scholarly journals Lower Lip Reconstruction Using Unilateral Nasolabial Gate Flap (Fujimori Technique)

2013 ◽  
Vol 59 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Alina Iacob ◽  
Bálint Bögözi
Keyword(s):  
Maxillofacial Surgery ◽  
Point Of View ◽  
Medium Size ◽  
Oral And Maxillofacial Surgery ◽  
Reconstructive Procedures ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Oncological Treatment ◽  
Level I ◽  
The Aesthetic

Abstract Background: In the medical literature there are multiple reconstructive procedures for small and medium size defects of the lower lip, but only a few methods for larger defects involving the whole lower lip. Choosing the repairing procedure for larger lower lip defects must take into account two aspects: flap or flaps used should be local flaps, and suture lines should correspond to the natural facial creases or follow the functional lines of different facial aesthetic units. Finally, the flap or flaps should be large enough to restore the entire postexcisional defect. However, the more tissue is lost from the lower lip, the more challenging the reconstruction is from a functional and cosmetic point of view. Material and methods: During the last 2 years in the Oral and Maxillofacial Surgery Department of the County Emergency Clinical Hospital in Tîrgu Mureș, the unilateral Fujimori technique has been successfully used for the reconstruction of large lower lip defects in 4 patients with extended, neglected squamous cell carcinomas involving almost the whole lower lip tissue. These patients underwent complex surgical and oncological treatment. Surgery was performed in two stages: first, excision of the tumor and immediate lip reconstruction, and then removal of submandibular lymph nodes (level I), in the second stage. Results: The aesthetic and functional recovery of these patients was very good, with no need of other subsequent surgical corrections. Conclusions: The postoperative reconstruction of large defects of the lower lip is far from optimal, but it is very important to restore an adequate muscle function, the lip continence and a satisfactory facial appearance.

scholarly journals Three-Dimensional Technology Applications in Maxillofacial Reconstructive Surgery: Current Surgical Implications

Nanomaterials ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 2523
Author(s):  
Yasmin Ghantous ◽  
Aysar Nashef ◽  
Aladdin Mohanna ◽  
Imad Abu-El-naaj
Keyword(s):  
3D Printing ◽  
Head And Neck ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Three Dimensional ◽  
Oral And Maxillofacial Surgery ◽  
3D Technology ◽  
Printing Technology ◽  
Reconstructive Procedures ◽  
3D Printing Technology

Defects in the oral and maxillofacial (OMF) complex may lead to functional and esthetic impairment, aspiration, speech difficulty, and reduced quality of life. Reconstruction of such defects is considered one of the most challenging procedures in head and neck surgery. Transfer of different auto-grafts is still considered as the “gold standard” of regenerative and reconstructive procedures for OMF defects. However, harvesting of these grafts can lead to many complications including donor-site morbidity, extending of surgical time, incomplete healing of the donor site and others. Three-dimensional (3D) printing technology is an innovative technique that allows the fabrication of personalized implants and scaffolds that fit the precise anatomy of an individual’s defect and, therefore, has attracted significant attention during the last few decades, especially among head and neck surgeons. Here we discuss the most relevant applications of the 3D printing technology in the oral and maxillofacial surgery field. We further show different clinical examples of patients who were treated at our institute using the 3D technology and discuss the indications, different technologies, complications, and their clinical outcomes. We demonstrate that 3D technology may provide a powerful tool used for reconstruction of various OMF defects, enabling optimal clinical results in the suitable cases.

Facial Cosmetic Surgery Training in American Oral and Maxillofacial Surgery Residency Programs

2018 ◽  
Vol 36 (2) ◽  
pp. 91-100 ◽  
Author(s):  
Ryan M. Diepenbrock ◽  
Rian W. Suihkonen
Keyword(s):  
Cosmetic Surgery ◽  
Maxillofacial Surgery ◽  
Chief Resident ◽  
Oral And Maxillofacial Surgery ◽  
Degree Programs ◽  
Reconstructive Procedures ◽  
Medical Specialties ◽  
Residency Programs ◽  
Training Requirements ◽  
Dual Degree

Facial cosmetic surgery is rapidly being incorporated into the contemporary oral and maxillofacial surgery (OMS) practice. The Commission on Dental Accreditation (CODA), the accreditation body for American Oral and Maxillofacial Surgery residencies, mandates a minimum requirement in 4 major categories. Facial cosmetic surgery procedures are included in the “Facial Cosmetic and Reconstruction” category. This requirement stipulates that each graduating resident must complete at least 20 facial cosmetic and/or facial reconstructive procedures. We hypothesized that some OMS programs meet and exceed the minimum graduation requirement set forth by the CODA in the facial cosmetic and reconstruction category solely with cosmetic procedures. We also speculated that some OMS programs surpassed the minimal graduation requirements of medical specialties most commonly associated with performing facial cosmetic procedures. Finally, the research was intended to investigate whether there was a difference, in terms of cosmetic surgery experience, between 4-year OMS certificate programs and OMS programs with an incorporated medical degree (dual degree or 6-year program). Surveys were sent to all 102 CODA-accredited OMS programs. These data were analyzed to evaluate the total number of facial cosmetic procedures completed at each institution over a 5-year period and the average number of facial cosmetic surgery procedures per chief resident. In addition, a comparison was made between single and dual degree programs. Finally, these numbers were compared with medical residencies/fellowship accredited by the Accreditation Council for Graduate Medical Education (ACGME). Twenty-two of 102 programs returned the survey. Over the 5-year period (2011-2016), accredited OMS programs completed an average of 211 facial cosmetic procedures ranging from zero procedures to 1073. Genioplasties and rhinoplasties were the most common facial cosmetic surgery procedures tallied. Four-year OMS programs completed 20.3 procedures per chief resident while dual degree programs completed 9.7 cases on average. OMS programs with the largest volume of cases reached and exceeded many of the minimum procedure requirements set forth by plastic and reconstructive surgery residency programs and American Academy of Cosmetic Surgery Fellowships. With the vast differences among training requirements, it is challenging to assess what is a reasonable number of procedures to ensure a surgeon is comfortable and, more importantly, competent and proficient. When compared with the variability of requirements from medical specialties that commonly perform facial cosmetic procedures, the data support that comprehensive experience in facial cosmetic surgery is attainable within American Oral and Maxillofacial Surgery Residencies.

Evolution of Aesthetic Dentistry

2019 ◽  
Vol 98 (12) ◽  
pp. 1294-1304 ◽  
Author(s):  
M.B. Blatz ◽  
G. Chiche ◽  
O. Bahat ◽  
R. Roblee ◽  
C. Coachman ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Dental Materials ◽  
Specific Treatment ◽  
Point Of View ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
The Past ◽  
Science And Art ◽  
Aesthetic Dentistry

One of the main goals of dental treatment is to mimic teeth and design smiles in a most natural and aesthetic manner, based on the individual and specific needs of the patient. Possibilities to reach that goal have significantly improved over the last decade through new and specific treatment modalities, steadily enhanced and more aesthetic dental materials, and novel techniques and technologies. This article gives an overview of the evolution of aesthetic dentistry over the past 100 y from a historical point of view and highlights advances in the development of dental research and clinical interventions that have contributed the science and art of aesthetic dentistry. Among the most noteworthy advancements over the past decade are the establishment of universal aesthetic rules and guidelines based on the assessment of natural aesthetic parameters, anatomy, and physiognomy; the development of tooth whitening and advanced restorative as well as prosthetic materials and techniques, supported by the pioneering discovery of dental adhesion; the significant progress in orthodontics and periodontal as well as oral and maxillofacial surgery; and, most recently, the implementation of digital technologies in the 3-dimensional planning and realization of truly natural, individual, and aesthetic smiles. In the future, artificial intelligence and machine learning will likely lead to automation of aesthetic evaluation, smile design, and treatment-planning processes.

Clinico-epidemiologic review of 91 cases of non-odontogenic sarcomas of the orofacial region in a Nigerian population

2019 ◽  
Vol 8 (2) ◽  
pp. 25-31 ◽  
Author(s):  
ROWLAND AGBARA ◽  
BENJAMIN FOMETE ◽  
KELVIN OMEJE ◽  
POLYCARP ONYEBUCHI
Keyword(s):  
Malignant Tumors ◽  
Maxillofacial Surgery ◽  
Osteogenic Sarcoma ◽  
University Teaching ◽  
Oral And Maxillofacial Surgery ◽  
Female Ratio ◽  
Oncological Treatment ◽  
Orofacial Region ◽  
Surgery Department

Introduction: Sarcomas are a rare group of malignant tumors. This study highlights important findings in 91 cases of non-odontogenic sarcomas of the orofacial region. Materials and Methods: Patients who presented with orofacial sarcoma at the Oral and Maxillofacial Surgery Department of a regional University Teaching Hospital between January 1997 and June 2017 were retrospectively studied. Excluded were cases of Kaposi and odontogenic sarcomas. Data obtained were analyzed using the Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA). Results from descriptive statistics were represented in the form of charts. Results: A total of 91 cases were reviewed and consisted of 51 (56.0%) males and 40 (44.0%) females, with a male to female ratio of 1.3:1. The mandible (n=47; 51.6%) and the maxilla (n=26; 28.6%) were the major sites involved. Osteogenic sarcoma (n=44; 48.4%) and rhabdomyosarcoma (n=16; 17.6%) occurred more frequently. A total of 41 (45.1%) patients had surgery and the common hard tissue procedures were mandibulectomy (n=26; 28.6%) and maxillectomy (n=10; 11.0%). Non-surgical oncological treatment was administered to 32 (35.2%) patients, and this was the only modality of treatment in 8 (8.8%) cases. The period of follow-up Arranged from 1-43 months and within this period; there were 7 (17.1%) recurrences with 1 case of pulmonary metastasis. Discussion: Most recurrences were noted less than one-year post-treatment. There is a tendency for patients to present late and compliance with follow up review is poor in this environment.

scholarly journals A segmental osteotomy with 3D virtual planning to move a malpositioned dental implant

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Dario Andrés Bastidas ◽  
Lina Roldan ◽  
Pamela Ramirez ◽  
Andrés Munera
Keyword(s):  
Dental Implant ◽  
Human Error ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Class Iii ◽  
Virtual Planning ◽  
Case Presentation ◽  
Reverse Torque ◽  
The Aesthetic ◽  
Surgery Department

Abstract Background Correct positioning and alignment of dental implants are crucial to successfully meet the aesthetic and functional criteria in implant-prosthetic rehabilitation. When an implant is in the wrong position, especially in the esthetical zone, there are limited options to solve it. Some techniques have been described to reposition implants, such as reverse torque, trephine drills, and segmental osteotomies; current approaches aim to reduce the damage of the periimplant tissues. Case presentation A 20-year-old man with good general health was referred to the oral and maxillofacial surgery department of the CES University, Medellin Colombia in 2017, He had undergone a previous camouflage orthodontic therapy for a dental Class III, which finished in 2014, posteriorly a dental implant was placed in 2015 to replace upper right lateral incisor (1.2) before vertical growth of maxilla was complete; therefore, the implant was retained in a coronal position. A segmental osteotomy was suggested to reposition the implant in a more caudal position, a 3D surgical cut guide obtained by virtual planning was used to increase osteotomy accuracy and lower human error, to avoid the risk of damaging the adjacent tissues and to achieve a predictable result. Conclusions The segmental alveolar osteotomy is an effective alternative to reposition an implant; however, it must be carefully planned because human error remains a possibility that may affect the final result. Therefore, 3D planning is a better way to minimize these mistakes during the surgical procedure and the final position of the implant.

scholarly journals One of the Highest World Privileges

2018 ◽  
Vol 2 (3) ◽  
pp. 112-112
Author(s):  
Ievgen Fesenko
Keyword(s):  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Lip Reconstruction ◽  
Prestigious Journal ◽  
The Third ◽  
Neck Reconstruction ◽  
Alternative Approach ◽  
Flap Design ◽  
Microvascular Tissue Transfer ◽  
Margin Analysis

Royal College of Surgeons of Edinburgh (RCSEd) is one of the oldest surgical corporations (professional oragization) in the world and traces its origins to 1505 [1]. The ad hominem fellow distinction is the most prestigious designation a surgeon can receive from the college. Of the more than 10,000 U.S. surgeons in his specialty, Rui P. Fernandes, MD, DMD, is just the third to be inducted as one (Fig 1) [2]. Consulting Editor of the highly prestigious Journal Oral and Maxillofacial Surgery Clinics of North America. Textbooks: Local & Regional Flaps in Head & Neck Reconstruction: A Practical Approach (Fernandes) – published in 2014; Oral, Head & Neck Oncology & Reconstructive Surgery (Bell, Fernandes, Andersen) – published in 2017. Co-author in the cutting-edge articles: Outcomes of total or near-total lip reconstruction with microvascular tissue transfer; Margin analysis: sarcoma of the head and neck; The cervicofacial flap in cheek reconstruction: a guide for flap design; Alternative approach in mandibular reconstruction for benign disease [3-6]. The list goes on. He don’t stop to relax. He continue to do that again, and again, and again... To move a surgery forward.

scholarly journals Penatalaksanaan emergensi pada trauma oromaksilofasial disertai fraktur basis kranii anterior

2017 ◽  
Vol 3 (2) ◽  
pp. 111 ◽  
Author(s):  
Agus Dwi Sastrawan ◽  
Endang Sjamsudin ◽  
Ahmad Faried
Keyword(s):  
Emergency Management ◽  
Tissue Injury ◽  
Maxillofacial Surgery ◽  
Facial Asymmetry ◽  
Cerebrospinal Fluid Leak ◽  
Cranial Base ◽  
Oral And Maxillofacial Surgery ◽  
Lower Lip ◽  
Anterior Cranial Base ◽  
Surgery Department

Emergency management of oromaxillofacial trauma with anterior cranial base fracture. Oromaxillofacial trauma with cranial base fracture is a case that is quite commonly found in the ER of Oral and Maxillofacial Surgery Department at Dr. Hasan Sadikin General Hospital Bandung. Emergency management aims to take any appropriate action, prevent complications, and consult to other departments involved. A man aged 28 years came with bleeding from the mouth due to a motorcycle accident approximately 6 hours before admission to the hospital. Physical examination showed facial asymmetry, bilateral periorbital edema and hematoma, rhinorrhea, and stitches in labiomental area. Intraoral examination showed maxillary, palatal, parasymphisis, dentoalveolar fractures, lacerated wound on the upper lip, lower lip, palate, gingival, difficulty in opening the mouth, and malocclusion of the teeth. Immediate and rapid surgical and maxillofacial surgical emergency was performed with minimal maxillary intervention, aiming to prevent persistent spontaneous cerebrospinal fluid leak, and prevent infection. The management of soft tissue and hard tissue injury is by reduction, fixation and immobilization of fractures, management of pain and administration of antibiotics. In conclusion, the emergency management of oromaxillofacial trauma with cranial base fracture is promptly and rapidly carried out with minimal intervention.ABSTRAKTrauma oromaksilofasial disertai fraktur basis kranii merupakan kasus yang cukup banyak ditemukan di Instalasi Gawat Darurat Bedah Mulut dan Maksilofasial RSUP Dr. Hasan Sadikin Bandung. Penatalaksanaan emergensi bertujuan untuk melakukan tindakan yang tepat, mencegah komplikasi, serta konsultasi kepada bagian lain yang terkait. Seorang laki- laki usia 28 tahun datang dengan keluhan perdarahan dari mulut akibat kecelakaan motor kurang lebih 6 jam sebelum masuk rumah sakit. Pemeriksaan fisik ditemukan wajah asimetris, edema dan hematoma pada regio periorbita bilateral, terdapat rhinorrhea, serta bekas jahitan pada regio labiomental. Pemeriksaan intra oral tampak fraktur pada daerah maksila, palatum, parasimfisis, fraktur dentoalveolar, vulnus laserasi pada bibir atas, bibir bawah, palatum, gingiva, kesulitan membuka mulut, dan maloklusi gigi geligi. Tindakan emergensi bedah mulut dan maksilofasial dilakukan segera dan cepat dengan minimal intervensi pada rahang atas bertujuan untuk mencegah kebocoran cairan serebro spinal persisten, dan mencegah terjadinya infeksi. Manajemen luka jaringan lunak dan jaringan keras, melakukan reduksi, fiksasi dan imobilisasi fraktur, manajemen nyeri serta pemberian antibiotik. Penatalaksanaan emergensi pada trauma oromaksilofasial disertai fraktur basis kranii dilakukan segera dan cepat dengan minimal intervensi.

Implants in the Aesthetic Zone: A Guide for Treatment of the Partially Edentulous Patient by Todd R. Schoenbaum. New York, USA: Springer, 2019

2018 ◽  
Vol 2 (4) ◽  
pp. 150-150
Author(s):  
Ievgen Fesenko
Keyword(s):  
New York ◽  
Los Angeles ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Edentulous Patient ◽  
Steve Jobs ◽  
Implant Dentistry ◽  
The Aesthetic ◽  
And Function ◽  
Surgical Aspects

“Talent attracts talent” — Jay Elliot and William L. Simon Authors of textbook The Steve Jobs Way Whether you are from the field of periodontics, trying to develop new flap techniques around implants, prosthodontics, or oral and maxillofacial surgery, you can definitely see state of the art chapters by Dr. Todd R. Schoenbaum in Newman & Carranza’s Clinical Periodontology (13th edition, 2018) [1]. Todd R. Schoenbaum, DDS, FACD is a highly experienced Associate Clinical Professor at the famous University of California, Los Angeles (UCLA) moves extremely fast bringing implant dentistry to new high levels of aesthetics and function. And what happens when a star starts to shine brightly? He starts to attract other stars. The 25 authors who are representing 11 countries and 10 world class universities contributed to Implants in the Aesthetic Zone: A Guide for Treatment of the Partially Edentulous Patient. Textbook consists of sixteen Chapters, six of which, are precisely focused on the surgical aspects. In summary, it`s a great pleasure to recommend such masterpiece to everyone who is interested in improving their implant treatment with aesthetics, predictability, and function.

Accessibility to editorial information in Oral and Maxillofacial Surgery journals: The authors' point of view

2015 ◽  
Vol 43 (7) ◽  
pp. 1078-1081 ◽  
Author(s):  
Pablo Castelo-Baz ◽  
Yago Leira-Feijoo ◽  
Juan Manuel Seoane-Romero ◽  
Pablo Varela-Centelles ◽  
Juan Seoane
Keyword(s):  
Maxillofacial Surgery ◽  
Point Of View ◽  
Oral And Maxillofacial Surgery ◽  
Surgery Journals

scholarly journals Dorsalis Pedis Free Flap: The Salvage Option following Failure of the Radial Forearm Flap in Total Lower Lip Reconstruction

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Theodoros Stathas ◽  
Georgios Tsinias ◽  
Dimitra Tsiliboti ◽  
Aris Tsiros ◽  
Nicholas Mastronikolis ◽  
...  
Keyword(s):  
Free Flap ◽  
Free Flaps ◽  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Lip Carcinoma ◽  
The Aesthetic ◽  
Lip Defect

Reconstruction after resection of large tumors of the lower lip requires the use of free flaps in order to restore the shape and the function of the lip, with the free radial forearm flap being the most popular. In this study we describe our experience in using the dorsalis pedis free flap as a salvage option in reconstruction of total lower lip defect in a patient with an extended lower lip carcinoma after failure of the radial forearm free flap, that was initially used. The flap was integrated excellently and on the followup the patient was free of disease and fully satisfied with the aesthetic and functional result.

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