Bulky supernumerary bone of the falx cerebri: case report and literature review.

We present a rare case of ossification of the falx cerebri in a 25-year-old man, discovered incidentally on a craniofacial computed tomodensitometry (CT) scanner. This ossification presented a true cortico-medullary differentiation and pushed aside the right frontal lobe. There was no associated clinical manifestation.

Rating of French maxillofacial surgeons on their Google® business account: Current status and reflections for equitable communication.

INTRODUCTION: Online reputation is misattributed in France in academic publications. However, this phenomenon is growing. The objective of this study was to establish an inventory of the e-reputation of French maxillofacial surgeons through the opinions posted on their professional Google® account. MATERIAL AND METHODS: A descriptive study included all the surgeons registered on the list of the French National Medical Council in "maxillofacial surgery and stomatology". Data collection was carried out from February to April 2022. RESULTS: Among the 483 surgeons included, 61.1% had received at least one opinion, the number of per surgeon was 22.2. The average was 4.3/5. Among the 4433 written comments completing the review, 85% were positive. The average response rate of surgeons was 10% and was all the more important as the rating of the opinion was lower. Stomatology (65.3%), aesthetic surgery of the face (15.1%) and orthognathic surgery (14.5%) were the most commented maxillofacial procedures. DISCUSSION: The online image of French maxillofacial surgeons was very positive. However, faced with a defamatory or insulting comment, the surgeon found in an unbalanced situation where he could not respond without risking betraying medical. We recall some common-sense recommendations for managing one's e-reputation and some legislative adjustments for better regulation of these platforms, also considering legal and ethical aspects.

How to adapt orthodontic treatment for a patient with a general pathology? Review of the literature based on six scenarios that challenge the practitioner / Comment adapter le traitement orthodontique chez un patient porteur d'une pathologie générale ? Revue de la littérature à partir de six situations qui questionnent le praticien

Introduction: The democratization of access to orthodontic treatments and the development of orthodontics in adults lead more and more practitioners to take care of patients with various general pathologies. The aim of this literature review was to specify the recommendations governing orthodontic treatment in six specific situations: diabetes, patient at risk of endocarditis, haemophilia, osteopetrosis, epidermolysis bullosa and treatment with growth hormone. Material and Method: A review of the literature was carried out according to the PRISMA method from the PubMed database. The keywords used were, for diabetes: diabetic, diabetus mellitus, for infective endocarditis: endocarditis, for hemophilia : hemophilia, bleeding disorder, for the use of growth hormone: growth hormone, for epidermolysis bullosa: epidermolysis bullosa and for osteopetrosis: osteopetrosis, associated with the request « orthodontic ¼ or « tooth movement ¼. Results and Conclusion: None of these situations constituted an absolute contraindication to orthodontic treatment. However, if surgical procedures with potential for complications were necessary, a compromise should then be discussed in order to provide the best benefit/risk balance for patients.

Introduction: La démocratisation de l'accès aux traitements orthodontiques et le développement de l'orthodontie chez l'adulte amène de plus en plus les praticiens à prendre en charge des patients atteints de pathologies générales diverses. Le but de la présente revue de littérature était de préciser les recommandations encadrant les traitements orthodontiques dans six situations particulières : diabète, patient à risque d'endocardite, hémophilie, ostéopétrose, épidermolyse bulleuse et traitement par l'hormone de croissance. Matériel et méthode: Une revue de la littérature a été réalisée selon la méthode PRISMA à partir de la base de données PubMed. Les mots-clés utilisés étaient, pour le diabète : diabetic, diabetus mellitus, pour l'endocardite infectieuse : endocarditis, pour l'hémophilie : hemophilia, bleeding disorder, pour l'utilisation de l'hormone de croissance : growth hormone, pour les épidermolyses bulleuses : epidermolysis bullosa et pour l'ostéopétrose : osteopetrosis, associés à la requête « orthodontic ¼ ou « tooth movement ¼. Résultats et conclusion: Aucune de ces situations ne constituait une contre-indication absolue à un traitement orthodontique. Toutefois, si des actes chirurgicaux à potentiel de complications étaient nécessaires, un compromis devait alors être discuté afin d'apporter la meilleure balance bénéfice / risque pour les patients.

Preauricular anteroparotid transmasseteric approach of the mandibular condyle: The natural evolution after cervical dissections? An anatomical feasibility study.

The purpose of this study was to evaluate the reliability and reproducibility of a novel approach for base and neck fractures of the mandible. An anatomical study was conducted on 22 given to Science subjects. A rhytidectomy-like approach was performed, followed by a transmasseteric anteroparotid dissection. Measures were taken of the incision length and bone exposure at every step. The identification of a ramus of the facial nerve during dissection was noted. The subjects were classified according to their facial adiposity. A correlation coefficient was measured between incision length and bone exposure as well as morphotype and bone exposure. Statistical analysis was carried out using the Pearson method for linear correlation, and Chi2 test for further analysis. Adequate condylar exposure was always achieved in the area of interest (i.e. in the main localization of base and neck fractures). There was no correlation between the length of the cranial cutaneous backcut and the bone exposure horizontally (p = 0.3296) or vertically (p = 0.8382). There was no correlation between the total length of the incision and the bone exposure horizontally (p = 0.5171) or vertically (p = 0.8404). There was a significant correlation between the subjects' facial adiposity and the bone exposure horizontally and vertically (p<0.005). This approach allowed adequate bone exposure to the mandible base and neck, with a possible 90° angulation of instruments for optimal bone fixation. The incidence of facial nerve rami identification during dissection was similar to other approaches. The scarring was hidden. These results allowed us to propose this approach in a clinical study.