The mandible plays an important role in mastication, speech and facial cosmesis. Apart from direct involvement by oral malignancies, the mandible used to be excised in oral cancers due to its proximity to the tumour, for adequate resection margins and for fear of recurrence as cancer was thought to spread via the periosteal lymphatics. However, with better understanding of spread of oral cancer...

BACKGROUND The most frequent cause of defect in the mandible is tumor-related surgery. Larger defects or anterior arch defects cause severe morbidity due to disturbances in function and esthetics. OBJECTIVES To assess the outcome of free tissue transfer for mandible reconstruction. METHODS Since 1998 we operated on 11 patients with mandible defects using the fibula flap as the reconstructio...

BACKGROUND This study presents an alternative in reconstruction, using free skin flaps in combination with pedicled mandible bone flaps for complex lateral mandibular defects. METHODS In all, 13 patients were included in this prospective study. Pedicled mandible myo-osseous flaps were used for reconstruction of bone defects of the lateral mandible in combination with free skin flaps, includin...

BACKGROUND Genioglossus myoelectric activity is of great significance in evaluating clinical respiratory function. However, there is a tradeoff in genioglossus EMG measurement with respect to accuracy versus convenience. OBJECTIVE This paper presents a way to separate the characteristics of genioglossus myoelectric activity from multi-channel mandible sEMG through independent component analys...

We report here a clinico-statistical study of congenital absence of the permanent canines (CAPC). Sixty-five cases (22 men and 43 women) of CAPC were found in the files of 35,927 outpatients, an incidence of 0.18%. Thirty-seven cases had single absence of the canine and 28 cases had multiple absences. There were 42 cases in the maxilla, 17 in the mandible, and 6 in both the maxilla and the mand...

Unnamed foramina are known to be present in the mandible. The present research paper reports the presence of an accessory foramen on the medial surface of the mandible, highlighting its anatomico-radiological details. Accessory foramina in the mandible have been known to transmit branches of nerves supplying the roots of the teeth. Nerve block techniques by local anaesthetics might fail if any ...

The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mo...

Aggressive intraosseous lesions obliterate structures, including maxilla and mandible, which may require surgical management followed by prosthetic rehabilitation. Loss of continuity of the mandible destroys the balance and symmetry of the mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the resected side. Prosthetic management of surgi...

Objectives The objective of the study is to study the incidence and pattern of mandible fractures in the holy city of Madinah in the Kingdom of Saudi Arabia over a retrospective period of 3 years from 2013 (1434H) to 2016 (1436H) and to compare the results with those from other regions of Saudi Arabia and elsewhere. Materials and Methods Relevant data of patients admitted to the King Fahad Ho...

OBJECTIVE We sought to describe a simple method to construct a spacer and to evaluate with the use of computed tomography the spacer's effectiveness in preventing osteoradionecrosis of the mandible. STUDY DESIGN Fifty-three patients with oral tongue cancers who were treated by means of interstitial brachytherapy were included in this study. Patients underwent a computed tomography examination...