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Man esthetic surgery

Mauro Frongia, Rossano Cadoni, Andrea Solinas
BACKGROUND: Open surgery is the gold standard procedure for kidney transplantation. There is a strong rationale for using minimally invasive surgery in patients with end-stage renal disease. A robotic-assisted dual kidney transplant was performed for the first time at our institution. METHODS: In August 2013, a 63-year-old man with end-stage renal disease and diabetes mellitus under pharmacological control received both kidneys from a 70-year-old marginal donor...
October 2015: Transplantation Direct
Tomoyuki Yano, Nobuko Suesada, Satoshi Usami
For a safe and esthetic skull base reconstruction combined with repair of craniofacial bone defects, the authors introduce the flap wrapping technique in this study. This technique consists of skull base reconstruction using the vastus lateralis muscle of an anterolateral thigh (ALT) free flap, and structural craniofacial bony reconstruction using an autologous calvarial bone graft. The key to this technique is that all of the grafted autologous bone is wrapped with the vascularized fascia of the ALT free flap to protect the grafted bone from infection and exposure...
July 2016: Journal of Craniofacial Surgery
Linda L Y Tseng, Chris H Chang, W Eugene Roberts
A man, aged 28 years 9 months, came for an orthodontic consultation for a skeletal Class III malocclusion (ANB angle, -3°) with a modest asymmetric Class II and Class III molar relationship, complicated by an anterior crossbite, a deepbite, and 12 mm of asymmetric maxillary crowding. Despite the severity of the malocclusion (Discrepancy Index, 37), the patient desired noninvasive camouflage treatment. The 3-Ring diagnosis showed that treatment without extractions or orthognathic surgery was a viable approach...
April 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Gary R Login
A 78-year-old man with a history osteonecrosis of the jaw and 2 subsequent surgeries to repair a fractured mandible had a condition that contraindicates most dentoalveolar procedures to restore his failing dentition. A Snap-On-Smile overdenture restored his opportunity for natural speech, occlusal function, and esthetics.
August 2016: Journal of Prosthetic Dentistry
Flavio Uribe, Sachin Agarwal, David Shafer, Ravindra Nanda
This case report describes the treatment of a 33-year-old white man who had a skeletal Class III and dental Class II subdivision malocclusion caused by a retrognathic maxilla, with severe maxillary crowding, a highly placed maxillary left canine, mild mandibular crowding, and a bilateral posterior crossbite. Treatment was performed with a modified surgery-first approach, which included a short presurgical alignment phase for the correction of the significant maxillary crowding while controlling the incisal angulation, followed by LeFort I maxillary advancement surgery...
November 2015: American Journal of Orthodontics and Dentofacial Orthopedics
Farzaneh Agha-Hosseini, Nafiseh Sheykhbahaei
A caliber-persistent labial artery (CPLA) is an incipient arterial branch that penetrates near the submucosal tissue of the lip without dividing or reducing in diameter and often appears as a palpable lesion on the lip. It occurs at an incidence of approximately 3%. This study investigated the causes of swelling of the lips, focusing on CPLA, and reviewed the literature for past cases in order to inform the treatment of a 32-year-old man presenting with an asymptomatic, solitary, elevated lesion on the vermilion of the upper lip of seven months duration...
January 2016: International Journal of Dermatology
Seigo Ohba, Yuya Nakatani, Takako Kawasaki, Nobutaka Tajima, Takayoshi Tobita, Noriaki Yoshida, Takashi Sawase, Izumi Asahina
Increasing numbers of older patients are seeking orthognathic surgery to treat jaw deformity. However, orthodontic and orthognathic surgical treatment is difficult in cases without occlusal vertical stop. A 55-year-old man presented with Class III malocclusion and mandibular protrusion including esthetic problems and posterior bite collapse. He underwent dental implant treatment to reconstruct an occlusal vertical stop before orthognathic surgery. His occlusal function and esthetic problems improved after surgery, and his skeletal and occlusal stability has been maintained for 6 years...
August 2015: Implant Dentistry
António Fernandes Massa, Mercedes Otero-Rivas, Manuel Ángel Rodríguez-Prieto
BACKGROUND: Increasing rates of non-melanoma skin cancer support the use of prosthetic materials for the closure of post-surgical defects with cartilage or bone involvement. The use of allografts, especially titanium, is well established in maxillofacial procedures but is uncommon in dermatologic surgery. METHODS: A 92-year-old man presented with a basal cell carcinoma measuring 2×3 cm on the right cheek. Computed tomography showed infiltration of the anterior maxillary sinus wall...
October 2014: International Journal of Dermatology
Gyu-Un Jung, Eun-Kyoung Pang, Chang-Joo Park
PURPOSE: In the anterior maxilla, hard and soft tissue augmentations are sometimes required to meet esthetic and functional demands. In such cases, primary soft tissue closure after bone grafting procedures is indispensable for a successful outcome. This report describes a simple method for soft tissue coverage of a guided bone regeneration (GBR) site using the double-rotated palatal subepithelial connective tissue graft (RPSCTG) technique for a maxillary anterior defect. METHODS: We present a 60-year-old man with a defect in the anterior maxilla requiring hard and soft tissue augmentations...
June 2014: Journal of Periodontal & Implant Science
Eliana Maria Monteiro Caran, Tatiana Ramires Barone, José Roberto Barone, Nilza Nelly Fontana Lopes, Maria Teresa Seixas Alves, Cristiane Miranda França
This paper describes the surgical correction of ankylosis of the right temporomandibular joint and reconstruction of the middle and lower thirds of the right side of the face in a young man who had undergone treatment for hemangiopericytoma 10 years earlier, which led to serious functional, esthetic, and psychological problems and diminished his quality of life. The results of reconstruction surgery with alloplastic material (Medopor®) and surgical planning with fibrotic tissue due to radiation and the risk of osteoradionecrosis are discussed...
August 2014: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Charinthorn Issarayangkul, Todd R Schoenbaum, Edward A McLaren
A 53-year-old man experienced 2 soft tissue graft failures resulting in sizable hard and soft tissue defects in the esthetic zone following implant placement. A third connective tissue graft surgery was successful in repairing the defect and significantly improving soft tissue quality. A screw-retained, interim implant prosthesis was instrumental in gradually shaping the soft tissue over the course of the 3 surgeries. The interim prosthesis was modified numerous times to achieve a balance of esthetics, surgical protection, and gingival contours...
September 2013: Journal of Prosthetic Dentistry
Marcel Marchiori Farret, Milton M Benitez Farret
We describe a 28-year-old man who sought orthodontic treatment complaining about the esthetics of his smile and difficulties associated with masticatory function. The patient had a straight facial profile, skeletal and dental class III relationship, anterior open bite and posterior crossbite. He refused orthognathic surgery and was therefore treated with camouflage orthodontics supplemented with the placement of one mini-implant in each side of the mandible to facilitate movement of the lower dentition distally, tooth-by-tooth...
September 2013: Journal of Orthodontics
Joonchul Jang, Seong-Ho Jeong, Seung-Kyu Han, Woo-Kyung Kim
Reconstruction of extensive abdominal wall defects is a challenge for reconstructive surgeons. In this report, a case of reconstruction of a large abdominal wall defect using an eccentric perforator-based pedicled anterolateral thigh (ALT) flap is presented. A 30-year-old man presented with recurrent desmoid-type fibromatosis in the abdominal wall. The recurrent tumor was radically excised, and the en bloc excision resulted in a full-thickness, large abdominal wall defect (25 cm × 20 cm). An eccentric perforator-based pedicled ALT flap, including wide fascial extension, was transferred to the abdominal defect; fascial portions were sutured to the remnant abdominal fascia...
September 2013: Microsurgery
Orlando Motohiro Tanaka, Odilon Guariza-Filho, João Luiz Carlini, Dauro Douglas Oliveira, Matheus Mello Pithon, Elisa Souza Camargo
A young man, 19 years of age, with the chief complaint of an anterior open bite, came for orthodontic treatment with a skeletal Class I relationship, anterior open bite, shortened maxillary incisor roots, and relative macroglossia. The malocclusion was treated by extracting the maxillary first premolars and using a fixed edgewise appliance. A partial glossectomy was performed before the orthognathic surgery with a 3-piece segmental LeFort I mandibular setback, and advancement was achieved with a reduction genioplasty...
July 2013: American Journal of Orthodontics and Dentofacial Orthopedics
Maria Giulia Cristofaro, Amerigo Giudice, Massimiliano Amantea, Umberto Riccelli, Mario Giudice
OBJECTIVE: Gardner syndrome (GS) is an autosomal dominant genetic disorder with almost complete penetrance (80%) and variable expression. GS is a variant of familial adenomatous polyposis and characterized by extracolonic manifestations including osteomas and soft tissue tumors (desmoid tumors, epidermoid cysts). We describe clinical and surgical approaches in a family in which the genetic disorder was diagnosed in 3 generations. STUDY DESIGN: The studied family underwent clinical history and instrumental and genomic studies...
March 2013: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Fernando Ugarte y Romano, Adolfo González Serrano
INTRODUCTION: Disturbances in testicular integrity have the potential to cause severe concerns about masculinity, body image, and sexual function. Testicular volume replacement surgery with prosthesis has been known about since 1941, although esthetic procedures for testicular augmentation have not been satisfactory. AIM: To describe an unprecedented testicular augmentation surgical technique that is specially focused on preserving testicular function and providing a favorable esthetic outcome...
October 2013: Journal of Sexual Medicine
Abtin Tabaee, Ameet Kamat, Raj Shrivastava, Daniel Buchbinder
Pneumosinus dilatans (PD) represents a rare lesion of unknown etiology in which progressive enlargement of an air-filled paranasal sinus results in cosmetic and functional complications. The absence of pathologic mucosa has traditionally been considered a hallmark of this disorder. A 24-year-old man presented with 2 years of chronic rhinosinusitis and recurrent, acute episodes of severe forehead pain with worsening outward prominence of the frontal sinus during air travel. Computed tomography and findings at surgery were notable for diffuse nonpolypoid inflammatory changes of the paranasal sinuses, a type III frontal sinus cell, and PD of the frontal sinus with severe deformity and thinning of the anterior table...
January 2012: Journal of Craniofacial Surgery
Suk Joon Oh, Man Kyung Jeon, Sung Hoon Koh
Although free flap transfer is commonly performed to reconstruct facial defects, the submandibular facial artery and vein have historically been considered as adequate recipient vessels for microsurgical reconstruction. If the vascular pedicles of the free flap are short, vein grafts are necessary. The purpose of this study was to determine the indications for and effectiveness of using the nasolabial facial vessels for midfacial reconstruction. A retrospective chart review of 6 patients undergoing microsurgical reconstruction for defects of the face revealed 6 free tissue transfers in which the nasolabial facial artery and vein were considered for use as recipient vessels...
May 2011: Journal of Craniofacial Surgery
In-Ho Jeon, Ivan Micić, Byung-Woo Lee, Seong-Man Lee, Poong-Tak Kim, Predrag Stojiljković
Cubital tunnel syndrome is one of the most frequently occurring compression neuropathy in the upper limb next to carpal tunnel syndrome. Recent minimal invasive technique has prompted us to gain clinical experience with simple in situ decompression with minimal skin incision for idiopathic cubital tunnel syndrome. Sixty six consecutive patients with cubital tunnel syndrome were treated using minimal skin incision technique. The mean age of the patients was 49.7 (range: 15-77) years and average follow up period was 23...
September 2010: Medicinski Pregled
Jing Nie, Jun Ye, Qian-qian Yao, Yi Man, Yuan-yuan Liu, An-chun Mo
OBJECTIVE: Clinical cases of immediate loaded implants were retrospectively analyzed, in the aim of evaluating the clinical value of immediate loading. METHODS: From July 2005 to October 2009, 99 immediate loaded implants were implanted in 29 patients. The overall data including radiography, clinical examination were collected during the follow-up periods ranged from 4 to 46 months. The implants were evaluated with the survival rate, bone resorption, soft tissue esthetics (including gingiva papilla index and pink esthetic score)...
February 2011: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
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