[Additional surgical procedures on soft tissues in the operative treatment of anteriocclusion].
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The results of 53 surgical tongue reductions using a new line of incision are reported. Follow-ups were made in 31 of the cases. Hardly any unfavorable results are to be expected from this operation as far as postoperative shape of the tongue, mobility, taste, sensitivity, and speech are concerned. The positive effect on disturbed speech is especially worth mentioning.
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The cluster of abnormalities characteristic of myotonia dystrophica makes anesthesia a hazardous procedure. A thorough history and physical examination are essential, anesthetic agents must be selected with care, and ventilation requires meticulous attention.
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Lipoid proteinosis is a rare autosomal recessive heritable disease. Clinical features are hoarseness starting in infancy and the formation of yellowish papules and plaques on the skin and mucous membranes of the nose, oral cavity, pharynx and larynx. Light and electron microscopy demonstrates a subepithelial accumulation of PAS-positive (hyaline) material around blood vessels and in the dermis. This case is unusual in that the gingiva is also involved in the lipoid proteinosis.
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A case of true mielinic neuroma is described. An exhaustive review of the literature on this subject, basically of the Bolande article is carried out by the authors. The mielinic neuromata are a partial aspect of the complexe neuro-crestopathic syndromes associating the cutaneous lesions to: 1) Medullary tyroid carcinoma, 2) pheocromocytoma and 3) neurofibromatous lesions. The observation related by the authors shows: 1) Ehlers-Danlos disease (not described previously), 2) skeletal abnormalities, 3) medullary tyroid carcinoma and 4) pheochromocytoma symptoms.
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After a summary of the theoretic basis for the indication of an operative reduction of the tongue by the therapy of malocclusion, the results of the tests were individually analysed. A sure influence of the reduction of the tongue can only be proved for the averting of a threatening relapse after an operation of progenia. The ability of speech stayed without any influence in 12 cases and in 3 cases it got better or worse. The numerous late sequels in form and function of the tongue make it necessary to be carefully in indication of the reduction of the tongue by the therapy of malocclusion.
The authors describe anatomy, typologies, evolution of the tongue during growth. They pay attention at the modeling role of the lingual position and functions upon maxillofacial architecture. The bi-labial contact is the main factor for general functional equilibrium.
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Plastic surgeons from Los Angeles and New York (N = 182) were surveyed on their opinions of facial plastic surgery for individuals with Down syndrome. Of the 100 respondents, 88 were familiar with the procedures, and 24 had performed the surgery. The surgeons indicated the circumstances for recommending the surgery, who would be required to give consent, the degree to which they thought individuals with Down syndrome could understand the nature of the surgery, and their opinion of the degree of discomfort associated with the surgery.
Down syndrome (DS), or Trisomy 21, is a genetic disorder which results in intellectual impairment, typical craniofacial features and a wide spectrum of phenotypic abnormalities (reviewed by Kieser et al, 2003). Despite a large volume of research into this condition, its prevalence remains high (1 in 700 live births - Serra and Neri, 1990; Reeves, 2000). This, together with a notable increase in life expectancy (Pilcher, 1998), improved health care and a greater degree of integration into society in New Zealand has resulted in an increased demand for dental care.