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Man esthetic surgery

Cory M Resnick, Kimberly M Daniels, Maryann Vlahos
OBJECTIVE: Cephalometric analyses have limited utility in planning maxillary sagittal position for orthognathic surgery. In Six Elements of Orofacial Harmony, Andrews quantified maxillary position relative to forehead projection and angulation and proposed an ideal relationship. The purpose of this study was to investigate the ability of this technique to predict esthetic sagittal maxillary position. STUDY DESIGN: Survey study including a male and female with straight facial profiles, normal maxillary incisor angulations, and Angle's Class I...
April 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Masaaki Karino, Takahiro Kanno, Ichiro Kaneko, Taichi Ide, Aya Yoshino, Joji Sekine
We usually perform surgery for resectable oral and maxillofacial carcinomas. Following complete cancer resection, reconstruction of soft and hard tissues using various types of local flaps and/or vascularized free flaps is usually performed. The maxilla is composed of various anatomical structures. In particular, reconstruction of the orbit is one of the most important and challenging procedures for prevention of functional and esthetic complications. Here we report 2 cases of orbital floor defect reconstruction following advanced maxillary cancer resection using a pedicled coronoid process and temporal muscle (fascial)combined(PCPTM)flap...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Vanessa Paredes-Gallardo, Verónica García-Sanz, Carlos Bellot-Arcís
This article describes the complex dental treatment of a 43-year-old man with skeletal Class II, mandibular asymmetry, severe brachyfacial pattern, Class II Division 2, canting of the occlusal plane, and an increased curve of Spee. To achieve optimal results, we adopted a multidisciplinary approach to treatment, involving periodontics, oral surgery, orthodontics, maxillofacial surgery, and prosthetics specialists. After periodontal treatment, miniscrews were placed to correct the occlusal plane canting and the excessive curve of Spee with orthodontic treatment...
November 2017: American Journal of Orthodontics and Dentofacial Orthopedics
Amanda Lúcio do Ó Silva, Isabella Jardelino Dias, Rafael Grotta Grempel, Hécio Henrique Araújo de Morais, Nadja Maria da Silva Oliveira Brito, Daliana Queiroga de Castro Gomes
INTRODUCTION: Zygomatic-orbital complex fractures are the most common facial traumas that can result in severe esthetic and functional sequelae. Surgical correction of these fractures is a delicate approach and prototyping is an excellent tool to facilitate this procedure. PRESENTATION OF CASE: A 27-year-old man, a motorcycle accident victim, was hospitalized in the intensive care unit for 30days. After this period, facial fractures were treated surgically, leaving sequelae such as enophthalmos, dystopia and loss of projection of the zygomatic arch...
2017: International Journal of Surgery Case Reports
Junli Ma, Limin Ma, Zhifa Wang, Xiongjie Zhu, Weijian Wang
RATIONALE: Precise bony reduction and reconstruction of optimal contour in treating comminuted mandibular fractures is very difficult using traditional techniques and devices. The aim of this report is to introduce our experiences in using virtual surgery and three-dimensional (3D) printing technique in treating this clinical challenge. PATIENT CONCERNS: A 26-year-old man presented with severe trauma in the maxillofacial area due to fall from height. DIAGNOSIS: Computed tomography images revealed middle face fractures and comminuted mandibular fracture including bilateral condyles...
July 2017: Medicine (Baltimore)
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
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