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Short Face Dentofacial Deformities: Changes in Social Perceptions, Facial Esthetics, and Occlusion After Bimaxillary and Chin Orthognathic Correction.
The purpose of this study was to document changes in social perceptions and facial esthetics, and document occlusion outcomes in a series of short face (SF) dentofacial deformity (DFD) subjects. The investigators hypothesized that subjects …
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Reconstruction of residual cleft nasal deformities in adolescents: Effects on social perceptions.
[PURPOSE] The investigators hypothesized that a layperson's social perceptions of a primarily repaired adolescent cleft lip and palate (CL/P) patient is more favorable after definitive nasal reconstruction with regard to perceived social tr…
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Long-Face Dentofacial Deformities: Occlusion and Facial Esthetic Surgical Outcomes.
[PURPOSE] The purpose of this study was to document malocclusion and facial dysmorphology in a series of patients with long face (LF) and chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, …
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Primary Maxillary Deficiency Dentofacial Deformities: Occlusion and Facial Esthetic Surgical Outcomes.
[PURPOSE] The purpose of this study was to document the malocclusion and facial dysmorphology in patients with primary maxillary deficiency (PMD) and chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary or…
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Primary Mandibular Deficiency Dentofacial Deformities: Occlusion and Facial Aesthetic Surgical Outcomes.
[PURPOSE] The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillar…
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Surgical Site Infections Following Bimaxillary Orthognathic, Osseous Genioplasty, and Intranasal Surgery: A Retrospective Cohort Study.
[PURPOSE] Frequency estimates of surgical site infection (SSI) after orthognathic surgery vary considerably. The purpose of this study was to determine the incidence and site of SSIs and associated risk factors after bimaxillary orthognathi…
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Method of osteotomy fixation and need for removal following bimaxillary orthognathic, osseous genioplasty, and intranasal surgery: a retrospective cohort study.
The purpose of this study was to determine the incidence and causes of fixation hardware removal after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. A retrospective study was performed, involving subjects with a bim…
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Operative Time, Airway Management, Need for Blood Transfusions, and In-Hospital Stay for Bimaxillary, Intranasal, and Osseous Genioplasty Surgery: Current Clinical Practices.
[PURPOSE] The purpose of this study was to assess operative time, perioperative airway management, early postoperative cardiopulmonary health, need for blood transfusion, and in-hospital stay associated with simultaneous bimaxillary, intran…
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Correction of Symptomatic Chronic Nasal Airway Obstruction in Conjunction With Bimaxillary Orthognathic Surgery: Does It Complicate Recovery and Is It Effective?
[PURPOSE] The purpose of this study was to assess the safety and efficacy of intranasal procedures carried out simultaneously with bimaxillary orthognathic surgery. [MATERIALS AND METHODS] The authors executed a retrospective cohort study …
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Segmental Maxillary Osteotomies in Conjunction With Bimaxillary Orthognathic Surgery: Indications - Safety - Outcome.
[PURPOSE] The purpose of the present study was to evaluate the indications, safety, and treating orthodontists' assessment of outcomes after bimaxillary orthognathic surgery that included segmental osteotomies. [MATERIALS AND METHODS] We p…
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Osseous genioplasty in conjunction with bimaxillary orthognathic surgery: a review of 262 consecutive cases.
The purpose of this study was to evaluate the results of osseous genioplasty with bimaxillary orthognathic surgery. A retrospective consecutive case series of patients treated by a single surgeon between 2004 and 2013 was studied. All under…
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Is It Safe and Effective to Lengthen a Chin With Interpositional Allogenic (Iliac) Graft?
[PURPOSE] This is a retrospective review of a consecutive series of patients undergoing chin lengthening at the time of orthognathic surgery over a 3-year timeframe. [MATERIALS AND METHODS] The genioplasty procedures studied included lengt…
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Complex orthognathic surgery: assessment of patient satisfaction.
[PURPOSE] The purpose of our survey study was to determine if bimaxillary orthognathic surgery with simultaneous intranasal surgery and other procedures carried out primarily for the correction of a developmental dentofacial deformity can b…
- Chin augmentation.
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The craniofacial dysostosis syndromes. Staging of reconstruction and management of secondary deformities.
During the past several decades, since the introduction of craniofacial surgery by Dr. Tessier in 1967, craniomaxillofacial surgery has advanced in many ways. Craniosynostosis is a common craniofacial malformation and requires a thoughtful …
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The treatment of secondary and residual dentofacial deformities in the cleft patient. Surgical and orthodontic therapy.
The methods described to manage secondary jay deformities, resulting malocclusion, residual oronasal fistulas, and bony defects in adolescents born with a cleft are safe and reliable when carried out by an experienced cleft surgeon and team…
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Alteration in facial sensibility in adolescents following sagittal split and chin osteotomies of the mandible.
Static two-point discrimination, pressure, and vibratory threshold values were measured bilaterally at standard coordinates in the area of the face innervated by the mental nerve in 115 adolescents (230 nerves). The patients were divided in…
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Cleft-orthognathic surgery: complications and long-term results.
We reviewed the complications and long-term results of a consecutive series of adolescents (67 males, 49 females; age range 15 to 25 years; mean 18 years) born with a cleft who underwent primary repair in childhood and later developed a jaw…
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Metopic and sagittal synostosis: intracranial volume measurements prior to and after cranio-orbital reshaping in childhood.
This study applied a proven method for obtaining intracranial volume measurements using CT scans to (1) measure the intracranial volume of a consecutive series of children with either metopic or sagittal synostosis prior to any craniofacial…
- Refinements in pterygomaxillary dissociation for total midface osteotomies: instrumentation, technique, and CT scan analysis.
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Assessment of the preferred vertical position of the ear.
To determine the most desirable ear level (vertical position), a set of four drawings was assessed by 40 observers. Two levels were almost equally preferred when viewed in profile, one with the upper edge of the ear at the level of the most…
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Modification of the maxillary Le Fort I osteotomy in cleft-orthognathic surgery: the unilateral cleft lip and palate deformity.
Modifications of the Le Fort I osteotomy are described that allow for the simultaneous routine and safe management of maxillary hypoplasia, residual oronasal fistula, bony defects, soft-tissue scarring, and cleft-dental gap in adolescents w…
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Chemotherapy and surgical resection combined with immediate reconstruction in a 1-year-old child with rhabdomyosarcoma of the maxilla.
Parameningeal head and neck rhabdomyosarcomas of childhood are often considered unresectable and are treated with irradiation and chemotherapy. High-dose radiation therapy has a very long-term detrimental effect on the developing face and a…
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Advantages of the postauricular coronal incision.
For exposure of the craniofacial skeleton above the Le Fort I level, the most frequently used approach is the coronal incision with a preauricular extension as needed. A modification of the coronal incision, using a postauricular incision, …
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A modified occlusal splint to avoid tracheotomy for total midface osteotomies.
A modified occlusal splint is described which may be used to avoid tracheostomy when a total midface osteotomy is required. We demonstrate the accuracy of the modified splint by using the technique in a control subject who underwent alginat…
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A method for repositioning the external ear.
The malposition of an otherwise normal-appearing external ear is not uncommon in certain craniofacial syndromes. This paper presents a 10-year experience of 14 patients who underwent external ear repositioning. In this technique, a posterio…
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Detailed morphometry of the nose in patients with Treacher Collins syndrome.
Patients with Treacher Collins syndrome were studied regarding 10 nasal, 1 orbital, and 4 facial measurements as well as 10 facial proportion indexes. Data from 15 to 24 patients were related to normal values. The most normal feature was fo…