This case report details a 31-year-old female patient who underwent removal of misplaced chin implant, esthetic genioplasty, and angle of the mandible/ramus implants to correct significant facial asymmetry. Rationale for selected procedures, alternative treatment, and review of the literature are discussed.
Recent findings have led to radical changes in the treatment of wound healing [1]. Numerous factors that play a role in the specific form of tissue regeneration that constitutes wound healing of cutaneous and oral tissues have been studied [2]. Little is known, however, about the cellular effects of the trauma that by definition is part of a wound-causing injury. Regulation of secretory responses by fibroblasts is a fundamental process in normal wound healing. The expression of the secretory form of the regulatory subunit of type II protein kinase A (cARP), has been shown to be influenced by physiologic and environmental factors such as inflammation, drug treatment, or gravitational force [3,4].
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