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Facial Masculinization Surgery
Facial masculinization surgery (FMS) is a set of plastic surgery procedures that can transform the patient's face to exhibit typical masculine morphology. Cisgender men may elect to undergo these procedures, and in the context of transgender people, FMS is a type of facial gender confirmation surgery (FGCS), which also includes facial feminization surgery (FFS) for transgender women. FMS can include various bony procedures such as chin augmentation, cheek augmentation, as well as augmentation of the forehead, jaw, and Adam's apple. In FMS, most procedures involve "having structures added to give more angles to the face."Yarbrough E (2018). ''Transgender Mental Health.'' American Psychiatric Association Publishing. History Trans men have requested FMS procedures since the 20th century.Ng EM (1999). Sexuality in the New Millennium: Proceedings of the 14th World Congress of Sexology, Hong Kong SAR, China, August 23–27, 1999. Compositori FMS is currently less common than FFS.Co ...
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Case Report
In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence. Some case reports also contain a literature review of other reported cases. Case reports are professional narratives that provide feedback on clinical practice guidelines and offer a framework for early signals of effectiveness, adverse events, and cost. They can be shared for medical, scientific, or educational purposes. Types Most case reports are on one of six topics: * An unexpected association between diseases or symptoms. * An unexpected event in the course of observing or treating a patient. * Findings that shed new light on the possible pathogenesis of a disease or an adverse effect. * Unique or rare features of a disease. * Unique therapeutic approaches. * A positional or quantitative variation of the anatomical structure ...
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Hydroxyapatite
Hydroxyapatite (International Mineralogical Association, IMA name: hydroxylapatite) (Hap, HAp, or HA) is a naturally occurring mineral form of calcium apatite with the Chemical formula, formula , often written to denote that the Crystal structure, crystal unit cell comprises two entities. It is the Hydroxy group, hydroxyl endmember of the complex apatite, apatite group. The ion can be replaced by fluorine, fluoride or chlorine, chloride, producing fluorapatite or chlorapatite. It crystallizes in the hexagonal (crystal system), hexagonal crystal system. Pure hydroxyapatite powder is white. Naturally occurring apatites can, however, also have brown, yellow, or green colorations, comparable to the discolorations of dental fluorosis. Up to 50% by volume and 70% by weight of human bone is a modified form of hydroxyapatite, known as bone mineral. Carbonated calcium-deficient hydroxyapatite is the main mineral of which dental enamel and dentin are composed. Hydroxyapatite crystals a ...
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Angle Of The Mandible
__NOTOC__ The angle of the mandible (a.k.a. gonial angle, Masseteric Tuberosity, and Masseteric Insertion) is located at the posterior border at the junction of the lower border of the ramus of the mandible. The angle of the mandible, which may be either inverted or everted, is marked by rough, oblique ridges on each side, for the attachment of the masseter laterally, and the pterygoideus internus ( medial pterygoid muscle) medially; the stylomandibular ligament is attached to the angle between these muscles. The forensic term for the midpoint of the mandibular angle is the gonion. The gonion is a cephalometric landmark located at the lowest, posterior, and lateral point on the angle. This site is at the apex of the maximum curvature of the mandible, where the ascending ramus becomes the body of the mandible. The mandibular angle has been named as a forensic tool for gender determination, but some studies have called into question whether there is any significant sex differ ...
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Orthognathic Surgery
Orthognathic surgery (), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, and other orthodontic dental bite problems that cannot be treated easily with braces, as well as the broad range of facial imbalances, disharmonies, asymmetries, and malproportions where correction may be considered to improve facial aesthetics and self-esteem. The origins of orthognathic surgery belong in oral surgery, and the basic operations related to the surgical removal of impacted or displaced teeth – especially where indicated by orthodontics to enhance dental treatments of malocclusion and dental crowding. One of the first published cases of orthognathic surgery was the one from Dr. Simon P. Hullihen in 1849. Originally coined by Harold Hargis, it was more widely popul ...
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Injectable Filler
Injectable filler is a special type of substance made for injections into connective tissues, such as skin, cartilage or even bone, for cosmetic or medical purposes. The most common application of injectable fillers is to change one's facial appearance, but they also are used to reduce symptoms of osteoarthritis, treat tendon or ligament injuries, support bone and gum regeneration, and for other medical applications. Injectable fillers can be in the form of hydrogel or gels made from pulverized grafts. Injectable fillers have risen in popularity mostly due to the wide application of dermal fillers in 80's. Their premise is to help fill in facial wrinkles, provide facial volume, and augment facial features. Side effects include bruising or infections from improper sterilisation. This may include HIV infection, also allergic reactions, which may cause scarring and lumps. Blindness due to retrograde (opposite the direction of normal blood flow) embolization into the ophthalmic and ...
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Bone Cement
Bone cements have been used very successfully to anchor artificial joints (hip joints, knee joints, shoulder and elbow joints) for more than half a century. Artificial joints (referred to as prostheses) are anchored with bone cement. The bone cement fills the free space between the prosthesis and the bone and plays the important role of an elastic zone. This is necessary because the human hip is acted on by approximately 10–12 times the body weight and therefore the bone cement must absorb the forces acting on the hips to ensure that the artificial implant remains in place over the long term. Bone cement chemically is nothing more than Plexiglas (i.e. polymethyl methacrylate or PMMA). PMMA was used clinically for the first time in the 1940s in plastic surgery to close gaps in the skull. Comprehensive clinical tests of the compatibility of bone cements with the body were conducted before their use in surgery. The excellent tissue compatibility of PMMA allowed bone cements to be ...
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Fat Transfer
Fat transfer, also known as fat graft, lipomodelling, or fat injections, is a surgical process in which a person's own fat is transferred from one area of the body to another area. The major aim of this procedure is to improve or augment the area that has irregularities and grooves. Carried out under either general anesthesia or local anesthesia, the technique involves 3 main stages: fat harvesting (extracting adipose fat), fat processing (processing the extracted fat) and fat injection (reinjecting the purified fat into the area needing improvement). Applications Autologous fat transplantation is a widely used treatment modality because of its biocompatible properties and availability of fat for transplantation. The technique has become increasingly popular in recent years for soft tissue augmentation and volume replacement in both reconstructive and aesthetic plastic surgery. Stem cell fat grafting is a new technique. The stem cells from fat tissue can differentiate into a nu ...
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Bone Grafting
Bone grafting is a type of transplantation used to replace missing bone tissue or stimulate the healing of fractures. This surgical procedure is useful for repairing bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly, leading to pseudoarthrosis. While some small or acute fractures can heal without bone grafting, the risk is greater for large fractures, such as compound fractures. Additionally, structural or morcellized bone grafting can be used in joint replacement revision surgery when wide osteolysis is present. Bone generally has the ability to regenerate completely but requires a very small fracture space or some sort of scaffold to do so. Bone grafts may be autologous (bone harvested from the patient's own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with simi ...
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Calvaria (skull)
The calvaria is the top part of the skull. It is the superior part of the neurocranium and covers the cranial cavity containing the brain. It forms the main component of the skull roof. The calvaria is made up of the superior portions of the frontal bone, occipital bone, and parietal bones. In the human skull, the suture (joint), sutures between the bones normally remain flexible during the first few years of postnatal development, and fontanelles are palpable. Premature complete ossification of these sutures is called craniosynostosis. In Latin, the word ''calvaria'' is used as a feminine noun with plural ''calvariae''; however, many medical texts incorrectly list the word as ''calvarium'', a neuter Latin noun with plural ''calvaria''. Structure The outer surface of the skull possesses a number of landmarks. The point at which the frontal bone and the two parietal bones meet is known as the bregma. The point at which the two parietal bones and the occipital bone meet is kn ...
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Brow Ridge
The brow ridge, or supraorbital ridge known as superciliary arch in medicine, is a bony ridge located above the eye sockets of all primates and some other animals. In humans, the eyebrows are located on their lower margin. Structure The brow ridge is a nodule or crest of bone situated on the frontal bone of the skull. It forms the separation between the forehead portion itself (the squama frontalis) and the roof of the eye sockets (the pars orbitalis). Normally, in humans, the ridges arch over each eye, offering mechanical protection. In other primates, the ridge is usually continuous and often straight rather than arched. The ridges are separated from the frontal eminences by a shallow groove. The ridges are most prominent medially, and are joined to one another by a smooth elevation named the glabella. Typically, the arches are more prominent in men than in women, and vary between different human populations. Behind the ridges, deeper in the bone, are the frontal sinuses. ...
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Facial Implant
Facial implants are used to enhance certain features of the face. The surgery may be elective, or needed as the result of prior surgery on the face. Each involves placing synthetic materials deep under the subcutaneous tissue and onto the underlying bone. A maxillofacial or plastic surgeon uses them to aesthetically improve facial contours, proportion and correct imbalances caused by injury or hereditary traits. However, in cases that require orthognathic osteotomies, those should be done before any implants are considered. In most cases, facial implant surgery is completed on an outpatient basis in a hospital, a surgeon's office or a surgical center. A local anesthesia or oral sedative may be used, or the patient may be put to sleep during the procedure using general anesthesia. The most commonly used implants are: *Chin implant – These can be used to increase anterior, lateral and downward projection of the chin. The implant is placed internally through the lower lip, or e ...
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