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Soft tissue augmentation

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https://www.readbyqxmd.com/read/28441542/reattachment-using-the-suture-bridge-augmentation-for-achilles-tendon-avulsion-fracture-with-osteoporotic-bony-fragment
#1
Byung-Ki Cho, Ji-Kang Park, Seung-Myung Choi
Although avulsion fractures of the calcaneal tuberosity are rare injuries, these can be a challenging problem with frequent complications, such as loss of reduction and soft tissue problem. Anatomical reduction and internal fixation are indicated to avoid these pitfalls and to restore function of the triceps surae. However, the best fixation device and operative technique are still controversial. A case that achieved satisfactory clinical outcome through a reattachment technique using the suture bridge augmentation for Achilles tendon avulsion fracture with osteoporotic bony fragment is presented...
April 15, 2017: Foot
https://www.readbyqxmd.com/read/28429472/transoral-orthodromic-temporalis-muscle-transfer-technique-for-the-paralysed-midface-our-learning-curve-experience-from-the-first-10-cases
#2
Lepa Lazarova, Tristram H Lesser, Samuel C Leong
Sir Harold Gillies first described rotating a band of temporalis muscle over the zygoma where the muscle sling was augmented with strips of fascia lata to rehabilitate facial paralysis (1) . McLaughlin later modified this technique in the 1950s without inversion of the temporal muscle but in an orthodromic manner thus avoiding the soft tissue fullness over the zygomatic arch area and depression of the donor site (2) . Although several refinements of this technique have been described, all required skin incisions on the face until a transoral technique was described recently by this clinical group (3) ...
April 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28429394/immediate-implant-placement-and-restoration-in-the-anterior-maxilla-tissue-dimensional-changes-after-2-5-year-follow-up
#3
Himanshu Arora, Nabil Khzam, David Roberts, William L Bruce, Saso Ivanovski
BACKGROUND: Immediate implant placement followed by an immediate restoration has proven to be a viable technique in the anterior maxillary region. PURPOSE: This prospective study evaluated the mid-long term (2-5 years) tissue changes around immediately placed and restored implants in the anterior maxilla using flapless surgery and simultaneous hard tissue augmentation. MATERIALS AND METHODS: Thirty AstraTech implants were immediately placed in 30 patients, followed by the delivery of an immediate provisional restoration on the same day...
April 21, 2017: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/28423354/cd54-rabbit-adipose-derived-stem-cells-overexpressing-hif-1%C3%AE-facilitate-vascularized-fat-flap-regeneration
#4
De-Quan Li, Guan-Ming Lu, Yi-Dan Liang, Zhi-Jie Liang, Min-Hong Huang, Qi-Liu Peng, Dong-Hua Zou, Rong-He Gu, Fang-Tian Xu, Hui Gao, Zhen-Dong Chen, Guang-Yi Chi, Zhong-Heng Wei, Li Chen, Hong-Mian Li
Fat flap transplantation is frequently performed in patients suffering from soft tissue defects resulting from disease or trauma. This study explored the feasibility of constructing vascularized fat flaps using rabbit adipose-derived stem cells (rASCs) and collagen scaffolds in a rabbit model. We evaluated rASCs proliferation, paracrine function, adipogenesis, vascularization, and CD54 expression, with or without HIF-1α transfection in vitro and in vivo. We observed that adipogenic differentiation potential was greater in rASCs with high CD54 expression (CD54+rASCs) than in those with low expression (CD54-rASCs), both in vitro and in vivo...
April 1, 2017: Oncotarget
https://www.readbyqxmd.com/read/28411136/augmentation-of-keratinized-gingiva-around-dental-implants
#5
K Jamila, E K Wafa, L Younes, E F Mohamed
To date, there is no general consensus with respect to the amount of soft-tissue volume needed for esthetic and functional purposes on the buccal aspect of dental implants. Numerous studies have investigated the relationship between the width of keratinized mucosa and the health of peri-implant tissues. Our purpose was to discuss about the necessity of keratinized tissue to maintain the peri-implant health and to report clinical efficacy of different techniques used to increase the keratinized tissue around dental implants...
April 11, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28402351/dimensional-evaluation-of-different-ridge-preservation-techniques-a-randomized-clinical-study
#6
Stefan Fickl, Kai Fischer, Nicole Petersen, Arndt Happe, Markus Schlee, Ulrich Schlagenhauf, Moritz Kebschull
The objective of this study was to quantitatively determine ridge contour changes after different alveolar ridge preservation techniques. An initial total of 40 patients provided a final total of 35 single-gap extraction sites. After tooth removal, the socket was subjected to one of four treatment modalities: placement of a deproteinized bovine bone mineral (DBBM; Endobon) covered with a soft tissue punch from the palate (Tx1); placement of DBBM without soft tissue punch (Tx2); placement of an adsorbable collagen membrane (Osseoguard) covering the DBBM (Tx3); and no additional treatment (control)...
May 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28402345/mandibular-regional-anatomical-landmarks-and-clinical-implications-for-ridge-augmentation
#7
Istvan A Urban, Alberto Monje, Hom-Lay Wang, Jaime Lozada, Gabor Gerber, Gabor Baksa
Mandibular ridge augmentation via guided bone regeneration in the atrophic mandible is considered one of the most challenging scenarios for implant-supported oral rehabilitation. Uneventful wound healing has clearly demonstrated its impact on the final regenerative outcome. Soft tissue management must be precise and adequate to attain flap-free wound closure. Accordingly, it demands exhaustive insight and expertise to avoid damaging the neighboring structures. The cadaver study described herein discusses the mandibular morphologic landmarks (ie, musculature, vascularization, innervation, and salivary glands) necessary to safely perform regenerative procedures in the atrophic mandibular ridge, such as vertical ridge augmentation and dental implant surgery...
May 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28402343/use-of-allograft-with-platelet-concentrate-in-the-treatment-of-multiple-miller-class-iii-gingival-recession-defects-report-of-three-cases
#8
Yumi Ogata, Minh Bui, Terrence J Griffin, Yong Hur
Three patients with multiple Miller Class III recession defects with substantial bone loss were treated with hard tissue augmentation with the goal to prevent future recessions. The surgery involved a full-thickness mucoperiosteal coronally advanced flap, bone grafting, and primary flap closure. Freeze-dried bone allograft (FDBA) in combination with plasma rich in growth factors (PRGF) was grafted during the procedure. After more than 6 months, the treated sites showed soft tissue maturation and esthetic tissue blending...
May 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28401197/platelet-rich-fibrin-prf-in-implants-dentistry-in-combination-with-new-bone-regenerative-flapless-technique-evolution-of-the-technique-and-final-results
#9
Antonio Cortese, Giuseppe Pantaleo, Massimo Amato, Candace M Howard, Lorenzo Pedicini, Pier Paolo Claudio
Most common techniques for alveolar bone augmentation are guided bone regeneration (GBR) and autologous bone grafting. GBR studies demonstrated long-term reabsorption using heterologous bone graft. A general consensus has been achieved in implant surgery for a minimal amount of 2 mm of healthy bone around the implant. A current height loss of about 3-4 mm will result in proper deeper implant insertion when alveolar bone expansion is not planned because of the dome shape of the alveolar crest. To manage this situation a split crest technique has been proposed for alveolar bone expansion and the implants' insertion in one stage surgery...
January 2017: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/28397293/the-role-of-fillers-in-the-management-of-acne-scars
#10
REVIEW
E Forbat, F R Ali, F Al-Niaimi
Acne scars are present in 95% of patients with acne, and can cause profound psychosocial morbidity. Fillers are commonly used for facial soft tissue augmentation, and there is increasing interest in their use for the treatment of acne scars, particularly for the atrophic subtype. We review the evidence for the use of temporary, semi-permanent and permanent fillers for acne scars. The use of permanent methylmethacrylate fillers for acne scarring is supported by a randomized controlled trial, and is approved by the United States Food and Drug Administration...
April 10, 2017: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/28388799/dorsal-augmentation-using-autologous-costal-cartilage-or-microfat-infused-soft-tissue-augmentation
#11
Dean M Toriumi
Costal cartilage grafting is increasing in popularity with increased demand for augmentation rhinoplasty and increased need for grafting material for structure rhinoplasty techniques. Use of costal cartilage for dorsal grafting is both art and science. The art is demonstrated in the act of carving a dorsal graft that will reflect the actual contour of the nasal dorsum. The science is linked to the methodology of how the grafts are contoured to match the patient's desires and how the graft is fixed to the bony dorsum to minimize the risk of warping and displacement...
April 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28385944/the-stability-of-the-hip-after-the-use-of-a-proximal-femoral-endoprosthesis-for-oncological-indications-analysis-of-variables-relating-to-the-patient-and-the-surgical-technique
#12
E R Henderson, B J Keeney, E Pala, P T Funovics, W C Eward, J S Groundland, L K Ehrlichman, S S E Puchner, B E Brigman, J E Ready, H T Temple, P Ruggieri, R Windhager, G D Letson, F J Hornicek
AIMS: Instability of the hip is the most common mode of failure after reconstruction with a proximal femoral arthroplasty (PFA) using an endoprosthesis after excision of a tumour. Small studies report improved stability with capsular repair of the hip and other techniques, but these have not been investigated in a large series of patients. The aim of this study was to evaluate variables associated with the patient and the operation that affect post-operative stability. We hypothesised an association between capsular repair and stability...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28378530/guided-bone-regeneration-with-particulate-vs-block-xenogenic-bone-substitutes-a-pilot-cone-beam-computed-tomographic-investigation
#13
Goran I Benic, Daniel S Thoma, Ronald E Jung, Ignacio M Sanz, Silvan Unger, Antonio Cantalapiedra, Christoph H F Hämmerle
AIM: To test whether an equine bone substitute block used for guided bone regeneration (GBR) of peri-implant defects differs from bovine block or particulate bone substitutes regarding the hard and soft tissue contours of the augmented ridge. MATERIAL & METHODS: Two semi-saddle bone defects were prepared in each side of the mandible of eight dogs, and one titanium implant was inserted into every defect. The defects were randomly allocated to receive one of the following treatments: bone augmentation by GBR using (1) particulate deproteinized bovine bone mineral (DBBM) + a collagen membrane (CM), (2) block DBBM + CM, (3) equine bone substitute block + CM, and (4) empty controls...
April 4, 2017: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/28372485/a-review-of-cell-based-strategies-for-soft-tissue-reconstruction
#14
Elizabeth A Brett, Natalie Chung, Tripp Leavitt, Arash Momeni, Michael T Longaker, Derrick C Wan
Soft tissue reconstruction to restore volume to damaged or deficient tissue beneath the skin remains a challenging endeavor. Current techniques are centered around autologous fat transfer, or the use of synthetic substitutes, however a great deal of scientific inquiry has been made into both the molecular mechanisms involved in, as well as limitations of, de novo adipogenesis, i.e. the formation of new adipose tissue from precursor cells. To best comprehend these mechanisms, an understanding of defined markers for adipogenic differentiation, as well as knowledge of both commercially available and primary cell lines that enable in vitro and in vivo studies is necessary...
April 3, 2017: Tissue Engineering. Part B, Reviews
https://www.readbyqxmd.com/read/28370489/volumetric-changes-and-peri-implant-health-at-implant-sites-with-or-without-soft-tissue-grafting-in-the-esthetic-zone-a-retrospective-case-control-study-with-a-5-year-follow-up
#15
Stefan P Bienz, Ronald E Jung, Vitor M Sapata, Christoph H F Hämmerle, Jürg Hüsler, Daniel S Thoma
OBJECTIVES: To evaluate the volumetric changes and peri-implant health at implant sites with and without previous soft tissue grafting over a 5-year observation period. MATERIAL AND METHODS: In 18 partially edentulous patients, dental implants were placed in the esthetic zone (15-25) with simultaneous guided bone regeneration, followed by submerged healing. During the healing phase, eight patients (test) received a subepithelial connective tissue graft, whereas 10 patients (control) did not receive any soft tissue augmentation...
March 29, 2017: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/28368132/minimally-invasive-single-implant-treatment-in-the-esthetic-zone
#16
David E Azar
Clinicians face significant challenges when placing single-tooth, implant-supported restorations in the esthetic zone. Understanding myriad factors, such as smile design, patient expectations, and hard- and soft-tissue responses, plays a vital role in achieving a predicable outcome. This article presents a case report demonstrating a minimally invasive approach, which combined immediate implant placement, hard- and softtissue augmentation, and immediate provisionalization in 1 visit.
April 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28361377/alveolar-ridge-preservation-with-autologous-particulated-dentin-a-case-series
#17
Silvio Valdec, Pavla Pasic, Alex Soltermann, Daniel Thoma, Bernd Stadlinger, Martin Rücker
INTRODUCTION: Ridge preservation can be performed with autologous bone, alloplastic bone substitute material or a combination of both. Dentin is similar to bone in its chemical composition. In its use as bone substitute material, it undergoes a remodelling process and transforms to bone. The presented case report introduces a technique in which the extraction socket is augmented with autologous, particulated dentin. MATERIAL AND METHODS: The fractured, non-savable mesial incisor of the upper jaw was carefully extracted in axial direction...
December 2017: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/28353194/impact-of-maxillary-sinus-augmentation-on-oral-health-related-quality-of-life
#18
E Schiegnitz, P W Kämmerer, K Sagheb, A J Wendt, A Pabst, B Al-Nawas, M O Klein
BACKGROUND: The aim of this study was to measure the oral health-related quality of life (OHRQoL) after maxillary sinus augmentation to determine the physical and psychological impact of this procedure for the patient. METHODS: Three hundred sixteen patients treated with an external or internal maxillary sinus augmentation and a total of 863 implants in the Department of Oral and Maxillofacial Surgery, Johannes Gutenberg University, Mainz, Germany, between July 2002 and December 2007 were included in this retrospective study...
December 2017: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/28352355/image-guided-minimally-invasive-percutaneous-treatment-of-spinal-metastasis
#19
Ping-Lin Yang, Xi-Jing He, Hao-Peng Li, Quan-Jin Zang, Guo-Yu Wang
In order to provide effective options for minimally invasive treatment of spinal metastases, the present study retrospectively evaluated the efficacy and safety of image-guided minimally invasive percutaneous treatment of spinal metastases. Image-guided percutaneous vertebral body enhancement, radiofrequency ablation (RFA) and tumor debulking combined with other methods to strengthen the vertebrae were applied dependent on the indications. Percutaneous vertebroplasty (PVP) was used when vertebral body destruction was simple...
February 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28341954/reversible-alopecia-with-localized-scalp-necrosis-after-accidental-embolization-of-the-parietal-artery-with-hyaluronic-acid
#20
Qing Yang, Lihong Qiu, Chenggang Yi, Ping Xue, Zhou Yu, Xianjie Ma, Yingjun Su, Shuzhong Guo
Hyaluronic acid (HA) filler injection is widely used for soft-tissue augmentation. Complications associated with HA filling are not uncommon; however, HA-induced alopecia is a rarely reported complication that could result in severe secondary psychological trauma. The etiology, clinical traits, treatment strategies, outcomes, and possible reversibility of HA-induced alopecia have not been characterized. Here, we report a case in which bilateral temple injections of 6.5 mL of HA led to persistent pain over the left scalp for several days...
March 24, 2017: Aesthetic Plastic Surgery
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