scholarly journals Midline Mandibular Osteotomy in an Asymmetric Patient

2009 ◽  
Vol 79 (5) ◽  
pp. 1008-1014 ◽  
Author(s):  
M. L. Anghinoni ◽  
A. S. Magri ◽  
A. Di Blasio ◽  
L. Toma ◽  
E. Sesenna
Keyword(s):  
Open Bite ◽  
Mandibular Osteotomy ◽  
Mandibular Asymmetry ◽  
Facial Shape ◽  
Bilateral Sagittal Split Osteotomy ◽  
Anthropometric Features ◽  
The Face ◽  
Mandibular Body ◽  
The Right

Abstract This case report shows the possibility of the application of a mandibular osteotomy to resolve mandibular asymmetry with independent and discordant movements of both bony segments. The authors report the case of a 25-year-old woman referred for mandibular asymmetry, with a transverse excess of the right hemi mandible and vertical defect of the left one. The patient underwent a bilateral sagittal split osteotomy, midline osteotomy, and genioplasty, which corrected the mandibular asymmetry with contraction of the entire right hemi mandible. A slight left vertical increase was also obtained through the surgically created lateral open bite. In the follow-up assessment, the patient's face appeared symmetrical with normalization of the bizygomatic-bigonial relationships, and the facial shape corresponded to ideal anthropometric features. This technique resulted in resolution of mandibular asymmetry. In addition, mandibular osteotomy permits the esthetic management of the shape of the entire mandibular body in relation to the other third of the face.

scholarly journals THE CLINICAL CASE OF HEMIFACIAL MICROSOMIA IN THE NEWBORN BOY FROM MOTHER WITH Z-21

2021 ◽  
Vol 11 (2(40)) ◽  
pp. 64-67
Author(s):  
I.V. Lastivka ◽  
A.G. Babintseva ◽  
V.V. Antsupova ◽  
А.І. Peryzhniak ◽  
І.V. Koshurba ◽  
...  
Keyword(s):  
Clinical Case ◽  
Septal Defect ◽  
Neonatal Period ◽  
Hemifacial Microsomia ◽  
Internal Factors ◽  
Vascular Abnormalities ◽  
Branchial Arches ◽  
The Face ◽  
The Right

Hemifacial Microsomia (HFM) is a term used to identify facial deformities associated with the development ofthe first and second pairs of branchial arches, characterized by underdevelopment of one half of the face. One typeof hemifacial microsomia is oculo-auriculo-vertebral dysplasia or Goldenhar syndrome.The incidence of HFM is 1:3500-1:7000 of live births and occurs in 1 case per 1000 children with congenitaldeafness. The ratio of boys to girls is 3:2. The etiology and type of inheritance is studied insufficiently. There are threepossible pathogenetic models: vascular abnormalities and hemorrhages in the craniofacial region, damage of Meckel'scartilage, and abnormal cell development of the cranial nerve crest. Environmental factors, maternal internal factors,and genetic factors (OTX2, PLCD3, and MYT1 mutations) may also cause the development of hemifacial microsomia.The article demonstrates a clinical case of hemifacial microsomia in a newborn boy from a mother with Z-21 inthe form of deformation of the left auricle with atresia of the auditory canal and "false" ears on the right, combinedwith congenital anomaly of heart (atrial septal defect) and brain (hypoplasia of the corpus callosum).Emphasis is placed on the need of involving a multidisciplinary team of specialists in the management of thispatient both in the neonatal period and in the system of subsequent follow-up.

scholarly journals Fracture of the coronoid and pterygoid processes by firearms: case report

2007 ◽  
Vol 18 (2) ◽  
pp. 168-170 ◽  
Author(s):  
David Moraes de Oliveira ◽  
Ricardo José de Holanda Vasconcellos ◽  
José Rodrigues Laureano Filho ◽  
Rafael Vago Cypriano
Keyword(s):  
Ct Scan ◽  
Speech Therapy ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Parotid Region ◽  
Comminuted Fracture ◽  
3D Ct Scan ◽  
The Face ◽  
The Right

A rare case of fracture of the coronoid and the pterygoid process caused by firearms is described. A 28-year-old male was hit by a bullet in the face, resulting in restricted mouth opening, difficulty in chewing and pain when opening the mouth. Clinical examination revealed a perforating wound in the right parotid region and a similar wound on the left side of the same region. A CT scan showed comminuted fracture of the left coronoid process and bilateral comminuted fracture of the pterygoid processes. Treatment was conservative, speech therapy was conducted and it was successful. Details of the clinical signs, radiology (3D-CT scan), treatment and follow-up are presented.

scholarly journals Garre’s Osteomyelitis

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Facial Asymmetry ◽  
Periosteal Reaction ◽  
Normal Limits ◽  
Cortical Irregularity ◽  
Bone Biopsies ◽  
The Face ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
The Right

Our case involved an 8 year girl who presented with a painful swelling Right lower jaw, with difficulty in deglutition, there was no fever. Earlier treatment by Dentists & ENT Specialists had provided no relief. Relevant investigations were within normal limits. The OPG was normal. MDCT scan of the face/orbit showed cortical irregularity and erosions in the Right hemi-mandible with a significant periosteal reaction & multiple irregular lytic areas in the marrow along with soft tissue changes suggestive of osteomyelitis. The significant periosteal reaction combined with osteomyelitis was suggestive of Garre’s osteomyelitis. No bone biopsies were considered due to the typical clinical & radiological features. With 4 weeks of antibiotic treatment the patient was completely relieved of her symptoms, with a major correction in the facial asymmetry. Regular follow up demonstrated a remodeling of the mandible with normal results on bone scanning

scholarly journals Extensive gunshot wound to the face: a case report

2021 ◽  
Author(s):  
Tales Gabriel de Souza Cerioni ◽  
Rafael Jorge Ruman ◽  
Willian Jamil Hassanieh ◽  
Gustavo Rodrigues Manrique ◽  
Wladimir Gushiken de Campos ◽  
...  
Keyword(s):  
Case Report ◽  
Gunshot Wound ◽  
Plate Fixation ◽  
Developed Countries ◽  
Male Victim ◽  
Underdeveloped Countries ◽  
The Face ◽  
The Right ◽  
Mandibular Branch

Facial fractures caused by gunshots are a major challenge for oral and maxillofacial surgeons. Underdeveloped countries present a higher rate of homicides committed by gunshots than developed countries. This case report presents a 25 year-old male victim of a gunshot wound to the mandible, evolving into a complex fracture. The fracture was treated using rigid internal fixation. After 18 months of follow-up, the patient presents good facial appearance and masticatory activity. The gunshot caused the permanent paralysis of the right mandibular branch of the facial nerve. We managed to preserve the involved teeth and mandibular integrity, with complete bone healing. Despite the late infection following plate fixation, healing occurred without further complications, indicating that blood supply was maintained.

Alteration in Facial Shape in the Anencephalic Human Foetus

1996 ◽  
Vol 23 (2) ◽  
pp. 129-136 ◽  
Author(s):  
M. J. Trenouth
Keyword(s):  
Marked Reduction ◽  
Relative Size ◽  
Normal Growth ◽  
Cranial Base ◽  
Human Foetus ◽  
Facial Shape ◽  
Left Mandible ◽  
The Face ◽  
The Right ◽  
The Brain

Tracings were produced from frontal radiographs of 11 anencephalic foetuses. These were compared analytically with standards derived from 60 normal foetuses. The anencephalics showed a marked reduction in the relative size of the cranium with considerable flattening of the calvarium, which is characteristic of the condition. The orbits were more medially placed, being closer together and somewhat higher in position than the normal foetal outline. The right and left mandible were more elongated with an increase in the intermaxillary space. The condyles were more medially positioned and were closer to the orbits than in the normal outlines. In normal growth, expansion of the brain flattens the cranial base, displacing the nasomaxillary segment forwards In anencephally this does not happen so that the nasomaxillary segment rotates in an antero-inferior postero-superior direction along with the intermaxillary space and mandible. This produces a significant lengthening of the face accompanied by narrowing in the region of the cranial base relative to the normal outline.

scholarly journals A Case Report of Aggressive Chronic Rhinosinusitis with Nasal Polyps Mimicking Sinonasal Malignancy

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
S. Velegrakis ◽  
N. Chatzakis ◽  
E. Prokopakis ◽  
M. Papadakis ◽  
E. Panagiotaki ◽  
...  
Keyword(s):  
Nasal Polyps ◽  
Nasal Polyposis ◽  
Polypoid Lesion ◽  
Nasal Tumors ◽  
Tertiary Center ◽  
The Face ◽  
Nose And Paranasal Sinuses ◽  
The Right ◽  
Nonspecific Inflammation

Introduction. Cases of extensive nasal polyps rarely occur and may mimic more aggressive lesions of the nose and paranasal sinuses. A case of extensive nasal polyposis with unusually aggressive behavior and its management is presented. Presentation of Case. A 27-year-old male patient visited the emergency department of a tertiary center, complaining of recurrent episodes of epistaxis. The patient presented with a large polypoid lesion protruding from the right nostril and producing asymmetry of the face. Diagnostic imaging illustrated a lesion of the right maxillary sinus producing excessive bone remodeling and extension into neighboring structures in every direction. Fine limits were noted, however, with no invasive characteristics. Biopsy under local anesthesia was performed, showing findings consistent with nonspecific inflammation. Open surgery through a lateral rhinotomy under general anesthesia was performed, and the mass was readily mobilized and removed. No macroscopic invasion of neighboring structures was noted. Permanent histology confirmed the diagnosis of nasal polyposis. Postoperative follow-up has shown no evidence of recurrence after 12 months. Conclusion. Nasal polyps do not typically expand in an aggressive manner, producing bone resorption or extending into neighboring structures. However, nasal polyposis should be included in the differential diagnosis of nasal tumors with such behavior.

scholarly journals Management of Le Fort II fracture accompanied with blowout fracture of orbital base: a case report

2017 ◽  
Vol 2 (2) ◽  
pp. 143
Author(s):  
Seto Adiantoro ◽  
Alwin Kasim ◽  
Faturrahman Faturrahman
Keyword(s):  
Open Reduction Internal Fixation ◽  
Mesh Placement ◽  
Le Fort ◽  
Blowout Fracture ◽  
Post Surgery ◽  
Facial Esthetics ◽  
The Face ◽  
The Right ◽  
Maxillary Fracture

Objective: To present a casereport of a 20 years old male with Le Fort II fracture accompanied with blowout fracture and its management.Methods: A 20 years old male patient with chief complaint of maxillary fracture and inability to chew food, also felt limitation of right eye movement and double vision was then diagnosed with Le Fort II fracture accompanied with blowout fracture of the right orbital base. The patient was rehabilitated using open reduction internal fixation of the maxilla to achieve good occlusion continue with immobilization. The orbital base fracture was rehabilitated by orbital mesh placement and release of tissue trapped inside the orbital base fracture fragments to achieve normal position and movement of the eyeball.Results: One month post-surgery follow-up showed the face was symmetrical and the enophthalmos was corrected. A good occlusion was reached.Conclusion: Proper management of Le Fort II fracture accompanied with orbital base blowout fracture can restore the function of the eye, mastication, and occlusion. Symmetrical and proportional facial esthetics are among the indicators of a successful holistic maxillofacial trauma management.

scholarly journals Case Report and Literature Review: Catastrophic Embolism Following Cosmetic Injection of Autologous Fat in the Face

2021 ◽  
Vol 8 ◽  
Author(s):  
Chunyu Liu ◽  
Zhaolun Cai ◽  
Lingli Zhang ◽  
Muke Zhou ◽  
Li He
Keyword(s):  
Vision Loss ◽  
Fat Embolism ◽  
External Carotid Artery ◽  
External Carotid ◽  
Significant Heterogeneity ◽  
Autologous Fat ◽  
Retinal Arterioles ◽  
The Face ◽  
The Right

Injection of autologous fat on the face is a commonly performed procedure in plastic surgery. However, it can lead to rare but devastating complications due to fat embolism. In this study, we presented two cases of cerebral infarction and/or sudden vision loss after cosmetic injections of autologous fat on the face. Two women underwent injections into the temporal and frontal areas, respectively. In case 1, the patient underwent decompressive craniectomy as her condition deteriorated continuously and died. In case 2, the patient's vision had not improved at the 3-month follow-up visit. Imaging examinations showed occlusion of the right external carotid artery in case 1, and multiple retinal arterioles were segmentally occluded in case 2. We also screened relevant studies via a systematic search of PubMed (last updated on May 9, 2020) and performed a narrative review due to the significant heterogeneity between the studies. To prevent this catastrophic event, the autologous fat injection should be performed carefully. If embolization does occur, early diagnosis and timely treatment may help improve functional outcomes.

Isolated aneurysm of the internal jugular vein

VASA ◽  
2008 ◽  
Vol 37 (4) ◽  
pp. 371-373 ◽  
Author(s):  
Kersting ◽  
Rössel ◽  
Hinterseher ◽  
Gaebler ◽  
Litz ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Vein Graft ◽  
Doppler Sonography ◽  
Jugular Vein ◽  
The Face ◽  
Thin Walled ◽  
The Right

True venous aneurysms are rare. We report the case of a 70-year-old male with the extremely uncommon finding of an aneurysm of the internal jugular vein. Due to their rarity, no general guidelines for the treatment of these aneurysms have been established. Upon surgical exclusion of the aneurysm, a progressive swelling of the right side of the face was noted in this patient leading to the decision to interpose a thin-walled ePTFE prosthesis for want of a suitable vein graft. Upon follow-up three years later, the patient is completely asymptomatic and the prosthesis is patent in Doppler sonography.

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