Publications by authors named "Robert J. Troell"

Background: Hip augmentation increases the hip width utilizing fat transfer and/or subcutaneous implants, creating a more feminine hourglass shape. Custom hip implant surgery requires proper patient selection, correct body frame analysis, appreciation of hip aesthetics, understanding surgical anatomy, optimal aesthetic planning, a favorable implant design and fabrication, skilled surgical implant placement, diligent postoperative patient care, and proper complication management.

Objectives: The authors sought to evaluate the pioneering clinical experience with cosmetic custom hip silastic implants.

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The current medical information reviewing the use of radiofrequency in tissue volumetric reduction in the upper airway for nasal obstruction, primary snoring, and sleep-disordered breathing is reviewed. Reviews of the pathophysiology of sites of obstruction of the upper airway, indications for radiofrequency, procedure, technique, results, limitations and potential complications for each procedure, with the author's recommendations, are presented. The radiofrequency procedures are technically simple, minimally invasive, are associated with reduced postoperative pain compared with traditional surgical approaches, and can be performed on an outpatient basis under local anesthesia with a low complication rate and generally good therapeutic results.

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Surgery is a major modality in the treatment of obstructive sleep apnea syndrome (OSAS), and maxillomandibular advancement (MMA) has been shown to be the most effective surgical option. However, despite the successful short-term (6-9 months) results reported by various investigators, little is known of the long-term clinical outcomes. A review of our long-term clinical results demonstrated that MMA achieves long-term cure in most patients.

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