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Facial Plastic Surgery Clinics of North America

journal
https://www.readbyqxmd.com/read/30420077/state-of-the-art-in-skin-cancer-surgery
#1
EDITORIAL
Jeffrey S Moyer
No abstract text is available yet for this article.
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420076/reconstruction-of-the-ear
#2
REVIEW
Ryan M Smith, Patrick J Byrne
Skin cancer is a common indication for reconstructive surgery of the ear. The unique anatomy of the external ear makes the restoration of form and function challenging for the reconstructive surgeon. This article reviews the relevant anatomy of the ear, defines the goals of reconstruction, outlines the assessment of defects based on location, and describes specific surgical techniques useful in auricular reconstruction.
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420075/reconstruction-of-the-forehead-and-scalp
#3
REVIEW
Benjamin D Bradford, Judy W Lee
Tissue inelasticity and the hair-bearing nature of the scalp and forehead pose unique challenges during reconstruction. A thorough understanding of the surgical anatomy of the scalp and forehead is paramount for optimal reconstructive outcomes. Primary wound closure is usually preferred over secondary intention healing and skin grafting. Use of dermal alternatives and tissue expansion are adjunctive therapies to facilitate scalp wound closure. Local skin and soft tissue flaps are commonly used for most small to medium defects; however, microsurgical free tissue transfer can be considered for large full-thickness skin defects of the forehead and scalp...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420074/reconstruction-of-defects-involving-the-lip-and-chin
#4
REVIEW
Katie Geelan-Hansen, Joseph Madison Clark, William W Shockley
Successful perioral reconstruction is the result of consideration of both functional and esthetic goals. The lips are complex esthetic units with multiple tissue layers and distinct anatomic landmarks. Reconstruction can be difficult due to variables affecting the defect, such as size, depth, location, and involvement of adjacent subunits. There are many local flaps that can be used to match the complex tissue layers and anatomic landmarks. Use of the same reconstructive principles can be applied to secondary reconstruction to attain a successful outcome...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420073/reconstruction-of-the-cheek
#5
REVIEW
Nathan D Cass, Adam M Terella
The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). As such, avoiding distortion or disfigurement of the central subunits is of paramount importance. The cheek possesses significant tissue laxity, elasticity, and mobility, thus allowing for the vast majority of cheek defects to be addressed with primary closure, local flaps, or locoregional flaps...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420072/reconstruction-of-the-nose
#6
REVIEW
Andrew W Joseph, Carl Truesdale, Shan R Baker
Nasal reconstructive techniques have advanced significantly over the past 50 years. Modern techniques in nasal reconstruction are based on the nasal aesthetic subunits. In order to achieve ideal outcomes, reconstructive surgeons must consider differences in tissue qualities across the nasal aesthetic subunits and formulate reconstructive plans based on these differences. Local flaps, skin grafts, and several types of interpolated flaps comprise the most commonly used techniques for nasal reconstruction. Defects that involve structural or internal lining defects require reconstruction of significantly higher complexity...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420071/management-of-early-stage-melanoma
#7
REVIEW
Maria J Quintanilla-Dieck, Christopher K Bichakjian
Melanoma is a potentially aggressive skin cancer with a steadily rising incidence. Most melanomas are diagnosed at an early stage and associated with an excellent prognosis when treated appropriately. Primary treatment for melanoma is surgical. Wider surgical margins and a variety of techniques for comprehensive histologic margin assessment may be considered for lentigo maligna type melanoma on the head and neck, due to characteristic broad subclinical extension. For invasive melanoma, sentinel lymph node biopsy may be indicated for staging, and to guide further management and follow-up...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420070/health-outcome-studies-in-skin-cancer-surgery
#8
REVIEW
Cristen E Olds, Jon-Paul Pepper
As cutaneous cancers are the most common malignancies affecting US citizens, they represent a significant public health problem and health care cost burden. There are a variety of treatment options available to manage cutaneous malignancies, but limited data are available regarding outcomes, including quality of life, recurrence, and mortality. Here, we examine outcomes of skin cancer surgery as they relate to sociodemographic data and treatment factors.
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420069/tissue-engineering-and-3-dimensional-modeling-for-facial-reconstruction
#9
REVIEW
Kyle K VanKoevering, David A Zopf, Scott J Hollister
Three-dimensional (3D) printing has transformed craniofacial reconstruction over the last 2 decades. For cutaneous oncologic surgeons, several 3D printed technologies are available to assist with craniofacial bony reconstruction and preliminary soft tissue reconstructive efforts. With improved accessibility and simplified design software, 3D printing has opened the door for new techniques in anaplastology. Tissue engineering has more recently emerged as a promising concept for complex auricular and nasal reconstruction...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420068/mohs-micrographic-surgery
#10
REVIEW
Emily Wong, Eileen Axibal, Mariah Brown
Mohs micrographic surgery (MMS) is the gold standard for treating various cutaneous tumors. MMS has evolved into a single-day, outpatient procedure. The tumor is excised, mapped, and processed with frozen, horizontal sections for immediate histologic evaluation. The process is repeated as necessary until the tumor is completely removed, with maximal conservation of normal tissue. Evaluation of 100% of the surgical margin allows for exceptional cure rates. The Mohs surgeon is trained in tumor excision, histopathology interpretation, and surgical reconstruction...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420067/adjuvant-and-neoadjuvant-treatment-of-skin-cancer
#11
REVIEW
Assuntina G Sacco, Gregory A Daniels
Skin cancer represents a broad classification of malignancies, which can be further refined by histology, including basal cell carcinoma, squamous cell carcinoma and melanoma. As these three cancers are distinct entities, we review each one separately, with a focus on their epidemiology, etiology including relevant genomic data, and the current evidence-based recommendations for adjuvant and neoadjuvant therapy. We also discuss future directions and opportunities for continued therapeutic advances.
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420066/radiotherapy-for-skin-cancers-of-the-face-head-and-neck
#12
REVIEW
Michelle L Mierzwa
Radiotherapy plays a role in the definitive or adjuvant management of early and late stage skin cancers including nonmelanoma basal cell carcinoma and cutaneous squamous cell carcinoma, melanoma, and Merkel cell carcinoma. The role of radiotherapy in skin cancers of the head and neck is reviewed including early and advanced-stage nonmelanoma skin cancers, melanoma, and Merkel cell carcinoma. In particular, the indications, oncologic outcomes, and technical aspects of radiotherapy for these diseases are discussed...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420065/the-role-of-sentinel-lymph-node-biopsy-in-the-management-of-cutaneous-malignancies
#13
REVIEW
Faisal I Ahmad, Shirley Y Su, Neil D Gross
Sentinel lymph node biopsy uses the concept of selective lymphatic drainage and the lymphatic microvasculature to identify first-echelon nodes draining a given malignancy. Although initially considered difficult and unreliable in the head and neck, experience with the technique has improved and evolved significantly over the last 3 decades. It is now recognized to be accurate and reliable for regional nodal staging and detection of occult nodal metastasis in the head and neck. Although initially described for nodal staging of melanoma, the usefulness of sentinel lymph node biopsy continues to expand and is now extended to other cutaneous malignancies...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420064/periocular-reconstruction
#14
REVIEW
Kira L Segal, Christine C Nelson
Options for periorbital reconstruction include primary wound closure, local flaps, regional/distant flaps, or full-thickness skin grafts. Optimal aesthetic and functional outcomes are achieved by assessing regional contours, skin type, and facial aesthetic units. Like tissue should replace like tissue; for example, skin with skin, tarsus with tarsus (or equivalent material, eg, hard palate, ear cartilage, or autologous substitute), and conjunctiva with mucous membrane or like substitute (buccal mucous membrane, amniotic membrane)...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30420063/nonmelanoma-skin-cancer
#15
REVIEW
Michael G Brandt, Corey C Moore
This article reviews the most common nonmelanoma skin cancers affecting the head and neck region. Although the most common of these malignancies rarely result in mortality, local morbidity caused by the tumors and their extirpation cannot be underestimated. Complete tumor extirpation with pathologically confirmed negative margins is the gold standard. Regional and distant metastases are rare, but must be treated appropriately should they occur. Although reconstructive surgery can be life changing for the patients and rewarding for the clinicians, it behooves the treating surgeons to remain true to oncologic principles above all else...
February 2019: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30213432/biologic-treatments-are-our-future-but-a-more-regulated-one
#16
EDITORIAL
Gregory S Keller
No abstract text is available yet for this article.
November 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30213431/mesothelial-stem-cells-and-stromal-vascular-fraction-for-skin-rejuvenation
#17
REVIEW
David A Wolf, William Beeson, John D Rachel, Gregory S Keller, C William Hanke, Jill Waibel, Matt Leavitt, Michael Sacopulos
The use of stem cells in regenerative medicine and specifically facial rejuvenation is thought provoking and controversial. Today there is increased emphasis on tissue engineering and regenerative medicine, which translates into a need for a reliable source of stem cells in addition to biomaterial scaffolds and cytokine growth factors. Adipose tissue is currently recognized as an accessible and abundant source for adult stem cells. Cellular therapies and tissue engineering are still in their infancy, and additional basic science and preclinical studies are needed before cosmetic and reconstructive surgical applications can be routinely undertaken and satisfactory levels of patient safety achieved...
November 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30213430/mesenchymal-stem-cells-and-stromal-vascular-fraction-for-hair-loss-current-status
#18
REVIEW
Gorana Kuka Epstein, Jeffrey S Epstein
The current state of the applicability of cell therapy for the treatment of various conditions of hair loss reveals a promising and potentially effective role. Further research, based on published work to date, is indicated to further explore the potential roles of autologous fat grafting, mesenchymal stem cells, and stromal vascular fraction therapy. The authors' evolving experience matches these promising scientific findings.
November 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30213429/mesothelial-stem-cells-and-stromal-vascular-fraction-use-in-functional-disorders-wound-healing-fat-transfer-and-other-conditions
#19
REVIEW
Greg Chernoff, Nathan Bryan, Andrea M Park
Autologous human fat-derived mesenchymal stem cells are present in stromal vascular fraction. Stromal vascular fraction can be easily and safely extracted from lipoaspirate. The regenerative, antiinflammatory and immunomodulatory effects of stromal vascular fraction are being documented in ongoing therapeutic response studies.
November 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/30213428/platelet-rich-plasma-for-hair-loss-review-of-methods-and-results
#20
REVIEW
Karam W Badran, Jordan P Sand
Given substantial advances in hair regrowth research and platelet-rich plasma (PRP) science, a review of currently used systems and results is informative for physicians using a biologics approach to hair restoration. Overall positive clinical response to the use of PRP in androgenetic and alopecia areata patients is observed. The effects on hair density, count, and thickness were demonstrated through multiple clinical trials. Use as an adjunct to hair transplantation and with other technologies is also described...
November 2018: Facial Plastic Surgery Clinics of North America
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