scholarly journals Changes in occlusal plane through orthognathic surgery

2012 ◽  
Vol 17 (4) ◽  
pp. 160-173 ◽  
Author(s):  
Lucas Senhorinho Esteves ◽  
Carolina Ávila ◽  
Paulo José Medeiros
Keyword(s):  
Surgical Treatment ◽  
Functional Outcomes ◽  
Orthognathic Surgery ◽  
Functional Results ◽  
Clinical Results ◽  
Occlusal Plane ◽  
Functional Disorders ◽  
Dentofacial Deformities ◽  
Treatment Objective ◽  
Surgical Manipulation

INTRODUCTION: A conventional ortho-surgical treatment, although with good clinical results, does not often achieve the desired functional outcomes. Patients with dentofacial deformities, especially those with increased occlusal planes (OP), are also affected by muscle, joint and breathing functional disorders, as well as facial esthetic involvement. The surgical manipulation of the OP in orthognathic surgery is an alternative to overcome the limitations of conventional treatment. OBJECTIVE: To report the importance of assessing the occlusal plane during diagnosis, planning and ortho-surgical treatment of patients with facial skeletal deformities and its main advantages. CONCLUSION: Although both philosophies of ortho-surgical treatment (conventional and by surgical manipulation of the OP) have presented good results, the selective correction of the OP allows a full treatment of these patients, providing better esthetic and functional results.

scholarly journals Achilles Tendon Ruptures: Comparison between the Clinical Results of Classical Versus Mini-Invasive or Percutaneous Surgical Treatment

2015 ◽  
Vol 20 (3) ◽  
pp. 135-138
Author(s):  
Obada B. ◽  
Serban Al. O.
Keyword(s):  
Surgical Treatment ◽  
Achilles Tendon ◽  
Achilles Tendon Rupture ◽  
Functional Results ◽  
Clinical Results ◽  
Needle Insertion ◽  
Invasive Technique ◽  
Percutaneous Technique ◽  
Degree Of Satisfaction ◽  
Invasive Techniques

Abstract The aim of the study is to evaluate the surgical treatment comparing the results obtained with different techniques. We revised 68 cases with acute Achilles tendon rupture who underwent surgical correction between 2004 and 2011, with a 40 month average follow-up. 34 of these were submitted to a classical open repair using the Kessler or Krakow technique, 25 to a mini-invasive technique (Achilon) and 9 to a percutaneous technique (Tenolig). We report a 29% rate of complications when using the classical technique: the major complications were one re-rupture, two surgical wound dehiscences, one infection and one sural nerve injury. In the mini-invasive/percutaneous techniques, two re-ruptures occurred (5.9% total, one in each technique) and one fistula at the needle insertion location. In regards to the percutaneous and mini-invasive techniques, the functional results and degree of satisfaction were higher, with fewer complications, reflecting a trend that has been expressed in the international literature.

Surgical treatment of rynophyma – own observation

2018 ◽  
Vol 7 (1) ◽  
pp. 27-29
Author(s):  
Bartłomiej Kamiński
Keyword(s):  
Chronic Disease ◽  
Surgical Treatment ◽  
Functional Results ◽  
Basic Method ◽  
Functional Disorders ◽  
Social Contacts ◽  
External Nose ◽  
The Face ◽  
End Stage

Rhinophyma is the end-stage of rosacea. Nodular hypertrophy of the external nose is a chronic disease lasting for many years. The main problem in patients with rhinophyma apart from functional disorders are deformities of the nose regarding aesthetics. Therefore patients often isolate themselves and avoid interpersonal and social contacts. Majority of patients with symptoms of nodular hypertrophy are not aware of possibility of treatment which impoves functional disorders and aesthetic of the face. Surgical treatment still remains the basic method of treatment of rhinophyma. The long –term observations have proved satisfactory cosmetics and functional results.

scholarly journals Aggravation of Gummy Smile by Straight-Wire Mechanics and its Management with or without Orthognathic Surgery Up to 10-Year Follow-Up

2018 ◽  
Vol 8 ◽  
pp. 96-109
Author(s):  
Tsang Tsang Franklin She ◽  
Raymond Lop Keung Chow
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Occlusal Plane ◽  
Specialist Care ◽  
Straight Wire ◽  
Female Patients ◽  
Treatment Objective ◽  
General Dentists ◽  
Gummy Smile

Two female patients presented with gummy smile, maxillary dentoalveolar protrusion and total vertical maxillary excess, retroclined incisors, and increased overbite received orthodontic camouflage with straight-wire mechanics by general dentists. The treatments caused severe bowing of upper occlusal plane which aggravated the gummy smile and had led them to seek specialist care. They were successfully managed by orthodontic camouflage and combined surgical-orthodontic treatment, respectively, in conjunction with the application of miniscrews on straight-wire mechanics. Aggravation of gummy smile by straight-wire mechanics, use of visual treatment objective to differentiate between orthodontic camouflage and surgical cases, and LeFort I segmentalization were discussed.

scholarly journals Digital platform for planning facial asymmetry orthodontic-surgical treatment preparation

2018 ◽  
Vol 23 (3) ◽  
pp. 80-93 ◽  
Author(s):  
Octavio Cintra ◽  
Simonas Grybauskas ◽  
Carlos Jorge Vogel ◽  
Dalia Latkauskiene ◽  
Nilo Alves Gama Jr
Keyword(s):  
Surgical Treatment ◽  
Present Article ◽  
Orthognathic Surgery ◽  
Surgical Planning ◽  
Treatment Protocol ◽  
Facial Asymmetry ◽  
Individual Case ◽  
Virtual Planning ◽  
Digital Platform ◽  
Dentofacial Deformities

ABSTRACT Dentofacial deformities usually are surgically treated, and 3D virtual planning has been used to favor accurate outcomes. Cases reported in the present article show that orthognathic surgery carried out to correct facial asymmetries does not comprise only one treatment protocol. 3D virtual planning might be used for surgical planning, but it should also be used to diagnose the deformity, thus allowing for an analysis of the best-recommended possibilities for the orthodontic preparation that suits each individual case.

scholarly journals Experiences Of Individuals Concerning Combined Orthodontic and Orthognathic Surgical Treatment: A Qualitative Twitter Analysis

2018 ◽  
Vol 27 (3) ◽  
pp. 227-235 ◽  
Author(s):  
Guy D. Watts ◽  
Panagiotis  Christou ◽  
Gregory S. Antonarakis
Keyword(s):  
Surgical Treatment ◽  
Orthognathic Surgery ◽  
Treatment Process ◽  
Exclusion Criteria ◽  
Self Confidence ◽  
Dietary Restrictions ◽  
Dentofacial Deformities ◽  
Twitter Analysis ◽  
Jaw Surgery ◽  
Entire Treatment

Objective: The aim of this qualitative study was to analyze the content of posts on Twitter in order to gain an in-depth understanding of patients’ thoughts and experiences surrounding orthognathic surgical treatment. Materials and Methods: Using the Twitter search function, with the keywords “jaw surgery,” the 1,000 most recent posts on Twitter with relevance to a combined orthodontic and orthognathic surgical treatment were extracted. After applying relevant inclusion and exclusion criteria, the selected posts were analyzed using thematic analysis by 2 independent investigators. Distinct themes and subthemes were developed. Results: A total of 689 posts were analyzed; the 3 main themes identified in relation to orthognathic surgery were preoperative engagement, postoperative difficulties, and posttreatment satisfaction. Twelve subthemes were also identified, expressing issues such as anticipation or apprehension of the surgical procedure, postoperative pain and edema, dietary restrictions and weight loss, paresthesia, depression, and satisfaction with improvements in appearance and self-confidence. The 6 terms most frequently used in tweets were “recovery,” “braces,” “swollen,” “eat,” “liquid diet,” and “pain.” Conclusions: The findings from the present study can increase the awareness of clinicians involved in the combined orthodontic and orthognathic surgical treatment of patients with dentofacial deformities, allowing them to better educate and counsel their patients throughout the entire treatment process.

scholarly journals Alteration of Occlusal Plane in Orthognathic Surgery: Clinical Features to Help Treatment Planning on Class III Patients

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Daniel Amaral Alves Marlière ◽  
Tony Eduardo Costa ◽  
Saulo de Matos Barbosa ◽  
Rodrigo Alvitos Pereira ◽  
Henrique Duque de Miranda Chaves Netto
Keyword(s):  
Treatment Planning ◽  
Clinical Features ◽  
Orthognathic Surgery ◽  
Occlusal Plane ◽  
Definitive Treatment ◽  
Class Iii ◽  
Lower Lip ◽  
Dentofacial Deformities ◽  
Bimaxillary Orthognathic Surgery ◽  
Nasolabial Folds

Dentofacial deformities (DFD) presenting mainly as Class III malocclusions that require orthognathic surgery as a part of definitive treatment. Class III patients can have obvious signs such as increasing the chin projection and chin throat length, nasolabial folds, reverse overjet, and lack of upper lip support. However, Class III patients can present different facial patterns depending on the angulation of occlusal plane (OP), and only bite correction does not always lead to the improvement of the facial esthetic. We described two Class III patients with different clinical features and inclination of OP and had undergone different treatment planning based on 6 clinical features: (I) facial type; (II) upper incisor display at rest; (III) dental and gingival display on smile; (IV) soft tissue support; (V) chin projection; and (VI) lower lip projection. These patients were submitted to orthognathic surgery with different treatment plannings: a clockwise rotation and counterclockwise rotation of OP according to their facial features. The clinical features and OP inclination helped to define treatment planning by clockwise and counterclockwise rotations of the maxillomandibular complex, and two patients undergone to bimaxillary orthognathic surgery showed harmonic outcomes and stables after 2 years of follow-up.

scholarly journals Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses

2021 ◽  
Author(s):  
P. Lisý ◽  
J. Čabala ◽  
M. Hrubina ◽  
M. Melišík ◽  
L. Nečas
Keyword(s):  
Functional Outcomes ◽  
Primary Total Knee Arthroplasty ◽  
Functional Results ◽  
Womac Score ◽  
Clinical Results ◽  
Short Term ◽  
Significant Difference ◽  
Womac Questionnaire ◽  
Long Term Follow Up

Abstract Background Aim of this study was to compare functional results within 36 months following primary total knee arthroplasty (TKA) using a conventional prosthesis Multigen Plus CR and a new Physica KR implant. Our hypothesis was that the use of the Kinematics-Retaining design of an TKA implant leads to a significantly greater improvement in the active range of motion and better functional results (KSS 1, KSS 2 and WOMAC score) than the conventional CR implant at short-term follow-up. Materials and methods We retrospectively analysed data of 234 patients who underwent primary TKA at our hospital from April 2010 to August 2015 with the CR type of implant and from July 2014 to August 2015 with the KR implant due to advanced knee arthrosis of IIIrd and IVth grade of Kellgren-Lawrence classification, with no major ligamentous instability. Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, Knee Society Scores 1 (KSS 1) and 2 (KSS 2) and flexion (AROM) were recorded preoperatively and at 6, 12 and 36 months after surgery. Results Our study showed a statistically significant difference in functional results at three years with better KSS 1 score, a tendency to higher values in the KSS 2 score, as well as a statistically significant overall improvement in AROM in favour of the new KR design over the conventional CR implant with a post-hoc power analysis of 83.8%. We found that there was no statistically significant difference between groups when comparing WOMAC score and complications at short-term follow-up. Conclusions Our study provided more favourable clinical results for using Kinematics-Retaining implant in primary TKA. Further studies should focus on radiological and functional outcomes from mid- to long-term follow-up.

scholarly journals Clinical and Functional Results of a Combined Surgical Treatment of Pellucid Marginal Degeneration

2021 ◽  
Vol 18 (1) ◽  
pp. 54-60
Author(s):  
Yu. Yu. Kalinnikov ◽  
D. V. Nevrov ◽  
S. Yu. Kalinnikova ◽  
I. S. Tkachenko
Keyword(s):  
Surgical Treatment ◽  
Corneal Thickness ◽  
Functional Results ◽  
Clinical Results ◽  
Lamellar Keratoplasty ◽  
Cross Linking ◽  
Combined Approach ◽  
Ring Segment ◽  
Collagen Cross Linking

Purpose: To evaluate the clinical results of a combined approach to the treatment of pellucid marginal degeneration, that includes femtolaser-assisted keratotomy, intrastromal lamellar keratoplasty with a use of refractive lenticule and a simultaneous intracorneal ring segment implantation, followed by a local collagen cross-linking.Patients and methods. An analysis of the outcomes of the surgical treatment performed in 20 eyes of 15 patients from 36 to 57 years old who were diagnosed with pellucid marginal degeneration in both of their eyes. During the first stage of the treatment patients underwent a femtolaser-assisted keratotomy in a steep meridian, intrastromal lamellar keratoplasty in the zone of corneal thinning and a simultaneous implantation of intracorneal ring segments with an arc-length of 80 to 160 degrees, followed by a local corneal cross-linking during the second stage. Refractive lenticules obtained during the ReLEx® SMILE procedure were used as a lamellar graft.Results. By the end of the follow-up period of 12 months the UCVA had improved from 0.1 ± 0.07 to 0.33 ± 0.23 and the BCVA from 0.4 ± 0.25 to 0.7 ± 0.28 (p < 0.05). The corneal topography demonstrated a decrease in maximum simulated keratometry values from 49.28 ± 2.57 D to 46.15 ± 1.73 D and an astigmatism reduction from 7.4 ± 3,9 D to 2.1 ± 0,53 D. The corneal thickness increased from 508.0 ± 31.0 μm to 606.0 ± 36.0 μm in the zone of the thinning.Conclusions. The analysis of the clinical outcomes has demonstrated the high efficacy of the combined approach to the treatment of pellucid marginal degeneration. The ICRS implantation allowed for a significant cylinder reduction and an improvement of visual acuity. The lamellar keratoplasty allowed for a reinforcement of the thinned cornea, and the subsequent local collagen cross-linking ensured corneal stability.

Evaluation of mid-term results of bipolar transurethral resection in the treatment of benign prostatic hyperplasia

2018 ◽  
pp. 1-9
Author(s):  
А.С. Векильян
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Blood Loss ◽  
Endoscopic Surgery ◽  
Transurethral Resection ◽  
Operating Time ◽  
Clinical Results ◽  
Massive Bleeding ◽  
Prostatic Hyperplasia ◽  
Surgical Methods

Представлены клинические результаты хирургического лечения доброкачественной гиперплазии предстательной железы (ДГПЖ) объемом до 100 см3 методом биполярной трансуретральной резекции простаты (БТУР -74 пациента) в сравнении с открытой чреспузырной простатэктомией (ОПЭ - 96 пациентов), ранее применявшейся для подобных клинических случаев в урологической клинике "Железнодорожной больницы" г. Волгоград. При статистически равном операционном времени обоих хирургических методов для БТУР отмечено существенное снижение интраоперационной кровопотери, сроков послеоперационной катетеризации и пребывания в стационаре, минимальная частота геморрагических и инфекционно-воспалительных осложнений. Наблюдение за урологическим статусом пациентов в течение первого послеоперационного года показало одинаковую клиническую эффективность сравниваемых хирургических методов. Значительное снижение объема кровопотери в ходе операции БТУР можно считать большим достижением, поскольку улучшение видимости в зоне хирургического вмешательства позволяет оптимизировать гемостаз, предотвратить массивные кровотечения как во время, так и после операции, сократить сроки послеоперационной катетеризации мочевого пузыря, что в свою очередь, снижает частоту развития инфекционно-воспалительных осложнений. Более быстрое восстановление пациентов после эндоскопических операций имеет медико-социальное и экономическое значение, поскольку минимальное количество послеоперационных осложнений и сокращение сроков госпитализации позволяет существенно снизить затраты на лечение и быстрее нормализовать качество жизни пациентов. Полученные результаты демонстрируют перспективность внедрения биполярных методов эндоскопических операций для лечения ДГПЖ в хирургическую практику урологических стационаров в целях повышения безопасности оперативного лечения и экономии затрат на госпитализацию. The clinical results of surgical treatment of benign prostatic hyperplasia (BPH) up to 100 cm3 by bipolar transurethral resection of the prostate (BTUR - 74 patients) in comparison with open transvesical prostatectomy (OPE - 96 patients), previously used for such clinical cases in the urological clinic "Railway hospital" in Volgograd are presented. With statistically equal operating time of both surgical methods, there was a significant decrease in intraoperative blood loss, the terms of postoperative catheterization and hospital stay, the minimum frequency of hemorrhagic and infectious-inflammatory complications. Observation of the urological status of patients during the first postoperative year showed the same clinical efficacy of the compared surgical methods. A significant reduction in the volume of blood loss during the operation, can be considered a great achievement, since the improvement of visibility in the area of surgical intervention allows to optimize the hemostasis, to prevent massive bleeding during and after surgery, to reduce the duration of postoperative bladder catheterization, which, in turn, reduces the incidence of infectious-inflammatory complications. Faster recovery of patients after endoscopic surgery of medical,social and economic importance, as the minimum number of postoperative complications and reduction of hospitalization can significantly reduce the cost of treatment and quickly normalize the quality of life of patients. The results demonstrate the prospects of the introduction of bipolar methods of endoscopic surgery for the treatment of BPH in the surgical practice of urological hospitals in order to improve the safety of surgical treatment and save costs for hospitalization.

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