A case treated with onlay bone grafting and simultaneous osseointegrated implant insertion is reported. The patient had an oronasal fistula in the center of the premaxillary region due to failed repair of a bilateral cleft palate. Four fixtures were inserted with onlay bone grafting of the maxillary alveolar ridge. Twelve months postsurgery, one fixture was lost as a result of severe bone resor...

Introduction: Following surgical resection of palatal mucoepidermoid carcinoma (MEC), the resulting defect is best corrected with reconstruction and rehabilitation. However, patient’s clinical course ill-defined recurrence resulted in fabrication cobalt chromium obturator prosthesis as treatment option for reliable restoration. Case description: A 48 years old Chinese man was referred construct...

A lthough the management of cleft lip and palate has improved significantly during the last years, repairing oronasal fistulae is still a challenge. Reports of the incidence of postoperative fistu-lae following palate repair range from 10% to 20%. 1 Several techniques are reported for the treatment of oronasal fistula, such as local mucoperiosteal flap, V-Y 2-layer repair, superior lip mucosal ...

This study was undertaken to determine whether the resistance to nasal airflow and differences in oronasal distribution of ventilation at rest and during exercise alter the pattern of breathing. We observed six normal subjects, six patients with symptomatic allergic rhinitis, and six patients with asymptomatic bronchial asthma (three men and three women in each group), all of whom had normal pu...

BACKGROUND The purpose of this study was to evaluate morbidity, functional, and aesthetic outcomes in midface zygomatic-maxillary buttress reconstruction using the osteocutaneous radial forearm free flap (OCRFFF). METHODS A retrospective review of 24 consecutive patients that underwent midface reconstruction using the OCRFFF was performed. All patients had variable extension of maxillectomy d...

Oronasal fistulae are common complication following palatoraphy. There several surgical procedures to repair oronasal fistulae. However, conventional closure technique is not always possible, especially when the surrounding tissue replaced by fibrotic due previous Tissue defects in should be with tissues providing good vascularisation such as pedicle tongue flap. A case of flap used close was r...

BACKGROUND Some pediatric tracheostomized patients who receive inhaled drugs undergo decannulation, and it is unknown whether the dose has to be adjusted. Pressurized metered-dose inhalers (pMDIs) and soft mist inhalers (SMIs) used with valved holding chambers (VHCs) made of non-electrostatic material are available. We hypothesized that using an SMI and changing the delivery route from tracheos...