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14 recordsLinked to original sources

[Excision of condylar osteochondroma by vertical ramisection with immediate TMJ reconstruction].

In literature, excision of condylar osteochondroma is usually performed by preauricular incision. In Oct 1984 according to the experience of "Z" form osteotomy and bone graft to reconstruct the TMJ, a new method for excision of condylar osteochondroma was used by the first author, i.e. (1) making a vertical ramisection by subauricular incision; (2) excising the condylar osteochondroma with the posterior part of the ramus; (3) excising the condyle with osteochondroma on the surgical table, and (4) immediately reconstructing the TMJ with the surplus bone fragment at the same operation. Since 1984-1987, 7 cases have been performed by this method with excellent results. The details of the operation were described and discussed.

Adult↗

Vertical ramisection for prognathism.

Forty-four patients with Class III malocclusion, who were operated on for prognathism, have been reviewed. In spite of the associated problems of pain, nausea, fear, relapse, additional orthodontia, lip numbness, lip weakness, and 8 weeks with their teeth wired together, only one patient of the 44 said he (or she) would decline this surgery if it were to be considered anew. The surgeon must make a strong effort to keep the vertical cut in the bony ramus posterior to the lingula, to avoid postoperative lip numbness. He should also keep traction on the soft tissues minimal, to avoid postoperative weakness of the lower lip. A significant relapse was uncommon in this series, and the facial symmetry was greatly enhanced. Most of these 44 patients (66 percent) said the improvement in their self-image and personal appearance was far more important to them than the improvement in their bite.

Adolescent↗

Endoscopic Sympathectomy.

Denervation of the sympathetic nerve can be accomplished with much less operative trauma by using the endoscopic surgical approach. Although endoscopic thoracic sympathectomy is not new, the techniques and the extent of denervation have not been standardized. The anatomic appearances and configurations of the sympathetic chain are explained, and various procedures, including ramisections, interganglionic sympathectomy, and ganglionectomy, are reviewed. Thoracoscopic approaches, operative techniques, and potential complications are discussed.

Journal Article↗