Search Our Scientific Publications & Authors

J Craniomaxillofac Surg 2018 Dec 6;46(12):2127-2137. Epub 2018 Oct 6.

Clinic of Otorhinolaryngology-Head and Neck Surgery, Department of Surgery and Translational Medicine, University of Florence, AOU-Careggi, Via Largo Palagi 1, 50134, Florence, Italy.

Purpose: Local flaps are currently considered the main reconstructive option for medium-size oral and peri-oral defects; however, their indications are sometimes challenging to select. The aim of this study was to critically analyse their selection and to propose a therapeutic algorithm.

Materials And Methods: We performed a search on PubMed regarding the medium-size oral and peri-oral defects reconstruction, and we collected data on the aetiology, the location of the defect, the type of flap used and postoperative complications. Read More

Fa Yi Xue Za Zhi 2018 Aug 25;34(4):363-369. Epub 2018 Aug 25.

National Engineering Laboratory for Crime Scene Evidence Investigation and Examination, Beijing Engineering Research Center of Crime Scene Evidence Examination, Institute of Forensic Science, Ministry of Public Security, Beijing 100038, China.

Objectives: To search age-correlated facial features and construct an age estimation model based on the three-dimensional （3D） facial images of Xinjiang Uygur males, and to structure individual face images of old age and young age.

Methods: Pretreatment was performed to collect 105 3D facial images of Xingjiang Uygur males aged between 17-57 years by Artec Studio software. The facial images were transferred to high-density 3D dot matrix data by FaceAnalysis software, and each image could be represented with 32 251 vertexes. Read More

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S53-S58

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Craniofacial Research Center, Taoyuan.

Objective: To compare the surgical results of early treatment of zygomatic fractures with and without the use of the computer-assisted navigation system.

Methods: All patients with unilateral traumatic zygomatic fractures treated within 30 days after the injury at a single center between June 2012 and May 2017 were studied retrospectively. Primary outcome was defined by the displacement at 5 junctional sutures of zygomatic bone, the change at each point before and after the reconstruction, and the patient's subjective scoring of their appearance. Read More

Head Neck 2018 Nov 17. Epub 2018 Nov 17.

Department of Head and Neck Surgery, Centre Antoine Lacassagne, Nice, France.

Background: Preservation of facial harmony is a major challenge in reconstruction after resection of head and neck skin tumors. For large medial cheek-skin defects, we used a derived posterior-based cervicofacial flap, or cervical-medial cheek flap (CMCF).

Methods: We present a retrospective review of cases treated at a university-based cancer center. Read More

J Mamm Evol 2018 28;25(4):551-564. Epub 2017 Jul 28.

2Department of Geology, Kent State University at Tuscarawas, 330 University Drive NE, New Philadelphia, OH 44663 USA.

Recently, dental microwear analysis has been successfully employed to xenarthran teeth. Here, we present new data on use wear features on 16 molariforms of and . These taxa count among the earliest sloths and are known from the Deseadan SALMA (late Oligocene). Read More

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

Anat Rec (Hoboken) 2018 Oct 17. Epub 2018 Oct 17.

Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey.

The charismatic and diverse ornithischian dinosaurs exhibited some of the most extreme examples of cranial anatomy, inspiring decades of investigation into their muscular anatomy. Current ornithischian jaw muscle reconstructions, although parsimonious, pose concerns of small adductor muscles and caudally displaced insertions relative to mandibular proportions. Here, craniomandibular material of ornithischian genera spanning all subclades is reexamined for osteological correlates indicative of intracranial and oral soft tissues. Read More

J Oral Maxillofac Surg 2018 Sep 20. Epub 2018 Sep 20.

Plastic Surgeon Practitioner, Plastic and Reconstructive Surgery, François Mitterand Hospital, Dijon; Plastic and Esthetic Surgery Department, Hôpital Tenon, Paris, France. Electronic address:

Purpose: Lower lid defects involving more than 75% of the lid's length or affecting the cheek are usually reconstructed with a Mustardé rotational cheek flap. This solution often induces postoperative ectropion. The Texier procedure (an upper lid myocutaneous flap and a chondromucosal alar graft) is usually indicated for 1-step reconstruction of full-thickness defects involving less than 50% of the lower lid. Read More

World J Urol 2018 Oct 10. Epub 2018 Oct 10.

Department of Urology, University Children's Hospital, Tirsova 10, Belgrade, 11000, Serbia.

Purpose: Severe hypospadias repair still presents a great challenge. We evaluated a novel approach of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and new urethral plate creation, in combination with longitudinal dorsal island skin flap, as a one-stage repair of severe hypospadias.

Methods: Between July 2014 and September 2017, 26 patients (aged from 12 to 22 months) underwent scrotal hypospadias repair. Read More

J Plast Reconstr Aesthet Surg 2018 Sep 20. Epub 2018 Sep 20.

Department of Plastic and Reconstructive Surgery(,) Antalya Training and Research Hospital(,) Varlık, Kazım Karabekir Cd.(,) 07100 Antalya(,) Turkey. Electronic address:

Full-thickness skin grafts (FTSGs) and flaps from the upper eyelid or cheek can be used for reconstruction of lower eyelid defects, including the anterior lamella. However, the upper eyelid has a limited and insufficient amount of skin, whereas cheek flaps have a restricted arch of rotation. Here we report the procedure and outcomes of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects including the anterior lamella. Read More

Arch Craniofac Surg 2018 Sep 20;19(3):231-234. Epub 2018 Sep 20.

Department of Pathology, Pusan National University Hospital, Busan, Korea.

A schwannoma is a benign tumor that develops from Schwann cells. It is known to occur more frequently in women than men, and about one third of schwannoma cases occur in the head and neck area. It is also known to originate mainly in the auditory nerve. Read More

Plast Reconstr Surg Glob Open 2018 Jun 11;6(6):e1821. Epub 2018 Jun 11.

Plastic and Reconstructive Surgical Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.

The appropriate reconstruction of an infrastructure maxillectomy defect requires vascularized bone for maxillary arch restoration, soft tissue bulk for filling the residual defect extending up to the orbital floor, and a thin tissue layer for resurfacing the palate and adjacent cheek mucosa. Although several free tissue flaps have been previously described as reconstructive options, each possesses limitations. We describe the fibula osteofascial flap with flexor hallucis longus muscle, no skin paddle, and a "gullwing" fascial component, as an ideal reconstructive option for these specific maxillary defects. Read More

Am J Case Rep 2018 Oct 2;19:1168-1174. Epub 2018 Oct 2.

Department of Orthodontics and Radiology, School of Dentistry, University City of São Paulo (UNICID), São Paulo, SP, Brazil.

BACKGROUND The clivus is a depression in the anterior occipital bone of the skull base, posterior to the dorsum sellae, at the junction with the sphenoid bone. Chordoma is a rare tumor arising from embryonic remnants of the notochord and can be locally aggressive with a tendency to recur. The optimal management of this rare tumor remains controversial. Read More

World J Surg Oncol 2018 Sep 28;16(1):194. Epub 2018 Sep 28.

Department of Oromaxillofacial-Head and Neck Surgery, No. 117, Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China.

Background: For reconstructive surgeons, massive midface defects, including large, full-thickness wounds on the upper lip, can be very challenging. Although there are many methods for reconstruction of upper lip defects, it is difficult to obtain satisfactory restoration of oral functions and good cosmetic results.

Case Presentation: This case report presents a man with massive midface defects, including upper lip, left nose, and cheek defects. Read More

Ann Plast Surg 2018 Sep 11. Epub 2018 Sep 11.

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

J Craniofac Surg 2018 Oct;29(7):1900-1902

Department of Plastic & Reconstructive Surgery.

A patient presented with a complex penetrating facial wound by high temperature steel. The hot steel penetrated right temple, ethmoid bone, and maxillary sinus, and then exited from his left cheek. He kept his right eye but lost his sight. Read More

Dermatology 2018 31;234(3-4):99-104. Epub 2018 Jul 31.

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Skin cancer removal surgery involving the tip or dorsum of the nose often results in large-sized defects with exposure of cartilage. In such cases, the paramedian forehead flap is a frequently used reconstruction technique; however, this method is complex and can result in a cosmetically unsatisfying outcome.

Objective: To describe the folded transposition flap as an aesthetically pleasing alternative to the paramedian forehead flap for large nasal defects with exposed cartilage. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(13):1002-1005

Department of Oral and Maxillofacial Surgery, the Affiliated Stomatology Hospital of Southwest Medical University, Luzhou, 646000, China.

To investigate the therapeutic effect of folded free radial forearm flaps (RFF) for reconstruction of full-tickness cheek defects after the resection of buccal carcinoma.Seventeen cases of buccal carcinoma received radical neck dissection with cheekectomy and mandibulectomy, and the folded RFF to reconstruct full-tickness cheek defects simultaneously. Preoperative Allen test, ultrasonic doppler blood flow meter examination or computed tomography angiography confirmed good vascular condition of the forearm. Read More

Arch Craniofac Surg 2018 Sep 27;19(3):227-230. Epub 2018 Jun 27.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

"Paraffinoma" is a well-recognized complication of paraffin oil injection into various body parts for an aesthetic purpose. After a variable latency phase, paraffinoma can present as a wide range of clinical symptoms. This paper is a case report of surgical excision of the paraffinoma and subsequent reconstruction of the associated skin defect on bilateral preauricular cheeks, manifesting 50 years after a primary injection. Read More

Ophthalmic Plast Reconstr Surg 2018 Sep/Oct;34(5):491-496

Department of Ophthalmology, Assaf Harofeh Medical Center, Tel Aviv University-Sackler School of Medicine, Tel Aviv, Israel.

Purpose: The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections. The authors report herein how they have applied this algorithm for surgical shaping of the "beautiful" cheek as a routine part of their lower blepharoplasty procedure. Read More

Cureus 2018 Apr 25;10(4):e2536. Epub 2018 Apr 25.

Department of Plastic & Reconstructive Surgery, Oppenheimer Plastic Surgery, Orlando, USA.

Rhinophyma is the final stage in the evolution of acne rosacea, a common vasoactive dermatosis. Individuals with rhinophyma present with a typical, disfiguring nasal appearance consisting of bulbous enlargement, erythema, and telangiectasia with a sebaceous, oily skin surface. This classic appearance permits a facile diagnosis but may also lead the physician to overlook a coexistent malignancy. Read More

Minerva Stomatol 2018 Jun;67(3):139-140

Department of Medicine and Surgery, University of Salerno, Salerno, Italy.

Plast Reconstr Surg 2018 07;142(1):56-65

Dallas, Texas From the Dallas Plastic Surgery Institute and the Department of Plastic Surgery and the Touchstone Diabetes Center, Department of Internal Medicine, University of Texas Southwestern Medical Center.

Background: Fat grafting has been used extensively in plastic surgery in the past two decades. Here, the authors report the retrospective comparison of patients who underwent fractionated fat injection to blend the lid-cheek junction with those who had regular fat injection.

Methods: After obtaining institutional review board approval, a retrospective review of patients who underwent lower blepharoplasty with fractionated fat injection for blending the lid-cheek junction from January of 2014 through October of 2015 was performed. Read More

Int J Legal Med 2018 Jun 6. Epub 2018 Jun 6.

Institute of Legal Medicine, University of Freiburg, Faculty of Medicine, Albertstrasse 9, 79104, Freiburg im Breisgau, Germany.

In urban traffic accidents, mainly pedestrians and cyclists are at risk of being injured and killed. Lethal injuries are usually caused by the immediate impact of a car or a tram. This paper presents a fatal accident without any direct contact with a motor vehicle. Read More

Plast Reconstr Surg Glob Open 2018 Apr 13;6(4):e1725. Epub 2018 Apr 13.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Japan.

A 66-year-old man had developed a tumor on his right cheek. A biopsy revealed basal cell carcinoma. The ulcerative cancer and zygomatic bone were resected. Read More

Maxillofac Plast Reconstr Surg 2018 Dec 25;40(1):11. Epub 2018 May 25.

2Institute of Translational Dental Sciences, Pusan National University, Yangsan, South Korea.

Background: Squamous cell carcinoma (SCC) is the most commonly occurring malignant tumor in the oral cavity. In South Korea, it occurs most frequently in the mandible, tongue, maxilla, buccal mucosa, other areas of the oral cavity, and lips. Radial forearm free flap (RFFF) is the most widely used reconstruction method for the buccal mucosal defect. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):51-54

The Second Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, 100041,

Objective: To present method and experiences in using the buccal mucosa with the Snodgrass procedure for repair of hypospadias.

Methods: Between August 2012 and April 2015, 55 boys with hypospadias were treated with Snodgrass procedure combined with buccal mucosa. The age ranged from 1 to 7 years (mean, 4 years). Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jul;31(14):1100-1102

Department of Otorhinolaryngology Head and Neck Surgery, Enshi Central Hospital, Enshi, 445000, China.

The aim of this study is to sum up the different surgical repair methods and techniques for the skin defect of head and face.A retrospective study on 97 cases of the face and head skin defect caused by trauma and tumor resection in nearly five years, including 37 cases on nasal, 21 cases on cheek, 9 cases on frontal, 13 cases on temporal, and 17 cases on ear. After resecting skin lesion in security boundary, skin defect were repaired by transposition adjacent flap, zone vascular pedicle flap, myocutaneous flap and the mucosal flap. Read More

Ann Plast Surg 2018 Oct;81(4):427-432

From the Department of Plastic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Background: Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. Read More

Semin Plast Surg 2018 May 14;32(2):84-89. Epub 2018 May 14.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

The cheek is the largest facial unit with a prominent position on the face. Trauma, burns, and the resection of skin cancers constitute common sources of injury, potentially resulting in defects that, through natural healing, produce noticeable scarring. Surgical repair focuses on the reformation of three-dimensional geometries, proper establishment of symmetry, and the minimization of color and texture discrepancies to the surrounding. Read More

Plast Reconstr Surg 2018 06;141(6):1351-1359

Munich, Germany; Salzburg, Austria; Sacramento, Calif.; Albany, N.Y.; and Zurich, Switzerland From the Department of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians University; the Department of Radiology, Paracelsus Medical University Salzburg and Nuremberg; the Department of Cell Biology and Physiology, University of Salzburg, the Department of Facial Plastic Surgery, University of California-Davis Medical Center; the Department of Medical Education, Albany Medical College; and the Division of Thoracic Surgery, University Hospital Zurich.

Background: The superficial (subcutaneous) facial fat compartments contribute to the signs of facial aging, but a comprehensive anatomical description of their location and their functional behavior during the application of soft-tissue fillers remains elusive.

Methods: The authors investigated 30 fresh frozen cephalic specimens from 13 male and 17 female Caucasian body donors (age, 78.3 ± 14. Read More

Microsurgery 2018 Oct 2;38(7):795-798. Epub 2018 May 2.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation. Read More

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):393-395

Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Purpose: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs.

Methods: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits. Read More

Plast Reconstr Surg 2018 04;141(4):914-915

Beverly Hills, Calif. From the David Geffen School of Medicine at UCLA.

Ann Anat 2018 May 26;217:111-117. Epub 2018 Mar 26.

Department of Biological and Material Sciences in Dentistry, Faculty of Health, Witten/Herdecke University, Witten, Germany. Electronic address:

Background: The superficial musculoaponeurotic system (SMAS), a structure that has been discussed with some controversy, has a complex morphological architecture.

Material And Methods: Histological analysis was performed on tissue blocks of the nasolabial fold (NLF) collected postmortem from formalin-fixed bodies of one male and one female donor. Serial histological sections were made, stained and digitized. Read More

Oman J Ophthalmol 2018 Jan-Apr;11(1):21-27

Department of Pathology, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India.

Purpose: To analyze varying clinical presentations, histopathological features, and management outcome of sebaceous gland carcinoma (SGC) of the eyelid.

Materials And Methods: We retrospectively reviewed medical records of 30 patients with histologically proven cases of SGC of eyelid treated at tertiary care hospital.

Results: Patients were in the age group of 28-80 years, among which 18 (60%) were females and 12 (40%) were males. Read More

Dermatol Surg 2018 07;44(7):918-923

Division of Dermatology, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.

Background: Lentigo maligna is an in situ form of cutaneous melanoma that commonly arises on the head and neck. Various surgical and nonsurgical treatment options are available but no randomized trials exist to guide practice.

Objective: To determine the current treatment practices for lentigo maligna of the head and neck in Ontario, Canada. Read More

Eye (Lond) 2018 07 14;32(7):1259-1264. Epub 2018 Mar 14.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, SA, Australia.

Purpose: Propeller flaps are island flaps that reach the recipient site through an axial rotation. The flap has a subcutaneous pedicle on which it pivots, thereby resembling a helicopter propeller. We present our series of propeller flaps for the reconstruction of large eyelid defects. Read More

J Craniofac Surg 2018 Jul;29(5):e459-e461

Plastic and Reconstructive Surgery Division, Hospital General "Dr Manuel Gea Gonzalez," Mexico City, Mexico.

Vascular abnormalities are localized structural irregularities, which are performed during vasculogenesis, angiogenesis, and lymphangiogenesis. The involvement of soft tissue in such vascular malformations is frequent; however, the compromising of the buccal fat pads (Bichat bags) is uncommon, even in specialized centers, such as the plastic clinic of our institution, in which very few patients have been reported in the literature. The purpose of this article is to present a series of 2 patients in which vascular malformations involving the buccal fat pads, which were extracted by intraoral approach. Read More

J Craniofac Surg 2018 Jun;29(4):e396-e398

Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.

The complex area for reconstruction of the head and the neck is the buccal because of difficult anatomy of this region. This article aimed to describe our individualized design for the reconstruction of the buccal using an different categories anterolateral thigh (ALT) flap. Ninety-four patients were involved in this study. Read More

Ann Plast Surg 2018 May;80(5):500-502

From the Plastic & Reconstructive Surgery Department, Mansoura University, Mansoura, Egypt.

Oral chemical burn injuries induce more damage to the underlying tissues with extensive scarring. It is very well known that alkali causes severe liquefaction necrosis and injury to the deeper tissues. Pediatric facial burns must be managed thoroughly and always require complex reconstruction, which is a challenging process. Read More

Plast Reconstr Surg 2018 03;141(3):447e-448e

Department of Plastic Surgery Department of Orthopedic Surgery Department of Plastic Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

J Craniofac Surg 2018 May;29(3):800-803

Choi's Aesthetic Plastic Surgical Clinic, Seoul, Korea.

The aim of this study is to search for the origin of the term "ligament' in the face, present its status, and suggest a principle to rectify the use of unclear terminology.The structure that connects the zygoma to the skin was first presented by McGregor (1959). Kaye (1981), in describing his "extended facelift," wrote that the adherent area of the cheek over the malar eminence (McGregor's patch) usually requires sharp dissection. Read More

Plast Reconstr Surg 2018 03;141(3):448e-449e

Sieber Plastic Surgery, San Francisco, Calif. Dallas Plastic Surgery Institute, Dallas, Texas.

Clin Exp Dermatol 2018 Jul 20;43(5):607-609. Epub 2018 Feb 20.

Dermatology Surgical Unit, Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Trust, Victoria Road, Newcastle upon Tyne, NE1 4L, UK.

J Craniofac Surg 2018 May;29(3):e290-e291

Plastic and Reconstructive Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Italy.

Merkel cell carcinoma (MCC) is a rare and aggressive skin cancer with a neuroendocrine phenotype. Here, the authors reported a case of MCC, presented as a rapidly growing, asymptomatic, erythematous nodule measuring 3.8 cm × 2. Read More

Orbit 2018 Feb 6:1-18. Epub 2018 Feb 6.

a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.

To provide an extensive literature review on the clinical indications of oral mucosa grafts (OMG) and minor salivary gland grafts (MSGG) in periorbital reconstruction together with safe practice graft harvesting techniques to minimize donor-site morbidity. A literature review was performed by searching the databases of PUBMED, EMBASE, and COCHRANE library using the keywords: minor salivary glands; oral mucosal graft; orbit; and eye. The bibliographies of the pertinent articles were examined for additional papers. Read More

Int J Oral Maxillofac Surg 2018 Oct 7;47(10):1274-1280. Epub 2018 May 7.

Department of Oral and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.

The aim of this study was to characterize the standard morphology of the oral commissure and to describe the changes after reconstruction in patients with through-and-through cheek defects involving the oral commissure. Indices for the morphological analyses of the commissure were derived from examinations of 50 normal Japanese volunteers. Ten patients with full-thickness cheek defects involving the commissure were then evaluated. Read More

Oral Maxillofac Surg 2018 Jun 2;22(2):151-156. Epub 2018 Feb 2.

Maxillofacial Surgery Operative Unit, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy.

Background: The sensitive restoration is a primary aim of oral reconstructive surgery. The Semmes-Weinstein monofilament test is the "Gold Standard" to assess the threshold of tactile sensitivity on the skin but its use in the oral cavity is limited due to the size of the tools. We adopted half-cut Semmes-Weinstein monofilaments to evaluate the threshold of tactile sensitivity in oral reconstructions with buccinator myomucosal flaps. Read More

Dermatol Surg 2018 Jun;44(6):785-795

Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.

Background: The paramedian forehead flap (PMFF) is the repair of choice for large nasal defects involving multiple cosmetic subunits. However, the PMFF may not be optimal for all patients. The combination of a melolabial interpolation flap (MLIF) and a nasal sidewall flap may serve as an alternative. Read More