ABSTRACT
A case is presented of a young female with parotid recurrent pleomorphic adenoma and skin infiltration treated with subtotal parotidectomy combined with a bilateral superficial muscular aponeurotic system rhytidectomy.
Subject(s)
Adenoma, Pleomorphic/surgery , Neoplasm Recurrence, Local/surgery , Parotid Neoplasms/surgery , Rhytidoplasty/methods , Surgical Flaps , Adult , Combined Modality Therapy , Female , HumansABSTRACT
The main indication to use vertical alveolar distraction is post-traumatic mandibular atrophy. This technique allows to obtain an adequate bone volume for insertion of osseointagrated implants. The authors present in this article two patients cases in whom alveolar vertical distraction was applied to atrophy post-traumatic, using endoral twin track distraction. In both cases it was prepared a stereolithography model to mimic the box of the bone to be distracted, to align the preoperative distractor and to obtain the more effective carrier. At the distractive stage followed the implant prosthesis stage which was designed to rehabilitate the previously atrophic bone area. In both patients it has been possible to insert the planned number of implants.
Subject(s)
Dental Implantation, Endosseous/methods , Mandible/surgery , Mandibular Injuries/surgery , Osteogenesis, Distraction/methods , Adult , Atrophy , Esthetics , Female , Humans , Male , Mandible/pathologyABSTRACT
Microcystic adnexal carcinoma is a rare, locally aggressive neoplasm with both eccrine and follicular differentiation and a high probability of perineural invasion of the centrofacial region. Given the histopathological features of this tumour, early diagnosis is essential for adequate management. This report refers to a case of microcystic adnexal carcinoma of the nasogenial region, with infiltration of the deep planes extending to the anterior wall of the maxillary sinus. Surgical treatment involved wide demolition of the centrofacial region followed by reconstruction using four locoregional flaps: an Indian flap and a Mustardé flap were used for cutaneous reconstruction; a septal flap to support the maxillogenial region; a mucosal flap to separate the nasal cavities.
Subject(s)
Carcinoma , Facial Neoplasms , Aged, 80 and over , Carcinoma/diagnosis , Carcinoma/surgery , Facial Neoplasms/diagnosis , Facial Neoplasms/surgery , Female , Humans , Plastic Surgery Procedures/methods , Surgical FlapsABSTRACT
Maxillary reconstruction still remains challenging for surgeons despite the fact that maxilla is a static structure. The correct shape and volume of the reconstruction can guarantee the best result in terms of soft tissue support and functional outcome for the patients restoring three-dimensional support of the mid third. The fibula free flap seems to be the best free flap to apply in this type of reconstruction, partial maxillectomy, in particular, can benefit from reconstruction with the double barrelled fibula free flap. In fact, this shape can provide the best support to cheek tissue and minimize the tendency of upper retraction of the alar base of the nose and lips. Moreover, the free flap, containing bone, can restore a skeletal structure that will provide adequate bony support for osteointegrated implant prosthesis rehabilitation. All these conditions can be achieved with the double barrel fibula flap that we consider a good approach for maxillary reconstruction.
