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Nasal reconstruction

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https://www.readbyqxmd.com/read/29456964/anatomical-correlation-between-nasal-vascularisation-and-the-design-of-the-endonasal-pedicle-flaps
#1
Juan R Gras-Cabrerizo, Elena García-Garrigós, Joan R Montserrat-Gili, Juan R Gras-Albert, Rosa Mirapeix-Lucas, Humbert Massegur-Solench, Miquel Quer-Agusti
Arteries that supply the nasal septum and the lateral nasal wall include vessels that originate from the external carotid artery and from the internal carotid artery. A variety of local endonasal pedicle flaps can be used in different anatomical areas for endoscopic skull base reconstruction. The main flaps are based on terminal branches of the sphenopalatine artery and on anterior ethmoidal artery. This study will describe the anatomy of these vessels and their relationship with the main flaps.
March 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29456947/aesthetic-and-functional-evaluation-of-total-nasal-reconstructions
#2
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
#3
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
#4
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/29437500/use-of-the-sphenoid-flap-in-repair-of-the-wide-cleft-palate
#5
Khurram Khan, Joseph Hardwicke, Rimante Seselgyte, Paul Morris, Guy Thorburn, Loshan Kangesu, Marc C Swan, Bruce Richard
OBJECTIVE: In wide palatal defects, closure of the nasal layer can prove a considerable challenge. Mobilizing nasal flaps posteriorly usually facilitates soft palate closure. However, the defect is often too wide within the hard palate; hence, bilateral vomerine flaps are frequently required. Despite this, there is often a small defect in the nasal layer at the posterior septum (typically equating to the hard-soft palate junction), which has to be left to heal by secondary intention with the resulting increased risk of fistula formation and the potential deleterious long-term effect on speech due to cicatricial migration of the reconstructed levator sling anteriorly...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29430145/nasal-reconstruction-with-silicone-using-customised-impression-technique
#6
Sanath Shetty, Fahad Mohammed, Janavi Kamath, K Kamalakanth Shenoy
Facial defects can result from a variety of reasons including trauma, burns, infections, congenital disorders, and neoplasms which require surgical correction or prosthetic rehabilitation or both. Prosthetic replacement using various materials is the treatment of choice when other surgical options are not possible. This report presents a case of acquired nasal defect secondary to a surgically operated adenoid cystic carcinoma using silicone as the material of choice.
January 2018: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/29427442/nose-resurfacing-with-free-fasciocutaneous-flaps-in-burns-patients
#7
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/29421455/relaxing-sphenoidal-slit-incision-to-extend-the-anterior-and-posterior-reach-of-pedicled-nasoseptal-flaps-during-endoscopic-skull-base-reconstruction-of-transcribriform-defects-technical-note-and-results-in-20-patients
#8
James K Liu, Zachary S Mendelson, Gurkirat Kohli, Jean Anderson Eloy
BACKGROUND: Reconstruction of large anterior skull base (ASB) defects after an endoscopic endonasal transcribriform approach (EEA-TC) remains a challenge despite the advent of the vascularized pedicled nasoseptal flap (PNSF). OBJECTIVE: We describe a relaxing PNSF slit incision that extends the anterior and posterior reach of the PNSF to maximize tensionless flap coverage of transcribriform ASB defects. METHODS: A retrospective chart review was conducted on 20 consecutive patients who underwent EEA-TC and subsequent PNSF reconstruction with a relaxing slit incision...
February 5, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29420386/neurofibroma-of-the-nasal-ala-pediatric-nasal-reconstruction
#9
Oswaldo J Gómez, Mónica Bernal, Diana Carolina Martínez
Benign tumors of the nasal cavity originating from a peripheral nerve sheath are rare. The authors present a case of a 3-month-old boy with a mass in the left nasal vestibule. The surgical resection was complicated by full-thickness necrosis of more than 50% of the nasal ala. The tumor was diagnosed histopathologically as a neurofibroma with glial heterotopia. The details of the nasal reconstruction with a paramedian forehead flap in 3 stages and postoperative results are provided with satisfactory cosmetic and functional results...
February 7, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29406483/reconstruction-of-large-nasal-dorsum-defects
#10
Jerry M Smith, Meredith L Orseth, Rajiv I Nijhawan
No abstract text is available yet for this article.
February 5, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29404250/extended-endoscopic-endonasal-approach-for-craniopharyngioma-removal
#11
Mahmoud Messerer, Rodolfo Maduri, Roy Thomas Daniel
Objective  Endoscopic transsphenoidal extended endoscopic approach (EEA) represents a valid alternative to microsurgery for craniopharyngiomas removal, especially for retrochiasmatic lesions without large parasellar extension. The present video illustrates the salient surgical steps of the EEA for craniopahryngioma removal. Patient  A 52-year-old man presented with a bitemporal hemianopia and a bilateral decreased visual acuity. MRI showed a Kassam type III cystic craniopharyngioma with a solid component ( Fig...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29404247/endoscopic-endonasal-resection-of-retrochiasmatic-craniopharyngioma-with-fascia-lata-button-and-nasoseptal-flap-reconstruction
#12
Varun R Kshettry, Gurston Nyquist, James J Evans
Surgery for craniopharyngiomas can be challenging due to the involvement of multiple critical neurovascular structures. The expanded endoscopic endonasal approach can provide superior access to suprasellar craniopharyngiomas, particularly with retrochiasmatic extension and significant hypothalamic involvement. We describe the surgical technique used to treat a 30-year-old patient who presented with 4 weeks of worsening vision, fatigue, and memory loss. His vision was counting fingers at 1 feet on the right and 20/800 on the left with a temporal hemianopsia...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29398580/septum-pyramidal-adjustment-and-repositioning-a-conservative-and-effective-rhinoplasty-technique
#13
Vanessa Lunelli, Nedio Atoloni, Gustavo Pereira Lang, Luís Fernando Melotti, Tatiany Tiemi Yamamoto, Emílio Jonatas Munerolli
INTRODUCTION: In rhinoplasty, the nasal dorsum has important relevance regarding the esthetic and functional aspects of the surgery. Its reduction should be performed with maximum accuracy and controlled resection to prevent or minimize potential complications. The Septum Pyramidal Adjustment and Repositioning consists of a conservative surgical technique of the nasal dorsum, which does not require the detachment of the upper lateral cartilages of the nasal septum, allowing the remodeling of the nasal dorsum while maintaining esthetic lines and nasal function, potentially reducing frequent complications in more traditional surgeries...
December 26, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29394311/scroll-reconstruction-fine-tuning-of-the-interface-between-middle-and-lower-thirds-in-rhinoplasty
#14
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/29394000/influence-of-the-location-of-nasal-polyps-on-olfactory-airflow-and-olfaction
#15
Hironobu Nishijima, Kenji Kondo, Takahisa Yamamoto, Tsutomu Nomura, Shu Kikuta, Yuya Shimizu, Yu Mizushima, Tatsuya Yamasoba
BACKGROUND: Chronic rhinosinusitis with nasal polyps (CRSwNP) often results in decreased olfaction. In this study, we examined the relationship between nasal polyp location and olfactory airflow and odorant transport changes using virtual nasal polyp models at different locations and computational fluid dynamics (CFD) analysis. We also compared olfactory airflow and olfaction between patients with nasal polyps at different locations using CFD analysis and an olfactory test. METHODS: Nasal computed tomography images were used to generate a normal model and 4 virtual nasal polyp models based on polyp locations, including the olfactory region (all-olfactory model), the region anterior to the olfactory region (preolfactory model), the middle meatus (middle-meatus model), and the superior meatus (superior-meatus model)...
February 2, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29392067/defect-reconstruction-of-the-nose-after-surgery-for-nonmelanoma-skin-cancer-our-clinical-experience
#16
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/29389706/management-of-the-cleft-nasal-tip-an-overview-of-classic-techniques-and-strategies
#17
Peter J Nicksic, Miles J Pfaff, Julia R Ayeroff, Justine C Lee
The challenges of cleft reconstruction have been present for centuries. However, understanding of the cleft nasal tip and the evolution of techniques decidedly began in the 20th century and refinement continues into the present day. Although a multitude of technical descriptions and case series have been published, a compendium of seminal techniques, which have shaped modern thought, has not been compiled in the literature. In this review, we discuss the anatomical disturbances in the cleft nasal tip anomaly, the timing and strategy of tip correction, and the major classic techniques for management of the cleft nasal tip...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29384973/patient-and-parent-reported-outcome-measures-in-cleft-lip-and-palate-patients-before-and-after-secondary-alveolar-bone-grafting
#18
Chun-Shin Chang, Christopher Glenn Wallace, Yen-Chang Hsiao, Ting-Chen Lu, Sue-Huei Chen, Fuan-Chiang Chan, Philip Kuo-Ting Chen, Jyh-Ping Chen, Chee-Jen Chang, M Samuel Noordhoff
European and Northern American healthcare authorities increasingly encourage the use of Patient Reported Outcome Measures (PROMs) that complement clinical and laboratory assessments to help holistically evaluate reconstructive outcomes. This is the first study to evaluate PROMs in cleft lip/palate patients who have, or have not, undergone secondary alveolar bone grafting (SABG).A PROMs study was conducted; 40 consecutive consenting cleft lip/palate children between 8 and 14 years old were included. Twenty patients did, and 20 patients did not, have SABG...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381622/nasal-columellar-reconstruction-with-reverse-lateral-nasal-artery-pedicled-nasolabial-island-flap
#19
Suk Yoon Jang, Woo Seob Kim, Han Koo Kim, Tae Hui Bae
Nasal columellar is a complex area to reconstruct due to its unique esthetic and functional characteristics. Malignancy, trauma, infection, and esthetic surgery complications can cause columellar defect. Among many surgical plans, nasolabial island flap is most commonly used. However, flap congestions occasionally occur which inevitably lead to leech therapy. The authors introduce reverse lateral nasal artery pedicled nasolabial island flap, which has lower risk of postoperative complications.
January 19, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29381542/three-staged-reconstruction-of-a-nasal-defect
#20
Christopher Weyer, Nathalie C Zeitouni, J Ryan Jackson
No abstract text is available yet for this article.
January 29, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
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