In this study, simple dressing appeared to be at least as effective as the tie-over dressing. Simple dressing, however, was faster and left fewer residual marks than the tie-over dressing.

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Aim To study whether the use of 3-D miniplate, when compared with conventional miniplate, gives better clinical outcomes with fewer complications in patients with fracture mandible. Materials and Methods A prospective study was conducted in the Department of Oral and Maxillofacial Surgery, Trauma Care Centre, on 40 patients. They were randomly divided into Group-I and Group-II with 20 patients in each group. In Group-I, 3-D miniplate was used and in Group-II, conventional miniplate was used. Parameters such as fracture stability, occlusal status, mouth opening, nerve paresthesia, infection, pain, swelling, and complications were evaluated on 1st, 7th postoperative day, 1st month and 3rd month. Results Fracture stability and occlusion were clinically better in Group-I than in Group-II on each follow-up; however, it was not statistically significant. Infection rate was lesser in Group-I than in Group-II (p = 0.003). Mouth opening was more in Group-II than in Group-I on immediate (p = 0.001) and 7th post-op day (p = 0.002). Overall complications were lesser in Group-I than in Group-II (p [ 0.005). Conclusion There is no major difference observed in clinical outcomes between 3-D miniplate and conventional miniplate. Either method of fixation can be used successfully in treatment of mandible fractures with comparable rates of complications.

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Objective: A majority of vascular anomalies in children are infantile hemangiomas (IH). However, some children with an atypical growth pattern can be suggestive of an AVM. This case series discusses the clinical presentation, diagnosis, radiology, pathology, and treatment of small vessel AVMs at a multidisciplinary vascular anomalies center.Method: Retrospective case series of three patients. Chart review was obtained with IRB approval.Results: Three patients presented with increasing head and neck masses at 12 months to 2.5 years. All patients had magnetic resonance imaging indicating likely infantile hemangioma. All patients underwent surgical excision, one requiring preoperative embolization. All pathology specimens were GLUT 1 negative and were diagnosed as small vessel arteriovenous malformations. Serial clinical photographs, imaging studies, and pathology will be presented. Conclusion:Many pediatric vascular anomalies appear to be an IH, but atypical growth patterns should raise clinical suspicion of an AVM. Diagnostic error leads to inadequate treatment, disease progression, and increased morbidity. This series highlights the importance of clinical suspicion and a multidisciplinary team approach toward pediatric vascular anomalies. Pediatric Otolaryngology Outcomes and Predictive Factors of Furlow PalatoplastyBritni Jacobs (presenter); Jennifer Muckala; Derrick Sowder, MA; Christopher Wooten, MD; Steven L. Goudy, MD; Wei Zheng Objective: 1) Describe patients with submucous cleft palates (SMCP) and velopharyngeal insufficiency (VPI) treated with furlow palatoplasty who later required subsequent surgery due to persistent VPI. 2) Identify risk factors predictive of revision surgery in SMCP patients in order to develop a clinical algorithm to apriori determine the most efficacious primary surgery based on preoperative evaluation.Method: A retrospective review of 14 patients with SMCP undergoing furlow palatoplasty to correct VPI. Data reviewed included need for secondary surgery, syndrome diagnosis, velopharyngeal closure, and preoperative speech evaluations.