Facial asymmetry is an individualized characteristic and is commonly observed sub clinically in overall population. However, clinically significant facial asymmetry with associated morphologic, esthetic and stomatognathic problems warrant investigation of the underlying etiology and comprehensive clinical examination in conjunction with imaging studies for diagnosis, localization of asymmetry and treatment planning. The principal aim of this article is to present an invaluable insight into etiopathogenesis, myriad classifications and various systematic diagnostic approaches indispensable for formulation of treatment plan and appropriate management of facial asymmetry.
Mucormycosis is a rare opportunistic fungal infection with acute, aggressive, and invasive nature, seen in immunocompromised/debilitated patients, especially with diabetes mellitus. The key to successful therapy is the early diagnosis of signs and symptoms of the disease, correction of the underlying medical disorder(s), and aggressive medical and surgical intervention. The case presented here is mucormycotic osteomyelitis of the nasomaxillary–zygomatic complex following trauma in a middle-aged man. Preoperative amphotericin B therapy along with surgical resection of necrotic tissue was done followed by prosthetic rehabilitation with an obturator. There was no sign of recurrence of the diseases for the follow-up period of 1 year.
Objectives To evaluate decalcified freeze dried allograft or hydroxyapatite and a combination of both as bone autograft substitutes in the healing of osseous jaw defects. Materials and Methods 24 patients participated in the study which involved the filling of osseous defects in the maxilla/mandible with decalcified freeze dried bone allograft (DFDBA) or hydroxyapatite (HA) or a combined graft composed of these two in equal proportions. Results Bone formation occurred as early as 4 weeks in the DFDBA and combination groups and 12 weeks in the HA group which was verified by radiographs, Dentascans (DentaScanÒ Software Program, General Electric, USA) and bone scintigraphy. Conclusion Both these materials can be used as bone graft substitutes in smaller defects although their suitability in large defects is yet to be studied.
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