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CONCLUSIONS Overall, this study demonstrated a substantial and separate connection between bloodstream viscosity therefore the existence of endothelial swelling while the atherosclerotic process. The aim of this retrospective study would be to utilize computer-aided design and manufacturing (CAD/CAM) patient-specific plates and cutting guides when it comes to waferless placement and fixation for the maxilla after bimaxillary osteotomies in cases of hemifacial microsomia with condylar dysplasia or absence of th