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https://www.readbyqxmd.com/read/29618867/nasal-reconstruction-with-pre-laminated-forehead-flap
#1
N S Prasanna
Loss of nasal skin as well as loss of both lateral alar cartilages and vestibular lining with exposure of septum presents a grotesque deformity by itself, with further danger of loss of nasal bones and other cartilaginous structures leading to total loss of nose. The Goal of the treatment is to restore the skin cover as well as lining and cartilage support, restoring nose while avoiding the deformity. In an elderly patient with Spiritual restrictions, with diabetes and Hypertension, the treatment was needed to be carried out under local anesthesia as a daycare procedure...
September 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29618859/a-novel-technique-using-a-subcutaneously-pedicled-islanded-prolabial-flap-for-the-secondary-correction-of-bilateral-cleft-lip-and-nasal-deformity
#2
Nitin J Mokal, Mahinoor Feroze Desai
Context: The bilateral cleft lip and nose deformity frequently requires lip revision surgery at the time of secondary rhinoplasty. The goal is to achieve an adequate philtrum with a well-shaped Cupid's bow, white roll alignment and a central vermilion tubercle. Aims: We have devised a new technique of using prolabial tissue tailored as an island of skin based on a subcutaneous pedicle for the secondary reconstruction of the philtral aesthetic unit in patients with bilateral cleft lip nasal deformity...
September 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29618857/three-component-cartilage-framework-reconstruction-for-correction-of-post-traumatic-nasal-septal-collapse
#3
Uday Bhat, Tarush Gupta, Mahesh Nair, Mayur Mantri, Mangesh Pawar, Amresh Baliarsing
Background: Post-traumatic nasal septal collapse results in flat, broad, non-projecting nose due to mid-vault collapse. These patients may have airway obstruction due to poorly supported internal valve. Traditional techniques like 'cantilever graft technique' or conventional 'L-graft technique' produce a rigid lobule as the single unit framework extends to the tip. These grafts also lack in internal valve support. Materials and Methods: Twelve patients with post-traumatic nasal septal collapse were treated with three component cartilage framework technique in the past 3 years...
September 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29564875/nose-defects-reconstruction-with-the-zitelli-bilobed-flap
#4
Michele P Grieco, Nicolò Bertozzi, Eugenio Grignaffini, Edoardo Raposio
The skin cancers of the head and neck district are localized mostly on the nose, which, by being in the center of the mid-face, has an important aesthetic role. Therefore, many reconstructive techniques have been studied; among them regional skin flaps appeared the most suitable since they guaranteed the oncological radicality as well as a good aesthetic outcome. In this paper, we present our experience with the use of the Zitelli bilobed flap, which is defined as a double transposition flap for the reconstruction of the nose defects...
April 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29561494/creation-of-experimental-human-nose-model-with-lyophilized-and-decellularized-bovine-cartilage-xenograft
#5
Can Ilker Demir, Emrah Kağan Yaşar, Kivanç Davun, Aykut Gök, Ceyhun Uzun, Murat Şahin Alagöz
The nose anatomy is a functional and aesthetically important organ because of its three-dimensional structure, visible location in the face region, and its connection with the respiratory tract. Aesthetic and reconstructive nasal surgery requires correction of deformations in cartilage and bone structures as well as preservation of the natural connections between all subunits. The minimal mistake made can result in functional or aesthetically bad results. In this study, the authors aimed to create an experimental nose model that help aesthetic and reconstructive nose surgery operations...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29561482/improving-postoperative-nasal-airway-patency-in-le-fort-based-maxillofacial-trauma-patients-via-a-modified-nasal-packing-technique
#6
Amir Wolff, Gabriel F Santiago, Micah Belzberg, Omri Emodi, Chad R Gordon
INTRODUCTION: Combined mid-face and nasal apparatus trauma injuries pose a significant challenge to airway patency (AW), in the immediate postoperative setting following fracture reduction. As such, the authors describe a modified technique with the goal of maintaining a patent nasal AW, while at the same time, minimizing nasopharyngeal bleeding and nasal AW edema-which can complicate patients requiring intermaxillary fixation (IMF) in the setting of pan-facial trauma. METHODS: A modified technique was devised to assist the reconstruction surgeon in avoiding the risks associated with tracheostomy placement...
March 20, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29554442/improvement-of-aesthetic-and-nasal-airway-in-patients-with-cleft-lip-nasal-deformities-rhinoplasty-with-septal-cartilage-graft-and-septoplasty
#7
Lei Zhang, Xiaofeng Bai, Zengjian Li, Qiang Liu, Mingliang Yang, Xukai Wang, Li Lu
OBJECTIVE: To assess the improvement of nasal morphologies and ventilation after septal cartilage graft and septoplasty of patients with unilateral cleft lip and palate (UCLP). DESIGN: Retrospective case-control study. SETTING: Tertiary stomatology hospital. PATIENTS: In total, 118 patients with UCLP who had been diagnosed with a secondary nasal deformity and had reconstructive rhinoplasty and/or septoplasty between 2010 and 2015...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29554068/reconstruction-of-complex-facial-asymmetry-problems-and-refinements
#8
Oswaldo Javir Gómez Díaz, Diana Carolina Martínez Gutiérrez, Luz Elena Rueda Gallardo
This article describes 2 patients with complex facial asymmetry characterized by hemiarhinia, microorbitism, palpebral fissure shortening, ipsilateral canthal dystopia, maxillomandibular hypoplasia, and occlusal plane inclination. These unusual phenotypes are part of the oculoauriculo-vertebral spectrum. Their devastating functional, esthetic, and psychologic effects demand the use of different craniofacial surgery techniques, in order to alleviate the profound impact of these pathologies. Initial skeletal balance through bimaxillary distraction osteogenesis and orbital expansion sets the basis for further reconstruction of the nose and periorbital area with local tissue...
March 16, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29522533/quantitative-evaluation-of-maxillary-bone-deformation-by-computed-tomography-in-patients-with-leprosy
#9
Norio Kasai, Osamu Kondo, Koichi Suzuki, Yoshinori Aoki, Norihisa Ishii, Masamichi Goto
BACKGROUND: Facial deformation as a sequela of leprosy is caused not only by a saddle nose but also by regression of the maxilla, as well documented in paleopathological observations of excavated skeletal remains of patients with leprosy. However, maxillary changes in living patients have been evaluated only by the subjective visual grading. Here, we attempted to evaluate maxillary bone deformation in patients with leprosy using three-dimensional computed tomography (3D-CT). METHODS: Three-dimensional images centered on the maxilla were reconstructed using multiplanar reconstruction methods in former patients with leprosy (n = 10) and control subjects (n = 5); the anterior-posterior length of the maxilla (MA-P) was then measured...
March 9, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29510812/blowout-fractures-clinic-imaging-and-applied-anatomy-of-the-orbit
#10
Ulrik Nikolaj Ascanius Felding
Isolated fractures of the orbital floor or medial wall are often referred to as blowout fractures (BOFs). Debilitating double vision and aesthetic deformity may affect the patients' quality of life and daily living skills, for instance, working or driving a car. The management of blowout fractures is, however, challenging, since not all fractures demand surgery. Some patients may have symptoms which subside, or may never develop symptoms. Due to a lack of evidence, there are still considerable differences in opinion on the criteria for surgery...
March 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29506334/cranially-based-nasolabial-flaps-for-the-reconstruction-of-nasal-surgical-defects
#11
Hakan Kerem, Ulaş Bali, Erhan Sönmez, Mustafa Kürşat Evrenos
Background: Cranially-based nasolabial flaps are a good alternative for the reconstruction of nasal defects. Methods: A cranially-based nasolabial flap was used in 18 patients to reconstruct defects of the nose from 2010 to 2016, and the long-term results are presented in this report. Results: Fifteen of the flaps completely survived. All the patients had a bulky appearance, but they did not want to undergo a second operation for cosmesis...
March 5, 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29478334/the-v-to-y-advancement-flap-for-distal-nasal-reconstruction-our-experience-with-39-patients
#12
Ryan B Thorpe, Rajiv I Nijhawan, Divya Srivastava
BACKGROUND AND OBJECTIVE: The V-to-Y advancement flap, also known as the island pedicle flap, is a single-stage repair option that can be used for defects on the distal nose. We report our experience using this flap for nasal defects following Mohs micrographic surgery, as well as describe optimal patient selection and flap design. MATERIALS AND METHODS: A retrospective review was conducted of all patient charts and operative photographs of nasal V-to-Y advancement flaps performed over 6 years at the Universtiy of Texas Southwestern Medical Center...
February 1, 2018: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/29464784/total-nasal-reconstruction-with-3d-custom-made-porous-titanium-prosthesis-and-free-thoracodorsal-artery-perforator-flap-a-case-report
#13
Quentin Qassemyar, Nathaniel Assouly, Yoni Madar, Stéphane Temam, Frédéric Kolb
Total nasal reconstruction is a challenging surgical procedure which usually involves a free flap, forehead flap, and cartilage grafts. In certain failure situations where patients do not accept the idea of anaplastology, possibilities become very limited. We report the case of a patient who underwent several reconstruction steps with multiple failures including free and local flaps and cartilage harvests which showed recurrent episodes of necrosis and infection leading to melting and collapse of reconstructed structures...
February 21, 2018: Microsurgery
https://www.readbyqxmd.com/read/29456947/aesthetic-and-functional-evaluation-of-total-nasal-reconstructions
#14
Luigi Angelo Vaira, Olindo Massarelli, Giovanna Deiana, Silvio Mario Meloni, Giovanni Dell'aversana Orabona, Pasquale Piombino, Giacomo De Riu
The loss of a portion or the totality of the nose has great relevance on the perception of the beauty of a face and can result in a catastrophic quality of life impairment. Several surgical techniques are currently available for the reconstruction of the nasal pyramid. However, there are very few nasal reconstruction quality evaluation protocols that allow the surgeon to choose objectively the best technique for each kind of defects. Six total nasal reconstruction performed in University of Sassari Maxillofacial Unit were evaluated with a protocol that investigate objectively and subjectively the surgical aesthetic and functional outcome...
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29447758/nasolacrimal-anatomy-and-haplorhine-origins
#15
James B Rossie, Timothy D Smith, K Christopher Beard, Marc Godinot, Timothy B Rowe
Computed tomography X-ray imaging of the internal face in well-preserved primate fossil crania permits reconstruction of the nature of their nasal anatomy, including some soft-tissue features. These features are diagnostic of the primate suborder Haplorhini, and allow reevaluation of the phylogenetic status of several purported early members of the group. Here we examine the nasolacrimal morphology of a broad sample of extant primates, as well as a number of Paleogene fossils. The extant sample confirms the distinctiveness of the two suborders...
January 2018: Journal of Human Evolution
https://www.readbyqxmd.com/read/29446986/an-intercenter-comparison-of-nasolabial-appearance-including-a-center-using-nasoalveolar-molding
#16
Supakit Peanchitlertkajorn, Ana Mercado, John Daskalogiannakis, Ronald Hathaway, Kathleen Russell, Gunvor Semb, William Shaw, Manish Lamichane, Marilyn Cohen, Ross E Long
OBJECTIVE: To compare nasolabial appearance outcomes of patients with complete unilateral cleft lip and palate (CUCLP) in preadolescence from 4 cleft centers including a center using nasoalveolar molding (NAM) and primary nasal reconstruction. DESIGN: Retrospective cohort study. SETTING: Four cleft centers in North America. PATIENTS: 135 subjects with repaired CUCLP. METHODS: Frontal and profile facial pictures were assessed using the Asher-McDade rating scale...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29427442/nose-resurfacing-with-free-fasciocutaneous-flaps-in-burns-patients
#17
Cheng-I Yen, Jui-Yung Yang, Chun-Shin Chang, Jung-Ju Huang, Chih-Wei Wu, Hung-Chang Chen, Shih-Yi Yang, Shu-Yin Chang, Shiow-Shuh Chuang, Yen-Chang Hsiao
BACKGROUND: Nasal reconstruction after burn injury can be challenging due to limited availability of local flaps. We present our experience of free flap reconstruction for full-thickness nasal defect after severe facial burn injury. METHODS: Between August 1998 and September 2015, six patients underwent nasal reconstruction with seven free flaps after burn injury. Among them, flame burn occurred in two patients, chemical burn in two, explosive burn in one, and contact thermal burn in one patient...
February 10, 2018: Microsurgery
https://www.readbyqxmd.com/read/29394311/scroll-reconstruction-fine-tuning-of-the-interface-between-middle-and-lower-thirds-in-rhinoplasty
#18
Ozan Bitik, Hakan Uzun, Ersoy Konas
Background: The junction between upper and lower lateral cartilages, known as "the scroll area," is an important determinant of the spatial relationship between the middle and lower nasal thirds. Objectives: We offer a graduated and reproducible surgical technique of scroll area management that takes into consideration anatomic, functional, and aesthetic relationships. Methods: This study was a retrospective review of the recorded intraoperative information to investigate the frequency of the use of scroll reconstruction techniques and perioperative parameters that relate to unintended component alterations in the scroll area...
December 19, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29392067/defect-reconstruction-of-the-nose-after-surgery-for-nonmelanoma-skin-cancer-our-clinical-experience
#19
İsa Kaya, Mustafa Uslu, Fazıl Apaydın
Objective: This study aimed to investigate reconstruction methods according to nasal subunits in patients who were surgically treated with diagnosis of non-melanoma skin cancer of the nose. Methods: All patients were retrospectively investigated. This study was conducted between April 2004 and December 2010; 180 patients who were surgically treated with diagnoses of skin basal cell carcinoma, squamous cell carcinoma, cancer of skin appendages, and precancerous lesions and 194 lesions were included...
September 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29369906/primary-repair-in-patients-with-unilateral-complete-cleft-of-lip-and-primary-palate-assessment-of-outcomes
#20
Shiaw-Yu Chang, Daniel Lonic, Betty Chien-Jung Pai, Lun-Jou Lo
OBJECTIVE: Asymmetry of median facial structures is a major concern for patients with unilateral cleft lip and palate, and the principal goal of its treatment is to restore symmetry. Unilateral complete cleft of lip and primary palate (UCCLPP) is an uncommon subgroup and rarely reported. Patients with UCCLPP have protruding and deviating premaxilla, rendering a primary repair difficult. This study evaluated consecutive patients with UCCLPP and presented their treatment outcome. METHODS: We assessed 36 patients with UCCLPP and collected clinical information...
February 2018: Annals of Plastic Surgery
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