An 82-year-old female sustained a ground level fall after missing a single step while Christmas shopping. She arrived at the emergency department with stable vital signs, but with massive facial bleeding threatening her airway. We proceeded with emergent nasal packing and endotracheal intubation. CT of head and face revealed massive pneumoencephalus (Fig. 1) secondary to complete disruption of ...

An expert, trying to assess the true distribution over the states of nature, is associated with a preference relation over utility bundles. He prefers f to g if he believes that, according to the true distribution, the expected utility of f is greater than that of g. Expert I is said to be more knowledgeable than expert II (Lefort [7]) if, between the two experts, it is always beneficial to fol...

PURPOSE The purpose of this study was to evaluate the differences in the recovery of maximum mandibular opening (MMO), and the relationship between MMO and the maxillomandibular fixation (MMF) period after sagittal split ramus osteotomy (SSRO) and intraoral vertical ramus osteotomy (IVRO), with and without Le Fort I osteotomy. PATIENTS AND METHODS Sixty-eight patients with diagnosed mandibula...

i ntroduction:   the  trigeminocardiac  reflex  (tcr)  refers  to  the  sudden development of bradycardia as well as asystole along with arterial hypotension associated with any manipulation of sensory branches of the trigeminal nerve. clinically, the tcr has been reported to occur during craniofacial surgery. it is crucial to learn about this sudden physiological response during maxillofacial ...

I read with interest the article ‘‘Combined double tarsal wedge osteotomy and transcuneiform osteotomy for correction of resistant club foot deformity (the bean-shaped foot) by Elgeidi and Abulsaad [1]. I would, however, like to draw attention to some errors in their description of the double osteotomy technique. In their article the authors mention that the procedure described by Jawish [2] in...

Open reduction combined with ulnar osteotomy is the most common approach to treating missed Monteggia injuries. The osteotomy is usually performed at the proximal ulna to ensure better healing and fewer complications. The purpose of this study is to present a center of rotation angulation (CORA)-based osteotomy of the ulna for treating Bado type I Monteggia injuries.We retrospectively reviewed ...

BACKGROUND Functional rehabilitation of patients afflicted with severe mandibular and maxillary alveolar atrophy might be challenging especially in malformed patients. METHODS Treatment planning using sinus lifting and implant placement before Le Fort I maxillary osteotomy in a patient with severe mandibular and posterior maxillary alveolar atrophy and skeletal class-III conditions due to cle...