Elavenil Panneerselvam

• MDS(Oral & Maxillofacial Surgery), MBA (Hospital Management), FDS RCPSGlas FAM(Aesthetic Medicine)
• Professor (Associate) at SRM Dental College & Hospital, Chennai

Comminuted fractures of the nasoseptal complex require intranasal packs/splints in the postoperative period to maintain the reduction of fracture. Conventional intranasal packs impair normal breathing, act as a nidus of infection and lack adequate stability. The technical note describes the design and effectiveness of a CAD/CAM intranasal splint in...

Background and Purpose The zygomatic arch is important to maintain facial projection as well as width. Hence, restitution of its form by open reduction and internal fixation (ORIF) is indicated following its fracture, in certain clinical scenarios. The contemporary surgical approaches are cutaneous with associated complications. This observational...

Closed management of condyle fractures is performed by maxillomandibular fixation (MMF). However, MMF does not ensure ideal outcomes in patients with telescoping of fractured fragments due to the difficulty in restoring the vertical height of condyle without open reduction and internal fixation. The use of hypomochlion with MMF is commonly followed...

The use of Meyer’s lines of osteosynthesis dictates the ideal method of open reduction and fixation for condylar fractures. However it is not feasible to achieve fixation along these lines in many clinical scenarios. This case series (3 cases) highlights the efficacy of fixation along the posterior border of the condyle as an alternative method. Th...

Botulinum toxin has played a remarkable role in management of forehead wrinkles. Most used is intramuscular technique due to its deposition into the muscles, however, with adverse effects like brow ptosis. This study has been designed for the evaluation of efficacy for intradermal v/s intramuscular route of botulinum toxin injections for forehead w...

Purpose To determine clinically if parallel osteotome technique (POST) reduces incidence of neurosensory disturbances (NSD) following bilateral sagittal split osteotomy (BSSO), and to corroborate the findings with finite element analysis (FEA). Patients & methods The investigation was a quasi-experimental study involving 30 patients requiring BSSO...

Obstructive Sleep Apnoea (OSA) is a common sleep disorder marked by partial or total obstruction of the upper airway while a person is asleep leading to breathing difficulty, reduced oxygenation and frequent awakenings. This condition affects the general health significantly compromising quality of life. The objective of this overview is to thoroug...

Purpose Injury to the external auditory canal (EAC) may occur following facial trauma. They manifest as otalgia, ear bleeding, otorrhea, facial palsy, or altered hearing. But literature regarding its management is sparse. The study aimed to identify the incidence and types of EAC injury in facial trauma, grade their severity, and propose a symptom-...

Fractures of lingual cortex are frequently left untreated leading to poor resolution of patient’s symptoms and function. Positioning an implant on same side of fracture would provide better reduction. The study aims at improving stability offered by Erich arch bar placed on lingual surface, by Finite element analysis (FEA) along with a pilot clinic...

Background‘Temporomandibular joint disorders (TMDs)’ denote an umbrella term that includes arthritic, musculoskeletal and neuromuscular conditions involving the temporomandibular joint, the masticatory muscles, and the associated tissues. Occlusal devices are one of the common treatment modalities utilized in the conservative management of TMDs. Th...

Objectives: Injuries to the maxillofacial region during contact sports is a well-known issue. Protective measures have been advised to prevent and reduce these problems. Awareness regarding the role of mouthguards in preventing temporomandibular joint (TMJ) injuries during contact sports, is limited. The aim of the present study was to assess aware...

Introduction: Contemporary incisions used to access the frontozygomatic (FZ) sutures are the lateral brow and upper blepharoplasty incisions which are associated with specific limitations and complications. The authors describe the use of sub-brow incision as an alternate approach for exposure of the FZ region. Methods: This is a prospective coh...

In contemporary orthognathic surgery planning, the genium/chin constitutes an important part that contributes to the maxillofacial profile. The aesthetics of the lower face is affected by the position of the genium which makes reestablishment of genial morphology an essential component. It is hence necessary to evaluate the genium objectively on it...

The open reduction and internal fixation of medially displaced/dislocated condyle fracture is challenging due to inadequate visibility and access to the dislocated condyle. The common approach to reduction of such condyles is by inferior distraction of the mandible which facilitates visualization as well as instrumentation. However, this maneuver m...

Does the type of fracture influence correction of enophthalmos and intra-orbital volume in orbital fractures? A computed tomographic study Abstract Purpose: To determine the influence of different types of orbital fractures on the radiographic post treatment outcomes. Materials and methods: The investigation was a retrospective cohort study involvi...

Facial trauma in pediatric population predisposes the child to injury of both the developing skeleton and dentition. This article aims to highlight the experience of the authors through a case report, in using self-drilling screws for fixation of mandibular fractures in pediatric age group. The use of self-drilling screws minimizes the complication...

Purpose : Post-traumatic deviated nasal septum (PTDNS) leads to impaired breathing and poor esthetics. The aim of this study was to assess treatment outcomes of early septoplasty for correction of PTDNS and correlate it with computational fluid dynamic (CFD) parameters. Methods : This prospective cohort study included patients who underwent early...

Aims: The aim of this study is to evaluate the effectiveness of platelet-rich fibrin (PRF) in postextraction socket healing in diabetic patients. Subjects and methods: The investigators implemented a randomized, split-mouth study in 100 Type 2 diabetic patients undergoing dental extraction of two or more teeth. Following extraction, the experime...

The purpose is to describe a technique of using ramal bone graft for reconstructing defects of the infra-orbital rim (IOR), assess outcomes and complications. This was a retrospective chart review of 16 patients who underwent ramal bone grafting for IOR fractures. Outcomes evaluated were improvement in clinical findings (lid/globe malposition, teth...

Purpose: Our aim was to determine if intraoperative navigation (ION) improved radiographic outcomes in patients undergoing delayed primary/secondary orbital reconstruction for inferomedial defects, as measured by volume restoration, enophthalmos correction, and positional accuracy of implants. Patients and Methods: A prospective quasiexperimental s...

Purpose Fractures of the infra-orbital rim (IOR) are often undertreated with resultant compromise of facial esthetics and function. The purpose of this research was to identify types of IOR fractures, related clinical findings and assess post treatment outcomes. Methods A retrospective cohort study was implemented involving all patients treated fo...

Purpose: To determine the influence of different types of orbital fractures on the radiographic post treatment outcomes. Materials and methods: The investigation was a retrospective cohort study involving CT data of all patients who underwent delayed primary or secondary surgery for orbital/zygomatico-orbital trauma between 2019 and 2021. The samp...

Aim The aim of our study was to assess the role of disc repositioning in treating high condylar fractures. Materials and methods Patients who reported to the Department of Oral and Maxillofacial surgery with high condylar fractures were recruited for this study, and randomized into two groups. The study group underwent ‘disc repositioning during O...

Transconjunctival approaches have become the mainstay for most surgeons performing orbital wall reconstructions. Adequate care needs to be exercised for the protection of the cornea and sclera during these surgeries as they may involve placement of grafts or implants in situ apart from the routine intra-orbital dissections. The authors describe a s...

The objective of this study was to assess the efficacy of calcitonin spray on bone healing following open reduction internal fixation (ORIF) of mandibular fractures. Fourteen patients were subdivided into a study group and a control group. A standardized surgical protocol for ORIF was followed. Postoperatively, salmon calcitonin nasal spray was adm...

The choice of intubation for a patient with maxillary/mandibular fracture concomitant with nasal bone fracture is submental or retromolar intubation or tracheostomy. These methods facilitate unhindered surgical access to the fracture sites for reduction and fixation as well as to perform Inter Maxillary Fixation to achieve ideal occlusion. This art...

IntroductionThe rise in women enrollment in maxillofacial surgery and its correlation with their academic productivity or leadership positions needs better analysis.MethodologyAn observational study was designed to evaluate the quantum of scientific contribution of female maxillofacial surgeons and their leadership roles. The study sample involved...

Please download from Doi LINK DOIhttps://doi.org/10.1007/978-981-15-1346-6

Fractures of the Zygomatico Maxillary complex result in cosmetic deformity as well as functional deficits such as altered vision, restricted mouth opening and paresthesia. Accurate restitution of the form and function of the ZMC is challenging because of its multipoint- articulation within the cranio facial skeleton and the difficulty involved in i...

Objective: To assess the efficacy of template as a guide in performing extra-oral vertical ramus osteotomy. Methods: A 21-year-old male patient, reported with complaints of facial asymmetry and restricted mouth opening due to ankylosis involving the right TMJ. Interpositional arthroplasty along with extra oral vertical ramus osteotomy and corono...

Modified vertical Osteotomy cut in BSSO

Bilateral sagittal split osteotomy (BSSO) is the most common orthognathic surgical procedure for the correction of facial deformities. Like any other surgical procedure, it is also associated with a risk of complications. One of these is described in the literature as notching at the lower inferior border of the mandible. Such discontinuity in the...

Purpose The aim of this study was to compare the efficacy of dextrose prolotherapy with that of occlusal splints in treating internal derangement of the temporomandibular joint. Patients and methods A total of 34 patients with temporomandibular joint internal derangement classed as Wilkes stages II or III were recruited for the study, and were ran...

Aim And Objective This study was aimed to compare the effectiveness of 3-0 knotless barbed suture (polydioxanone) with 4-0 polyglactin 910 (vicryl) in achieving wound closure after impacted mandibular third molar surgery. Materials And Methods Patients with bilateral mandibular third molar impaction of similar difficulty index enrolled in the spli...

The objective of this study was to assess the efficacy of knotless barbed sutures in intra-oral wound closure for maxillofacial trauma in comparison with conventional (vicryl) suture. This was a Randomized controlled clinical trial involving forty patients with isolated mandibular angle fracture who required intra-oral incision for open reduction a...

Unicystic ameloblastoma is considered a less aggressive variant of ameloblastoma with clinical and radiographic features mimicking a cyst. Herein, we present a case of unicystic ameloblastoma in a 20-year-old female who was clinically and radiographically diagnosed as an odontogenic cyst. Unicystic ameloblastoma and its subtypes are reviewed with s...

Mandibular angle fractures are frequently encountered as they constitute an area of weakness. Complications after open reduction and internal fixation (ORIF) of angle fractures commonly arise due to improper reduction and fixation methods that fail to counteract the dynamic muscle forces present in this region. Conventional reduction methods such a...

Operations that involve the maxillofacial region often require intraoral incisions, and contamination of these wounds is common as a result of the presence of saliva, plaque, and food debris. Postoperative infection is therefore common. The aim of the study was to evaluate the clinical efficacy of an intraoral dressing material, Reso-Pac®, in impro...

Fractures of the zygomatic arch are common due to its anatomical prominence. The post-traumatic restoration of the arch form is important to maintain the midfacial symmetry and anteroposterior projection of the face. Open reduction and internal fixation (ORIF) of fractured arch is indicated in specific clinical presentations. The traditional method...

Purpose The aim of the study was to evaluate the role of Low Intensity Pulsed Ultrasound (LIPUS) in improving fracture healing in ASA II patients with mandibular fractures. Materials and Methods A randomized controlled clinical trial was conducted involving 40 patients with mandibular fractures. The sample was randomly allocated to study and contr...

This randomized controlled trial assessed the role of CAD/CAM splints in achieving anatomic reduction of fractured fragments and ideal occlusion, in comparison with conventional splints. Patients diagnosed with displaced mandibular fracture and post-traumatic malocclusion were allocated to study and control groups by simple randomization. A standar...

Trauma during pregnancy deserves special attention because of its management objectives which are aimed at the well-being of the pregnant woman as well as the foetus. Maxillofacial trauma directly affects the nutrition of foetus by interfering with the normal functions in a pregnant woman such as mouth opening, mastication and breathing. Hence earl...

Purpose: Fractures of the mandibular angle can result in condylar postfracture syndrome (CPFS) due to indirect injury to the condylar region. Studies evaluating early intervention for CPFS are lacking. In the present study, we evaluated the efficacy of interocclusal splint therapy for the prevention and early management of CPFS. Patients and meth...

Purpose: The fractures of anterior mandible are subject to severe torsional forces due to muscles acting in opposite directions. 3D miniplate has been suggested as a good alternative by some researchers. However, finite element model (FEM) studies indicate that labio-inferior positioning of two miniplates perpendicular to each other offers better...

Subluxation/dislocation of the temporomandibular joint (TMJ) is characterized by transient locking of the jaw following wide mouth opening. The etiology of the condition is multifactorial relating to hard-tissue or soft-tissue components of the joint. Myriad treatment procedures have been described in the literature, each with its own advantages an...

Background Parotid gland and duct injuries are rare complications following surgery of parotid gland and temporomandibular joint. Sialocele is a cavity filled with saliva, usually formed as a result of trauma to salivary gland/duct or an iatrogenic complication of surgery. Several methods of managing parotid duct injury have been reported in the li...

Purpose The purpose of the study is to compare the surgical access and post-operative outcome of two intra-oral incisions used for approaching a mandibular body fracture. Methods This clinical trial involved 60 patients with mandibular body fractures who were randomly allocated to control and study groups. The fractures were approached using the r...

and Aesthetic Surgery is a comprehensive and illustrated work for students, teachers, and practicing surgeons. It is a six-volume set with the topics of the volumes based on the clinical needs of plastic surgeons in developing countries. Along with latest developments, these volumes incorporate landmark contributions, innovations, and techniques us...

Purpose: Open reduction and internal fixation of high condylar fractures is challenging. The difficulty gets compounded when the condylar head is medially displaced or dislocated. The surgical procedure is limited by inadequate visibility and restricted access to the fractured condyle for proper reduction and fixation. When conventional methods of...

Patient anxiety in the dental office creates an unacceptable situation for the dentist as well as patient, during procedures. Patient position on a dental chair can influence the levels of patient anxiety. The aim of the study was to determine the best patient position for maximal comfort and minimal anxiety. The objectives were (1) to assess the h...

Suturing is the most commonly employed method of wound closure in intra-oral surgery whose objectives include anatomic re-approximation of tissues, haemostasis and prevention of wound contamination by providing an adequate tissue seal. Conventional suturing in oral cavity is relatively difficult due to restricted space for instrumentation. Further,...

Introduction Maxillofacial injuries may result in psychological derangement of an individual, leading to post-traumatic stress disorder (PTSD) which is characterized by continual re-experiencing of any traumatic event along with numerous systemic complications. Objectives To assess the incidence & severity of “PTSD related depression” in patients...

Purpose Mandibular trauma can result in “stylomandibular complex” (SMC) fractures with clinical symptoms including glossopharyngeal neuralgia, globus pharyngeus, otalgia, dysphonia, etc. The fracture of styloid process is noteworthy because of its proximity to numerous vital structures. The study objectives were to (1) determine the incidence of SM...

Abnormal neck posture while working is a crucial factor that predisposes to incidence of musculoskeletal disorders amongst oral and maxillofacial surgeons. The related spectrum of clinical symptoms may range from severe pain in the lower and upper back, neck and TMJ to neurological deficits of the hand and wrist. These posture-related problems may...

Objective The aim of this randomized clinical trial was to assess the efficacy of exclusive lingual nerve block (LNB) in achieving selective lingual soft-tissue anesthesia in comparison with conventional inferior alveolar nerve block (IANB). Materials and Methods A total of 200 patients indicated for the extraction of lower premolars were recruite...

The mental nerve is a sensory nerve that supplies the lower lip, chin, and mandibular labial gingiva. Very few variants of this nerve have been described in the literature. We describe a case in which a patient who was operated for fracture of the mandible, was found to have two mental foramina with three mental nerves. This case report highlights...

Sagittal fractures of the mandible frequently pose challenges in open reduction and internal fixation due to their unfavorable fracture pattern. The powerful lingual musculatures of the mandible exert tremendous displacing forces on the fracture fragments, resulting in gross lingual displacement. The control of the displaced lingual cortical plate...

Purpose: To assess the influence of topical ozone administration on patient comfort after third molar surgery. Materials and methods: A single-blinded randomized controlled clinical trial was designed involving patients who required removal of bilateral impacted mandibular third molars. The predictor variable was the postoperative medication use...

The removal of impacted mandibular third molar is associated with potential complications such as dry socket, paresthesia, uncontrolled socket bleeding, angle fracture, etc., which are commonly encountered in dental practice. This article presents a peculiar case of "ear bleed" concomitant with "isolated styloid" fracture following removal of impac...

Purpose: The aim of this radiomorphometric study was to analyze the association between the mandibular gonial angle and the risk of mandibular angle fracture. Materials and methods: A retrospective analysis of medical records and radiographs of patients treated for mandibular fractures was performed. The exposure studied was the presence of a hi...

Objectives: The aim of this double blinded randomized controlled clinical trial was to evaluate the efficacy of two local anaesthetic solutions, 'Plain lignocaine' and 'Lignocaine with vasoconstrictor', on pain during administration and post-extraction wound healing in patients undergoing therapeutic extractions. Materials and methods: Fifty pat...

The incidence of fractures of styloid process, either in isolation or association with mandibular fractures, is rare, and frequently overlooked. When present, they pose clinical dilemma in diagnosis and management. Proper management of styloid fractures is essential, not just to alleviate the patients' symptoms, but also to prevent potential compli...

The aim of this randomized controlled trial was to assess the effectiveness of fibrin sealants in achieving haemostasis and wound closure following mandibular third molar extraction, in comparison with conventional suturing. Thirty patients with bilateral mandibular third molar impactions were recruited for the study. Using a split-mouth study desi...

Bilateral angle fractures are a rare clinical phenomenon in contrast to the incidence of unilateral angle fractures. However, the rarity has garnered less attention in spite of the uniqueness of fracture pattern and distinctive biomechanics. This article is a detailed review on the etiology, clinical presentation, and management of bilateral angle...

Solitary bone cysts (SBCs) are bone cavities that lack a true epithelial lining. They are more commonly seen during the first 2decades of age.Very few cases have been reported over 40 years of age.SBCs are usually discovered as an accidental coexisting finding during a routine radiologic examination or during another unrelated dental complaint. The...

Objective: To assess the incidence of inferior alveolar and lingual nerve paresthesia following third molar surgeries and to assess the effectiveness of a set departmental protocol for reducing the incidence of these paresthesia. Study Design: The study included 110 patients who underwent surgery for third molar removal. All cases followed a protoc...

Space infection in the Oral and Maxillofacial region is common from odontogenic origin especially in the immunocompromised patients. Ludwig′s angina which is relatively uncommon remains a potentially life-threatening condition due to the risk of impending airway obstruction. Thus, because of its invasive nature, early identification and management...

To determine the awareness amongst dental students, practitioners and maxillofacial surgeons the role of folic acid in the prevention of CLAP and its clinical use. Questionnaire based study involving a sample base of 1100, comprising of dental students, practitioners and specialist maxillofacial surgeons. hundred percent of the sample population we...