8,335 results match your criteria Ear Reconstruction


Burned Ear Reconstruction Using a Superficial Temporal Fascia Flap.

Ear Nose Throat J 2020 Jul 1:145561320937620. Epub 2020 Jul 1.

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

Objectives: Ear deformity caused by burns is one of the most difficult types of deformity to treat with plastic surgery, and the reconstruction of burned ears undoubtedly remains a substantial challenge. This study aims to report the therapeutic regime of using a superficial temporal fascial flap to cover the framework in burned ear reconstruction.

Methods: Autologous costal cartilage was used to form the ear framework in all of the reconstruction cases. Read More

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http://dx.doi.org/10.1177/0145561320937620DOI Listing

Feasibility of Free Flap Reconstruction Following Salvage Robotic-Assisted Resection of Recurrent and Residual Oropharyngeal Cancer in 3 Patients.

Ear Nose Throat J 2020 Jul 1:145561320937627. Epub 2020 Jul 1.

Department of Otolaryngology, Head and Neck Surgery, Charing Cross Hospital, Imperial College Healthcare, London, United Kingdom.

Introduction: Human papilloma virus (HPV)-positive oropharyngeal cancer carries a good prognosis when managed with primary chemoradiotherapy. However, the dramatically increasing rate of this disease means more patients are now developing recurrence, with surgery remaining the mainstay of treatment. Despite this, there is no agreed technique for excision of recurrent oropharyngeal cancer. Read More

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http://dx.doi.org/10.1177/0145561320937627DOI Listing

Surgical intra- and extra-articular anterior cruciate ligament reconstruction: a meta-analysis.

BMC Musculoskelet Disord 2020 Jun 30;21(1):414. Epub 2020 Jun 30.

Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich, Ludwig-Maximilians-University, Campus Großhadern, Marchioninistraße 15, 81377, Munich, Germany.

Background: It is still controversial whether the combination of anterior cruciate ligament (ACL) reconstruction and extra-articular reconstruction (EAR) have good clinical efficacy. This meta-analysis aims systematically to compare the clinical effectiveness of ACL reconstruction and combined reconstruction.

Methods: Electronic databases, including Medline/PubMed, Embase and the Cochrane Library, were systematically searched to identify targeted studies. Read More

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http://dx.doi.org/10.1186/s12891-020-03438-4DOI Listing

A Sustainable and Scalable Multidisciplinary Airway Teaching Mission: The Operation Airway 10-Year Experience.

Otolaryngol Head Neck Surg 2020 Jun 30:194599820935042. Epub 2020 Jun 30.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.

Objective: To address whether a multidisciplinary team of pediatric otolaryngologists, anesthesiologists, pediatric intensivists, speech-language pathologists, and nurses can achieve safe and sustainable surgical outcomes in low-resourced settings when conducting a pediatric airway surgical teaching mission that features a program of progressive autonomy.

Study Design: Consecutive case series with chart review.

Setting: This study reviews 14 consecutive missions from 2010 to 2019 in Ecuador, El Salvador, and the Dominican Republic. Read More

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http://dx.doi.org/10.1177/0194599820935042DOI Listing

Predicting length of stay in head and neck patients who undergo free flap reconstruction.

Laryngoscope Investig Otolaryngol 2020 Jun 28;5(3):461-467. Epub 2020 May 28.

Department of Otolaryngology Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.

Objective: Understanding factors that affect postoperative length of stay (LOS) may improve patient recovery, hasten postoperative discharge, and minimize institutional costs. This study sought to (a) describe LOS among head and neck patients undergoing free flap reconstruction and (b) identify factors that predict increased LOS.

Methods: A retrospective cohort was performed of 282 head and neck patients with free flap reconstruction for oncologic resection between 2011 and 2013 at a tertiary academic medical center. Read More

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http://dx.doi.org/10.1002/lio2.410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314462PMC

Auricular avulsion injuries and reattachment techniques: A systematic review.

Laryngoscope Investig Otolaryngol 2020 Jun 14;5(3):381-389. Epub 2020 Apr 14.

Department of Otolaryngology/Head and Neck Surgery University of North Carolina Health Care Chapel Hill North Carolina USA.

Objectives: Multiple surgical techniques exist in the acute management of auricular avulsion injuries, including reattachment of the tissue as a composite graft, reconstruction using local skin flaps, the pocket principle, the Baudet method, and microvascular repair. This review aimed to compare the success rates of reattachment methods in auricular avulsion injuries.

Methods: A PubMed search systematically identified cases in which (a) an auricular avulsion injury occurred and (b) reattachment was attempted. Read More

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http://dx.doi.org/10.1002/lio2.372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314473PMC

Comparison of post-operative outcomes of graft materials used in reconstruction of blow-out fractures.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):538-544

Department of Ear Nose Throat and Head and Neck Surgery, Yüksek İhtisas University Faculty of Medicine, Liv Hospital Ankara, Ankara-Turkey.

Background: Trauma to the face caused by assault or impact may cause internal orbital fracture. Increased intraorbital pressure without disruption of soft tissue integrity or causing a fracture line in orbital rims or orbital floor fractures described as 'orbital blow-out fracture'. Such fractures have been categorized as 'pure blow-out fractures' in which only the orbital floor is affected, and 'impure blow-out fractures' in which other maxillofacial bones such as zygoma, maxilla and nasoethmoid are also affected. Read More

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http://dx.doi.org/10.14744/tjtes.2020.80552DOI Listing

Reconstructing Ear Defects Using the Revolving Door Island Flap: A Case Series.

Actas Dermosifiliogr 2020 Jun 21. Epub 2020 Jun 21.

Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.

Background And Objectives: Defects of the anterior region of the pinna pose a reconstruction challenge owing to the complex topography and difficult access. We report our experience using the revolving door island flap (RDIF) to reconstruct pinna defects and present the surgical results.

Material And Methods: Retrospective descriptive study of patients undergoing ear reconstruction using RDIF at different sites of the anterior region after resection of malignant tumors. Read More

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http://dx.doi.org/10.1016/j.ad.2020.03.002DOI Listing

Detailed Analysis of the Space between the Semicircular Canals for the Purpose of Direct Bone Conduction Stimulation of the Inner Ear.

Audiol Neurootol 2020 Jun 23:1-10. Epub 2020 Jun 23.

Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Warsaw, Poland.

Introduction: Until recently, all locations for bone conduction (BC) stimulator described in the literature were situated outside of the real otic capsule. In recent studies 2 new sites for the BC titanium implant were proposed to directly stimulate the cochlea from the closest possible distance, which was the bone forming the ampulla of the lateral semicircular canal (SC) and the bone between the superior and lateral SC. They proved to be the most efficient in terms of transmission of vibratory energy into the inner ear and could be introduced in the field of BC hearing rehabilitation. Read More

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http://dx.doi.org/10.1159/000508057DOI Listing

Controversies in the Workup and Surgical Management of Parotid Neoplasms.

Otolaryngol Head Neck Surg 2020 Jun 23:194599820932512. Epub 2020 Jun 23.

The University of Minnesota School of Medicine, Minneapolis, Minnesota, USA.

Objective: Parotid neoplasms are a rare heterogeneous group of tumors with varied clinical presentation and behavior. Here we provide an evidence-based review of the contemporary approach to evaluation and surgical management of parotid tumors.

Data Source: PubMed and Web of Science Databases. Read More

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http://dx.doi.org/10.1177/0194599820932512DOI Listing

Custom Alloplastic Temporomandibular Joint Reconstruction: Expanding Reconstructive Horizons.

J Craniofac Surg 2020 Jun 18. Epub 2020 Jun 18.

Rush Craniofacial Center, Division of Plastic Surgery, Department of Surgery.

Custom alloplastic temporomandibular joint (TMJ) reconstruction has been well established for the management of end-stage TMJ disease. However, its use in congenital TMJ deformities is limited. Here, the authors present initial outcomes of skeletally mature patients who underwent custom alloplastic TMJ reconstruction and simultaneous orthognathic surgery. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006595DOI Listing

"Auricular reconstruction: A sociocultural, surgical and scientific perspective".

J Plast Reconstr Aesthet Surg 2020 May 6. Epub 2020 May 6.

Reconstructive Surgery & Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University, United Kingdom; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom. Electronic address:

The functional and sociocultural role of the auricle has been prevalent in art, literature and history for millennia. It is no surprise, therefore, that auricular anomalies can be associated with affective disorders and impaired academic performance in children. The challenge of auricular reconstruction has captured the attention of surgical innovators for millennia with the earliest records of auricular reconstruction documented in the Edwin Smith Surgical Papyrus dating back to 3000 BCE. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.03.025DOI Listing

Preauricular pull through flap for reconstruction of the auricle.

J Plast Reconstr Aesthet Surg 2020 May 26. Epub 2020 May 26.

Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital - Medcampus 3, Krankenhausstrasse 9, 4020 Linz, Austria; Medical Faculty, Johannes Kepler University, Altenberger Straße 69, 4040 Linz, Austria.

Introduction: Reconstruction of the crus of the antihelix after tumor resection is a significant surgical challenge and to date no ideal method has been described. The authors present a novel approach using a pedicled flap from preauricular excess skin, which is tunneled through the helix to the anterior auricular surface.

Material And Methods: The presented technique was successfully applied in a series of three patients requiring reconstruction of the superior and inferior crus of the antihelix after resection of skin malignancies. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.078DOI Listing

Nitinol in Passive Ossicular Reconstruction-First Results From Temporal Bone Experiments.

Otol Neurotol 2020 May 14. Epub 2020 May 14.

Department of Otolaryngology, University of Goettingen, Goettingen, Germany.

Hypothesis: Nitinol is a suitable material for passive middle ear prosthesis.

Background: In modern ear microsurgery, the restitution of hearing is tremendously important. In passive ossicular reconstruction, rigid alloplastic materials are widespread in use. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002700DOI Listing

An analytical study of neocartilage from microtia and otoplasty surgical remnants: A possible application for BMP7 in microtia development and regeneration.

PLoS One 2020 17;15(6):e0234650. Epub 2020 Jun 17.

Department of Polymer Science, University of Akron, Akron, Ohio, United States of America.

To investigate auricular reconstruction by tissue engineering means, this study compared cartilage regenerated from human chondrocytes obtained from either microtia or normal (conchal) tissues discarded from otoplasties. Isolated cells were expanded in vitro, seeded onto nanopolyglycolic acid (nanoPGA) sheets with or without addition of bone morphogenetic protein-7 (BMP7), and implanted in nude mice for 10 weeks. On specimen harvest, cartilage development was assessed by gross morphology, histology, and RT-qPCR and microarray analyses. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234650PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299323PMC

Hyperbaric Oxygen Therapy for Large Composite Grafts: An Alternative in Pediatric Facial Reconstruction.

J Plast Reconstr Aesthet Surg 2020 May 21. Epub 2020 May 21.

Division of Plastic Surgery, Section of Pediatric Plastic Surgery. Albany Medical Center and Bernard and Millie Duker Children's Hospital at Albany Medical Center. Albany, New York.

Background: Management of pediatric facial defects can be challenging, as reattachment of large composite grafts is usually unsuccessful. Hyperbaric oxygen therapy (HBO) has been researched to augment composite graft survival, but clinical use for this application remains anecdotal. The authors present their successful experience managing select cases with large composite grafts and HBO as an adjunct. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.028DOI Listing

A Systematic Review on Outcomes of Anterior Skull Base Reconstruction.

J Plast Reconstr Aesthet Surg 2020 May 25. Epub 2020 May 25.

Blenheim Head and Neck Unit, Department of Plastics and Reconstructive Surgery, Churchill Hospital, Headington, Oxford, UK.

Introduction: Anterior skull base resection often results in large defects that need to be reconstructed. This can be done using loco-regional, free flaps or both.

Objective: The aim of this systematic review is to evaluate the surgical outcomes (mortality, complication rates and functional outcomes) for patients undergoing anterior skull base reconstruction. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.044DOI Listing

Otogenic Pneumocephalus After Tegmen Bone Reconstruction: A Case Report.

Ear Nose Throat J 2020 Jun 16:145561320934217. Epub 2020 Jun 16.

Department of Otorhinolaryngology-Head and Neck Surgery, King Abdullah Ear Specialist Center (KAESC), King Saud University, Riyadh, Saudi Arabia.

Pneumocephalus is usually induced by trauma, infections, tumors of the skull base, and surgical interventions. Spontaneous pneumocephalus occurs due to a defect in the temporal bone with no obvious cause. Few cases have been reported with spontaneous otogenic pneumocephalus. Read More

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http://dx.doi.org/10.1177/0145561320934217DOI Listing

Delayed Infection of Porous Polyethylene Implants After Oncologic Maxillectomy and Reconstruction: 2 Case Reports and Review of Literature.

Ear Nose Throat J 2020 Jun 15:145561320927525. Epub 2020 Jun 15.

Department of Otolaryngology/HNS at LSU Health Shreveport, LA, USA.

Medpor porous polyethylene implants are commonly used for facial skeletal reconstruction due to reported biocompatibility, fibrovascularization, and durability. While uncommon, late implant infections are an important consideration. We report delayed infections in 2 patients after unilateral total oncologic maxillectomy and reconstruction using Medpor implants for an ossifying fibroma and squamous cell carcinoma, respectively. Read More

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http://dx.doi.org/10.1177/0145561320927525DOI Listing

Finite element analysis and three-dimensional reconstruction of tonotopically aligned human auditory fiber pathways: A computational environment for modeling electrical stimulation by a cochlear implant based on micro-CT.

Hear Res 2020 May 29;393:108001. Epub 2020 May 29.

TU Wien, Institute for Analysis and Scientific Computing, Wiedner Hauptstraße 8-10, A- 1040, Vienna, Austria.

The application of cochlear implants can be studied with computational models. The electrical potential distribution induced by an implanted device is evaluated with a volume conductor model, which is used as input for neuron models to simulate the reaction of cochlear neurons to micro-stimulation. In order to reliably predict the complex excitation profiles it is vital to consider an accurate representation of the human cochlea geometry including detailed three-dimensional pathways of auditory neurons reaching from the organ of Corti through the cochlea-volume. Read More

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http://dx.doi.org/10.1016/j.heares.2020.108001DOI Listing

[Reconstruction by thoracodorsal perforator flap after petrosectomy].

Ann Chir Plast Esthet 2020 Jun 8. Epub 2020 Jun 8.

Service de chirurgie plastique, reconstructrice et esthétique, hôpital Tenon, AP-HP, 4, rue de la Chine 75020 Paris, France; Faculté de médecine Pierre et Marie Curie Paris VI, Sorbonne université, 91-105, boulevard de l'Hôpital, 75013 Paris, France; Service de chirurgie plastique, reconstructrice et brûlés, hôpital Armand-Trousseau, AP-HP, 26 avenue du Dr-Arnold-Netter 75012 Paris, France.

Petrosectomy is a debilitating intervention, consisting of a resection of the bone forming the external auditory canal, the middle ear and sometimes the internal ear as well. The cavity formed after this surgery can lead to infectious complications. Reconstruction is an essential element for patients' rehabilitation. Read More

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http://dx.doi.org/10.1016/j.anplas.2020.04.003DOI Listing

The Bilobe Flap for Nasal Reconstruction.

Facial Plast Surg 2020 Jun 8;36(3):276-280. Epub 2020 Jun 8.

Division of Facial Plastic and Reconstructive Surgery, Stanford University, Palo Alto, California.

Repair of nasal defects is technically challenging due to inelastic nasal skin and unforgiving nasal geometry. The bilobe flap is a double transposition flap that can transpose skin from cephalad to caudad to repair defects of the lower third of the nose. However, pincushioning may complicate this flap, yielding untoward aesthetic outcomes. Read More

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http://dx.doi.org/10.1055/s-0040-1712160DOI Listing

Age- and Sex-Related Development of the Normal Human Ear in a Child Population.

Authors:
Xu Chunyang Liu Lei

J Craniofac Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Burns and Plastic Surgery, Second Hospital of Shandong University, Jinan, China.

Background: A large number of researches related to auricle development have been conducted in different countries, but there were few similar studies in China, especially in Chinese children. This study was designed to investigate the auricular development by measuring normal age- and sex-related dimensions of auricles in Chinese children.

Methods: A total of 900 participants were evaluated according to their age and gender. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006587DOI Listing
June 2020
0.676 Impact Factor

Autologous costochondral graft harvest in children.

Int J Pediatr Otorhinolaryngol 2020 May 16;135:110111. Epub 2020 May 16.

Divisions of Pediatric Otolaryngology and Facial Plastic Surgery, Department of Otolaryngology, Tufts Medical Center, Boston, MA, United States; Floating Hospital for Children at Tufts Medical Center, Boston, MA, United States. Electronic address:

Introduction: Autologous costochondral grafting is a commonly employed technique in pediatric otolaryngology for reconstructing a cartilaginous or bony structure, such as the trachea, larynx, nose or mandible by harvesting rib cartilage or bone from the same patient. Complications include infection, pneumothorax, hematoma, scarring, and pleural leak, and the literature regarding these complication rates in pediatric patients undergoing this procedure is sparse. The objective of this study was to determine the donor site complication rate associated with rib graft harvest procedures performed by pediatric otolaryngologists in infants and children and to compare this to established complication rates reported in adults. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110111DOI Listing

Recurrent Ameloblastoma Involving Fibula Neo-mandible: Management with Digital Planning and Reconstruction Using a Contralateral Free Fibula Flap.

Cureus 2020 Apr 29;12(4):e7880. Epub 2020 Apr 29.

Maxillofacial Surgery, St. James's Hospital, Dublin, IRL.

Ameloblastoma is a locally aggressive tumor that most commonly arises in the mandible. It has a high rate of recurrence if inadequately excised. We report a case of a patient who developed recurrence of his ameloblastoma in his fibula flap mandibular reconstruction despite clear resection margins 23 years after resection. Read More

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http://dx.doi.org/10.7759/cureus.7880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255542PMC

Maxillary Sinus Ameloblastoma: Transnasal Endoscopic Management.

Ear Nose Throat J 2020 Jun 2:145561320930555. Epub 2020 Jun 2.

Department of Otolaryngology, University of British Columbia and St Paul's Sinus Centre, Vancouver, British Columbia, Canada.

Ameloblastoma (AM) is a slow growing and aggressive benign tumor with an odontogenic epithelial origin arising from the mandible or maxilla. The odontogenic neoplasm invades local tissues asymptomatically and accounts for 1% of oral tumors and over 10% of odontogenic tumors. A 64-year-old man with a history of allergic fungal rhinosinusitis (AFRS) undergoing a revision image-guided endoscopic sinus surgery was found to have a fibrous mass suspicious of malignancy projecting inferolaterally and attached to the floor of the left maxillary sinus. Read More

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http://dx.doi.org/10.1177/0145561320930555DOI Listing

Recent Advances in Cone-beam CT in Oral Medicine.

Curr Med Imaging 2020 ;16(5):553-564

Oral Rehabilitation Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.

Background: The cone-beam computed tomography (CBCT) technology has continuously evolved since its appearance in oral medicine in the early 2000s.

Objectives: To present recent advances in CBCT in oral medicine: i) selection of recent and consensual evidence-based sources, ii) structured summary of the information based on an iterative framework and iii) compliance with ethical, public health and patient-centered concerns.

Main Findings: We will focus on technological advances, such as sensors and reconstruction algorithms used to improve the constant quality of the image and dosimetry. Read More

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http://dx.doi.org/10.2174/1573405615666190114152003DOI Listing
January 2020

Coating Medpor Implant with Tissue-Engineered Elastic Cartilage.

J Funct Biomater 2020 May 22;11(2). Epub 2020 May 22.

Department of Neurology, School of Medicine, University of North Carolina, CB #7025, Chapel Hill, NC 27599, USA.

Inert biomaterials used for auricular reconstruction, which is one of the most challenging and diverse tasks in craniofacial or head and neck surgery, often cause problems such as capsule formation, infection, and skin extrusion. To solve these problems, scaffold consisting of inert biomaterial, high-density polyethylene (Medpor) encapsulated with neocartilage, biodegradable poly(DL-lactic-co-glycolic acid) (PLGA) was created using a tissue engineering strategy. PLGA scaffold without Medpor was created to serve as the control. Read More

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http://dx.doi.org/10.3390/jfb11020034DOI Listing

Emergency Laryngectomy Feasibility and Indications Beyond Airway Obstruction in the Era of Concurrent Chemoradiotherapy.

Ear Nose Throat J 2020 May 26:145561320927946. Epub 2020 May 26.

National Health Service, Birmingham, United Kingdom.

Background: It is believed that carrying out laryngectomy in tracheotomized patients leads to higher postoperative complications and stomal recurrence compared to carrying out the procedure upfront without prior tracheotomy. We believe that emergency laryngectomy is a feasible procedure in most cancer centers and can be carried out for indications beyond acute airway obstruction as well and complex reconstruction procedures can be also carried out simultaneously. We hereby describe our experience with emergency laryngectomy with or without pharyngectomy. Read More

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http://dx.doi.org/10.1177/0145561320927946DOI Listing
May 2020
0.881 Impact Factor

Bleb reconstruction using donor scleral patch graft for late bleb leak and hypotony.

Eur J Ophthalmol 2020 May 26:1120672120924343. Epub 2020 May 26.

Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, Dublin, Ireland.

Purpose: Bleb dysfunction may occur as a late complication following glaucoma filtration surgery. Over-filtering, thinning and cystic blebs can lead to hypotony, leak and corneal dellen. We report our surgical management and outcomes of this specific entity using donor scleral patch grafts. Read More

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http://dx.doi.org/10.1177/1120672120924343DOI Listing

Ear malformations: what do radiologists need to know?

Clin Imaging 2020 Apr 20;66:42-53. Epub 2020 Apr 20.

Department of Radio-diagnosis, Zagazig University, Zagazig, Egypt.

Ear malformations represent 50% of ear, nose and throat malformations. Ear malformations cause conductive hearing loss (CHL) and/or sensorineural hearing loss (SNHL) with a significant childhood disability worldwide. Early accurate diagnosis and treatment are mandatory to enhance language and speech development. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.04.022DOI Listing

Sound-localisation performance in patients with congenital unilateral microtia and atresia fitted with an active middle ear implant.

Eur Arch Otorhinolaryngol 2020 May 24. Epub 2020 May 24.

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.

Objective: This study assessed the safety and sound-localisation ability of the Vibrant Soundbridge (VSB) (Med-EL, Innsbruck, Austria) in patients with unilateral microtia and atresia (MA).

Methods: This was a single-centre retrospective research study. Twelve subjects with unilateral conductive hearing loss (UCHL) caused by ipsilateral MA were recruited, each of whom underwent VSB implantation and auricular reconstruction. Read More

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http://dx.doi.org/10.1007/s00405-020-06049-wDOI Listing

Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities.

Eur Arch Otorhinolaryngol 2020 May 22. Epub 2020 May 22.

Department of Otorhinolaryngology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.

Purpose: The purpose of this study is the evaluation of post-operative hearing threshold after revision surgery and obliteration of troublesome canal wall down mastoidectomy cavities (CWDMCs). The ability to use and tolerate conventional hearing aids (CHAs) was also evaluated.

Methods: A retrospective chart analysis of 249 patients with chronically draining CWDMCs who underwent revision surgery including obliteration of the mastoid cavity between 2007 and 2017 at the AMC location of the Amsterdam University Medical Centers (Amsterdam UMC) was performed. Read More

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http://dx.doi.org/10.1007/s00405-020-06041-4DOI Listing

Atypical replantation and reconstruction of frozen ear: A case report.

Medicine (Baltimore) 2020 May;99(20):e20068

Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital.

Rationale: The first successful ear replantation was performed by Pennigton in 1980 in Sydney. At least 84 ear replantations have been described in the literature over a period of 37 years since the first case. The authors have not found any previous case of frozen ear replantation in the literature. Read More

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http://dx.doi.org/10.1097/MD.0000000000020068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253486PMC

Radiofrequency Treatment of Labia Minora and Majora: A Minimally Invasive Approach to Vulva Restoration.

Plast Reconstr Surg Glob Open 2020 Apr 22;8(4):e2418. Epub 2020 Apr 22.

Manhattan, Eye, Ear, and Throat Hospital, Division of Plastic and Reconstructive Surgery, New York, N.Y.

Labiaplasty has rapidly increased in popularity over the past 5 years.Traditional labiaplasty is associated with potential complications, such as dehiscence, hematoma, flap necrosis, narrowed introitus, pain, and asymmetry. Minimally invasive techniques such as radiofrequency (RF) have emerged as viable alternatives to traditional labiaplasty through a temperature-controlled bipolar mechanism to heat tissues to target temperatures of 40°C-45°C. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209841PMC

Duplication of the oral cavity and mandible: a rare congenital craniofacial anomaly.

BMJ Case Rep 2020 May 19;13(5). Epub 2020 May 19.

Otolaryngology - Head & Neck Surgery, MUSC, Charleston, South Carolina, USA.

A newborn girl was referred to the otolaryngology service after prenatal imaging showed a right mandibular mass. Physical examination revealed a 1-2 cm mass along the right mandible with the appearance of a vestigial oral cavity. Tissue resembling the vermillion and primitive tongue appeared innervated and moved in conjunction with oral movements. Read More

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http://dx.doi.org/10.1136/bcr-2019-233799DOI Listing

[Research progress of clinical therapy for concha-type microtia].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):656-659

The Seventh Plastic Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100144, P.R.China.

Objective: To summarize the current progress of clinical therapy for concha-type microtia.

Methods: The domestic and overseas literature about the treatment of concha-type microtia was reviewed and the contents of operative timing, operation selection, and complications were analyzed.

Results: The unified therapeutic schedule of the concha-type microtia has not yet been determined due to its complicated various therapeutic methods and unknown etiology. Read More

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http://dx.doi.org/10.7507/1002-1892.201909132DOI Listing

Radiographic surveillance of abdominal free fat graft in complex parotid pleomorphic adenomas: A case series.

Heliyon 2020 May 4;6(5):e03894. Epub 2020 May 4.

Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.

Background: Free abdominal fat transfer is commonly used to restore facial volume and improve cosmesis after parotidectomy for pleomorphic adenomas. We describe the radiographic characteristics of these grafts on follow-up imaging.

Methods: Medical records of four patients who underwent parotidectomy with abdominal fat graft in 2016 and had follow up imaging available were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e03894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210407PMC

Transpalatal Approaches to the Skull Base and Reconstruction: Indications, Technique, and Associated Morbidity.

Semin Plast Surg 2020 May 6;34(2):99-105. Epub 2020 May 6.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, Ohio.

Multiple anterior surgical approaches are available to obtain access to the nasopharynx, clivus, and craniocervical junction. These include the direct and transoral robotic surgery transpalatal, maxillary swing, and endoscopic endonasal approaches. In this article, we describe the indications for these techniques, surgical steps, and associated morbidities. Read More

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http://dx.doi.org/10.1055/s-0040-1709432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202914PMC

Evaluating fidelity of CT based 3D models for Zebrafish conductive hearing system.

Micron 2020 Aug 22;135:102874. Epub 2020 Apr 22.

Department of Pathology and Anatomical Sciences, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, NY, USA. Electronic address:

The zebrafish Weberian apparatus is an emerging model for human conductive hearing system. Their Weberian apparatus comprises minute bones and ligamentary links, and conducts sound pressure transmission from the gas bladder to inner ear through four pairs of Weberian ossicles along the vertebral column. We herein present a methodological study using MicroCT to image the Weberian apparatus for biomechanical and morphological analysis. Read More

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http://dx.doi.org/10.1016/j.micron.2020.102874DOI Listing

Preauricular banner transposition flap in the reconstruction of an ear conchal defect after basal cell carcinoma surgery.

Dermatol Ther 2020 May 8:e13543. Epub 2020 May 8.

Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany.

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http://dx.doi.org/10.1111/dth.13543DOI Listing

Alloplastic Auricular Reconstruction: Review of Implant Types, Adverse Events, and Aesthetic Outcomes.

J Craniofac Surg 2020 May 4. Epub 2020 May 4.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Importance: Alloplastic implants have been applied successfully in reconstruction of the external ear, either for congenital microtia or traumatic injury.

Objective: The objective of this study was to conduct a comprehensive systematic review of alloplastic implant materials utilized in the reconstruction of the external ear stratified by indication, specific implant type, postoperative complications, and aesthetic outcomes.

Evidence Review: A comprehensive systematic review of published literature on alloplastic external ear reconstruction data was conducted utilizing Medline/PubMed database without timeframe limitations in June 2019. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006481DOI Listing

The Revolving Door Flap: Revisiting an Elegant but Forgotten Flap for Ear Defect Reconstruction.

Indian J Plast Surg 2020 Mar 13;53(1):64-70. Epub 2020 Apr 13.

Calcutta Medical College, Kolkata, West Bengal, India.

 The revolving door flap, although well described in the literature, is not widely used in general plastic surgery practice. The flap has been used for anterior auricular and conchal defects and is considered elegant for its unique flap design and peculiarity of flap harvest. However, due to its use for a very specific purpose and unique flap harvest technique that may be difficult to grasp, the flap is not very popular in reconstructive practice. Read More

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http://dx.doi.org/10.1055/s-0040-1709531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192703PMC

Head and Neck Tumor Resection and Free Flap Reconstruction in Low-Volume Center.

Ear Nose Throat J 2020 May 4:145561320923835. Epub 2020 May 4.

John A Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.

Objective: To determine the surgical outcomes of free tissue transfer surgery following head and neck tumor extirpation in a low-volume medical center.

Methods: Retrospective chart review of patients who underwent free tissue transfer surgery for head and neck cancer at Moanalua Medical Center from 2015 to 2018.

Main Outcome Of Measure: Free flap failure rate and free flap-related complications. Read More

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http://dx.doi.org/10.1177/0145561320923835DOI Listing

Earlobe Reconstruction With an Anteriorly Based Postauricular Flap.

Eplasty 2020 17;20:ic7. Epub 2020 Apr 17.

Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180198PMC

Surgical reconstruction of the foramen tympanicum: What is known and how we do it.

J Stomatol Oral Maxillofac Surg 2020 Apr 30. Epub 2020 Apr 30.

Inserm, EFS BFC, UMR1098, Interactions Hôte-Greffon-Tumeur/Ingénierie Cellulaire et Génique, Department of Oral and Maxillofacial Surgery, Medical Faculty, University of Franche-Comté, University Hospital of Besançon, Besançon, France. Electronic address:

Defects affecting the anterior wall of the tympanal bone can result from trauma, infection, neoplasm or previous local surgery. An anatomic variation, namely the persistence of the foramen tympanicum, can also be encountered. When symptomatic, surgical reconstruction may be indicated. Read More

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http://dx.doi.org/10.1016/j.jormas.2020.04.005DOI Listing

Advances in regenerative medicine for otolaryngology/head and neck surgery.

BMJ 2020 04 29;369:m718. Epub 2020 Apr 29.

Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Scottsdale, AZ, USA

Head and neck structures govern the vital functions of breathing and swallowing. Additionally, these structures facilitate our sense of self through vocal communication, hearing, facial animation, and physical appearance. Loss of these functions can lead to loss of life or greatly affect quality of life. Read More

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http://dx.doi.org/10.1136/bmj.m718DOI Listing

Should We Routinely Use Pulmonary Function Testing in the Management of Subglottic Stenosis?

Laryngoscope 2020 Apr 29. Epub 2020 Apr 29.

Department of Otolaryngology, Massachusetts Eye and Ear, Boston, Massachusetts, U.S.A.

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http://dx.doi.org/10.1002/lary.28678DOI Listing