A posteriorly based platysma flap and temporalis flap was harvested and used to reconstruct the defect. The donor site was closed primarily. Results: Overall aesthetic results was good. There was no necrosis of flap, dehiscence or fistula. Flap contracture was the main complication. Conclusion(s): The combined platysma and temporalis flap is a good method to reconstruct a medium sized through and through defect of cheek.