1,721,154 research outputs found

    The use of silicone aheet to improve buccal fat pad healing in palatal reconstruction

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    Summary The author presents a new method involving the use of a silicone sheet to achieve an improved, faster healing of pedicled buccal fat pad flaps used in palatal reconstructions. This method was applied in 3 patients with excellent final results. The procedure is quick and easy to implement, and it efficiently improves the healing of buccal fat pad used in palatal reconstruction surgery

    Minimally Invasive Surgery: Endoscopic Removal of a Bullet from the Orbital Apex

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    I present an endoscopic approach to removal of a bullet from the orbital apex in an attempted suicide, emphasising the importance of fast, minimally invasive surgery, performing endoscopy through the bullet entrance hole, to prevent major complications and to ensure a speedy recovery

    Distraction osteogenesis: a method to improve facial balance in asymmetric patients

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    Abstract: Distraction osteogenesis is a well-established surgical procedure to elongate the maxillofacial skeleton. The authors propose a new method to balance facial asymmetry by means of distraction of the inferior borders of the mandible, without change of the occlusion, using an alveolar device. Nine patients with asymmetry were treated. Records included panoramic radiographs and computed tomographic scans. Preoperatively, stereolithographic models and virtual-reality surgery were performed to have a precise surgical planning. The surgical procedure was based on segmental inferior osteotomy and simultaneous positioning of the alveolar device upside-down. Postoperative clinical evaluation demonstrated that a very impressive elongation of the inferior bony border with simultaneous expansion of the soft tissues had been achieved, resulting in a satisfying facial balance. The postdistraction radiographs showed the ossification of the gap, and the new bone formation was observed and confirmed by biopsy. Distraction osteogenesis of the inferior border of the mandible and the chin represents a new method to correct facial asymmetry and is a valid alternative to the traditional techniques. In addition, surgical virtual reality and stereolithographic models are, without a doubt, an advantage in defining the vector of distraction and in simulating the final result

    Piezosurgery: A Safe Method to Perform Osteotomies in Young Children Affected by Hemifacial Microsomia

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    Abstract: Piezosurgery is a new innovating technique used to perform safe and effective osteotomies using piezoelectric ultrasonic vibrations. It was conceived by Tomaso Vercellotti, MD, DDS, and it was first reported for preprosthetic surgery, as alveolar crest expansion, sinus grafting, and, more recently, alveolar distraction. The purpose of this report was to introduce and justify the use of Piezosurgery to perform osteotomies during mandibular distraction in cases of hemifacial microsomia
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