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  1. Article ; Online: Management of Midfacial and Skull Vault Osseous Vascular Lesions.

    Ethunandan, Madan

    Oral and maxillofacial surgery clinics of North America

    2023  Volume 36, Issue 1, Page(s) 61–72

    Abstract: There continuous to be widespread misuse of nomenclature used to described vascular anomalies, This is even more pronounced in the case of intra-osseous lesions. Bone involvement is more common with vascular malformations and extremely rare in ... ...

    Abstract There continuous to be widespread misuse of nomenclature used to described vascular anomalies, This is even more pronounced in the case of intra-osseous lesions. Bone involvement is more common with vascular malformations and extremely rare in haemangiomas. An accurate diagnosis is mandatory for tailored management and often based on a thorough history, clinical examination, and cross-sectional imaging. Surgery remains the main stay for the management of symptomatic venous malformations. Embolisation with or without surgery is the main stay for arteriovenous malformations. Virtual surgical planning, with surgical guides and patient specific implants help achieve predictably excellent results.
    MeSH term(s) Humans ; Skull/diagnostic imaging ; Skull/surgery ; Skull/pathology ; Arteriovenous Malformations/diagnostic imaging ; Arteriovenous Malformations/surgery ; Vascular Malformations/diagnosis ; Vascular Malformations/surgery ; Hemangioma/diagnostic imaging ; Hemangioma/surgery ; Embolization, Therapeutic/methods
    Language English
    Publishing date 2023-10-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1316546-x
    ISSN 1558-1365 ; 1042-3699
    ISSN (online) 1558-1365
    ISSN 1042-3699
    DOI 10.1016/j.coms.2023.09.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Split zygomaticus major muscle sling reconstruction for significant lower lip defects.

    Lidhar, T / Sharma, S / Ethunandan, M

    The British journal of oral & maxillofacial surgery

    2020  Volume 59, Issue 1, Page(s) 106–108

    Abstract: Defects to the lower lip remain surgically challenging to reconstruct. Restoration of aesthetics and function are crucial, of which the aims include restoring the tissues of the lower lip, maintaining oral competence, speech articulation, and restoring ... ...

    Abstract Defects to the lower lip remain surgically challenging to reconstruct. Restoration of aesthetics and function are crucial, of which the aims include restoring the tissues of the lower lip, maintaining oral competence, speech articulation, and restoring lip height and the vermillion. Further surgical techniques continue to be explored, with local flap surgery being the generally preferred method. However, many reconstructions leave the patient with pronounced deformity and morbidity. In this case report, we describe a new technique for the reconstruction of an 80% lower lip defect with an ipsilateral split zygomaticus major muscle sling, nasolabial flap, and facial artery musculomucosal flap. The reconstruction provided good oral competence, speech articulation and aesthetics, in addition to maintaining the oral commissure and lower lip height/length. Iatrogenic microstomia was avoided and zygomaticus functioning was normal. We are confident this technique will be useful to reconstructive surgeons in select cases of significant lip defects.
    MeSH term(s) Esthetics, Dental ; Humans ; Lip/surgery ; Lip Neoplasms/surgery ; Reconstructive Surgical Procedures ; Surgical Flaps
    Language English
    Publishing date 2020-08-30
    Publishing country Scotland
    Document type Case Reports ; Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2020.06.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Retraction notice to "Management of seborrhoeic keratosis and actinic keratosis with an erbium:YAG laser-experience with 547 patients" [Int J Oral Maxillofac Surg 48 (2018) 902-907].

    Sayan, A / Sindel, A / Ethunandan, M / Ilankovan, V

    International journal of oral and maxillofacial surgery

    2020  Volume 49, Issue 4, Page(s) 547

    Language English
    Publishing date 2020-05-04
    Publishing country Denmark
    Document type Journal Article ; Retraction of Publication
    ZDB-ID 353721-3
    ISSN 1399-0020 ; 0901-5027
    ISSN (online) 1399-0020
    ISSN 0901-5027
    DOI 10.1016/j.ijom.2020.01.023
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  4. Article ; Online: Spontaneous oral ulceration with bone sequestration: its relevance in current clinical practice.

    Lidhar, T / Ethunandan, A / Ethunandan, M

    The British journal of oral & maxillofacial surgery

    2020  Volume 58, Issue 9, Page(s) e75–e79

    Abstract: Oral ulceration associated with bony exposure and sequestration is uncommon and often related to well-recognised conditions. In a small group of patients no obvious aetiological factors can be elucidated, and various terminologies have been utilised to ... ...

    Abstract Oral ulceration associated with bony exposure and sequestration is uncommon and often related to well-recognised conditions. In a small group of patients no obvious aetiological factors can be elucidated, and various terminologies have been utilised to describe these lesions. We report six cases of spontaneous oral ulceration with bone sequestration as a specific entity and review the pertinent literature. We retrospectively reviewed patients presenting in the period 2013-2018. Data collected included demographic details, relevant medical, drug, and radiotherapy history; presentation, investigations, management, and outcome. Six patients with an age range of 49-65 years were identified with spontaneous oral ulceration with bone sequestration in the study period. All were males, and none had any relevant history. Five lesions occurred over the mylohyoid ridge and one was related to a lingual mandibular torus. The most common presentation was a painful ulcer with exposed bone, which had been present for 6 - 12 weeks. Occlusal radiographs demonstrated focal rarefaction in two patients. All were managed conservatively and by removal of the loose sequestrum. Healing occurred successfully in all cases, and this was earlier when the loose sequestrum was removed. Spontaneous oral ulceration with bone sequestration is a distinct lesion that most often presents over the prominence of the mylohyoid ridge. It is currently an uncommon entity (0.02%), but this could well be due to a lack of recognition and under-reporting. It should be considered as a diagnosis only when other causes have been excluded. Lesions heal successfully with conservative management and surgical intervention, and this occurs earlier following removal of the loose sequestrum.
    MeSH term(s) Aged ; Humans ; Jaw Diseases ; Male ; Mandible ; Middle Aged ; Oral Ulcer/etiology ; Osteonecrosis ; Retrospective Studies
    Language English
    Publishing date 2020-07-07
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2020.06.030
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  5. Article ; Online: Outcomes of free flap reconstructive surgery in head and neck cancer patients over 80-years old.

    Mitchell, O / Kelly, E / Ethunandan, M / Horlock, N / Sharma, S / Singh, R P

    The British journal of oral & maxillofacial surgery

    2021  Volume 59, Issue 9, Page(s) 1090–1094

    Abstract: An increasing elderly population in the United Kingdom has led to an increasing number of older patients with head and neck cancer, resulting in a greater demand for complex head and neck reconstructive surgery in this potentially high-risk age group. A ... ...

    Abstract An increasing elderly population in the United Kingdom has led to an increasing number of older patients with head and neck cancer, resulting in a greater demand for complex head and neck reconstructive surgery in this potentially high-risk age group. A possible perceived poorer tolerance to such major treatment risks under-treating some of these patients. The purpose of this study was to assess the outcomes in the elderly population (older than 80 years) who had undergone free flap reconstruction following head and neck cancer resection. A retrospective review of 127 patients was performed. Eighteen patients were 80 or older (14.2%) and 109 under 80 (85.8%). The elderly group experienced increased number of postoperative medical complications (p=0.01), but the surgical complications were not significantly different in the two groups (p=0.4). The average length of hospital stay was significantly longer in the older group (p=0.01). There was one flap failure during the study period, which belonged to the younger group of patients. Elderly patients undergoing free flap reconstruction experience an increased rate of postoperative medical complications resulting in an increased length of hospital stay. However, good surgical outcomes can still be achieved in this age group, and therefore age alone should not be considered as a primary factor in head and neck cancer management.
    MeSH term(s) Aged ; Aged, 80 and over ; Free Tissue Flaps ; Head and Neck Neoplasms/surgery ; Humans ; Length of Stay ; Postoperative Complications/epidemiology ; Reconstructive Surgical Procedures ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-05-07
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2021.05.004
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  6. Article ; Online: RETRACTED: Management of seborrhoeic keratosis and actinic keratosis with an erbium:YAG laser-experience with 547 patients.

    Sayan, A / Sindel, A / Ethunandan, M / Ilankovan, V

    publication RETRACTED

    International journal of oral and maxillofacial surgery

    2018  Volume 48, Issue 7, Page(s) 902–907

    MeSH term(s) Erbium ; Humans ; Keratosis, Actinic ; Keratosis, Seborrheic ; Lasers, Solid-State ; Neoplasm Recurrence, Local
    Chemical Substances Erbium (77B218D3YE)
    Language English
    Publishing date 2018-09-05
    Publishing country Denmark
    Document type Journal Article ; Retracted Publication
    ZDB-ID 353721-3
    ISSN 1399-0020 ; 0901-5027
    ISSN (online) 1399-0020
    ISSN 0901-5027
    DOI 10.1016/j.ijom.2018.08.008
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  7. Article ; Online: Intraosseous venous malformation of the craniofacial region: diagnosis and management.

    Srinivasan, B / Chan, E / Mellor, T / Ramchandani, P / Ethunandan, M

    The British journal of oral & maxillofacial surgery

    2019  Volume 57, Issue 10, Page(s) 1143–1147

    Abstract: Vascular lesions mainly affect soft tissues, and less than 1% affect bone. In 1982, they were categorised by Mulliken and Glowacki as haemangiomas or vascular malformations, and an updated classification was subsequently published by the International ... ...

    Abstract Vascular lesions mainly affect soft tissues, and less than 1% affect bone. In 1982, they were categorised by Mulliken and Glowacki as haemangiomas or vascular malformations, and an updated classification was subsequently published by the International Society for the Study of Vascular Anomalies. These lesions, however, continue to be termed haemangiomas and there is little attempt to differentiate between them. We report eight cases of intraosseous venous malformation that were inappropriately labelled as haemangioma by clinicians, pathologists, and radiologists. We highlight tailored management, and describe the clinical features, results of investigations to aid accurate designation (histological and immunohistochemical, including GLUT1 staining and cross-sectional imaging), and outcomes.
    MeSH term(s) Hemangioma ; Humans ; Vascular Malformations
    Language English
    Publishing date 2019-11-13
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2019.10.308
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  8. Article ; Online: Superficial Temporal Artery Aneurysm: Case Report and Review of Literature.

    Al-Sibassi, Ayman Nassib / Ethunandan, Madan

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2020  Volume 78, Issue 7, Page(s) 1147–1150

    Abstract: Superficial temporal artery (STA) aneurysms are painless, pulsatile masses that infrequently result from blunt trauma to the side of the head. Only a small number of them have been reported in the literature. We describe the diagnosis and management of a ...

    Abstract Superficial temporal artery (STA) aneurysms are painless, pulsatile masses that infrequently result from blunt trauma to the side of the head. Only a small number of them have been reported in the literature. We describe the diagnosis and management of a 22-year-old man who had fallen from his bicycle, resulting in an STA pseudoaneurysm, and review the pertinent literature.
    MeSH term(s) Adult ; Aneurysm ; Aneurysm, False ; Head ; Humans ; Male ; Temporal Arteries ; Wounds, Nonpenetrating ; Young Adult
    Language English
    Publishing date 2020-02-06
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2020.01.033
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  9. Article ; Online: Addison's disease as a presentation of metastatic malignant melanoma.

    Srinivasan, B / Patel, M / Ethunandan, M / Ilankovan, V

    Annals of the Royal College of Surgeons of England

    2016  Volume 98, Issue 1, Page(s) e11–2

    Abstract: Melanoma accounts for 5% of all skin cancers. The risk of metastasis is related to the thickness of the tumour, and can affect local, regional and distant sites. Adrenal metastasis from melanoma of the head and neck is uncommon and often asymptomatic. ... ...

    Abstract Melanoma accounts for 5% of all skin cancers. The risk of metastasis is related to the thickness of the tumour, and can affect local, regional and distant sites. Adrenal metastasis from melanoma of the head and neck is uncommon and often asymptomatic. Addison's disease as a presentation of metastatic melanoma is extremely rare and we are unaware of previous reports in the world literature. We report a case of a patient with metastatic melanoma presenting with signs and symptoms of Addison's disease.
    MeSH term(s) Addison Disease/diagnosis ; Addison Disease/etiology ; Adrenal Gland Neoplasms/complications ; Adrenal Gland Neoplasms/diagnosis ; Adrenal Gland Neoplasms/secondary ; Aged ; Diagnosis, Differential ; Humans ; Image-Guided Biopsy ; Male ; Melanoma/complications ; Melanoma/diagnosis ; Melanoma/secondary ; Neoplasm Metastasis ; Skin Neoplasms/complications ; Skin Neoplasms/pathology ; Tomography, X-Ray Computed ; Whole Body Imaging
    Language English
    Publishing date 2016-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2016.0035
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  10. Article ; Online: Perineural invasion in malignant melanoma.

    Hennessy, J / Ethunandan, M

    The British journal of oral & maxillofacial surgery

    2012  Volume 50, Issue 4, Page(s) 378

    MeSH term(s) Aged, 80 and over ; Cranial Nerve Neoplasms/pathology ; Facial Neoplasms/pathology ; Female ; Humans ; Melanoma/pathology ; Neoplasm Invasiveness/pathology
    Language English
    Publishing date 2012-06
    Publishing country Scotland
    Document type Case Reports ; Letter
    ZDB-ID 605685-4
    ISSN 1532-1940 ; 0266-4356
    ISSN (online) 1532-1940
    ISSN 0266-4356
    DOI 10.1016/j.bjoms.2012.02.011
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