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Orbital malposition in craniofacial deformities
No full textCongenital malpositions of the orbits, eye and adnexa are multiple and varied.They can affect the development of all the cranio-orbitofacial skeleton as well as eyelids, lacrimal ducts, extra ocular muscles.Different type of orbital malposition and a variety of deformities together with the surgical planning will be presented
Parry-Romberg syndrome: Volumetric regeneration by structural fat grafting technique
No full textThe use of adipose tissue transfer for correction of maxillo-facial defects was reported for the first time at the end of the 19th century and has since been the subject of numerous studies. Structural Fat Grafting (SFG) differs from other fat grafting techniques in both the harvesting and placement of the fat. The main indications for SFG are for the restoration and rejuvenation of the face. Recent applications include the correction of localised tissue atrophy, loss of substance due to trauma, post-tumour, congenital complex craniofacial deformities, burns, and hemifacial atrophy. The authors describe a case of a 20-year-old woman with right Parry-Romberg syndrome (PRS) treated over many years with many different surgical reconstructive techniques with poor results. After five SFG (three complete procedures and two minor revisions) over three years, the authors obtained a good aesthetic result with complete patient satisfaction. SFG can be an excellent technique for facial reconstruction and re-contouring, with natural and long-lasting results. © 2010 European Association for Cranio-Maxillo-Facial Surgery
Sviluppo della comunicazione ed evoluzione del rapporto medico-paziente. Ruolo dell'approccio globale e integrato. Esperienza di Ferrara
No full textStructural changes in the practice of medicine are placing pressure on physicians to alter they relations with patients. Most notable among these changes are those brought about by managed-care organizations in this changing enviroment. It is becoming progressively more difficult for doctors to spend the necessary time in face to face patient care if they are also to run their practices efficiently. Spending less time with the patient may seem an efficient business strategy, but doing so poses problems for risk management. Like any relationship, the physician-patient relationship requires time and attention
Frontal linear scleroderma: Long-term result in volumetric restoration of the fronto-orbital area by structural fat grafting
No full textFrontal linear scleroderma (also known as “en coup de sabre”) is a congenital deformity characterized by a linear band of atrophy and a furrow in the skin that occurs in the frontal or frontoparietal area. The authors present a case of a 34-year-old woman with history of en coup de sabre. In different steps, volumetric restoration of the fronto-orbital region has been obtained by structural fat grafting technique. After 3 reconstructive surgeries, morphologic, functional, and aesthetic long-term results have been obtained. © 2012 Lippincott Williams & Wilkins, Inc
Peripheral ameloblastoma: case report
No full textAmeloblastoma is a benign tumour of the odontogenic tissues which may be aggressive in the involved area with a high rate of recurrence if not adequately removed, and represents 1% of all tumours of the mouth, generally appearing in the bones of the jaw. Although it is fairly rare, tumours with such histopathology have been described in the soft tissue and are named peripheral or extraosseus ameloblastoma. Potential cells of origin are ondontogenic residue of the dental lamina, pluripotent cells in the basal layer of the epithelial mucosa, and pluripotent cells of the minor salivary glands. Seven cases of extraosseus ameloblastoma in the extragengival area, unrelated to dental germs, have been described, six of which in the buccal mucosa and one in the mouth floor. We report a case of extraossous, extragengival ameloblastoma which originated in the subzygomatic area
Contouring of the forehead irregularities (washboard effect) with bone biomaterial
No full textCalvarial vault defects may be repaired with autologous bone or alloplastic materials, such as methyl methacrylate, hydroxyapatite, titanium, or porous polyethylene. The criterion standard for repairing small cranial defects is autogenous bone from iliac crest or split calvarial grafts. However, autogenous grafts may result in donor-site morbidity, increased operative time, reabsorption, blood loss, and additional time for recovery. An alloplastic material should have some ideal properties, including easy adaptation, biocompatibility, which permit ingrowth of new tissue, stability of shape, and low rate of reabsorption. An implant in this area should be easily shaped and positioned, allowing an easy tissue in growth.The authors report the case of a 50-year-old man with a deformity of the frontal region as a result of a frontonaso-orbitoethmoidal fracture after reduction and fixation of the fractures and right frontal sinus cranialization with frontal craniotomy via coronal approach. The deformity caused the typical aspect (washboard effect). Correction and reconstruction were performed by using Cerament (Bonesupport AB, Lund, Sweden), alloplastic biphasic material, composed of 60% α-hemihydrate of calcium sulfate and 40% hydroxyapatite. Four years after the surgery, the patient had recovered with satisfactory morphology of the forehead as well as disappearance of the frowning look in the frontal region. Copyright © 2012 by Mutaz B. Habal, MD
Lymphangioma of the tongue. A case report
No full textA case of macroglossia due to lymphangioma is reported. This rare pathology is characterized by slow-growth. When huge dimensions are reached, clinical symptoms are represented by dysphagia, breathing distress, difficulty in chewing and speaking and the appearance of inflammatory processes in the exposed part of tongue. The Authors describe the surgical strategy performed in the reported case
CORONOID HYPERPLASIA IN THE PAEDIATRIC AGE GROUP
No full textCoronoid process enlargement may be unilateral
or bilateral. Bilateral hyperplasia of the coronoid
process of the mandible is defined as an abnormal elongation
of the coronoid process, formed of histologically
normal bone.
The main clinical finding is a progressive, painless difficulty
in opening the mouth, due to contact with the temporal
surface of the zygomatic bone or medial surface of the
zygomatic arch.
The aetiology of the complaint is unknown, although
several theories have been postulated, including hyperactivity
of the temporal muscle, causing reactive elongation
of the coronoid process, dysfunction of the temporomandibular
joint caused by chronic disc displacement, which
would be related with cases of unilateral hyperplasia and
is mentioned as one of the causes of Jacob’s disease,
endocrine stimuli, traumatism and even genetic and family
factors
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