Aesthetic Recovery Research Articles

Advancement of Nanofibers in Wound Healing: A Review

The field of wound healing is currently experiencing a ground-breaking transformation with the introduction of nanofiber technology. This groundbreaking discovery has the potential to revolutionize regenerative medicine and tissue engineering worldwide, effectively meeting the growing need for innovative and affordable healthcare solutions. This comprehensive review explores the evolution and utilization of nanofibers to enhance wound healing. Nanofibers, known for their ability to mimic the extracellular matrix of human tissue, play a crucial role in facilitating cell growth and wound repair. The review explores sophisticated techniques like electrospinning and the integration of bioactive agents such as antibiotics and growth factors with nanofibers. It emphasizes on the precision with which these nanofibers are customized to address specific therapeutic requirements. Additionally, the review sheds light on the use of both natural and synthetic polymers in crafting biocompatible nanofibers, which significantly reduces healing time while ensuring optimal aesthetic recovery, meeting the expectations of patients with minimal scarring. It emphasizes the synergy of expertise from materials science, biology,and clinical practices in propelling nanofiber-based therapies from the laboratory to the forefront of clinical care. Through this succinct overview, we aim to underscore the immense potential of nanofibers in transforming wound care. We are offering a glimpse into a future where effective and efficient healing is within reach, marking a remarkable leap forward in the global quest for advanced healthcare solutions.

Skin Telocytes Could Fundament the Cellular Mechanisms of Wound Healing in Platelet-Rich Plasma Administration.

For more than 40 years, autologous platelet concentrates have been used in clinical medicine. Since the first formula used, namely platelet-rich plasma (PRP), other platelet concentrates have been experimented with, including platelet-rich fibrin and concentrated growth factor. Platelet concentrates have three standard characteristics: they act as scaffolds, they serve as a source of growth factors and cytokines, and they contain live cells. PRP has become extensively used in regenerative medicine for the successful treatment of a variety of clinical (non-)dermatological conditions like alopecies, acne scars, skin burns, skin ulcers, muscle, cartilage, and bone repair, and as an adjuvant in post-surgery wound healing, with obvious benefits in terms of functionality and aesthetic recovery of affected tissues/organs. These indications were well documented, and a large amount of evidence has already been published supporting the efficacy of this method. The primordial principle behind minimally invasive PRP treatments is the usage of the patient's own platelets. The benefits of the autologous transplantation of thrombocytes are significant, representing a fast and economic method that requires only basic equipment and training, and it is biocompatible, thus being a low risk for the patient (infection and immunological reactions can be virtually disregarded). Usually, the structural benefits of applying PRP are attributed to fibroblasts only, as they are considered the most numerous cell population within the interstitium. However, this apparent simplistic explanation is still eluding those different types of interstitial cells (distinct from fibroblasts) that are residing within stromal tissue, e.g., telocytes (TCs). Moreover, dermal TCs have an already documented potential in angiogenesis (extra-cutaneous, but also within skin), and their implication in skin recovery in a few dermatological conditions was attested and described ultrastructurally and immunophenotypically. Interestingly, PRP biochemically consists of a series of growth factors, cytokines, and other molecules, to which TCs have also proven to have a positive expression. Thus, it is attractive to hypothesize and to document any tissular collaboration between cutaneous administered PRP and local dermal TCs in skin recovery/repair/regeneration. Therefore, TCs could be perceived as the missing link necessary to provide a solid explanation of the good results achieved by administering PRP in skin-repairing processes.

Biophysical and aesthetic recovery in incisor hypomineralisation: a modified protocol

The clinical management of incisor hypomineralisation (IH) as it pertains to biophysical and aesthetic recovery, especially in the teeth of young individuals, is fraught with complexity. Treatment modalities are wide and varied, and often, if used in the wrong sequence, can lead to a suboptimal aesthetic result. Approaches, such as chemical micro-abrasion, air particle abrasion and tooth whitening have been used in the past, in addition to resin infiltration for the treatment of affected enamel. The penetration depth of hypomineralised lesions by resin infiltrant has been reported to vary and be dependent on the pre-treatment modalities used. The elimination of brown-coloured aspects of the IH lesion via tray-delivered tooth whitening is critical prior to resin infiltration because once the resin has polymerised, it will be more impermeable and thus less likely to be modified by oxidative action. This case report describes an extended resin infiltration period under diminished ambient light prior to polymerisation that was required for aesthetic success. CPD/Clinical Relevance: Ideal sequencing of treatment prior to resin infiltration is critical for physico-aesthetic success. The length of resin infiltration can be increased if results are not seen by the manufacturer-prescribed application time.

REHABILITATION WITH OBTURATOR PROSTHESES IN PATIENTS AFTER MAXILLECTOMY: An integrative literature review

Maxillectomy is used for the removal of neoplastic tissues in the maxilla and adjacent regions. Defects in the maxilla resulting from this surgical approach generally lead to physical dysfunctions and compromise oral function, including problems with chewing, swallowing, and speech, as well as aesthetic impairments. To minimize the sequelae of maxillectomized patients, the fabrication of obturator prostheses is advocated to block communication between the oral and nasal cavities, enabling functional and aesthetic recovery. This study aims to present an integrative literature review on rehabilitation with obturator prostheses after maxillectomy. The literature search included PubMed, Medical Literature Analysis and Retrieval System Online, ScienceDirect, and the Scientific Electronic Library Online, using a combination of the MeSH terms "Palatal Obturators," "Oral Cancer," and "Oral Rehabilitation." Studies suggest that the greater the tissue destruction, the worse the prognosis, due to greater difficulty in sealing and retaining obturator prostheses, as well as aesthetically unfavorable outcomes. Modified prostheses have superior results in terms of retention, stability, and sealing compared to conventional ones. The use of obturator prostheses is considered an effective treatment option for patients undergoing maxillectomy, as it can restore chewing and speech functions, as well as acceptable aesthetics, contributing to an improvement in quality of life. The importance of the appropriate professional approach from the beginning of treatment is emphasized, considering long-term planning and follow-up ideally.

Comparing the modified socket-shield technique with the conventional immediate implantation technique in the anterior dentition: A 5-year retrospective clinical study.

The aim of this retrospective clinical study was to compare the 5-year radiological and clinical outcomes of patients undergoing immediate implantation with or without the modified socket-shield technique. Patients who underwent anterior tooth replacement via the modified socket-shield technique (MSST) or the conventional immediate implantation technique (CIIT) between 2016 and 2017 were included. The labial bone thickness was assessed at different measurement levels (0, 2, 4 and 6 mm apical to the implant shoulder (IS)) postoperatively (T1), 6 months postoperatively (T2) and 5 years postoperatively (T3). The pink aesthetic score (PES) was evaluated before surgery (T0) and at T2 and T3. Implant success, complications and patient satisfaction were evaluated at every visit. Thirty-six patients (18 in the MSST group) underwent follow-up for 5 years, with no cases of implant failure. Two cases of exposure were detected in the MSST group, but there were no significant effects on hard or soft tissue. Patients in the MSST group showed less and more stable bone resorption than did those in the CIIT group at any measurement level and any time. A higher PES was achieved in the MSST group. Patient satisfaction was similar in both groups. The MSST is a reliable immediate implantation method because of its ability to preserve the alveolar bone and provide superior recovery of aesthetics.

Comparing Bone Alteration and Esthetic Recovery Between the Socket-Shield Technique and the Conventional Immediate Implant Technique: A Retrospective Study.

To evaluate bone preservation and esthetic recovery between the socket-shield technique (SST) with different labial bone plate thicknesses and the conventional immediate implant technique (CIIT). Patients who underwent immediate implant placement in the anterior region were divided into three groups: the SST with a thickwall phenotype (> 1 mm; SSTA group), the SST with a thin-wall phenotype (< 1 mm; SSTB group), and the CIIT with a thickwall phenotype (> 1 mm; CIIT group). Radiologic images and clinical photos were collected before surgery, immediately postoperatively, and 6 months postoperatively. The labial bone width, labial bone width change (BWC), labial bone volume change (BVC), pink esthetic score (PES), and complication rate were evaluated among the three groups. Statistical analysis was performed using SPSS software. A total of 60 patients (n = 20/group) were enrolled in this 6-month retrospective study. The BWC in the SSTA group (0.22 to 0.30 mm) and the SSTB group (0.18 to 0.33 mm) was less than that in the CIIT group (0.61 to 0.80 mm; P < .004). The SSTA group and the SSTB group had a lower BVC (24.08 vs 21.14 vs 54.81, respectively; P = .004) and greater PES (11.75 vs 11.65 vs 10.65, respectively; P = .009) than the CIIT group. No complications occurred among these patients. With the limitations of this study, it can be concluded that the SST is a reliable method for preserving bone and achieving satisfactory esthetic outcomes. The labial bone plate phenotype associated with the SST has minimal impact on both clinical and radiologic outcomes.

TCM formula for trauma treatment screening and its role of promoting infectious wound coalescence investigating

In pet clinics, the number of cases using trauma drugs accounts for >10% of the total number of cases, and most wounds are healing by second intention. The prolongation of wound healing time causes inconvenience and burden to pets and pet owners. Therefore, how to reduce wound healing time and achieve maximum recovery of tissue function and aesthetics is one of the focuses of veterinary clinical practice. Wound suppuration caused by Staphylococcus aureus and Pseudomonas aeruginosa is the main cause of delaying wound healing. Clinically, available antimicrobial treatments are almost exhausted due to the production of large numbers of resistant bacteria. At present, there are no bacteria resistant to traditional Chinese medicine (TCM), which makes TCM have the potential to become an effective drug for the treatment of bacterial infections, so the use of TCM in the treatment of traumatic infections has broad prospects. Based on the characteristics of infection syndrome, three different prescriptions were formulated in our laboratory, and the most effective prescription and dosage form was screened and named Lianrong Healing Cream (LRHC). The results showed that LRHC regulated the expression of fibroblast growth factor-2 (FGF-2), epidermal growth factor-1 (EGF-1), transforming growth factor-β (TGF-β) and vascular endothelial growth factor-1 (VEGF-1) genes in wound tissues and fibroblasts, thereby accelerating wound healing and repairing wound appearance and function. The results of this study may be help to develop TCM formulation for traumatic infections.

Treatment of the patient with trauma of the zygomatic complex

Comminuted fracture of the zygomatic complex in the clinic of Oral and Maxillofacial Surgery from Chisinau often is fixed via osteosynthesis methods as one of the safest and successful method. Immobilization with Kirschner wires (K–wires, K–pins) are used in exceptional cases. Intraoral and temporal access for immobilization of the fractured fragments provide an aesthetic recovery of the patient with trauma of the zygomatic complex.

Robotic natural orifice specimen extraction surgery (NOSES) for anterior resection.

Minimally invasive colorectal surgery is currently well-accepted, with open techniques being reserved for very difficult cases. Laparoscopic colectomy has been proven to have lower mortality, complication, and ostomy rates; a shorter median length of stay; and lower overall costs when compared to its open counterpart. This trend is seen in both benign and malignant indications. Natural orifice specimen extraction surgery (NOSES) in colorectal surgery was first described in the early 1990s. Three recent meta-analyses comparing transabdominal extraction against NOSES concluded that NOSES was superior in terms of overall postoperative complications, recovery of gastrointestinal function, postoperative pain, aesthetics, and hospital stay. However, NOSES was associated with a longer operative time. Herein, we present our technique of robotic NOSES anterior resection using the da Vinci Xi platform in diverticular disease and sigmoid colon cancers.

Intraoperative Indocyanine Green Angiography Facilitates Flap Fenestration and Facial Organ Fabrication in Total Facial Restoration.

Because of a lack of effective measures to visualize flap vasculature and perfusion, flap fenestration and facial organ fabrication cannot be performed effectively, preventing the transition from two-dimensional coverage to restoration of the three-dimensional (3D) structure of facial organs. This study aimed to evaluate the efficacy of indocyanine green angiography (ICGA) in guiding flap fenestration and facial organ fabrication in total facial restoration. Ten patients with total facial scarring after burn injury were enrolled in the study. They were treated with preexpanded, prefabricated monoblock flaps for total face restoration. The openings of nostrils and oral and palpebral orifices, together with organ fabrication, were conducted under the guidance of intraoperative ICGA by hemodynamic evaluation of flap perfusion. Postoperative follow-up measures include vascular crisis, infection, flap necrosis, and aesthetic and functional recovery. The opening of facial organ orifices was performed at the stage of flap transfer in nine patients. To avoid damaging the major nourishing vessels, the left palpebral orifice was opened 8 days after the flap transfer in one patient, as observed by ICGA. Based on ICGA evaluation, the decision to perform additional vascular anastomosis before flap fenestration was made in six patients. Hemodynamic analysis of flap perfusion after fenestration revealed no significant change. Follow-up showed satisfactory aesthetic recovery and well-restored 3D structures of facial organs. This pilot study demonstrates how intraoperative ICGA can enhance the safety of flap fenestration, thereby transforming full facial restoration from the two-dimensional to the 3D realm by facilitating facial organ fabrication. Therapeutic, IV.

Key clinical considerations and updates on the techniques for successful zygomatic implant: a systematic review

Introduction: In the context of implant dentistry, what represents a great burden in the aesthetic recovery of patients who have suffered dentoalveolar trauma is the lack of bone in the alveolar crest, compromising the quality of life due to tooth loss. Objective: Performed a systematic review to present key clinical considerations and updates on the best techniques for successful zygomatic implantation. Methods:The systematic review rules of the PRISMA Platform were followed. The research was carried out from February to May 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion:A total of 128 articles were found, 54 articles were evaluated in full and 34 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 22 studies with a high risk of bias and 32 studies that did not meet GRADE. Zygomatic implants can be placed with good precision. The application of these newly designed 3D-printed surgical guides results in the predictable placement of zygomatic implants and offers the possibility of immediate prosthetic rehabilitation. Preliminary data from one year after loading suggest that immediately loaded zygomatic implants were associated with statistically significantly fewer prosthetic failures. Also, zygomatic implants proved to be a better rehabilitation modality for severely atrophic jaws.

Functional and aesthetic recovery of the second toe defect using a wrap-around pedicled flap from the great toe.

We report the results of using a fibula-sided digital artery pedicled flap from the great toe to cover the second toe free flap donor site, which avoids delayed wound healing, and prevents pain and skin ulceration. This study included 15 patients who had second toe wrap-around free flaps to reconstruct thumb and finger defects. All 15 pedicled flaps used to cover the defect healed uneventfully. All patients were able to stand and walk and were satisfied with the postoperative aesthetic outcome at the 6-month follow-up. We conclude that this an effective procedure for preventing donor site defects after second toe wrap-around free flap transfer.Level of evidence: IV.

Evaluation of extra-narrow diameter implants in the oral rehabilitation of young patients after oral trauma: Aprospective study.

Oral trauma is a common event in young patients and can lead to tooth loss, especially after avulsion of a tooth. The aim of this study was to evaluate the survival, esthetic outcomes, ridge preservation, and patient satisfaction of extra-narrow diameter implants (NDIs) as a temporary rehabilitation treatment for young patients who had lost permanent maxillary incisors after an avulsion. This study comprised a prospective clinical and experimental study on a case series of 13 patients (age: 10-14 years) with a history of avulsion of one or more maxillary incisors. The patients received 19 mini-drive locks implants (Intralock) with acrylic resin crowns, divided into two evaluation arms: immediate implant placement (n=10) and delayed implant placement (n=9). The cases were followed up every 3months with an initial tomography (T0) before implant placement and after 1year (T1). The clinical stability of the implant in the bone and the retention of the provisional implant crown were evaluated, and the esthetic index was calculated at each follow-up. Intragroup and intergroup differences in alveolar ridge height and thickness were compared at T0 and T1, and a questionnaire was administered to assess the patient's perception of the treatment. The implant survival rate after 1year was 78.9%. Alveolar ridge height and thickness increased in all cases at T1 (p < .05). Patients who received immediate implants had greater initial and final alveolar ridge thickness. The esthetic index progressively increased over the investigated time period (p=.001). Only one female patient presented with crown infraocclusion after 1year. The patients' esthetic perceptions of their smiles significantly improved after treatment (p=.001). Extra-NDI had good survival rates, were effective at maintaining alveolar bone, and promoted aesthetic recovery and patient satisfaction with treatment during the period studied.

Tips and Details for Successful Robotic Myomectomy: Single-Center Experience with the First 125 Cases.

With the continuous development of minimally invasive and precise surgical techniques, laparoscopic myomectomy has become a mainstream surgical method due to its aesthetic outcomes and rapid postoperative recovery. However, during laparoscopic myomectomy, clinicians often encounter unfavorable factors, such as limited vision, inaccurate suturing, difficulty in removing tumors, and susceptibility to fatigue in the operating position. In recent years, robot-assisted surgery has been widely used in gynecology. The advantages of this technique, such as a three-dimensional surgical view, reducing the surgeon’s tremor, and the seven degrees of freedom of the robotic arms, compensate for the defects in laparoscopic surgery. The Department of Gynecology in our hospital has accumulated a wealth of experience since robot-assisted surgery was first carried out in 2017. In this article, the surgical skills of the robotic myomectomy process are described in detail.

SPECTRUM AND MANAGEMENT OF ISOLATED ZYGOMATICOMAXILLARY COMPLEX FRACTURES- A RETROSPECTIVE REVIEW FROM A TERTIARY CARE HOSPITAL IN PUNJAB, INDIA

Introduction - Zygoma forms a centrolateral bony prominence of midface. The contour of the cheek, midface width and height are attributed to the normal anatomy of this bone along with its articulation with surrounding bones. Injury to zygoma is common and its management has various options. We planned to retrospectively study the spectrum of zygomatic fractures presenting to our tertiary care hospital and to enumerate the various types of treatments given to them. This study was retrospectively planned to study the epidemiology of patientsMaterial and methods- who presented to hospital from January 2015 to December 2019 and were diagnosed with isolated Zygomaticomaxillary Complex (ZMC) fractures. The type and clinical features of zygoma fractures, CT ndings, Indications, Surgical or Non Surgical treatment given to them and timing of surgery were enumerated. Post operative complications like enopthalmos, diplopia, scarring were recorded. A total number of 320 patients were found to have isolated Zygoma fractures duringResults- the duration of these 5 years. Males outnumbered females in this study group. Road trafc accident was the most common etiology followed by assault. Tetrapod fracture was reported in 288 patients (p&lt;0.005). Most of the surgeries were done between 3 to 7 days of injury. Most common surgical procedure done was Open reduction and internal xation with titanium miniplates. Post operative residual enopthlomos was seen in 10 patients, diplopia in 5 patients, scleral show in 4 patients. There was not a single plate infection reported and 92.5 % patients were satised with the aesthetic recovery. ClinicalDiscusion- features, radiological ndings along with intraoperative ndings play an important role in deciding fracture management of different parts of ZMC fracture. Besides isolated arch fracture and undisplaced low velocity ZF fractures, all other sites need open reduction and internal xation for maintaining strong lateral midface buttress and orbital anatomy. WeConclusion- concluded that surgical management and approach should be customized for each patient, the decision of which can be reached following a stair case approach pre and intra operatively.

Major cellular and molecular processes and clinical outcomes in bone regeneration for successful dental implantation: a systematic review

Introduction: In the context of bone regeneration, bone defects still represent a major challenge in oral and maxillofacial clinical and surgical treatment. The biomimetic design of biomaterials by simulating the natural structure and composition of bone tissue has gradually become a point of research interest due to its advantages of simplicity and efficiency. Objective: It was to carry out a systematic review on cellular and molecular processes, as well as to present the main clinical approaches of bone regeneration for dental implants. Methods: The present study followed a systematic review model, following the rules of systematic review – PRISMA. The search strategy was performed in the PubMed, Cochrane Library, Web of Science and Scopus, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 142 articles were found. A total of 84 articles were fully evaluated and 33 were included in this study. Literary findings have shown that the lack of bone in the alveolar ridges has been a major problem in functional aesthetic recovery in patients who have suffered dentoalveolar trauma. The osteoinduction process is influenced by several factors, requiring the presence of inducers, which include β-glycerolphosphate, ascorbic acid, and dexamethasone. Mesenchymal stem cells acquire the morphology and components of osteoblastic membranes and begin to express alkaline phosphatase to deposit extracellular matrix rich in calcium and certain proteins, such as osteopontin and osteocalcin. The Bio Oss® (Geistlich) biomaterial, because it is biodegradable, biocompatible, non-toxic, and has low immunogenicity and bio stimulators, can act in the regeneration of bone tissue. Application of FRP and implant placement provides stable clinical results for severely atrophic maxilla 2-4 mm. Bovine xenograft alone and in combination with liquid FRP are both successful in achieving bone augmentation around implants and produce a small change in marginal bone level and a high implant survival rate after loading. Conclusion: Through the results of the present study, it was evidenced that the success of the dental implant is directly related to successful osseointegration.

Subanaesthetic dose of esketamine during induction delays anaesthesia recovery a randomized, double-blind clinical trial

BackgroundEsketamine is an antagonist of the N-methyl-D-aspartate receptor (NMDA receptor) that is widely used for multimodal analgesia. In addition to analgesia, sedation is another important effect of esketamine. However, data are limited regarding the sedation effect of esketamine during general anaesthesia. The objective of this study was to determine whether sedation with a subanaesthetic does of esketamine affects anaesthesia recovery.MethodsFifty patients, ASA I to II patient scheduled to laparoscopic cholecystectomy, were randomly assigned to receive a single bolus of esketamine 0.2 mg kg-1 (esketamine group) or placebo (control group). Propofol, sufentanil and rocuronium were used during total intravenous anaesthesia. The patients’ time of recovery from anaesthesia, postoperative pain, postoperative nausea and vomiting, and postoperative agitation were analysed.ResultsData from 47 patients were analysed. The average time of anaesthetic recovery was 22.04 ± 1.48 min in the esketamine group(n = 23) and 17.54 ± 1.46 min in the control group(n = 24). The recovery time was significantly longer in the esketamine group. Postoperative pain in the PACU was lower in the esketamine group (NRS score range 0–2) than in the control group (NRS score range 0–3). There were no differences in postoperative nausea and vomiting, and postoperative agitation.ConclusionSubanaesthetic doses of esketamine can reduce postoperative pain in the PACU but delay the aesthetic recovery during the laparoscopic cholecystectomy, without affecting postoperative nausea and vomiting, and postoperative agitation.Trial registrationThe study was registered at the Chinese Clinical Trial Registry http://www.chictr.org.cn/ (Registration date: 20/11/2020; TrialID: ChiCTR2000040077).

Novel application of absorbable gelatine sponge combined with polyurethane film for dermal reconstruction of wounds with bone or tendon exposure.

Trauma, burns, and diabetes result in nonhealing wounds that can cause bone or tendon exposure, a significant health threat. The use of an artificial regeneration template combined with skin grafting as an alternative method to highly invasive flap surgery has been shown to be an effective way to cover full-thickness skin defects with bone or tendon exposure for both functional and aesthetic recovery. However, artificial regeneration templates, such as Pelnac, are overwhelmingly expensive, limiting their clinical use. Here, we demonstrate for the first time that polyurethane film combined with absorbable gelatine sponge, affordable materials widely used for haemostasis, are effective for dermal reconstruction in wounds with bone or tendon exposure. The absorbable gelatine sponge combined with polyurethane film was applied to eight patients, all resulting in adequate granulation that fully covered the exposed bone or tendon. The outcome of absorbable gelatine sponge combined with polyurethane film application indicates that this approach is a potential novel and cost-effective dermal reconstruction strategy for the treatment of severe wounds with bone or tendon exposure.

Reverse Facial-submental Artery Island Flap with Reinnervation of the Anterior Belly of the Digastric Muscle.

Reconstruction of the upper lateral lip subunit is challenging, and use of several classical local flaps have been previously reported. However, these methods have drawbacks such as visible scarring, anatomic distortion, and functional disability. To obtain satisfactory results, preservation of perioral function is important. We report a case of functional upper lip reconstruction after tumor resection using a reverse facial-submental artery island flap with a reinnervated anterior belly of the digastric muscle (ABDM) without sacrificing the perioral structure. A 73-year-old man presented with basal cell carcinoma on the left upper lip which was widely excised, including the orbicularis oris muscle. The remaining 4 cm × 3.5 cm defect was reconstructed using a reverse facial-submental artery island flap with ipsilateral ABDM. The motor nerve of the ABDM was sutured with the stump of the buccal branch of the ipsilateral facial nerve. The postoperative course was uneventful, and good functional and esthetic recovery were observed at 12-month follow-up. This procedure may be an alternative option for reconstruction of lateral upper lip defects.

Management for the rehabilitation of atrophic mandible fracture: case using a conservative approach and short implants

The treatment of atrophic jaw fracture is a challenge in maxillofacial surgery, due to both local and systemic factors of the affected patients. This article aims to report a case of bilateral atrophic fracture of the mandible treated with an intraoral approach through a thinner and locked 2.0 mm system mandibular plate and subsequent rehabilitation with an implant- supported prosthesis. This technique provided the patient with excellent masticatory, aesthetic, and functional recovery with less morbidity and faster recuperation.