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Plast Reconstr Surg 2021 May 10. Epub 2021 May 10.

From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.

Background: Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda artery perforator flaps in postoncologic head and neck reconstruction.

Methods: A retrospective review of all free profunda artery perforator flaps used for head and neck reconstruction from 2016 to 2019 was performed. Read More

Ital J Dermatol Venerol 2021 Apr;156(2):244-247

Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.

Reconstruction of large defects of the upper cheek defects still remains a challenge for the surgeon, who can apply different techniques. We present a new method involving the use of a dermal regeneration template to achieve an improved, faster healing of pedicled buccal fat flap in a 75-year-old woman affected by melanoma of the upper-middle cheek. The tumor involved soft tissue, zygomatic arch and periocular fact. Read More

Microsurgery 2021 May 7. Epub 2021 May 7.

Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Modena, Italy.

Background: Prelamination is a reconstructive technique providing fasciomucosal or composite flaps with low donor-site morbidity. We conducted a systematic review of retrospective studies to assess the application of prelaminated flaps in reconstructive surgery of head and neck cancer patients, and to evaluate the advantages and disadvantages of this technique.

Methods: This systematic review adhered to the recommendations of the PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-analysis) 2009 guidelines. Read More

Turk J Ophthalmol 2021 04;51(2):118-122

Clinic and Provincial Hospital of Barcelona, Department of Ophthalmology, Barcelona, Spain

The goals of periorbital region reconstruction are to obtain both functional and esthetic results. Medial canthus is the second most common periorbital location for basal cell carcinoma. If left untreated, it is locally destructive but rarely metastasizes. Read More

Ophthalmic Plast Reconstr Surg 2021 Apr 28. Epub 2021 Apr 28.

Division of Ophthalmology, McMaster University, Hamilton Faculty of Medicine, Canada Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Canada.

Perineurioma is a rare soft-tissue tumor with characteristic histologic and immunohistochemical features. The diagnosis; however, can be met with certain challenges. A 71-year-old woman presented with an enlarging painless mass in the right lower eyelid-cheek junction. Read More

J Plast Reconstr Aesthet Surg 2021 Apr 17. Epub 2021 Apr 17.

Department of Plastic and Reconstructive Surgery, E-Da Hospital, Kaohsiung, Taiwan.

Oral Oncol 2021 Apr 25:105289. Epub 2021 Apr 25.

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Jeonnam, Republic of Korea. Electronic address:

Objective: We analyzed clinical data of patients in which the suprastructure maxillectomy site was covered with nasal cavity mucosa flaps with or without free mucosa graft from the nasal septum, to determine the usefulness of this procedure.

Patients And Methods: A total of four edentulous patients who had the suprastructure maxillectomy site covered using nasal cavity mucosa flaps with or without free mucosa graft from the nasal septum between 2014 and 2020, were analyzed.

Results: All patients underwent suprastructure maxillectomy using the external approach. Read More

Facial Plast Surg Clin North Am 2021 May 24;29(2):291-300. Epub 2021 Apr 24.

Orbital and Ophthalmic Plastic Surgery Division, Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Numerous solutions for post-blepharoplasty lower eyelid retraction are reviewed. Patients require permanent recruitment of skin and soft tissue to lengthen the lower eyelid and control of the lower eyelid shape. The authors use a hand-carved expanded polytetrafluoroethylene (ePTFE) implant held with microscrews to provide volume and felting material at the orbital rim and to permanently fix vertically lifted cheek soft tissue into the lower eyelid. Read More

Microsurgery 2021 Apr 22. Epub 2021 Apr 22.

Plastic Reconstructive and Aesthetic Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Many techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide the best tissue match with the nose. However, when local tissue donor sites are limited, alternative options such as free tissue transfers should be considered. Read More

Arch Plast Surg 2021 Mar 15;48(2):213-216. Epub 2021 Mar 15.

Department of Plastic and Reconstructive Surgery, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.

Many surgeons have demonstrated the validity of sternocleidomastoid muscle flaps for the reconstruction of head and neck tumors. We present a case in which we used an island sternocleidomastoid muscle flap to reconstruct a cheek depression after excision of a malignant parotid tumor. A 44-year-old woman presented with a right malignant parotid tumor. Read More

Ear Nose Throat J 2021 Mar 17:1455613211000294. Epub 2021 Mar 17.

Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People Republic of China.

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. Read More

BMC Surg 2021 Mar 8;21(1):120. Epub 2021 Mar 8.

Plastic Surgery Department, Shifa International Hospital, Pitras Bukhari Road H-8, Islamabad, Pakistan.

Background: Most of the head and neck cancers are time-critical and need urgent surgical treatment. Our unit is one of the departments in the region, at the forefront in treating head and neck cancers in Pakistan. We have continued treating these patients in the COVID-19 pandemic with certain modified protocols. Read More

Arch Craniofac Surg 2020 Dec 20;21(6):357-362. Epub 2020 Dec 20.

Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine, Jeju, Korea.

Background: Full-thickness skin grafts (FTSGs) have been widely used after facial skin cancer resection, for correcting defects that are too wide to be reconstructed using a local flap or if structural deformation is expected. The preauricular, posterior auricular, supraclavicular, conchal bowl, nasolabial fold, and upper eyelid skin areas are known as the main donor sites for facial FTSG. Herein, we aimed to describe the effectiveness of using infraclavicular skin as the donor site for specific cases. Read More

Aesthet Surg J 2021 04;41(5):535-536

Aesthet Surg J 2021 Feb 28. Epub 2021 Feb 28.

Department of Plastic and Reconstructive Surgery, Peking University 3rd Hospital, Beijing, China.

Background: The mainstream face lifts in western countries always involve the SMAS treatment. Meanwhile, subcutaneous face and neck lift is wildly applied among Asians.

Objectives: To evaluate outcomes of subcutaneous face and neck lift, including patient-reported and 3D measurement outcomes, and report on details of surgical procedures. Read More

Ann Plast Surg 2021 03;86(3S Suppl 2):S194-S198

From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.

Introduction: Different from Western culture, prominent zygoma and rectangular facial contour are deemed as unaesthetic and masculine in Asians. To achieve an ideal oval facial shape, reduction malarplasty is often performed.

Methods: Twenty-two eligible patients who underwent reduction malarplasty between November 2008 and December 2018 were reviewed. Read More

Laryngorhinootologie 2021 03 26;100(3):211-216. Epub 2021 Feb 26.

Universitätsklinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale).

Trauma of the medial canthal region can affect all parts of the lacrimal ducts. Depending on the patient's age, there may be different mechanisms of injury. Surgical reconstruction using two autostable ("self-retaining") monocanaliculonasal lacrimal tubes is demonstrated by two case reports. Read More

Facial Plast Surg 2021 Apr 25;37(2):198-204. Epub 2021 Feb 25.

Department of Otorhinolaryngology, Acibadem University, Halkali Merkez Mahallesi Turgut Ozal Bulvari, Istanbul, Turkey.

The subciliary lower eyelid blepharoplasty has evolved considerably to create a more harmonious natural appearance with a fuller and unoperated look and also to minimize the complications. While lower eyelid malposition was very common in the past, now this complication is significantly reduced by attention to preoperative evaluation, meticulous surgical planning, precise surgical technique, and postoperative care. Various prophylactic maneuvers maintaining/strengthening lower lid support can be utilized to prevent lower lid malposition including preservation of the pretarsal orbicularis oculi muscle, conservative resection of skin and muscle, and suspension of the orbicularis oculi muscle and/or tarsus to the periosteum of the lateral orbital rim. Read More

Ann Plast Surg 2021 04;86(4):428-433

Deparrtment of Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India.

Background: The facial profile requires adequate maxillary and mandibular projection. Although oral cancer tumor ablation might create ipsilateral maxillary and mandibular defect, fibular flap is popular in mandibular defect reconstruction. However, the maxillary defect results in sunken cheek or oral contracture. Read More

Dermatol Surg 2021 02;47(2):200-205

Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.

Indian J Otolaryngol Head Neck Surg 2021 Feb 1:1-7. Epub 2021 Feb 1.

Indian Institute of Head and Neck Oncology, Indore Cancer Foundation, Indore, India.

Thirty-two Head and Neck cancer patients were operated by surgical team of the Indian Institute of Head and Neck Oncology (IIHNO) in a period ranging from May 2020 to the first week of December 2020. Surgical procedures ranged from surgery for tongue cancer, resection of cancers of the oral mucosa/cheek (with or without reconstruction), as well as surgery for paranasal cancers and thyroid cancers, with an average duration of 3 h for the procedures. This article reviews this experience during the peak of covid pandemic regarding the approaches adopted by the team of the IIHNO, a flagship project of the Indore Cancer Foundation, a public charitable trust. Read More

Oral Maxillofac Surg Clin North Am 2021 May 2;33(2):177-184. Epub 2021 Feb 2.

Head and Neck Surgical Associates, 1849 Northwest Kearney Street, #300, Portland, OR 97209, USA. Electronic address:

This article presents an overview of the history of the buccal fat pad flap, its relevant anatomy, and its indications and contraindications. The surgical technique for its harvest is described, as are the postoperative care and possible complications. Read More

Facial Plast Surg 2021 Apr 3;37(2):224-232. Epub 2021 Feb 3.

Department of Otolaryngology, Head & Neck Surgery, Leiden University Medical Center, Albinusdreef, Leiden, The Netherlands.

Ruling out cases with strong jawlines, well-developed mid-cheek regions, and good fat presence, if done artistically, fat augmentation strongly assists midface definition and can replenish hollowed regions of the face. This is particularly true for candidates with low bodyfat or smaller skull structures. Hence, fat grafting is a strong adjunct to conventional excisional techniques in facial rejuvenation surgery, regardless of experience, technique, or geographical embedding. Read More

Ann Med Surg (Lond) 2021 Feb 18;62:119-122. Epub 2021 Jan 18.

Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P, 5696, Casablanca, Morocco.

Introduction: Defects caused after tumor resection should be closed with flaps that match the neighboring cheek's skin.

Presentation Of Case: the authors report a patient diagnosed with squamous cell carcinoma and its management. A 50-year-old man patient presented with a painless slow swelling in the left cheek, which had increased in size in the last four months, tobacco smoking, and alcohol intake for 15 years. Read More

Facial Plast Surg 2021 Jan 14. Epub 2021 Jan 14.

Department of Oral and Maxillofacial Surgery, University of Duisburg-Essen, Kliniken-Essen-Mitte, Essen, Germany.

The objective of this study was to examine the role of cheek rotation flaps in the reconstruction of orbital defects after exenteration. From January 2000 to August 2018, patients undergoing orbital exenteration and reconstruction with cheek rotation flaps were enrolled in this retrospective study. All patients were evaluated for wound complications, orbital rehabilitation, tumor relapse, and survival. Read More

J Plast Reconstr Aesthet Surg 2021 Apr 29;74(4):730-739. Epub 2020 Dec 29.

Division of Plastic Surgery, McMaster University, Hamilton, Canada.

Purpose: Cervicofacial flaps represent an excellent option for coverage of cheek defects secondary to oncologic resection, trauma or infection. However, there remains clinical equipoise regarding whether superficial plane or deep plane dissection results in the lowest rates of complications and optimal outcomes.

Methods: A systematic review and meta-analysis of proportions was conducted to assesses outcomes between cheek reconstruction superficial plane or deep plane cervicofacial flaps. Read More

Clin Case Rep 2020 Dec 30;8(12):3204-3207. Epub 2020 Sep 30.

Department of Plastic and Reconstructive Surgery Kawasaki Medical School Kurashiki Japan.

Reconstruction of the cheek to the lower eyelid can be performed with the use of a cervicofacial flap in patients that may not otherwise be able to sustain a long surgical procedure. In addition, the cervicofacial flap is superior in terms of color and texture match. Read More

J Stomatol Oral Maxillofac Surg 2020 Dec 14. Epub 2020 Dec 14.

Department of Head and Neck Oncology, West China Hospital of Stomatology, State Key Laboratory of Oral Diseases, Sichuan University, 610041 Chengdu, China. Electronic address:

The distal end of parotid duct is often inevitably resected en-block with the buccal mucosa cancer to obtain safety margin and prevent local recurrence. Ligation of duct frequently causes complications like cheek swelling, fistula and gland function loss. The authors describe a novel procedure of combined use of autologous vein graft and vascular coupler to reconstruct the parotid duct defect for buccal mucosa cancer patients who undergo radical neck dissection and free-flap reconstruction, no lumen-stent or cannula is needed. Read More

Eur J Ophthalmol 2020 Nov 25:1120672120976550. Epub 2020 Nov 25.

Vita-Salute San Raffaele University, Milan, Italy.

Purpose: To describe a combinatory technique made of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option after orbital exenteration.

Methods: We retrospectively reviewed all patients who underwent orbital exenteration and subsequent reconstruction with this technique at our Head and Neck Department, Divisions of Ophthalmology and Otolaryngology, at San Raffaele Hospital, Milan, Italy.

Results: Three patients were treated with the aforementioned technique, following orbital exenteration due to malignancies. Read More