Facial injuries in football.
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Injuries to the region of the major salivary glands, especially the parotid, may have important sequelae and require insight and persistence to manage. This is an area in which microsurgery comes into its own, especially for repair of the duct or nerve. In cases of severe injury or complications, the removal of the involved gland is always an option.
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Reconstruction and rehabilitation of acquired defects of the oral cavity is an important dental service. Severe deformities of the jaws may result secondary to gunshot wounds of the oral-facial region. New advances in soft and hard tissue surgical reconstruction can be of great benefit to the patient when coupled with prosthetic rehabilitation. In recent years there has been a significant increase in the incidence of gunshot wounds in the civilian population in the United States, and those of the mouth and jaws are relatively common-place. Gunshot wounds to the face and jaws may cause gross destruction of tissues. Although immediate definitive treatment of wounds reduces the mutilating effect, a significant number of patients require extensive reconstructive procedures. In addition, prosthetic rehabilitation is almost always needed. The purpose of this paper is to briefly review some recent advances in reconstruction of the maxilla and mandible following gunshot injuries.
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Injury to the marginal mandibular nerve is present as an adverse outcome in many surgical procedures. The resultant cosmetic deficit, manifesting lower lip asymmetry and imbalance, is readily noticeable especially during opening of the mouth. Multiple techniques to correct this deformity have been described, but most involve obvious scars or major procedures. A simple, one-step outpatient procedure, which can be performed under local anesthesia with a camouflaged scar, is described to correct the lip malposition.
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