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mzlfcbetb2x · 1 year

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zginelamm · 3 years

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"Przyjaciół mam kilku wrogów gdzie nie spojrzę

Pogonione kurewstwo, gdzie co dzień stoję z jointem

Przegrałeś tak bywa, wstręt budzi Twoja ksywa

Za złotówki jesteś kurwą, więc za wolność byś mnie wydał!"

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alko-narko-love · 4 years

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Źrenice rozszerzone było pogonione to i jest przytulone

👀 🤭

#narkotyki #smutne oczy #złość #smutne #dill #dealer

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stephypublisher1 · 3 years

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Predictability and Accuracy between 3D Virtual Surgical Planning and Actual Outcomes in Orthognathic Surgery| Stephypublishers

Modern Research in Plastic and Reconstructive Surgery

- (MRPRS)|

Stephy Publishers

Abstract Introduction: We are living a paradigm shift in orthognathic surgery. Several tools and technological advances are being implemented to help improve surgical experience and to offer better functional and aesthetical results. Virtual surgical planning is a revolutionary tool which helps us design the surgical plan preoperatively and establish a surgical protocol specifically designed for that patient. In this study, our goal is to validate the predictability of virtual surgical planning in orthognathic surgery, comparing the final results with the virtual plan. Material and methods: We performed an ICP based super imposition of 3D models of the virtual planning preoperatively designed and the 3D model of the postoperative CBCT using free software (Slicer) in patients who underwent bimaxillary orthognathic surgery. The results of the super imposition were saved on the postoperative model and presented as a color-coded map. This was generated as a .vtk file that was exported to another free software that displayed the difference in mm in relevant cephalometric points (point A, point B, pogonion, left and right gonion and first upper molars) in the three axis (x, y and z) between the postoperative result and the virtual plan. Then, we registered these results for all patients and analysed these data. Results: A total of 41 patients were included. The median of the differences in mm between virtual planning and postoperative results were less than 1mm for all cephalometric points, except for both gonion, where greater than 1mm differences were found in the mediolateral (horizontal) direction. For the rest of landmarks, the highest differences were found at A point and pogonion in the anteroposterior direction (0,83mm and 0,78mm, respectively). Conclusions: We found overall small and tolerable differences (<1mm) between the planned movements and the postoperative results. The highest were found at the gonion in the mediolateral direction and mandibular rami, which could be explained by the torque of the proximal segment. The differences in A point and pogonion in the anteroposterior direction were the highest among the rest, which may be related to inaccuracy of the splint in this direction.

Keywords: Predictability, Orthognathic surgery, Virtual planning Introduction Success in orthognathic surgery depends not only on the technical aspects of the operation but to a larger extent on the formulation of a precise surgical plan, consistency and capability of achieving predictable, stable results.1 New 3D tools have lately arisen to help us improve accuracy and results, such as virtual surgical planning, which has long been applied in craniofacial surgery but less so in maxillofacial surgery.2 Because of current improvement in imag ing and software, computer-assisted surgery has been increasingly used in orthognathic surgery to improve surgical outcomes.

To read more #PlasticSurgery #ReconstructiveSurgery

https://www.stephypublishers.com/mrprs/fulltext/MRPRS.MS.ID.000509.php

More #Openaccessjournals

https://www.stephypublishers.com/

#Plastic Surgery #Reconstructive Surgery #stephy publishers #open access journals #open access publishers #Article Publishers in Australia #Virtual planning #Orthognathic surgery

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wyje-wyjebane-blog · 7 years

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Przyjaciół mam kilku wrogów gdzie nie spojrzę Pogonione kurewstwo, gdzie co dzień stoję z jointem Przegrałeś tak bywa, wstręt budzi Twoja ksywa Za złotówki jesteś kurwą, więc za wolność byś mnie wydał!

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ellymackay · 6 years

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Maxillomandibular Advancement Surgery Successful Treatment Option for OSA

Maxillomandibular Advancement Surgery Successful Treatment Option for OSA is available on Elly Mackay's Sleep Blog

A SLEEP 2018 poster presentation examined what variables predict success for this alternative for patients who fail CPAP.

By Dillon Stickle

For patients who fail to adhere to CPAP therapy, maxillomandibular advancement surgery has a success rate of 89% for moderate to severe obstructive sleep apnea (OSA) patients, according to a study presented as a poster at SLEEP 2018. The research abstract, published in the journal Sleep, also evaluated radiographic and clinical treatment variables that may predict the surgery’s success.

“We thought about different ways of what we could find for predictors of success for addressing obstructive sleep apnea,” says Daniel Taub, DMD, MD, an author of the study. “And so we just compiled some data looking at the success rate of what we had and tried to figure out what variables are used to predict success.”

The study was a retrospective analysis looking at patient data and doing some radiographic calculations to see what variables they could find in the successful population compared to the failures. It found that patients in whom the surgery was successful had shorter cephalometrically established Pogonion-CE and cross section airway than other patients. Body mass index, posterior airway space changes, and minimum oxygen saturation levels were not linked with predicting surgery success.

There is a large population that fails CPAP therapy and aren’t candidates for other treatment options, Taub says. “So, this is sort of a last resort where you’re doing a surgical intervention,” he says. “After this, whether you consider it a failure or success— depending on what the level of AHI is afterwards—they could be potential candidates for CPAP again.”

Dillon Stickle is associate editor of Sleep Review.

from Sleep Review http://www.sleepreviewmag.com/2018/06/maxillomandibular-advancement-surgery-treatment-option-osa/

from Elly Mackay - Feed https://www.ellymackay.com/2018/06/12/maxillomandibular-advancement-surgery-successful-treatment-option-for-osa/

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marclefrancois1 · 6 years

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Maxillomandibular Advancement Surgery Successful Treatment Option for OSA

The post e0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eepostlinke0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22eee0a9e1e9e6412908cf53cee25f32209b62d23d03e119cd2df63e6855e8fc22ee See more on: www.marclefrancois.net

A SLEEP 2018 poster presentation examined what variables predict success for this alternative for patients who fail CPAP.

By Dillon Stickle

For patients who fail to adhere to CPAP therapy, maxillomandibular advancement surgery has a success rate of 89% for moderate to severe obstructive sleep apnea (OSA) patients, according to a study presented as a poster at SLEEP 2018. The research abstract, published in the journal Sleep, also evaluated radiographic and clinical treatment variables that may predict the surgery’s success.

“We thought about different ways of what we could find for predictors of success for addressing obstructive sleep apnea,” says Daniel Taub, DMD, MD, an author of the study. “And so we just compiled some data looking at the success rate of what we had and tried to figure out what variables are used to predict success.”

The study was a retrospective analysis looking at patient data and doing some radiographic calculations to see what variables they could find in the successful population compared to the failures. It found that patients in whom the surgery was successful had shorter cephalometrically established Pogonion-CE and cross section airway than other patients. Body mass index, posterior airway space changes, and minimum oxygen saturation levels were not linked with predicting surgery success.

There is a large population that fails CPAP therapy and aren’t candidates for other treatment options, Taub says. “So, this is sort of a last resort where you’re doing a surgical intervention,” he says. “After this, whether you consider it a failure or success— depending on what the level of AHI is afterwards—they could be potential candidates for CPAP again.”

Dillon Stickle is associate editor of Sleep Review.

from Sleep Review http://www.sleepreviewmag.com/2018/06/maxillomandibular-advancement-surgery-treatment-option-osa/

from https://www.marclefrancois.net/2018/06/12/maxillomandibular-advancement-surgery-successful-treatment-option-for-osa/

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nexus-alpha · 7 years

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Osculation

After eons of eager anticipation, our eyes finally met.

My hypothalamus sensed the familiarity of this giggly moment I've longed for.

Without second thoughts from my superior cerebral cortex, my tibialis anterior lifted my right foot from the ground, and I walked anteriorly towards her.

For the first time in my life, my sympathetic nervous system made me nervous, and I experienced adrenergic sweating. While hoping that I would be presentable without papules, comedones and other skin lesions, my systolic pressure spiked along with my courage.

My rhomboids abducted my scapula and humerus from the midline along the transverse plane. My triceps surae allowed me to leap forward, and my brachialis allowed me to flex my forearms and wrap them around posterior thoracic region. My lumbricals and interossei allowed me to brush through her hair. The Pacinian corpuscles amplified these delicate sensations. The Ruffini's corpuscles told me that the temperature was perfect.

Then, using my hands I held her bucco-mandibular region with my thumbs on her frontal processes of the maxillary region. My atlas allowed me to raise my head and place my stomion on her frontal region. She relaxed her orbicularis oris and frontalis muscles and closed her eyes.

I turned my head inferiorly along the joint articulation of the occipital condyle to allow our trichions, our glabellas, and the tips of our noses to collide.

To prepare for the killing blow I relaxed myself parasympathetically. The negative pressure produced by my diaphragm's expansion of my lungs allowed me to take a deep breath as I aim for her stomion.

Softly I touched her subnasale with my subnasale, her labrale superius with my labrale superius, her labrale inferius with my labrale inferius, her pogonion with my pogonion and ultimately, her stomion with my stomion.

I call this an osculation -

A kiss.

And I felt a wave of euphoria.

--- APPENDIX ---

In undestandable terms:

Our eyes finally met after a long time. I felt very excited. Without any second thought, I walked towards her. I felt nervous. I had cold sweat. I wanted to appear presentable. My heart beat harder. I extended my arms, leaped forward and hugged her. I brushed through her hair and felt the delicate sensations. The temperature was perfect. I held her face. She closed her eyes. Our noses touched. I took a deep breath and kissed her. I felt a wave of euphoria.

#medicine #romance #writing #medical terms #vocabulary

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