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    Iris suture fixation: Push-knot needle.
    J Cataract Refract Surg 2017 Apr;43(4):456-458
    From Dongguan Aier Ophthalmic Hospital (Liu), Dongguan, the Department of Ophthalmology (Geng), the First Affiliated Hospital of Kunming Medical University, Kumming City, and the Department of Ophthalmology (Chen), First Hospital of Xi'an, Shanxi Institute of Ophthalmology, Shanxi Provincial Key Laboratory of Ophthalmology, Xi'an, Shanxi, China; the Department of Ophthalmology and Visual Sciences (Zhou, Yu, Guaiquil, Rosenblatt), Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA. Electronic address:
    We describe a technique to create a locking knot for iris reconstruction or intraocular lens fixation. A modified needle is prepared by straightening the tip of an ophthalmic viscosurgical device needle or a lacrimal cannula needle. After the suture is passed through 2 sides of an iris defect, the 2 ends are externalized and looped. Read More

    Cartilage engineering in reconstructive surgery: auricular, nasal and tracheal engineering from a surgical perspective.
    Regen Med 2017 Apr 19;12(3):303-314. Epub 2017 May 19.
    Department of Hand, Plastic & Aesthetic Surgery, Ludwig Maximilian University of Munich, Pettenkoferstrasse 8a, Munich DE 80336, Germany.
    This review provides an update on cartilage tissue engineering with particular focus on the head and neck. It is aimed at scientists and clinicians who are interested in tissue engineering and its clinical applicability. Principal tissue engineering strategies are summarized in the first part of this review. Read More

    Data and Reporting Quality in Tympanoplasty and Ossiculoplasty Studies.
    Otolaryngol Head Neck Surg 2017 May 1:194599817707719. Epub 2017 May 1.
    1 Department of Otorhinolaryngology-Head and Neck Surgery, Technische Universität Dresden, Dresden, Germany.
    Objective The objective of our study was to check the documentation of hearing outcome parameters and influencing factors (surgical, pathological, and methodological) in published literature evaluating hearing outcome after tympanoplasty. We aimed to assess how effectively the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1995 guidelines were applied. Study Design Retrospective noncontrolled study. Read More

    Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting.
    Plast Reconstr Surg Glob Open 2017 Apr 19;5(4):e1301. Epub 2017 Apr 19.
    Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Chiba, Japan; Department of Plastic and Reconstructive Surgery, Asakadai Central General Hospital, Saitama, Japan; and Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan.
    Background: The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. Read More

    [Long-term Follow up and patient satisfaction after tympanoplasty with Titanium Clip-Prothesis].
    Laryngorhinootologie 2017 May 12. Epub 2017 May 12.
    HNO, Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen.
    Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. Read More

    [Tympanoplasty - News And New Perspectives].
    Laryngorhinootologie 2017 Apr 12;96(S 01):S66-S83. Epub 2017 May 12.
    Technische Universität Dresden.
    Techniques and biomaterials for reconstructive middle ear surgery are under steady, ongoing development. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. Read More

    Transcanal Endoscopic Ear Surgery for Excision of a Facial Nerve Venous Malformation With Interposition Nerve Grafting: A Case Report.
    Otol Neurotol 2017 May 11. Epub 2017 May 11.
    *Department of Otolaryngology-Head and Neck Surgery †University of Texas Southwestern Medical School ‡Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
    Objective: To illustrate a novel approach for the surgical management of a venous malformation of the facial nerve, including interposition nerve grafting, via an exclusively transcanal endoscopic ear surgery (TEES) approach.

    Patient: Thirty nine-year-old woman with a preoperative House-Brackmann (HB) grade IV facial paresis secondary to a facial nerve tumor.

    Intervention(s): Surgical excision and interposition nerve graft via a transcanal endoscopic approach. Read More

    [Intracochlear schwannoma : Tumor removal via subtotal cochleostomy and partial cochlear reconstruction with preservation of semicircular canal function. German version].
    HNO 2017 May 5. Epub 2017 May 5.
    Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
    We report about a patient who in 2005, aged 37 years, experienced sudden mild to moderate, mid-frequency sensorineural hearing loss in the right ear along with tinnitus and mild dizziness. MRI of the temporal bone revealed a very small (1 mm) contrast-enhancing lesion in the second turn of the right cochlea. Hearing gradually deteriorated with complete hearing loss in 2015. Read More

    Prosthetic reconstruction of the trachea: A historical perspective.
    World J Clin Cases 2017 Apr;5(4):128-133
    Jagdeep S Virk, Department of Otolaryngology, Head and Neck Surgery, Royal National Throat, Nose, and Ear Hospital, London WC1X 8DA, United Kingdom.
    This review discusses the history of tracheal reconstruction; from early work to future challenges. The focus is primarily on prosthetic tracheal reconstruction in the form of intraluminal stents, patch repairs, circumferential repairs and replacement of the trachea. A historical perspective of materials used such as foreign materials, autografts, allografts, xenografts and techniques, along with their advantages and disadvantages, is provided. Read More

    Do the Angle and Length of the Eustachian Tube Affect the Success Rate of Pediatric Cartilage Type 1 Tympanoplasty?
    J Craniofac Surg 2017 May;28(3):e227-e231
    *Department of Otorhinolaryngology, Head and Neck Surgery, Bakirköy Dr Sadi Konuk Training and Research Hospital, Istanbul †Department of Otorhinolaryngology, Head and Neck Surgery, Iskilip Atif Hoca State Hospital, Çorum ‡Department of Radiology, Bakirköy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
    Objectives: To investigate the relationships between the angle and length of the Eustachian tube (ET) (the ETa and the ETl) and the success rates of pediatric type 1 tympanoplasty.

    Study Design: A retrospective clinical chart review.

    Methods: In total, 51 children (31 females and 20 males; average age, 11. Read More

    The technique for 3D printing patient-specific models for auricular reconstruction.
    J Craniomaxillofac Surg 2017 Apr 6. Epub 2017 Apr 6.
    Department of Biomaterials and Biomimetics, College of Dentistry New York University, New York, NY 10010, USA. Electronic address:
    Purpose: Currently, surgeons approach autogenous microtia repair by creating a two-dimensional (2D) tracing of the unaffected ear to approximate a three-dimensional (3D) construct, a difficult process. To address these shortcomings, this study introduces the fabrication of patient-specific, sterilizable 3D printed auricular model for autogenous auricular reconstruction.

    Methods: A high-resolution 3D digital photograph was captured of the patient's unaffected ear and surrounding anatomic structures. Read More

    Frailty index: Intensive care unit complications in head and neck oncologic regional and free flap reconstruction.
    Head Neck 2017 Apr 27. Epub 2017 Apr 27.
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
    Background: Head and neck extirpations requiring reconstruction are challenging surgeries with high postoperative complication risk.

    Methods: Regional and free flap reconstructions of head and neck defects were collected from the 2006-2013 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. The modified frailty index was made of 15 variables, with increasing index scores indicative of frailer patients. Read More

    Auricular Reconstruction in Hemifacial Microsomia with an Expanded Two-Flap Method.
    Plast Reconstr Surg 2017 May;139(5):1200-1209
    Beijing, People's Republic of China From the Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.
    Background: Reconstruction of external ear is important for the child/adult with craniofacial deformities to achieve balance and harmony of the face and head. The aim of this study was to investigate the clinical application of an expanded two-flap method for auricular reconstruction in hemifacial microsomia.

    Methods: Between January of 2014 and November of 2015, 111 hemifacial microsomia patients with microtia underwent auricular reconstruction with an expanded two-flap method. Read More

    Preliminary Model for the Design of a Custom Middle Ear Prosthesis.
    Otol Neurotol 2017 Apr 24. Epub 2017 Apr 24.
    *Department of Otolaryngology †Department of Bioengineering, Temple University ‡Department of Anatomy and Cell Biology §Department of Neuroscience ||Department of Neurosurgery, Temple University School of Medicine, Philadelphia, Pennsylvania.
    Hypothesis: Custom prostheses could be used to recreate the ossicular chain and improve hearing.

    Background: Ossicular discontinuity or fixation occurs in 55% of cases of conductive hearing loss, with most cases involving the incus. Reconstruction has been achieved by a variety of methods; however, there has been little improvement in hearing outcomes in decades. Read More

    Locoregional Flaps for Oral Cavity Reconstruction: A Review of Modern Options.
    Otolaryngol Head Neck Surg 2017 Apr 1:194599817700582. Epub 2017 Apr 1.
    5 Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.
    Objective To review state-of-the-art modifications and advances in soft tissue local and regional flap reconstruction of the oral cavity and to determine the role these techniques play in current practice. Data Sources Review of the literature regarding oral cavity reconstruction. Review Methods The authors describe advances in locoregional reconstructive options and assimilate data from the literature that compare recent advances to the historic standards. Read More

    Double-handed endoscopic myringoplasty with a holding system in children: Preliminary observations.
    Int J Pediatr Otorhinolaryngol 2017 May 16;96:127-130. Epub 2017 Mar 16.
    Department of Pediatric Otorhinolaryngology, Spedali Civili, Brescia, Italy. Electronic address:
    Objectives: Endoscopic transcanal myringoplasty is a newly-introduced technique for reconstruction of tympanic membrane perforation that offers the advantage to obviate postauricular incision. The objective of this study was to evaluate the feasibility of a double-handed endoscope holder transcanal myringoplasty in children. This technique permits bimanual execution of the procedure and allows the surgeon to overcome the two significant issues of single-handed endoscope surgery, i. Read More

    Application of Curved MPR Algorithm to High Resolution 3 Dimensional T2 Weighted CISS Images for Virtual Uncoiling of Membranous Cochlea as an Aid for Cochlear Morphometry.
    J Clin Diagn Res 2017 Feb 1;11(2):TC12-TC14. Epub 2017 Feb 1.
    Assistant Professor, Department of Otorhinolaryngology, JJM Medical College , Davangere, Karnataka, India .
    Introduction: With the use of various surgical techniques, types of implants, the preoperative assessment of cochlear dimensions is becoming increasingly relevant prior to cochlear implantation. High resolution CISS protocol MRI gives a better assessment of membranous cochlea, cochlear nerve, and membranous labyrinth. Curved Multiplanar Reconstruction (MPR) algorithm provides better images that can be used for measuring dimensions of membranous cochlea. Read More

    More than just the helix: A series of free flaps from the ear.
    Microsurgery 2017 Apr 1. Epub 2017 Apr 1.
    Department of Plastic Surgery, Töölö Hospital, Helsinki University Hospital, University of Helsinki, Finland.
    Aim: We herein present our experience using free flaps harvested from the ear region in facial, nasal and intraoral reconstruction.

    Patients And Methods: Between 2011 and 2016, 19 patients underwent reconstruction using 20 free flaps from the ear region based on the superficial temporal vessels. There were 10 males and 9 females with a mean age of 57 years. Read More

    A New Technique for Conchal Cartilage Harvest.
    Arch Plast Surg 2017 Mar 15;44(2):166-169. Epub 2017 Mar 15.
    Doctorsmi Aesthetic Plastic Surgical Clinic, Daejeon, Korea.
    The goal of auricular cartilage harvest is to obtain a sufficient amount for reconstruction and to minimize the change in ear shape. The cartilage can be harvested by a posterior or anterior approach, and each method has advantages and disadvantages. The posterior approach presents the advantage of scar concealment, but there are limits to the amount of cymba cartilage that may be harvested. Read More

    A New Microtia Reconstruction Method Using Delayed Postauricular Skin Flap.
    Plast Reconstr Surg 2017 Apr;139(4):946-955
    Changsha, Hunan Province, People's Republic of China From the Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University.
    Background: This article presents a new microtia reconstruction method using a delayed postauricular skin flap.

    Methods: The surgery is scheduled in three stages, the first of which delays the postauricular skin flap and deals with the remnant auricle. Three weeks later, the second stage is carried out. Read More

    Long-Term Comparison between Human Normal Conchal and Microtia Chondrocytes Regenerated by Tissue Engineering on Nanofiber Polyglycolic Acid Scaffolds.
    Plast Reconstr Surg 2017 Apr;139(4):911e-921e
    Osaka, Japan; Akron, Ohio; and Baltimore, Md. From the Department of Plastic and Reconstructive Surgery, Kinki University Medical School, Osaka-sayama; the Department of Polymer Science, University of Akron; the Division of Plastic and Reconstructive Surgery, Akron Children's Hospital; and the Department of Orthopaedics, University of Maryland School of Medicine.
    Background: Previous regeneration studies of auricle-shaped cartilage by tissue engineering leave unresolved whether the chondrocyte phenotype from human auricular chondrocytes seeded onto polymeric scaffolds is retained over the long term and whether microtia remnants may be a viable cell source for auricular reconstruction.

    Methods: Chondrocytes were isolated from human ears, either normal conchal ear or microtia cartilage remnants, expanded in vitro, and seeded onto nanoscale-diameter polyglycolic acid sheets. These tissue-engineered constructs were implanted into athymic mice for up to 40 weeks. Read More

    NUT Midline Carcinoma of the Sublingual Gland: Clinical Presentation and Review.
    Head Neck Pathol 2017 Mar 27. Epub 2017 Mar 27.
    Department of Otolaryngology-Head and Neck Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 4000 Eye and Ear Institute, 915 Olentangy River Road, Columbus, OH, 43212, USA.
    NUT midline carcinoma (NMC) is a rare and aggressive disease encountered in the midline of the head and neck or mediastinum. Due to its sparse incidence and subtle pathologic features, we aim to increase knowledge and awareness for this pathologic entity. We present an exemplary case of a young, healthy male presenting with oral cavity pain and cervical lymphadenopathy. Read More

    Endoscopic Ear Surgery for External Auditory Canal Cholesteatoma.
    Otol Neurotol 2017 Jun;38(5):e34-e40
    *Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, University Hospital, and University of Bern †Department of Otorhinolaryngology, Head and Neck Surgery, Bürgerspital Solothurn, Solothurn, Switzerland ‡Department of Otorhinolaryngology, Head and Neck Surgery, Kansai Medical University Hospital, Hirakata, Osaka, Japan §Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana.
    Background: Treatment of external auditory canal cholesteatoma (EACC) has been a question of debate. To our knowledge and according to a systematic review of endoscopic ear surgery (EES) in 2015, this study describes for the first time the technique and outcome by solely transcanal EES for EACC.

    Study Method: Retrospective case series, level of evidence IV. Read More

    The Versatile Posterior Auricular Fascia in Secondary Rhinoplasty Procedures.
    Aesthetic Plast Surg 2017 Mar 24. Epub 2017 Mar 24.
    Double Bay Day Surgery, 20 Manning Road, Double Bay, Sydney, NSW, 2028, Australia.
    Background: Secondary rhinoplasty often involves the addition of autogenous graft material to add volume, structure, support and to camouflage cartilage and bone grafts. A variety of fascias have been used to camouflage, wrap and give "fill" in secondary rhinoplasty. The posterior auricular fascia is a source of material ideal for such purposes, and its quantity, anatomical structure and ease of harvest with minimal donor site morbidity make it a versatile and attractive autogenous graft. Read More

    Transcanal Endoscopic Ear Surgery for Middle Ear Cholesteatoma.
    Otol Neurotol 2017 Jun;38(5):e41-e45
    *Department of Otolaryngology, Head and Neck Surgery, Sheba Medical Center, Tel-Hashomer †Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Objective: To evaluate the clinical parameters, outcomes, and complications of transcanal endoscopic ear surgeries for middle ear cholesteatoma.

    Study Design: Retrospective study.

    Setting: Tertiary university-affiliated medical center. Read More

    Analysis of the dura involvement in cholesteatoma surgery.
    Auris Nasus Larynx 2017 Mar 19. Epub 2017 Mar 19.
    ENT Department, Nicosia General Hospital & Larnaca General Hospital, Cyprus.
    Objective: The involvement of the dura is a rare yet potentially life-threatening complication during cholesteatoma surgery. Thus, the knowledge about treatment and consequences of this issue is of great importance to every ear surgeon.

    Methods: This retrospective study analyzed the dura involvement with regard to the type of defect, reconstruction method used, and the post-operative complications of 1291 pediatric and adult cholesteatoma surgeries performed at an academic tertiary care center over a twelve-year period. Read More

    Implantation and Positioning of a Transcutaneous Magnetic Bone Conduction Hearing System for children with microtia in preparation for auricular reconstruction.
    Clin Otolaryngol 2017 Mar 22. Epub 2017 Mar 22.
    Queen's Medical Centre, Nottingham, UK.
    Microtia is a complex congential issue, which can have a functional and psychosocial effect on patients(1) . It can occur spontaneously or as part of a syndrome. Microtia is a condition in which otolaryngologists and plastic surgeons work closely together in order to reconstruct the ear aesthetically whilst facilitating effective aiding. Read More

    Impact of the method and success of pharyngeal reconstruction on the outcome of treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy: A national analysis.
    J Plast Reconstr Aesthet Surg 2017 May 9;70(5):628-638. Epub 2017 Jan 9.
    Department of Plastic & Reconstructive Surgery, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK.
    Background: Surgical treatment of cancers that arise from or invade the hypopharynx presents major reconstructive challenges. Reconstructive failure exposes the airway and neck vessels to digestive contents.

    Methods: We performed a national N = near-all analysis of the administrative dataset to identify pharyngolaryngectomies in England between 2002 and 2012. Read More

    Radio-anatomical analysis of the pericranial flap "money box approach" for ventral skull base reconstruction.
    Laryngoscope 2017 Mar 21. Epub 2017 Mar 21.
    Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Clinic, University of Barcelona, Barcelona, Spain.
    Objectives/hypothesis: To evaluate the versatility of the pericranial flap (PCF) to reconstruct the ventral skull base, using the frontal sinus as a gate for its passage into the sinonasal corridor "money box approach."

    Study Design: Anatomic-radiological study and case series.

    Methods: Various approaches and their respective defects (cribriform, transtuberculum, clival, and craniovertebral junction) were completed in 10 injected specimens. Read More

    Staged retroauricular flap for helical reconstruction after Mohs micrographic surgery.
    An Bras Dermatol 2016 Sep-Oct;91(5 suppl 1):144-147
    Hospital Santa Casa de Curitiba - Curitiba (PR), Brazil.
    Staged retroauricular flap is a great option for full-thickness defects along the helical rim and antihelix. Donor site consists of the posterior ear, postauricular sulcus and mastoid area. The advantages of this flap include hidden donor scar, donor tissue similarity and rich vascularity. Read More

    Upper lateral cartilage composite flap for closure of complicated septal perforations.
    Laryngoscope 2017 Mar 14. Epub 2017 Mar 14.
    Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.
    Objectives/hypothesis: To present a novel technique for the repair of large complicated nasal septal perforations using an upper lateral cartilage composite flap.

    Study Design: This is a case series of five patients with large septal perforations seen at an academic tertiary care center, who have failed previous treatment measures and were selected to undergo this novel reconstruction for closure of their defects.

    Methods: Patients were followed clinically to determine the success of the repair. Read More

    Anatomical and Clinical Study of the Posterior Auricular Artery Angiosome: In Search of a Rescue Tool for Ear Reconstruction.
    Plast Reconstr Surg Glob Open 2016 Dec 27;4(12):e1165. Epub 2016 Dec 27.
    Division of Plastic Surgery, Department of Surgery, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.
    Background: The retroauricular tissues have been used for a long time for ear reconstruction, but the anatomical bases of flaps of this region are not completely clear. The aim of this study was to estimate blood supply area and location of this on the skin and fascia retroauricular dependent of posterior auricular artery (PAA) to establish safe margins to design flaps for auricular reconstruction.

    Methods: Dissection under magnification (×3. Read More

    Accurate Measurements of the Skin Surface Area of the Healthy Auricle and Skin Deficiency in Microtia Patients.
    Plast Reconstr Surg Glob Open 2016 Dec 22;4(12):e1146. Epub 2016 Dec 22.
    Departments of Plastic, Reconstructive and Hand Surgery and Orthopaedics, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Delft, The Netherlands; Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands; and Department of Plastic Surgery, Meander Medical Centre, Amersfoort, The Netherlands.
    Background: The limited cranial skin covering auricular implants is an important yet underrated factor in auricular reconstruction for both reconstruction surgery and tissue engineering strategies. We report exact measurements on skin deficiency in microtia patients and propose an accessible preoperative method for these measurements.

    Methods: Plaster ear models (n = 11; male:female = 2:1) of lobular-type microtia patients admitted to the University Medical Center Utrecht in The Netherlands were scanned using a micro-computed tomographic scanner or a cone-beam computed tomographic scanner. Read More

    Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana.
    J Korean Assoc Oral Maxillofac Surg 2017 Feb 20;43(1):29-36. Epub 2017 Feb 20.
    Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.; Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
    Objectives: Acquired immunodeficiency syndrome (AIDS) is a disease of the human immune system caused by the human immunodeficiency virus (HIV). People with AIDS are much more vulnerable to infections, including opportunistic infections and tumors, than people with a healthy immune system. The objective of this study was to correlate oral lesions associated with HIV/AIDS and immunosuppression levels by measuring clusters of differentiation 4 (CD4) cell counts among patients living in the middle western regions of Ghana. Read More

    [Reconstruction of the ear in the burns patient].
    Cir Cir 2017 Mar 6. Epub 2017 Mar 6.
    División Áreas Críticas, Instituto Nacional de Rehabilitación, Ciudad de México, México.
    Face burns are a singular pathology with great functional and psychological impact in the patients suffering them. The ears play a fundamental role in personal interactions and damage to this organ results in physical and emotional distress. The reconstructive treatment of the burned ear is a challenge. Read More

    Endoscopy-Assisted Ear Surgery for Treatment of Chronic Otitis Media With Cholesteatoma, Adhesion, or Retraction Pockets.
    J Craniofac Surg 2017 Mar 8. Epub 2017 Mar 8.
    Department of Otolaryngology Head and Neck Surgery, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.
    The objective of this study was to analyze the results of endoscopy-assisted ear surgery for the treatment of chronic otitis media with cholesteatoma, adhesion, or retraction pockets.Fifty-one patients who underwent oto-endoscopy-assisted canal wall up tympanomastoid surgery and/or limited anterior atticotomy with tympanoplasty for chronic otitis media with cholesteatoma, adhesion, or retraction pocket from 2006 to 2013 have been included in this study. Eradication of the disease from the middle ear and mastoid air cells was achieved by combination of the oto-microscobic and oto-endoscopic approaches. Read More

    Voice and swallowing outcomes for adults undergoing reconstructive surgery for laryngotracheal stenosis.
    Curr Opin Otolaryngol Head Neck Surg 2017 Jun;25(3):195-199
    aSpeech and Language Therapy Department, Imperial College Healthcare NHS Trust bNational Centre for Airway Reconstruction, Department of Ear, Nose and Throat Surgery, Imperial College Healthcare NHS Trust cDivision of Surgery, Department of Surgery and Cancer, Imperial College London.
    Purpose Of Review: Adult laryngotracheal stenosis is a rare, multifactorial condition which carries a significant physical and psychosocial burden. Surgical approaches have developed in recent years, however, voice and swallowing function can be affected prior to treatment, in the immediate postoperative phase, and as an ongoing consequence of the condition and surgical intervention. In this study we discuss: the nature of the problem; surgical interventions to address airway disorders; optimal patterns of care to maximize voice and swallowing outcomes. Read More

    A case report on a burned ear: Elastic memory of cartilage following temporary burial in a skin pocket.
    Burns 2017 May 27;43(3):e33-e35. Epub 2016 Oct 27.
    MOVE Research Institute and Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, The Netherlands; Dutch Burn Centre & Department of Plastic, Reconstructive and Hand Surgery, Red Cross Hospital, Beverwijk, The Netherlands; Association of Dutch Burn Centres, Beverwijk, The Netherlands.
    Preserving exposed ear cartilage following a facial burn remains a major challenge. Normally, burned ear cartilage cannot be preserved in case of a full thickness burn of the overlying skin, and the cartilage has to be surgically removed. Sometimes, reconstructions can be performed at a later stage. Read More

    Measuring Cochlear Duct Length - a historical analysis of methods and results.
    J Otolaryngol Head Neck Surg 2017 Mar 7;46(1):19. Epub 2017 Mar 7.
    Biomedical Engineering, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada.
    Background: Cochlear Duct Length (CDL) has been an important measure for the development and advancement of cochlear implants. Emerging literature has shown CDL can be used in preoperative settings to select the proper sized electrode and develop customized frequency maps. In order to improve post-operative outcomes, and develop new electrode technologies, methods of measuring CDL must be validated to allow usage in the clinic. Read More

    Middle and inner ear modelling: from microCT images to 3D reconstruction and coupling of models.
    Conf Proc IEEE Eng Med Biol Soc 2016 Aug;2016:5961-5964
    We present finite element (FE) modeling approaches of ear mechanics including 3-dimensional (3D) reconstruction of the human middle and inner ear. Specifically, we demonstrate a semi-automatic methodology for the 3D reconstruction of the inner ear structures, a FE harmonic response model of the middle ear to predict the stapes footplate frequency response, a 2D FE slice model of the cochlea for the coupled response at the micromechanical level for either acoustic or electrical excitation and a coupled FE middle ear model with a simplified cochlea box model to simulate the basilar membrane velocity in response to acoustic excitation. The proposed methodologies are validated against experimental and literature data and the results are in good agreement. Read More

    Quantitative efficacy of external and internal browpexy performed in conjunction with blepharoplasty.
    Orbit 2017 Apr 7;36(2):102-109. Epub 2017 Mar 7.
    a Department of Ophthalmology and Visual Neurosciences , University of Minnesota , Minneapolis , Minnesota , USA.
    Browpexy surgery is a minimally invasive surgical adjunct to upper blepharoplasty. The traditional internal (IB) approach is well documented, while the newer external (EB) variant has only recently been described. To date, there is little quantitative data to evaluate the efficacy of either procedure, and no data to compare results between the two. Read More

    The posterior auricular muscle: a useful anatomical landmark for otoplasty.
    J Laryngol Otol 2017 May 7;131(5):465-467. Epub 2017 Mar 7.
    Department of Plastic Surgery,Ninewells Hospital and Medical School,Dundee,Scotland,UK.
    Background: The correct anatomical placement of conchomastoid sutures during suture otoplasty can sometimes prove challenging. If the suture vector is inaccurate, reduction can be difficult and this may lead to malrotation of the pinna.

    Methods: This paper describes the adoption of the auricularis posterior muscle, which runs from the mastoid to the concha and whose function is to adduct the pinna, as a marker for conchomastoid suture placement. Read More

    In vivo imaging of skeletal muscle in mice highlights muscle defects in a model of myotubular myopathy.
    Intravital 2016 6;5(1):e1168553. Epub 2016 Apr 6.
    Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), Illkirch, France; Fédération de Médecine Translationnelle de Strasbourg (FMTS), Strasbourg, France; Institut National de la Santé et de la Recherche Médicale, U964, Illkirch, France; Centre National de la Recherche Scientifique, UMR7104, Illkirch, France; Collège de France, Chaire de Génétique Humaine, Illkirch, France.
    Skeletal muscle structure and function are altered in different myopathies. However, the understanding of the molecular and cellular mechanisms mainly rely on in vitro and ex vivo investigations in mammalian models. In order to monitor in vivo the intracellular structure of the neuromuscular system in its environment under normal and pathological conditions, we set-up and validated non-invasive imaging of ear and leg muscles in mice. Read More

    Mechanical venous anastomosis in head and neck microvascular reconstruction as an equivalent to the gold standard.
    Ear Nose Throat J 2017 Feb;96(2):E32-E36
    Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati (UC) Neuroscience Institute, UC Academic Health Center, Cincinnati, OH 45267, USA.
    To define the most successful and efficient manner to perform venous microvascular anastomoses, the effectiveness of mechanical venous anastomosis in head and neck microvascular reconstruction is reviewed. Head and neck reconstruction with free flap techniques has become the norm and gold standard for large defects. This retrospective, multicenter case series of a single microvascular surgeon's experience with mechanical venous anastomoses specifically assessed the effectiveness of head and neck reconstruction and the complications associated with it. Read More

    Auricular complications in parotid, temporal bone, infratemporal fossa, and lateral skull base surgery.
    Ear Nose Throat J 2017 Feb;96(2):E27-E31
    Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, UT, USA.
    Neoplasms located in the parotid region, temporal bone, infratemporal fossa, and lateral skull base represent a challenge due to their difficult anatomic location and surrounding neurovascular structures. A variety of surgical approaches are appropriate to access this area, although several of them can place the auricular blood supply in danger. If the auricular blood supply is compromised, ischemia and, eventually, avascular necrosis of the auricle can occur. Read More

    Osseous and Cartilaginous Nasal Reconstruction.
    Facial Plast Surg 2017 Feb 22;33(1):43-51. Epub 2017 Feb 22.
    Department of Otolaryngology - Head & Neck Surgery, Greater Baltimore Medical Center, Baltimore, Maryland.
    The nose is a complex, three-dimensional structure that is supported by a framework of osseous and cartilaginous structures. Disruption of this framework can result in nasal deformity and functional deficits. Nasal reconstruction requires restoration of the osseous and cartilaginous framework. Read More

    Autologous incus versus titanium partial ossicular replacement prosthesis in reconstruction of Austin type A ossicular defects: a prospective randomised clinical trial.
    J Laryngol Otol 2017 May 21;131(5):391-398. Epub 2017 Feb 21.
    Department of Otorhinolaryngology,Jawaharlal Nehru Medical College,Belagavi,India.
    Objective: This study aimed to compare the functional and anatomical outcomes of ossiculoplasty using an autograft incus or a titanium partial ossicular replacement prosthesis for reconstructing Austin type A ossicular defects.

    Methods: Patients with Austin A ossicular defects were randomly divided into two groups: one group underwent ossiculoplasty with an autologous incus (the autologous incus group) and the other underwent ossiculoplasty with a titanium partial ossicular replacement prosthesis (the titanium prosthesis group). Otoscopic examination and audiological assessment was done pre-operatively and at 3, 6 and 12 months post-operatively. Read More

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