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Facial reconstruction

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https://www.readbyqxmd.com/read/28735636/severe-distortion-of-an-orbital-titanium-mesh-implant-after-recurrent-facial-trauma-a-potential-threat-to-the-orbital-contents
#1
J M Foletti, P Scolozzi
Titanium mesh implants have proved their effectiveness in the reconstruction of fractures of the orbital wall, and their compromise between stiffness and elasticity allows for optimal support of the orbital contents. However, after recurrent orbital trauma, these implants (even when properly positioned) can become a potential "penetrating object" that threatens the critical adjacent anatomical structures. We report the case of a patient with recurrent facial trauma whose orbit had previously been reconstructed with a titanium implant, and which resulted in severe deformation...
July 20, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28735346/anatomical-relation-between-nasal-septum-deviation-and-oropharynx-volume-in-different-facial-patterns-evaluated-through-cone-beam-computed-tomography
#2
Ana Márcia Viana Wanzeler, Maria Daniela Oliveira Renda, Maria Eduarda de Oliveira Pereira, Sérgio Melo Alves-Junior, Fabricio Mesquita Tuji
INTRODUCTION: The objective of this study was to establish the anatomical relation between nasal septum deviation (NSD) and oropharynx volume in different facial patterns using cone beam computed tomography (CBCT). METHODS: Ninety CBCT examinations were analyzed. InVivoDental software was used to evaluate cephalometric image reconstructions in terms of facial type, determined from cephalometric measurements indicative of growth direction; the presence of NSD was also evaluated...
July 22, 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28734457/total-lower-lip-and-chin-reconstruction-with-radial-forearm-free-flap-a-novel-approach
#3
Eliza H Dewey, Ansley M Roche, Cathy L Lazarus, Mark L Urken
BACKGROUND: The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip...
July 8, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28732777/how-useful-is-3d-printing-in-maxillo-facial-surgery
#4
A Louvrier, P Marty, E Weber, E Euvrard, B Chatelain, A Barrabé, C Meyer
INTRODUCTION: 3D-printing seems to have more and more applications in maxillofacial surgery (MFS), particularly since the release on the market of general use 3D-printers several years ago. The aim of our study was to answer 4 questions: 1. Who uses 3D printing in MFS and is it routine or not? 2. What are the main clinical indications for 3D-printing in MFS and what are the kinds of objects that are used? 3. Are these objects printed by an official medical device (MD) manufacturer or made directly within the department or the lab? 4...
July 18, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28728328/reconstruction-of-large-facial-defects-via-excision-of-skin-cancer-using-two-or-more-regional-flaps
#5
Dong Min Lee, Yong Chan Bae, Su Bong Nam, Seong Hwan Bae, June Seok Choi
BACKGROUND: Free-flap surgery and skin grafting can be used to reconstruct large facial defects that may result after skin cancer removal by Mohs micrographic surgery (MMS). However, these two methods may produce low postsurgical patient satisfaction with aesthetics, and free-flap surgery may produce an undue burden for the majority of skin cancer patients, who are of advanced age. Hence, the authors examined outcomes of large facial defect reconstruction using multiple flaps. METHODS: Among patients undergoing MMS for skin cancer at Pusan National University Hospital between January 2013 and December 2015, we evaluated 7 patients (2 males, 5 females; average age, 73...
July 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28713738/three-dimensional-planning-and-reconstruction-of-the-mandible-in-children-with-craniofacial-microsomia-type-iii-using-costochondral-grafts
#6
Omri Emodi, Yair Israel, Michal Even Almos, Dror Aizenbud, John A Van Aalst, Adi Rachmiel
BACKGROUND: In craniofacial microsomia (CFM) Type III patients, autogenous costochondral grafts (CCG) are conventionally used for the reconstruction of the ramus and condyle. The aim of this study was to describe the use of CCG in children with CFM in terms of outcomes, growth patterns, and complications. MATERIALS AND METHODS: This is a retrospective study of nine, aged 4-12 years, patients with CFM Type III, who underwent reconstruction of the mandibular ramus condyle unit by CCG...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28708657/reconstruction-of-facial-cervical-scars-with-pedicled-expanded-deltopectoral-flap
#7
Xianjie Ma, Yang Li, Weiyang Li, Chaohua Liu, Hengxin Liu, Ping Xue, Jiangbo Cui
The facial-cervical scars bring the suffering to the patients both physically and mentally. Choosing a proper donor soft tissue is always one of the critical issues, especially to Asian patients. Among the common used donor sites, the deltopectoral site was conceived as the most suitable donor tissue for the reconstruction in face and neck for its adjacent site and match in color and texture. There were 220 patients with facial-cervical scars reconstructed by the pedicled expanded deltopectoral flap between 2007 through 2015 in the authors' hospital...
July 13, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28702187/procedure-applications-and-outcomes-of-autologous-fat-grafting
#8
REVIEW
Francesco Simonacci, Nicolò Bertozzi, Michele Pio Grieco, Eugenio Grignaffini, Edoardo Raposio
OBJECTIVE: To systematically review the procedure, applications, and outcomes of autologous fat grafting, a promising technique with various clinical applications. PATIENTS AND METHODS: Literature review of publications concerning autologous fat grafting. RESULTS: Since its introduction, lipofilling has become increasingly popular; however, its results are variable and unpredictable. Several modifications have been made to the procedures of fat harvesting, processing, and injecting...
August 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28702184/maxillary-artery-based-flaps-for-oral-cavity-reconstruction-a-review
#9
REVIEW
Amin Rahpeyma, Saeedeh Khajehahmadi
BACKGROUND: There are different flaps based on the branches of the maxillary artery. Flaps based on the maxillary artery branches can be used for oral cavity reconstruction in selected cases, but there is lack of comprehensive review in this topic. METHODS: A literature review was performed on Medline for maxillary artery based flaps and oral cavity reconstruction. Surgical techniques for each possible variant of maxillary artery based flaps and an example of each situation for oral cavity reconstruction is explained...
August 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28702165/single-stage-reconstruction-for-buccal-mucosa-tumor-resection-including-the-labial-commissure-using-a-facial-artery-musculomucosal-flap-and-a-vermilion-advancement-flap
#10
Akiko Sakakibara, Kousuke Matsumoto, Takumi Hasegawa, Tsutomu Minamikawa, Takahide Komori
Resection of buccal mucosa tumors may occasionally involve the labial angle and peripheral skin. Reconstruction is required when the resection involves more than one-third of the lip. We describe a single-stage reconstruction using a facial artery musculomucosal (FAMM) flap and a vermilion advancement flap after buccal mucosa resection including the labial angle. A 62-year-old woman with carcinoma in situ of the buccal mucosa underwent tumor resection. The resection included the right labial angle and peripheral skin...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28697006/book-review-facial-plastic-and-reconstructive-surgery-clinical-reference-guide
#11
Gehaan F D'Souza, James E Zins
No abstract text is available yet for this article.
August 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28692509/stepwise-multi-incisional-and-single-stage-approach-to-reshape-facial-contour-after-large-cutaneous-lesion-resection
#12
Dongze Lyu, Yun Zou, Yunbo Jin, Lei Chang, Hui Chen, Gang Ma, Mathias Tremp, Xiaoxi Lin
BACKGROUND: Removal of large facial benign cutaneous lesions remains challenging. Serial or complete excisions together with local flaps or expander-based reconstructions are required. However, those techniques are time-consuming and may contribute to poor cosmetic and functional outcomes. OBJECTIVE: The authors describe the resection and reconstruction of large facial benign cutaneous lesions by using Stepwise, Multi-Incisional, and Single-Stage (SMISS) approach...
July 7, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28687918/a-retrospective-study-on-facial-nerve-schwannomas-a-disease-with-a-high-risk-of-misdiagnosis-and-hearing-loss
#13
Yu Li, Chunfu Dai
The objective is to increase awareness of facial nerve schwannomas (FNSs). Clinical data from 32 cases with FNSs who received surgical treatment from 2005 to 2015 were reviewed retrospectively. The clinical data included age, sex, presentations, duration, facial nerve function, temporal-bone high-resolution computed tomography (CT) and magnetic resonance imaging (MRI) findings, surgical approaches, and postoperative histopathological examination. 16 men and 16 women were included, aged 7-69 years. The average age at diagnosis was approximately 44 years...
July 7, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28687468/two-different-techniques-of-manufacturing-tmj-replacements-a-technical-report
#14
Marcin Kozakiewicz, Tomasz Wach, Piotr Szymor, Rafał Zieliński
INTRODUCTION: Presently, during the surgical treatment of the patients in maxillofacial surgery, one can use various medical implants. Moreover custom made implants are being used. Replacements may be fitted to the structure and shape of the human skull owing to CAD/CAM (custom aided design/manufacture) called customized implants. This study was aimed to report for the first time clinical material from which custom implants, using two different techniques, were manufactured to reconstruct the temporomandibular joint (TMJ)...
June 12, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28684285/a-higher-quality-of-life-with-cross-face-nerve-grafting-as-an-adjunct-to-a-hypoglossal-facial-nerve-jump-graft-in-facial-palsy-treatment
#15
Martinus M van Veen, Pieter U Dijkstra, Paul M N Werker
Nerve reconstructions are the preferred technique for short-standing facial paralysis, most commonly using the contralateral facial nerve or ipsilateral hypoglossal nerve. The hypoglossal nerve provides a strong motor signal, whereas the signal of a cross-face nerve graft is weaker but spontaneous. Spontaneity in facial expression is believed to be important for psychological wellbeing. Therefore, a combination of the two procedures incorporates the best of both: a strong motor signal and a spontaneous smile...
June 10, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28682546/-application-of-muscle-pedicled-platysma-myocutaneous-flap-in-the-reconstruction-of-buccal-mucosa-defects
#16
Huang Long, Jian Xinchun, Chen Xinqun, Su Tong, Jiang Canhua
OBJECTIVE: This study aimed to explore the main features and advantages of the muscle pedicled platysma myocutaneous flap (PMF), the degree of improvement of flap harvest. To evaluate the application value of the flap in the reconstruction of buccal mucosa carcinoma defects. METHODS: Twenty-three patients received PMF with MacFee incision to reconstruct buccal mucosa defects that were caused by the resection of precancer lesions and benign and malignant tumors from August 2012 to April 2015...
April 1, 2017: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/28680495/the-temporalis-muscle-flap-for-palate-reconstruction-case-series-and-review-of-the-literature
#17
Tara Brennan, Tristan M Tham, Peter Costantino
Introduction  The temporalis myofascial (TM) is an important reconstructive flap in palate reconstruction. Past studies have shown the temporalis myofascial flap to be safe as well as effective. Free flap reconstruction of palate defects is also a popular method used by contemporary surgeons. We aim to reaffirm the temporalis myofascial flap as a viable alternative to free flaps for palate reconstruction. Objective  We report our results using the temporalis flap for palate reconstruction in one of the largest case series reported...
July 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28678580/reconstructive-subperiosteal-midface-lift-a-three-nonvisible-incision-approach
#18
Marco Sales-Sanz, Constanza Barrancos, Hae-Ryung Won-Kim, Andrea Sales-Sanz, César Colmenero
This article describes our surgical technique for subperiosteal midface elevation in patients with paralytic lower eyelid malposition or cicatricial inferior eyelid retraction. Nineteen patients with paralytic lower eyelid malposition and 15 patients with cicatricial inferior eyelid retraction underwent a subperiosteal midface lift (n = 34). The procedure was performed under local anesthesia through three nonvisible incisions. A transconjunctival incision allows preseptal dissection to the orbital rim, followed by a subperiosteal dissection of the midface...
July 5, 2017: Orbit
https://www.readbyqxmd.com/read/28678067/reconstruction-of-parotidectomy-and-lateral-skull-base-defects
#19
Caitlin Bertelsen, Changxing Liu, Niels Kokot
PURPOSE OF REVIEW: The purpose of this review is to summarize the options for reconstruction of parotid and lateral skull base defects based on the size and functional requirements of the defect. RECENT FINDINGS: Free grafts with dermal fat or acellular human dermis, superficial musculoaponeurotic system flaps, and sternocleidomastoid flaps have been successful in preventing Frey's syndrome and restoring facial contour defects after superficial and total parotidectomy...
July 3, 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/28676162/skin-and-composite-grafting-techniques-in-facial-reconstruction-for-skin-cancer
#20
REVIEW
Michael J Brenner, Jeffrey S Moyer
Skin and composite grafting provide effective resurfacing and reconstruction for cutaneous defects after excision of the malignancy. The goal is to restore a natural appearance and function while preventing distortion of the eyelid, nose, or lips. With careful planning and attention to aesthetic subunits, the surgeon can camouflage incisions and avoid blunting aesthetically sensitive sulci. The surgical plan is also informed by the pathology, as basal or squamous cell carcinomas removed by Mohs micrographic excision have different prognostic and logistical considerations from melanoma...
August 2017: Facial Plastic Surgery Clinics of North America
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