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    Adenoid cystic carcinoma of the head and neck area: Oncologic treatment and plastic-reconstructive options.
    Ear Nose Throat J 2017 Jun;96(6):E37-E40
    Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Ulm, Frauensteige 12, 89070 Ulm, Germany.
    Adenoid cystic carcinoma of the head and neck area is a rare malignant tumor with acceptable short-term but mediocre long-term prognosis. Radical tumor excision with clear resection margins, and sometimes resection of the facial nerve due to perineural growth, remains the fundamental therapy. We present 3 distinct clinical cases and discuss the current therapeutic options with special focus on plastic-reconstructive techniques. Read More

    Anatomical Characteristics of Facial Nerve and Cochlea Interaction.
    Audiol Neurootol 2017 Jun 20;22(1):41-49. Epub 2017 Jun 20.
    Department of Surgical Sciences, Sections of Otolaryngology, Head and Neck Surgery, Uppsala University Hospital, Uppsala, Sweden.
    Objective: The aim was to study the relationship between the labyrinthine portion (LP) of the facial canal and the cochlea in human inner ear molds and temporal bones using micro-CT and 3D rendering. A reduced cochlea-facial distance may spread electric currents from the cochlear implant to the LP and cause facial nerve stimulation. Influencing factors may be the topographic anatomy and otic capsule properties. Read More

    The palisade cartilage tympanoplasty technique: a systematic review and meta-analysis.
    J Otolaryngol Head Neck Surg 2017 Jun 17;46(1):48. Epub 2017 Jun 17.
    Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Hospital, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada.
    Background: Tympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. Read More

    [Reconstructive otoplasty: differentiated approach to rib cartilage processing and ear framework formation using carving technique].
    Stomatologiia (Mosk) 2017 ;96(3):30-35
    Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
    The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. Read More

    Intracochlear schwannoma : Tumor removal via subtotal cochleoectomy and partial cochlear reconstruction with preservation of semicircular canal function.
    HNO 2017 Jun 14. Epub 2017 Jun 14.
    Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and Medical School, Martin Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
    We report about a patient, who in 2005, as a 37-year-old, experienced a sudden, mild to moderate, mid-frequency sensorineural hearing loss in the right ear, along with tinnitus and mild dizziness. MRI of the temporal bone revealed a very small (1 mm) enhancing lesion in the second turn of the right cochlea after injection of contrast medium. Hearing gradually deteriorated, with complete hearing loss in 2015. Read More

    Hydroxyapatite cement resurfacing the dehiscent jugular bulb: Novel treatment for pulsatile tinnitus.
    Laryngoscope 2017 Jun 13. Epub 2017 Jun 13.
    Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University Health System, Richmond, Virginia.
    Objectives/hypothesis: The objectives were to discuss the presentation and symptomatology of patients with jugular bulb abnormalities, summarize the literature describing jugular bulb abnormalities, compare methods of treating symptomatic dehiscent jugular bulb, describe a novel surgical technique and pitfalls to repair dehiscent bulbs with hydroxyapatite cement, and present a case series to demonstrate outcomes with this technique STUDY DESIGN: Case series presentation, PubMed literature review, and description of operative technique.

    Methods: A series of patients presenting with pulsatile tinnitus due to dehiscent jugular bulbs who underwent operative repair with hydroxyapatite cement resurfacing is described. Literature review was conducted via a PubMed database search. Read More

    Evaluation of Requirements for Staging the Procedure of Reconstruction of Middle Ear After Canal Wall Down Mastoidectomy.
    Indian J Otolaryngol Head Neck Surg 2017 Jun 18;69(2):155-158. Epub 2016 May 18.
    Bangalore Medical College and Research Institute, Bangalore, 560002 India.
    Cholesteatoma is a progressive destructive ear disease which can affect any age group. It has been found to be more severe in children and young adults. It erodes the surrounding bone of middle ear, mastoid and ossicles. Read More

    Role of Autologous Versus Homologous Cartilage in Ossicular Reconstruction: A Comparative Study.
    Indian J Otolaryngol Head Neck Surg 2017 Jun 20;69(2):137-141. Epub 2016 Feb 20.
    Department of ENT, Govt Medical College, Amritsar, 39-B Circular Road, Amritsar, India.
    Ossicular discontinuity is the most common cause of conductive hearing loss. The use of ossicular graft material in ossicular chain reconstruction significantly improves the result in hearing. This study was conducted to compare and analyze the outcome of ossicular reconstruction using autologous conchal cartilage and homologous septal cartilage in terms of hearing results and graft uptake rates. Read More

    Avoiding the Hughes flap in lower eyelid reconstruction.
    Curr Opin Ophthalmol 2017 Jun 13. Epub 2017 Jun 13.
    aDepartment of Ophthalmology, Hong Kong Sanatorium & Hospital, Happy Valley bDepartment of Ophthalmology, University of Hong Kong, Cyberport cDepartment of Ophthalmology, Grantham Hospital, Aberdeen, Hong Kong.
    Purpose Of Review: To review current surgical practices of lower eyelid reconstruction with a focus on recent studies.

    Recent Findings: Combination techniques and new flap techniques offer efficacy comparable with existing reconstructive approaches, with the advantage of less local trauma. Inappropriate handling of posterior lamellar grafts, such as kerfing, may predispose to graft failures. Read More

    Silent sinus syndrome and maxillary sinus atelectasis in children.
    Int J Pediatr Otorhinolaryngol 2017 07 11;98:150-157. Epub 2017 May 11.
    Ear, Nose and Throat Metropolitan Unit, Surgical Department, AUSL Bologna, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy. Electronic address:
    Objective: Silent sinus syndrome (SSS) and chronic maxillary atelectasis (CMA) are unusual conditions having subtle symptoms with a possible progressive evolution. They are particularly infrequent in the pediatric population. Our objective was to review our experience with pediatric patients having SSS or CMA, and to review all cases involving patients under 14 years of age reported in the literature. Read More

    A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection.
    Angiology 2017 Jan 1:3319717710114. Epub 2017 Jan 1.
    2 Laboratory of Biostatistics and Epidemiology, University Institute for Clinical Research, Montpellier, France.
    Objective: To confirm the advantage of in situ reconstruction (ISR) over extra-anatomic reconstruction (EAR) for aortic graft infection and determine the most appropriate conduit including autogenous veins, cryopreserved allografts, and synthetic prosthesis (standard, rifampicin of silver polyesters).

    Methods: A meta-analysis was conducted with rate of mortality, graft occlusion, amputation, and reinfection. A meta-regression was performed with 4 factors: patients' age, presence of prosthetic-duodenal fistula (PDF), virulent organisms, or nonvirulent organisms. Read More

    Chronic maxillary atelectasis and silent sinus syndrome: two faces of the same clinical entity.
    Eur Arch Otorhinolaryngol 2017 Jun 1. Epub 2017 Jun 1.
    ENT Department, Université Catholique de Louvain, Centre Hospitalier Universitaire UCL Namur, Av. Docteur Gaston Therasse 1, 5530, Yvoir, Belgium.
    Chronic maxillary atelectasis (CMA) and silent sinus syndrome (SSS) are rare clinical entities characterized by an implosion of the maxillary sinus that may or may not be associated with sinonasal symptoms, and are complicated by ipsilateral enophthalmos. The objective of this article is to discuss the definitions, physiopathology, clinical and radiographic characteristics, and surgical management of these entities. We retrospectively reviewed 18 patients (7 women, 11 men, aged 12-70 years) diagnosed and treated in the ear, nose, and throat departments of four Belgian teaching hospitals between 2000 and 2015. Read More

    Epidemiology and Outcomes of Auricular Burn Injuries.
    J Burn Care Res 2017 May 23. Epub 2017 May 23.
    From the *Division of Plastic Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY; and †Department of Surgery, State University of New York Upstate Medical University, Syracuse, NY.
    Auricular burns represent a unique type of injury. The acute management and clinical course of these injuries can be different from other facial burns. There is a paucity of literature pertaining to the epidemiology and acute management of auricular burns. Read More

    Innovative 3D Model of the Human Middle Ear in High Resolution with a Histological Microgrinding Method: A Feasibility Study and Comparison with μCT.
    Int J Otolaryngol 2017 3;2017:6753604. Epub 2017 May 3.
    Institute for Neuroanatomy and Cell Biology, Hannover Medical School, Hannover, Germany.
    Conclusion. The development of a histological 3D model of the tympanic cavity visualizes the exact microanatomy of the sound conduction organ and is therefore essential for finite elements simulations and surgical training. Objectives. Read More

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

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

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

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

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

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

    Transcanal Endoscopic Ear Surgery for Excision of a Facial Nerve Venous Malformation With Interposition Nerve Grafting: A Case Report.
    Otol Neurotol 2017 Jul;38(6):895-899
    *Department of Otolaryngology-Head and Neck Surgery †University of Texas Southwestern Medical School ‡Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
    Objective: To illustrate a novel approach for the surgical management of a venous malformation of the facial nerve, including interposition nerve grafting, via an exclusively transcanal endoscopic ear surgery (TEES) approach.

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

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

    Functional outcomes of tympanoplasty surgery.
    Otolaryngol Pol 2016 Nov;70(6):12-19
    Department of Otolaryngology and Laryngological Oncology Ludwik Rydygier Memorial Collegium Medicum at the Nicolaus Copernicus University in Bydgoszcz. Director: prof. dr hab. Henryk Kaźmierczak.
    Objective: We reviewed functional outcomes of tympanoplasty.

    Study Design: The results of tympanoplastic surgery are changing in time. We present late treatment outcomes among different types of tympanoplasty. Read More

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

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

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

    Study Design: A retrospective clinical chart review.

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

    The technique for 3D printing patient-specific models for auricular reconstruction.
    J Craniomaxillofac Surg 2017 Jun 6;45(6):937-943. Epub 2017 Apr 6.
    Department of Biomaterials and Biomimetics, College of Dentistry New York University, New York, NY 10010, USA. Electronic address:
    Purpose: Currently, surgeons approach autogenous microtia repair by creating a two-dimensional (2D) tracing of the unaffected ear to approximate a three-dimensional (3D) construct, a difficult process. To address these shortcomings, this study introduces the fabrication of patient-specific, sterilizable 3D printed auricular model for autogenous auricular reconstruction.

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

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

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

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

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

    Preliminary Model for the Design of a Custom Middle Ear Prosthesis.
    Otol Neurotol 2017 Jul;38(6):839-845
    *Department of Otolaryngology †Department of Bioengineering, Temple University ‡Department of Anatomy and Cell Biology §Department of Neuroscience ||Department of Neurosurgery, Temple University School of Medicine, Philadelphia, Pennsylvania.
    Hypothesis: Custom prostheses could be used to recreate the ossicular chain and improve hearing.

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

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

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

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

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

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

    Assessment of the cochlear nerve to facial nerve size ratio using MR multiplanar reconstruction of the internal auditory canal in patients presenting with acquired long-standing hearing loss.
    Br J Radiol 2017 May 3;90(1073):20160870. Epub 2017 Apr 3.
    1 Institute for Diagnostic and Interventional Radiology, Frankfurt University Hospital, Frankfurt, Germany.
    Objective: To test using the facial nerve as a reference for assessment of the cochlear nerve size in patients with acquired long-standing sensorineural hearing loss (SNHL) using MRI multiplanar reconstruction.

    Methods: The study was retrospectively performed on 86 patients. Group 1 (study group, n = 53) with bilateral long-standing SNHL. Read More

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

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

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

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

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

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

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

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

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

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

    Study Design: Retrospective study.

    Setting: Tertiary university-affiliated medical center. Read More

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

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

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

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

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

    Study Design: Anatomic-radiological study and case series.

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

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

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

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

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

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

    Methods: Dissection under magnification (×3. Read More

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

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

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