Purpose:To put an algorithmic approach for the treatment of condylar fractures according to the condition of occlusion.Patients and Methods:This study had been carried out between May 2016 and April 2017. Forty patients were included (6 females and 34 males) with their ages ranged between 3 and 60 years. Patients were managed through two approaches as follows: maxillomandibular fixation (MMF) only regimen and MMF with open reduction and internal fixation regimen. The operated cases were 12 with bilateral condylar/subcondylar fractures, and the rest were unilateral 28 cases.Results:Data were assessed demographically, time lapse before the intervention, surgically, functionally, and radiologically. In general, there were no significant differences between closed and open methods.Conclusion:Retromandibular approach was convenient for internal fixation of condylar fracture with a good outcome. In our work, there were no significant differences between closed and open methods in the treatment of condylar fractures.
Introduction: Liposuction was popularized in the 80s of the previous century. Later, fat graft was widely used to augment different parts of the body especially the gluteal area. Fat collection is a part of the process of fat injection. Different methods have been described for fat collection. The objective is to address the outcome results of collecting large amount of fat using a chest tube canister for gluteal augmentation. Materials and Methods: A total of 20 females were operated for gluteal reshaping. Our choice was fat grafting for augmentation and correction of any depressed scars. The fat was collected using a canister of chest tube. Patients were assessed by measurement of hip circumference and by the usage of Likert scale with some modifications. Results: The mean amount of liposuction was about 4315 cm3 and the mean amount of fat injected was about 1250 cm3 per secession. After 6 months, hip circumference was increased by 4.045 cm. Actually, more than half of patients (65%) were strongly satisfied. One patient suffered from oily cyst that was excised surgically. Conclusion: The canister is safe, cheap, and effective method for collection and preparation of large volume of fat.
Background Massive weight loss (MWL) is a very common presentation that you may face as a plastic surgeon. Each patient has his own individual criteria, so, you should work according to a well-organized plan, especially when such cases have concerns about their gluteal area contour that were neglected before by many surgeons. A decision-making strategy was used to give a personalized treatment for targeting gluteal region reshaping of MWL patients. Methods This study considered all patients with MWL subjected to buttock reshaping. There was no randomization in treatment; there was a case-by-case assessment. We analyzed the features of the buttocks, the type of surgery performed, the outcomes, and the complications. Results Fifty two patients were included (41 females and 11 males), ages ranged between 21 and 66 years. Demographic data, preoperative body mass index (BMI), duration of surgery, type of surgery, and postoperative complications were collected. Statistically significant improvements were observed in gluteal ptosis and patient satisfaction grades. Conclusion Aesthetic improvement of the buttocks involves either augmentation or contouring that may be obtained by liposculpture, surgical lifting, or combination. Patients with MWL have high expectations and are often treated with multiple procedures. Thus, an easy strategic approach personalized on each patient to treat multiple adjacent areas in one operation is necessary. Adipose tissue distribution, gluteal skin status, and BMI were the main factors that can forcefully affect our plan to guarantee reduction of unpleasant results and complications and improve patient satisfaction.
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