For many procedures, lasers are now becoming the treatment of choice by both clinicians and patients, and in some cases, the standard of care. This clinical study was carried out at Department of Maxillofacial Surgery, Ramadi Teaching Hospital, Rashid Private Hospital and Razi Private Hospital, Anbar Health Directorate, Anbar Province, Iraq. A total of 32 patients including 22 (≈ 70%) male and 10 (≈ 30%) female with age range from 5 months to 34 years old. Chirolas 20 W diode laser emitting at 980 nm was used. Our preliminary clinical findings include sufficient hemostasis, coagulation properties, precise incision margin, lack of swelling, bleeding, pain, scar tissue formation and overall satisfaction were observed in the clinical application. The clinical application of the diode (980 nm) laser in maxillofacial surgery proved to be of beneficial effect for daily practice and considered practical, effective, easy to used, offers a safe, acceptable, and impressive alternative for conventional surgical techniques.

A frenum is a fold of tissue or muscle connecting the lips, cheek or tongue to the jawbone. Their high attachment may cause orthodontic problem (Central diastima), prosthodontic problems (Poor retention of denture), periodontic problems (gingival recession and inflammation) and speech problem (tongue tied in ligual frenum). A frenectomy is the removal of one of these folds of tissue and it is a common procedure in the specialty of maxillofacial surgery. Laser-assisted frenectomy is a much more comfortable for the patient because it means that no scalpel or stitches are required. This clinical study was carried out at department of Maxillofacial Surgery, Ramadi Teaching Hospital; 25 patients including 16 (64%) male and 9 (36%) female with age range from 3 months to 18 years old with mean age 6.5 years old. Chirolas 20W diode laser emitting at 980 nm; the laser is delivered through a fiber optic 400 μm. Beam profile is a single-mode Gaussian (TEM 00 ) , with a spot size (0.9 mm) was used to performed laser-assisted frenectomy. Our preliminary clinical findings include sufficient hemostasis, coagulation properties and precise incision margin with all of the surgical procedure. The postoperative advantages, i.e., lack of swelling, bleeding, pain or, scar tissue formation, the good wound healing and overall satisfaction were observed in the clinical application of laser-assisted frenectomy. The clinical application of the diode (980 nm) laser in oral and maxillofacial surgical procedures proved to be of beneficial effect for daily practice, it can be considered practical, effective, easy to used, offers a safe, acceptable, and impressive alternative for conventional techniques of frenectomy.

BackgroundSalivary gland diseases include a variety of conditions (inflammatory, immunological, infectious, or neoplastic pathologies). Salivary gland diseases hold the interest of clinicians and pathologists due to their varied clinical presentation and histological diversity. In this study, we aimed to assess the various aspects of clinical and pathological characteristics of salivary gland diseases. MethodologyWe reviewed the records of patients with various salivary gland diseases at

Surgical treatment of nasal bone fractures in children is a complex and challenging task not only to maxillofacial surgeons but exceeding to ears, nose, and throat and plastic surgeons. Twelve child patients including 9 boys (75%) and 3 girls (25%) with nasal bone fractures were seen at the Maxillofacial Surgery Department at Ramadi Teaching Hospital during the period of December 2009 to December 2010. Fractured nasal bone is reduced to its anatomic position with Walsham forceps, and the dislocated or disrupted nasal septum with Asch forceps. The most common cause of the injury was road traffic accident and motorcycle accident 5 (42%); nasal deviation was found in 9 cases (75%), and depression in 2 (17%). In 9 patients (75%), injuries were isolated, and 3 (25%) were associated with other facial bone fractures. Significant advances have been made in the management of these injuries, decreasing the incidence of secondary deformities.

The clinician contemplating reconstruction of the posterior maxilla with osteointegrated implants must overcome a number of anatomic challenges. Buccolingual and/or apico-occlusal atrophy of the edentulous ridge and pneumatization of the maxillary sinus often limit the volume of bone available for implant placement. Many clinicians advocate augmentation of the maxillary sinus to increase the dimension of available bone for implant placement. A female patient aged 38-year old was undergone maxillary sinus augmentation (sinus lifting) after improper implant placing in upper right molar area. Careful clinical examination and radiographical (conventional and computed tomography scan) assessment were carried out, and treatment plan was discussed with the patient. The surgical operation of maxillary sinus augmentation was carried out at Ramadi Teaching Hospital using autogenous bone mixed with synthetic materials and adequate result was obtained.

Reconstruction of the head and neck is a challenge for otolarygology surgeons, maxillofacial surgeons as well as plastic surgeons. Defects caused by the resection and/or trauma should be closed with flaps which match in color, texture and hair bearing characteristics with the face. Deltopectoral flap is a one such flap from chest and neck skin mainly used to cover the facial defects. This study report a patient presenting with tragic Road Traffic Accident (RTA) admitted to maxillofacial surgery department at Ramadi Teaching Hospital, Anbar province, Iraq. An incision, medially based, was done and deltopectoral fascio-cutaneous flap was used for surgical exposure and closure of defects after RTA. There was no major complication. Good aesthetic and functional results were achieved. Deltopectoral flap is an excellent alternative for the reconstruction of head and neck. Harvesting and application of the flap is rapid and safe. Only a single incision is sufficient for dissection and flap elevation.

Nasopalatine duct cyst also known as nasopalatine cyst is a developmental, epithelial, non-neoplastic cyst that is considered to be the most common nonodontogenic cyst in the maxillofacial region. It is one of the many pathologic processes that may occur within the jaw bones, but it is unique in that it develops in only a single location--in the midline anterior maxilla. Nasopalatine cysts are usually asymptomatic and may be discovered during routine clinical and/or radiologic examination. The current study reports 18 cases of nasopalatine duct cyst that were diagnosed and treated at the Department of Oral and Maxillofacial Surgery at Ramadi Teaching Hospital, Anbar Province, Iraq. A correct diagnosis can only be made after proper clinical, radiographic, and histopathologic examination.

Background: One of the most demanding aspects of emergency medicine is the management of patients who have suffered facial trauma. Difficult circumstances such as the high number of casualties, severity of the facial wounds, coupled with the limited number of operating rooms and hospital beds, were a constant challenge to the surgeons.