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    Mrmc Neo Surgical Ventilating Port and Neo Attic Malleo-Incudal Complex in Endoscopic Management of Limited Attico-Antral Cholesteatoma.
    Indian J Otolaryngol Head Neck Surg 2018 Mar 11;70(1):33-37. Epub 2017 Sep 11.
    Department of ENT, MRMC, Gulbarga, Karnataka India.
    To study functional outcome of the endoscopic management of limited attico-antral cholesteatoma in terms of visualization of sac, cholesteatoma disease clearance, ABG closure improvement, preservation of residual anatomy and recurrence of disease. It is a prospective study done during Feb 2016 to March 2017 done on 20 pts with limited attico-antral cholesteatoma with CT confirmation. Endoscopic management of limited attico-antral cholesteatoma with complete removal of sac, infected discharge and granulations along with creation of MRMC Neo surgical ventilating port (joining Anterior & posterior isthmuses) done in cases where residual attic anatomy was present to establish physiological attic ventilation and drainage. Read More

    To Evaluate and Compare the Result of Ossiculoplasty Using Different Types of Graft Materials and Prosthesis in Cases of Ossicular Discontinuity in Chronic Suppurative Otitis Media Cases.
    Indian J Otolaryngol Head Neck Surg 2018 Mar 7;70(1):15-21. Epub 2017 Sep 7.
    Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan India.
    Chronic suppurative otitis media, with and without cholesteatoma, frequently results in disruption of the ossicular chain. The present study was designed to compare the outcome using autologous ossicle and titanium prosthesis in two groups of suitable patients presenting with chronic suppurative otitis media for middle ear reconstructive surgeries. A prospective study done from July 2012 to December 2013, at Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur (Rajasthan). Read More

    Auditory effects of autologous fat graft for TORP stabilization in the middle ear: a cadaveric study.
    J Otolaryngol Head Neck Surg 2018 Feb 17;47(1):17. Epub 2018 Feb 17.
    Division Otolaryngology-Head and Neck Surgery, Nova Scotia Health Authority, Dalhousie University, Halifax, NS, Canada.
    Background: Total ossicular replacement prostheses (TORP) are often used to re-establish ossicular coupling of sound in an ear lacking a stapes supra-structure. The use of TORPs, however, is associated with a 2/3 five year failure rate due to their anatomic instability over time in the middle ear. The use of autologous fat to try and stabilize TORPs may improve long-term results with this challenging ossicular reconstruction technique. Read More

    Clival meningocele causing bilateral hearing loss in a child due to superficial siderosis of the central nervous system: case report.
    J Neurosurg Pediatr 2018 Feb 16:1-6. Epub 2018 Feb 16.
    Departments of 1 Neurological Surgery and.
    Superficial siderosis (SS) of the CNS is a rare and often unrecognized condition. Caused by hemosiderin deposition from chronic, repetitive hemorrhage in the subarachnoid space, it results in parenchymal damage in the subpial layers of the brain and spinal cord. T2-weighted MRI shows the characteristic hypointensity of hemosiderin deposition, classically occurring around the cerebellum, brainstem, and spinal cord. Read More

    Optimising the decellularization of human elastic cartilage with trypsin for future use in ear reconstruction.
    Sci Rep 2018 Feb 15;8(1):3097. Epub 2018 Feb 15.
    Division of Surgery and Interventional Science, University College London (UCL), London, United Kingdom.
    Decellularized scaffolds can induce chondrogenic differentiation of stem cells. This study compares different methods to optimise the decellularization of auricular cartilage. The process consisted of an initial 12 hour dry freeze thaw which froze the cartilage specimens in an empty tube at -20 °C. Read More

    Lower energy radial shock wave therapy improves characteristics of hypertrophic scar in a rabbit ear model.
    Exp Ther Med 2018 Jan 6;15(1):933-939. Epub 2017 Nov 6.
    Burns and Plastic Reconstruction Unit, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
    The aim of the present study was to investigate the effects of radial extracorporeal shock wave therapy (rESWT) on scar characteristics and transforming growth factor (TGF)-β1/Smad signaling in order to explore a potential modality for the treatment of hypertrophic scars (HS). The HS model was generated in rabbit ears, then rabbits were randomly divided into 3 groups: Lower (L)-ESWT [treated with rESWT with lower energy flux density (EFD) of 0.1 mJ/mm], higher (H)-ESWT (treated with a higher EFD of 0. Read More

    Reconstruction of Tragus and External Auditory Meatus using Remnant Auricle during Microtia Reconstruction.
    Facial Plast Surg 2018 Feb 12. Epub 2018 Feb 12.
    Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province, P.R. China.
    This article investigates an effective method with which to reconstruct the tragus and external auditory meatus for microtia reconstruction. The external ear was reconstructed using a delayed postauricular skin flap in patients with congenital microtia. After the first stage of delaying the postauricular skin flap and the second stage of otoplasty with ear framework fabricated from autogenous rib cartilage draping with the delayed skin flap, the third stage involved tragus and external auditory meatus canaloplasty. Read More

    The gray scale value of ear tissues undergoing volume-rendering high-resolution cone-beam computed tomography.
    Auris Nasus Larynx 2018 Feb 7. Epub 2018 Feb 7.
    Department of Otolaryngology, Kochi University, Medical School, Nankoku, Kochi, Japan.
    Objective: When the thresholds for VR reconstruction from multi-slice CT images are changed, problems develop when assessing pathologies in the absence of standardized thresholds. The advantages of CBCT include lower radiation exposure compared with other techniques and better visualization of small ear structures. However, a disadvantage is that the scanner provides unstandardized gray scale values, thus not CT numbers (Hounsfield units, HU). Read More

    Refinements in Elevation of the Reconstructed Auricle: The "Zigzag Incision".
    J Craniofac Surg 2018 Feb 6. Epub 2018 Feb 6.
    Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School.
    Objective: Auricular elevation with superficial temporal fascia and skin graft is widely used in microtia reconstruction using costal cartilage. However, in some patients, there has been occurrence of contraction of skin graft, which led to insufficient projection of the elevated auricle and diminished auriculocephalic angle with unfavorable long-term results. In this article, the authors introduce their multiple triangular flaps with zigzag incision to maintain stable projection and natural retroauricular sulcus appearance in auricular reconstruction patients. Read More

    Audit of 117 otoplasties for prominent ear by one surgeon using a cartilage-cutting procedure.
    ANZ J Surg 2018 Feb 7. Epub 2018 Feb 7.
    Auckland Regional Centre for Plastic Reconstructive and Hand Surgery, Middlemore Hospital, Auckland, New Zealand.
    Background: The plethora of surgical procedures for prominent ear correction reflects lack of satisfaction with outcomes achieved. This paper describes a cartilage-cutting otoplasty procedure and reports an audit of its outcomes.

    Methods: Discharge coding was used to retrospectively identify patients who had undergone the otoplasty of interest at Middlemore Hospital, Auckland, during the 5 years from March 2010 to the end of February 2015. Read More

    High Pregnancy and Calving Rates with a Limited Number of Transferred Handmade Cloned Bovine Embryos.
    Cell Reprogram 2018 Feb;20(1):4-8
    1 Animal Biotechnology Laboratory, Reproduction and Genetic Improvement, National University Toribio Rodriguez de Mendoza , Chachapoyas, Amazonas, Peru .
    A major obstacle of widespread commercial application of bovine somatic cell nuclear transfer is the low overall efficiency, that is, healthy calf-late pregnancy per transferred embryo rate. In this study, we report a series of experiments with a limited number of embryos created with handmade cloning (HMC) and transferred without or after open pulled straw vitrification. Embryo reconstruction was performed by using in vitro matured oocytes and adult ear skin fibroblasts. Read More

    In Vitro Regeneration of Patient-specific Ear-shaped Cartilage and Its First Clinical Application for Auricular Reconstruction.
    EBioMedicine 2018 Jan 13. Epub 2018 Jan 13.
    Shanghai Tissue Engineering Research Key Laboratory, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China; National Tissue Engineering Center of China, Shanghai, PR China; Auricular Center, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, PR China. Electronic address:
    Microtia is a congenital external ear malformation that can seriously influence the psychological and physiological well-being of affected children. The successful regeneration of human ear-shaped cartilage using a tissue engineering approach in a nude mouse represents a promising approach for auricular reconstruction. However, owing to technical issues in cell source, shape control, mechanical strength, biosafety, and long-term stability of the regenerated cartilage, human tissue engineered ear-shaped cartilage is yet to be applied clinically. Read More

    Extracorporeal shock wave therapy with low-energy flux density inhibits hypertrophic scar formation in an animal model.
    Int J Mol Med 2018 Apr 29;41(4):1931-1938. Epub 2018 Jan 29.
    Burns and Plastic Reconstruction Unit, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
    Hypertrophic scar is characterized by excessive deposits of collagen during skin wound healing, which could become a challenge to clinicians. This study assessed the effects of the extracorporeal shock wave therapy (ESWT) on hypertrophic scar formation and the underlying gene regu-lation. A rabbit ear hypertrophic scar model was generated and randomly divided into three groups: L-ESWT group to receive L-ESWT (energy flux density of 0. Read More

    Prosthetics in Facial Reconstruction.
    Craniomaxillofac Trauma Reconstr 2018 Mar 22;11(1):6-14. Epub 2017 May 22.
    Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
    Reconstruction of the head and neck can be a challenging undertaking owing to numerous considerations for successful rehabilitation. Although head and neck defects were once considered irretrievably morbid and associated with a poor quality of life, advances in surgical technique has immensely contributed to the well-being of these patients. However, all patients are not suitable surgical candidates and many have sought nonsurgical options for functional and cosmetic restoration. Read More

    Medial row perforators are associated with higher rates of fat necrosis in bilateral DIEP flap breast reconstruction.
    Plast Reconstr Surg 2018 Jan 17. Epub 2018 Jan 17.
    New York Eye and Ear Infirmary of Mount Sinai Hospital , Department of Plastic and Reconstructive Surgery , Center for the Advancement of Breast Reconstruction, New York, New York Hackensack University Medical Center, Department of Plastic and Reconstructive Surgery, Hackensack, New Jersey.

    Modified Methods of Fabricating Helix and Antihelix in Total Auricular Reconstruction Based on Different Length of Eighth Costal Cartilage.
    J Craniofac Surg 2018 Jan 19. Epub 2018 Jan 19.
    Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Beijing.
    Background: Attaining an ideal appearance of the reconstructed ear depends primarily on the fabricated cartilaginous ear framework. Despite the role of eighth costal cartilage, the length of the eighth rib cartilage is difficult to anticipate, and growth of the eighth cartilage is variable. The authors discussed modified methods of fabricating helix and antihelix based on different length of eighth costal cartilage. Read More

    Olfactory and gustatory functions after free flap reconstruction and radiotherapy for oral and pharyngeal cancer: a prospective follow-up study.
    Eur Arch Otorhinolaryngol 2018 Jan 27. Epub 2018 Jan 27.
    Department of Otorhinolaryngology, Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, P.O. Box 263, FI-00029 HUS,, Helsinki, Finland.
    Background: The senses of smell and taste can be adversely affected by both tumour- and treatment-related factors amongst head and neck cancer patients. The consequences may negatively impact nutritional status as well as quality of life in this patient population.

    Patients And Methods: This prospective longitudinal follow-up study is consisted of 44 patients treated for oral cavity, oropharyngeal or hypopharyngeal cancer with tumour resection and microvascular free tissue transfer reconstruction at the Helsinki University Hospital, Helsinki, Finland. Read More

    Polyethylene Ear Reconstruction: A State-of-the-Art Surgical Journey.
    Plast Reconstr Surg 2018 Feb;141(2):461-470
    Los Angeles, Calif. From the Keck School of Medicine, University of Southern California; and Craniofacial and Pediatric Plastic Surgery, Cedars Sinai Medical Center.
    Background: The use of a porous high-density polyethylene implant for ear reconstruction is gradually gaining acceptance because it allows for a pleasing ear reconstruction in young children before they enter school. In response to this growing interest, the authors decided to write an article clarifying in detail all the steps of this challenging procedure. In this article, the authors also answer all the common questions that surgeons have when they come to observe the operation, or when they go back to their respective practices and start performing this procedure. Read More

    A Bone Conduction Implantable Device as a Functional Treatment Option in Unilateral Microtia with Bilateral Stapes Ankylosis: A Report of Two Cases.
    Am J Case Rep 2018 Jan 23;19:82-89. Epub 2018 Jan 23.
    Audiology Unit, Department of Clinical Science and Community Health, University of Milano, IRCCS Fondazione Cà Granda, Ospedale Maggiore Policlinico, Milano, Italy.
    BACKGROUND Implantable devices have been proposed as an alternative to hearing aids and auditory canal reconstruction in patients with microtia (congenital aural atresia), which includes a malformation of the external and middle ear. This report is of two rare cases of microtia associated with congenital stapes ankylosis treated with an implantable device and describes the treatment outcomes. CASE REPORT Two siblings from Ecuador, a 29-year-old woman, and her 35-year-old brother, were born with unilateral type II microtia with bilateral external auditory canal atresia and conductive hearing loss. Read More

    Reconstruction of a Traumatic Cleft Earlobe Using a Combination of the Inverted V-Shaped Excision Technique and Vertical Mattress Suture Method.
    Arch Craniofac Surg 2017 Dec 23;18(4):277-281. Epub 2017 Dec 23.
    Department of Plastic and Reconstructive Surgery, Myong-Ji Hospital, Goyang, Korea.
    Traumatic cleft earlobes are a common problem encountered by plastic and reconstructive surgeons. Various techniques have been reported for the repair of traumatic cleft earlobes. Usually, the techniques of split earlobe repair are divided into two categories, namely straight- and broken-line repairs. Read More

    Experience with pharmacologic leeching with bivalirudin for adjunct treatment of venous congestion of head and neck reconstructive flaps.
    Microsurgery 2018 Jan 18. Epub 2018 Jan 18.
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary -Harvard Medical School, Boston, Maryland.
    Objectives: The goal of this study was to review the feasibility of local bivalirudin injection for adjunct treatment of venous congestion of head and neck reconstructive flaps.

    Methods: A retrospective chart review of patients who underwent bivalirudin treatment for venous congestion of head and neck reconstructive flaps in a single institution from September 1, 2012 to September 1, 2015 was undertaken. Individuals were treated with variable number of intradermal injections directly into the flap followed by a small skin incision to allow extended passive bleeding. Read More

    The Impact of the Transcanal Endoscopic Approach and Mastoid Preservation on Recurrence of Primary Acquired Attic Cholesteatoma.
    Otol Neurotol 2018 Jan 16. Epub 2018 Jan 16.
    Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital of Verona, Verona, Italy.
    Objective: We aim to investigate the factors associated with recurrent disease following surgery for primary acquired attic cholesteatoma. We hypothesize that minimal invasive, mucosal sparing operation techniques have beneficial effects on the outcome in terms of recurrence.

    Study Design: Retrospective study. Read More

    Expanding the limits of endoscopic intraorbital tumor resection using 3-dimensional reconstruction.
    Braz J Otorhinolaryngol 2017 Dec 26. Epub 2017 Dec 26.
    Massachusetts Eye and Ear Infirmary, Department of Otolaryngology-Head and Neck Surgery, Boston, USA; Harvard Medical School, Department of Otology and Laryngology, Boston, USA.
    Introduction: Endoscopic orbital surgery is a nascent field and new tools are required to assist with surgical planning and to ascertain the limits of the tumor resectability.

    Objective: We purpose to utilize three-dimensional radiographic reconstruction to define the theoretical lateral limit of endoscopic resectability of primary orbital tumors and to apply these boundary conditions to surgical cases.

    Methods: A three-dimensional orbital model was rendered in 4 representative patients presenting with primary orbital tumors using OsiriX open source imaging software. Read More

    Case of late-onset, relapsing surgical site infection related to a venous coupler placed during free flap reconstruction for major head and neck cancer.
    Head Neck 2018 Jan 12. Epub 2018 Jan 12.
    Department of Medicine, Infectious Disease Unit, Massachusetts General Hospital, and Infectious Disease Service, Massachusetts Eye and Ear, Boston, Massachusetts.
    Background: Venous coupling devices are widely used during reconstructive surgery involving microvascular anastomosis but have not served as foreign bodies in head and neck surgical site infections.

    Methods: We conducted a case report.

    Results: A patient underwent resection and free flap reconstruction for recurrent tongue squamous cell carcinoma. Read More

    Split-thickness skin grafting for reconstruction of auricular skin defects: a statistical analysis.
    J Dtsch Dermatol Ges 2018 Feb 12;16(2):163-173. Epub 2018 Jan 12.
    Department of Dermatology, Venereology and Allergology. Academic Teaching Department of Medical University Innsbruck, Central Teaching Hospital Bolzano/Bozen, Bolzano/Bozen, Italy.
    Background And Objectives: Surgical reconstruction following the removal of large malignant auricular lesions is challenging. While many options for defect closure have been described, in the elderly population usually affected flap surgery, long anesthesia times, patient compliance, and anticoagulant therapy pose additional risks. An alternative quick, simple, and effective method of defect closure is therefore highly desirable. Read More

    Mild Complications or Unusual Persistence of Porcine Collagen and Hyaluronic Acid Gel Following Periocular Filler Injections.
    Ophthal Plast Reconstr Surg 2018 Jan 9. Epub 2018 Jan 9.
    David G. Cogan Ophthalmic Pathology Laboratory, and Ophthalmic Plastic and Reconstructive Surgery Service, Department of Ophthalmology of the Massachusetts Eye and Ear Infirmary and the Harvard Medical School, Boston, Massachusetts, U.S.A.
    The purpose of this study was to describe the histopathologic appearance of dermal eyelid fillers that were unexpectedly encountered in ophthalmic plastic surgery samples from patients with mild eyelid disfigurements, and to review eyelid cases with complications that had previously been described in the literature. A retrospective histopathologic study with Alcian blue, elastic, and Masson trichrome stains of 2 cases that were submitted to the Ocular Pathology Department was conducted, and a critical review of previously published cases of the histopathologic characteristics of dermal filler material in the periocular region was also conducted. Two periocular tissue samples were found to contain dermal filler material. Read More

    Bilateral Ossicular Head Dehiscence Into the Middle Cranial Fossa.
    Ann Otol Rhinol Laryngol 2018 Mar 9;127(3):209-212. Epub 2018 Jan 9.
    1 Department of Otolaryngology - Head & Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
    Objectives: To describe a unique case of bilateral dehiscence of the malleus and incus heads into the middle fossa making contact with the temporal lobes, along with its clinical implications.

    Methods: An analysis of a patient case and review of pertinent literature were performed.

    Results: A patient with a history of right-sided mastoidectomy for cholesteatoma was evaluated for persistent conductive hearing loss. Read More

    Patient Perception and Satisfaction Questionnaire for Microtia Reconstruction: A New Clinical Tool to Improve Patient Outcome.
    J Craniofac Surg 2018 Jan 4. Epub 2018 Jan 4.
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
    Background: Patients' satisfaction is an increasingly important indicator for successful ear reconstruction surgeries. However, there is no scientifically sound patient-based outcome instrument in this field. This study aims at developing a patient-reported outcome measure for microtia reconstruction for investigating patients' satisfaction and perception of reconstructed ear and clinical researches. Read More

    National trends in primary tracheoesophageal puncture after total laryngectomy.
    Laryngoscope 2017 Dec 27. Epub 2017 Dec 27.
    Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.
    Objectives/hypothesis: Tracheoesophageal puncture (TEP) can be performed at the time of laryngectomy (primary) or postoperatively (secondary). Prior studies demonstrate safe and earlier voice acquisition and rehabilitation with primary TEP. The objectives of this study were to assess national trends in primary TEP and identify factors associated with its use. Read More

    Tympanoplasty - news and new perspectives.
    GMS Curr Top Otorhinolaryngol Head Neck Surg 2017 18;16:Doc07. Epub 2017 Dec 18.
    Technical University of Dresden, Germany.
    Techniques and biomaterials for reconstructive middle ear surgery are continuously and steadily developing. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. Read More

    Morphogenesis of the Middle Ear during Fetal Development as Observed Via Magnetic Resonance Imaging.
    Anat Rec (Hoboken) 2017 Dec 20. Epub 2017 Dec 20.
    Human Health Science, Graduate School of Medicine, Kyoto University, Kyoto, 606-8507 Japan.
    Recently, our research group has utilized serial histological sections to investigate the morphogenesis of the middle ear, which corresponds to the period of middle ear ossicle (MEO) cartilage formation. However, research regarding middle ear development during the post-embryonic period has been limited. In the present study, we investigated morphogenesis of the middle ear in human fetuses with a crown-rump length (CRL) between 37 and 197 mm using high-resolution magnetic resonance imaging (MRI). Read More

    Rehabilitation of Unilateral Congenital Microtia by Implant-retained Prosthesis.
    Ann Maxillofac Surg 2017 Jul-Dec;7(2):291-295
    Devanshi Dental Institute and Research Centre, Nagpur, Maharashtra, India.
    Microtia is a major congenital anomaly of the external ear. It includes a spectrum of deformities from a grossly normal but small ear to the absence of the entire external ear. These deformities account for three in every 10,000 births, with bilaterally missing ears seen in fewer than 10% of all cases. Read More

    [What's new in instrumental dermatology?]
    Ann Dermatol Venereol 2017 Dec;144 Suppl 4:IVS10-IVS15
    Service de dermatologie générale et oncologique, CHU Ambroise-Paré 9, avenue Charles-de-Gaulle, 92200 Boulogne-Billancourt, 75007 Paris, France; cabinet médical, 4 bis, avenue de Ségur, 75007 Paris, France. Electronic address:
    This "What's new in instrumental dermatology" dedicated skin surgeryis based upon a 2015-2017 literature analysis. The excision of skin cancers is an important part of surgical dermatology. Will artificial intelligence and new drug be able to face the increasing need for therapy? Wrong-site surgery is due to multiple factors. Read More

    Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients.
    Eur Arch Otorhinolaryngol 2018 Feb 14;275(2):607-613. Epub 2017 Dec 14.
    Department of Otorhinolaryngology, University Medical Centre Homburg/Saar, University of Homburg, Kirnberger Straße, 66421, Homburg/saar, Germany.
    Introduction: Defects in the head region may be caused by tumour treatments, injuries, as well as congenital malformations. The restoration of these defects that can be performed through reconstructive plastic surgery and/or prosthetic surgery occupies a high priority in the physical and psychological rehabilitation of the patient. The present study reports on long-term experience in supply of facial prosthesis. Read More

    Accessory Auricles: Systematic Review of Definition, Associated Conditions, and Recommendations for Clinical Practice.
    J Craniofac Surg 2017 Dec 12. Epub 2017 Dec 12.
    Autologus Ear Reconstruction Service, Birmingham Children's and Women's Hospital NHS Trust, Birmingham, UK.
    Accessory auricles are rare congenital abnormalities embryologically derived from the first branchial arch. Presentation may be variable with locations grouped into anatomical zones based on the frequency of location found in the literature. This study reviewed the papers between 1981 and 2017. Read More

    Rare craniofacial cleft in a dark-skinned African population.
    Niger Med J 2017 Jan-Feb;58(1):21-25
    Department of Surgery, Ear, Nose and Throat Division, Federal Medical Centre, Lokoja, Nigeria.
    Background: Craniofacial clefts are congenital anomalies which pose a management challenge to cleft surgeons, especially in developing countries. The aim of this study is to share our experience regarding the management of these atypical facial clefts.

    Patients And Methods: This prospective study was carried out from May 2009 to May 2014 at Federal Medical Centre, Nguru, Nigeria. Read More

    Preoperative evaluation and intraoperative protection of the facial nerve in congenital aural atresia.
    Ear Nose Throat J 2017 Dec;96(12):E38-E43
    Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, No. 1 Dong Jiao Min Xiang Rd., Dong Cheng District, Beijing, China 100730.
    We conducted a prospective study to assess the value of high-resolution computed tomography (HRCT) in identifying facial nerve variations in patients with congenital aural atresia and to determine how they affect otologic reconstruction surgery. Our study population was made up of 65 patients (69 ears) aged 6 to 22 years (mean: 13.7) without regard to sex. Read More

    Intracranial abscess formation following sphenoid sinus occlusion with nasoseptal flap skull base reconstruction: A cautionary tale.
    Ear Nose Throat J 2017 Dec;96(12):E36-E37
    Virginia Ear Nose & Throat, 161 Wadsworth Dr., Richmond, VA 23236, USA.
    The formation of an intracranial abscess secondary to sphenoid sinus occlusion after nasoseptal flap skull base reconstruction has not been previously described. We report such a case that occurred at our institution in a 23-year-old man who underwent flap reconstruction for a cerebrospinal fluid leak. We determined that occlusion of the sphenoid sinus outflow might have played a role in this complication. Read More

    Head and neck surgical reconstruction in Operation Iraqi Freedom and Operation Enduring Freedom-Afghanistan: A systematic review.
    Ear Nose Throat J 2017 Dec;96(12):E25-E30
    Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, 8901 Wisconsin Ave., Bethesda, MD 20889, USA.
    Historically, head and neck injuries constituted 16 to 20% of all nonfatal combat injuries. However, advances in body and vehicle armor in the context of the use of ambushes and improvised explosive devices by enemy combatants have resulted in fewer fatalities from head and neck wounds, and thus the incidence of nonfatal head and neck injuries has risen to as high as 52%. Despite this increase, data regarding specific injury distributions, surgical cases, and approaches to repair are lacking in the current literature. Read More

    Animal models in plastic and reconstructive surgery simulation-a review.
    J Surg Res 2018 Jan 28;221:232-245. Epub 2017 Sep 28.
    Department of Plastic Surgery, Center for Vascularized Composite Allotransplantation, Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Background: The use of live and cadaveric animal models in surgical training is well established as a means of teaching and improving surgical skill in a controlled setting. We aim to review, evaluate, and summarize the models published in the literature that are applicable to Plastic Surgery training.

    Materials And Methods: A PubMed search for keywords relating to animal models in Plastic Surgery and the associated procedures was conducted. Read More

    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 2018 Jan;121(1):73-75
    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 2018 Feb 6;42(1):167-175. 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 2018 Feb;39(2):184-188
    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 2018 Feb 5;275(2):379-384. 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

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