statement of the problem: due to shortage of icu beds in hospitals, knowing what kind of orthognathic surgery patients more need icu care after surgery would be important for surgeons and hospitals to prevent unnecessary icu bed reservation. purpose: the aim of the present study was to determine what kinds of orthognathic surgery patients would benefit more from icu care after surgery. material...

Craniofacial growth in 100 patients treated with the functional regulator of Fränkel for about 24 months was compared with craniofacial growth seen in a matched group of untreated persons with Class II malocclusion. Both conventional and geometric cephalometric analyses were used to evaluate the skeletal and dental adaptations. This study shows several clear effects of treatment in either of tw...

Surgical therapy of the sleep apnoea/hypopnoea syndrome is an attractive option to many patients as it avoids using therapy nightly for the remainder of one's life. This article reviews the outcomes of the surgical options available. The role of uvulopalatopharyngoplasty is not yet clear. It may be useful second line therapy for some patients but cannot at present be advocated as first-line the...

BACKGROUND Distraction advancement has been advocated for treatment of obstructive sleep apnea associated with congenital midface hypoplasia. The purpose of this study was to relate changes in maxillary position to changes in obstructive sleep apnea measures on polysomnography in a consecutive series of patients. METHODS Among 26 syndromic pediatric patients undergoing Le Fort III distraction...

Langerhan cell histiocytosis is a rare disease and usually occurs in paediatric age group. This disease may involve single or multiple organs system and has an unpredictable course of disease. The involvement of head and neck region are almost 90% of cases, however maxillary sinus involvement is very rare. We report a case of 2 year old boy presented with multi organ LCH (orbit, skull, sinus an...

A surgical needle will generally not penetrate an endotracheal tube (ETT) and intraoperative ETT cuff perforation is uncommon because the cuff, which is the weakest part of the tube, is placed in the subglottic trachea. We report a very rare case, in which an intraoperative airway air leak during maxillary advancement surgery was postoperatively confirmed to be due to ETT cuff deflation because...

Obstructive sleep apnea (OSA) remains a significant public health problem because of its neurocognitive sequelae. Additionally, with persistent obstruction, it has an impact on the cardiovascular system, leading to hypertension and cardiac failure as one of its causative or comorbid factors. For the surgeon managing OSA, there is a stepwise sequence of surgical procedures, from improving nasal ...