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Biomedical subjects

M Papageorge

Publications and source records attributed to M Papageorge.

3 recordsLinked to original sources

Eagle's syndrome: a report of 4 patients treated using a modified extraoral approach.

PURPOSE: This study evaluated a slightly modified extraoral approach to removing the symptomatic elongated styloid process. A brief description of this surgical technique and its comparison to the intraoral approach is provided. PATIENTS AND METHODS: Four patients in whom an extraoral approach was used to expose and remove the elongated calcified stylohyoid complex were evaluated. Five sides were treated and reviewed individually. All patients were interviewed preoperatively and postoperatively, and their records were thoroughly examined. Patients were objectively evaluated for pain, function, sensory and motor nerve deficits, and aesthetics. RESULTS: Follow-up time ranged from 6 to 39 months with an average of 21 months. Improvement in the original symptoms was reported for 4 of the 5 operated sides. Three of 5 procedures resulted in more than an 80% reduction in pain and improvement in function. All patients had a satisfactory cosmetic result and no paresthesia. CONCLUSIONS: The advantages of the extraoral approach are reflected in this small retrospective study by the absence of perioperative complications and the minimal blood loss, surgical morbidity, and hospital stay.

Adult↗

[Initial experiences with a new distraction implant system for alveolar ridge augmentation].

The masticatory rehabilitation of patients is dependent on the quality and volume of residual jaw bone. Loss of volume caused by tumor-related mandibular ridge resection or age-related atrophies may cause considerable problems. Reconstructive methods using free iliac bone, external tabula, or sandwich plasties are only a few examples of the common surgical treatment modalities. Doing without bone grafts, alveolar ridge augmentation by means of distraction osteogenesis might become a value method to improve the denture-bearing area. A new distraction implant system is shown and its first clinical use reported. Two distraction implants were inserted after an anterior segmental osteotomy. The alveolar ridge was then elevated 1 mm each day until the required augmentation of about 8 mm was achieved. After a latency period for pre-ossification of the callus, the distraction implants were replaced by the endosseous implants. The implant system and the surgical technique are shown, and the results are discussed. We believe that the implant distraction procedure will make useful contribution to the management of masticatory rehabilitation.

Alveolar Bone Loss↗