Background: Mandibular condylar fractures are common, with prevalence between 25% and 35% of all mandibular fractures. In children, the condylar fractures are usually managed with maxilla-mandibular fixation, where as in adults the treatment of condylar fractures remains controversial. Several investigators validated the use of Botulinium Toxin (BTX) for treatment of recurrent temporomandibular joint dislocation. However, there are very limited studies that assessed (BTX) injection in the management of condylar/ subcondylar fractures.Patients and Methods: Ten patients presenting with condylar/subcondylar fractures either isolated or associated with other mandibular fracture were treated by Ultrasound guided (BTX) injection to Lateral Pterygoid Muscle (LPM) followed by application of arch bar and guiding elastics 2-3 days later.Results: Patients retained good occlusion with unrestricted mouth opening. Minor deviation upon mouth opening was observed in some of the cases. Good alignment of the condylar /subcondylar fracture was documented radiologically over a minimum of three-month follow-up period. Conclusion:The use of botulinium toxin in condylar fractures is safe, and can be used as nonsurgical adjuvant in management of condylar/subcondylar fractures.

Background: Post-bariatric patients suffer from laxity of skin and redundancy in different parts of the body, with resultant unaesthetic appearance. Concerning the lower body, different surgeons have introduced lower body lift and buttock augmentation and have discussed different approaches and techniques. In this study, we compare between buttock autoaugmentation with fat injection and buttock auto-augmentation with gluteal implant application as regards the maximum aesthetic outcome in post-bariatric patients.Patients and Methods: 26 post-bariatric patients with redundancy of the skin of the abdomen and buttocks. All patients had belt lipectomy/abdominoplasty and buttock augmentation (auto-augmentation) in addition to fat injection (Group A, 15 cases), or application of intramuscular gluteal implants (Group B, 11 cases).Results: All patients had follow-up for one year with no major complications. The p-value was calculated for both groups and was found that there is a highly significant statistical difference in the post-operative measurements in Group A (fat injection).Conclusion: Dual autoaugmentation for post bariatric ptotic buttocks give more appealing results for patients, either objectively by measurements or subjectively by high satisfaction scores with a higher preference for fat injection.

Background Oro-facial clefts include a range of congenital deformities most commonly presenting as cleft lip with or without cleft palate (CLP) or isolated cleft palate (CP). CLP is the second most common congenital birth defect in the U.S. Aim of the Work to assess modified v-advancement vermilion flap combined with Tennison technique for vermilion repair in unilateral cleft lip regarding aesthetic outcome in comparison with repair of cleft lip by Tennison technique. Patients and methods This study was conducted in plastic, maxillofacial and reconstructive surgery department in Ain Shams University between September 2019 to February 2020. It included 20 patients divided into two group; the first group consisted of 10 patients who underwent repair of cleft lip by Tennison technique and the second group consisted of 10 patients who underwent repair by Tennison technique combined with v- advancement vermilion flap. Both groups were assessed postoperatively by Asher-McDade et. al. scoring system. Result The study showed statistically significant difference between the two groups as regard the white lip length which was more symmetrical in cases repaired by Tennison technique combined with modified v-advancement vermillion flap (P = 0.01). The bulge and the deficiency in the lateral vermilion were decreased in the group treated by Tennison technique with modified v-advancement vermilion flap. However the difference was statistically insignificant (P = 0.66). Conclusion The choice of a technique for surgical correction of UCL should be based on an evidence that this technique has the best functional and aesthetic outcomes. The findings of this study support the view that these two methods of cleft lip repair have their own advantages and disadvantages. Tennison technique combined with vadvancement vermilion flap achieved less bulge in the vermilion with no statistically significant difference.

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