Crouzon Syndrome Anatomy, Usefulness of Vestibular Orientation.

Spatial resolution of computerized tomographic scanner has reached a level to which accurate anatomic measurements could be done in. Three-dimensional accurate measurements require a reliable referential system. In craniology landmarks are usually selected in the skull base.

Correction of paralytic lagophthalmos.

Introduction: Bell's palsy causes lagophthalmos of the involved eyelids. Secondary to the atonicity of the eyelids, xerophthalmia, conjunctivitis and epiphora develops. There are dynamic (muscle transfers) and static (gold weights, tarsorrhaphy) approaches to alleviate these problems.

Clinical and experimental study of autologous fat grafting after processing by centrifugation and serum lavage.

Background: This clinical and experimental study compared adipose tissue transplant behavior after two different techniques of purifying: centrifugation at 3400 rpm for 3 min and serum lavage without centrifugation.

Methods: Clinical evaluation was performed under standardized conditions for lipofilling on a series of 51 female patients, intentionally selected to have similar characteristics and assigned to two groups based on the method of processing. Experimentally, a culture system in diffusion chambers with vitaline membranes was designed to mimic the behavior and to study the morphology of the adipose tissue used for autografting.

Autologous fat transplantation in the facial region--clinical and morphological studies of 30 cases.

Objective: This study presents the results of a clinicomorphological study of autologous fat transplantation in the face region. The aim was to investigate and compare adipose tissue morphology after it was purified by two methods--centrifugation and serum lavage, and to find a correlation between the histological outcomes and the postoperative results.

Patients And Methods: The evaluation was performed on a series of 30 patients assigned into two groups of 15 patients.

Our experience in the application of lipofilling.

Autologous fat grafting, referred to as lipofilling was described first by Neuber in 1893. It has been gaining great popularity recently due in particular to the intensive development of liposuction and the anatomical availability of various subcutaneous adipose tissue depots in the human body. In the present study we present our experience in autulogous fat grafting for the reconstruction of soft tissue defects as well as for face rejuvenation and body contouring.

Craniofacial fibrous dysplasia. conservative surgical management. Review of literature and report of a case.

The present study presents a case of craniofacial fibrous dysplasia attenuating the orbit and the nasal airway, which was treated by conservative surgical approaches. Nasal and orbital decompression, and facial recontouring were performed simultaneously. This was done via a transconjunctival and transcaruncular approaches with a lateral canthotomy, which provided access to the four walls of the orbit, midface and the lateral nasal wall.

Nasal reconstruction with vascularized forehead flap (preliminary communication).

Aim: The authors have studied the anatomical characteristics of the vascularization of the forehead flap used for nasal reconstruction.

Material And Methods: For the period 1990--2000 ten cadaver dissections were performed and three patients underwent reconstructions using the forehead flap. The results obtained reveal that the blood supply of the flap is provided by the suprathrochlear, supraorbital and frontal branch of the superficial temporal vessels, which form a network of anastomoses between the frontal muscle and the skin.

Analysis of nasal and labial deformities in cleft lip, alveolus and palate patients by a new rating scale: preliminary report.

Introduction: In this study the nasal deformities in patients with cleft lip, alveolus and palate (CLAP) were analysed and the relevant role of the perinasal-perioral muscular balance, and the inborn dislocation of the alar cartilages is presented.

Patients And Methods: 50 CLAP patients were analysed in whom 29 primary cheiloplasties, 12 lip revisions and 9 rhinoplasties were performed. The lip repair was done by a modification of Millard's technique, the nose by either a closed or open-sky rhinoplasty.

[The nasolabial flap and the buccinator flap. Anatomic study and 2 cases reports].

The authors present an anatomical study of the nasolabial flap and buccinator flap on 12 cadavers. This study was illustrated by 2 clinical cases: a case of reconstruction of the philtrum with a superiorly based nasolabial flap and a case of reconstruction combining an inferiorly based nasolabial flap and an ipsilateral anteriorly based musculomucosal buccinator flap.

Unilateral superiorly-based nasolabial island flap for the reconstruction of the philtrum.

We present a case of reconstruction of the philtrum with a unilateral superiorly-based nasolabial island flap following a secondary Millard's bilateral cheiloplasty in a 23-year-old man with cleft lip and palate. His philtrum consisted of a full-thickness skin graft transplanted at one of his previous operations.

One-stage reconstruction of the eye socket with vascularized temporalis muscle flap in orbital exenteration.

Aim: Two cases of one-stage reconstruction of exenterated orbit with vascularized temporalis muscle flap in oncological patients are presented. The anatomical characteristics of the temporalis muscle flap and the choice of one-stage or delayed reconstruction of the exenterated orbit are discussed.

Methods: Two patients were operated for malignancy recurrence during the period May-November 2000.

Gingivoperiosteoplasty in 3-to-5-year-old patients with cleft lip and palate: a preliminary communication.

Closure of the alveolar cleft and the oronasal fistulas was achieved by gingivoperiosteoplasty in 26 patients with unilateral or bilateral cleft of the lip and palate. They were divided in two groups according to whether or not functional cheiloplasty was previously performed (group I comprised 12 patients, group II--14 patients). No systemic pre- or post-surgical orthodontic treatment was administered in both groups.

Evaluation of the results of cleft lip and palate surgical treatment: preliminary report.

Objective: The aim of this study was to present a measuring tool, in the form of a dual-rating grid, for preoperative appearance and postoperative results in the treatment of labionasal clefts.

Methods: This study was carried out on 43 children with partial unilateral clefts, operated on using a derivation of Millard's technique. The preoperative initial severity score (ISS) was the sum of points each corresponding to a precise anatomic anomaly.

Orodigitofacial syndromes type I and II: clinical and surgical studies.

Eleven patients were followed at the multidisciplinary facial cleft department from 1963 to 1993. Nine had orodigitofacial (ODF) I syndrome (Papillon-Leage, 1954) and two had ODF II syndrome (Mohr, 1941). The authors observed seven median clefts of the upper lip, eight atypical cleft palates, nine lingual tumors, ten polylobed tongues, four ankyloglossia.

Two patients with multiple facial clefts including cleft lip and palate.

Report of 2 patients with cleft lip and palate and multiple facial clefts are described using the anatomical classification of Tessier. The first patient was severely polymalformed, with heart, vertebral, and facial malformations. He was examined clinically and with an experimental three-dimensional computer reconstruction that identified an association of a classic cleft lip and palate with cleft nos.

[Bone age and maxillo-mandibular dysharmony in children with cleft lip and palate].

The clinical examination, the bone age and the palatine surgical trauma served to evaluate the factors producing maxillo-mandibular dysharmonies in cleft lip/palate patients. 55 patients with total unilateral cleft lip and palate aged from 10 months to 13 years were used for this study. By clinical examination the patients were divided in: group A--37 cases without dysharmonies and B--18 cases with dysharmonies.