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Facial flap

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https://www.readbyqxmd.com/read/29771835/the-arterialized-facial-artery-musculo-mucosal-island-flap-for-post-oncological-tongue-reconstruction
#1
Alessandro Moro, Gianmarco Saponaro, Piero Doneddu, Daniele Cervelli, Sandro Pelo, Giulio Gasparini, Umberto Garagiola, Giuseppe D'Amato, Mattia Todaro
BACKGROUND: In 1992, Pribaz described the facial artery musculomucosal flap (FAMM), an axial musculomucosal flap based on the facial artery. The FAMM flap, a modification of the nasolabial and buccal mucosal flaps, is widely used in the reconstruction of defects in the oral cavity. Many modifications of this flap have been described in the literature. Here we aimed to explore the use of an arterialized tunnelized FAMM island flap (a-FAMMIF) for the reconstruction tongue defects after tumor resection...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29771829/repairing-a-facial-cleft-by-polyether-ether-ketone-implant-combined-with-titanium-mesh
#2
Yuan Deng, Weiwei Tang, Zhengkang Li
The Tessier Number 4 cleft is one of the rarest, most complex craniofacial anomalies that presents difficulties in surgical treatment. In this article, we report a case of simultaneous facial depression, eye displacement, and medial canthus deformity. In this case, the maxillary bony defect was reconstructed using computer-assisted design computer-assisted manufacturing (CAD-CAM) polyether-ether-ketone (PEEK) material, and the orbital floor defect was repaired with AO prefabricated titanium mesh. Additionally, the medial canthus was modified with canthopexy and a single Z-plasty flap...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29765271/approach-to-reconstruction-of-nasal-defects
#3
REVIEW
Berkay Başağaoğlu, Kausar Ali, Pierce Hollier, Renata S Maricevich
The nose is the most central and anterior projecting facial feature. Therefore, the presence of a defect is easily noticeable to the untrained eye. Return of the defect to the original form is an achievable end goal of reconstruction, necessitating appropriate reformation of three-dimensional geometry, proper establishment of symmetry, and excellent color and texture match to the adjacent structures. Regarding its physiological importance, disruption of the normal function may cause respiratory obstruction and contribute to patient distress...
May 2018: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/29756392/successful-treatment-of-severe-facial-lymphedema-by-lymphovenous-anastomosis
#4
Yusuke Inatomi, Sei Yoshida, Kenichi Kamizono, Masuo Hanada, Ryuji Yasumatsu, Hideki Kadota
BACKGROUND: Facial edema is a common complication after neck dissection and/or chemoradiotherapy for head and neck cancer. Edema subsides spontaneously in most cases but sometimes persists, in which case surgical intervention is required. We report a case of severe facial edema that showed significant improvement upon lymphovenous anastomosis (LVA). METHODS: A 66-year-old man with oral floor cancer developed progressive facial lymphedema after tumor resection, bilateral neck dissections, chemoradiotherapy, and fibular and rectus abdominis musculocutaneous flap transfer...
May 13, 2018: Head & Neck
https://www.readbyqxmd.com/read/29747249/-the-surgical-management-of-nasal-skull-base-schwannoma-under-endonasal-endoscope-a-retrospective-review-of-52-cases
#5
L Yang, W D Zhao, Q Liu, H K Zhang, D H Wang
Objective: To discuss the surgical technique and outcome of nasal skull base schwannoma treated under endonasal endoscope. Methods: Fifty-two patients with nasal skull base nonvestibular schwannoma were treated under endonasal endoscope from May 2006 to June 2017 in Shanghai E&ENT Hospital. Of the patients, there were 21 men and 31 women. The age of the patients ranged from 33 to 71 years.Schwannoma mainly came from trigeminal nerve.Clinical symptoms included facial numbness, facial pain, nasal obstruction, headache, hypopsia, diplopia and tinnitus...
April 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29746279/free-style-capillary-perforator-based-island-flaps-for-reconstruction-of-skin-cancer-defects-of-the-face-body-and-extremities
#6
Giuseppe Visconti, Marzia Salgarello
BACKGROUND: The perforator flap concept has revolutionized reconstructive surgery. Recently, the attention has moved toward flaps based on capillary perforators, which have been usually neglected in the past as reliable perforators. The aim of this article is to report a series of freestyle capillary perforator-based island flap (c-PBIF) for reconstruction of skin cancer defects of the face, body, and extremities. PATIENTS AND METHODS: Between September 2015 and July 2017, 20 consecutive patients underwent c-PBIF reconstruction of facial, body, and limb defects after melanoma and nonmelanoma skin cancer excision...
April 30, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29744331/anatomical-repair-of-a-bilateral-tessier-no-3-cleft-by-midfacial-advancement
#7
Ji-Hyeon Oh, Young-Wook Park
Background: Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established. Case presentation: The authors describe the case of a patient with a right Tessier number 3, 11 facial cleft with microphthalmia, a left Tessier number 3 facial cleft with anophthalmia, and cleft palate. We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi...
December 2018: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29735285/fronto-orbital-feminization-technique-a-surgical-strategy-using-fronto-orbital-burring-with-or-without-eggshell-technique-to-optimize-the-risk-benefit-ratio
#8
A Villepelet, A Jafari, B Baujat
The demand for facial feminization is increasing in transsexual patients. Masculine foreheads present extensive supraorbital bossing with a more acute glabellar angle, whereas female foreheads show softer features. The aim of this article is to describe our surgical technique for fronto-orbital feminization. The mask-lift technique is an upper face-lift. It provides rejuvenation by correcting collapsed features, and fronto-orbital feminization through burring of orbital rims and lateral canthopexies. Depending on the size of the frontal sinus and the thickness of its anterior wall, frontal remodeling is achieved using simple burring or by means of the eggshell technique...
May 4, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29728289/bilateral-interdigitated-pacman-flap-for-round-and-oval-facial-defects
#9
Sang-Ha Oh, Hyeokjae Kwon, Sun Je Kim, Hyunwoo Kyung, Young Joon Seo, Dae Hyun Lew, Seung Han Song
BACKGROUND: Skin texture and color are important considerations during the reconstruction of facial defects, and anatomical borders should be preserved. Therefore, a local flap is a better option. In these cases, the authors repaired facial defects using a bilateral interdigitated VY flap. OBJECTIVE: We aim to present a modified bilateral Pacman flap technique for the reconstruction of round and oval facial defects. MATERIALS AND METHODS: We performed a retrospective chart review of 25 patients (26 cases) who underwent bilateral interdigitated Pacman flap repair of round and oval facial defects after Mohs surgery for skin cancer from January 2012 to December 2017...
April 12, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29725800/development-of-esthetic-prosthesis-for-a-patient-with-severe-stigmatizing-facial-lesions-due-to-cancer-a-pilot-study
#10
Douglas Jordan-Ribeiro, Laura Machado Lara Carvalho, Raquel Vilela, Dayse Danielle Rocha, Paula Lopes Ruas, Antônio Ferreira Ávila, Denis Vasconcelos Ferreira, Eduardo Mateus Motta Trindade, Paulo Henrique Pimentel Santos, Monica Assunção Costa Lima, Leonel Mendoza, Rudolf Huebner
PURPOSE: Severe physical facial deformities due to surgical interventions can have significant psychosocial consequences to patient's relationships with friends and family and thus, has a considerable impact on their quality of life. We have developed a 3D prosthesis for a 56-year-old woman diagnosed with epidermoid carcinoma at the right hemiface, to improve her quality of life. METHODS: The patient started radiotherapy with modulated intensity. To deal with the advance of the process, a maxilectomy of supra structure with modified radical cervical emptying on the right hemiface was performed...
May 3, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29719062/the-facial-artery-perforator-flap-for-intraoral-reconstruction-of-a-mouth-floor-defect
#11
Ricardo Horta, Sergio Teixeira, Ricardo Nascimento, Alvaro Silva, Jose Amarante
Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation...
May 2, 2018: Microsurgery
https://www.readbyqxmd.com/read/29716177/contouring-of-zygomatic-soft-tissue-using-bilateral-free-groin-flaps-in-a-treacher-collins-syndrome-patient
#12
Jae-Woo Heo, Ung Sik Jin
Treacher Collins syndrome is a congenital disorder that is characterized with a wide range of cranio-facial deformities. Zygomatic hypoplasia or aplasia is one of the key features, and surgical reconstruction of the consequent depression on the zygomatic area is deemed necessary by many patients. Various surgical options are available-injectables, alloplastic materials, autologous grafting, and autogenous tissue transfer. It depends on each patient which technique to use. Here, we present a clinical case, in which bilateral free groin flaps were adopted in attempt to resolve the remnant aesthetic deformity associated with zygomatic depression, despite a series of previous surgical efforts, in a 25-year-old Treacher Collins syndrome male patient...
May 3, 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29707453/management-of-high-energy-avulsive-ballistic-facial-injury-a-review-of-the-literature-and-algorithmic-approach
#13
Elbert E Vaca, Justin L Bellamy, Sammy Sinno, Eduardo D Rodriguez
Background: High-energy avulsive ballistic facial injuries pose one of the most significant reconstructive challenges. We conducted a systematic review of the literature to evaluate management trends and outcomes for the treatment of devastating ballistic facial trauma. Furthermore, we describe the senior author's early and definitive staged reconstructive approach to these challenging patients. Methods: A Medline search was conducted to include studies that described timing of treatment, interventions, complications, and/or aesthetic outcomes...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29703876/the-use-of-facial-artery-musculomucosal-famm-readvancement-flap-in-closure-of-recurrent-oronasal-fistula
#14
I Ariffuddin, M S Arman Zaharil, W S Wan Azman, H Ahmad Sukari
High failure rate for recurrent palatal fistulas closure pose a great challenge to plastic surgeons. Tongue and facial artery musculomucosal (FAMM) flaps are the more commonly used flaps for closure of these recurrent fistulas. We report a case of a formerly inset FAMM flap to effectively close a previously repaired oronasal fistula.
April 2018: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/29697631/facial-fractures-pearls-and-perspectives
#15
Obaid Chaudhry, Matthew Isakson, Adam Franklin, Suhair Maqusi, Christian El Amm
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Describe the symptoms and cause of pseudo-Brown syndrome, describe the anatomy and placement of a buttress-spanning plate in nasoorbitoethmoid fractures, and identify appropriate nasal support alternatives for nasoorbitoethmoid fractures...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29684804/aesthetic-considerations-in-flap-reconstruction-of-the-burnt-face-in-males-a-demonstrative-case-report
#16
Abdullah E Kattan, Mohammad M Al-Qattan
INTRODUCTION: The face is unique because functional and aesthetic considerations are equally important. Extensive deep chemical burns of the face are usually reconstructed with flaps. In males, the use of the hair - bearing superficial temporal artery flap has the advantage of achieving a satisfactory outcome with regards to both function and aesthetics. PRESENTATION OF CASE: A 49-year-old man sustained a deep chemical burn to the right side of the face and neck...
April 16, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29676255/-perfecting-smile-esthetics-keep-it-pink
#17
Virginie Monnet-Corti, Angeline Antezack, Marion Pignoly
INTRODUCTION: Smile aesthetics is based on numerical, physical, physiological and psychological data regarding beauty, while taking into account the desires of the patient. It is determined by the shape, colour and position of the lips, teeth and gingival tissues. Periodontal examination in both the facial and labial settings supports analysis of the gingival display during natural and forced smiling, the health of the periodontium, the gingival contours, the aesthetic gingival line, and the presence of the papillae...
March 2018: L' Orthodontie Française
https://www.readbyqxmd.com/read/29668506/the-utility-of-superficial-musculoaponeurotic-system-flaps-in-facelift-procedures
#18
Lynn A Damitz
Facelift techniques widely vary with known individual surgeon modifications of and preference for particular techniques. This article provides an overview of the history of the superficial musculoaponeurotic system (SMAS), the changes of aging related to the soft tissues of the face, and the history of facelift procedures, including techniques to address the SMAS. In addition, a description of past studies and literature analyzing techniques of facelift procedures, safety of interventions involving the SMAS, low, extended, and high SMAS techniques, and evaluations of patient satisfaction with facelift outcomes including use of the FACE-Q are discussed...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29658528/gait-changes-in-patients-after-reconstruction-of-facial-bones-with-fibula-and-iliac-crest-free-vascularized-flaps
#19
Małgorzata Syczewska, Romuald Krajewski, Monika Kirwil, Ewa Szczerbik, Małgorzata Kalinowska
PURPOSE: Patients with malignant tumours of the oral cavity require its surgical removal and reconstruction of the bone and soft tissues. The grafts are obtained either from leg (fibula) or pelvis (iliac crest). The removal of grafts from the locomotor apparatus can impair the gait. The aim of this study was to find out how the localization of donor site influences the gait pattern. METHODS: Results obtained for 30 patients were analyzed (16 fibula graft, 14 iliac crest graft)...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29652533/facial-and-nasolabial-aesthetics-of-complete-uclp-submitted-to-2-stage-palate-repair-with-vomer-flap
#20
Terumi Okada Ozawa, Luciana Lais Savero Reis, Renata Mayumi Kato, Diógenes Laercio Rocha, Renata Sathler, Daniela Gamba Garib
OBJECTIVE: To evaluate the aesthetics of nasolabial appearance and facial profile of children with unilateral cleft lip and palate (UCLP) submitted to 2-stage palate repair with vomerine flap. DESIGN: Retrospective. SETTING: Single center. PATIENTS: Forty patients with UCLP, mean age of 7.81 years of both sexes, rehabilitated at a single center by 1 plastic surgeon. INTERVENTIONS: Lip and anterior palate repair with nasal alar repositioning was performed at 3 to 6 months of age by Millard technique and vomer flap, respectively...
January 1, 2018: Cleft Palate-craniofacial Journal
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