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    Prospective transfrontal sheep model of skull-base reconstruction using vascularized mucosa.
    Int Forum Allergy Rhinol 2017 Dec 11. Epub 2017 Dec 11.
    Department of Otolaryngology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA.
    Background: No high-fidelity animal model exists to examine prospective wound healing following vascularized reconstruction of the skull base. Such a model would require the ability to study the prospective behavior of vascularized mucosal repairs of large dural and arachnoid defects within the intranasal environment. The objective of this study was to therefore develop and validate a novel, in vivo, transfrontal sheep model of cranial base repair using vascularized sinonasal mucosa. Read More

    [Preservation of the outer ear in a complex burn injury].
    Unfallchirurg 2017 Dec 8. Epub 2017 Dec 8.
    Klinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Unfallklinik, Eberhard Karls Universität Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
    Saving the outer ear in burn injuries is a challenging task for the treating surgeon that should not be underestimated. Burns which are initially evaluated as superficial, particularly in this region, often have a tendency to undergo progressive tissue destruction whereby conservative treatment is often no longer sufficient to preserve the skin of the auricle with the underlying cartilage. Various possibilities for saving the ear and for ear reconstruction are described, but in the case of severely burned patients it is often necessary to carry out a quick and relatively simple treatment. Read More

    Using Four-Layer Sculpted Rib Cartilage Framework to Increase Transverse Height of the Reconstructive Ear in One Operative Stage for Microtia Patients.
    Aesthetic Plast Surg 2017 Dec 6. Epub 2017 Dec 6.
    Department of Plastic Surgery, TongRen Hospital of Wuhan University, Wuhan Third Hospital, Wuhan, Hubei, China.
    Purpose: This case study improves an operative method of ear reconstruction for microtia patients by using a four-layer rib cartilage framework to increase transverse height of the reconstructive ear to a natural level in one operative stage.

    Materials And Methods: The procedures of ear reconstruction were conducted from February 2014 to May 2016. The ear framework used in the procedures was fabricated from autologous rib cartilage into a four-layer spliced sculpture. Read More

    Stapes Release in Tympanosclerosis.
    Otol Neurotol 2017 Nov 28. Epub 2017 Nov 28.
    Louis J. Mayer Professor of Otolaryngology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
    : Tympanosclerosis in the middle ear space is common in Ethiopia and often involves the ossicles and particularly the stapes. Ear operations in Ethiopia are relatively expensive in this country of limited medical resources and a low average living wage. In this setting, 2-stage operations using prostheses become prohibitively expensive. Read More

    3D endoscopic ear surgery: a clinical pilot study.
    Eur Arch Otorhinolaryngol 2017 Dec 5. Epub 2017 Dec 5.
    AP-HP, GHU Pitié-Salpêtrière, Service ORL, Otologie, implants auditifs et chirurgie de la base du crâne, 50/52 Bd Vincent Auriol, 75013, Paris, France.
    Objective: To evaluate the feasibility and efficacy of a new high-resolution 3D endoscope in endoscopic ear and lateral skull base surgery.

    Methods: Eight patients, five women and three men, were included in this clinical pilot prospective study. Their age was 38 ± 17. Read More

    Lyric hearing aid: a rare cause of benign necrotising otitis externa/external ear canal cholesteatoma.
    BMJ Case Rep 2017 Nov 29;2017. Epub 2017 Nov 29.
    Department of Otorhinolaryngology, NHS Lothian, Livingston, UK.
    An 80-year-old Caucasian man presented with an incidental and asymptomatic lesion in his right ear thought to be secondary to his use of hearing aids for presbycusis. He used Lyric hearing aids, designed for 24 hours-a-day use for 4 months at a time and had no other previous otological problems. He underwent a bony meatoplasty and vascular flap reconstruction via a retroauricular approach to remove the lesion for histological analysis and regrafting of the area. Read More

    Anthropometric growth study of the ear in a Chinese population.
    J Plast Reconstr Aesthet Surg 2017 Oct 20. Epub 2017 Oct 20.
    Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China.
    Background: A large number of anthropometric studies of the auricle have been reported in different nations, but little data were available in the Chinese population. The aim of this study was to analyze growth changes in the ear by measuring the width and length of ears in a Chinese population.

    Methods: A total of 480 participants were enrolled and classified into 1-, 3-, 5-, 7-, 9-, 12-, 14-, and 18-year groups (half were boys and half were girls in each group). Read More

    The Economics of Prepectoral Breast Reconstruction.
    Plast Reconstr Surg 2017 Dec;140(6S Prepectoral Breast Reconstruction):49S-52S
    New York, N.Y. From the Department of Plastic Surgery, Lenox Hill Hospital/Manhattan Eye, Ear, and Throat Hospital, Northwell Health System, Hofstra School of Medicine.
    The world of breast reconstruction over the last several years has seen a dramatic shift in focus to discussion and the application of placing tissue expanders and implants back into the prepectoral space. Although this technique failed during the early advent of breast reconstruction, newer technologies such as advances in fat grafting, improved acellular dermal matrices, better methods of assessing breast flap viability, and enhanced implants appear to have set the stage for the resurgence and positive early results seen with this technique. The main benefits of a switch to prepectoral breast reconstruction clinically appears to be less associated pain, lower incidence of animation deformities, and its associated symptoms as well as presumably better aesthetics. Read More

    Introduction to "Prepectoral Breast Reconstruction".
    Plast Reconstr Surg 2017 12;140(6S Prepectoral Breast Reconstruction):4S-5S
    McLean and Falls Church, Va.; New York, N.Y.; and Nashville, Tenn. From the National Center for Plastic Surgery and Inova Fairfax Hospital; the Department of Plastic Surgery, Lenox Hill Hospital/Manhattan Eye, Ear, and Throat Hospital, Northwell Health System, Hofstra School of Medicine; and the Department of Plastic Surgery, Vanderbilt University School of Medicine.

    Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser.
    Ann Otol Rhinol Laryngol 2017 Nov 1:3489417742921. Epub 2017 Nov 1.
    3 Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
    Objective: (1) Discuss the presentation and management of persistent stapedial artery (PSA) discovered incidentally during cholesteatoma surgery. (2) Review use of carbon dioxide (CO2) laser for treatment of PSA in the setting of chronic ear disease.

    Patients: Two consecutive patients with PSA and primary acquired cholesteatoma. Read More

    Auricular Reconstruction Using Porous Polyethylene Implant Technique.
    Facial Plast Surg Clin North Am 2018 Feb;26(1):69-85
    Department of Surgery, University of Southern California, 1450 San Pablo Street, Healthcare Consultation Center 4 Suite 6200, Los Angeles, CA 90089, USA.
    Alloplast-based ear reconstruction has become more popular over the years because it offers many advantages compared with the traditional staged autologous costal cartilage approach. Advantages include earlier reconstruction in the setting of microtia, fewer procedures, less donor site morbidity, shorter surgeon learning curve, and improved consistency in the final aesthetic result. Although other implantable materials have been used in auricular reconstruction with variable success, porous high-density polyethylene frameworks combined with recent advances in the creation of the soft tissue coverage have significantly improved outcomes with minimal complications and long-term viability. Read More

    Pediatric Microtia Reconstruction with Autologous Rib: Personal Experience and Technique with 1000 Pediatric Patients with Microtia.
    Facial Plast Surg Clin North Am 2018 Feb;26(1):57-68
    Microtia-Congenital, Ear Deformity Institute, 9502 Huebner Road, Suite 301, San Antonio, TX 78240. Electronic address:
    Reconstruction of the microtic ear is one of the most challenging, yet gratifying surgical experiences. Careful planning, attention to detail, and conservative tissue management are necessary for excellent results. Technologies continue to evolve; with the advancement of cartilage tissue engineering, the future of ear reconstruction is very promising. Read More

    Autologous Rib Microtia Construction: Nagata Technique.
    Facial Plast Surg Clin North Am 2018 Feb;26(1):41-55
    World Craniofacial Foundation, 7777 Forest Lane Suite C-616, Dallas, TX 75230, USA. Electronic address:
    Nagata technique becomes most popular method of autologous rib microtia construction. To achieve successful outcome, 3 keys must be perfect: skin envelope, 3D cartilage framework, and proper location of the construct. The first step of the surgery is to identify "auricular rectangle. Read More

    Soft palate reconstruction after radionecrosis: Combined anterolateral thigh adipofascial and nasoseptal flaps.
    Auris Nasus Larynx 2017 Nov 13. Epub 2017 Nov 13.
    Washington University, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, United States.
    Although radiation-based treatment for nasopharyngeal cancer may achieve excellent long term oncologic results, late effects of therapy may lead to soft tissue radionecrosis and velopharyngeal insufficiency (VPI). Repair of these oro- and nasopharyngeal defects presents a complex reconstructive challenge. We present a case of a long-term survivor treated with chemoradiotherapy for nasopharyngeal cancer who developed progressive dysphagia, velopharyngeal insufficiency, and radionecrosis of the nasopharynx and soft palate, leading to tracheostomy and gastrostomy tube dependence. Read More

    Postoperative Complications of Dermis-Fat Autografts in the Anophthalmic Socket.
    Semin Ophthalmol 2017 Nov 16:1-4. Epub 2017 Nov 16.
    a Ophthalmic Plastic Surgery Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA, USA.
    Reconstruction of the anophthalmic socket allows the use of an ocular prosthesis and rehabilitation of facial appearance. Dermis-fat grafting is one option in volume augmentation of the anophthalmic socket and presents unique benefits, including increased surface area within the socket and the ability to grow with pediatric patients. Postoperative complications of this procedure are relatively common. Read More

    Reconstruction of Microtias with Constricted Ear Features: A 22-Year Experience.
    Plast Reconstr Surg 2017 Nov 11. Epub 2017 Nov 11.
    From The Seoul Center for Developmental Ear Anomalies and the Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital.
    Background: The surgical correction of 'microtias with constricted ear features' has remained a challenge due to the variable shape and large volume of the remnant cartilage and skin involved. In order to clarify how this remnant cartilage and skin should be treated, we have reviewed and analyzed cases operated at our Center.

    Methods: A total of 167 cases of Microtia with Constricted Ear Features, operated from 1992 to 2014, were included in the study. Read More

    Cell yield, chondrogenic potential and regenerated cartilage-type of chondrocytes derived from ear, nasoseptal, and costal cartilage.
    J Tissue Eng Regen Med 2017 Nov 15. Epub 2017 Nov 15.
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, Shanghai, P.R. China.
    Functional reconstruction of large cartilage defects in subcutaneous sites remains clinically challenging because of limited donor cartilage. Tissue engineering is a promising and widely accepted strategy for cartilage regeneration. To date however, this strategy has not achieved a significant breakthrough in clinical translation owing to a lack of detailed pre-clinical data on cell yield and functionality of clinically applicable chondrocytes. Read More

    Management of Sigmoid Sinus Associated Pulsatile Tinnitus: A Systematic Review of the Literature.
    Otol Neurotol 2017 Dec;38(10):1390-1396
    *Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit †Michigan Ear Institute, Farmington Hills, Michigan.
    Objectives: Although studies demonstrate 4 to 20% of patients with pulsatile tinnitus (PT) have associated sigmoid sinus anomalies, no consensus exists regarding optimal management. Our objective was to perform a systematic review exploring surgical and endovascular intervention of PT caused by sigmoid sinus anomalies.

    Data Sources/extraction: A systematic review was performed using the Preferred Reporting Systems for Systematic Reviews and Meta-Analysis guidelines for reporting of results, with a target population encompassing patients with PT and either sigmoid sinus diverticulum or sigmoid wall dehiscence. Read More

    Firm Elevation of Reconstructed Auricle Using Polydactyly Digit in Microtia.
    J Craniofac Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
    Total ear reconstruction for microtia is usually accomplished in 2 stages which is known as Nagata technique. After framework fabrication and implantation, the elevation procedure is required as a second step surgery. The authors are introducing a novel material for augmenting projection of rib cartilage framework in microtia treatment. Read More

    Boomerang-shaped vs. shield-shaped chondroperichondrial cartilage grafts for type 1 tympanoplasty in children: A study of 121 patients.
    Ear Nose Throat J 2017 Oct-Nov;96(10-11):419-432
    Department of Otorhinolaryngology, Acıbadem Eskişehir Hospital, Hosnudiye Mah. 26170, Tepebasi/Eskişehir, Turkey.
    Many techniques and graft materials have been used for the reconstruction of the tympanic membrane. We conducted a retrospective study to compare anatomic and functional outcomes of type 1 tympanoplasty that we performed with boomerang-shaped chondroperichondrial cartilage grafts (BSGs) and shield-shaped chondroperichondrial cartilage grafts (SSGs) in pediatric patients. Our study population was made up 121 patients-61 boys and 60 girls, aged 7 to 16 years (mean: 12. Read More

    Factors that have an influence on bone conduction thresholds changes after otosurgery in the patients operated on due to the perforation of the tympanic membrane with the preserved ossicular chain.
    Otolaryngol Pol 2017 Aug;71(4):26-33
    Katedra i Klinika Otolaryngologii UJ CM Kierownik: prof. dr hab. J. Składzień.
    Introduction: The aim of the middle ear surgery is to eliminate abnormalities from the mucous, ensure the due airing of the postoperative cavity and reconstruct the sound-conducting system in the middle ear. Numerous reports can be found in literature on the changes to bone conduction as a consequence of middle ear surgery.

    Study Objective: The aim of the work is to define the factors that affect bone conduction in the patients operated on due to the perforation of the tympanic membrane with the preserved and normal mobile ossicular chain. Read More

    Total septal perforation repair with a pericranial flap: Radio-anatomical and clinical findings.
    Laryngoscope 2017 Nov 8. Epub 2017 Nov 8.
    Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Clinic, University of Barcelona, Barcelona, Spain.
    Objectives/hypothesis: Endonasal surgeries are the primary cause of septal perforation (SP). However, trauma, inflammation, infections, neoplasms, or abuse of inhaled drugs can also cause SP. Septal repair is indicated in patients who experience nasal obstruction, crusting, intermittent epistaxis, purulent discharge, or nasal whistling and in those who fail conservative treatment. Read More

    Comparing Plastic Surgery and Otolaryngology Management in Cleft Care: An Analysis of 4,999 Cases.
    Craniomaxillofac Trauma Reconstr 2017 Dec 3;10(4):271-277. Epub 2017 Apr 3.
    Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
    Care for patients with cleft lip and palate is best managed by a craniofacial team consisting of a variety of specialists, including surgeons, who are generally plastic surgeons or otolaryngologists trained in the United States. The goal of this study was to compare the surgical approaches and management algorithms of cleft lip, cleft palate, and nasal reconstruction between plastic surgeons and otolaryngologists. We performed a retrospective analysis of the American College of Surgeons' National Surgical Quality Improvement Program Pediatric database between 2012 and 2014 to identify patients undergoing primary repair of cleft lip, cleft palate, and associated rhinoplasty. Read More

    The Effectiveness of Sternocleidomastoid Flap Versus Superficial Musculoaponeurotic System Flap for the Prevention of Frey Syndrome and Facial Depressed Deformity in Parotid Surgery for Pleomorphic Adenoma.
    Ann Plast Surg 2017 Oct 31. Epub 2017 Oct 31.
    From the *Ear nose and throat and Maxillofacial surgery Department, Istituto di Ricovero e Cura a Carattere Scientifico, Referral Cancer Center of Basilicata, Potenza; †Ear nose and throat Department, "S. Maria delle Grazie" Hospital, Azienda Sanitaria Locale Napoli 2 Nord, Pozzuoli, Italy; ‡Laboratory of Preclinical and Translational Research, Istituto di Ricovero e Cura a Carattere Scientifico, Referral Cancer Center of Basilicata, Potenza; and §Department of Anesthesia and Intensive Care, Istituto Nazionale Tumori "Fondazione Pascale," Napoli, Italy.
    The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients). Read More

    Salvage of Unilateral Complete Ear Amputation with Continuous Local Hyperbaric Oxygen, Platelet-Rich Plasma and Polydeoxyribonucleotide without Micro-Revascularization.
    Arch Plast Surg 2017 Nov 27;44(6):554-558. Epub 2017 Oct 27.
    Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
    In many cases of complete ear amputation, microvascular surgery is required for tissue perfusion and organ survival. However, microvascular reconstruction is not always feasible in the absence of suitable vessels. Here, we present the case of a 76-year-old man who underwent complete amputation of the left ear after a collapse at home because of cardiogenic syncope. Read More

    Calvarial Reconstruction.
    Semin Plast Surg 2017 Nov 25;31(4):222-226. Epub 2017 Oct 25.
    Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
    Calvarial reconstruction is a challenge to reconstructive surgeons, especially considering protection of intracranial contents. In recent years, the advent of multiple reconstructive materials adds tools to the surgical armamentarium. Options include autologous split calvarial and rib grafts and alloplastic materials such as titanium mesh, methyl methacrylate, calcium hydroxyapatite, and polyetheretherketone. Read More

    Osseointegrated Implants and Prosthetic Reconstruction Following Skull Base Surgery.
    Semin Plast Surg 2017 Nov 25;31(4):214-221. Epub 2017 Oct 25.
    Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
    Rehabilitation following ablative skull base surgery remains a challenging task, given the complexity of the anatomical region, despite the recent advances in reconstructive surgery. Remnant defects following resection of skull base tumors are often not amenable to primary closure. As such, numerous techniques have been described for reconstruction, including local rotational muscle flaps, pedicled flaps with skin paddle, or even free tissue transfer. Read More

    Effect of esterified hyaluronic acid as middle ear packing in tympanoplasty for adhesive otitis media.
    Acta Otolaryngol 2017 Oct 26:1-5. Epub 2017 Oct 26.
    a Department of Otolaryngology - Head and Neck Surgery , Eye and ENT Hospital, Shanghai Medical College, Fudan University , Shanghai , China.
    Objectives: The goal of this study was to evaluate the effects of middle ear packing agents (MEPA) on post-operative hearing improvement and complications after tympanoplasty in patients with adhesive otitis media (OM).

    Materials And Methods: Patients with adhesive OM who underwent tympanoplasty surgery were enrolled in the study between January 2012 and January 2015. A total of 205 patients who received canal wall-down tympanoplasty with ossicular chain reconstruction were randomized into one of the three groups with different MEPA. Read More

    Internal Mammary Artery Perforator Flap for Immediate Volume Replacement Following Wide Local Excision of Breast Cancer.
    Arch Plast Surg 2017 Nov 26;44(6):502-508. Epub 2017 Oct 26.
    Department of Plastic and Reconstructive Surgery, the Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
    Background: Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction techniques (volume displacement) or tissue replacement techniques (volume replacement) is gaining popularity to prevent breast malformation.

    Methods: To date, using the internal mammary artery perforator (IMAP) flap has been suggested for immediate volume replacement after WLE, but has never been evaluated in a published study. Read More

    Evaluation of 4 Outcomes Measures in Microtia Treatment: Exposures, Infections, Aesthetics, and Psychosocial Ramifications.
    Plast Reconstr Surg Glob Open 2017 Sep 20;5(9):e1460. Epub 2017 Sep 20.
    Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, Calif.; Department of Head and Neck Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, Calif.; and Department of Surgery, Division of Plastic and Reconstructive Surgery, Temple University, Philadelphia, Pa.
    Background: In craniofacial microsomia, microtia and canal atresia pose formidable reconstructive challenges. We review our institutional experience in treating microtia and atresia to identify variables associated with 4 outcomes measures: complications, surgical revisions, aesthetic outcomes, and psychosocial function.

    Methods: Craniofacial microsomia patients treated at the University of California Los Angeles Craniofacial Clinic between 2008 and 2014 greater than 13 years of age (n = 68) were reviewed for microtia and atresia treatment and outcomes. Read More

    [Application advances of three-dimensional bioprinting in burn and plastic surgery field].
    Zhonghua Shao Shang Za Zhi 2017 Oct;33(10):650-652
    Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
    Three-dimensional bioprinting is one of the latest and fastest growing technologies in the medical field. It has been implemented to print part of the transplantable tissues and organs, such as skin, ear, and bone. This paper introduces the application status, challenges, and application prospect of three-dimensional bioprinting in burn and plastic surgery field. Read More

    [Revisional radical mastoidectomy surgeries--25 cases'experience].
    Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Oct;52(10):766-770
    Department of Otorhinolaryngology Head and Neck Surgery, Beijing Friendship Hospital Affiliated to Captial University of Medical Sciences, Beijing 100050, China.
    Objective: To analyze the risk factors of failure to dry ear after radical mastoidectomy and discuss key points in revisonal surgery. Methods: Clinical data of 25 patients(32 ears) with revisonal mastoidectomy were analyzed. The preoperative temporal bone CT findings, intra-operative findings, surgical procedures, postoperative operating cavities and aural abilities were recorded and analyzed. Read More

    Sialocutaneous fistula to the external auditory canal repaired with superficial parotidectomy and temporoparietal flap: A case report.
    Medicine (Baltimore) 2017 Oct;96(42):e7038
    Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.
    Rationale: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. Read More

    Relationship Between Optic Nerve Head Drusen Volume and Structural and Functional Optic Nerve Damage.
    J Glaucoma 2017 Dec;26(12):1095-1100
    Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital.
    Purpose: The purpose of this study is to assess the relationships between optic nerve head drusen (ONHD) volume, retinal nerve fiber layer (RNFL) thickness and visual field (VF) loss.

    Methods: Patients with ONHD and no other ocular or systemic conditions that can affect RNFL or VF were enrolled. Serial enhanced depth imaging (EDI) optical coherence tomography (OCT) B-scans of the optic nerve head (interval between scans, ~30 μm) were obtained from each participant. Read More

    Tissue Expansion Using Hyaluronic Acid Filler for Single-Stage Ear Reconstruction: A Novel Concept for Difficult Areas.
    Aesthet Surg J 2017 Oct;37(10):1085-1097
    Private practice, Malvern, Victoria, Australia. Section of Plastic and Reconstructive Surgery, University of Chicago Medical Center, Chicago, IL, USA. Private practice, Malvern, Victoria, Australia.
    Background: Auricular reconstruction is one of the most challenging procedures in plastic surgery. An adequate skin envelope is essential for cartilage framework coverage, yet few good options exist without additional surgery. We propose a novel method for minimally invasive tissue expansion, using hyaluronic acid (HA) filler to allow for single-stage ear reconstruction. Read More

    The Temporal Artery Island Flap: A Good Reconstructive Option for Small to Medium-Sized Facial Defects.
    J Oral Maxillofac Surg 2017 Sep 19. Epub 2017 Sep 19.
    Professor and Department Head, Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
    Purpose: The reconstruction of facial defects is esthetically vital because of the unique skin color and texture of the face. The aim of this study was to show the utility of different temporal artery island flap designs for the reconstruction of upper and middle facial defects without contrast to the color and texture of the face.

    Materials And Methods: This study is a retrospective case series conducted from November 2004 through May 2015. Read More

    Aesthetic Refinements in Forehead Flap Reconstruction of the Asian Nose.
    Plast Surg (Oakv) 2017 May 30;25(2):71-77. Epub 2017 May 30.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.
    Background: Traditional paramedian forehead flap reconstruction exploits the aesthetic subunit principle. Refinements and outcomes of forehead flap nasal reconstruction largely reflect Western experience. Differences in ethnic Asian anatomy and wound healing may foster suboptimal outcomes. Read More

    [Long-term Follow up and patient satisfaction after tympanoplasty with Titanium Clip-Prothesis].
    Laryngorhinootologie 2017 Oct 10;96(10):698-703. Epub 2017 Oct 10.
    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

    Middle Ear Prosthesis with Bactericidal Efficacy-In Vitro Investigation.
    Molecules 2017 Oct 10;22(10). Epub 2017 Oct 10.
    University of Gdansk, Intercollegiate Faculty of Biotechnology UG-GUMed, Department of Biotechnology, Laboratory of Biologically Active Compounds, Gdansk 80-307, Poland.
    Materials used in ossicular replacement prostheses must possess appropriate biological properties, such as biocompatibility, stability, no cytotoxicity. Due to the risk of infection (otitis media and chronic otitis media), it is desirable to use an antibacterial agent for illness prevention during the ossicular reconstruction. The goal of this work was to observe biological properties of a new composite prosthesis made of ABS containing silver nanoparticles (AgNPs 45T). Read More

    Evidence against the mucosal traction theory in cholesteatoma.
    Laryngoscope 2017 Oct 8. Epub 2017 Oct 8.
    Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota.
    Objectives: To investigate the distribution of ciliated epithelium in the human middle ear and its potential role in the formation of cholesteatoma.

    Study Design: Comparative human temporal bone study.

    Methods: We selected temporal bones from 14 donors with a diagnosis of cholesteatoma, 15 with chronic otitis media without retraction pockets, 14 with chronic otitis media with retraction pockets, 14 with cystic fibrosis (CF), and 16 controls. Read More

    Awake serial intralesional steroid injections without surgery as a novel targeted treatment for idiopathic subglottic stenosis.
    Laryngoscope 2017 Oct 8. Epub 2017 Oct 8.
    Monash Health and Alfred Health, Victoria, Melbourne, Australia.
    Objectives/hypothesis: The fibrotic/erythematous appearance of the subglottis in idiopathic subglottic stenosis (iSGS) hints that it might respond to repeated intralesional steroid treatment similar to keloids.

    Study Design: Retrospective cohort study.

    Methods: Thirteen iSGS subjects (six treated in-office with serial intralesional steroid injections [SILSI] versus seven treated endoscopically in the operating room [OR] followed by awake SILSI) between October 2011 and April 2017. Read More

    Otology at the Academy of Gondishapur 200-600 CE.
    Otol Neurotol 2017 Dec;38(10):1540-1545
    Departments of Otorhinolaryngology-Head and Neck Surgery and Pediatrics, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
    Objective: To investigate the way in which otology was practiced at the Academy of Gondishapur in ancient Persia from 200 to 600 CE.

    Method: The pertinent literature, using German and English translations of Latin, Greek, Arabic, and Sanskrit documents, was identified and reviewed through the indices of available books and through a PDF search for the following topics: auricle, deaf, deafness, dizziness, ear, hearing, medicine, otitis, pinna, punishment-ear, speech, surgery, vertigo, and voice.

    Results: The medical school at the Academy of Gondishapur followed the medical and surgical practices of Greece and Rome and, in the 6th century, incorporated those from India as detailed in the Shutra Samhita. Read More

    Osseointegrated Prosthetic Ear Reconstruction in Cases of Skin Malignancy: Technique, Outcomes, and Patient Satisfaction.
    Ann Plast Surg 2017 Oct 3. Epub 2017 Oct 3.
    From the *Division of Plastic Surgery, University of Utah, Salt Lake City, UT; †Division of Plastic and Reconstructive Surgery, Stanford Hospital and Clinics, Stanford, CA; ‡Huntsman Cancer Institute; and §Division of General Surgery, University of Utah, Salt Lake City, UT.
    Background: Ear reconstruction with osseointegrated prosthetic implants is a well-established method of reconstruction after resection of skin malignancies on the external ear. There is limited literature reporting technique, outcomes, and patient satisfaction.

    Methods: We evaluated our outcomes over a 5-year period looking at osseointegrated prosthetic reconstruction after auriculectomy for external ear skin malignancies. Read More

    Reconstruction of a near total ear amputation with a neurosensorial radial forearm free flap prelaminated with porous polyethylene implant and delay procedure.
    Microsurgery 2017 Oct 5. Epub 2017 Oct 5.
    Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, University of Porto, Portugal.
    When an auricular defect is caused by high-energy trauma that causes damage to the surrounding tissues, the patient may be not a candidate for reconstruction with local flaps and free tissue transfer may be necessary. Here we present a case of total auricular reconstruction in a 27 year-old man who had total loss of the left ear and traumatized temporal skin and fascia. A radial forearm flap prelaminated by a porous polyethylene implant was employed. Read More

    Segmental deficiency of cervical tracheal rings masquerading as complete tracheal rings: A case report and literature review.
    Int J Pediatr Otorhinolaryngol 2017 Oct 8;101:246-248. Epub 2017 Aug 8.
    University of Cincinnati School of Medicine, Department of Otolaryngology - Head & Neck Surgery, Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address:
    Congenital deficiency of distal tracheal rings is a rare anomaly and has been previously reported in the literature. Here we report the first case deficient tracheal rings confined to the cervical trachea. Patient was transferred to our institution for management of what was initial thought to be complete tracheal rings. Read More

    Three-dimensional assessment of the temporal bone and mandible deformations in patients with congenital aural atresia.
    Int J Pediatr Otorhinolaryngol 2017 Oct 4;101:164-166. Epub 2017 Aug 4.
    ENT Institute, Eye & ENT Hospital of Fudan University, Shanghai 200031, China; Hearing Medical Key Laboratory, National Health and Family Planning Commission, Shanghai 200031, China. Electronic address:
    Objective: To investigate the deformations of temporal bone and mandible combined with congenital aural atresia.

    Methods: A total of 158 patients with congenital aural atresia were included in the study. The raw CT data of the temporal bone was imported into MIMICS v 12 and threshold dissection, region growing and three-dimensional (3D) calculation were used to calculate 3D models. Read More

    Aesthetic and hearing rehabilitation in patients with bilateral microtia-atresia.
    Int J Pediatr Otorhinolaryngol 2017 Oct 10;101:150-157. Epub 2017 Aug 10.
    Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address:
    Objectives: To evaluate the safety and efficacy of auricle reconstruction and active transcutaneous bone-conduction implantation in patients with bilateral microtia-atresia.

    Design: Patients were chosen prospectively, with each being his/her own control.

    Setting: The setting was a tertiary referral center. Read More

    Early Familial Experiences With Microtia: Psychosocial Implications for Pediatric Providers.
    Clin Pediatr (Phila) 2017 Sep 1:9922817734358. Epub 2017 Sep 1.
    2 Aesthetic Ear Reconstruction, Torrance, CA, USA.
    This study focuses on early experiences of families with a child with microtia to better inform their ongoing care by pediatric providers. Parents and children (n = 62; mean age of 6.9 ± 3. Read More

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