Submental area rejuvenation by digastric corset: anatomical study and clinical application in 20 cases.

Unlabelled: Knowing the difficulties and limitations of surgery for rejuvenating the submental area during a cervicofacial rhytidectomy, we came up with the concept of the digastric corset, which is described in this article along with the surgical importance of the platysma, digastric and mylohyoid muscles based on anatomical dissections. A study of ten cadavers was conducted to describe precisely the limits of the submental area, the mandibular edge between the two Furnas ligaments, and the hyoid bone. Each anatomical item was dissected plane by plane: the skin, platysma, digastrics muscles, and mylohyoid muscle.

[Implant insertion in distracted bone for reconstruction after gunshot injury].

Distraction osteogenesis is a tissue engineering technique with two clinical applications in maxillofacial surgery: alveolar distraction and basal bone distraction. Even if it appears to be a binding and major surgery, distraction osteogenesis applied to facial bone, and especially to the mandible, has the great advantage of producing a pluritissular reconstruction of ideal quality and quantity, suitable for the ultimate goal of dental implant rehabilitation management. This technique had some drawbacks due to technical constraints related to the material.

[French innovations in aesthetic surgery of the face].

This article on French innovations in aesthetic surgery is a report mainly centered on the cervicofacial renovation surgery, with historic review and interviews of people who played a dominating role regarding anatomical works, invention and innovation of techniques, and their development. The main theme is the facial face-lift, which genesis dates back to the First World War, and to the surgery of the « gueules cassées » with Morestin, father of the French plastic surgery. During the interwar years, plastic surgery techniques were developed by great French names such as Passot, Noël and Bourguet.

Gunshot wounds: two cases of midface reconstruction by osteogenic distraction.

Background: Reconstruction of the midface is a surgical challenge because of the aesthetic and functional implications that are characteristic of this area.

Methods: We describe two cases of reconstruction after gunshot wounds of the midface by a customized external ostegeognic device (OBL Laboratory). These two patients had mandibular reconstruction by osteogenic distraction by the same technic.

Gunshot wounds: reconstruction of the lower face by osteogenic distraction.

Background: Although osteogenic distraction is a well-established technique, the distraction device still needs to be improved, miniaturized, and made lighter, more flexible, and more adaptable for mandibular reconstruction in adults with gunshot wounds. The authors successively used unidirectional and bidirectional devices, followed by a bone transporter with a horseshoe-shaped trammel. The trammel system was then replaced by an endless screw, and finally by a customized endless screw.