New Frontiers in Facial Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: closed (15 December 2022) | Viewed by 7751

Special Issue Editor


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Guest Editor
Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, 80131 Naples, Italy
Interests: head and neck oncology; computer-assisted surgery; orthognathic surgery; facial plastic surgery; reconstructive surgery; TMJ surgery; biomaterials
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Special Issue Information

Dear Colleagues,

Facial surgery represents a challenge for any surgeon due to functional and aesthetic outcomes. New frontiers such as computer-assisted surgery and new biomaterials in head and neck reconstructive surgery have changed facial surgery in terms of achieving more successful results for surgeons and patients. Furthermore, computer-assisted surgery, in particular using a CAD–CAM system, improves results in terms of predictability and accuracy in order to obtain a reduction in operative time and a better quality of life.

The aim of this Special Issue is to investigate new frontiers in facial surgery focusing on biomaterials and computer-assisted surgery.

Dr. Giovanni Dell'Aversana Orabona
Guest Editor

Manuscript Submission Information

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Keywords

  • head and neck oncology
  • computer-assisted surgery
  • orthognathic surgery
  • facial plastic surgery
  • reconstructive surgery
  • TMJ surgery
  • biomaterials

Published Papers (3 papers)

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Editorial

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2 pages, 196 KiB  
Editorial
Special Issue “New Frontiers in Facial Surgery”
by Giovanni Dell’Aversana Orabona, Fabio Maglitto, Vincenzo Abbate, Antonio Romano, Paola Bonavolontà and Luigi Califano
J. Clin. Med. 2022, 11(11), 3082; https://doi.org/10.3390/jcm11113082 - 30 May 2022
Viewed by 977
Abstract
Facial surgery remains a challenge for surgeons in order to achieve the best results, both functionally and aesthetically [...] Full article
(This article belongs to the Special Issue New Frontiers in Facial Surgery)

Research

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11 pages, 1492 KiB  
Article
Diagnosis and Treatment in Unilateral Condylar Hyperplasia
by Jorge Beltran, Carlos Zaror, María Paz Moya, Henrique Duque Netto and Sergio Olate
J. Clin. Med. 2023, 12(3), 1017; https://doi.org/10.3390/jcm12031017 - 28 Jan 2023
Cited by 2 | Viewed by 4082
Abstract
Unilateral condylar hyperplasia (UCH) is an uncommon disease involving progressive facial asymmetry. The aim of this research was to perform an analysis of the diagnosis and treatment of patients with UCH in a clinical series. An observational retrospective study was performed on subjects [...] Read more.
Unilateral condylar hyperplasia (UCH) is an uncommon disease involving progressive facial asymmetry. The aim of this research was to perform an analysis of the diagnosis and treatment of patients with UCH in a clinical series. An observational retrospective study was performed on subjects with progressive facial asymmetry in the lower third of the face; all the subjects were under treatment with condylectomy and orthodontics to improve occlusion and face balance. Variables such as age, sex, clinical type, SPECT (single photon emission computed tomography) intensity and a requirement for secondary surgery were included; the Shapiro Wilk test was performed to analyze the normality of the data and nonparametric analysis and the Kruskal-Wallis or Mann-Whitney tests were used to assess the association between the SPECT difference and the variables, where 2-tailed p values < 0.05 were considered to be statistically significant. Forty-nine patients between 10 and 45 y.o. (average age: 19.1 ± 7.4 y.o.) were included in the study. There were 41 female (83.6%) and 8 male (16.4%) subjects. The SPECT analysis comparing the right and left condyles with more than 10% in caption of the isotope was present in 46 subjects; the results obtained using SPECT were not statistically related to the age or sex of the sample (p = 0.277). The patients were classified into clinical types I, II and III, and no correlations could be confirmed between the clinical type and other variables. High condylectomy was conducted on all patients, among which 14 patients underwent a secondary surgery for orthognathic or cosmetic treatment, and was not related to the initial variables used in diagnosis (p = 0.98); interestingly, the second surgical treatment was more present in the clinical type I and in subjects under 16 years old with no statistical differences. Clinical analysis, medical records, 3D imaging and SPECT should be used as a complementary analysis in assessing the diagnosis of UCH and progressive facial asymmetry. Full article
(This article belongs to the Special Issue New Frontiers in Facial Surgery)
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6 pages, 827 KiB  
Article
The Use of Matriderm® for Scalp Full-Thickness Defects Reconstruction: A Case Series
by Giovanni Dell’Aversana Orabona, Francesco Maffia, Giovanni Audino, Vincenzo Abbate, Cristiana Germano, Paola Bonavolontà, Antonio Romano, Riccardo Villari, Mauro Mormile and Luigi Califano
J. Clin. Med. 2022, 11(20), 6041; https://doi.org/10.3390/jcm11206041 - 13 Oct 2022
Cited by 5 | Viewed by 2168
Abstract
Background: The scalp region represent a common area affected by benignant and malignant skin tumor, and it represents a surgical challenge when it is needed to be reconstructed. The aim of this study is to present our experience with full-thickness scalp skin defects, [...] Read more.
Background: The scalp region represent a common area affected by benignant and malignant skin tumor, and it represents a surgical challenge when it is needed to be reconstructed. The aim of this study is to present our experience with full-thickness scalp skin defects, reconstructed using Matriderm® dermal substitute and split-thickness skin graft (STSG). Methods: A retrospective analysis of patients treated for scalp region reconstruction was conducted with 16 patients. All patients underwent the same procedure: scalp full-thickness tumor excision with simultaneous reconstruction with Matriderm® and the application of a split-thickness skin graft in the same surgical time. During follow-ups, the surgical outcome was evaluated by accurate clinical examination of the wound, adopting the Vancouver Scar Scale (VSS). Results: The outcomes obtained were satisfying: wound healing at the end of the procedures was optimal, grafted skin resulted similar to surrounding tissue, and pigmentation and vascularity showed a decrease in the period between 6 months and 1 follow-up. Conclusions: The use of Matriderm® and split-thickness skin grafting for scalp full-thickness defects reconstruction resulted in an optimal, stable, and safe procedure, suitable for elderly patients. Full article
(This article belongs to the Special Issue New Frontiers in Facial Surgery)
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