Reconstruction of post-orthognathic aseptic necrosis of the maxilla

Surgical management of cross-bites in orthognathic surgery: Surgically assisted rapid maxillary expansion (SARME) versus two-piece maxilla

“…The palatal mucosa in that area was quite stiff, and ruptures often occurred when insufficient soft tissue detachment was performed. Alternatively, two Paramedian osteotomy lines can be made; however, this lead to a three-piece maxilla, which runs the risk of segmental necrosis, as described in the literature (Singh et al, 2008;Gunaseelan et al, 2009;Steel and Cope, 2012).…”

Complex Traumatic Facial Degloving Injury

“…5 Avulsion injuries involving the complete degloving of the affected segment require immediate treatment and generally involve the use of hyperbaric oxygenation and microsurgical techniques to reduce tissue necrosis. 2,6,7 The patient presented here differs from other patients in the literature, both in the extent of the affected area and the possibility of successful repair without the use of hyperbaric oxygenation or microsurgical techniques. Loss of ipsilateral facial artery was not of concern, as the ligature of this artery is a routine procedure in oral and maxillofacial surgery.…”

An impressive case of complete traumatic maxillofacial degloving

“…Avulsion injuries of the face are uncommon, whereas avulsion of scalp tissue, with or without facial tissue, are reported more frequently 1 . Avulsion injuries involving the complete degloving of the affected segment require immediate treatment and generally involve the use of hyperbaric oxygenation and microsurgical techniques to reduce tissue necrosis and the various aesthetic and psychological complications stemming from this necrosis 4,7,9 . A patient with total avulsion of the scalp was treated by microsurgical reimplantation based on the bilateral temporal vessels 6 .…”