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Esthetic surgery

Yuta Nakajima, Shoji Kondoh, Hiroshi Nishioka, Wataru Kasuga
Several operative techniques for inframammary fold (IMF) reconstruction have been described and have resolved the shortcomings of conventional methods. However, there are still difficulties with IMF reconstruction, that is, performance through small mastectomy scars, creation of a smooth IMF curve, transfer of external IMF markings to the interior chest wall, or determining correct IMF without an implant in place. We have used a type of anchor suture with a completely percutaneous approach, the vertical pendulum suture (VP suture), to reconstruct the IMF easily in implant-based breast reconstruction...
August 2018: Medicine (Baltimore)
T Krejčí, Z Večeřa, O Krejčí, D Šalounová, M Houdek, Radim Lipina
BACKGROUND: Prospective randomized data is currently lacking which compares endoscopically assisted surgery with open surgical techniques in the treatment of cubital tunnel syndrome (CUTS). The aim of this study is to compare patient outcome in both techniques. METHOD: This prospective study comprised of 45 patients who, between October 2014 and February 2017, were randomly assigned to undergo either endoscopic or open surgery (22 and 23 patients respectively) for decompression of the ulnar nerve...
August 15, 2018: Acta Neurochirurgica
Andrew Mathis, Daniel M Laskin, Eser Tüfekçi, Caroline Caricco, Steven J Lindauer
Objective: The aim of this study was to use three-dimensional images to determine the presence of upper lip asymmetry at rest and during smiling in a group of individuals with no history of orthodontics or facial cosmetic surgery. Methods: Standardized three-dimensional frontal resting and smiling images of 54 volunteers were analyzed using the 3dMDvultus software (3dMD, Atlanta, GA). Measurements were made from the soft tissue nasion, ipsilateral ala, subnasale, and menton to the right and left commissures of the lip...
June 2018: Turkish journal of orthodontics
Zeynep Büyükbayraktar, Cenk Doruk, Hasan Camcı
In adult patients with severe class II division 2 malocclusion, the ideal treatment option is the orthognathic surgery. However, camouflage therapy is also an acceptable treatment option due to its less traumatic and acceptable esthetic and functional results. In this case report, the camouflage treatment with two maxillary premolar extractions in a 21-year-old female patient who did not accept orthognathic surgery is presented. Acceptable esthetic and functional results were obtained at the end of the treatment...
December 2017: Turkish journal of orthodontics
George Michelinakis, Manolis Pavlakis, Dimosthenis Igoumenakis
Rehabilitation of a partially dentate postmaxillectomy patient using a novel approach is presented in this report. The patient was referred to our practice by the oral and maxillofacial surgery department of the local general hospital for the evaluation and prosthetic treatment planning. He had undergone biopsy for a lesion located in the right quadrant of his maxilla and was scheduled for a hemimaxillectomy for removal of a squamous cell carcinoma. A surgical obturator was prepared for placement at the time of ablative surgery...
July 2018: Journal of Indian Prosthodontic Society
Chang Min Kang, Jeong Su Shim
INTRODUCTION:  Despite successful breast reconstruction with oversized latissimus dorsi muscle flap after breast-conserving surgery for breast cancer, esthetic problems continue to exist due to flap shrinkage. The purpose of this study was to evaluate the objective volume change of pedicled latissimus dorsi muscle flap when it is used in breast reconstruction. METHODS:  Patients who were diagnosed with breast cancer and underwent a breast-conserving surgery with immediate breast reconstruction with pedicled latissimus dorsi myocutaneous flap between October 2009 and November 2015 were studied...
August 12, 2018: Journal of Reconstructive Microsurgery
Masanori Tsukamoto, Takashi Hitosugi, Hitoshi Yamanaka, Takeshi Yokoyama
Postoperative alopecia is an uncommon complication and its outcome is an esthetically drastic change. Although its mechanism has not been clearly reported, risk factors might be positioning and prolonged operative time during oral surgeries. In addition, perioperative stressful conditions might influence the biological clock of the hair cycle. This report presents 2 cases of postoperative alopecia after oral surgery. Prevention of alopecia with type of headrest, change in head positioning, and avoidance of continuous compression is important...
July 19, 2018: Journal of Oral and Maxillofacial Surgery
Robert Frey, Barbora Gabrielova, Evgeny Gladilin
In recent years, bimaxillary rotation advancement (BRA) has become the method of choice for surgical treatment of obstructive sleep apnea (OSA). As dislocation of the jaw bones affects both, airways and facial contours, surgeons are facing the challenge of finding an optimal jaw position that allows for the reestablishment of normal airway ventilation and esthetic surgical outcome. Owing to the complexity of the facial anatomy and its mechanical behavior, individual planning of surgical OSA treatment under consideration of functional and esthetic aspects presents a challenge that surgeons typically approach in a non-quantitative manner using subjective evaluation and clinical experience...
2018: PloS One
Hafiz Taha Mahmood, Maheen Ahmed, Mubassar Fida, Adeel Tahir Kamal, Farheen Fatima
In the current era of expedited orthodontics, among many clinicians, tertiary care hospitals and patients, surgery first orthognathic approach (SFOA) has gained popularity. The advantages of SFOA (face first approach) are the reduced overall treatment duration and the early improvement in facial esthetics. In SFOA, the absence of a presurgical phase allows surgery to be performed first, followed by comprehensive orthodontic treatment to achieve the desired occlusion. The basic concepts of surgery early, surgery last, SFOA and Sendai SFOA technique along with its variations are reviewed in the present article...
May 2018: Dental Press Journal of Orthodontics
Saulius Vikšraitis, Ernest Zacharevskij, Gytis Baranauskas, Rytis Rimdeika
Breast augmentation with implants is one of the most commonly performed plastic surgery procedures. The goal of the operation is to increase the size, shape or fullness of the breast. It is accomplished by placing silicone, saline or alternative composite breast implants under the chest muscles, fascia or the mammary gland. This type of operation is no exception concerning the occurrence of complications. The most common early complications include an infectious process, a seroma, and a hematoma, and the late ones are capsular contracture, reoperation, implant removal, breast asymmetry, and rupture or deflation of the implant...
May 2018: World Journal of Plastic Surgery
Hessam Nowzari, Angel Emmanuel Rodriguez
OBJECTIVE: The present pilot study evaluated the impact of closed flap surgical technique on periodontal tissues and the esthetic outcome. MATERIALS AND METHODS: Twenty-four consecutively treated patients with a mean age of 15 (range 12-30) underwent closed flap surgery for the exposure of impacted teeth. The study evaluated periodontal probing depths, bone level, zone of keratinized tissue, and esthetic appearance after the completion of orthodontic treatment. RESULTS: Tooth impaction was more frequent in females (No...
August 6, 2018: Journal of Esthetic and Restorative Dentistry
Preethi Jeyabal, Gangadhara Sundar
PURPOSE: To evaluate outcomes of anophthalmic sockets in retinoblastoma at a tertiary care center in Singapore. DESIGN: A retrospective study. METHODS: Patients who underwent enucleation as sole/part of treatment for retinoblastoma were reviewed at our center from 2005-2017. Details including demographics, grouping and staging, adjuvant therapy, surgery, implant, and complications were collected. RESULTS: Of 42 patients with retinoblastoma managed over the period, the anophthalmic sockets of 31 patients who underwent enucleation were analyzed...
August 3, 2018: Asia-Pacific Journal of Ophthalmology
Franck Bonnet, Michel Karouni, Hadi Antoun
PURPOSE: To investigate periimplant soft tissue response following flapless extraction and immediate implant placement and provisionalization (IIPP) associated with bovine hydroxyapatite bone and connective tissue grafting in the anterior maxilla. The study evaluated the effectiveness of this technique in terms of soft tissue contours in esthetic areas with the use of the pink esthetic score (PES). MATERIALS AND METHODS: In this retrospective study, 39 consecutive patients were treated and followed by two experienced clinicians for single-tooth implant treatment in the esthetic zone...
2018: International Journal of Esthetic Dentistry
Karishma Ramsubeik, Omar Tolaymat, Gurjit Kaeley
Background: Silicone injection is commonly used for soft tissue augmentation for esthetic purposes. It is not without complications. Case presentation: We present a case of a 31-year-old woman presenting with refractory left lateral hip pain. Magnetic resonance imaging of the patient's pelvis revealed innumerable small low signal foci throughout the gluteus maximus and overlying subcutaneous fat bilaterally consistent with injectable material, possibly silicone...
2018: Case Reports in Medicine
Juan Fd Montero, Humberto Cm de Souza, Mariana S Martins, Miguel N Oliveira, César Am Benfatti, Ricardo de Souza Magini
INTRODUCTION: The knowledge of the anatomy surrounding Bichat's fat pad, as well as its clinical applications, is essential to indicate and to safely perform its removal. This surgery is indicated not only for esthetic purposes, but also for functional reasons. When used properly, Bichat's fat pad is composed of stem cells that have a similar phenotype to adipose stem cells, useful in the treatment of pathologies and/or complications, such as maxillary sinus membrane perforation, oroantral/oronasal communications, peri-implantitis, ulcers, fibrosis of the oral mucosa, soft tissue reconstruction, among others...
July 1, 2018: Journal of Contemporary Dental Practice
Brigitte Langelier, Elisabeth Rieutord, Ulviyya Alizada, Marie-Astrid Metten, Nicolás Meyer, Frédéric Bodin
INTRODUCTION: Nipple-areolar complex tattooing often completes the breast mound reconstruction process after cancer surgery. However, there have been few studies evaluating patient satisfaction with this technique. OBJECTIVE: To assess patients' esthetic satisfaction with the results of tattooing performed by nurses. METHOD: Ninety-eight women participated in the study. Overall satisfaction with reconstruction and satisfaction with the tattoo's color, dimension, position, and form were determined using questionnaires completed by patients and a professional jury...
June 2018: Recherche en Soins Infirmiers
Tatiana Ţăranu, Mirela Grigorovici, Magda Constantin, Mihaela Paula Toader
Dear Editor, Subcutaneous granuloma annulare (SGA) is considered a rare clinical variant of granuloma annulare, a common self-healing chronic inflammatory disorder that may appear in childhood as well as in adult age (1-3). A 29-year-old female patient reported the onset of several small subcutaneous nodules on the dorsal aspect of the second interphalangeal joint of the left medius finger and the left elbow, accompanied by vague joint pain, had occurred 13 years ago. Specific markers for rheumatoid arthritis were negative, leading to a diagnosis of sero-negative rheumatoid arthritis, for which treatment with methotrexate was initiated...
December 2017: Acta Dermatovenerologica Croatica: ADC
Amanda R Sergesketter, Aladine A Elsamadicy, David T Lubkin, Hanna Kemeny, Stephen C Harward, Kate B Krucoff, Max O Krucoff, Herbert Fuchs, Eric M Thompson, Alexander C Allori, Jeffrey R Marcus, Carrie R Muh
BACKGROUND: Premature fusion of the cranial sutures can lead to significant neurocognitive, developmental, and esthetic consequences, especially if not corrected within the first year of life. This study aimed to identify the drivers of delayed cranial vault reconstruction (CVR) and its impact on complication and 30-day readmission rates among craniosynostosis patients. METHODS: The medical records of all children who underwent CVR for craniosynostosis between 2005 and 2017 at an academic institution were retrospectively reviewed...
July 27, 2018: Journal of Craniofacial Surgery
Fatemeh Momen-Heravi, Scott M Peters, Leonard Garfinkle, Philip Kang
The presence of hard tissue dehiscence and thin periodontal biotype in the esthetic area is a challenge that can jeopardize function and aesthetic outcome of implants. Here, we present a successful simultaneous soft tissue and bone regeneration of dehiscence defects in the maxillary incisor region. The novelty of this case lies in the simultaneous bone regeneration and soft tissue augmentation and the use of acellular dermal matrix as a barrier for regeneration and biotype conversion around dental implants...
August 2018: Implant Dentistry
Alfonso Caiazzo, Federico Brugnami, Francesco Galletti, Pushkar Mehra
Purpose: Despite socket preservation and/or immediate implant placement, resorption of the buccal plate after dental extraction continues to pose esthetic challenges to clinicians. Buccal plate preservation (BPP) is a technique that has been recently proposed with an aim to reduce the incidence of such resorption. This study was conducted to assess the long-term efficacy of BPP in maintaining the thickness of the buccal cortical plate after immediate implant insertion and provisionalization...
September 2018: Journal of Maxillofacial and Oral Surgery
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