keyword
https://read.qxmd.com/read/36193796/the-use-of-vertical-postero-medial-thigh-flap-as-lymphatic-flow-through-flap-for-upper-thigh-defect-reconstruction-and-lymphatic-sequelae-prevention-in-sarcoma-surgery-a-case-report
#21
Sara Calabrese, Matteo Meroni, Mario F Scaglioni
Among the various histologic subpopulations of soft tissue sarcomas, undifferentiated pleomorphic sarcoma (UPS) is one of the most common subtypes in the adult population. Radical surgery remains the primary treatment for UPS, associated with postsurgical radiotherapy or chemotherapy. We herein report the case of a 65-year-old man presenting a recurrent UPS in his right upper thigh region. The patient received radical resection of the tumor and the remaining defect measured ~22 cm × 18 cm. A soft tissue functional reconstruction with lymphatic-flow-through pedicled postero-medial thigh flap (PMT) was planned...
October 4, 2022: Microsurgery
https://read.qxmd.com/read/36051811/morpho-functional-restoration-of-an-element-in-esthetic-area-through-modified-intentional-replantation-a-case-report-with-16-months-follow-up
#22
Luigi Tagliatesta, Thomas Gaglione, Matteo Arcari, Alessandro Luigi Rossi
This study aims to evaluate the success of the morpho-functional restoration of a tooth with subgingival carious lesion using the modified replantation technique, which entails the rotation of the element of 180° on its axis. This study has a follow-up of 16 months. A 68-year-old man comes to rehabilitate the esthetic and the functionality of element 1.2, affected by destructive carious process extended below the gingival margin. At the clinical and radiological examination, the possibility of a conservative approach is excluded due to the total lack of healthy dental tissue to construct the ferula...
May 2022: National Journal of Maxillofacial Surgery
https://read.qxmd.com/read/35965894/facial-laceration-a-fight-against-a-bite
#23
Tanvi E Malankar, Sonal B Shah, Aishwarya A Gangawane
Background: Facial bite injuries can cause functional, emotional, and psychological distress to the victim. Dog bites are the most commonest injuries of all mammalian bites. We as oral and maxillofacial surgeons have reported a case of 75-year-old man with a dog bite injury on his face. Step-wise management of the wound and required anti-rabies therapy has been discussed. Materials and Methods: The patient was immediately given anti-rabies prophylaxis and thorough debridement of the wound was done with various antiseptic solutions...
April 2022: Journal of Cutaneous and Aesthetic Surgery
https://read.qxmd.com/read/35949032/earlobe-reconstruction-using-two-opposed-periauricular-dermal-pedicled-flap
#24
JOURNAL ARTICLE
Hyeong Rae Ryu, Da Woon Lee, Jun Hyuk Kim
There are several flap techniques of earlobe reconstruction. The ideal method should be a 1-stage procedure that is simple, has fewer complications, and has excellent esthetic outcomes with a proper earlobe texture and volume. We report a case of a 45-year-old man presented with skin and soft tissue defect of right ear lobule. He underwent composite graft using 2×1 cm sized stump. Two weeks later, total necrosis of graft site was observed. After that, he underwent 2 opposed periauricular dermal pedicled flap...
August 11, 2022: Journal of Craniofacial Surgery
https://read.qxmd.com/read/35949019/restoration-of-lower-facial-and-neck-esthetics-by-application-of-pre-expanded-bipedicle-scalp-and-free-scapular-flaps
#25
JOURNAL ARTICLE
Jiaomiao Pei, Juan Zhang, Yang Li, Chaohua Liu, Baoqiang Song
OBJECTIVE: To introduce the surgical procedures and experiences in restoration of lower facial esthetics for a male and a female patients who suffered from burn injuries. The difference of surgical methods which varied from sexes were discussed. MATERIALS AND METHODS: The clinical data of the patients was collected and retrospectively analyzed. The cervical contracture was repaired by pre-expanded free scapular flaps with sufficient pliable tissue for large defects...
August 11, 2022: Journal of Craniofacial Surgery
https://read.qxmd.com/read/35905385/paranasal-augmentation-a-viable-and-simplified-modality-with-diced-expanded-polytetrafluoroethylene
#26
JOURNAL ARTICLE
Zhen Zhai, Jun Zhao, Zuoliang Qi
A flat or concave lower midface profile is generally considered less attractive. Paranasal augmentation is usually performed to move paranasal deficiency to relative convexity. Herein, we present a viable and simplified modality with diced expanded polytetrafluoroethylene to correct paranasal deficiency. Between February of 2020 and April of 2021, 19 patients underwent procedures to correct paranasal deficiency. Paranasal augmentation was performed with diced expanded polytetrafluoroethylene. All procedures were performed via intranasal approach...
July 28, 2022: Journal of Craniofacial Surgery
https://read.qxmd.com/read/35902896/bilateral-reconstruction-of-the-mandibular-body-with-symphyseal-preservation-using-a-single-fibula-free-flap-operative-technique
#27
JOURNAL ARTICLE
Riccardo Nocini, Vittorio Favero, Luigi Chiarini, Pier Francesco Nocini
BACKGROUND: Mandibular osteonecrosis may occur in 5% of the patients who undergo radiotherapy for the treatment of head and neck malignancies. Resection and microvascular reconstruction is the treatment of choice in complicated osteoradionecrosis, however multifocal presentation may complicate the management of the disease given the poor quality and limited availability of adequate recipient vessels. OPERATIVE TECHNIQUE: A 74-year-old man affected by multifocal severe osteoradionecrosis of the mandible underwent bilateral resection of the mandibular bodies while preserving the symphysis...
July 28, 2022: Journal of Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/35832145/reverse-facial-submental-artery-island-flap-with-reinnervation-of-the-anterior-belly-of-the-digastric-muscle
#28
JOURNAL ARTICLE
Hisashi Sakuma, Masashi Takemaru
Reconstruction of the upper lateral lip subunit is challenging, and use of several classical local flaps have been previously reported. However, these methods have drawbacks such as visible scarring, anatomic distortion, and functional disability. To obtain satisfactory results, preservation of perioral function is important. We report a case of functional upper lip reconstruction after tumor resection using a reverse facial-submental artery island flap with a reinnervated anterior belly of the digastric muscle (ABDM) without sacrificing the perioral structure...
May 2022: Archives of Plastic Surgery
https://read.qxmd.com/read/35383340/male-esthetic-genital-surgery-recommendations-and-gaps-to-be-filled
#29
REVIEW
Carlo Bettocchi, Andrea Alberto Checchia, Ugo Giovanni Falagario, Anna Ricapito, Gian Maria Busetto, Luigi Cormio, Giuseppe Carrieri
The reason behind the spread of penis enlargement practices over time is rooted in the virility that the appearance of the genitals can give a man, as well as an altered perception of his own body. The approach should be to modulate the interventions on the real needs of patients, carefully evaluating the history, the psychological picture, and possible surgical advantages. The aim of this study was to shed light on cosmetic surgery of male genitalia through minimally invasive and more radical techniques, with the purpose of laying the foundation for possible indications and recommendations for the future...
May 2022: International Journal of Impotence Research
https://read.qxmd.com/read/34761289/influence-of-irradiation-on-capsules-of-silicone-implants-covered-with-acellular-dermal-matrix-in-mice
#30
JOURNAL ARTICLE
Joon Seok Lee, Jung Ho Lee, Jeong Yeop Ryu, Shin-Hyung Park, Ji-Young Park, Man-Hoon Han, Jeeyeon Lee, Ho Yong Park, Jung Dug Yang
BACKGROUND: In advanced breast cancer, radiotherapy is recommended as adjuvant therapy following breast reconstructive surgery. This inevitably led to growing concerns over possible complications of radiotherapy on implants. In this experimental animal study, we investigated the utility of acellular dermal matrix (ADM) wraps around implants as preventive management for radiotherapy complications. METHODS: Black mice (C57NL6; n = 32) were assigned to groups that either received radiation or did not: groups A and B underwent surgery using implants without radiotherapy; while groups C and D underwent surgery using implants with radiotherapy for one and three months, respectively...
November 10, 2021: Aesthetic Plastic Surgery
https://read.qxmd.com/read/34727483/anterior-nasal-spine-relocation-with-cleft-orthognathic-surgery
#31
JOURNAL ARTICLE
Jong Woo Choi, Hojin Park, Soon-Man Kwon, Kyung S Koh
BACKGROUND: In unilateral cleft nasal deformity, the skeletal, and cartilaginous framework of nose is deformed. The anterior nasal spine (ANS) is usually displaced to the non-cleft-side. In cleft orthognathic surgery, ANS relocation can help correct the deviated ANS and nasal septum and might lead to an improved esthetic and functional outcome. METHODS: Patients with unilateral cleft lip who underwent two-jaw orthognathic surgery between July 2016 and July 2020 were reviewed retrospectively...
November 2021: Journal of Craniofacial Surgery
https://read.qxmd.com/read/34669538/a-giant-epidermal-nevus-of-the-face-treated-with-a-co-2-and-dye-laser-combination-a-case-report-and-literature-review
#32
REVIEW
Mario Sannino, Azzurra Gaia Ambrosio, Giuseppe Lodi, Giovanni Cannarozzo, Luigi Bennardo, Steven Paul Nisticò
Epidermal nevi (EN) are cutaneous hamartomas present at birth, usually occurs in the trunk, the face, or the limbs, appearing as a patch of overgrowing skin. They may be small and localized, but they may interest extensive areas of the body. A 20 years old man came to our attention for an EN interesting all the face. The treatment protocol consisted of a session of CO2 laser in order to vaporize thicker areas, followed by a session of dye laser on the area to prevent scarring. This treatment was performed under local anesthesia and sedation in three surgical sessions spaced 3 months from each other...
May 19, 2021: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://read.qxmd.com/read/34382125/a-segmental-osteotomy-with-3d-virtual-planning-to-move-a-malpositioned-dental-implant
#33
JOURNAL ARTICLE
Dario Andrés Bastidas, Lina Roldan, Pamela Ramirez, Andrés Munera
BACKGROUND: Correct positioning and alignment of dental implants are crucial to successfully meet the aesthetic and functional criteria in implant-prosthetic rehabilitation. When an implant is in the wrong position, especially in the esthetical zone, there are limited options to solve it. Some techniques have been described to reposition implants, such as reverse torque, trephine drills, and segmental osteotomies; current approaches aim to reduce the damage of the periimplant tissues...
August 12, 2021: International Journal of Implant Dentistry
https://read.qxmd.com/read/34101654/corrective-surgery-for-a-forearm-deformity-in-a-middle-aged-patient-with-multiple-hereditary-exostoses-a-case-report
#34
JOURNAL ARTICLE
Daiki Usui, Shingo Komura, Akihiro Hirakawa, Katsuhiro Ichikawa, Kazu Matsumoto, Haruhiko Akiyama
CASE: A 48-year-old man underwent corrective surgery for a deformity of the left forearm because of multiple hereditary exostoses (MHE). The patient had no complaint of pain, the appearance of his forearm improved, and acceptable range of motion of the wrist and forearm were maintained at 14-month follow-up. CONCLUSION: The esthetic forearm deformity in the middle-aged patient with MHE was successfully improved without sacrificing function. Although there is little evidence of forearm corrective surgeries for adult patients with MHE, this report could expand surgical indications for them...
June 8, 2021: JBJS Case Connector
https://read.qxmd.com/read/33958895/effects-of-9-300-nm-carbon-dioxide-laser-on-dental-hard-tissue-a-concise-review
#35
REVIEW
Vicky Wenqing Xue, Irene Shuping Zhao, Iris Xiaoxue Yin, John Yun Niu, Edward Chin Man Lo, Chun Hung Chu
A carbon dioxide laser at 9,300 nm has a high absorption affinity for water and a shallow depth of penetration. It can be used for soft tissue surgery and hemostasis. Besides, it matches well with the absorption characteristic of hydroxyapatite in enamel and dentine. Therefore, the laser possesses a great ability for energy transfer to dental hard tissues. It has a low risk of thermo-damage to the dentine-pulp complex because it has a shallow depth of heat absorption. Hence, the laser is safe for dental hard tissue preparation...
2021: Clinical, Cosmetic and Investigational Dentistry
https://read.qxmd.com/read/33661216/surgical-lymphoedema-treatment-of-morbihan-disease-a-case-report
#36
JOURNAL ARTICLE
Yoshitsugu Hattori, Haruko Hino, Atsushi Niu
Morbihan disease is a rare condition characterized by persistent erythema and solid edema of the upper two thirds of the face, leading to visual impairment and significant esthetic disfigurement. The underlying etiology of the disease remains uncertain, but its correlation with lymphoedema has been conjectured. Definitive treatment options are also lacking, and most current topical, systemic, and surgical interventions provide transient or partial results.In this report, we describe a case of Morbihan disease in a 32-year-old man...
May 1, 2021: Annals of Plastic Surgery
https://read.qxmd.com/read/33642746/therapeutic-effects-of-diode-laser-on-vascular-epulis-in-esthetic-area
#37
Tie-Lou Chen, Xiao-Man Wang, Xin-Hai Zhang, Jun Chen, Jin Liu
Vascular epulis is a rare clinical disease. In our study, a case of vascular epulis in the cosmetic area was treated by diode laser, without recurrence and obvious inflammation in the surgical site 5 years after surgery. This case report indicates that the excision of vascular epulis in the cosmetic area of the anterior teeth by diode laser could be an alternatively safe and complementary approach in lieu of conventional surgery.
January 2021: Journal of Indian Society of Periodontology
https://read.qxmd.com/read/33306643/elongated-styloid-process-with-skeletal-mandibular-protrusion
#38
JOURNAL ARTICLE
Takahiro Shimizu, Satoshi Yokoo, Yu Takayama, Atsushi Musha, Masaru Ogawa, Takaya Makiguchi
An elongated styloid process (ESP) causes symptoms such as pharyngeal pain, swallowing pain, and discomfort during mouth opening. The main treatment is surgical resection of the ESP. The authors present a case of ESP with skeletal mandibular protrusion. Because mandibular setback by sagittal splitting ramus osteotomy (SSRO) may lead to deterioration of symptoms of ESP, resection of ESP and bilateral SSRO were performed simultaneously. The patient was a 50-year-old man who visited our department with chief complaints of mandibular protrusion and pain in the left pharynx on mouth opening and swallowing...
December 9, 2020: Journal of Craniofacial Surgery
https://read.qxmd.com/read/33204169/distal-extension-denture-case-report-and-overview
#39
Conson Yeung, Katherine Chiu Man Leung, Ollie Yiru Yu, Walter Yu Hang Lam, Amy Wai Yee Wong, Chun Hung Chu
Replacing missing teeth distal to the last standing teeth with removable partial dentures poses considerable challenge to dentists. However, the insertion of implants turns a free-end saddle into a bounded saddle. Still, patients may not be able to accept implant insertions due to financial reasons, systemic medical conditions, local anatomical factors or complicated treatments involving surgery. Hence, patients with missing teeth often prefer to use removable partial dentures to improve their dental aesthetics and to restore their oral function...
2020: Clinical, Cosmetic and Investigational Dentistry
https://read.qxmd.com/read/32577415/treatment-of-anterior-open-bite-by-posterior-maxillary-segmental-osteotomy-and-miniplates-a-case-report
#40
Sung-Kwon Choi, Kyung-Hwan Kwon
Background: Anterior open bite is a challenging malocclusion to correct orthodontic treatment. Anterior open bite associated with over-erupted posterior teeth and long lower facial height should be treated by reduction of posterior dimension for esthetic results. Although the possibility of orthodontic treatment of an anterior open bite has increased with the introduction of skeletal anchorage, there are still cases requiring surgery for various reasons. Case presentation: This case report covers an anterior open bite of a 25-year-old man successfully treated with the posterior maxillary segmental osteotomy (PMSO) and miniplates...
December 2020: Maxillofacial Plastic and Reconstructive Surgery
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