RESUMEN
Background: Non-surgical rhinoplasty is one of the best choices in mild cases of the saddle nose, and it represents a solution for the aesthetical amelioration of facial deformity; nevertheless, in most critical cases, surgical intervention is still required. This study reports the experience and results of a single facial plastic surgeon (M.G.) using a non-surgical technique for the correction of saddle noses in a large cohort of patients. Methods: This retrospective study assesses all patients injected from January 2017 through October 2023 in private clinics in Milan (Italy), London (UK), and Dubai (UAE). All patients were followed up for 12 months. The harvested adipose tissues were processed with different systems and with or without acoustic wave therapy (AWT). The extracted products have been characterized in terms of cellular yield and cell growth. Ninety-seven patients were injected with adipose-derived products or hyaluronic acid (HA). Patients were followed up for 12 months, and satisfaction data were analyzed. Results: The stem cells obtained from the patients who previously received AWT displayed a statistically higher cell growth ability in comparison with those of the cells derived from patients who did not receive AWT. The evolution of patient satisfaction during the time for each group of treatment was investigated, and cellular treatments show the best maintenance of patient satisfaction over time. Conclusions: Dermgraft and AWT approaches resulted in the highest patient satisfaction for the non-surgical correction of the saddle nose deformity.
Asunto(s)
Materiales Biocompatibles/efectos adversos , Implantación de Mama/efectos adversos , Implantes de Mama/efectos adversos , Ácido Hialurónico/efectos adversos , Geles de Silicona/efectos adversos , Materiales Biocompatibles/administración & dosificación , Implantación de Mama/métodos , Femenino , Humanos , Ácido Hialurónico/administración & dosificación , Inyecciones Subcutáneas , Geles de Silicona/administración & dosificación , Salud de la MujerAsunto(s)
Enucleación del Ojo , Evisceración del Ojo , Implantes Orbitales , Complicaciones Posoperatorias , Ceguera/cirugía , Estética , Neoplasias del Ojo/cirugía , Migración de Cuerpo Extraño/etiología , Granuloma Piogénico/etiología , Humanos , Fenómenos Fisiológicos Oculares , Resultado del TratamientoRESUMEN
PURPOSE: To describe the multidisciplinary diagnosis and treatment of patients with orbital fibrous dysplasia, a slowly progressive disease that may lead to asymmetry, disfigurement, and functional ocular problems. METHODS: Ten patients with orbital fibrous dysplasia underwent bifrontal craniotomy through a coronal flap, with the removal of the supraorbital arch and dysplastic process involving the anterior and middle base of the skull. Four patients underwent superior orbital fissure and optic nerve canal decompression. Reconstruction was performed by using an autologous bone graft for both the adults and children, in whom a rib graft was preferred. The mean follow-up was 53.2 +/- 18.3 months (range, 14 to 94 months). The patients' preoperative status and postoperative status were compared. RESULTS: The immediate and long-term morphologic and aesthetic results were good in all cases. All of the patients complained of some degree of diplopia during the immediate postoperative period, but the problem spontaneously resolved within 1 to 6 months in all but one case. No postoperative reduction in visual function was observed in the patients who underwent optic nerve decompression. The only reported complication was the irregular reabsorption of regrafted dysplastic bone in one patient. CONCLUSIONS: A multidisciplinary approach to orbital fibrous dysplasia is fundamental for treatment planning and execution.
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Displasia Fibrosa Ósea/diagnóstico , Displasia Fibrosa Ósea/cirugía , Procedimientos Quirúrgicos Oftalmológicos/métodos , Órbita , Adolescente , Adulto , Niño , Diagnóstico Diferencial , Femenino , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Tiempo , Tomografía Computarizada por Rayos X , Resultado del TratamientoAsunto(s)
Hemangioma Cavernoso/cirugía , Neoplasias Orbitales/cirugía , Técnicas de Diagnóstico Oftalmológico , Estudios de Seguimiento , Hemangioma Cavernoso/diagnóstico , Humanos , Imagen por Resonancia Magnética , Procedimientos Quirúrgicos Oftalmológicos , Neoplasias Orbitales/diagnóstico , Tomografía Computarizada por Rayos X , Resultado del Tratamiento , Ultrasonografía Doppler en Color , Agudeza Visual/fisiologíaRESUMEN
This retrospective study evaluated the safety and efficacy of submental intubation not only for trauma treatment but also for oncological cranial base surgery. The medical records of 24 patients who underwent submental intubation from 1996 to 2002 were reviewed. There were 6 procedures for craniofacial trauma, 12 transmaxillary approaches to the clivus for clivus chordomas, and 6 transmaxillary approaches to the cranial base for chondrosarcomas. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The submental orotracheal intubation was completed successfully in all patients. No accidental extubations or tube injuries occurred. The mean time required for intubation was 5 minutes. The only complication was one case of superficial infection of the submental wound. The intraoral and submental accesses healed with minimal scarring in all patients. Submental orotracheal intubation is a useful and safe technique for airway management of craniomaxillofacial traumas and during transfacial approaches to the cranial base. It avoids the complications associated with tracheostomy. It also permits considerable downward retraction of the maxilla after a Le Fort I osteotomy and is associated with good clival exposure. Furthermore, it does not interfere with maxillomandibular fixation at the end of the surgery.
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INTRODUCTION: An alternative procedure to access the maxillary sinus is described. OBJECTIVE: To describe advantages and disadvantages of the suggested technique of harvesting a bone flap based on an antral mucosal pedicle. MATERIAL: Four patients have been operated on to remove foreign bodies or odontogenic cysts. RESULTS: In all four patients, removal of the lesions and foreign bodies was easily accomplished. CONCLUSION: The procedure described respects the morpho-functional integrity of the sinus, is easy, quick and may be performed under local anaesthesia.