Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
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J Craniomaxillofac Surg · Jan 2008
Historical ArticleCranio-maxillofacial injuries in Homer's Iliad.
Homer's Iliad, being one of the oldest and greatest European epic poems, is divided into 24 "books" or "rhapsodies", in which war injuries in general, and in particular cranio-maxillofacial (CMF) injuries, are described in a unique and detailed manner. ⋯ One could get an idea about the practice of Medicine and particularly of Surgery, in the 10th century BC in Ancient Greece, through the epic poems of Homer. The unique description of CMF injuries leads us to the conclusion that the anatomy of the head and neck was quite well known in those very old times, since the heroes and warriors of the Iliad knew exactly where to strike to achieve a fatal outcome.
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J Craniomaxillofac Surg · Dec 2007
The Atkinson Morley's Hospital joint neurosurgical-maxillofacial procedures: cranioplasty case series 1985-2003.
To present a retrospective case series resulting from the co-operation in cranioplasty procedures between neurosurgeons and maxillofacial surgeons of the Atkinson Morley's and Royal Marsden Hospitals of London, UK for the period 1985-2003. ⋯ Analysis of the international literature highlights the paucity and poor quality of evidence on the subject of cranioplasty. The authors hope this work adds to the body of knowledge, despite its retrospective nature.
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J Craniomaxillofac Surg · Dec 2007
Case ReportsTemporomandibular joint involvement caused by Borrelia Burgdorferi.
Lyme borreliosis is an endemic disease in Slovenia with an incidence of around 150 patients per 100,000 inhabitants. Although the large joints are most typically affected in Lyme borreliosis, there are also periods of disease activity with arthritis or arthralgias involving smaller joints, including the temporo-mandibular joint. ⋯ There are only few reports of patients with manifest temporo-mandibular joint involvement of Lyme borreliosis in the literature. This report emphasizes the importance of differential diagnosis of acute temporo-mandibular joint arthralgia, of early diagnosis of Lyme borreliosis, and of the necessity for prompt antibiotic treatment.
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J Craniomaxillofac Surg · Mar 2007
Visual complications of Stickler syndrome in paediatric patients with Robin sequence.
The most frequent diagnosis in patients with syndromic Pierre Robin sequence is Stickler syndrome, which may be complicated by congenital high myopia and substantial risk of retinal detachment. However, cases of Stickler syndrome with probable visual complications are rarely identified among this group of patients by members of the cleft team. This study was designed to determine the prevalence of Stickler syndrome among the author's group of patients with Robin sequence, and to investigate the visual outcome among paediatric patients with Robin sequence and Stickler syndrome. ⋯ Early identification of Stickler syndrome in children with Robin sequence by cleft surgeons is necessary to insure early referral to an ophthalmologist for detection of myopia, monitoring for retinal detachment, and prevention of visual complications.
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J Craniomaxillofac Surg · Dec 2006
Case ReportsBenign symmetric lipomatosis of the tongue in Madelung's disease.
Madelung's disease is characterized by benign, non-encapsulated accumulations of fat in a symmetrical manner. Although rare, symmetrical lipomatosis involving the tongue exclusively has been previously reported. Here another case is presented of Madelung's disease involving the tongue. ⋯ Lipomas in Madelung's disease are characterized by multiplicity, non-encapsulation and invasiveness. Over the years, the fat deposits enlarge significantly, become cosmetically deforming, and cause dyspnoea and dysphagia in advanced cases. The aetiology of benign symmetrical lipomatosis is still unknown. It is often accompanied by liver dysfunction probably due to alcoholism. Treatment is limited to surgical removal of the fatty tissue, in patients with a severe cosmetic deformity causing psychological stress, and in patients with dyspnoea or dysphagia if there is restriction of the aerodigestive tract.