Mandible fracture in a child with osteogenesis imperfecta on bisphosphonates. Open versus closed treatment? A case report.

Fractures in the pediatric population are less common than in adults. Facial fractures represent only 4%-5% of total trauma in infants. Osteogenesis imperfecta is a group of genetic disorders where multiple fractures can occur even in early years of life. Long-term treatment with bisphosphonates is currently used in these children in order to increase bone strength and to alleviate symptoms. This paper reports a rare case of a traumatic fracture of the mandible in a 4-year-old child with osteogenesis imperfecta type I. This is an unusual complication in children, even in this group of patients. Open reduction and rigid fixation are not often described as the best treatment. As there are controversies about the subject, a literature review and discussion are presented.

Lipoescultura facial: técnica quirúrgica y revisión bibliográfica / Facial liposculpture: surgical technique and literature review

Esta revisión presenta la infiltración de grasa autóloga como un procedimiento de gran utilidad para el relleno de las partes blandas faciales con objetivos estéticos o reconstructivos. Se ha realizado una revisión sobre los procedimientos de lipoescultura de la literatura publicada en PubMed. Se describen la técnica de Coleman, la técnica subdérmica, y la infiltración intramuscular, así como sus principales modificaciones, y los agentes estudiados y usados para incrementar la tasa de mantenimiento del injerto graso(AU)

This review shows that autologous fat grafting is useful for filling the soft tissues of the face for cosmetic and reconstructive purposes. The literature on liposculpture techniques published on PubMed was reviewed. The Coleman technique, subdermal technique, and intramuscular infiltration are described, in addition to their primary modifications, and the agents used to improve fat graft maintenance were studied(AU)