Diagnosis and management of blunt carotid artery injury in oral and maxillofacial surgery

Total alloplastic temporomandibular joint replacement: the Czech-Slovak initial experience

“…Despite the problems with ProplastTeflon, with recent advances in design and materials, the overall success rate for total alloplastic TMJ replacement devices has been reported to be 84-91%. 1,2,4,7,[13][14][15][16][17][18] For the present study, only the BiometLorenz total alloplastic TMJ system was used. The fossa component of this device is made of ultra-high molecular weight polyethylene (UHMWPE) with a minimal thickness of 4 mm at the depth of the fossa.…”

“…Approximately 2700 of these have been implanted since 1990 in over 1600 patients with a reported long-term success rate of >85%. 3,4,15,18 The goal of any alloplastic joint replacement is the restoration of function whilst the reduction in pain may be a secondary benefit. 1,7,9,[14][15][16]18,21,22 The present study results show that the objective measure of jaw opening measured interincisally increased from a mean preoperative value of 17.7 mm (range 4-40 mm), to a mean postoperative value of 29.1 mm (range 23-55 mm).…”

“…The goal of this surgery is the restoration of mandibular function and form. [1][2][3][4][5][6][7] Indications for total alloplastic TMJ reconstruction are: ankylosis; inflammatory arthritic disease; pathology resulting in loss of posterior mandibular vertical dimension; multiple failed open TMJ surgeries; failed autogenous tissue TMJ reconstruction; and failed prior TMJ alloplastic replacements.The TMJ complex can be reconstructed using autogenous tissue or alloplastic devices. Recent literature demonstrates that for the above indications, alloplastic reconstruction provides more stable long-term results.…”

“…uncontrolled diabetes); psychoses; and uncontrolled para-functional mandibular habits. [1][2][3][4][5][6][7][8][9][10][11] The objective of this paper is to present the initial results of the use of total alloplastic TMJ replacement pooled from the (16 unilateral, 11 bilateral). Stock devices were utilized in 34 cases.…”

Biomechanical Characterization of Internal Layer Subfailure in Blunt Arterial Injury

“…5,9,13,17,18,34,42,44,47 BCAI results from motor vehicle accidents in 35-90% of patients. 2,5,9,10,17,18,[33][34][35]39,42,43,47,60 The primary mechanism of injury is postulated to be non-physiologic magnitude of head-neck extension or lateral bending. 4,5,16,18,56,63 This mechanism leads to longitudinal arterial distraction magnitudes that may exceed physiologic limits, resulting in localized internal layer subfailures, followed by complete vessel wall rupture.…”