Paediatric craniofacial surgery: historical perspectives, recent advancements and refinements

Posnick, Jeffrey C.

doi:10.1016/0266-4356(95)90136-1

British Journal of Oral and Maxillofacial Surgery

1995

DOI: 10.1016/0266-4356(95)90136-1

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Paediatric craniofacial surgery: historical perspectives, recent advancements and refinements

Jeffrey C. Posnick

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Cited by 3 publications

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“…It is agreed that paediatric craniofacial surgical patients are best managed within experienced multidisciplinary teams in designated centres. The discipline was initially developed for the management of facial skeleton and soft tissue injuries during World War I that required both emergency treatment and later reconstructive surgery [1]. Harold Gillies and Vilray Kazanjian were at the forefront of this work, which continued during World War II.…”

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confidence: 99%

Anaesthetic management in facial bipartition surgery: The experience of one centre

Mallory¹,

Yap

Jones

et al. 2004

Anaesthesia

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SummaryFacial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case-note review of 22 consecutive patients undergoing bipartition surgery by the same surgical team in one centre in the period 1993-2001. There were incomplete data for two cases and these were therefore excluded. Patients were aged 2 months to 19 years. Conditions treated were facial cleft (n = 5), frontonasal dysplasia (n = 7) and facial dysostosis (n = 8). Intra-operative complications included major haemorrhage (n = 4), bradycardia (n = 3) and unintentional tracheal extubation (n = 1). There were no peri-operative deaths. All patients required intra-operative blood transfusion and 15% of them had a postoperative haemoglobin concentration > 115% of their pre-operative value. In this series, four patients required postoperative lung ventilation for a median duration of 3 days. Infants < 14 months old were significantly more likely to receive a massive blood transfusion (p = 0.0002), to have an excessively high postoperative haematocrit (p = 0.008) and to require postoperative lung ventilation (p = 0.0002) compared with older patients. We conclude that patients in this age group have a significantly increased risk of postoperative complications.

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mentioning

confidence: 99%

Anaesthetic management in facial bipartition surgery: The experience of one centre

Mallory¹,

Yap

Jones

et al. 2004

Anaesthesia

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Monitoring and management of the paediatric neurosurgical patient

Young

1999

Current Opinion in Anaesthesiology

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Pediatric oral lesions: a 15-year review from São Paulo, Brazil

Sousa

Etges

Corrêa

et al. 2002

Journal of Clinical Pediatric Dentistry

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There are few studies on pediatric oral pathologies in the literature. This study presents data from a review of 2,356 biopsies of young patients (birth to 14 years) received over 15 years (1985-2000) in the Oral Pathology Service at the University of Sao Paulo, Brazil. Information about patients (sex, age, race) and histopathological diagnosis was retrieved. Diagnosis data of 2,356 biopsies were classified into 20 groups.There was no significant difference between male (50.0%) and female (49.0%) patients. White is the predominant race (69.0%), and patients ages were concentrated between 9 and 14 years old (70%). Mucocele was the most frequent (13.5%), followed by dentigerous cyst (6.5%) and fibrous hyperplasia (5.4%). Papilloma and Langerhans cells histiocytosis were the most common non-odontogenic benign and malignant tumors, respectively. In the group of odontogenic tumors, odontoma was the most frequent, and ameloblastoma had a significant incidence (27 cases). These data are important in order to detect differences in geographic areas, diagnosis line tendencies and for clinicians to perform judgment to evaluate of the pediatric patients before the biopsy and management of pediatric oral lesions.

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Paediatric craniofacial surgery: historical perspectives, recent advancements and refinements

Cited by 3 publications

References 60 publications

Anaesthetic management in facial bipartition surgery: The experience of one centre

Anaesthetic management in facial bipartition surgery: The experience of one centre

Monitoring and management of the paediatric neurosurgical patient

Pediatric oral lesions: a 15-year review from São Paulo, Brazil

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