Lower Part Of Face Research Articles

Pediatric burn wound complicated with herpes simplex virus infection: A rare case report and literature review

Herpes simplex virus infection in major burn wounds is a well-known entity. Here, I am reporting a relatively rare case of a pediatric patient who presented with superficial partial-thickness scald burn injury over his face and neck. He was managed in outpatient department services with topical antibiotic dressings. After 2 weeks, he presented with multiple vesicular lesions over his lower face and neck with delayed wound healing in that area. Clinical suspicion of superadded viral infection was made. Tzanck smear and polymerase chain reaction test confirmed the infection with herpes simplex virus. Antiviral treatment was started, and regular dressings were continued. The patient responded well to the treatment, and lesions were disappeared. Later, he developed hypertrophic scarring over the lower part of face. Now, he is being managed on massage and pressure therapy. There has been no relapse of viral infection till 6 months of follow-up.

P83-F Reinnervation in masseteric nerve supercharge bypass in primary reconstruction of facial nerve

Background Facial paralysis is a severe disease. A wide variety of surgical procedures to facial nerve reconstruction are available. We demonstrate reinnervation after infratemporal end-to-end anastomosis following nerve rerouting and concomitant masseteric nerve transfer to the side of facial nerve trunk. Masseteric nerve transfer seems to have strong reinnervation potential. Material and methods Patient presented with complete unilateral facial nerve palsy on the left side with the absence of clinical movement and no signs of reinnervation on needle electromyography. The ipsilateral masseteric muscle nerve electromyography and function was without deterioration. After reconstruction, the patient was regularly clinically and electromyographically evaluated throughout a three-month postoperative period. Results The first control showed no electromyographic signs of reinnervation. Reinnervation in both upper and lower part of face after six months was observed with richer and more mature voluntary activity in orbicularis oris muscle. Synkinetic activity with biting was observed. Three months later, the patient achieved facial symmetry at rest and palpebral closing significantly improved with a residual 3 mm gap. Electrophysiological evaluation 12 months after surgery showed improved reinnervation of mimic muscles during biting and relaxation of chewing muscles at both donor nerve sites, as well as clinical recovery of the capacity to spontaneously blink, complete eyelid closure and initials signs of smile. Conclusions Double innervation of muscular transfer allows additional target muscle reinnervation, with simultaneous preservation of donor nerve function. Electromyography needle evaluation 12 months after surgery declares independent reinnervation through both donors.

Adenomatoid Odontogenic Tumor of the Mandible: An Unusual Clinical Presentation

Adenomatoid odontogenic tumor (AOT) is a rare benign neoplasm of odontogenic epithelial origin. A 12-year-old male reported to the department of pedodontics and preventive dentistry with swelling on lower part of face since seven months. On examination, firm to hard, nontender swelling, sized approximately 3 × 3 cm, extending from mandibular left canine to right lateral incisor with expansion of labial and lingual cortices was present. Radiograph revealed a well demarcated unilocular radiolucency exhibiting sclerotic border with flecks of calcification and displaced roots of mandibular anteriors and expansion of both cortices. Incisional biopsy confirmed the diagnosis of AOT. Enucleation of the lesion along with #31, 32 and curetiage was done under general anesthesia. Ribbond fiber prosthesis was given to maintain the arch integrity and esthetics. AOT in mandible (35%) of young male (36%) of extrafollicular variant (24%) is rare. We may encounter only 2-3 out of 100 AOT cases as typical as the case presented here. BJHS 2018;3(2)6: 504-507.

Three-Dimensional Accuracy of Facial Scan for Facial Deformities in Clinics: A New Evaluation Method for Facial Scanner Accuracy.

In this study, the practical accuracy (PA) of optical facial scanners for facial deformity patients in oral clinic was evaluated. Ten patients with a variety of facial deformities from oral clinical were included in the study. For each patient, a three-dimensional (3D) face model was acquired, via a high-accuracy industrial “line-laser” scanner (Faro), as the reference model and two test models were obtained, via a “stereophotography” (3dMD) and a “structured light” facial scanner (FaceScan) separately. Registration based on the iterative closest point (ICP) algorithm was executed to overlap the test models to reference models, and “3D error” as a new measurement indicator calculated by reverse engineering software (Geomagic Studio) was used to evaluate the 3D global and partial (upper, middle, and lower parts of face) PA of each facial scanner. The respective 3D accuracy of stereophotography and structured light facial scanners obtained for facial deformities was 0.58±0.11 mm and 0.57±0.07 mm. The 3D accuracy of different facial partitions was inconsistent; the middle face had the best performance. Although the PA of two facial scanners was lower than their nominal accuracy (NA), they all met the requirement for oral clinic use.

Clonazepam in the treatment of essential palatal tremors

Essential Palatal tremor (EPT) is a rare disorder presenting as unilateral or bilateral rhythmic involuntary movements of the soft palate. There is mention of the utility of benzodiazepines like clonazepam probably because of their gamma amino butyric acid (GABA) agonistic property. But no reports are available for the same. Here we report a 30-year old married female patient who presented with the complaints of pain in the lower part of face, behind the ears, back side of neck and clicking sound in her. General physical examination (GPE) revealed symmetrical rhythmic flapping movements of the soft palate and the uvula. Central nervous system (CNS) examination did not reveal any focal deficits and Magnetic resonance imaging (MRI) of the brain was normal. She was diagnosed as having EPT and treated successfully with clonazepam.

Precision in Upper Lip Reconstructon.

INTRODUCTION: Unlike the eyes and nostrils, the mouth is only one structure centrally located in lower part of face. From cupid bow, the left and right halves are symetrical. Any distortion either post traumatic or congenital is easily noticeable and can be disfiguring. The objective of this work is to carry out precision reconstructive procedures on the upper lip to achieve symetry and minimise the disfigurement. SUBJECTS AND METHOD: Two gentlemen were seen with disformity of the upper lip. One had shortening of the left side after a gunshot from a close range and the other patient a case of long right side of upper lip from neglected haemangiomatous lesion. They were operated with precision (measurement) using known anatomic points for reference. RESULT: Two patients were treated. Both men were public men, one a Church man and other one with gun shot wound deformity, an executive of a fast growing company. The shortening was elongated and the long lip was reduced precisely. Both men were pleased. CONCLUSION: To achieve perfect symmetry, precise measurement must be used, using the normal side as a standard. Any discrepancy will still produce asymmetry. Keywords: Upper lip, Precision, Reconstructive surgery, SymmetryNigerian Journal of Plastic Surgery Vol. 2 (2) 2006: pp. 11-14

A CONTRIBUTION TO CHEILOPLASTY.

Of the many deformities of the lower lip none is more distressing or more difficult to remedy than ectropion or eversion of the lower lip following extensive burns of the lower part of face and neck. Burns involving the deeper layers of the skin about the neck are almost always followed by this deformity, together with an extensive amount of scar tissue. This often extends up to the cheeks, but more often involves the skin about the inferior maxillary region and the anterior part of neck. The firm adherence of the scar tissue to the muscles and structures immediately beneath it renders the chelioplastic operations usually described in text-books difficult, uncertain or impossible. The operation usually recommended for this condition consists in making a V-shaped incision corresponding to the margins of the inverted lip, raising the lip and closure of the wound thus made in the form of the letter