Adult ; Female ; Humans ; Maxillofacial Abnormalities ; Nose ; abnormalities

48 cases of facial skin cancer (18 males, 30 females, aged 8-83 years) were admitted in Hue Central Hospital in 1996 – 2003 period. Among them, basocell cancers were common and leading causes on the face and neck areas. The disease occurred mainly in > 50 years old age, more common in female than in male, in rural people than in urban and most occurred in the centre of the face. Sun irradiation was the mainly important risk factor. Clinically, basocell cancer on the face was detected late with slow progress, little gland and no far metastasis. Basocell cancers had got good prognosis. Large removal the surrounding tissues and using local flap flexibly according the concrete site gave good outcomes functionally and esthetically.
Skin Neoplasms ; Case reports ; Maxillofacial Abnormalities ; Therapeutics

China ; Humans ; Maxillofacial Abnormalities ; surgery ; Tooth Abnormalities ; surgery

Binder syndrome is a rare maxillofacial abnormality. Yet, once presented, it often needs to be addressed surgically. To suit this purpose, various surgical techniques have been developed. This paper is a case report of a staged nasal reconstruction in a Binder syndrome patient using rib bone and cartilage graft and forehead flap. At the same time, preoperative and postoperative anthropomorphometric measurements were compared to assess the efficiency of the proposed surgical technique.
Cartilage* ; Forehead* ; Humans ; Maxillofacial Abnormalities ; Nose ; Ribs* ; Transplants*

Humans ; Maxillofacial Abnormalities ; surgery ; Orthodontics, Corrective ; Postoperative Care ; Preoperative Care ; Time Factors ; Tooth Abnormalities ; surgery

OBJECTIVETo probe the possibility of trans-sutural distraction osteogenesis for correction of children midfacial hypoplasia.

METHODSThe trans-sutural distraction system of mid-facial skeleton consisted of the bone-borne traction hooks of titanium, the face-bow, and the elastic loops. Nine children with midfacial hypoplasia were treated at their 6 - 12 years of age. No osteotomy was made in them. Bone holes were drilled with a dental bur at each side of the lateral-inferior rim of the aperture, or at the anterior part of the hard palate. The traction device was hatched to the holes through the nostrils. Protraction began 3 days postoperatively, with the forces adjusted dependently upon the rate of progress. When the skeleton reached to the planed position, it was retained with a minor force for 8 weeks.

RESULTSThe mid-facial skeleton of the nine children showed a balanced advancement. Their facial profile and cross-bite were corrected satisfactory.

CONCLUSIONSPatients with severe mid-facial hypoplasia could be corrected ideally by the new technique, with minor trauma, easy manipulation. The design of protraction system was reasonable.

Child ; Humans ; Maxillofacial Abnormalities ; surgery ; Oral Surgical Procedures ; methods ; Orbit ; abnormalities ; surgery ; Osteogenesis, Distraction ; methods ; Skull ; abnormalities ; surgery ; Treatment Outcome

Computer Assisted Simulation Surgery (CASS) is a reliable method that permits oral and maxillofacial surgeons to visualize the position of the maxilla and the mandible as observed in the patient. The purpose of this report was to introduce a newly developed strategy for proximal segment management according to Balanced Orthognathic Surgery (BOS) protocol which is a type of CASS, and to establish the clinical feasibility of the BOS protocol in the treatment of complex maxillo-facial deformities. The BOS protocol consists of the following 4 phases: 1) Planning and simulation phase, 2) Modeling phase, 3) Surgical phase, and 4) Evaluation phase. The surgical interventions in 80 consecutive patients were planned and executed by the BOS protocol. The BOS protocol ensures accuracy during surgery, thereby facilitating the completion of procedures without any complications. The BOS protocol may be a complete solution that enables an orthognatic surgeon to perform accurate surgery based on a surgical plan, making real outcomes as close to pre-planned outcomes as possible.
Congenital Abnormalities ; Head* ; Humans ; Mandible ; Maxilla ; Methods* ; Oral and Maxillofacial Surgeons ; Orthognathic Surgery

Since maxillofacial injury is frequently accompanied by other diseases, its evaluation and treatment are open delayed. When the evaluation is delayed, the surgical treatment can be difficult or impossible. A 21-yr-old man presented with right facial swelling and deformity after injury. We planned immediate surgical repair for his right tetrapod fracture, but the operation was delayed for two months due to severe hyperthyroidism. During the operation, we reducted and fixed the deviated bone after refracture of the zygomatic arch with an osteotome to achieve mobility. The facial deformity and difficulty in mouth opening were improved after the operation. Even in the presence of accompanying fractures, early evaluation and proper management can prevent complications and achieve acceptable cosmetic outcomes in maxillofacial trauma patients. In patients with malunion of fracture sites, fixation after refracture using an osteotome can be a good treatment option for obtaining good mobility.
Congenital Abnormalities ; Cosmetics ; Facial Injuries ; Fracture Fixation ; Humans ; Hyperthyroidism ; Maxillofacial Injuries ; Mouth ; Zygoma

OBJECTIVETo study the epidemiological features of transverse cleft and its multiple congenital anomaly (MCA) patterns in China.

METHODSFrom 1987 through 1992, hospital-based cluster sampling method was adopted for collecting data. During that period all live or stillbirths with 28 weeks of gestation or more were assessed within 7 days after delivery.

RESULTS94 cases of transverse facial cleft were identified among 4,489,692 births, so the prevalence rate of transverse facial cleft at birth was 0.21/10(4). The prevalence rates in urban areas and in rural areas were 0.20/10(4) and 0.23/10(4), respectively. And the rates in male and female births were both 0.21/10(4). 69 cases occurred with other malformations, among which the anomalies of ear were the most frequent association (53.6%). The perinatal fatality rate was 46.9%, a significant difference of fatality rate was found between isolated forms (16.0%) and associated forms of transverse facial cleft (58.0%).

CONCLUSIONSThe prevalence rate of transverse facial cleft in China is more than the estimated rate. No significant differences are found between urban and rural areas, and between male and female births. Most of transverse facial clefts are associated forms, often as one feature of other syndromes.

China ; epidemiology ; Female ; Humans ; Incidence ; Infant, Newborn ; Male ; Maxillofacial Abnormalities ; epidemiology ; Pregnancy

Cleft Lip ; complications ; Cleft Palate ; complications ; Humans ; Maxillofacial Abnormalities ; pathology ; Orthodontics, Corrective