Department of Oral and Maxillofacial Surgery

Permanent URI for this collectionhttps://irepos.unijos.edu.ng/handle/123456789/11460

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    Orofacial Soft Tissue Reconstruction with Locoregional Flaps in a Health Resource-Depleted Environment: Experiences from Nigeria
    (Archives of plastic surgery, 2016) Rowland Agbara1, Athanasius Chukwudi Obiadazie2, Benjamin Fomete2, Kelvin Uchenna Omeje3
    Background Reconstruction of orofacial soft tissue defects is often challenging due to functional and aesthetic demands. Despite advances in orofacial soft tissue defect reconstruction using free flaps, locoregional flaps still remain an important option, especially in health resource depleted environments. This retrospective study highlights our experiences in oral and maxillofacial soft tissue reconstruction using locoregional flaps. Methods A twentythree years retrospective analysis of all patients managed in our department was undertaken. Information was sourced from patients’ case notes and operating theater records. Data was analyzed using SPSS ver. 16 (SPSS Inc.) and Microsoft Excel 2007 (Microsoft). Results A total of 77 patients underwent orofacial soft tissue defect reconstruction within the years reviewed. Males accounted for 55 (71.4%) cases and trauma was the main etiological factor in 45 (58.4%) of the patients treated. When sites of defect were considered, the lip, 27 (32.1%), was the most frequent site followed by the nose, 17 (20.2%). Forehead flap, 51 (59.3%), was the most commonly used flap. Complications noted were tumor recurrences at the recipient bed in 3 (3.9%) cases, tumor occurrence at the donor site in 1 (1.3%) case and postoperative infection in 11 (14.3%) cases. Conclusions Locoregional flaps still have an important role in the rehabilitation of patients with orofacial soft tissue defects. They remain a vital tool in the armamentarium of the reconstructive surgeon, especially in health resource depleted environments where advanced reconstructive techniques may not be feasible.
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    PALATAL IMPALEMENT INJURY WITH RETAINED FOREIGN BODY IN A CHILD: CASE REPORT AND LITERATURE REVIEW
    (Sierra Leone Journal of Biomedical Research, 2017-06) Agbara R.; Fomete B.; Ikekhuamen E.; Amalimeh B.; Okeke U.
    Impalement injuries are uncommon in the head and neck region, and when associated with retained foreign body present a challenge to the clinician with regards to management. This type of injury may occasionally be associated with life threatening complications or permanent disability. Therefore, clinicians involved in the management of head and neck trauma need to be constantly reminded of this uncommon type of injury and the different treatment options. This is a case report of impalement injury to the palate of a child by a hair weaving instrument. Clinical and plain radiographic examination was sufficient for foreign body localization. The foreign body was successfully extricated under local anaesthesia and conscious sedation using a simple conservative technique with no complications.