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Prof. Dr. Ayman Hegab
Chairman of OMFS — Al-Azhar University
Professor & Chairman of Oral & Maxillofacial Surgery, Faculty of Dental Medicine, Al-Azhar University, Cairo.
Recognized globally as a leading pioneer in temporomandibular joint disorders, orthognathic surgery, and advanced maxillofacial reconstruction. With more than 25 years of surgical practice, academic pedagogy, and continuous research, Prof. Hegab has conceptualized 10 landmark surgical and conservative protocols, published over 60 peer-reviewed clinical investigations in world-leading journals (*Nature Scientific Reports*, *BJOMS*, *JOMS*, *OOOO*), and trained thousands of surgical residents and specialists globally.
Over 14 consecutive years of clinical research and anatomical discovery, Prof. Dr. Ayman Hegab formulated 10 standardized surgical, regenerative, and diagnostic algorithms. Below is the full clinical documentation of each protocol, detailing the surgical dilemma, Hegab methodology, biological mechanism, and published clinical trials.
مبتكر بروتوكول «حجاب» الجراحي لعلاج حالة التصاق الفكين عام 2012
The Clinical Dilemma & Pre-Hegab Limitations:
Neonates with bony or severe fibrous maxillomandibular syngnathia face immediate, life-threatening airway obstruction, absolute inability to feed, and severe risk of condylar growth arrest. Prior techniques carried high surgical morbidity, facial nerve trauma, and alarming rates of recurrent synostotic re-fusion.
The Hegab Clinical Algorithm & Technique:
A structured 3-phase surgical algorithm: (1) Fiberoptic airway stabilization, (2) Conservative transoral subperiosteal osteotomy strictly sparing the lingual vascular pedicle and condylar growth cartilage, and (3) Custom intraoral soft-tissue barrier separation coupled with an aggressive passive mobilization protocol initiated within 48 hours post-op.
Biological & Biomechanical Mechanism:
Prevents recurrent osteogenic bridging by isolating raw bony surfaces with a biological barrier while immediate functional micro-motion suppresses osteoblastic osteoid consolidation across the fusion plane.
Landmark Peer-Reviewed Publication:
“Hegab AF, Madawy A, Shawket W. Congenital maxillomandibular fusion: a report of three cases. Int J Oral Maxillofac Surg. 2012; 41(10): 1248-1252.”
مبتكر بروتوكول «حجاب» للعلاج غير الجراحي لخلع المفصل الصدغي الفكي (منذ 2013)
The Clinical Dilemma & Pre-Hegab Limitations:
Chronic recurrent temporomandibular joint dislocation traditionally subjected patients to open surgical eminectomy, bone plate blocking, or lateral ligament plication under general anesthesia, risking preauricular scarring and permanent facial nerve temporal branch injury.
The Hegab Clinical Algorithm & Technique:
A pioneer minimally invasive outpatient dual-compartment protocol: targeted injection of 3.0 mL of autologous venous blood into the superior joint cavity combined with 1.5 mL into the pericapsular lateral ligament, followed immediately by 2 to 3 weeks of elastic Intermaxillary Fixation (IMF) permitting speech.
Biological & Biomechanical Mechanism:
Autologous blood triggers controlled sterile localized fibrosis and capsular tightening, mechanically limiting condylar excursion past the articular eminence without damaging intra-articular fibrocartilage.
Landmark Peer-Reviewed Publication:
“Hegab AF. Treatment of Chronic Recurrent Temporomandibular Joint Dislocation with autologous blood injection, intermaxillary fixation, and the combination of both techniques: Prospective Randomized Controlled Clinical Trial. Br J Oral Maxillofac Surg. 2013; 51(8): 724-728.”
مبتكر بروتوكول «حجاب» لعلاج تيبس (التصاق) المفصل الصدغي الفكي (منذ 2015)
The Clinical Dilemma & Pre-Hegab Limitations:
Severe bony ankylosis leads to facial asymmetry, micrognathia, catastrophic obstructive sleep apnea, and inability to masticate. Conventional gap arthroplasty carried recurrence rates up to 30% due to persistent masseteric spasm, heterotopic bone dust, and scar contracture.
The Hegab Clinical Algorithm & Technique:
A comprehensive 10-step radical surgical algorithm: (1) Wide gap arthroplasty (1.5-2.0 cm resection), (2) Ipsilateral and contralateral coronoidectomy, (3) Radical excision of fibrous perichondrium and bone debris, (4) Temporalis myofascial flap cranial interposition, and Step No. 10 (Hegab Innovation): targeted Botulinum Toxin Type-A injection into the masseter and medial pterygoid muscles to eliminate pathological muscular compression forces, followed by active physiotherapy at 48 hours.
Biological & Biomechanical Mechanism:
Chemodenervation of the elevator muscles halts joint compression during the critical vascular remodeling phase, preventing osteogenic migration across the interpositional flap.
Landmark Peer-Reviewed Publication:
“Hegab AF. Outcome of Surgical Protocol for Treatment of Temporomandibular Joint Ankylosis Based on the Pathogenesis of Ankylosis and Re-Ankylosis. A Prospective Clinical Study of 14 Patients. J Oral Maxillofac Surg. 2015; 73(12): 2300-2311.”
مبتكر بروتوكول «حجاب» الرائد عالمياً لعلاج الفصال العظمي للمفصل الصدغي الفكي بالبلازما الغنية بالصفائح الدموية (منذ 2015)
The Clinical Dilemma & Pre-Hegab Limitations:
TMJ Osteoarthritis produces progressive condylar flattening, subchondral osteolysis, crepitus, and intractable masticatory pain. Conventional intra-articular corticosteroid therapy offered temporary symptom masking while causing accelerated chondrocyte death and subchondral osteoporosis.
The Hegab Clinical Algorithm & Technique:
Standardized double-needle upper joint space hydraulic arthrocentesis with 100 mL Ringer's lactate to purge inflammatory cytokines (IL-1beta, TNF-alpha), followed immediately by intra-articular administration of 1.5-2.0 mL autologous Platelet-Rich Plasma prepared via standardized centrifugation.
Biological & Biomechanical Mechanism:
High concentrations of autologous PDGF-AB, TGF-beta1, and IGF-1 promote chondrogenesis, stimulate synoviocyte secretion of endogenous hyaluronic acid, and downregulate destructive matrix metalloproteinases (MMPs).
Landmark Peer-Reviewed Publication:
“Hegab AF, et al. Platelet-Rich Plasma Injection as an Effective Treatment for Temporomandibular Joint Osteoarthritis. J Oral Maxillofac Surg. 2015; 73(9): 1706-1713.”
مبتكر جبيرة «حجاب» لعلاج اضطرابات المفصل الصدغي الفكي وبروتوكول تحديد السُمك بالرنين (2018)
The Clinical Dilemma & Pre-Hegab Limitations:
For half a century, stabilization and anterior repositioning splints were manufactured using empirical, arbitrary thickness (2-4 mm), resulting in frequent treatment failures, muscle fatigue, and in some cases worsening articular disk displacement.
The Hegab Clinical Algorithm & Technique:
A precision MRI-guided protocol: pre-treatment high-resolution magnetic resonance imaging is performed with incremental bite-gauges to measure the exact superior and posterior joint space decompression gap. The precise vertical dimension needed to unload the bilaminar zone and recapture the disc is mathematically computed and engineered into the Hegab TMJ Splint (HTS).
Biological & Biomechanical Mechanism:
Accurate biometric joint decompression releases compression on posterior retrodiscal attachment vessels, permitting vascular reperfusion, edema resolution, and spontaneous disk stabilization.
Landmark Peer-Reviewed Publication:
“Hegab AF, Youssef AH, Abd Al Hameed HI, Karam KS. MRI-based determination of occlusal splint thickness for temporomandibular joint disk derangement: a randomized controlled clinical trial. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018; 125(1): 74-87.”
مبتكر تصنيف «حجاب» وبروتوكول العلاج غير الجراحي للاختلال الداخلي للمفصل الصدغي الفكي (2021)
The Clinical Dilemma & Pre-Hegab Limitations:
Classic Wilkes staging relies on subjective clinical signs and was developed primarily for open surgery planning. Modern maxillofacial practice required an objective MRI-based diagnostic classification tied directly to a validated non-surgical therapeutic algorithm.
The Hegab Clinical Algorithm & Technique:
Based on high-resolution MRI analysis of 435 patients: established 5 distinct clinical-radiological stages correlating disc displacement vectors (anterior, anterolateral, rotational), joint effusion, and retrodiscal tissue integrity, paired with an algorithmic multi-step conservative pathway (HTS splint + biotherapy + controlled rehab).
Biological & Biomechanical Mechanism:
Matches the exact biological stage of tissue pathology with targeted non-surgical unloading, hydraulic pumping, and cellular therapy, sparing over 88% of patients from open joint surgery.
Landmark Peer-Reviewed Publication:
“Hegab AF, Al Hameed HI, Karam KS. Classification of temporomandibular joint internal derangement based on magnetic resonance imaging and clinical findings of 435 patients contributing to a nonsurgical treatment protocol. Sci Rep. 2021; 11: 20917.”
مبتكر تقنية الحقن الخليط (البلازما وحمض الهيالورونيك) لعلاج الفصال العظمي للمفصل الصدغي الفكي (2022)
The Clinical Dilemma & Pre-Hegab Limitations:
In advanced degenerative joint disease, Hyaluronic Acid provides immediate joint lubrication but lacks regenerative growth factors, while standalone PRP provides cellular healing factors but lacks immediate viscoelastic load-bearing viscosity.
The Hegab Clinical Algorithm & Technique:
Standardized joint arthrocentesis followed by targeted injection of the 'Hegab Mix': a calibrated 50:50 combination of high-molecular-weight Hyaluronic Acid (2.0 MDa) and autologous Platelet-Rich Plasma. HA forms an immediate macromolecular protective scaffold that traps concentrated platelets against the eroded condylar surface.
Biological & Biomechanical Mechanism:
Synergistic potentiation: HA prolongs platelet growth factor residence time in the articular cavity from 48 hours to over 21 days while shielding denuded chondrocytes from mechanical shear stresses.
Landmark Peer-Reviewed Publication:
“Hegab AF, Al Hossam, Hasaean AM, Hyder AEK. Synergistic effect of platelet rich plasma with hyaluronic acid injection following arthrocentesis to reduce pain and improve function in TMJ osteoarthritis. J Stomatol Oral Maxillofac Surg. 2022; 124(4): 101355.”
مبتكر جبيرة «حجاب» المعدلة لعلاج خلل التوتر العضلي الوجهي الفكي (2024)
The Clinical Dilemma & Pre-Hegab Limitations:
Oromandibular Dystonia causes involuntary, severe, repetitive masticatory muscle contractions, jaw dislocations, tongue trauma, and catastrophic dental wear. Standard pharmacology causes intolerable neurological side effects, while botulinum toxin alone risks severe dysphagia.
The Hegab Clinical Algorithm & Technique:
Engineered the modified Hegab TMJ Splint (mHTS): a custom biometric appliance featuring specialized proprioceptive posterior bite risers and anterior disocclusion guide planes designed to alter sensory feedback to the trigeminal motor nucleus.
Biological & Biomechanical Mechanism:
Exploits periodontal mechanoreceptor input to induce reciprocal inhibition within the central masticatory central pattern generator, interrupting the pathologically hyperactive trigeminal reflex arc loop.
Landmark Peer-Reviewed Publication:
“Hegab AF, et al. Efficacy of the Hegab temporomandibular joint splint in treating patients diagnosed with dystonia with or without systemic involvement: A report of 14 cases. Br J Oral Maxillofac Surg. 2024; 62(5): 420-426.”
مبتكر تصنيف «حجاب» التشريحي لموضع ارتكاز العضلة الجناحية الوحشية (2025)
The Clinical Dilemma & Pre-Hegab Limitations:
The exact insertion pattern of the lateral pterygoid muscle's superior and inferior bellies into the TMJ disk and condyle was historically controversial for over four decades, hindering understanding of the biomechanical etiology of disk displacement.
The Hegab Clinical Algorithm & Technique:
Comprehensive MRI diagnostic analysis of 510 TMJ joints: formulated a landmark 4-Pattern Anatomical Classification mapping superior and inferior LPM bellies insertions (Type I disc-dominant, Type II condylar-dominant, Type III dual-insertion, Type IV blended) and established direct correlations with Hegab internal derangement stages.
Biological & Biomechanical Mechanism:
Reveals the exact vectorial muscular pull predisposing to anteromedial disk subluxation, disc stretching, and eventual condylar degenerative wear.
Landmark Peer-Reviewed Publication:
“Hegab AF, Shuman M, Al Hameed HA, et al. Correlation between number and pattern of lateral pterygoid muscle attachments and pathologic changes of the temporomandibular joint according to Hegab stages based on MRI findings of 510 joints. Sci Rep. 2025; 15: 33328.”
مبتكر تصنيف «حجاب» وبروتوكول العلاج غير الجراحي لفرط حركة المفصل المصحوب باختلال داخلي (2026)
The Clinical Dilemma & Pre-Hegab Limitations:
Patients presenting with concurrent ligamentous laxity (hypermobility/subluxation) and articular disc displacement suffer severe biomechanical instability, recurrent open locking, and eminence destruction, failing standard unifocal treatments.
The Hegab Clinical Algorithm & Technique:
A dynamic MRI and lateral radiographic classification categorizing hypermobility severity against disk recapture kinetics, directly coupled to a coordinated conservative algorithm incorporating the Hegab dynamic orthotic, targeted neuromuscular stabilization, and pericapsular prolotherapy.
Biological & Biomechanical Mechanism:
Re-establishes dynamic condyle-disk alignment by dampening extreme anterior condylar translation beyond the articular crest while reinforcing retrodiscal elasticity.
Landmark Peer-Reviewed Publication:
“Hegab AF, Shuman M, Al Hameed HA, et al. Classification of temporomandibular joint hypermobility based on lateral TMJ, and magnetic resonance imaging contributing to a nonsurgical treatment protocol. Sci Rep. 2026; 16: 6345.”
Explore 62 international scientific papers authored by Prof. Dr. Ayman Hegab. Click any publication below to open the direct article on its official publisher portal (*Nature Scientific Reports*, *BJOMS*, *JOMS*, *OOOO*, *Elsevier*).
Authors: Ayman F. Hegab, Helmy A. El-Fakhrany, Bahaa El-Din Abd Rabbo
Advances in Oral and Maxillofacial Surgery 23 (2026) 100703
Authors: Ayman F. Hegab, Mohamed Abdel Akher Mohamed, Mohamed Farouk Abdel Mobde
Advances in Oral and Maxillofacial Surgery 23 (2026) 100705
Authors: Ayman F. Hegab, Maraai I.S. Said (Orafi)
Advances in Oral and Maxillofacial Surgery 23 (2026) 100707
Authors: Hegab AF, Shuman M, Al Hameed HA, et al.
Scientific Reports (Springer Nature) 16, 6345 (2026)
Authors: Hegab AF, Shuman M, Al Hameed HA, et al.
Scientific Reports (Springer Nature) 15, 33328 (2025)
Authors: Ayman F. Hegab, Wael Elmohandes, Bahaaeldin Abdrabbo Tawfik, Abdullah Ahmed Ali Hasan, Ahmed mohammed mostafa elfar, Abd-el-Kader Hyder
Advances in Oral and Maxillofacial Surgery 18 (2025) 100543
Authors: Hegab AF, Ramzy NIA, Hyder A, Shahin M
Clinics in Oncology 2024; 9: 2089
Authors: Hegab AF, et al.
British Journal of Oral and Maxillofacial Surgery (2024)
Authors: Hegab AF, Ali Hasan AA, Mostafa Elfar AM, Hyder AEK, Salam Mohamed AA
Clinics in Oncology 2024; 9: 2090
Authors: Hegab AF
Clinics in Surgery 2024; 9: 3709
Authors: Hegab AF
Clinics in Surgery 2024; 9: 3710
Authors: Hegab A, Elmasry M
Journal of Dental Health, Oral Disorders & Therapy 2024; 15(3): 146-149
Authors: Hegab A, Elmasry M
Journal of Dental Health, Oral Disorders & Therapy 2024; 15(3): 128-134
Authors: Hegab A
British Journal of Oral and Maxillofacial Surgery 2020; 58: 1054-1055
Authors: Hegab A, Youssef A, Al Hameed H
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2018; 128: 343-344
Authors: Hegab AF, Al Hossam, Hasaean AM, Hyder AEK
Journal of Stomatology, Oral and Maxillofacial Surgery 2022; 124(4): 101355
Authors: Hegab AF, Al Hameed HI, Karam KS
Scientific Reports (Springer Nature) 11, 20917 (2021)
Authors: Hegab AF
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2020; 129(2)
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2019; 10(2): 179-180
Authors: Shadia Abdel-Hameed Elsayed, Ayman F. Hegab, Saeed Salem Youssif Alkatsh
Journal of Oral and Maxillofacial Surgery 2018
Authors: Ayman F. Hegab, Ahmed Hossni Youssef, Hossam I. Abd Al Hameed, Khaled Said Karam
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2018; 125(1): 74-87
Authors: Hegab AF, Amer Y
Austin Journal of Surgery 2017; 4(2): 1102
Authors: Hegab A
Journal of Dental Health, Oral Disorders & Therapy 2017; 7(3): 00242
Authors: Khallaf MG, Hegab A, Elrawy HF, Masry ME
Journal of Dental Health, Oral Disorders & Therapy 2017; 6(1)
Authors: Hegab FA
British Journal of Oral and Maxillofacial Surgery 2017; 55(3): 338
Authors: Hegab A
Journal of Dental Health, Oral Disorders & Therapy 2016; 5(3): 00153
Authors: Hegab A
Journal of Dental Health, Oral Disorders & Therapy 2016; 4(6): 00130
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2016; 4(3): 00108
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2015; 3(2): 00086
Authors: Hegab AF, Amer Y
Journal of Dental Health, Oral Disorders & Therapy 2015; 3(1): 00077
Authors: Wael Elmohandes, Ayman F. Hegab
Egyptian Journal of Oral & Maxillofacial Surgery 2015; 6(3)
Authors: Hegab AF
International Journal of Dentistry and Oral Health 2015; 1(6)
Authors: Hegab AF
Journal of Oral Hygiene & Health 2015; 3: 184
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2015; 2(6): 00069
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2015; 2(5): 00063
Authors: Hegab AF
Journal of Oral and Maxillofacial Surgery 2015; 73(12): 2300-2311
Authors: Elmadawy A, Hegab A, Alahmady H, Shuman M
International Journal of Oral and Maxillofacial Surgery 2015; 44(9): 1144-1149
Authors: Hegab AF
Journal of Oral Hygiene & Health 2015; 3: e110
Authors: Hegab AF
Journal of Dental Health, Oral Disorders & Therapy 2015; 2(3): 00047
Authors: Hegab AF
International Journal of Oral and Craniofacial Science 2015; 1(1): 103
Authors: Hegab AF
Journal of Dentistry and Orofacial Surgery 2015; 1(1): 101e
Authors: Hegab AF, et al.
Journal of Oral and Maxillofacial Surgery 2015; 73(9): 1706-1713
Authors: Hegab A
Journal of Dental Health, Oral Disorders & Therapy 2014; 1(5): 00033
Authors: Ayman F. Hegab, Mohamed Elmasry, Mustafa G. Khallaf
Journal of Cancer Research and Therapeutic Oncology 2014; 2: 302
Authors: Ayman F. Hegab, Mohammed Abd El-Akher
Journal of Current Surgery 2014; 4(3): 86-90
Authors: Hegab FA
Journal of Otology & Rhinology 2014; 3: 6
Authors: Hegab AF
British Journal of Oral and Maxillofacial Surgery 2013; 51(8): 724-728
Authors: Hegab AF, Madawy A, Shawket W
International Journal of Oral and Maxillofacial Surgery 2013; 42(4): 546-547
Authors: Hegab AF, et al.
International Journal of Oral and Maxillofacial Surgery (2013)
Authors: Ayman Hegab, Mohammad Shuman, Mohammed Abd El-Akher, Delaram Arwlan
Open Journal of Stomatology 2013; 3: 520-526
Authors: Hegab AF
Journal of Oral and Maxillofacial Surgery 2012
Authors: Hegab AF, Madawy A, Shawket W
International Journal of Oral and Maxillofacial Surgery 2012; 41(10): 1248-1252
Authors: Hegab AF, Shuman MA
The International Open Access Dentistry Studies (Dentistry) 2012; 2(7)
Authors: Hegab AF, Shuman MA
The International Open Access Dentistry Studies (Dentistry) 2012; 2(7)
Authors: Hegab AF, Shuman MA, Al-Ahmady H
Egyptian Dental Journal 2012; Vol. 58, No. 4
Authors: Hegab AF, Shuman MA, Al-Ahmady H
Egyptian Dental Journal 2012; Vol. 58, No. 4
Authors: Hegab AF
British Journal of Oral and Maxillofacial Surgery 2011; 49(8): 632-636
Authors: Hegab AF, Shuman MA, Al-Ahmady H
Al-Azhar Journal of Dental Science 2011; 14(4)
Authors: Hegab AF, Shuman MA, Al-Ahmady H
Al-Azhar Journal of Dental Science 2010; 13(2)
Authors: Hegab AF, Abd-AlAkher MH
Al-Azhar Journal of Dental Science 2008; Issue 2
Authors: Hegab AF, Abd-AlAkher MH
Al-Azhar Journal of Dental Science 2008; 11(1)
Authors: Hegab AF, Abd-AlAkher MH, Al-Ahmady H
Al-Azhar Journal of Dental Science 2007; 10(3)
Chronological summary of doctoral credentials, academic chairmanships at Al-Azhar University, hospital consultant appointments across Egypt, Qatar, and Saudi Arabia, international editorial boards, and major continuing education fellowships.
Doctor's Degree (PhD) of Oral & Maxillofacial Surgery
Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.
Master's Degree (MSc) of Oral & Maxillofacial Surgery
Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.
Bachelor Degree (BDS) of Dental Medicine & Oral Surgery
Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt. Graduated with Honors.
Professor & Chairman of Oral & Maxillofacial Surgery Department
Faculty of Dental Medicine, Al-Azhar University, Cairo. Directing post-graduate OMFS specialty programs, MSc & PhD clinical research.
Academic Progression: Clinical Associate Professor (2013–2021) • Lecturer (2007–2013) • Assistant Lecturer (2004–2007) • Clinic Instructor (2000–2004)
Hospital Consultant Appointments (Per CV)
نقابة أطباء مصر
In a formal celebration attended by medical dignitaries and university leadership, the Egyptian Medical Syndicate conferred its official shield of excellence upon Prof. Dr. Ayman Hegab in recognition of his pioneering contributions to oral and maxillofacial surgery, his formulation of 10 international surgical protocols in temporomandibular joint reconstruction, and his enduring dedication to medical education.
راديو DO FM — بنغازي، ليبيا
A special televised radio discussion broadcast live during the International Oral & Maxillofacial Surgery Conference in Benghazi, Libya. Prof. Dr. Ayman Hegab joined host Athaar Al-Hamidi on DO FM Radio to discuss clinical advances in temporomandibular joint (TMJ) therapies, correcting pervasive misconceptions about chronic joint disorders, and elucidating the psychological impact of persistent facial pain.
Invited keynote lecturer and hands-on surgical instructor across premier international congresses in North America, Europe, the Middle East, and North Africa.
Keynote Theme: PRP/HA Blends for TMJ Osteoarthritis & Distraction Osteogenesis of Maxillofacial Skeleton
Keynote Theme: Hegab TMJ Splint (HTS) in Temporomandibular Joint Disorders
Keynote Theme: Management of Temporomandibular Joint Internal Derangement
Keynote Theme: TMJ Osteoarthritis: From Conventional Radiology to Artificial Intelligence
Keynote Theme: Surgical Guidelines of Treatment of Mandibular Ameloblastoma
Keynote Theme: Closure of Alveolar Cleft by Bone Segment Transport & Congenital Maxillomandibular Fusion
Keynote Theme: Hegab Non-Surgical Protocol for Internal Derangement & PRP Injection Biotherapy