9,260 results match your criteria Ear Reconstruction


Total auricular reconstruction concomitant with BONEBRIDGE implantation using a retrosigmoid sinus approach.

Acta Otolaryngol 2022 Jun 23:1-6. Epub 2022 Jun 23.

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Retrosigmoid sinus (RS) approach was not the dominant choice for BONEBRIDGE implantation.

Objective: To investigate the efficacy and safety of auricular reconstruction concomitant with BONEBRIDGE implantation using retrosigmoid approach for aural atresia patients.

Materials And Methods: A retrospective analysis was conducted of 15 children (28 ears) who underwent auricular reconstruction using a completely expanded postauricular flap with a skin expander concomitant with retrosigmoid BONEBRIDGE implantation from July 2019 to September 2020. Read More

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Nasal septal abscess following septoplasty in a patient with type 2 diabetes mellitus.

BMJ Case Rep 2022 Jun 22;15(6). Epub 2022 Jun 22.

Oncology & Metabolism, Univerisity of Sheffield, Sheffield, UK

A man in his 50s with type 2 diabetes mellitus (T2DM) presented with a nasal septal abscess 3 weeks following septoplasty. Diabetes mellitus has been reported in association with nasal septal abscess, thought to be due to a relative immunodeficient state. We present an unusual, delayed presentation of nasal septal abscess following septoplasty and performed a literature review. Read More

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Second-Intention Healing in Mohs Micrographic Surgery: A Single-Center Academic Experience.

Adv Skin Wound Care 2022 Jul;35(7):375-380

Julián Barrera-Llaurador, MD, is Dermatology Assistant Professor, Department of Dermatology, University of Puerto Rico School of Medicine, San Juan. Osward Y. Carrasquillo, MD, MPH, is Mohs Micrographic Surgery Fellow, Department of Dermatology, University of North Carolina, Chapel Hill. Marely Santiago-Vázquez, MD, is Dermatology Resident, Department of Dermatology, University of Puerto Rico School of Medicine. Valeria J. González-Molina, MD, is Clinical Fellow, Department of Dermatology, HCA Corpus Christi Medical Center-Bay Area, Texas. Sheila M. Valentín-Nogueras, MD, is Mohs Micrographic Surgeon, Director of Dermatologic Surgery, Department of Dermatology, University of Puerto Rico School of Medicine. The authors have disclosed no financial relationships related to this article. Submitted August 18, 2021; accepted in revised form January 10, 2022.

Objective: To describe the trends in second-intention healing (SIH) use at a single Mohs micrographic surgery (MMS) dermatology clinic and assess outcomes and patient satisfaction.

Methods: The authors conducted a single-center, retrospective study of patients who underwent MMS from November 2012 through November 2018. Data obtained for each patient included sex, age, tumor characteristics, number of MMS stages, final defect size, and postoperative complications. Read More

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Genomic Analysis of Thrombophilia Variants in the General Population for the Creation of an Effective Preoperative Screening Tool.

J Reconstr Microsurg 2022 Jun 17. Epub 2022 Jun 17.

Department of Plastic Surgery, Kirk Kerkorian School of Medicine at University of Nevada, Las Vegas (UNLV), Las Vegas, Nevada.

Background:  The loss of a free flap in reconstructive microsurgery is a devastating complication in both the intraoperative and postoperative setting. Previous research has identified a variety of genetic polymorphisms that induce a hypercoagulable state and predispose patients to clot formation and subsequent free flap loss. We aim to review the risks of performing microsurgery on patients who are genetically predisposed to hypercoagulability, as well as identify options, for preoperative screening of inherited thrombophilia. Read More

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Correction of congenital cleft ear lobes: optimal outcome with simple surgical approach.

Authors:
Sunil Kumar Rout

J Maxillofac Oral Surg 2022 Jun 8;21(2):466-468. Epub 2022 Jan 8.

Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha 751019 India.

Congenital cleft ear lobe is a rare anomaly, even though the deformities of the ear as a whole are encountered commonly. The deformity results from the failure of fusion of hillocks 1 and 6 during embryonic life. The defective ear lobe carries immense aesthetic importance, especially in females. Read More

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Subcutaneous Lateral Temporal Lift.

Clin Plast Surg 2022 Jul 13;49(3):365-375. Epub 2022 May 13.

Northwell Health System/Hofstra University, Zucker School of Medicine, Manhattan Eye, Ear and Throat Hospital, 1009 Park Avenue, New York, NY 10028, USA. Electronic address:

Over the past decades, the understanding of the nuances of forehead anatomy and facial aging has grown immensely. Safe and reliable options for forehead rejuvenation followed. Although noninvasive techniques are an important adjunct in forehead rejuvenation, the mainstay of treatment of the eyebrow is operative intervention. Read More

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Preoperative perforator mapping of anterolateral thigh flaps using computed tomographic angiography and visual coordinate system for the reconstruction of head and neck defects.

Ear Nose Throat J 2022 Jun 14:1455613221108367. Epub 2022 Jun 14.

Department of Otolaryngology-Head and Neck Surgery, Beijing Friendship Hospital, 26455Capital Medical University, Beijing, China.

Objectives: The anterolateral thigh (ALT) flap is a versatile workhorse flap for the reconstruction of head and neck defects; however, variations in the location of perforators are a significant concern. This prospective study proposes a rapid, effective, and convenient method for mapping the location of sizeable perforators on the curved thigh skin surface using the visual coordinate system in computed tomographic angiography (CTA) images.

Methods: Fourteen patients suffering from defects after head and neck carcinoma resection underwent CTA prior to ALT flap reconstruction at the Department of Otolaryngology-Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, from January 2018 to August 2021. Read More

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Efficient engineering of human auricular cartilage through mesenchymal stem cell chaperoning.

J Tissue Eng Regen Med 2022 Jun 11. Epub 2022 Jun 11.

Department of Surgery, Laboratory of Bioregenerative Medicine & Surgery, Division of Plastic Surgery, Weill Cornell Medical College, New York, New York, USA.

A major challenge to the clinical translation of tissue-engineered ear scaffolds for ear reconstruction is the limited auricular chondrocyte (hAuC) yield available from patients. Starting with a relatively small number of chondrocytes in culture results in dedifferentiation and loss of phenotype with subsequent expansion. To significantly decrease the number of chondrocytes required for human elastic cartilage engineering, we co-cultured human mesenchymal stem cells (hMSCs) with HAuCs to promote healthy elastic cartilage formation. Read More

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Avoiding post mastectomy lateral "Dog Ears" by an L incision and lipoaspiration: The Paris Breast Center technique.

Eur J Surg Oncol 2022 May 25. Epub 2022 May 25.

Oncoplastic Breast Surgeon at "L'Institut Du Sein-The Paris Breast Centre", Paris, France.

Background: Lateral dog ear after mastectomy in overweight or large breasted patients is a source for patient discomfort and is aesthetically unpleasing. Although many different techniques have been proposed, none of them have emerged as standard. In 2012, the authors published their mastectomy technique based on an inverted L-scar incision and closure with a lateral skin flap advanced supero-medially onto the chest wall. Read More

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Ultralow-dose CT of the petrous bone using iterative reconstruction technique, tin filter and high resolution detectors allows an adequate assessment of the petrous bone structures.

Radiologia (Engl Ed) 2022 May-Jun;64(3):206-213

Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, Spain.

Objectives: To assess image quality and radiation dose in computed tomography (CT) studies of the petrous bone done with a scanner using a tin filter, high-resolution detectors, and iterative reconstruction, and to compare versus in studies done with another scanner without a tin filter using filtered back projection reconstruction.

Material And Methods: Thirty two patients (group 1) were acquired with an ultra-low dose CT (32-MDCT, 130kV, tin filter and iterative reconstruction). Images and radiation doses were compared to 36 patients (group 2) acquired in a 16-MDCT (120kV and filtered back-projection). Read More

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Space-Occupying Lesions of the Inner Ear Are Easily Misdiagnosed as Endolymphatic Hydrops in a Perilymph-Enhanced Sequence Without the Assistance of a Heavily T2-Weighted Sequence.

J Comput Assist Tomogr 2022 Jun 4. Epub 2022 Jun 4.

Department of Radiology, Eye & ENT Hospital of Fudan University, Shanghai, China.

Objective: The aim of the study was to explore the value of T2-sampling perfection with application-optimized contrasts by using different flip angle evolutions (T2-SPACE) in identifying space-occupying lesions of the inner ear.

Methods: We collected the T2-SPACE and 3-dimensional inversion-recovery sequence with real reconstruction (3D-real IR) images of 220 patients with inner ear symptoms, including 15 patients with inner ear space-occupying lesions. With T2-SPACE images hidden, a senior and junior radiologist made a diagnosis for all patients using only the 3D-real IR images. Read More

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Necrosis of the Ear Following Skin Cancer Resection.

Cutis 2022 Apr;109(4):E2-E5

The Ohio State University Wexner Medical Center, Columbus.

We report 2 patients who underwent Mohs micrographic surgery (MMS) and operative closure on the ear. Both cases were complicated by necrosis resulting in the formation of auricular defects. These cases highlight the importance of the auricular vasculature and the associated watershed regions during operative planning for MMS as well as the complications that can arise with vascular compromise. Read More

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[interest of scaphal cartilage grafting or ulnar proximal bone graft, under the olecranium, in secondary nose repair].

Authors:
M Vladimir

Ann Chir Plast Esthet 2022 Jun 2;67(3):167-175. Epub 2022 Jun 2.

176, boulevard Saint Germain, 75006 Paris, France. Electronic address:

The proper use of scaphal ear cartilaginous autograft or ulnar bone lateral side under the olecranium, on the postero-médial flat wall covered by muscle, may be an innovative way for secondary nasal repair or reconstruction.These techniques are not well popularised, but they may represent a good solution in complicated cases when straighter cartilage than the concha, or a planar bone graft easy to take out, are considered; this may be the case mostly in secondary noses surgery;These techniques are also easy to perform because the position to take the grafts is very easy, the donor site is under the operative field; the observed complications have been few and the results were rewarding. Read More

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Post-operative Outcomes in Pediatric Patients Following Facial Reconstruction With Fibula Free Flaps.

Laryngoscope 2022 Jun 2. Epub 2022 Jun 2.

Department of Otolaryngology-Head and Neck Surgery, Columbia University, New York, New York, USA.

Educational Objective: Assess outcomes of pediatric facial reconstruction with fibula free flaps.

Objectives: Free flap reconstruction of complex maxillofacial defects in pediatric patients is rare. Post-operative complications, donor site morbidity, impact on craniofacial growth, and oro-dental rehabilitation are unknown. Read More

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Radial forearm free flap and a freka-trelumina tube for management of a refractory pharyngocutaneous fistula: A case report.

Authors:
Xiaomin Bao Jian Li

Ear Nose Throat J 2022 Jun 2:1455613221106210. Epub 2022 Jun 2.

Department of Otorhinolaryngology-Head and Neck Surgery, 71068Sun Yat-Sen University First Afliated Hospital, Guangzhou, China.

The management of pharyngocutaneous fistulas (PCFs) is challenging. A multidisciplinary treatment approach according to the clinical needs of a patient is essential for PCF management. Here, we describe the use of a double-layer closure technique involving a radial forearm free flap (RFFF) and a Freka-Trelumina nasojejunal tube in the reconstruction of a refractory PCF. Read More

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Comparison of the Utility of High-Resolution CT-DWI and T2WI-DWI Fusion Images for the Localization of Cholesteatoma.

Authors:
X Fan C Ding Z Liu

AJNR Am J Neuroradiol 2022 Jun 2. Epub 2022 Jun 2.

From the Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China

Background And Purpose: Cholesteatoma is an aggressive disease that may lead to hearing impairment. This study aimed to compare the utility of high-resolution CT and TSE-DWI fusion images with that of T2WI and TSE-DWI fusion images in the localization of middle ear cholesteatoma.

Materials And Methods: Seventy-one patients with middle ear cholesteatoma were retrospectively recruited. Read More

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Auditory cortical plasticity after cochlear implantation in asymmetric hearing loss is related to spatial hearing: a PET H215O study.

Cereb Cortex 2022 May 27. Epub 2022 May 27.

UMR 5549, Faculté de Médecine Purpan, Centre National de la Recherche Scientifique, Toulouse, France.

In asymmetric hearing loss (AHL), the normal pattern of contralateral hemispheric dominance for monaural stimulation is modified, with a shift towards the hemisphere ipsilateral to the better ear. The extent of this shift has been shown to relate to sound localization deficits. In this study, we examined whether cochlear implantation to treat postlingual AHL can restore the normal functional pattern of auditory cortical activity and whether this relates to improved sound localization. Read More

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Histopathologic alterations in the eyelid after Hughes tarsoconjunctival flap: loss of Meibomian glands with preservation of accessory lacrimal glands.

Orbit 2022 May 26:1-4. Epub 2022 May 26.

Cogan Laboratory of Ophthalmic Pathology, Department of Ophthalmology Massachusetts Eye and Ear, Harvard Medical SchoolDavid G. , Boston, Massachusetts, USA.

A 71-year-old female with invasive squamous cell carcinoma of the lower eyelid involving the ocular surface underwent surgical excision with negative margins and a subsequent reconstruction. The posterior lamellar defect was reconstructed with a Hughes tarsoconjunctival flap, and the anterior lamellar defect was reconstructed by advancing the lower eyelid skin. Three years later, the patient presented with signs suspicious for recurrence involving the tarsoconjunctival graft: a nodule along the mucocutaneus junction, symblepharon, and forniceal shortening. Read More

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Automated Spontaneity Assessment after Smile Reanimation: A Machine Learning Approach.

Plast Reconstr Surg 2022 06 12;149(6):1393-1402. Epub 2022 Apr 12.

From the Department of Otolaryngology/Head and Neck Surgery, Massachusetts Eye and Ear Infirmary and Harvard Medical School; Department of Plastic and Reconstructive Surgery, Royal Australasian College of Surgeons and University of Sydney; and Department of Plastic Surgery, University Medical Center Groningen and University of Groningen.

Background: Recreation of a spontaneous, emotional smile remains a paramount goal of smile reanimation surgery. However, optimal techniques to reliably restore spontaneity remain unknown. Dual automated machine-learning tools were used to develop an objective tool to analyze spontaneous smiling. Read More

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Nasoseptal flap and rigid reconstruction in endoscopic endonasal skull base surgeries: The longitudinal experience of a single center.

Ear Nose Throat J 2022 May 21:1455613221099483. Epub 2022 May 21.

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, 191082King Saud University, Riyadh, Saudi Arabia.

Background: Recently, endoscopic endonasal approaches (EEA) have been used for skull base defect reconstruction surgeries. The nasoseptal flap (NSF), a vascular pedicled flap, was introduced to decrease postoperative cerebrospinal fluid (CSF) leakage.

Purposes: This study aimed to outline the authors' institutional experience using NSF and rigid implants in anterior skull base defect reconstruction surgeries following EEA. Read More

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First records of extinct kentriodontid and squalodelphinid dolphins from the Upper Marine Molasse (Burdigalian age) of Switzerland and a reappraisal of the Swiss cetacean fauna.

PeerJ 2022 16;10:e13251. Epub 2022 May 16.

Paleontological Institute and Museum, University of Zurich, Zurich, Switzerland.

The Swiss Upper Marine Molasse (OMM) documents a transgression event dated to around 21 to 17 million years in which dolphin and other vertebrate remains have been reported. We revised the whole cetacean (whales and dolphins) OMM assemblage available in main collections, focusing on the identification and interpretation of periotics (bone that contains the inner ear). Periotics are rare, but they provide the richest taxonomic information in the sample and hint to environmental associations. Read More

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Comparison of endoscopic vs microscopic ossiculoplasty: a study of 157 consecutive cases.

Eur Arch Otorhinolaryngol 2022 May 22. Epub 2022 May 22.

Department of Ear, Nose, and Throat Surgery, University Hospital Monklands, North Lanarkshire, Airdrie, ML6 0JS, UK.

Purpose: The relatively new technique of trans-canal endoscopic ear surgery (TEES) when compared to microsurgery for ossiculoplasty has advantages of better visualization and no external incision but also has the disadvantage of being a one-handed procedure. Our study aimed to compare audiometric outcomes following ossiculoplasty performed via TESS with results of microsurgery.

Materials And Methods: Data from a prospective audit of 157 consecutive patients who underwent ossiculoplasty by a single otologist from 2009 to 2018 was analyzed. Read More

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Ear-EEG Measures of Auditory Attention to Continuous Speech.

Front Neurosci 2022 3;16:869426. Epub 2022 May 3.

Neuropsychology Lab, Department of Psychology, University of Oldenburg, Oldenburg, Germany.

Auditory attention is an important cognitive function used to separate relevant from irrelevant auditory information. However, most findings on attentional selection have been obtained in highly controlled laboratory settings using bulky recording setups and unnaturalistic stimuli. Recent advances in electroencephalography (EEG) facilitate the measurement of brain activity outside the laboratory, and around-the-ear sensors such as the cEEGrid promise unobtrusive acquisition. Read More

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Paratympanic sinuses in juvenile Alligator.

Anat Rec (Hoboken) 2022 May 19. Epub 2022 May 19.

Redpath Museum, McGill University, Montreal, Quebec, Canada.

Crocodylia has an extensive epithelial pneumatic space in the middle ear, paratympanic sinus system. Although fossil and extant crocodylian paratympanic sinus systems have been studied recently using the computed tomography (CT) and three-dimensional (3D) reconstruction data, due to the soft tissue nature of the pneumatic system and presence of its surrounding soft tissue structures, some boundaries, and definitions of each extension remain ambiguous. We describe the comprehensive paratympanic sinus system in posthatched alligator using soft tissue enhanced CT data with 3D reconstructions. Read More

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Drainage and Orbitofrontal Reconstruction After Removal of a Giant Frontal Sinus Osteoma: A Case Report.

Ear Nose Throat J 2022 May 17:1455613221098786. Epub 2022 May 17.

Department of Stomatology, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.

After removal of a large frontal sinus osteoma in this case, the contralateral nasofrontal canal was opened to drain the intraoperative fluid and prevent infection, and the defect in the orbitofrontal area was restored using a titanium mesh designed with 3D printing technology. Read More

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Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge.

BMJ Case Rep 2022 May 17;15(5). Epub 2022 May 17.

Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. Read More

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Strategies for the Treatment of Auricular Complications after the First Stage of Autologous Cartilage Microtia Reconstruction.

Plast Reconstr Surg 2022 May 17. Epub 2022 May 17.

From the Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai JiaoTong University School of Medicine.

Background: Effective handling of auricular complications after the first stage of autologous cartilage microtia reconstruction remains one of the most demanding challenges for plastic surgeons. Here, the authors discuss relevant details for treatment of such complications in various conditions.

Methods: A total of 1739 microtia patients underwent the first stage of auricular reconstruction with autogenous costal cartilage between 2007 and 2019. Read More

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Complete Laryngotracheal Separation Secondary to Blunt Trauma: A Case Report.

Ear Nose Throat J 2022 May 14:1455613221102869. Epub 2022 May 14.

OtorhinoLaryngology-Head and Neck Surgery Department, 48103Asir Central Hospital, Abha, Saudi Arabia.

Complete laryngotracheal separation is a rare life-threatening trauma that may occur due to road traffic accidents. Unfortunately, this injury may be missed if emergency physicians were not aware of its possibility. We present a pediatric patient who had complete laryngotracheal separation and esophageal injury caused by strangulation with a headscarf while riding a four-wheeled motorcycle. Read More

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Performance-optimized otoplasty.

BMC Surg 2022 May 14;22(1):182. Epub 2022 May 14.

Orelhinha Institute, 55 Oriente ST, Chácara da Barra, Campinas, São Paulo, 13090-740, Brazil.

Objectives: This study proposes a new surgical alternative for the most common deformity in the ears, the so-called "protruding/prominent ears", which is a condition that affects 5% of the Caucasian population (Goulart et al. in Rev Bras Cir Plast 26:602-607, 2011). This technique comes with the benefits of reduced surgical time, shallow learning curve, and a low revision rate. Read More

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A novel method to accurately locate the reconstructed auricle.

Transl Pediatr 2022 Apr;11(4):487-494

Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Congenital microtia is a common congenital disease in children, the cause of which is still unclear. At present, the main treatment for congenital microtia is ear reconstruction. Accurately locating of the reconstructed ear on the affected side before ear reconstruction surgery is difficult, while it is the key of successful operation. Read More

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