Background: Complete Moebius Syndrome (CMS) is a congenital condition affecting the VII and VI cranial nerves, causing bilateral facial paralysis limited ocular abduction. Bilateral free gracilis muscle transfer (FGMT) standard treatment. Traditionally performed in two stages, new one-stage approach has been introduced at our center. This study compares surgical long-term outcomes of both methods CMS patients. Methods: retrospective cohort included patients who underwent or two-stage FGMT...

We report the first observation of a large (more than 10%) reflectance anisotropy on Ag(110) single crystal. reproduce experimental data fairly well by use theoretical model, based quasistatic approximation, which takes into account both actual geometry crystal surface and interband intraband transitions. This demonstrates that main effect is screened local-field resonant dipolar oscillation localized near surface.

Determination of antinuclear antibodies (ANA) by indirect immunofluorescence (IIF) is usually the initial test for diagnosis systemic rheumatic diseases (SRD). Assigning predictive values to positive and negative results vital because lack knowledge about ANAs their usefulness in classification criteria SRD leads inappropriate use.Retrospective study, ANA tests requested different specialties, correlation patients' final diagnosis.The prevalence autoimmune disease was relatively low our...

Rapid prototyping models (RPMs) had been extensively used in craniofacial and maxillofacial surgery, especially areas such as orthognathic posttraumatic or oncological reconstructions, implantology. Economic limitations are higher developing countries Mexico, where resources dedicated to health care limited, therefore limiting the use of RPM few selected centers. This article aims determine dimensional error a low-cost fused deposition modeling 3D printer (Tronxy P802MA, Shenzhen, Tronxy...

Acute upper extremity injuries remain one of the most common consultations in emergency departments for plastic surgery services. These can affect a person's quality life and negatively work-related or social interactions if not properly managed. We aim to evaluate our experience management specialized referral center Mexico City.A retrospective review was performed. All patients with hand trauma managed by service from July 2010 June 2015 were included; their demographic characteristics...

Hemifacial microsomia (HFM) is a malformation characterized by asymmetric facial growth with mandibular and muscular involvement. There are no reports focused on the functional status of masticatory system patients HFM. The objective this work evaluate bite force electrical activity masseter muscle in children HFM, compare them to healthy controls. A cross-sectional study was performed between subjects HFM children. Mean (MBF) surface electromyography (EMG) maximum intercuspation (MIC) rest...

Background Craniofacial fibrous dysplasia (CFD) is an uncommon benign condition in which a bone replaced by tissue. An adequate clinical characterization considering the number of affected bones and functional impairment important to determine most effective surgical intervention for its management. This study aims present our institution's experience evaluation management CFD. Methods was retrospective that included patients with CFD managed at institution. Data demographic characteristics,...

Background: Facial paralysis is a frequent disabling entity that causes negative impact on the cosmetic, functional, social, psychological and economic aspects of patient.Surgical treatment aims to restore patient her previous life with fewest possible sequelae.Objective: Describe experience surgical management propose algorithm.Method: A retrospective study was carried out from 2017 2019 records patients facial nerve involvement.The variables were age, sex, etiology, affected side...

Skin cancer has become a public health problem due to its high incidence and the considerable percentage that it occupies within main malignant neoplasias.There are several risk factors develop this pathology, was observed exposure UV rays is among most important.For study, divided into two types: melanoma non-melanoma skin cancer, which in turn classifi ed basal cell squamous carcinoma.Most cases preventable respond well treatment when they diagnosed promptly; is, therefore, be considered...

Background: Airway management in patients with Moebius syndrome can be difficult due to the presence of orofacial malformations. This paper aims present our institution's experience evaluation and upper airway Methodology: The authors performed a retrospective study including every patient submitted surgery between 2012 2017. Difficult was defined as one requiring more than 2 attempts achieve endotracheal tube placement, Mallampati score equal or above III, Cormack need fiberscope during...

Aim: There is no previous description on the anatomy of inferior belly omohyoid muscle. This muscle has specific morphological characteristic that make it appealing when solving specialized reconstructive problems. Our objective to describe microsurgical from

La impresión 3D es una tecnología interesante en constante evolución. También conocida como manufactura aditiva, consiste la conversión de diseños digitales a modelos físicos mediante adición capas sucesivas material. En años recientes, y tras el vencimiento múltiples patentes, diversos campos las ciencias salud se han interesado sus posibles usos, siendo cirugía plástica especialidades médicas que más ha aprovechado ventajas aplicaciones, especial capacidad crear dispositivos altamente...

Carpometacarpal joint dislocations are uncommon hand injuries. These usually misdiagnosed due to their non-specific clinical signs and tend be difficult identify in simple X-rays. We report our experience the management of carpometacarpal bone at a specialized surgery center. Patients with seen emergency department between 2013 2017 were included. All patients treated either closed reduction percutaneous pinning (CRPP) or open internal fixation (ORIF). Postoperative functional assessment was...

Moebius syndrome is a disorder characterized by facial and abducens nerve paralysis. Patients can present wide range of upper extremity malformations. Literature focused on orthopedic manifestations shows variability in the prevalence clinical presentation anomalies. The aim this work to evaluate malformations patients with syndrome, clarify its various presentations, treatment strategies for their management.This retrospective, cross-sectional study including between 2012 2019. Data include...

Early onset facial paralysis is usually managed with cross-face nerve grafts, however the low number of axons that reach target muscle may result in weakness or failure. Multiple-source innervation, 'supercharging', seeks to combine advantages different donor nerves while minimizing their weaknesses. We propose a combination grafts local extra-facial transfers achieve earlier reanimation our patients.A retrospective cohort including all patients early unilateral palsy (<12 months evolution)...

Abstract Mandibular distraction osteogenesis (MDO) is a fairly common procedure in specialized craniofacial surgery centers. The MDO minimally invasive technique that able to generate new bone patients with severe hypoplastic ascending ramus, while also expanding the overlying soft tissues; therefore, it has become treatment of choice for surgical correction mandibular hypoplasias. One most postoperative complications involves misplacement distractor and/or corticotomy, which can result...

Moebius syndrome is a clinical entity characterized by bilateral facial and abducens nerve palsies; other cranial nerver might be affected as well. So far, no studies have reported the electromyographic responses of musculature in this group patients.The objective our study to describe muscle main donor nerves for reanimation patients with syndrome.We analyzed electromyographies from facial, hypoglossal, masseterine (trigeminal) accessory treated between 2010 2016. Results are presented...

Background: Nipple-sparing mastectomy (NSM) has become widely adopted owing to its oncologic safety, aesthetic results and psychological benefits. Lack of sensation on the Nipple-areola complex (NAC) after reconstruction remains a common complaint that been scarcely researched in alloplastic population. The aim this report is present nipple neurotization technique suitable for patients undergoing implant-based breast reconstruction.Case Presentation: A 42-year-old female with ductal...