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Biomedical subjects

L Zouloumis

Publications and source records attributed to L Zouloumis.

8 recordsLinked to original sources

The inferiorly and superiorly based nasolabial flap for the reconstruction of moderate-sized oronasal defects.

PURPOSE: The usefulness of the inferiorly or superiorly based nasolabial flap for the unilateral or bilateral reconstruction of local extraoral and intraoral defects was evaluated. PATIENTS AND METHODS: In a 10-year period, 22 flaps were used in 15 patients to cover defects of the floor of the mouth, nose, and chin. Fourteen bilateral and two unilateral flaps were inferiorly based, and six unilateral flaps were superiorly based. RESULTS: Dehiscence, which occurred in one case, and obstructive sialadenitis which occurred in another, were the main complications. CONCLUSION: The nasolabial flap is a useful procedure for the reconstruction of moderate-sized oronasal defects because of its simple elevation, proximity to the defect, and versatility.

Adult↗

Correction of open bite by maxillary osteotomy. A comparison between bone plate and wire fixation.

A clinical and cephalometric standardized study of surgical correction of open bite deformity was performed on 19 individuals. The mode of fixation of the maxilla after surgical correction was by direct wires in 9 of the patients combined with suspension wires to the infraorbital rim and in 10 patients plate fixation. The follow-up time was 18 months and the results in both groups were clinically and cephalometrically stable in the short (2 and 6 months) and medium terms (18 months). No statistically significant difference was found between the groups regarding tendency to relapse. It was, however, concluded that the advantages of plate fixation both on clinical grounds and for patient comfort are factors in favour of using miniplates for maxillary surgical procedures.

Adolescent↗

Primary tuberculosis of the oral cavity.

Two cases of primary tuberculosis of the mouth are reported. Painless ulceration of long duration and enlargement of the regional lymph nodes that did not respond to conservative and antibiotic therapy were the main manifestations of the disease in both cases. In the first case the tubercle ulcer was located in the lower buccogingival sulcus of a 17-year-old girl. In the second case the lesion occurred as a chronic periodontal inflammation around the gingiva of the left lower second molar tooth. When the tooth was extracted, a painless ulceration appeared around the socket, which was filled by granulation tissue. Histopathologic examination; bacteriologic, serologic, and blood tests; and chest x-ray film confirmed the diagnosis. Predisposing factors that might favor primary inoculation of tubercle bacilli into oral mucosa are also discussed. Finally we emphasize that in such cases it is essential to attempt to locate a possible primary site elsewhere in the body before oral tuberculosis is considered the primary disease.

Adolescent↗

Bony lid approach for apicoectomy of mandibular molars.

Apicoectomy in the lower molar region is indicated in many instances to avoid the need for prosthetic appliances. Nevertheless it is a method sometimes rejected by oral surgeons because of the thickness of the buccal compact bone in the lower molar area leading to extensive bone loss in addition to a restriction of vision and access during the operation. The present study reports twenty-four cases of apicoectomized mandibular molars treated with the bony lid approach which facilitates considerably the apicoectomy procedure. Once part of the buccal compact bone in the periapical area of the molars is removed, favourable conditions are created for the completion of the operation under direct vision of the operational field. The replacement of the buccal compact bone then minimizes the dimensions of the remaining bone cavity.

Alveolectomy↗

Surgery on temporomandibular joint (T.M.J.) in cases with internal derangements.

In this work the surgical intervention in cases with internal derangements in T.M.J. is discussed. The cases where the surgery is applied, the surgical technique and the results taken out of our own patients are referred. The final conclusion is that the surgery gives good results only in well and carefully selected cases.

Cartilage↗