J Oral Maxillofac Surg 2017 Jun 24. Epub 2017 Jun 24.

Professor, Department of Plastic Surgery, Minhang Shanghai Hospital, Shanghai, China. Electronic address:

Purpose: Reduction malarplasty is one of the most common esthetic surgical procedures performed in the Asian population. Traditional procedures have several complications, such as bone nonunion, malunion, cheek drooping, and damage to the infraorbital nerve and maxillary sinus. Therefore, a more straightforward and effective method of reducing the width of the midface is needed. Read More

J Stomatol Oral Maxillofac Surg 2017 Jul 3. Epub 2017 Jul 3.

Department of Plastic, Reconstructive and Maxillo-facial Surgery, Henri-Mondor Hospital, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.

Objective: The aim of this study was to describe a technique for midface rejuvenation combining lower blepharoplasty, midcheek lift and autologous fat transfer.

Methods: All patients who underwent a midface rejuvenation procedure performed by the same surgeon and using a classic subciliary blepharoplasty surgical approach were identified. The technique combined three distinct procedures: lower blepharoplasty with use of a transposition flap of orbital adipose tissue in the medial and central compartment to reduce the subpalpebral bags and attenuate the palpebrojugual sulcus; midcheek lift in the preperiosteal plane with trans-osseous fixation exerting traction on the soft tissues of the cheek along several vectors; autologous fat transfer to offset the loss of volume in the target area. Read More

Facial Plast Surg Clin North Am 2017 Aug;25(3):443-461

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA. Electronic address:

Successful reconstruction of the cheek following excision for cutaneous malignancy requires careful consideration of defect location, size, and depth in relation to the anatomic properties of the affected cheek unit. Various reconstructive options are available to the surgeon, ranging from simple excisions to complex cervicofacial advancements to meet the needs for functional and aesthetically pleasing reconstructive outcomes. The surgeon must prevent distortion of mobile structures, such as the eyelid, nose, and lips; respect aesthetic subunits; and avoid blunting natural creases. Read More

Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.

Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.

Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

Urologiia 2017 Jun(2):82-87

Department of Andrology and Urology, V.I. Kulakov Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia, Moscow, Russia.

Aim: To improve treatment results in patients after multiple hypospadias repairs by optimizing the postoperative management.

Materials And Methods: Eighty-two patients (mean age 48.1+/-15. Read More

Microsurgery 2017 May 23. Epub 2017 May 23.

Department of Plastic Surgery, Microsurgery and Burn Center "J. Ioannovich", Athens General State Hospital "G. Gennimatas", Athens, Greece.

The current concepts in the aesthetic and functional reconstruction of complex oromandibular defects are presented with a case of a patient with self-inflicted gunshot wound to the face. The patient presented with a 6 cm composite mandibular defect; the buccomandibular and suborbital aesthetic zones of the cheek along with the mucosa lining, and the ipsilateral facial musculature were missing. A rapid prototyping model of the facial skeleton was used to assist in preoperative planning. Read More

Plast Reconstr Surg Glob Open 2017 Apr 7;5(4):e1291. Epub 2017 Apr 7.

Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colo.; and Division of Plastic Surgery, Departments of Surgery and Otolaryngology, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colo.

Multiple, simultaneous skin cancers of the face are common. This is the first description of reconstructing discontinuous facial defects (i.e. Read More

J Craniofac Surg 2017 Jun;28(4):1084-1087

*Department of Maxillofacial Surgery, Azienda Ospedaliera San Paolo †Department of Maxillofacial Surgery, Fondazione IRCCS Ca' Grande Ospedale Maggiore, Milan, Italy.

The myomucosal buccinator flap, first described by Bozola in 1989, has become an important tool for intraoral defects reconstruction. In the literature, there is a variety of proposed myomucosal cheek flaps, both pedicled and island, based on the buccal or the facial arteries. From January 2007 to December 2011, the authors used a pedicled buccinator flap based posteriorly on the buccal artery to reconstruct partial lingual defects following tumor resection in 27 patients. Read More

Dermatol Surg 2017 Apr 3. Epub 2017 Apr 3.

*All authors are affiliated with the Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Background: The typical reconstructive option for closing large-sized defects of the distal half of the nose is the paramedian forehead flap. Other alternatives are a melolabial interpolation flap and bilobed or trilobed flaps. The dorsal nasal (Rieger) flap is suitable for closing small-sized defects at this location, especially when they are medially located. Read More

J Drugs Dermatol 2017 Mar;16(3):288-290

Ann Maxillofac Surg 2016 Jul-Dec;6(2):219-222

Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.

Background: Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Present study evaluated the feasibility of contralateral Pectoralis Major Myocutaneous Flap for reconstruction after resection of recurrent tumour. Read More

Microsurgery 2017 Mar 13;37(3):243-247. Epub 2017 Mar 13.

Department of Plastic Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.

Simultaneous maxillary and mandibular reconstruction is exceedingly rare. These are complicated cases, requiring consideration of multiple variables: defect components, donor site morbidity, recipient vessels, and so forth. We describe a unique case of secondary maxillary/mandibular reconstruction in a 59-year-old male. Read More

Plast Reconstr Surg Glob Open 2016 Dec 13;4(12):e1160. Epub 2016 Dec 13.

Department of Plastic and Reconstructive Surgery, Fukuoka Sanno Hospital, Fukuoka, Japan; and Department of Plastic and Reconstructive Surgery, International University of Health and Welfare Hospital, Tochigi, Japan.

Expanded local flaps and skin grafts (expanded/nonexpanded) are a common approach for reconstructing medium (1.5-20 cm) and large (>20 cm) divided nevi of the eyelids. However, this approach does not often provide a satisfactory cosmetic result, particularly in Asian patients, because of different skin types. Read More

Pan Afr Med J 2016 21;25:245. Epub 2016 Dec 21.

Service Chirurgie Plastique, Hôpital Avicenne Rabat, Clinique des Nations Unis Rabat, Maroc.

Dermatol Surg 2017 Mar 13. Epub 2017 Mar 13.

*All authors are affiliated with the Department of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York.

Plast Reconstr Surg Glob Open 2017 Feb 22;5(2):e1230. Epub 2017 Feb 22.

Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: Lower eyelid reconstruction after tumor removal is always challenging, and full-thickness defects beyond half of the eyelid length require a flap from a part other than the remaining lower eyelid, such as the temporal area or the cheek.

Objective: We aimed to report our experience of applying Smith-modified Kuhnt-Szymanowski, one of the most popular procedures for paralytic ectropion, for reconstructing oblong full-thickness lower eyelid margin defect.

Materials And Methods: We performed Smith-modified Kuhnt-Szymanowski on 5 cases of oblong full-thickness lower eyelid margin defect after skin cancer removal. Read More

Plast Reconstr Surg Glob Open 2017 Feb 3;5(2):e1226. Epub 2017 Feb 3.

Plastic and Reconstructive Surgery, University of Montreal, Montreal, Quebec, Canada; and Division of Plastic and Reconstructive Surgery, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada.

Craniomaxillofacial reconstruction using virtual surgical planning, computer-aided manufacturing, and new microsurgical techniques optimizes patient-specific and defect-directed reconstruction. A 3D customized free deep circumflex iliac artery (DCIA) flap with intraoral anastomoses was performed on a 23-year-old man with a posttraumatic right zygomatico-maxillary defect with failure of alloplastic implant reconstruction. An osseous iliac crest flap was sculpted based on a customized 3D model of the mirror image of the patient's unaffected side to allow for perfect fit to the zygomatico-maxillary defect. Read More

Am J Otolaryngol 2017 May - Jun;38(3):351-353. Epub 2017 Jan 18.

Indiana University School of Medicine, Indianapolis, IN, Department of Otolaryngology - Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, United States. Electronic address:

Importance: Reconstruction of the midface remains a challenging task for even the most experienced surgeon, with a host of reconstructive options including free tissue transfer, allografts, or prosthetic implants. Presented here is a case of idiopathic bony destruction of the right midface in a 19year old female, creating a unique defect requiring repair.

Objective: Demonstrate a unique case of severe maxillary degeneration and discuss the associated reconstructive challenges and final repair with a prosthetic implant. Read More

Am J Transplant 2017 Jul 9;17(7):1935-1940. Epub 2017 Mar 9.

Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute, Amiens, 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 posttransplantation year, at 90 months posttransplantation 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

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

Plast Reconstr Surg 2017 Jan;139(1):139e-150e

Cleveland, Ohio; and Cairo, Egypt From the Departments of Plastic Surgery and Anatomy, Cleveland Clinic; and the Department of Plastic Surgery, Cairo University.

Learning Objectives: After studying this article, the participant should be able to: 1. Define the anatomy of the lower eyelid tarsoligamentous framework and the related periorbital retaining ligaments, and cite their surgical relevance. 2. Read More

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

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.

Cir Cir 2017 Jul - Aug;85(4):279-283. Epub 2016 Dec 10.

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

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

Facial Plast Surg Clin North Am 2017 Feb;25(1):37-43

Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Sciences Center at Houston, 6400 Fannin Street, Houston, TX 77030, USA.

Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. Read More

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

J Am Acad Dermatol 2016 Dec;75(6):e229-e230

Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address:

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

Dermatol Surg 2016 Nov;42(11):1297-1298

Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

J Cutan Med Surg 2017 Mar/Apr;21(2):167-169. Epub 2016 Oct 25.

1 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

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

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

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

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

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

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

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

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

J Craniofac Surg 2016 Sep;27(6):e539-41

*Department of Plastic and Reconstructive Surgery, Medical Faculty, Dicle University, Diyarbakir †Department of Plastic and Reconstructive Surgery, Medical Faculty, Katip Çelebi University, Izmir, Turkey.

After the repair of large defects of the lower lid and the infraorbital region using larger flaps without adequate support, retractions of the lower lid may be observed due to the weight of the flap. In this study, the authors' aim is to present the outcome of the repairs they performed on large defect areas in the lower lid and the infraorbital region using cheek flaps suspended by a dermofat flap.The method was performed on 7 patients between 2011 and 2015. Read More

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

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

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

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

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

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

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

J Craniofac Surg 2016 Jul;27(5):e465-8

*Department of Plastic and Reconstructive Surgery, College of Medicine†Institute of Tissue Regeneration, Soonchunhyang University, Cheonan, Republic of Korea.

Dentigerous cyst (DC), also known as follicular cyst, is an odontogenic cyst with fluid accumulation between the crown and enamel organ of an unerupted tooth, pushing the crown away from the alveolar bone. The patients with DC in the maxillary sinus should be evaluated thoroughly by extraoral and intraoral examinations, proper diagnostic imaging procedures, and pathologic examination to avoid misdiagnosis of maxillary sinusitis. The standard treatment for DC in the maxillary sinus is often removed by Caldwell-Luc approach. Read More

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

Plast Reconstr Surg 2016 Jul;138(1):74-82

Seoul, Republic of Korea From the Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Severance Hospital & Gangnam Severance Hospital; Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital; and the JW Plastic Surgery Clinic.

Background: Narrow and chubby pretarsal fullness is a characteristic of attractiveness and youthfulness, and pretarsal augmentation has gained popularity in Asia. Conventional lower blepharoplasty has focused on correcting the aged appearance of the lower eyelids by repositioning fat and removing excess skin. However, this technique can create flat lower eyelids and provide an indication that cosmetic surgery was performed. Read More