CBCT assessment of impacted canine improves canine localization to adjacent teeth and provides higher level of confidence in the treatment plan compared to 2D images. However, there is conflicting evidence to support using CBCT as a routine first-line imaging method in patients with impacted maxillary canine and incisor root resorption. Consequently, there are doubts regarding difference in diagnostic and treatment planning between the use of conventional 2D and CBCT sets. Therefore, the present review will attempt to summarize the new aspects regarding the benefits of three-dimensional (3D) diagnostic techniques (cone-beam computed tomography, CBCT), including the accuracy of localization of impacted canine and the detection of the degree and location of root resor ption of maxillary incisors.
BACKGROUND. Improving the aesthetic and functional outcomes of parotidectomy is a constant concern of recent studies. We describe our experience on this topic by employing techniques inspired from rhytidectomy.MATERIAL AND METHODS. We performed a retrospective study including patients that underwent parotidectomy through a facelift approach and we documented the details of the technique and the postoperative care and outcomes.RESULTS. A total of 247 patients with parotid gland tumors were operated using the facelift approach. A superficial or quasi-total parotidectomy was performed, followed by a superficial musculoaponeurotic system-plasty. The postoperative outcomes were favourable regarding both the appearance and function, with minimal complications. The advantages of the employed technique are discussed.CONCLUSION. It is possible to decrease the sequelae, simplify the postoperative care and improve the aesthetic outcome of parotidectomy cases by employing the facelift approach and the superficial musculoaponeurotic system (SMAS) reconstruction of the post-parotidectomy defect.
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