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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
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
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)
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
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...
September 6, 2016: Psychophysiology
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
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...
August 23, 2016: Otolaryngology—Head and Neck Surgery
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...
August 18, 2016: JAMA Otolaryngology—Head & Neck Surgery
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
Liu Jiafeng, Sun Jiaming, Li Xiaodan
BACKGROUND: Skin grafting is needed for traditional auricular reconstruction. As the skin grafts contract, the postoperative framework is distorted. This leads to a decrease in the auriculocephalic angle. The objective of this study was to test a new method to cover the reconstructive framework by using three skin flaps and a larger tissue expander than that normally used. This may reduce the distortion of the reconstructed ear and create a well-shaped auriculocephalic angle. METHODS: A large expander was inserted in the postauricular mastoid area...
October 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Datao Li, Feng Xu, Ruhong Zhang, Qun Zhang, Zhicheng Xu, Yiyuan Li, Cheng Wang, Tianya Li
BACKGROUND: Although a standard classification system and corresponding reconstruction methods are well described for microtia, establishing a classification system and corresponding surgical strategies for traumatic ear defects is difficult because the size, shape, and local skin conditions of each defect differ considerably. In this article, the authors describe a useful new classification system and corresponding surgical approaches. METHODS: Ear defects were classified into four types according to defect size and surrounding skin conditions...
August 2016: Plastic and Reconstructive Surgery
Muaaz Tarabichi, Mustafa Kapadia
PURPOSE OF REVIEW: The aim of this review is to study the rationale, limitations, techniques, and long-term outcomes of endoscopic ear surgery. RECENT FINDINGS: The article discusses the advantages of endoscopic ear surgery in treating cholesteatoma and how the hidden sites like facial recess, sinus tympani, and anterior epitympanum are easily accessed using the endoscope. SUMMARY: Transcanal endoscopic approach allows minimally invasive removal of cholesteatoma with results that compare well to traditional postauricular tympanomastoidectomy...
October 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
Haidong Li, Zhang Xiang-Yu, Liu Lei, Tong Haizhou, Ma Hengyuan, Zhao MinZhen
BACKGROUND: Large facial reconstruction is a complicated surgical procedure. The purpose of this study was to develop 2 procedures for large facial reconstruction: an expanded cervical postauricular combined skin flap and a bipedicled expanded cervical skin flap. METHODS: Two patients with large facial nevus lesions were selected for reconstruction. In 1 case, an expanded cervical postauricular combined flap with a bipedicle was designed; the upper pedicle was based at the temple region, the lower pedicle was based at the neck...
October 2016: Journal of Craniofacial Surgery
H Koizumi, R Kawaguchi, J-I Ohkubo, S Ikezaki, T Kitamura, N Hohchi, K Hashida, H Suzuki
OBJECTIVE: Isopeptide bonds form cross-links between constituent proteins in the horny layer of the epidermis. Corneodesmosin (CDSN) is a major component of corneodesmosomes, which bind corneocytes together. Both play important roles in maintaining epidermal barrier functions. In the present study, we investigated the expressions of isopeptide bonds, CDSN, and related enzymes in middle ear cholesteatoma in comparison with the skin. METHODS: Cholesteatoma and normal postauricular skin were collected from patients with acquired middle ear cholesteatoma during tympanomastoidectomy...
July 7, 2016: Clinical Otolaryngology
Faya Liang, Song Fan, Ping Han, Qian Cai, Peiliang Lin, Renhui Chen, Shitong Yu, Xiaoming Huang
BACKGROUND: Primary tumors of early-stage (T1-2N0M0) head and neck squamous cell carcinoma (HNSCC) can be treated by transoral minimally invasive surgery, but the cervical lymph node lacks corresponding minimally invasive treatment. Therefore, our study was to evaluate the safety and effectiveness of endoscopic-assisted selective neck dissection (EASND) via small lateral neck incision in treatment of early-stage HNSCC. METHODS: From May 2008 to April 2012, 29 patients with early-stage HNSCC were enrolled in this retrospective study...
July 1, 2016: Surgical Endoscopy
Chul Ho Jang, Young Yoon Kim, Jong Yuap Seong, Sung Hoon Kang, Eun Kyung Jung, Chung Man Sung, Seung Beom Kim, Yong Beom Cho
BACKGROUND & OBJECTIVE: External auditory canal cholesteatoma (EACC) is caused by an invasion of squamous tissue into a localized area of periosteitis in the bony canal wall. The clinical characteristics of pediatric EACC are still unknown because of its rare occurrence. To date, only a single paper has reported that pediatric EACC has a less aggressive growth pattern compared to adult EACC. Further studies are required to understand the clinical behavior of EACC, i.e., its aggressiveness...
August 2016: International Journal of Pediatric Otorhinolaryngology
Hanane Atarguine, Ouafa Hocar, Samia Oussmane, Sara Batoul Mouafik, Abderrachid Hamdaoui, Hanan Hafiane, Rhizlane Belbaraka, Nadia Akhdari, Said Amal
A 37-year-old woman with no remarkable medical or family history presented with papules and vesicles on an erythematous background involving the neck, sacrum, and folds (postauricular, axillary, inguinal, and under the breasts) (Figure 1). During the previous year, she was treated with local and systemic antifungals without improvement. Her history included a secondary amenorrhea, polydipsia, and polyuria (6 L/d) that started 2 years prior. Physical examination revealed chronic bilateral purulent otorrhea with thick eardrums...
2016: Skinmed
Glen Watson, Amanda McSorley, Vivek Kaushik
Vascular tumors arising in the temporal bone represent 0.7% of all lesions in this area. Hemangiomas confined to the tympanic membrane are exceptionally rare. We report a new case of tympanic membrane hemangioma that arose in 59-year-old man who presented with a 2-month history of constant right-sided pulsatile tinnitus and associated neck discomfort. The lesion and a cuff of healthy tympanic membrane were excised, and the resulting defect was repaired with a temporalis fascia graft. At 3 months, the neotympanum was well healed and the patient's symptoms had resolved...
June 2016: Ear, Nose, & Throat Journal
Li Li, Zhaomin Fan, Yuechen Han, Lei Xu, Dong Chen, Haibo Wang
OBJECTIVE: To analyze factors relevant to revisional tympanomastoid surgery for chronic otitis media(COM). METHODS: The clinical data of 159 patients (159 ears), who exhibited either wet ear or relapsed after the initial operation, and were subjected to revisional tympanomastoid surgery, were retrospectively analyzed in this study. Of those 159 consecutive patients, 85 were males and 74 were females, aged 11-64 years, with a median age of 36 years old. The situations in terms of intra-operative findings, surgical procedures, change dressing post-operation, dry ear time, and the improvement of aural ability during the second operation, were recorded and analyzed...
May 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Emilio Mevio, Mauro Mullace, Luca Facca, Stefano Schettini
Acid attacks committed as crimes of passion are unfortunately becoming far from infrequent occurrence. The injuries sustained in such attacks mainly involve the face and trunk, with the acid causing cutaneous and subcutaneous tissue burns that can result in permanent scarring, loss of the nose or external ear, and severe visual impairment. Different surgical solutions have been proposed for reconstruction of the auricle following loss of the ear through traumatic injury or cancer or in patients with congenital defects: surgical reconstruction may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap...
2016: Case Reports in Otolaryngology
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