Changing Concepts in the Management of Secondary Orbital Deformities

16, June, 2017

The ideal time to reconstruct the post- traumatic orbital injury is in the acute phase. Extended open reduction of freely movable bone segments, their rigid internal fixation, and the replacement of severely comminuted bone with bone grafts—all done in one stage—provide the best opportunity to restore the preinjury status.7,14 This approach may be possible in […]

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Secondary Reconstruction of Posttraumatic Orbital Deformities

09, June, 2017

A retrospective analysis of our experience, techniques, and concepts for the secondary reconstruction of orbital injuries to 78 patients over a 15-year period is presented. Secondary orbital reconstruction has the following four basic steps: II) freeing of the overlying soft tissues by extensive subperiosteal dissection; (2) skeletal reconstruction, usually with onlay bone grafting and contour […]

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Infraorbital Rim Augmentation

26, May, 2017

In patients with recessive infraorbital rims, alloplastic augmentation of the infraorbital rims makes the eyes appear less prominent and improves appearance. Ten patients (seven women and three men) with an average age of 30 years (range, 23 to 45 years) underwent augmentation of the infraorbital rim with alloplastic implants over a 9-year period. With an […]

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Mandibular Augmentation

19, May, 2017

Porous polyethylene implants are available that are designed to augment the mandibular ramus and body. They can be used to increase the bigonial distance in patients with normal mandibular anatomy who desire an increase in lower facial width. When used in combination with extended chin implants, they can camouflage the skeletal contour inadequacies associated with […]

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Improving Periorbital Appearance in the “Morphologically Prone”

12, May, 2017

Patients with prominent eyes are predisposed to lower lid descent and rounding of the palpebral fissure. This deformity may be exaggerated and symptomatic after conventional lower blepharoplasty. Normalization of the periorbital appearance in “morphologically prone” patients involves three basic maneuvers. Augmenting the projection of the infraorbital rim with an alloplastic implant effectively changes the skeletal […]

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Making Concave Faces Convex

05, May, 2017

Abstract. Inadequate projection of the midface skeleton results in midface concavity. Patients with this skeletal morphology tend to have prominent eyes and noses. Lack of skeletal support for the midface soft tissue envelope predisposes to premature cheek descent, resulting in palpebral fissure distortion and lower lid “bags,” an appearance of early aging. Concave midfaces can […]

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Paranasal Implants for Correction of Midface Concavity

27, April, 2017

Central midface concavity was corrected with the placement of porous polyethylene implants in the paranasal area. This simulated the effect of skeletal osteotomies and advancement without altering dental occlusion. Implants were placed to correct congenital, posttraumatic, and cleft related skeletal midface retrusion in nine patients. In seven of the patients, paranasal augmentation was performed in […]

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Computer Models Helping Plastic Surgeons Minimize Errors

12, December, 2016

At the recent International Meeting in plastic surgery held in Moscow, Russia on Dec 5th 2016, the focus was on use of computer models to minimize errors in surgery. Dr Natalia Pirgogov Manturova from the Dept. of Plastic and Reconstructive Surgery led the discussion on use of imaging prior to plastic surgery procedures. The round […]

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How International Cooperation is Improving Plastic Surgery

12, December, 2016

Plastic surgery is now a global phenomenon. At the 23rd International Congress of Aesthetic Plastic Surgery held in Japan recently, plastic surgeons from all over the world gathered to discuss the trends and future of plastic surgery. With advances in technology, these plastic surgeons discussed the newer facial procedures and how to sustain the anti-aging […]

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“2ND ANNUAL SELECTED TOPICS IN CRANIOMAXILLOFACIAL SURGERY: AN INTERNATIONAL CRANIOPLASTY SYMPOSIUM”

11, November, 2016

“2ND ANNUAL SELECTED TOPICS IN CRANIOMAXILLOFACIAL SURGERY: AN INTERNATIONAL CRANIOPLASTY SYMPOSIUM” CO-CHAIRMEN: CHAD GORDON, JUDY HUANG, AND MICHAEL YAREMCHUK NOVEMBER 4-6TH, 2016 JOHNS HOPKINS SCHOOL OF MEDICINE, BALTIMORE, MARYLAND Dr.Yaremchuk with course Co-Directors

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