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    Face transplantation: partial graft loss of the first case ten years later.
    Am J Transplant 2017 Jan 31. Epub 2017 Jan 31.
    Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute (France).
    Ten years after the first face transplantation we report the partial loss of this graft. After two episodes of acute rejection (AR) occurred and completely reversed in the first post-transplantation year, ninety months post-transplantation the patient developed de novo class II-donor specific antibodies, without clinical signs of AR. Some months later she developed several skin rejection episodes treated with steroid pulses. Read More

    Management of human bite injury of the upper and lower eyelids: a rare case report.
    J Korean Assoc Oral Maxillofac Surg 2016 Dec 27;42(6):375-378. Epub 2016 Dec 27.
    Richardsons Dental and Craniofacial Hospital, Nagercoil, Tamil Nadu, India.
    Human bite injury to the eyelid is extremely rare and poses a significant challenge in surgical reconstruction. We report an extremely rare case of human bite injury to the eyelid in a 43-year-old male with approximately 60% full thickness loss of the upper eyelid and 80% to 90% full thickness loss of the lower eyelid and its successful reconstruction using the local advancement cheek flap. Read More

    The Need for Overcorrection When Using a Suborbital Cervicofacial Hike Flap.
    J Craniofac Surg 2017 Jan;28(1):122-124
    *Department of Plastic and Reconstructive Surgery, New York University †Division of Plastic and Reconstructive Surgery, Northwell Health, New York, NY.
    Background: The senior author has previously described a deep-plane cervicofacial hike flap as a workhorse for reconstruction mid-cheek defects. One important modification commonly used involves overcorrection of the defect in order to reduce the incidence of ectropion. This report outlines the senior author's experience in surgical treating complex cheek defects with an overcorrected deep-plane cervicofacial hike flap. Read More

    Upper Lip Reconstruction after Oncologic Resection by a Sliding Advancement Cheek Flap with Buccal Mucosal Eversion.
    Plast Reconstr Surg Glob Open 2016 Nov 10;4(11):e1100. Epub 2016 Nov 10.
    Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Nakagami, Okinawa, Japan; and Department of Oral and Maxillofacial Surgery, University of the Ryukyus Hospital, Nakagami, Okinawa, Japan.

    [Mohs micrographic surgery: 27 year experience in the Northeast of Mexico].
    Cir Cir 2016 Dec 9. Epub 2016 Dec 9.
    Servicio de Dermatología, Hospital Universitario Dr. José E. González, Monterrey, Nuevo León, México. Electronic address:
    Introduction: Skin cancer treatment includes surgical and non-surgical techniques. Among surgical techniques, Mohs micrographic surgery permits a complete evaluation of surgical margins with maximal tissue sparing.

    Material And Methods: Retrospective review of dermatology database of skin cancer cases treated with Mohs surgery at University Hospital Dr. Read More

    Nasolabial and forehead flap reconstruction of contiguous alar-upper lip defects.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):330-335. Epub 2016 Nov 11.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan. Electronic address:
    Background: Defects of the nasal ala and upper lip aesthetic subunits can be challenging to reconstruct when they occur in isolation. When defects incorporate both the subunits, the challenge is compounded as subunit boundaries also require reconstruction, and local soft tissue reservoirs alone may provide inadequate coverage. In such cases, we used nasolabial flaps for upper lip reconstruction and a forehead flap for alar reconstruction. Read More

    Use of Combined PMMC and Nasolabial Flap for Reconstruction of Full Thickness Cheek Defect Involving Lip Commisure.
    Indian J Surg Oncol 2016 Dec 8;7(4):453-455. Epub 2016 Jun 8.
    Government Cancer Hospital Aurangabad, Aurangabad, India.
    Head neck cancer constitute significant cancer burden and among it carcinoma of oral cavity involving buccal mucosa is most common entity in India. Very often it involves lip commisure. Radical surgery along with radiotherapy still remains treatment of choice. Read More

    Orbitomaxillary Reconstruction Using a Combined Latissimus Dorsi Musculocutaneous and Scapular Angle Osseous Flap.
    J Oral Maxillofac Surg 2017 Feb 20;75(2):439.e1-439.e6. Epub 2016 Oct 20.
    Professor, Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
    Immediate reconstruction of orbitomaxillary defects is challenging for head and neck reconstructive surgeons. The primary goals of orbitomaxillary reconstruction are to cover the skin and mucosal defects, fill the defect space, and reconstruct the natural facial contour. This report describes 2 patients who underwent extended orbitomaxillectomy and immediate reconstruction using a combined latissimus dorsi musculocutaneous and scapular angle osseous free flap (LD-SA flap). Read More

    Secondary Merkel Cell Carcinoma Arising From a Graft Donor Site.
    J Cutan Med Surg 2016 Oct 24. Epub 2016 Oct 24.
    Lister Hospital, East & North Hertfordshire NHS Trust, Stevenage, UK.
    Merkel cell carcinoma (MCC) is a highly aggressive cutaneous neuroendocrine tumour that is increasing in incidence. We report a case of a 92-year-old white man on long-term immunosuppression for temporal arteritis who presented with a Merkel cell tumour on his left cheek. A wide local excision was performed and the defect was reconstructed with a full-thickness skin graft. Read More

    Local Rhomboid Flap Reconstruction for Skin Defects After Excising Large Parotid Gland Tumors.
    J Oral Maxillofac Surg 2017 Jan 21;75(1):225.e1-225.e5. Epub 2016 Sep 21.
    Associate Professor, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University; Department of Public Health, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Most parotid tumors grow slowly, and sometimes these patients do not request surgical treatment until the tumors become large and affect their appearance. The surgical treatment of these large tumors is usually accompanied by large skin defects after excision, and it is challenging for surgeons to close the defect primarily. This report describes the case of a 68-year-old man with a left parotid gland tumor (largest dimension, 110 mm) and the case of a 79-year-old man with a left parotid gland tumor measuring approximately 77 mm that had existed for decades. Read More

    Comprehensive Treatment of Upper Lip Arteriovenous Malformation.
    J Maxillofac Oral Surg 2016 Sep 18;15(3):394-399. Epub 2015 Sep 18.
    Department of Oral and Maxillofacial Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    Arteriovenous malformations are uncommon congenital disorders in vascular development. They frequently involve craniofacial structures and result in a morphogenic abnormality with ominous arteriovenous shunting. We present a huge AVM of the upper lip in an 18-year-old patient who was successfully treated by the combination method of presurgical endovascular embolization and complete resection of the lesion. Read More

    A Case of Nasal Merkel Cell Carcinoma Draining to a Buccinator Sentinel Lymph Node.
    Clin Nucl Med 2016 Nov;41(11):e480-e481
    From the *Department of Radiology, Division of Nuclear Medicine, and †Department of Radiology, University of Washington, Seattle, WA.
    A 73-year-old man diagnosed with Merkel cell carcinoma of the left nasal ala was referred for preoperative scintigraphic sentinel lymph node mapping. In three separate foci around the lesion, 0.2 mCi of Tc-sulfur colloid was intradermally administered. Read More

    Versatility of the facial artery myomucosal island flap in neopharyngeal reconstruction.
    Head Neck 2017 Feb 5;39(2):E29-E33. Epub 2016 Oct 5.
    Department of Otorhinolaryngology, Head and Neck Surgery, Center of Head and Orthopedics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
    Background: The facial artery myomucosal (FAMM) island flap is a cheek flap, pedicled on the facial artery and suitable for small to medium-sized reconstructions of the oral cavity and neighboring areas. A novel transposition of the flap to the hypopharynx after laryngectomy is presented in this report.

    Methods: A 58-year-old man, previously irradiated, was laryngopharyngectomized because of a new supraglottic carcinoma. Read More

    Squamous Cell Cancer Arising in an African American Male Cheek from Discoid Lupus: A Rare Case and Review of the Literature.
    Case Rep Surg 2016 17;2016:9170424. Epub 2016 Aug 17.
    Department of Head & Neck Surgery, Kaiser Fontana/Ontario, 9961 Sierra Avenue, Fontana, CA 92335, USA.
    A 50-year-old African American male with Discoid Lupus Erythematosus (DLE) presented to the dermatology clinic for a rapidly enlarging left cheek mass. The mass failed to resolve with conservative measures. A biopsy revealed poorly differentiated Squamous Cell Carcinoma (SCC). Read More

    Modified Bilateral Neurovascular Cheek Flap: Functional Reconstruction of Extensive Lower Lip Defects.
    Plast Reconstr Surg Glob Open 2016 May 26;4(5):e721. Epub 2016 May 26.
    Faculty of Medicine, Division of Plastic Surgery, Department of Surgery, Khon Kaen University, Khon Kaen, Thailand.
    Background: Reconstruction of extensive lower lip defects is challenging, and functional outcomes are difficult to achieve.

    Methods: A modified bilateral neurovascular cheek (MBNC) flap has been described. The data of patients with cancer of the lower lip treated with wide excision and reconstructed with the MBNC flap in the Plastic Surgery Unit, Srinagarind Hospital, Khon Kaen University, from 1966 to 2012 were reviewed. Read More

    [Aesthetic reconstruction strategy for postburn facial scar and its clinical effect].
    Zhonghua Shao Shang Za Zhi 2016 Aug;32(8):469-73
    Institute of Plastic Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China.
    Objective: To explore the aesthetic reconstruction strategy for postburn facial scar and its clinical effect.

    Methods: Three hundred and forty-two patients with postburn facial scars were hospitalized from January 2000 to December 2015. Local expanded flap or deltopectoral expanded flap was used for reconstruction according to the location and size of the facial scar. Read More

    Reconstruction of facial soft tissue: comparison between conventional procedures and the facelift technique.
    Br J Oral Maxillofac Surg 2016 Nov 17;54(9):1006-1011. Epub 2016 Aug 17.
    Oral and Maxillofacial Surgery, Academic Hospital of the University of Hanover, Klinikum Lippe, Röntgenstr. 18, 32756 Detmold Germany; Medical Faculty University RWTH, Aachen, Pauwelsstraße 30, 52074 Aachen Germany.
    We compared the result of replacement using a modified facelift technique with those of other commonly used surgical techniques for the treatment of defects of the soft tissue of the infraorbital and cheek region. We made a retrospective observational study of 86 patients who had defects of the facial soft tissue after excision of malignant tumours. Procedures used for reconstructions included non-vascularised skin grafts, local flaps, facelift technique, and microvascular free flaps, and we evaluated morbidity; duration of hospital stay; the need for, and duration of stay in the intensive care unit (ICU); and functional and aesthetic outcomes. Read More

    Patient-Specific Implant for Residual Facial Asymmetry following Orthognathic Surgery in Unilateral Craniofacial Microsomia.
    Craniomaxillofac Trauma Reconstr 2016 Sep 28;9(3):264-7. Epub 2016 Mar 28.
    Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia's Children's Hospital, Rotterdam, The Netherlands.
    Craniofacial microsomia (CFM) is a congenital anomaly with a variable phenotype. The most prominent feature of CFM is a predominantly unilateral hypoplasia of the mandible, leading to facial asymmetry. Even after correction of the midline, there is often a remaining hard- and soft-tissue deficiency over the body of the mandible and cheek on the affected side. Read More

    Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study.
    Indian J Otolaryngol Head Neck Surg 2016 Sep 15;68(3):307-13. Epub 2015 Dec 15.
    Department of Oral and Maxillofacial Surgery, The First Teaching Hospital of Xinjiang Medical University, Urumqi, 830054 Xinjiang People's Republic of China ; Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region, Urumqi, 830054 Xinjiang People's Republic of China.
    Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. Read More

    The subperiosteal, drill hole, midface lift.
    Orbit 2016 Oct 3;35(5):250-3. Epub 2016 Aug 3.
    a Department of Ophthalmology and Visual Sciences , University of Iowa Hospitals and Clinics , Iowa City , Iowa , USA.
    This article describes a surgical technique using drill holes through the inferior orbital rim and fixation with permanent sutures as a functional subperiosteal midface lift and compares it to other standard midface elevation techniques. This was a retrospective, comparative, non-randomized study. Charts of all patients undergoing midface elevation between 2009 and 2013 were reviewed. Read More

    Facial Skin Cancer Reconstruction.
    Semin Plast Surg 2016 Aug;30(3):108-21
    Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
    Nonmelanoma skin cancers are the most common skin cancers in the United States and the most common malignancies afflicting the head and neck region. Reconstruction of resulting defects has significant aesthetic and functional implications, and plastic surgeons are frequently consulted for reconstruction. Reconstruction can be accomplished via a multitude of approaches spanning the reconstructive ladder, and the approach should be individualized based upon both patient-related and defect-related factors. Read More

    Reconstruction of full-thickness cheek defects with a folded extended supraclavicular fasciocutaneous island flap following ablation of advanced oral cancer.
    J Cancer Res Ther 2016 Apr-Jun;12(2):888-91
    Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
    Purpose: The aim of the present clinical study was to evaluate the feasibility of a folded extended supraclavicular fasciocutaneous island flap (SFIF) for full-thickness cheek defect reconstruction following ablative oral cancer surgery.

    Patients And Methods: The nine patients with advanced squamous cell carcinoma of the buccal mucosa were six men and three women, with a mean age of 60.8 years. Read More

    Expanded Cheek-Shaped Flap for Aesthetic Cheek Reconstruction in the Cervicoperiauricular Area.
    Ann Plast Surg 2016 Feb;77 Suppl 1:S43-8
    From the Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing, China.
    Background: The cervical area is well acknowledged as an ideal donor site for aesthetic reconstruction of the cheek, and tissue expansion may play an important role for maximally achieving such a purpose. However, the conventional design of the expanded cervical flap generally results in unsightly morbidity of the donor site. The aim of this study is to evaluate the results of using an improvised cervical expanded flap in aesthetic reconstruction of the cheek. Read More

    The Freestyle Facial Artery Perforator Flap for Reconstruction of Simultaneous Periorbital and Cheek Defects.
    J Craniofac Surg 2016 Jul;27(5):e473-4
    Department of Plastic, Reconstructive and Maxillo-Facial SurgeryBurn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.
    The reconstruction of defects involving the nasolabial, paranasal, and periorbital regions may be challenging, because they often involve more than one facial aesthetic unit, and can lead to functional problems. An average of 5 facial artery perforators of caliber >0.5 mm can be found above the mandible. Read More

    Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single-Stage Treatment.
    Plast Reconstr Surg 2016 Jul;138(1):256-61
    New York, N.Y.From the Divisions of Plastic and Reconstructive Surgery and Surgical Oncology, Northwell Health, Hofstra Northwell School of Medicine.
    Background: The timing of reconstruction following melanoma extirpation remains controversial, with some advocating definitive reconstruction only when the results of permanent pathologic evaluation are available. The authors evaluated oncologic safety and cost benefit of single-stage neoplasm extirpation with immediate reconstruction.

    Methods: The authors reviewed all patients treated with biopsy-proven melanoma followed by immediate reconstruction during a 3-year period (January of 2011 to December of 2013). Read More

    Lip Reconstruction after Tumor Ablation.
    World J Plast Surg 2016 Jan;5(1):15-25
    Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran.
    Approximately 25% of all oral cavity carcinomas involve the lips, and the primary management of these lesions is complete surgical resection. Loss of tissue in the lips after resection is treated with a variety of techniques, depending on the extension and location of the defect. Here we review highly accepted techniques of lip reconstruction and some of new trials with significant clinical results. Read More

    The Versatile Modiolus Perforator Flap.
    Plast Reconstr Surg Glob Open 2016 Mar 22;4(3):e661. Epub 2016 Mar 22.
    Department of Plastic Surgery, Telemark Hospital, Skien, Norway; and Department of Plastic Surgery, Lillebaelt Hospital and Odense University Hospital, Denmark.
    Background: Perforator flaps are well established, and their usefulness as freestyle island flaps is recognized. The whereabouts of vascular perforators and classification of perforator flaps in the face are a debated subject, despite several anatomical studies showing similar consistency. In our experience using freestyle facial perforator flaps, we have located areas where perforators are consistently found. Read More

    Long-term outcome of the cheek advancement flap, a report of 41 cases.
    J Plast Surg Hand Surg 2016 Dec 31;50(6):354-358. Epub 2016 May 31.
    b The Department of Plastic and Reconstructive Surgery , Catharina Hospital , Eindhoven , The Netherlands.
    Background: Due to incidental occurrence of ectropion as a late complication of cheek advancement flaps, this study investigated the long-term effects of these flaps for post-Mohs' reconstruction of the cheek aesthetic.

    Methods: All the patients who underwent a cheek advancement flap in the Catharina Hospital Eindhoven between January 2006 and January 2013 where included and assessed by means of a retrospective chart review and a survey about the long-term outcome and patient satisfaction.

    Results: A retrospective chart review was performed on all 54 eligible patients, and 41 (76%) of these patients participated in the study. Read More

    [Reconstruction of soft tissue defects at nose, lip, and cheek with facial artery perforator flaps].
    Zhonghua Zheng Xing Wai Ke Za Zhi 2016 Jan;32(1):35-8
    Objective: To investigate the therapeutic effect of facial artery perforator flap for the soft tissue defects at nose, lip and cheek.

    Methods: The facial artery perforator adjacent to the defect was identified by Doppler ultrasonography. The perforator flap was designed according to the defect location, size and shape. Read More

    Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve.
    Craniomaxillofac Trauma Reconstr 2016 Jun 13;9(2):170-4. Epub 2015 Nov 13.
    Division of Head and Neck Surgery, Vicente López Public Hospital, Buenos Aires, Argentina.
    The objective of this study is to report a large, rare, and ulcerative infiltrated skin lesion. Its diagnosis, therapeutic management, and progress are described. The patient is a 78-year-old white man, who presented with a 12-month ulcerative perforated lesion that had affected and infiltrated the skin, with easy bleeding. Read More

    Three-Dimensional Topographic Surface Changes in Response to Compartmental Volumization of the Medial Cheek: Defining a Malar Augmentation Zone.
    Plast Reconstr Surg 2016 May;137(5):1401-8
    New York, N.Y.; and Kansas City, Kan. From the Montefiore Medical Center, Albert Einstein College of Medicine; the University of Kansas Medical Center, University of Kansas; and New York University Langone Medical Center, New York University.
    Background: Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of three-dimensional surface changes in response to volume augmentation is needed. Advances in three-dimensional imaging technology now afford an opportunity to elucidate these morphologic changes for the first time.

    Methods: A cadaver study was undertaken in which volumization of the deep medial cheek compartment was performed at intervals up to 4 cc (n = 4). Read More

    Reduction malarplasty using a zygomatic arch-lifting technique.
    J Plast Reconstr Aesthet Surg 2016 Jun 23;69(6):809-18. Epub 2016 Mar 23.
    Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul, South Korea; Department of Medicine, Yonsei University Graduate School of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, South Korea. Electronic address:
    Background: Broad or excessive malar protrusion is a trait associated with aggression and old age in Asian cultures. Although various methods of shifting the zygoma have been introduced for reduction malarplasty, soft tissue sagging and inadequate bony union still remain great challenges. We have devised an arch-lifting technique that helps overcome these issues. Read More

    Stein's Double Cross-Lip Flaps Combined with Johanson's Step Technique for Subtotal Lower Lip Reconstruction.
    Plast Reconstr Surg Glob Open 2016 Feb 10;4(2):e615. Epub 2016 Feb 10.
    Department of Cranio-Maxillofacial Plastic Surgery, University of Regensburg, Regensburg, Germany; Division of Pediatric Facial Plastic Surgery and Craniofacial Anomalies, Catholic Children's Hospital Wilhelmstift, Hamburg, Germany; Teaching Hospital of the University of Lübeck, Lübeck, Germany; Adult Plastic Reconstructive and Aesthetic Surgery of the Face at Anaesthesia Center Hamburg at UKE, Hamburg, Germany; Department of Neurology, University of Regensburg, Regensburg, Germany.
    Unlabelled: In a previous study, a single cross-lip flap (Abbe flap) combined with Johanson's step technique for repair of defects of more than 2/3 of the lower lip was superior, in terms of aesthetic and functional outcome, compared with Bernard Webster-related techniques (cheek advancement). Herewith, a double cross-lip flap (Stein procedure) is proposed for repair of subtotal lower lip defects. A systematic review of the Stein procedure is provided. Read More

    Correction of cheek biting in a dentate patient.
    J Prosthet Dent 2016 Aug 18;116(2):300-3. Epub 2016 Mar 18.
    Associate Professor, Maulana Azad Institute of Dental Sciences, New Delhi, India.
    Postsurgical injury by teeth to oral mucosa (reconstructed by a flap) can lead to ulceration and subsequent infection at the reconstructed site. A prompt intervention by fabricating a specially designed prosthesis to deflect the reconstruction flap away from the occluding teeth has been described for the treatment of cheek biting in the present clinical report. Read More

    Aesthetic Unit-Based Reconstruction of Periorbital Defects.
    J Craniofac Surg 2016 Mar;27(2):429-32
    Plastic Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.
    Purpose: The aim of this study was to perform a retrospective analysis of patients who underwent periorbital area reconstructions, determine their sociodemographic characteristics, analyze the effects of defect etiologies and locations classified according to periorbital subunits on our reconstruction options, and to present our treatment outcomes and clinical experience.

    Methods: A retrospective chart review of 23 patients operated in our department between January 2010 and March 2013 and underwent periorbital area reconstructions, was performed. In addition to the demographic characteristics of the patients; defect etiologies, locations according to Spinelli aesthetic subunits, and the degrees of involvement were determined. Read More

    Reconstruction of orbital exenteration defects with bilobed forehead flap.
    Int Ophthalmol 2016 Dec 9;36(6):861-865. Epub 2016 Mar 9.
    Department of Ear, Nose, and Throat, Uludag University, Bursa, Turkey.
    To describe the use of bilobed forehead flap for reconstruction of orbital exenteration defect. The medical records of 2 patients in whom orbital exenteration defect repair was performed with bilobed forehead flap were reviewed. In both patients (male, ages 74 and 65 years), extended exenteration was performed because of basal cell carcinoma infiltrating the upper and lower eyelids and orbit. Read More

    Random Cheek Skin Flap: a Simple Alternative for Intraoral Defects.
    Indian J Surg 2015 Dec 11;77(6):551-3. Epub 2015 Sep 11.
    Kilkari Fertility and Test-Tube Baby Centre, Shape Arcade, 116 Kalidas Marg, Ujjain, Madhya Pradesh India.
    Oral cavity squamous cell carcinoma is one of the common cancers in India. The lesion usually presents as an ulcer and sometimes as a nodule. A variety of premalignant lesions and submucous fibrosis are common. Read More

    Excision Margins for Melanoma In Situ on the Head and Neck.
    Dermatol Surg 2016 Mar;42(3):327-34
    *Department of Dermatology, Oxford University Hospitals NHS Trust, Oxford, United Kingdom; †Department of Dermatology Surgery, University of Texas Southwestern, Dallas, Texas.
    Background: Complete surgical excision of melanoma in situ (MIS) is curative. A 5-mm margin is often taken as the standard primary excision margin despite increasing evidence that this is frequently inadequate for tumor clearance.

    Objective: To calculate the proportion of patients requiring >5 mm margin for clearance and to investigate any patient/lesion characteristics necessitating larger margins. Read More

    Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction: Surgical Outcome and Quality of Life Analysis.
    Ann Plast Surg 2016 Mar;76 Suppl 1:S74-9
    From the *Division of Plastic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan; and †National Yang-Ming University, Taipei, Taiwan.
    Background: Through-and-through cheek-buccal soft tissue defects usually require fasciocutaneous flaps for reconstruction. However, no ideal flap has been established for reconstruction.

    Methods: A retrospective chart review of head and neck reconstruction performed at Taipei Veterans General Hospital between 2003 and 2012 was conducted. Read More

    Long-term 3-Dimensional Volume Assessment After Fat Repositioning Lower Blepharoplasty.
    JAMA Facial Plast Surg 2016 Mar-Apr;18(2):108-13
    Private practice, Orange County, California.
    Importance: First reported 3-dimensional quantitative study of the lower periorbital area after lower blepharoplasty using the fat repositioning technique.

    Objective: To determine the volumetric effects lower blepharoplasty with fat repositioning provides to the tear trough and deep fat compartments of the upper cheek.

    Design, Setting, And Participants: A retrospective electronic medical chart review (16-month study with a minimum of 10-month postoperative evaluation) was performed on 12 initial patients recruited to a private practice; 2 patients were lost to long-term follow-up. Read More

    Combined Intralesional Neodymium-Doped Yttrium Aluminium Garnet Laser and Intratumoral Ligation as Curative Treatment for Craniofacial Arteriovenous Malformations.
    J Craniofac Surg 2016 Mar;27(2):445-9
    *Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University; Princess Sirindhorn Craniofacial Center, King Chulalongkorn Memorial Hospital †Division of Neuroradiology, Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
    Craniofacial arteriovenous malformation (AVM), although very rare, has been a very difficult problem to treat especially when it is large and involves important structures. Surgical resection often results in unacceptable complications but still not curative. At our institution, treatment by combined intralesional neodymium-doped yttrium aluminium garnet laser and intratumoral ligation has been successful in venous malformation. Read More

    Ultrasonic measurement of facial tissue depth in a Northern Chinese Han population.
    Forensic Sci Int 2016 Feb 19;259:247.e1-6. Epub 2015 Dec 19.
    Department of Neurology, The First Hospital of Jilin University, Xinmin Street 71#, 130021 Changchun, Jilin Province, China. Electronic address:
    In forensic anthropology, facial soft tissue depth measurement is crucial for craniofacial reconstruction technology, which is based on the morphological features of human faces to rebuild appearances of decedents, helps forensic scientists to identify the nameless bone. We measured the facial tissue depth of 135 young subjects from northern China whereby revealing the relationship among tissue depth, sex and BMI as well as providing data for craniofacial reconstruction in forensic science. All the volunteers are healthy medical students including 64 males and 71 females. Read More

    Technical note: An in vitro study of dental microwear formation using the BITE Master II chewing machine.
    Am J Phys Anthropol 2015 Dec 26;158(4):769-75. Epub 2015 Aug 26.
    Department of Anthropology, University of Arkansas, Fayetteville, AR, 72701.
    Dental microwear has been used for decades to reconstruct the diets of fossil hominins and bioarchaeological populations. The basic theory has been that hard-brittle foods (e.g. Read More

    Lengthening Temporalis Myoplasty for Single-Stage Smile Reconstruction in Children with Facial Paralysis.
    Plast Reconstr Surg 2016 Apr;137(4):1251-61
    Los Angeles, Calif. From the Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles.
    Background: Free muscle transfer for dynamic smile reanimation in facial paralysis is not always predictable with regard to cosmesis. Hospital stays range from 5 to 7 days. Prolonged operative times, longer hospital stays, and excessive cheek bulk are associated with free flap options. Read More

    Simplifying Blepharoplasty.
    Plast Reconstr Surg 2016 Jan;137(1):196e-213e
    Los Angeles, Calif. From the Division of Oculoplastic Surgery, Department of Ophthalmology, Keck School of Medicine of the University of Southern California; and the Division of Plastic Surgery, David Geffen School of Medicine, University of California, Los Angeles.
    Blepharoplasty remains one of the most common aesthetic procedures performed today. Its popularity stems partly from the ability to consistently make significant improvements in facial aesthetics with a relatively short operation that carries an acceptable risk profile. In this article, the authors attempt to simplify the approach to both upper and lower lid blepharoplasty and provide an algorithm based on the individual findings for any given patient. Read More

    A New Double Trapezoid-Shaped Osteotomy for Reduction Malarplasty.
    J Craniofac Surg 2016 Jan;27(1):87-93
    Braun Plastic Surgery Clinic, Seoul, Korea.
    Background: Various surgical techniques have been introduced and developed for the reduction of wide zygomatic bone. However, the previous methods have several disadvantages, including the following: potential cheek droop, a limited amount of possible volume reduction, an unfavorable contour due to nonunion, and limited inward repositioning of the zygomatic arch. Thus, the authors introduce an effective method to overcome the limitations and disadvantages of other previous reduction malarplasty techniques. Read More

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