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Facial Plastic Surgery Clinics of North America

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https://www.readbyqxmd.com/read/27888899/facial-scar-management
#1
EDITORIAL
David B Hom
No abstract text is available yet for this article.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888898/treating-scars-to-the-neck
#2
REVIEW
Richard D Gentile
Scarring of the neck affects millions of people every year. The appearance of neck scarring can be disturbing both physically and psychologically. Scarring of the neck can be accompanied by morbidities because of the limitation of functional motion of the neck. Treatment options and modalities for reduction and prevention of scar formation include topical steroids, intralesional steroids, interferon, 5-fluorouracil, silicone gel, radiation, laser therapy, and surgeries. There is no general consensus in the literature as to the optimal treatment of neck scarring...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888897/treating-scars-on-the-oral-mucosa
#3
REVIEW
Erik William Evans
Mucosal wounds tend to heal more rapidly than skin wounds and with minimal to no scar formation and hence have a minimal impact on function or aesthetics. This is likely due to differences in the magnitude and timing of the various factors that contribute to wound healing. Some examples of these differences are fibroblast proliferation, transforming growth factor-β, macrophages, neutrophils, and T cells. Other factors, such as the moist environment, contribute to the favorable wound-healing characteristics of mucosa...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888896/treatment-of-scalp-scars
#4
REVIEW
John Kim
The scalp presents many challenges to the reconstructive surgeon given its visible nature and the various considerations that must be given for optimal reconstruction. In this article, we review the anatomy of the scalp, the various options for reconstruction, and important considerations for improving the chances of optimal reconstruction of scalp defects.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888895/treating-scars-in-the-auricle-region
#5
REVIEW
Deborah Watson, Bharat Panuganti
This article provides a review of the surgical and nonsurgical options available to manage a variety of auricular scars. The basics of wound healing are discussed in addition to the etiology of keloids and the cauliflower ear. Many auricular scars can be revised with scar excision techniques, but separate discussions for the treatment of keloids and the cauliflower ear are provided. The management plan for auricular scarring requires appropriate patient counseling regarding the risk of recurrence in keloids, regrowth of scar tissue in cauliflower ears, scar hypertrophy at the line of closure, widening of the scar, and persisting ear contour deformities...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888894/treating-scars-of-the-chin-and-perioral-region
#6
REVIEW
Jessyka G Lighthall, Fred G Fedok
Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Scar revision and reconstruction is ideally performed with a subunit approach, placing scars along aesthetic borders and performing subunit reconstruction to camouflage scars. Surgical techniques include direct excision, scar reorientation, local flap rearrangement, pedicled flaps, and regional or free flaps...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888893/unique-clinical-aspects-of-nasal-scarring
#7
REVIEW
Benjamin P Caughlin, Christian Barnes, J Stuart Nelson, Brian J F Wong
Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Achieving optimal scar reduction regularly requires multiple stages of intervention, close follow-up, and repeat procedures...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888892/treating-scars-of-the-cheek-region
#8
REVIEW
Kofi Derek Boahene, James A Owusu
Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. The ideal time to revise a scar should be based on the extent of scar maturation and presence or absence of any functional distortion...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888891/periorbital-scar-correction
#9
REVIEW
Christopher B Chambers, Kristen S Moe
Periorbital scarring with eyelid retraction can have serious visual effects and can lead to loss of vision or even loss of the eye. Understanding of eyelid anatomy and the delicate balance of its structural supports is critical for the identification of the eyelid disorder responsible for the cicatrix and helps to guide treatment. The 2-finger test and lateral distraction of the lid can also be of significant help in proper diagnosis of the underlying disorder. Proper reconstruction with respect to the anterior and posterior lamellae helps to ensure a favorable outcome...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888890/management-of-forehead-scars
#10
REVIEW
Ryan Heffelfinger, Akshay Sanan, Lucas M Bryant
This article provides an overview of scar management within the forehead region. It addresses the unique challenges specific to the treatment of forehead wounds. A logical, stepwise approach is used. A subsite based treatment algorithm is provided along with a review of current best practices. Pertinent case examples are included for demonstration purposes.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888889/skin-color-and-pigmentation-in-ethnic-skin
#11
REVIEW
Marty O Visscher
Skin coloration is highly diverse, partly due to the presence of pigmentation. Color variation is related to the extent of ultraviolet radiation exposure, as well as other factors. Inherent skin coloration arises from differences in basal epidermal melanin amount and type. Skin color is influenced by both the quantity and distribution of melanocytes. The effectiveness of inherent pigmentation for protecting living cells also varies. This article discusses skin color, pigmentation, and ethnicity in relation to clinical practice...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888888/laser-assisted-delivery-to-treat-facial-scars
#12
REVIEW
Jill S Waibel, Ashley Rudnick
Treatment of facial scars is a multispecialty endeavor for optimal patient recovery. One new innovation helping in facial scar treatments are lasers. Fractional laser predictably (tunable) disrupts the barrier of the skin creating deep channels that allow the delivery of drug and cellular materials; this is called laser-assisted drug delivery (LAD). Without exception thus far, LAD has been found to enhance the local uptake of any drug or substance applied to the skin. These zones may be used postoperatively to deliver drugs and other substances to create an enhanced scar therapeutic response to drug or substance applied to the skin...
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27888887/soft-tissue-principles-to-minimize-scarring-an-overview
#13
REVIEW
Jamie L Welshhans, David B Hom
This article is a broad overview of measures and techniques that can be used to minimize soft tissue scarring.
February 2017: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712826/craniofacial-surgery-for-the-facial-plastic-surgeon
#14
Lisa M Morris, Sherard A Tatum
No abstract text is available yet for this article.
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712825/craniomaxillofacial-trauma
#15
Sven-Olrik Streubel, David M Mirsky
Facial trauma causes significant of morbidity in the United States. With injuries varying widely, the clinical benefits of antibiotics use in facial fracture treatment are not easily determined. The pediatric population is more predisposed to craniofacial trauma secondary to their increased cranial mass to body ratio. All patients with traumatic injury should be assessed according to the Advanced Trauma Life Support protocol. This article discusses the types and prevalence of injuries and approaches to management...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712824/the-evolution-of-complex-microsurgical-midface-reconstruction-a-classification-scheme-and-reconstructive-algorithm
#16
Daniel Alam, Yaseen Ali, Christopher Klem, Daniel Coventry
Orbito-malar reconstruction after oncological resection represents one of the most challenging facial reconstructive procedures. Until the last few decades, rehabilitation was typically prosthesis based with a limited role for surgery. The advent of microsurgical techniques allowed large-volume tissue reconstitution from a distant donor site, revolutionizing the potential approaches to these defects. The authors report a novel surgery-based algorithm and a classification scheme for complete midface reconstruction with a foundation in the Gillies principles of like-to-like reconstruction and with a significant role of computer-aided virtual planning...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712823/microtia-reconstruction
#17
Randall A Bly, Amit D Bhrany, Craig S Murakami, Kathleen C Y Sie
Microtia reconstruction is a challenging endeavor that has seen significant technique evolution. It is important to educate patients and their families to determine the best hearing rehabilitation and ear reconstructive options. Microtia is often associated with aural atresia, hearing loss, and craniofacial syndromes. Optimal care is provided by multiple disciplines, including a reconstructive surgeon, an otologic surgeon, an audiologist, and a craniofacial pediatrician. Microtia management includes observation, prosthetic ear, autologous cartilage reconstruction, or alloplastic implant placement...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712822/facial-nerve-rehabilitation
#18
Lisa E Ishii
Facial nerve paralysis, although uncommon in the pediatric population, occurs from several causes, including congenital deformities, infection, trauma, and neoplasms. Similar to the adult population, management of facial nerve disorders in children includes treatment for eye exposure, nasal obstruction/deviation, smile asymmetry, drooling, lack of labial function, and synkinesis. Free tissue transfer dynamic restoration is the preferred method for smile restoration in this population, with outcomes exceeding those of similar procedures in adults...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712821/vascular-lesions
#19
Keimun A Slaughter, Tiffany Chen, Edwin Williams
Classification of vascular lesions based of off the biological behavior has greatly facilitated more accurate diagnoses, optimally defined treatment plans, and better outcomes. Treatment of vascular lesions has taken a more conservative surgical approach with reliance on select medical treatment options, which has greatly reduced morbidity and mortality resulting from extensive surgery. A multidisciplinary approach involving multiple surgical and pediatric subspecialties has led to advancement in both understanding and ideal treatment strategies of these lesions...
November 2016: Facial Plastic Surgery Clinics of North America
https://www.readbyqxmd.com/read/27712820/tessier-clefts-and-hypertelorism
#20
Ryan Winters
Tessier's classification system for rare craniofacial clefts remains the most widely used today. It denotes the position of the cleft process in a schema based around the orbit, and facilitates communication between surgeons regarding these complicated conditions. Tessier's classification is reviewed in detail, and a separate discussion of hypertelorism (increased distance between the bony orbits) follows, focusing on orbital hypertelorism in the setting of craniofacial clefts.
November 2016: Facial Plastic Surgery Clinics of North America
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