[Profile improvement through alloplastic chin reconstruction].
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Biomedical subjects
Publications and source records attributed to H G Jacobs.
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In addition to efforts classify hard odontomas the literature also contains numerous clinical descriptions of so-called cystic odontomas. The author describes a case of complex "cystic" odontoma with special regard to Xray and histological findings and comments on required changes in the nomenclature.
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Keratoprosthetics, twenty years ago, was regarded as technically without solution. Today, merely biological questions remain. Although clinical experience does not allow us to give a final judgement, it seems more than probable that osteoodontokeratoprosthesis will obtain its indication as last resort for otherwise hopeless cases.
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The use of an alloplastic implant to fill the defect after resection of the central part of the mandible is described. This procedure makes the post-operative course more acceptable for the patient, and facilitates later reconstruction by a free bone graft in the absence of recurrence.
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Patients with cleft palates with or without cleft lip need more special attention at birth when the cleft is associated with other malformations. For example, the Pierre-Robin and the Klippel-Feil Syndromes are both well known for the special problems they present. Reported here are three cases, with Crouzon's and two with Franceschetti Syndromes, all of whom have palatal clefts.
In a previous paper (Jacobs 1976) the development of an apparatus was described which achieved a compression osteosynthesis through the use of percutaneous bone screws without encroaching on the area of the fracture. As indication for this procedure we consider the condition which is described under the synonyms "post-traumatic osteomyelitis", "osteitis" and "fracture infection". Clinical experience is described with consideration of technical measurements - for the first time in vivo measurements of interfragmental compression in the patient and X-ray findings.
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Our suprastructures for blade vent implants are purely tissue-borne constructions. The retainers fixed to the denture base (Dolder jacket or Gilmore rider) are attached to the implant bar to guide the movement of the saddles. In addition, this is to counteract lifting to the dental replacement by the tongue or the muscles of the floor of the mouth. Cases in which this therapeutic method was applied are presented.
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The orbit is frequently involved in fractures of the middle part of the face. In order to maintain optimum functioning of the eyeball after healing of the fracture, anatomically correct reconstructioning is indicated as early as in primary treatment. In those cases where this is not possible, a secondary treatment is required which should be carried out in cooperation with the ophthalmologist.