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Facial Plastic Surgery Clinics of North America

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https://www.readbyqxmd.com/read/29153194/cosmetic-and-reconstructive-surgery-of-congenital-ear-deformities
#1
EDITORIAL
Scott Stephan
No abstract text is available yet for this article.
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153193/auricular-prostheses-in-microtia
#2
REVIEW
Philippe A Federspil
The progress made in the development of the silicones and percutaneous titanium implants allow for rehabilitation of patients with microtia with an inconspicuous auricular prosthesis. The art of making the prosthesis by the dedicated anaplastologist is the key for the success of this approach. Most patients with microtia desire camouflage. The greatest advantage of the auricular prosthesis is that it can be manufactured as a mirrored replica of the opposite side. The outcome is predictable. Computer science with virtual planning and rapid prototyping is about to revolutionize the process of prosthetic auricular rehabilitation...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153192/surgical-otoplasty-an-evidence-based-approach-to-prominent-ears-correction
#3
REVIEW
Kenneth J Stewart, Luca Lancerotto
Otoplasty is one of the first procedures learned during residency. A myriad of surgical techniques and nuances exist. Many have merit, some are ineffective, some destructive, and some frankly fanciful. Adopting an effective and safe technique should be based on proven efficacy and effectiveness to avoid early disappointments. We present a review of traditional otoplasty techniques and more recent innovations. Their pros and cons are discussed in view of the relative risks/benefits balance. Recurrence rates are low for most techniques...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153191/atresiaplasty-in-congenital-aural-atresia-what-the-facial-plastic-surgeon-needs-to-know
#4
REVIEW
Douglas S Ruhl, Bradley W Kesser
Patients with microtia and congenital aural atresia should have a comprehensive hearing assessment early in life. Options for hearing habilitation should be presented, and children with bilateral aural atresia should be fitted with a bone conducting hearing device to support normal speech and language development. If atresia surgery is pursued, the microtia surgeon must be aware of certain principles. This article presents recommendations on options for potentially improving hearing in children with congenital aural atresia: assessing surgical candidacy; chronology and timing of surgeries; functional importance of certain ear structures; and understanding the possible locations of an aberrant facial nerve to avoid injury in these patients...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153190/auricular-reconstruction-using-porous-polyethylene-implant-technique
#5
REVIEW
Scott Stephan, John Reinisch
Alloplast-based ear reconstruction has become more popular over the years because it offers many advantages compared with the traditional staged autologous costal cartilage approach. Advantages include earlier reconstruction in the setting of microtia, fewer procedures, less donor site morbidity, shorter surgeon learning curve, and improved consistency in the final aesthetic result. Although other implantable materials have been used in auricular reconstruction with variable success, porous high-density polyethylene frameworks combined with recent advances in the creation of the soft tissue coverage have significantly improved outcomes with minimal complications and long-term viability...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153189/pediatric-microtia-reconstruction-with-autologous-rib-personal-experience-and-technique-with-1000-pediatric-patients-with-microtia
#6
REVIEW
Arturo Bonilla
Reconstruction of the microtic ear is one of the most challenging, yet gratifying surgical experiences. Careful planning, attention to detail, and conservative tissue management are necessary for excellent results. Technologies continue to evolve; with the advancement of cartilage tissue engineering, the future of ear reconstruction is very promising.
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153188/autologous-rib-microtia-construction-nagata-technique
#7
REVIEW
Akira Yamada
Nagata technique becomes most popular method of autologous rib microtia construction. To achieve successful outcome, 3 keys must be perfect: skin envelope, 3D cartilage framework, and proper location of the construct. The first step of the surgery is to identify "auricular rectangle." Relationship between the auricular rectangle and the vestige will determine if the vestige is usable for surgery. Rib cartilage must be harvested without perichondrium to prevent chest deformity. Lobule split technique is the hallmark of the Nagata technique, which allows skin envelope expansion, and allows deeper conchal cavity...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153187/otoplasty-for-congenital-auricular-malformations
#8
REVIEW
Jiahui Lin, Anthony P Sclafani
Among the less common congenital auricular anomalies are cryptotia, Stahl ear, constricted ear, and macrotia. The vast majority of these occur spontaneously without accompanying syndromes or other deformities. This article provides a comprehensive overview of these anomalies, as well as common techniques to correct these anomalies.
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153186/cosmetic-otoplasty
#9
REVIEW
Alexander L Schneider, Douglas M Sidle
Otoplasty for prominent ears is a rewarding yet exacting surgery that demands the precise application of anatomic knowledge, anthropometric norms, and surgical creativity. The practitioner must be able to use a variety of different techniques to provide durable and acceptable cosmetic results to patients. This article provides an in-depth description of normal and abnormal auricular anatomy, the historical context for modern otoplasty, and describes in detail the common otoplastic procedures currently performed...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153185/nonsurgical-management-of-congenital-auricular-anomalies
#10
REVIEW
Christen Lennon, Sivakumar Chinnadurai
Congenital auricular deformities often can be corrected by neonatal ear molding techniques, which have evolved significantly over a 25-year period with commercially available molding systems now available. Indications for molding and methodology for best optimizing results have been well described in the literature, although recent studies have explored methodology for reduction in the cost of technique and also called for increased awareness among pediatric practitioners of the importance of early institution of therapy...
February 2018: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941515/advances-in-craniofacial-trauma
#11
EDITORIAL
Kris S Moe
No abstract text is available yet for this article.
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941514/evidence-based-medicine-in-facial-trauma
#12
REVIEW
William M Dougherty, John Jared Christophel, Stephen S Park
This article provides the reader with a comprehensive review of high-level evidence-based medicine in facial trauma and highlights areas devoid of high-level evidence. The article is organized in the order one might approach a clinical problem: starting with the workup, followed by treatment considerations, operative decisions, and postoperative treatments. Individual injuries are discussed within each section, with an overview of the available high-level clinical evidence. This article not only provides a quick reference for the facial traumatologist, but also allows the reader to identify areas that lack high-level evidence, perhaps motivating future endeavors...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941513/posttraumatic-laser-treatment-of-soft-tissue-injury
#13
REVIEW
Prem B Tripathi, J Stuart Nelson, Brian J Wong
Laser treatment for posttraumatic injury offers the clinician the unique opportunity for early intervention in mediating early scar formation, or for reducing the appearance of scars after maturation. In this review, the authors focus on the mechanisms by which lasers exert their therapeutic effects, highlighting several popular lasers and dosimetry used, and underscoring the power of combined surgical scar revision in managing posttraumatic facial scars.
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941512/eyelid-and-periorbital-soft-tissue-trauma
#14
REVIEW
Audrey C Ko, Kellie R Satterfield, Bobby S Korn, Don O Kikkawa
Facial trauma often involves injuries to the eyelid and periorbital region. Management of these injuries can be challenging due to the involvement of multiple complex anatomic structures that are in close proximity. Restoration of normal anatomic relationships of the eyelids and periocular structures is essential for optimum functional and aesthetic outcome after trauma. This review provides an overview of the current literature involving soft tissue trauma of the eyelid and periorbital tissue, and highlights key steps in patient evaluation and management with various types of injuries...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941511/emergent-soft-tissue-repair-in-facial-trauma
#15
REVIEW
Melissa Marks, Derek Polecritti, Ronald Bergman, Cody A Koch
Emergency personnel, surgeons, and ancillary health care providers frequently encounter soft tissue injuries in facial trauma. Appropriate evaluation and management is essential to achieve optimal functional and aesthetic outcomes.
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941510/issues-in-pediatric-craniofacial-trauma
#16
REVIEW
Srinivasa R Chandra, Karen S Zemplenyi
Pediatric maxillofacial fractures are rare owing to anatomic differences between juvenile and adult skulls. Children's bone is less calcified, allowing for "greenstick fractures." The overall ratio of cranial to facial volume decreases with age. In children, tooth buds comprise the majority of mandibular volume. The most common pediatric craniomaxillofacial fractures for children ages 0 to 18 years old are mandible, nasal bone, and maxilla and zygoma. Growth potential must be considered when addressing pediatric trauma and often a less-is-more approach is best when considering open versus closed treatment...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941509/current-management-of-subcondylar-fractures-of-the-mandible-including-endoscopic-repair
#17
REVIEW
Alexis M Strohl, Robert M Kellman
Treatment of subcondylar fractures has been the subject of debate for many years. Options for treatment include physical therapy, elastic maxillomandibular fixation, and open repair. Proper imaging and clinical evaluation are imperative when deciding on the best management option. In the past, most subcondylar fractures were treated with a closed approach. Recent data support open repair, when feasible. Studies show increased interincisal opening, lateral excursion, and protrusion with less mandibular shortening, jaw deviation, and pain...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941508/updates-in-management-of-craniomaxillofacial-gunshot-wounds-and-reconstruction-of-the-mandible
#18
REVIEW
Baber Khatib, Savannah Gelesko, Melissa Amundson, Allen Cheng, Ashish Patel, Tuan Bui, Eric J Dierks, R Bryan Bell
This article includes updates in the management of mandibular trauma and reconstruction as they relate to maxillomandibular fixation screws, custom hardware, virtual surgical planning, and protocols for use of computer-aided surgery and navigation when managing composite defects from gunshot injuries to the face.
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941507/management-of-zygomaticomaxillary-complex-fractures
#19
REVIEW
E Bradley Strong, Celeste Gary
Zygomaticomaxillary fractures account for approximately 25% of all facial fractures. They can be grouped into high-velocity and low-velocity injuries. A complete head and neck examination is critical for accurate clinical diagnosis. A thin-cut axial CT scan with sagittal, coronal, and 3-D reconstruction is important for accurate diagnosis and treatment planning. A thorough understanding of bony tetrapod anatomy and fracture mechanics is critical to treatment planning. Treatment options include closed and open reduction with internal fixation...
November 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/28941506/correction-of-nasal-fractures
#20
REVIEW
G Nina Lu, Clinton D Humphrey, J David Kriet
Nasal fractures are the most frequently fractured facial bone from blunt facial trauma resulting in a significant number of patients seeking treatment. Proper evaluation and treatment in the acute setting can minimize secondary surgeries, lower overall health care costs, and increase patient satisfaction. Nasal fracture management, however, varies widely between surgeons. The open treatment of isolated nasal fractures is a particularly controversial subject. This review seeks to describe the existing literature in isolated nasal fracture management...
November 2017: Facial Plastic Surgery Clinics of North America
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