Publications by authors named "Barbara Lerhe"

Objective: This systematic review aimed to assess the different treatments of benign maxillo-mandibular radiolucent bone lesions over 4 cm to propose a management algorithm.

Study Design: A literature search was conducted using MEDLINE/PubMed, Scopus, Google Scholar, Virtual Health Library databases, and gray literature. Randomized or non-randomized clinical trials and case series with 10 or more patients with a minimum follow up of 1 year, published in French or English until August 2023, were included.

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(1) : Accurate knowledge of the dynamic anatomy of facial muscles is crucial for the use of functional and aesthetic botulinum toxin injections. We studied the reliability and relevance of facial painting as a pedagogic tool for the dynamic anatomy of facial muscles. (2) : Different facial expressions were performed by a female model after a professional makeup artist applied makeup to the various facial muscles on her left hemiface.

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Sinus floor elevation is widely considered as one of the most reliable and predictable procedures for augmenting posterior maxillary bone volume before implant placement. The lateral window technique is often described as the gold standard, especially when dealing with limited residual bone height. Traditionally, severe vertical defects in the posterior maxilla required a two-stage approach: first elevating the sinus membrane with biomaterial, followed by a second surgery for implant placement.

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Background: When maxillary transversal expansion is needed, two protocols of treatment can be used: a maxillary orthodontic expansion followed by a classical bimaxillary osteotomy or a bimaxillary osteotomy with maxillary segmentation. The aim of this study was to assess the accuracy of segmented Le Fort I osteotomy using computer-aided orthognathic surgery and patient-specific titanium plates in patients who underwent a bimaxillary osteotomy for occlusal trouble with maxillary transversal insufficiencies. Methods: A virtual simulation of a Le Fort I osteotomy with maxillary segmentation, a sagittal split ramus osteotomy, and genioplasty (if needed) was conducted on a preoperative three-dimensional (3D) model of each patient’s skull using ProPlan CMF 3.

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Article Synopsis
  • Mandibular anterior subapical osteotomy (MASO) is a surgical procedure used to correct issues with the positioning of the front teeth when orthodontics fails, and it now incorporates the use of patient-specific titanium implants for improved accuracy and efficiency in surgeries.
  • The study involved 11 patients, where researchers used digital technology to create detailed 3D models of the dental arch to assess the precision of the MASO technique after surgery.
  • Results showed a small average discrepancy of 0.66 mm between expected and actual tooth positions post-surgery, indicating that the repositioning accuracy of teeth can be reliably achieved using computer-aided techniques and patient-specific implants.
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Gummy smile has traditionally been treated with invasive or demanding surgical and orthodontic techniques. Several studies have shown that targeted injection of the upper lip elevator muscles with botulinum toxin is an effective treatment for this condition. However, no standardized injection protocol with reproducible results has yet been published.

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Article Synopsis
  • The study evaluated how different assessments of cleft lip and palate patients influence the success of dental implants and overall patient satisfaction.
  • It analyzed records from 40 patients, comparing those treated with implants to those who chose other prosthetic options.
  • Results showed a 90% survival rate for implants, with higher assessment scores correlating with successful outcomes.
  • The findings highlight the importance of considering a combination of bone and soft tissue evaluations when planning rehabilitation.
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Aesthetic medicine has experienced major developments in recent years, which is illustrated by the increasing number of hyaluronic acid injected in the area of facial rejuvenation. Although considered low risk, it can rarely result in arterial embolization with potentially major aesthetic and functional consequences. These vascular complications range from livedo to skin necrosis to permanent blindness.

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Background: The available referential measures defining the zygomatic bone morphology are adequate enough for full determination of the zygoma positioning, especially for trauma surgery, but osteometric analysis of the zygoma positioning based on tomographic examinations could be useful in peroperative and postoperative imaging. In this study, we propose referential measures, taking into account the morphology and the symmetry of the zygoma. In addition, the reliability and reproducibility are considered.

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