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Seminars in Plastic Surgery

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https://www.readbyqxmd.com/read/28496392/differences-in-the-management-of-pediatric-facial-trauma
#1
REVIEW
Tara L Braun, Amy S Xue, Renata S Maricevich
Craniofacial trauma is common in the pediatric population, with most cases limited to soft tissue and dentoalveolar injury. Although facial fractures are relatively rare in children compared with adults, they are often associated with severe injury and cause significant morbidity and disability. Initial evaluation of a child with facial trauma generally involves stabilizing the patient and identifying any severe concomitant injuries before diagnosing and managing facial injuries. The management of pediatric facial fractures is relatively more conservative than that of adults, and nonsurgical management is preferred when possible to prevent the disruption of future growth and development...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496391/management-of-panfacial-fracture
#2
REVIEW
Kausar Ali, Salvatore C Lettieri
Traumatic panfacial fracture repair is one of the most complex and challenging reconstructive procedures to perform. Several principles permeate throughout literature regarding the repair of panfacial injuries in a stepwise fashion. The primary goal of management in most of these approaches is to restore the occlusal relationship at the beginning of sequential repair so that other structures can fall into alignment. Through proper positioning of the occlusion and the mandibular-maxillary unit with the skull base, the spatial relationships and stability of midface buttresses and pillars can then be re-established...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496390/mandible-fractures
#3
REVIEW
Brent B Pickrell, Arman T Serebrakian, Renata S Maricevich
Mandible fractures account for a significant portion of maxillofacial injuries and the evaluation, diagnosis, and management of these fractures remain challenging despite improved imaging technology and fixation techniques. Understanding appropriate surgical management can prevent complications such as malocclusion, pain, and revision procedures. Depending on the type and location of the fractures, various open and closed surgical reduction techniques can be utilized. In this article, the authors review the diagnostic evaluation, treatment options, and common complications of mandible fractures...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496389/midface-fractures-ii
#4
REVIEW
Matthew Louis, Nikhil Agrawal, Tuan A Truong
Facial fractures are a common source of emergency department consultations for the plastic surgeon. A working understanding of the evaluation, the assessment, the management, and the prevention of further injury when dealing with these fractures is vital. This second of a two-part series detailing the management of midfacial fractures serves as a guide for the appropriate workup and management of the wide variety of fracture patterns that are commonly encountered.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496388/midface-fractures-i
#5
REVIEW
Matthew Louis, Nikhil Agrawal, Matthew Kaufman, Tuan A Truong
Facial fractures are a common source of emergency department consultations for the plastic surgeon. A working understanding of evaluation, assessment, management, and prevention of further injury when dealing with these fractures is vital. This two-part series detailing the management of midface fractures serves as a guide for the appropriate workup and management of the wide variety of fracture patterns that are commonly encountered.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496387/frontal-sinus-fractures
#6
REVIEW
Kelly Schultz, Tara L Braun, Tuan A Truong
The frontal bone serves a protective role, representing the transition between the facial skeleton and the cranium. Within its enclosure, the frontal sinus lies adjacent to many important intracranial structures, and injury to this region has severe complications if not properly managed. Historically, the goals of frontal sinus fracture management have been to best prevent intracranial complications with invasive procedures, but a recent shift favoring conservative management now aims to preserve the form and function of the frontal sinus and its outflow tract...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496386/soft-tissue-management-in-facial-trauma
#7
REVIEW
Tara L Braun, Renata S Maricevich
The management of soft tissue injury after facial trauma poses unique challenges to the plastic surgeon, given the specialized nature of facial tissue and the aesthetic importance of the face. The general principles of trauma management and wound care are applied in all cases. The management of severe injuries to the face is discussed in relation to the location and the mechanism of injury. Facial transplants have arisen in the past decade for the management of catastrophic soft tissue defects, although high morbidity and mortality after these non-life-saving operations must be considered in patient selection...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496385/initial-assessment-and-evaluation-of-traumatic-facial-injuries
#8
REVIEW
Tuan A Truong
The care of the facial trauma patient continues to evolve in the ever-changing face of medicine. Patients can be reassured that their care is managed by a variety of specialists knowledgeable in the assessment and management of complex facial injuries. Thanks in part to advances in imaging modalities, bone fixation techniques and technology, and a wider array of reconstructive procedures, the foundation upon which the reconstructive ladder of facial injuries rests continues to expand. The overall goal of repair is a return to a preinjury state of form and function...
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496384/facial-trauma
#9
Renata S Maricevich, Tuan A Truong
No abstract text is available yet for this article.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28496383/renata-s-maricevich-md-and-tuan-a-truong-md
#10
Larry H Hollier
No abstract text is available yet for this article.
May 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255291/pediatric-blepharoptosis
#11
REVIEW
Kevin T Jubbal, Katarzyna Kania, Tara L Braun, William R Katowitz, Douglas P Marx
Congenital blepharoptosis, caused by levator muscle dysgenesis, presents at birth and may lead to disturbed visual development and function. Other causes of ptosis in pediatric patients can be myogenic, neurogenic, mechanical, or traumatic. Timely correction is, therefore, critical, and careful preoperative planning and intraoperative considerations are crucial to achieve optimal outcomes and minimize potential complications. The various surgical techniques, including the frontalis suspension or sling, levator resection and advancement, Müller's muscle conjunctival resection (the Putterman procedure), and modified Fasanella-Servat procedure are each associated with distinct indications, benefits, and drawbacks, necessitating a unique tailored approach to each surgical candidate...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255290/upper-eyelid-blepharoplasty-evaluation-treatment-and-complication-minimization
#12
REVIEW
Patrick Yang, Audrey C Ko, Don O Kikkawa, Bobby S Korn
Upper eyelid blepharoplasty is one of the most common procedures performed worldwide for both functional and cosmetic indications. There is a high rate of patient satisfaction; however, in this era of social media, patient expectations are higher than ever. Today's digitally savvy patients expect perfect outcomes with no complications and rapid recovery. To achieve optimal results, a careful preoperative evaluation and sound surgical technique is essential for minimizing complications. Here the authors review their approach to the management of the blepharoplasty patient...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255289/an-update-on-lower-lid-blepharoplasty
#13
REVIEW
Michael Murri, Eric B Hamill, Matthew J Hauck, Douglas P Marx
Aging changes to the lower eyelids and midface include pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. Either a transcutaneous or transconjunctival approach may be used, though recent trends have favored the transconjunctival technique if procedures require more than simple skin excision. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255288/orbital-decompression-for-thyroid-eye-disease
#14
REVIEW
Tara L Braun, Mohin A Bhadkamkar, Kevin T Jubbal, Adam C Weber, Douglas P Marx
Although most cases of thyroid eye disease (TED) can be managed medically, some refractory or severe cases are treated surgically with orbital decompression. Due to a lack of randomized controlled trials comparing surgical techniques for orbital decompression, none have been deemed superior. Thus, each case of TED is managed based on patient characteristics and surgeon experience. Surgical considerations include the extent of bony wall removal, the surgical approach, the choice of incision, and the use of fat decompression...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255287/orbital-fracture-repair
#15
REVIEW
Seanna Grob, Marc Yonkers, Jeremiah Tao
Orbital fractures are very common after facial trauma. The assessment of a patient with a suspected orbital wall injury includes a detailed oculofacial examination as well as radiologic imaging. Surgical repair with or without an implant may be indicated for diplopia, enophthalmos, or both. Cicatricial eyelid malposition is an iatrogenic complication commonly due to poor orbitotomy technique. Optimal repair involves direct exposure of the perimeter of the fractures' site through surgical planes that minimally scar the eyelids...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255286/ocular-adnexal-reconstruction-for-cutaneous-periocular-malignancies
#16
REVIEW
Alison B Huggins, Michelle W Latting, Douglas P Marx, Joseph N Giacometti
Although the majority of lesions present in the periocular region are benign, periocular cutaneous malignancies are certainly not uncommon and must be considered. The management of nonmelanoma cutaneous malignancies is predominately surgical with Mohs micrographic surgery or excision with frozen sections. The approach to reconstruction of the resulting defects depends on the defect location and size. When able, it is preferable to close lesions directly or with the recruitment of adjacent tissue in an effort to preserve the inherent anatomy...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255285/nonsurgical-rejuvenation-of-the-eyelids-with-hyaluronic-acid-gel-injections
#17
REVIEW
Seongmu Lee, Michael T Yen
There has been an increased recognition for the role volume deflation plays in the aging periorbital area, and as such, rejuvenation strategies to augment and restore volume have developed and evolved. Hyaluronic acid fillers provide an efficient option for volume augmentation with good efficacy, longevity, and safety. An understanding of the changes in the upper and lower periocular area due to aging, the meticulous identification of focal hollows, and the precise delivery of filler to these areas can smooth contours and restore a rejuvenated periorbital area...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255284/clinical-evaluation-of-blepharoptosis-distinguishing-age-related-ptosis-from-masquerade-conditions
#18
REVIEW
Michelle W Latting, Alison B Huggins, Douglas P Marx, Joseph N Giacometti
Aponeurotic ptosis accounts for the majority of acquired ptosis encountered in clinical practice. Other types of ptosis include traumatic, mechanical, neurogenic, and myogenic. In addition to true ptosis, some patients present with pseudoptosis caused by globe dystopia, globe asymmetry, ocular misalignment, or retraction of the contralateral lid. It is particularly important for the clinician to rule out neurologic causes of ptosis such as dysfunction of the third cranial nerve, Horner's syndrome, and myasthenia gravis, as these conditions can be associated with significant systemic morbidity and mortality...
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255283/oculofacial-plastic-and-reconstructive-surgery
#19
Douglas P Marx
No abstract text is available yet for this article.
February 2017: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/28255282/douglas-p-marx-md
#20
Larry H Hollier
No abstract text is available yet for this article.
February 2017: Seminars in Plastic Surgery
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