RESUMEN
The delineation of excessive gingival display and review of current treatment options. Discussion over periodontal and prosthetic treatments, mucosal stripping procedures, myotomies, Botox therapy, and orthognathic procedures for correction of the "gummy smile."
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Toxinas Botulínicas Tipo A , Estética Dental , Encía/cirugía , Humanos , Labio , SonrisaRESUMEN
Head and neck reconstruction is a multidisciplinary field, requiring communication among various surgical and dental specialists. The free fibular flap is the standard method for reconstructing large mandibular defects after benign or malignant tumor ablation. The graft has to be precisely contoured to fit the three-dimensional defect to meet the functional and aesthetic goals.Virtual surgical planning using computed tomographic imaging and computer-aided design and manufacturing technology allows the surgeons to perform virtual surgery and generates templates and cutting guides that allow for the precise and expedient recreation of the plan in the operating room. The authors describe 2 cases where virtual planning was used for the extirpative and reconstruction phases to achieve precise reconstruction and decreased time under anesthesia.
Asunto(s)
Ameloblastoma/cirugía , Carcinoma de Células Escamosas/cirugía , Diseño Asistido por Computadora , Neoplasias de Cabeza y Cuello/cirugía , Neoplasias Mandibulares/cirugía , Colgajos Quirúrgicos , Adolescente , Humanos , Masculino , Persona de Mediana Edad , Osteotomía , Procedimientos de Cirugía PlásticaRESUMEN
Intramuscular myxomas of the head and neck are rare entities. Primarily found in the myocardium, these lesions also affect the bones and soft tissues. We present a case of an intramuscular myxoma of the temporalis muscle. After reviewing the literature, this case constitutes, to our knowledge, the second reported occurrence of a myxoma in this specific location. The patient was treated for this condition with an excisional biopsy after fine needle aspiration revealed a benign process. No recurrence was seen 18 months after the excision.