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Esthetic surgery

E Boutremans, C Gossiaux, I Loeb
Orthognathic surgery evolved over the last 30 years, which has reduced the morbidity of interventions and widened its field of indication. The management of dysmorphosis, obstructive sleep apnea syndrome, fracture sequelae and facial esthetics can be managed successfully thanks to these interventions, the scarring of which is almost absent.
2018: Revue Médicale de Bruxelles
Giulio Gasparini, Gianmarco Saponaro, Alessandro Moro, Paolo De Angelis, Sando Pelo
At the end of craniofacial growth, in anterior synostotic plagiocephaly, some aesthetical deficiencies may still be evident. This can depend on an inadequate initial correction or on altered postoperative growth or even on the combination of the 2 factors.Aesthetic alterations can result from various factors that could potentially affect the skeleton, the skin, subcutaneous, and muscular tissues.The pathological changes in the cutaneous and subcutaneous tissues are greater in patients who have undergone multiple surgical treatments of the frontoorbital area...
October 12, 2018: Journal of Craniofacial Surgery
Ugur Horoz, Tomoaki Kuroki, Mami Shimoyama, Shinya Yoshimoto
Half-nose or heminasal aplasia is an extremely rare congenital malformation, which has a withering effect both on the patient and the family. Proboscis lateralis is a rare facial anomaly resulting in the incomplete development of one side of the nose, which was first defined in 1861 by Forster in his monograph. Proboscis lateralis, cleft nose, and nasal agenesis are rare anomalies; however, half-nose is also an extremely rare condition. In the formation of half-nose deformities, either a facial cleft or nasal dysplasia is the assumed theories of embryological origin...
October 12, 2018: Journal of Craniofacial Surgery
Stéphanie Lemaître, Sophie Gardrat, Anne Vincent-Salomon, Olivier Galatoire, Christine Lévy-Gabriel, Laurence Desjardins
A woman in her early fifties had regular follow-up for a medium-sized divided nevus of the eyelids which had undergone several surgical excisions during childhood for functional and esthetic reasons. Malignant transformation of the nevus occurred in the inferior eyelid, with the appearance of a new pigmented flat lesion. Histology showed in situ melanoma, and an NRAS activating mutation was found. A full-thickness excision of the inferior eyelid was performed, followed by reconstruction. Local recurrence of the melanoma occurred 1 year after surgery...
September 2018: Ocular Oncology and Pathology
Antoni Arcas, Gerard Vendrell, Frank Cuesta, Laura Bermejo
PURPOSE: To evaluate the benefits of performing mentoplasty using custom guides and plates in a series of 23 patients. PATIENTS AND METHODS: An 18-month observational study in 23 patients (16 women, 7 men) who underwent procedures for chin augmentation (n = 15), reduction and centering mentoplasty (n = 6), chin asymmetry correction (n = 1) and placement of a custom chin implant to correct esthetics (n = 1) was conducted in the Department of Oral and Maxillofacial Surgery of Hospital Universitario Dexeus (Barcelona, Spain)...
September 21, 2018: Journal of Cranio-maxillo-facial Surgery
Shan-Huey Yu, Shih-Chang Tseng, Hom-Lay Wang
Since periodontal plastic surgery's recent emergence and continuous, extensive development, various treatment modalities and materials have been developed alongside it to help clinicians pursue optimal esthetics and long-term stability around natural teeth and dental implants. To achieve satisfying and predictable long-term outcomes, promote more predictable results, and reduce complications following periodontal plastic surgery procedures, the authors reviewed articles published in peer-reviewed journals to better understand the biologic principles and potential of the soft tissue grafting materials and techniques being applied...
November 2018: International Journal of Periodontics & Restorative Dentistry
Marco Degidi, Diego Nardi, Gianluca Sighinolfi, Davide Degidi, Adriano Piattelli
PURPOSE: To evaluate the performance of definitive, implant-supported, lithium disilicate fixed dental prostheses (LS2 FDPs) manufactured with a computer-assisted design/computer-assisted manufacturing (CAD/CAM) system. All patients received two-unit restorations placed in posterior regions, supported by osseointegrated implants with cone-in-cone connection abutments. MATERIALS AND METHODS: Two implants (Ankylos) were placed into healed sites or fresh extraction sockets in the maxillary/mandibular posterior regions of partially edentulous patients...
October 8, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Xuekang Yang, Zhuoqun Fang, Mengdong Liu, Yue Zhang, Qiaohua Chen, Ke Tao, Juntao Han, Dahai Hu
BACKGROUND: This study introduces a technique for the reconstruction of deep toe defects in diabetic patients using a method that combines free vascularized fascia flap with skin grafting. METHODS: In this retrospective study, conducted between March 2010 and February 2016, 15 diabetic patients with deep toe ulcer received surgeries that combined free vascularized fascia flap with skin grafting, including nine anterolateral thigh fascia lata flaps and six superficial temporal fascia flaps...
November 2018: Journal of Surgical Research
Recep Anlatici, Gökhan Özerdem, Sarp Demiralay, Ömer Refik Özerdem
Various methods and ancillary procedures have been defined in the era of face-lifting surgery.The purpose of this study was to evaluate the esthetic outcomes of our face-neck cases and the importance of adding ancillary procedures based on individual assessment.We conducted a retrospective review of 203 face-neck cases, basically following the endoscopic and open principles of Vasconez. The ancillary procedures added in selected cases included genioplasty, augmentation with autologous facial superficial fascial tissue or fat injections, upper lip shortening, perioral dermabrasion, ear lobe reduction, buccal fat reduction, mentum lifting, and upper orbital rim shaving...
September 2018: Medicine (Baltimore)
Mallouel Pineau, Emilie Farrow, Romain Nicot, Joël Ferri
In this study, the authors aimed to describe orocraniofacial features and to suggest orthodontic-surgical managements in achondroplasia, based on a literature review. The authors focused on skeletal and dentoalveolar malocclusion in order to highlight the place of orthognathic surgery, based on our experience of 3 patients. Maxillary hypoplasia in achondroplasia typically results in an Angle class III malocclusion with an anterior open bite. The other orocraniofacial features include enlarged calvarium, prominent forehead and frontal bossing, midface hypoplasia, elongated lower face and saddle-shaped nose due to lack of development of the nasomaxillary complex...
October 1, 2018: Journal of Craniofacial Surgery
Tian-Jia Liu, Shui-Hua Wu, Shuang-Shi Fan, Zhao-Hui Chen, Shuo Gu
OBJECTIV: The authors devised a multiple small incisions minimally invasive technique for use in isolated nonsyndromic sagittal synostosis to achieve better esthetic effect and satisfactory reshaping of the calvarial vault. The purpose of this study is to provide clinicians with new and feasible solution. METHODS: From April 2016 to January 2017, 5 male patients were successfully treated with minimally invasive surgery. The age ranges from 1.5 to 3.3 years. The authors designed 9 short skin linear incisions (2-3 cm long) strategically to disperse in the scalp...
October 1, 2018: Journal of Craniofacial Surgery
Jeffrey C Posnick, Nkemakonam Egolum, Timothy J Tremont
PURPOSE: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, genioplasty, and intranasal surgery. PATIENTS AND METHODS: A retrospective cohort study of PMD subjects undergoing bimaxillary, chin, and intranasal surgery was implemented. The predictor variables were grouped into demographic, anatomic, operative, and longitudinal categories...
October 2018: Journal of Oral and Maxillofacial Surgery
Eva Scholtes, Christiaan M Suttorp, Bas A Loomans, Pieter Van Elsas, Jan G Schols
This case report shows the treatment of a severe traumatic tooth injury. For the maxillary right central incisor, the trauma was considered a complicated crown-root fracture. The level of the fracture line, the length of the remaining root segment, and the presence and condition of the tooth fragment determined the type of therapy. Traumatized teeth with fractures below the alveolar crest are often considered hopeless. As this report shows, the treatment of a complicated crown-root fracture in the esthetic region can be challenging...
October 2018: American Journal of Orthodontics and Dentofacial Orthopedics
Rui Qu, Jianxue Wang, Jinyi Li, Zhiyong Dong, Jingge Yang, Daosheng Liu, Cunchuan Wang
BACKGROUND: For selected patients, endoscopic thyroidectomy via the oral-vestibular approach (ETOVA) can be used to achieve a very good esthetic effect. This study aimed to assess the learning curve for ETOVA and identify improvements. PATIENTS AND METHODS: This retrospective study evaluated the outcomes of 101 patients who underwent ETOVA by surgeons A and B. The patients were classified according to whether they had undergone surgery during the primary or advanced stage of the learning curve, respectively...
September 14, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Michele M Figliuzzi, Maria Altilia, Laura Mannarino, Amerigo Giudice, Leonzio Fortunato
AIM: Combined surgical-orthodontic treatment of impacted maxillary canines has developed significantly in the last few years, regarding management of both hard and soft tissues and forces of traction. The aim of this report is to describe a combined surgical-orthodontic approach used to treat an impacted maxillary canine and to value the functional and esthetic results after 5 years of followup. MATERIALS AND METHODS: A 13-year-old boy had been seen by surgeons in the Operative Unit of Orthodontics of Policlinico Tor Vergata in Rome...
July 23, 2018: Annali Italiani di Chirurgia
W R Li
Severe maxillary deficiency is often seen in cleft lip and palate patients due to multiple factors such as congenital defect, traumatic effect of surgeries and constriction of scar tissue, which causes moderate to severe crowding and anterior and posterior crossbite. Orthodontic treatment is usually difficult and time consuming. Upper arch expansion and maxillary protraction are often carried out to release transverse and sagittal intermaxillary discrepancy. Orthodontic treatment for cleft patients is different from that of non-cleft patients...
September 9, 2018: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Nicolas Sigaux, Ali Mojallal, Pierre Breton, Joris Giai, Aurélien Louvrier, Pierre Bouletreau
PURPOSE: Bilateral sagittal split osteotomy (BSSO) is frequently used to treat Class II malocclusion for functional and esthetic purposes, with expected changes in the profile. The goal of this study was to assess transversal changes in mandibular advancement by comparing 3-dimensional (3D) photogrammetric modifications and 2-dimensional (2D) radiographic enlargement. MATERIALS AND METHODS: A cohort study was conducted of patients who underwent an isolated advancement BSSO (Obwegeser-Dal Pont II type) for a Class II malocclusion...
August 16, 2018: Journal of Oral and Maxillofacial Surgery
Dimitrios Michelogiannakis, John Stephen Vorrasi, Elli Anna Kotsailidi, Paul Emile Rossouw
Dentofacial disharmony in patients with cerebral palsy (CP) can lead to low self-esteem and functional limitations. However, medical and behavioral challenges in patients with developmental disorders often prevent dental practitioners from offering the necessary treatment. This report describes the clinical interdisciplinary management of a 20-year-old man with CP, including orthodontic, periodontal, and orthognathic surgery therapy. The patient presented with the chief complaint of having difficulty chewing, was wheelchair dependent, had poor orofacial muscle control, and exhibited a Class III malocclusion with a skeletal anterior open bite...
August 16, 2018: Journal of Oral and Maxillofacial Surgery
J Bollo, P Salas, M C Martinez, P Hernandez, A Rabal, E Carrillo, E Targarona
BACKGROUND: Colorectal cancer (CRC) is the third most frequent cancer diagnosed in men and the second in women. Laparoscopic surgery has been a technical revolution in colorectal surgery, facilitating a better recovery of patients with lower morbidity and better esthetic results, compared to traditional surgery via laparotomy, without compromising safety and long-term oncological results. PURPOSE: The trial is a randomized controlled trial indented to evaluate the two interventions with thorough measurements of the postoperative variables and complications to improve the evaluation of the surgical technique...
November 2018: International Journal of Colorectal Disease
W Peter Nordland
Loss of interdental papilla due to trauma or inflammatory periodontal diseases presents significant esthetic-zone challenges to clinicians. Miniscule working spaces and limited blood supply to these areas render conventional surgical techniques somewhat unpredictable. The implementation of vertical releasing incisions can further jeopardize blood supply and leave unattractive scarring upon healing. This article discusses a surgical technique utilizing microscopes and microsurgical instruments to more effectively achieve esthetic results...
September 2018: Compendium of Continuing Education in Dentistry
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