Alveolar Oral Layer Repair by Periosteal Grafts versus Maxillary Flaps and Gingivoperiosteoplasty: Techniques and Follow-up to Adolescence.

Background: Alveolar periosteoplasty during primary repair of cleft lip is still a topic of debate due to the fear exacerbating maxillary retrusion. The authors present their experience with early closure of alveolar clefts. The study aims to analyze gingivoperiosteoplasty (GPP) by comparing the use of locoregional flaps versus distant grafts for reconstruction of the lower layer of the primary palate cleft.

Mid-face Massive Loss Reconstruction: Free Latissimus Dorsi Used as Both a Donor and Recipient for Two Subsequent Temporoparietal Flaps.

After a camel bite, a man lost much of his mid-face tissues, including right eye, nose, cheeks, upper lip, and palate. A free latissimus dorsi flap was used to simultaneously fill and cover the huge gap and to rebuild the new mouth roof. A few weeks later, it could also offer local hinged flaps working as raw beds to receive a converse scalping flap, and extended temporoparietal flaps were used for reconstruction of the nose and hairy upper lip, respectively.

Burn variables influencing survival: a study of 144 patients.

This review assess the influence of burn variables on patients' survival using epidemiological analysis of 144 patients admitted over a 2-year period, the overall mortality rate was 9.7 per cent. The risk of mortality in patients with 30-50 and 50-80 per cent total body surface area (TBSA) burns was 16 and 86 times that in patients with less than 30 per cent TBSA burns respectively.

[Esthetic pinching of the globular nasal tip. Technical note].

A conservative technique designed to simple reduce the width of nasal tip is presented. It consists of approximation of the anterosuperior segments of alar lateral crus after their elevation on median pedicles. A marginal inferior band of alar cartilage is left adherent to the nasal mucosa.

Analysis of 105 patients admitted over a 2-year period to a modern burns unit in Saudi Arabia.

This is an epidemiological survey of 105 burned patients treated between May 1986 and May 1988 in a modern Burns Unit in Saudi Arabia. Hospitalization time ranged from 1 to 100 days with a mean of 17 days. The mean age of the patients was 9 years.

[Role of micro-anastomosed muscular transplantation in corrective surgery of permanent facial paralysis].

Vascularized and reinnervated transfer of a muscle from the body to the face is never a simple procedure. It is important to evaluate the pre-operative state of facial muscles. It is difficult to define the correct indications for the various surgical techniques proposed: muscle selection, selection of recipient vessels, selection of a reinnervation method, the positioning of the transferred muscle.

[Experimental factors influencing the growth of the jaws].

An experimental study evaluated the effect of various surgical procedures on maxillary growth. Raising and excision of palatine muco-periosteum did not modify facial or palatine growth. Resection of the bony palate showed the non-essential nature of the medial palaxine suture during normal growth, even in the transverse direction.

[The influence of the masticatory muscles on craniofacial growth. A microsurgical study in the rat].

Possible influence of masticatory muscles on facial growth was investigated in the rat by the formation of several experimental groups: excision of right masseter muscle of right temporal muscle, of both masseter muscles, of both temporal muscles and of both masseter and temporal muscles, section of inferior maxillary nerve and masseter transplantation. Results demonstrated that overall masticatory muscles provided equilibrium of masticatory function, any rupture of this equilibrium producing effects on mandibular growth and that of the facial mass.

Venous drainage through marrow coaptation in free bone transfer: two case reports.

Two cases with chronic bony defects, one post-traumatic and the other after bone tumor excision, were reconstructed with free bone transfers, using only microarterial anastomoses. The survival of these transfers, despite the absence of microvenous anastomoses, may indicate that venous drainage can develop through well-coapted bone marrow.