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Does clockwise rotation of the maxillomandibular complex using the surgery-first approach to correct mandibular prognathism affect the pharyngeal airway?
In mandibular prognathism, correction by clockwise rotation (CWR) of the maxillomandibular complex (MMC) can improve the facial appearance and allow greater mandibular setback. However, cohort studies comparing changes in the pharyngeal air…
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Outcome of Patients with Complete Cleft Lip and Alveolus: 20-Year Follow-Up.
[BACKGROUND] Patients with cleft have functional and aesthetic impairment, and typically require several interventions as they grow. Long-term evaluation following a treatment protocol is essential, but such reports on patients with complet…
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Synergistic benefits of hyperbaric oxygen therapy for postoperative palatal oro-nasal fistula following segmental Le Fort 1 osteotomy.
Segmental maxillary osteotomy, a surgical technique used in orthognathic surgery, involves the risk of palatal mucosa tearing, which can lead to severe complications. Herein, we report the case of a woman with Angle class II malocclusion wh…
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Does Clockwise Rotation of Maxillomandibular Complex Using Surgery-First Approach to Correct Mandibular Prognathism Affect Surgical Movement and Stability?
[PURPOSE] Orthognathic surgery (OGS) using the surgery-first approach (SFA) can decrease treatment time and increase patient satisfaction. Clockwise rotation (CWR) of the maxillomandibular complex to correct mandibular prognathism leads to …
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Orthognathic Surgery to Enhance the Smile.
An esthetic smile is an integral feature of beauty. Improvement of the smile can be achieved by a combination of orthognathic surgery, orthodontics, and cosmetic dentistry. Preoperative evaluation serves to address a patient's surgical goal…
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Simultaneous Fat Injection for Nasal Contouring in Orthognathic Patients.
[BACKGROUND] Augmentation rhinoplasty with autologous fat grafting is a useful procedure to meet the demand for facial harmonization in the Asian population. We used this procedure during orthognathic surgery to address inadequate dorsum pr…
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Simultaneous Orthognathic Surgery With Asian Double Eyelid Suture Blepharoplasty.
[BACKGROUND] The main objective of contemporary orthognathic surgery is to correct dentofacial deformities. Nonetheless, many adjunct procedures to enhance the esthetic outcome in orthognathic surgical cases have been successfully incorpora…
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Long-Term Photogrammetric- and Panel Assessment-Based Outcome Study of Staged Reconstructive Approach for Hypertelorism Correction.
[BACKGROUND] The surgical management of hypertelorism is challenging for plastic surgeons, and limited long-term outcome data are available. The purpose of this long-term study was to report a single-surgeon experience with a staged reconst…
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Diced Cartilage Rhinoplasty for Cleft Nose Deformities: Determining the Flexibility of the Cartilage Framework.
[BACKGROUND] The objective of this trial is to evaluate the flexibility of the cartilaginous component of the cleft nose after diced cartilage rhinoplasty by determining the degree of possible bending in relation to the vertical nasal dorsu…
- Reply: Secondary Unilateral Cleft Rhinoplasty Using Natural Curvature of Rib Cartilage as Alar Rim Graft: A Three-Dimensional Evaluation of Long-Term Results.
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The Medial Subcoronoid Process Region as a Novel Source of Bone Grafts in Orthognathic Surgery and Genioplasty.
[BACKGROUND] Since 2012, the authors have adopted the medial subcoronoid process bone interpositional grafting in OGS and genioplasty procedures. The purpose of this study was to present the technical details and clinical outcomes of this a…
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Secondary Unilateral Cleft Rhinoplasty Using Natural Curvature of Rib Cartilage as Alar Rim Graft: A Three-Dimensional Evaluation of Long-Term Results.
[BACKGROUND] Since 2012, the senior author has incorporated the natural curvature of rib cartilage as an alar rim graft in addition to the diced cartilage technique for unilateral cleft rhinoplasty. The aim of this study is to describe this…
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Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin.
[BACKGROUND] Augmentative forehead contouring to create a full rounded smooth forehead is increasingly popular worldwide especially in East Asia where a flat and/or concave irregular forehead is considered unaesthetic. We present our outcom…
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Masseter Muscle Volume Changes Evaluated by 3-Dimensional Computed Tomography After Repeated Botulinum Toxin A Injections in Patients With Square Facial Morphology.
[INTRODUCTION] Botulinum neurotoxin A (BoNT-A) is a minimally invasive and technically straightforward treatment of masseter muscle (MM) volume reduction and facial contouring, but the literature on its long-term effect on MM volume remains…
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Long-term outcomes of bimaxillary surgery for treatment of asymmetric skeletal class III deformity using surgery-first approach.
[OBJECTIVES] Although several studies have reported the advantages of the surgery-first approach for orthognathic correction of Class III deformity, there are few reports of the success of this approach for patients with facial asymmetry. T…
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Temporary Migration for Training: A Special Case.
[BACKGROUND] Against a background of globalization and medical migration, issues have been raised regarding training outside the clinician's own context. [OBJECTIVE] There is a dearth of published literature on these issues and we aimed to…
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Minimal Invasive Rhinoplasty: Fat Injection for Nasal Dorsum Contouring.
[PURPOSE] To determine the graft retention rate of fat injection rhinoplasty in the nasal dorsum region using 3dMD System. [MATERIALS AND METHODS] Thirteen consecutive patients (12 women and 1 man) treated by the corresponding author (F.C.…
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Treatment of Nystagmus in Brainstem Cavernous Malformation with Botulinum Toxin.
We report a long-term eye movement study of a 68-year-old female with pontomedullary junction cavernous malformation whose dysconjugate nystagmus was treated with retrobulbar botulinum toxin A injections. Sequential, bilateral retrobulbar i…
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Seasons of Migration to the East: Craniofacial Fellowship at Chang Gung Memorial Hospital, Taiwan.
Fellowship is becoming a mainstay in the road of career development, though it has not been studied thoroughly. There was an opportunity to study these unresearched questions in the context of the Craniofacial Surgery International Fellowsh…
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Alteration of masticatory electromyographic activity and stability of orthognathic surgery in patients with skeletal class III malocclusion.
[PURPOSE] The purposes of this study were to 1) investigate longitudinal changes in electromyographic masticatory activity subsequent to orthognathic surgery (OGS) in patients with skeletal Class III malocclusion, and 2) compare masticatory…
- Trapezoid mortised genioplasty: a further refinement of mortised genioplasty.
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Quantitative evaluation of cortical bone thickness in mandibular prognathic patients with neurosensory disturbance after bilateral sagittal split osteotomy.
[PURPOSE] The buccal cortical thickness (BCT) between the mandibular canal and the corresponding external cortical surface was compared in patients with and without neurosensory disturbance (NSD) after they underwent a bilateral sagittal sp…
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Mandible changes evaluated by computed tomography following Botulinum Toxin A injections in square-faced patients.
[BACKGROUND] A facial contour that is oval is more pleasing in Asian women. Patients with a square face often seek facial contouring procedures to improve their appearance. Treatment often involves various combinations of Botulinum NeuroTox…
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The asian face lift.
The face-lift procedure (rhytidectomy) is increasingly popular in Asia. There is extensive literature on different techniques in Western patients. Cultural and anthropomorphologic differences between Asian and Caucasians require the adaptat…
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Botulinum toxin a for lower facial contouring: a prospective study.
[BACKGROUND] A prominent mandibular angle is a common reason for aesthetic treatment among Asian women. Such women usually present with hypertrophic masseteric muscles, and one treatment for this uses botulinum toxin A (BoNTA). Detailed eff…
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Endoscopically assisted removal of tumors in the frontal region.
[BACKGROUND] Advancements in endoscopic surgery, due in part to patient demands and in part to provision of superior medical care by surgeons, have significantly contributed to improvements in patients' quality of life. An endoscopic operat…
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Microtia reconstruction with adjuvant 3-dimensional template model.
For auricular reconstruction of external auricle, the goals of the surgery are (1) in the fabrication of the morphologically complete 3-dimensional costal cartilage framework (3-dimensional frame) of the auricle, and (2) in the attainment o…
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Circumnipple-incision, longitudinal-breast dissection augmentation mammaplasty.
A modification of circumnipple breast augmentation is described, which confines the minimal scar to the base of the nipple. Furthermore, a longitudinal breast parenchyma dissection is performed for breast pocket dissection that limits the i…
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The course of the inferior alveolar nerve in the normal human mandibular ramus and in patients presenting for cosmetic reduction of the mandibular angles.
This study was undertaken to quantify the path of the inferior alveolar nerve in the normal human mandible and in the mandibles of patients presenting for cosmetic reduction of the mandibular angles. The goals were: (1) to provide normative…
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Refined frontalis fascial sling with proper lid crease formation for blepharoptosis.
Ptosis of the upper eyelid is a complicated problem, and many surgical techniques have been developed for the treatment of ptosis. Frontalis sling with autogenous fascial strip for the correction of severe ptosis with poor levator function …