Correction of orbito-frontal defects involves a multitude of surgical challenges, and requires careful and detailed planning. In the trauma setting, one must be prepared to deal with injuries to adjacent structures and be able to incorporate their repair into the surgical plan to maximize the functional and esthetic reconstruction for the benefit of the patient. Victims who have sustained trauma of the cranial complex in combination with mid-facial trauma, particularly involving the orbit, present a difficult scenario, especially when future ocular prosthetic rehabilitation is a concern. The authors present a patient of virtual surgical planning-guided planning of mid-facial osteotomies and custom implant creation for the secondary reconstruction of a patient who sustained extensive orbito-frontal trauma, requiring not only cranial vault recontouring, but also reconstruction of the mid-facial and orbital complex to accommodate an ocular prosthesis that would demonstrate proper anatomical relationships to maximize esthetics and function.

Although the Champy technique and reconstruction plates were associated with better postoperative outcomes, such as patient comfort and fracture healing, these should not be used interchangeably. IMF and extraction versus retention of teeth in the line of fracture did not influence any of the outcomes.

The gut microbiome stimulates nutrient metabolism and could effectively generate heat tolerance in chickens. This study investigates the effects of dietary steam-exploded pine particle (SPP) supplementation and subsequent acute heat stress on productive performance and cecum microbiome in broilers. Eight-day Ross 308 broilers were distributed in three groups with 0%, 1%, and 2% SPP in diets. On the 41st day, forty birds were allocated to four groups with ten birds each. The treatments were control diet at thermoneutral temperature (0% NT) and acute heat-stressed (HS) birds fed control (0% HS), 1% (1% HS), and 2% (2% HS) SPP. Parameters recorded were body weight (BW), feed intake (FI), rectal temperature (RT), relative organ weight, and metagenome analysis from cecum samples. Percent difference in BW, FI, and RT was decreased in HS birds. Metagenome analysis revealed similar richness and diversity in microbial communities. The relative abundance of the bacterial genus such as Limosilactobacillus, Drancourtella, and Ihubacter was increased while that of Alistipes, Alkalibacter, Lachnotalea, and Turicibacter was decreased in SPP supplemented HS birds. Concludingly, the production performance of broilers is negatively influenced during HS, and 2% dietary SPP supplementation may reduce the adverse effects of HS by modifying the microbiota in chickens.

Sawdust and wood shavings are the major industrial waste from wood and its related industries. Steam-explosion treatment enhances the utilizable fiber fraction in pinewood particles. This study investigated the effects of adding up to 2% of steam-exploded pine particles (SPPs) in diets on the growth performance and cecal microbiome of broilers. On the 8th day of age, 216 Ross 308 broilers were allocated to three treatments of 72 broilers/group, with 12 replicates of 6 broilers each, to receive 0%, 1%, and 2% SPPs in their diets. The experimental period was from the 8th to 28th day of age. The parameters recorded included growth performance, relative organ weight (duodenum, jejunum, ileum, liver, and spleen), absolute organ length (duodenum, jejunum, ileum, and cecum), blood biochemicals (glucose, total protein, triglyceride, and cholesterol), and microbial analysis from cecum samples. Growth performance parameters, such as the average daily gain, average feed intake, feed conversion ratio, organ weight, length, and blood biochemical parameters, were not influenced by dietary supplementation of SPP. The abundance of fibrolytic bacterial genera, such as Mediterraneibacter and Anaerobutyricum, was increased in 2% SPP-supplemented chickens. An unknown bacterial genus was also enhanced in 2% SPP-supplemented diets related to the family of fiber-degrading bacteria and needs further investigation. In conclusion, 2% SPP can be supplemented in chicken diets as a source of fiber from wood industry-related waste without having any harmful effects on broiler chickens.

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