vestibuloplasty under general anesthesia. Although the incidence of the syndrome of inappropriate anti-diuretic hormone after minor operation in the field of oral and maxillofacial surgery is rare, if it is not treated adequately, it may cause fatal emergency situations. Therefore, we should be fully aware of the diagnosis and the treatment of the syndrome of inappropriate anti-diuretic hormone.]]>
Anesthesia, General ; Diagnosis ; Emergencies ; Female ; Humans ; Incidence ; Surgery, Oral ; Vestibuloplasty

Many of problems which are faced to the edentulous patients are related to a minimal amount of available mandibular bone volume and height. Most of the patients with mild atrophy of mandible are treated using endosseous implant prosthodontics. TMI (Transmandibular Implant) can be used in case of severe mandibular atrophy of the mandible with exposed of inferior alveolar nerve, osteoporosis and the fracture of the atrophic mandible.Also it can eliminate the need for bone grafting and vestibuloplasty. The TMI is a rigid box frame structure which controls and distribute the masticatory force over the severely resorbed mandile. The box frame structure consist of a superstructure, baseplate, 4 transosseous posts, and 5cotical screws. This is a case report that also describes about the transmanibular implant reconstruction system.
Atrophy ; Bite Force ; Bone Transplantation ; Humans ; Mandible ; Mandibular Nerve ; Osteoporosis ; Prosthodontics ; Vestibuloplasty

The present study was aimed to compare the resorption rate and the histological change of the autogenous dermis and the artificial dermis (Terudermis(R).) after the transplantation, and to report the clinical results of the use of Terudermis(R). in order to restore the soft tissue defect. Twenty mature rabbits, weighing about 2 kg, were used for the experimental study. The autogenous dermis and the Terudermis(R). size 1 x 1 cm were transplanted to the space between the external abdominal oblique muscle and the external abdominal oblique fascia of the each rabbits. They were divided into 4 groups (n=5 each) and gathered at 1, 2, 4, and 8 weeks after the transplantation. The resorption rate was calculated, and H-E stain was preformed to observe the histological changes. The chart review of the 17 patients who received Terudermis(R). graft to the facial soft tissue defects was conducted for the clinical study. The resorption rate at 8 weeks after the transplantation was 21.5% for the autogenous dermis, and 36.4% Terudermis(R). In microscopic examinations, the infiltration of the inflammatory cells and the epidermal inclusion cyst were observed in the autogenous dermis graft. The neovascularization and the progressive growth of the new fibroblast were shown in the Terudermis(R). graft. In clinical data of 17 patients, the size of the grafted Terudermis(R). was from 1.5 cm2 to 7.5 cm2 (average 3.5 cm2). Follow-up ranged from 5 to 25 months. Fourteen patients with cleft palate demonstrated stability of the graft and unremarkable complications. But unstability of the graft and the partial relapse were observed in three patients received the vestibuloplasty. These results indicate that Terudermis(R). can be available substitute of autogenous dermis because of the stability about resorption, the histocompatibility, and the unremarkable clinical complications.
Cleft Palate ; Dermis* ; Fascia ; Fibroblasts ; Follow-Up Studies ; Histocompatibility ; Humans ; Rabbits ; Recurrence ; Transplants ; Vestibuloplasty

The radial forearm free flap (RFFF) is a thin and pliable tissue with many advantages for tongue reconstruction. However, tongues reconstructed with RFFF occasionally need revision surgery because inadequate defect measurement at primary surgery can lead to bulkiness and limited movement of reconstructed tongue. In this case, the patient underwent partial glossectomy and RFFF reconstruction for treatment of tongue cancer five years prior. We could not make a lower denture for the patient, because the alveolo-lingual sulcus of tongue was almost lost. So we performed vestibuloplasty with a modified Kazanjian method on the lingual vestibule of the mandibular right posterior area, and defatting surgery to debulk the flap. After surgery, we observed that the color and texture of the revised tongue changed to become similar with adjacent tissue. The patient obtained a more functional and esthetic outcome. Accordingly, we present a case report with a review of relevant literature.
Dentures ; Forearm ; Free Tissue Flaps ; Glossectomy ; Humans ; Tongue Neoplasms ; Tongue* ; Vestibuloplasty*

vestibuloplasty with skin or mucosal grafting is unnecessary. Thus, the one technique serves two purposes : increasing the bony height of the deficient ridge and producing an acceptable mucobuccal fold. We'd like to report the good result in reconstruction of deficient maxilla with titanium mesh and iliac PMCB.]]>
Alveolar Process ; Bone Marrow ; Equipment and Supplies ; Mandible ; Maxilla ; Skin ; Titanium ; Transplants ; Vestibuloplasty

vestibuloplasty on the area of vestibular flattening caused by trauma. Author could induce good healing processes and results without additional scar formations and further discomforts.]]>
Cicatrix ; Collagen ; Hair ; Humans ; Membranes ; Odors ; Skin ; Tissue Donors ; Transplants ; Vestibuloplasty ; Wounds and Injuries

This paper describes a patient with an insufficient vestibular depth for a removable partial denture who underwent vestibuloplasty with a free gingival graft using a titanium mesh in the anterior mandible. Free gingiva was harvested from the palatal mucosa, and a partial thickness flap was elevated at the recipient site. After minimal suturing for the graft, a titanium mesh was fixed over the graft. The mesh was removed four weeks after surgery. The patient obtained an adequate vestibular depth and keratinized gingiva eight weeks after surgery without any complications. In this case, an appropriate vestibular depth and keratinized gingiva were easily obtained by vestibuloplasty using a titanium mesh.
Denture, Partial, Removable ; Gingiva ; Humans ; Mandible ; Mucous Membrane ; Titanium ; Transplants ; Vestibuloplasty

Small round cell tumors of the nasal vestibule are very uncommon tumors and encountered rarely in the late-adolescent and adult age group. The authors experienced a case of undifferentiated small round cell tumor of left nasal vestibule in a 19-year old male patient. Histopathologic findings showed a small cell with irregular oval shape nuclei. Immunohistochemical study showed undifferentiated small round cell carcinoma because of all negative stain except vimentin. The computed tomography (CT) scan of paranasal sinus and chest X-ray showed no evidence of invasion and regional metastasis. The patient received local resection and vestibuloplasty using a free composite graft of auricular cartilage and skin, and had no recurrence or complication. We report our case with a brief review of the literatures.
Adult ; Carcinoma ; Ear Cartilage ; Humans ; Male ; Neoplasm Metastasis ; Nose Neoplasms ; Recurrence ; Skin ; Thorax ; Transplants ; Vestibuloplasty ; Vimentin ; Young Adult

vestibuloplasty. There have been so many challenges for the culture of the epidermal tissue. Observing the ultrastructure of the cultured human oral kertinocytes, we could compare this findings with that of in vivo ones. With that, we could find the differencies and similarities between cultured cells and in vivo ones, and evaluate the clinical applications of cultured tissue. Human gingiva was obtained and the specimen was explanted on 24-well plate. Two types of culture media were used in this culture system. One was for the growth of the keratinocytes (Media I), and the other was for the stratification (Media II). Media I had special ingredients for the epidermal growth.; Those were 0.5% dimethyl sulfoxide (DMSO), 30ng/ml of epidermal growth factor (EGF), 30ng/ml of cholera toxin, and 5microgram/ml of transferrin. We cultured the oral keratinocytes for 3 weeks, and at that time the cultured keratinocytes were processed to prepare the specimen for the TEM study. The results were as follows; 1. In the phase contrast micrograph, epidermal outgrowth firstly appeared on the 3rd day after explantation, and the growing keratinocytes were activley mitotic, and had polygonal shape and increased N/C ratio. 2. In the phase contrast micrograph, the outer most cells exhibited areas where broad cytoplasmic processes extended out onto the culture subtratum(fan-like appaearance). 3. In the TEM micrographs, the cultured keratinocytes showed stratification. The cells were in elongated form, and there were no morphologic differencies among the layers usually found in the in vivo gingiva. 4. Most of cellular organelles underwent lysis, and keratohyaline granules were seen. Tonofibrils were dispersed in the cytoplasm. 5. The cells were interconnected by desmosomes, and their frequency of distribution was considered to be lower than that of in vivo keratinocytes. 6. We could conclude the cultured oral keratinocytes exhibited signs of terminal differentiation.]]>
Cells, Cultured ; Cholera Toxin ; Culture Media ; Cytoplasm ; Desmosomes ; Dimethyl Sulfoxide ; Epidermal Growth Factor ; Gingiva ; Humans ; Keratinocytes ; Organelles ; Surgery, Oral ; Transferrin ; Transplants ; Vestibuloplasty

PURPOSE: Various complications occur when a maxillofacial fracture is malunionized or improperly resolved. Malocclusion is the most common complication, followed by facial deformity, temporomandibular joint disorder (TMD), and neurological symptoms. The purpose of this study was to evaluate the dental treatment of postoperative complications after maxillofacial fracture. MATERIALS AND METHODS: In this study, nine patients with a postoperative complication after maxillofacial fracture who had been performed the initial operation from other units and were referred to the authors’ department had been included. Of the nine patients, six had mandibular fractures, one had maxillary fractures, one had maxillary and mandibular complex fractures, and one had multiple facial fractures. All the patients had tooth fractures, dislocations, displacements, and alveolar bone fractures at the time of trauma, but complications occurred because none of the patients underwent preoperative and postoperative dental treatment. Malocclusion and TMD are the most common complications, followed by dental problems (pulp necrosis, tooth extrusion, osteomyelitis, etc.) due to improper treatment of teeth and alveolar bone injuries. The patients were referred to the department of dentistry to undergo treatment for the complications. One of the nine patients underwent orthognathic surgery for a severe open bite. Another patient underwent bone reconstruction using an iliac bone graft and vestibuloplasty with extensive bone loss. The other patients, who complained of moderate occlusal abnormalities and TMDs such as mouth-opening limitation, underwent occlusal treatment by prosthodontic repair and temporomandibular joint treatment instead of surgery. RESULTS: One patient who underwent orthognathic surgery had complete loss of open bite and TMD after surgery. One patient who underwent reconstruction using an iliac bone graft had a good healing process. Other patients were treated with splint, injection, and physical therapy for mouth-opening limitation and temporomandibular joint pain. After treatment, the TMDs were resolved, but the remaining occlusal abnormalities were resolved with prosthetic restoration. CONCLUSIONS: Considering the severity of malocclusion and TMJ symptom and the feasibillity of reoperation, nonsurgical methods such as orthodontic and prosthodontic treatments and splint therapy can be used to manage the dental and TMD complication after the trauma surgery. However, reoperation needs to be strongly considered for severe malocclusion and TMD problem. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40902-018-0167-z) contains supplementary material, which is available to authorized users.
Congenital Abnormalities ; Dentistry ; Dislocations ; Fractures, Bone ; Humans ; Malocclusion ; Mandibular Fractures ; Maxillary Fractures ; Necrosis ; Open Bite ; Orthodontic Extrusion ; Orthognathic Surgery ; Osteomyelitis ; Postoperative Complications ; Reoperation ; Retrospective Studies ; Splints ; Temporomandibular Joint ; Temporomandibular Joint Disorders ; Tooth ; Tooth Fractures ; Transplants ; Vestibuloplasty