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https://www.readbyqxmd.com/read/28107855/a-close-look-at-an-integrative-treatment-package-for-bell-s-palsy-in-korea
#1
Seung Min Kathy Lee, Suji Lee, Jun Hyeong Park, Jongbae J Park, Sanghoon Lee
OBJECTIVE: To provide an overview of the integrative treatment package for Bell's palsy provided at Kyung Hee University Korean Medicine Hospital (KHU KMH). SUMMARY: The Facial Palsy Center at KHU KMH has been providing integrative treatment for Bell's palsy patients during the past three decades. Within 72 h of symptom onset, corticosteroids are recommended but complementary treatment including acupuncture and herbal medicine can be used to help suppress inflammation and nerve degeneration...
February 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/28099268/vascular-nature-and-existence-of-anastomoses-of-extrinsic-postauricular-fascia-application-for-staged-auricular-reconstruction
#2
Suphalerk Lohasammakul, Chairat Turbpaiboon, Supin Chompoopong, Rosarin Ratanalekha, Chongdee Aojanepong
A staged auricular reconstruction in microtia patients was developed by using superficial mastoid fascia (as part of extrinsic postauricular fascia) to cover the cartilagenous framework due to its highly vascularized nature. Three branches of external carotid artery (superficial temporal artery, posterior auricular artery and occipital artery) were found to supply this fascia, this study was therefore aimed to investigate the dimension of blood supply from each vessel and also to demonstrate the existence of anastomoses among these arteries...
January 18, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28032165/an-alternative-posterosuperior-auricular-fascia-flap-for-ear-elevation-during-microtia-reconstruction
#3
Yiyuan Li, Ruhong Zhang, Qun Zhang, Zhicheng Xu, Feng Xu, Datao Li
BACKGROUND: Advances in staged total auricular reconstruction have resulted in improved anterior auricular appearance; however, satisfactory postreconstruction esthetics of the retroauricular fold remain challenging. The postauricular appearance of the reconstructed ear depends largely upon optimizing the covering material. When used as the covering soft tissue for ear elevation, a flap containing primarily the upper portion of the retroauricular fascia has potential advantages over the conventional book cover-type retroauricular fascia flap...
December 28, 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28028342/kimura-s-disease-a-diagnostic-challenge-experienced-with-cytology-of-postauricular-swelling-with-histopathological-relevance
#4
Mingma Sherpa, Rachna Lamichaney, Asitava Deb Roy
Kimura's disease is a rare, chronic inflammatory disorder of unknown cause. It is endemic in Asia, affecting more number of males than females, with a ratio of 3:1. The typical clinical manifestations include a triad of painless unilateral cervical lymphadenopathy or subcutaneous masses predominantly in the head and neck region, blood and tissue eosinophilia, and an elevated serum immunoglobulin E (IgE) levels. Variable conditions both benign and malignant may mimic Kimura's disease both clinically and on fine needle aspirates...
October 2016: Journal of Cytology
https://www.readbyqxmd.com/read/28002245/a-temporoparietal-fascia-pocket-method-in-elevation-of-reconstructed-auricle-for-microtia
#5
Takashi Kurabayashi, Hirotaka Asato, Yasutoshi Suzuki, Nobuyuki Kaji, Yoko Mitoma
BACKGROUND: In the two-stage procedures for the reconstruction of microtia, an axial flap of temporoparietal fascia (TPF) is widely used to cover the costal cartilage blocks placed behind the framework. Although a TPF flap is undoubtedly reliable, use of the flap has some morbidity and comes at the expense of the option for salvage surgery. METHODS: The authors devised a simplified procedure for covering the cartilage blocks by creating a pocket in the postauricular TPF...
December 19, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27899950/bone-anchored-titanium-implants-in-patients-with-auricular-defects-three-years-and-27-patients-experience
#6
Emilio Mevio, Luca Facca, Stefano Schettini, Mauro Mullace
Different surgical solutions have been proposed for reconstruction of the auricle following loss of the pinna through traumatic injury or neoplastic disease or in patients with congenital defects. Surgical treatment may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap. Reconstruction with rib cartilage has yielded good results but requires more than one surgical step, and adverse events can occur both at the donor and at the acceptor site; cases of prosthesis rejection have also been described following application of the polymeric prosthesis...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27865143/the-postauricular-fasciocutaneous-flap-with-an-adipofascial-extension-a-case-report
#7
Mohammed M Al-Qattan, Nawarah Al-Arfaj
INTRODUCTION: A complex defect on the anterior surface of the ear requires flap cover; such as the postauricular skin flap. The postauricular skin flap has never been used with an adipofascial extension. PRESENTATION OF CASE: A 5-year old boy was involved in a car accident resulting in an exposed cartilage of the upper part of the right ear. The defect was covered with a post-auricular fasciocutaneous flap with an adipofascial extension. The adipofascial part of the flap was covered with a skin graft...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27860271/postauricular-submental-approach-endoscopic-thyroidectomy
#8
Patorn Piromchai, Pattaramon Wijakkanalan, Watchareporn Teeramatwanich, Pornthep Kasemsiri, Supawan Laohasiriwong, Teeraporn Ratanaanekchai
There was a concern on the cosmetic perspective of conventional thyroidectomy that usually left a transcervical incision scar. To solve this problem, the endoscopic thyroidectomy approaches were developed. However, there was no generally accepted recommendations exist for which approach is the best choice. The choice for a particular case depended mainly on the surgeon's experience and preference. This article is protected by copyright. All rights reserved.
November 12, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27843739/a-case-of-complete-abscopal-response-in-high-grade-pleiomorphic-sarcoma-treated-with-radiotherapy-alone
#9
Andrew Orton, Jennifer Wright, Luke Buchmann, Lor Randall, Ying J Hitchcock
BACKGROUND: "Abscopal response" refers to the spontaneous involution of untreated metastatic disease following local primary tumor-directed therapy. We report a case of an abscopal response of untreated lung metastasis in a man with pleomorphic sarcoma of the head and neck treated with hypofractionated radiotherapy. METHODS: An inoperable pleomorphic sarcoma of the postauricular soft tissue was treated with 40 Gy of radiation in eight fractions. Untreated disease in the lungs was followed with CT scans...
October 7, 2016: Curēus
https://www.readbyqxmd.com/read/27843279/unusual-presentation-of-ulcerative-postauricular-swelling-as-sebaceous-cell-carcinoma
#10
Prem Chand, Ashok Kumar, Paramjit Singh, Lakshay Singla
Sebaceous glands have high concentration over head and neck region. Despite high concentration, sebaceous cell adenoma and carcinomas are infrequent. Sebaceous cell carcinoma is an uncommon, cutaneous aggressive tumor arising from the sebaceous glands and seen almost exclusively on the eyelids (75%). It accounts for just 0.2-0.7% of all eyelid tumors in the USA and very few cases that have originated in areas other than the eyelids have been reported. A 67-year-old male presented with swelling (3 cm × 4 cm), on the right postauricular region, since about 1-month...
July 2016: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/27811459/kimura-s-disease-a-case-presentation-of-postauricular-swelling
#11
A Rajesh, T Prasanth, V C Naga Sirisha, Mds Azmi
Kimura's disease (KD) is a rare chronic inflammatory disease of subcutaneous tissues and occurs predominantly in head and neck region. It is seen primarily in young Asian males. Typical clinical presentations are painless subcutaneous masses, regional lymph node enlargement, blood and tissue hypereosinophilia, and increased serum IgE levels. Here, we present a case of a 27-year-old female who presented with unilateral single nodular swelling in the right postauricular region. The diagnosis of KD was done based on characteristic histopathologic finding in conjunction with peripheral eosinophilia and increase in serum IgE levels...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27759585/investigation-of-microsurgical-technique-combined-with-skin-flap-expansion-for-ear-reconstruction-in-treating-hunter-type-iii-congenital-microtia
#12
Minyan Zhang, Xiaochen Tian, Jun Shi, Huxian Liu, Ning Liu, Zhengjun Cui
OBJECTIVE: This study aims to observe the efficacies of microsurgical technique combined with the Zhuang's skin soft tissue expander in treating Hunter type III congenital microtia. METHODS: Fifty-eight patients (61 ears) were enrolled from 2003 to 2012; the skin tissue expander was embedded subepidermally in the first stage via the intrahairline longitudinal incision in the postauricular mastoid area, the diseased-side rib cartilage was then taken for preparing the ear bracket in the second stage, and the tragus was surgically reconstructed in the third stage...
October 17, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27714497/mechanisms-of-ear-trauma-and-reconstructive-techniques-in-105-consecutive-patients
#13
Michail N Kolodzynski, Moshe Kon, Silvan Egger, Corstiaan C Breugem
Acquired auricular deformities may diminish facial esthetics and cause psychological distress. The aim of this article is to provide an overview of the type of injuries and applied reconstructive techniques in a large academic hospital in The Netherlands. A retrospective chart review was conducted for the last 105 patients who underwent auricular reconstruction for an acquired deformity. Data concerning gender, affected side, cause of injury, anatomical region, the previous and further surgeries, type of cartilage, and skin cover used were collected and analyzed...
October 6, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27631246/reconstruction-of-the-postauricular-defects-using-retroauricular-artery-perforator-based-island-flaps-anatomical-study-and-clinical-report
#14
Yuan Zheng Zhang, Ying Li Li, Chao Yang, Shuo Fang, Hao Fan, Xin Xing
The objectives of the study were to introduce and investigate the reliability of a new flap for postauricular defects using the retroauricular artery perforator.Twenty auricles from 10 Asian human cadavers were dissected to examine the retroauricular perforator distribution and diameter. Fourteen patients with postauricular defects underwent reconstruction using the retroauricular artery perforator from 2013 to 2015. After locating the position of the perforator by ultrasound Doppler blood flow detection, a suitable flap was designed according to the defect's size, condition, and distance from the pedicle...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27607117/preventing-suture-extrusion-and-recurrence-in-mustarde-and-furnas-otoplasties-by-using-laterally-based-postauricular-dermal-flap-long-term-results
#15
Salih Onur Basat, Fatih Ceran, Ufuk Askeroglu, Tolga Aksan, Cagdas Orman, Memet Yazar, Ilker Uscetin, Mithat Akan, Mehmet Bozkurt
BACKGROUND: Prominent ear deformity (PD) is an unacceptable condition of pinna that affects 5% of the population and is associated with emotional stress, behavioral disturbances, and social restrictions in relationships. Conchal hypertrphy, inadequate formation of antihelical fold, earlobe placement ahead than it should be, or various combinations of these changes are main characteristics of PD. Many surgical techniques have been described for the PD.The authors' aim was to present laterally based postauricular dermal flap combination with cartilage-sparing methods and effectiveness of this technique in suture extrusion prevention and reducing the rate of recurrence with long-term results...
September 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27596354/postauricular-reflexes-elicited-by-soft-acoustic-clicks-and-loud-noise-probes-reliability-prepulse-facilitation-and-sensitivity-to-picture-contents
#16
Rachel V Aaron, Stephen D Benning
The startle blink reflex is facilitated during early picture viewing, then inhibited by attention during pleasant and aversive pictures compared to neutral pictures, and finally potentiated during aversive pictures specifically. However, it is unclear whether the postauricular reflex, which is elicited by the same loud acoustic probe as the startle blink reflex but enhanced by appetitive instead of defensive emotion, has the same pattern and time course of emotional modulation. We examined this issue in a sample of 90 undergraduates using serially presented soft acoustic clicks that elicited postauricular (but not startle blink) reflexes in addition to standard startle probes...
December 2016: Psychophysiology
https://www.readbyqxmd.com/read/27555715/a-surprise-in-the-lacrimal-sac
#17
Nilay Yuksel, Emine Akcay, Aydan Kilicarslan, Umut Ozen, Faruk Ozturk
To present a case with recurrent dacryocystitis as an unusual complication of medial orbital wall fracture repair with cartilage tissue graft. A 20-year-old male had facial trauma and underwent surgery to reconstruct right medial orbital wall fracture. During follow-up, he presented with continuous epiphora, mucopurulent discharge from the right eye. A thorough history taking indicated that medial orbital fracture was reconstructed with postauricular cartilage. We planned a standard external dacryocystorhinostomy (DCR)...
July 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27554510/drainage-patterns-to-nontraditional-nodal-regions-and-level-iib-in-cutaneous-head-and-neck-malignancy
#18
Francis Creighton, Regan Bergmark, Kevin Emerick
OBJECTIVES: (1) Determine the frequency of nontraditional sentinel lymph node (SLN) locations in cutaneous head and neck malignancy and (2) determine the frequency of level IIB SLNs in cutaneous head and neck malignancy. DESIGN: Case series with chart review. SETTING: Tertiary academic hospital. SUBJECTS AND METHODS: In total, 145 consecutive sentinel lymph node biopsy (SLNB) specimens for cutaneous head and neck malignancies were reviewed from 2007 to 2015...
December 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27540858/endoscopic-transcanal-myringoplasty-for-anterior-perforations-of-the-tympanic-membrane
#19
Chih-Chieh Tseng, Ming-Tang Lai, Chia-Che Wu, Sheng-Po Yuan, Yi-Fang Ding
Importance: Repairing anterior perforations of the tympanic membrane has been challenging for otolaryngologists. Therefore, devising a simple and effective technique for performing the repair is crucial. Objective: To assess the results of endoscopic transcanal myringoplasty for repairing anterior perforations of the tympanic membrane. Design, Setting, and Participants: This medical record review included 59 patients who underwent endoscopic transcanal myringoplasty from January 1, 2013, to June 1, 2015, at PoJen General Hospital, Taipei, Taiwan...
November 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27525620/transcanal-endoscopic-ear-surgery-for-the-management-of-congenital-ossicular-fixation
#20
Vivian F Zhu, Yann-Fuu Kou, Kenneth H Lee, Joe Walter Kutz, Brandon Isaacson
OBJECTIVES: 1) To describe the technique for transcanal endoscopic management of congenital ossicular chain fixation. 2) To highlight the utility and outcomes of the endoscopic approach for management of congenital ossicular fixation. STUDY DESIGN: Retrospective patient series. SETTING: Academic tertiary pediatric hospital. PATIENTS: Pediatric patients (age 6-12) undergoing transcanal endoscopic management of congenital ossicular fixation from May 2014 to December 2014...
September 2016: Otology & Neurotology
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