1,113 results match your criteria Forehead Flaps


Facial Reconstruction After Mohs Surgery: A Critical Review of Defects Involving the Cheek, Forehead, and Perioral Region.

J Craniofac Surg 2018 Dec 14. Epub 2018 Dec 14.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Facial defects following Mohs surgery can cause significant functional, cosmetic, and psychologic sequelae. Various techniques for nasal reconstruction after Mohs surgery have been analyzed in the medical literature, yet there has been less attention given to procedures for other crucial facial aesthetic regions. A literature search using PubMed, EMBASE, and ISI Web of Science for studies assessing reconstructive techniques of the forehead, cheek, and perioral regions after Mohs surgery was performed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005074DOI Listing
December 2018

An original procedure for orbitonasal cutaneous infiltrative tumor repair, using combined forehead and melolabial propeller flaps.

Eur Arch Otorhinolaryngol 2018 Dec 5. Epub 2018 Dec 5.

Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.

Introduction: Resections of cutaneous tumors in the medial orbitonasal region can be transfixing. Repairs using a single local flap run the risk of failure and that of secondary sinonasal fistula, especially in cases of surgery on a radiated field. We propose an original and reliable repair procedure using two pedicled regional flaps vascularized by two distinct arterial systems clinched together to reconstruct the mucosal and cutaneous planes. Read More

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http://dx.doi.org/10.1007/s00405-018-5237-4DOI Listing
December 2018
1 Read

Use of Modified Islanded Paramedian Forehead Flap for Complex Periocular Facial Reconstruction.

J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Plastic Surgery, PGIMER, Chandigarh, India.

The paramedian forehead flap is a workhorse flap for reconstructing the nose and periorbital regions. Many variants are described including an islanded flap. However, eyebrow reconstruction is not usually performed with these flaps. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005003DOI Listing
November 2018

[Alternative therapy option for plastic-aesthetic treatment of defects after resection in the upper third of the facial region in the sense of subtotal scalping instead of local flap plastics].

Hautarzt 2018 Nov 22. Epub 2018 Nov 22.

Klinik für Mund‑, Kiefer- und Gesichtschirurgie, Universitätsklinikum Münster, Waldeyerstr. 30, 48149, Münster, Deutschland.

In the presented case, the resulting defect size after resection of a dermatofibrosarcoma protuberans exceeded the treatment capability with local flaps in the region of the exposed facial skin. Through the use of conventional wound healing in combination with a meshed split-thickness skin graft, plastic aesthetic soft tissue treatment with an aesthetically satisfactory result was possible. Read More

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http://dx.doi.org/10.1007/s00105-018-4308-1DOI Listing
November 2018

Reconstruction of the Forehead and Scalp.

Facial Plast Surg Clin North Am 2019 Feb;27(1):85-94

Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, 240 East 38th Street, 14th Floor, New York, NY 10016, USA. Electronic address:

Tissue inelasticity and the hair-bearing nature of the scalp and forehead pose unique challenges during reconstruction. A thorough understanding of the surgical anatomy of the scalp and forehead is paramount for optimal reconstructive outcomes. Primary wound closure is usually preferred over secondary intention healing and skin grafting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183007
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http://dx.doi.org/10.1016/j.fsc.2018.08.009DOI Listing
February 2019
12 Reads

[Application effects of CT angiography and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap].

Zhonghua Shao Shang Za Zhi 2018 Oct;34(10):677-682

Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China.

To explore application effects of CT angiography (CTA) and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap. From June 2013 to October 2017, 9 patients with hyperplastic scar around the mouth and chin after deep burns on face were admitted to our unit. The sizes of scars of patients ranged from 8 cm×7 cm to 13 cm×8 cm. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.10.006DOI Listing
October 2018
4 Reads

Approach to Half-Nose and Proboscis Lateralis.

J Craniofac Surg 2018 Nov;29(8):2234-2236

Plastic Reconstructive and Aesthetic Surgery Department, Showa University School of Medicine, Tokyo, Japan.

Half-nose or heminasal aplasia is an extremely rare congenital malformation, which has a withering effect both on the patient and the family. Proboscis lateralis is a rare facial anomaly resulting in the incomplete development of one side of the nose, which was first defined in 1861 by Forster in his monograph. Proboscis lateralis, cleft nose, and nasal agenesis are rare anomalies; however, half-nose is also an extremely rare condition. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004803DOI Listing
November 2018
4 Reads

Bipaddle chimaeric forehead flap: A new technique for simultaneous lining and cutaneous reconstruction in case of full thickness defects of the nose.

Microsurgery 2018 Sep 16. Epub 2018 Sep 16.

Plastic, Reconstructive and Aesthetic Surgery Department, Campus Bio-Medico University School of Medicine, Rome, Italy.

Introduction: Many techniques have been described to treat full thickness nasal defects. The authors introduce the bipaddle chimaeric forehead flap (BCFF), a new alternative technique to achieve simultaneous lining and cutaneous reconstruction in case of full thickness hemi-nasal defects, presenting surgical details and applications for its clinical use.

Patients And Methods: From June 2015 to April 2017, 10 patients presenting with oncological full thickness defects involving nasal sidewall and/or nasal ala were reconstructed with the BCFF technique. Read More

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http://dx.doi.org/10.1002/micr.30376DOI Listing
September 2018
2 Reads

Review of outcomes of 500 consecutive cases of non-melanoma skin cancer of the head and neck managed in an oral and maxillofacial surgical unit in a District General Hospital.

Br J Oral Maxillofac Surg 2018 Nov 13;56(9):805-809. Epub 2018 Sep 13.

Oral & Maxillofacial Surgery department at Mugrove Park Hospital, Taunton and Somerset NHSFT, Parkfield drive, Taunton, TA15DA. Electronic address:

We provide a non-melanoma skin cancer (NMSC) service for skin cancers of the head and neck in the south-west of England. We hypothesised that certain anatomical sites such as the nose and eyelid would have a higher incidence of close or involved margins than others, and that the choice of repair might influence the excised margins. We therefore retrospectively analysed the data of 500 consecutive NMSC that were operated on in the oral and maxillofacial surgery unit of Taunton and Somerset NHS Trust. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02664356183028
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http://dx.doi.org/10.1016/j.bjoms.2018.08.015DOI Listing
November 2018
5 Reads

Reconstruction of columellar defects: Which surgical technique to choose? A retrospective study of 18 patients.

J Plast Reconstr Aesthet Surg 2018 Nov 4;71(11):1664-1678. Epub 2018 Aug 4.

Department of Plastic Surgery and Recontructrive Surgery, La Conception Hospital, Assistance Publique- Hôpitaux de Marseille, Aix-Marseille Université, 147, Boulevard Baille, 13005 Marseille, France. Electronic address:

The reconstruction of the columella is challenging and poorly evaluated in the literature. Our study aimed to evaluate retrospectively the different techniques used in our center and to propose an algorithm of reconstruction adapted to each patient. We report a retrospective cohort study included 18 patients (9 men and 9 women; 53 years-old in average) with columellar reconstruction treated from 1999 through 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183025
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http://dx.doi.org/10.1016/j.bjps.2018.07.019DOI Listing
November 2018
7 Reads

Large Nasal Defects with Exposed Cartilage: The Folded Transposition Flap as an Innovative Alternative to the Paramedian Forehead Flap.

Dermatology 2018 31;234(3-4):99-104. Epub 2018 Jul 31.

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Skin cancer removal surgery involving the tip or dorsum of the nose often results in large-sized defects with exposure of cartilage. In such cases, the paramedian forehead flap is a frequently used reconstruction technique; however, this method is complex and can result in a cosmetically unsatisfying outcome.

Objective: To describe the folded transposition flap as an aesthetically pleasing alternative to the paramedian forehead flap for large nasal defects with exposed cartilage. Read More

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https://www.karger.com/Article/FullText/490907
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http://dx.doi.org/10.1159/000490907DOI Listing
December 2018
10 Reads

Diffuse Large B-cell Lymphoma Occurring with Rhinophyma: A Case Report.

Cureus 2018 Apr 25;10(4):e2536. Epub 2018 Apr 25.

Department of Plastic & Reconstructive Surgery, Oppenheimer Plastic Surgery, Orlando, USA.

Rhinophyma is the final stage in the evolution of acne rosacea, a common vasoactive dermatosis. Individuals with rhinophyma present with a typical, disfiguring nasal appearance consisting of bulbous enlargement, erythema, and telangiectasia with a sebaceous, oily skin surface. This classic appearance permits a facile diagnosis but may also lead the physician to overlook a coexistent malignancy. Read More

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http://dx.doi.org/10.7759/cureus.2536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6017160PMC
April 2018
31 Reads

A Decade's Experience: A Sound Framework as the Foundation to Nasal Reconstruction.

J Craniofac Surg 2018 Nov;29(8):2032-2037

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

The goal of nasal reconstruction surgery is to restore normal nasal shape and function, and its success begins with creating a stable framework. In this article the authors discuss the most advantageous materials for building such a framework and how to design this element to achieve better and more durable outcomes. This is a retrospective study including patients who underwent nasal reconstruction in our rhinoplasty and nasal reconstruction center at a tertiary referral hospital between 2006 and 2016. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004695DOI Listing
November 2018
4 Reads

The Use of a Combined Local Flap for Reconstructing a Complex Nasal Defect.

Indian J Surg 2018 Apr 1;80(2):194-196. Epub 2018 Feb 1.

Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600036 India.

The main goals of reconstruction of nasal defects are to restore the topographic subunit outline, thereby maintaining the aesthetic three-dimensional facial contours and more importantly ensuring a patent airway. Wide excision of tumours of the external nose can at times result in complex defects causing significant facial disfigurement and this poses a significant reconstructive challenge. Nasal reconstruction with only micro-vascular free flaps can at times produce poor aesthetic outcomes as distant skin often appears as a mismatched patch within the surrounding normal facial skin. Read More

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http://link.springer.com/10.1007/s12262-018-1733-4
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http://dx.doi.org/10.1007/s12262-018-1733-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991029PMC
April 2018
22 Reads

Faciocervical Reconstruction Using a Large Expanded Forehead Island Flap Grafted Using a Microsurgical Technique for Burned Cicatricial Contracture Correction.

J Craniofac Surg 2018 Oct;29(7):1848-1850

Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing, China.

Extrinsic cicatricial contracture is still one of the most common and frustrating complications in the faciocervical area after severe burns. Because of these contractured scars, patients not only suffer from aesthetic issues but also local dysfunction, especially when it comes to the faciocervical region. Esthetical and functional reconstruction of these regions remains a great challenge for reconstructive surgeons. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004647DOI Listing
October 2018
13 Reads

Glabellar Rejuvenation in Forehead Lift: Reversed Periosteum or Dermal Fat Graft to Cover Pedicled Glabellar Flap.

J Craniofac Surg 2018 Sep;29(6):1558-1561

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

Forehead aging is characterized by wrinkles, loss of skin elasticity, brow ptosis, and soft-tissue atrophy. For patients with prominent rhytids and marked brow ptosis, forehead lift is still the most effective treatment with a persisting result. In order to eliminate the glabellar wrinkles, forehead lift usually requires the removal of the corrugator supercilii muscle and procerus, which can lead to glabellar flattening or depression. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9555
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http://dx.doi.org/10.1097/SCS.0000000000004620DOI Listing
September 2018
3 Reads

[Application of local skin flaps in adjustment of reconstructed nasal alars at second stage].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):55-58

Department of Plastic Surgery, Sichuan Provincial People's Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China.

Objective: To investigate the effectiveness of local skin flaps such as V-Y advancement flap (V-Y plasty) and transposition flap (Z plasty) in the adjustment of reconstructed nasal alars at second stage.

Methods: Between June 2012 and January 2017, 14 cases of reconstructed nasal alars by nasolabial flap or expanded forehead flap were recruited. There were 9 males and 5 females with an average age of 34. Read More

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http://dx.doi.org/10.7507/1002-1892.201707113DOI Listing
January 2018
2 Reads

Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

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http://dx.doi.org/10.1001/jamadermatol.2018.1213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145651PMC
June 2018
3 Reads

[Clinical application of pedicel frontal flap in reconstruction of the nasal defects].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Feb;32(4):241-243;249

Department of Otorhinolaryngology Head and Neck Surgery, Anhui Province Hospital, Anhui Medical University, Hefei, 230000, China.

The aim of this study is to explorethe application of improving the design of the myocutaneous flap and the transfer mode in nasal facial defect. Six cases with nasal defects were treated by using lateral or median vascular frontal flap which is nourished by supratrochlear and supraorbital arteries. Three patients with basal cell carcinoma of external nose and three patients with cranial base tumor were hospitalized and underwent surgeries. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.04.001DOI Listing
February 2018

[Expand pedicle forehead flap in the repair of whole nasal defect].

Authors:
J H Ding F R Su

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Nov;31(22):1753-1755

Department of Otolaryngology Head and Neck Surgery, Shandong People's Armed Police Corps Hospital, Jinan, 250014, China.

To observed the application of expanded pedicle forehead flap in nasal defect. Totally 11 whole nasal defect cases in our department from June 2010 to March 2016 were treated with the expanded pedicle forehead flap. Regular follow-up was performed after operation to observe the survival condition of flaps, shape, color, texture and scar in donor site after nasal repair. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.22.012DOI Listing
November 2017

Evaluation of the donor site after the median forehead flap.

Arch Plast Surg 2018 May 15;45(3):259-265. Epub 2018 May 15.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeons may be reluctant to perform this flap. Read More

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http://dx.doi.org/10.5999/aps.2017.01277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968318PMC
May 2018
4 Reads

A Combination Flap for Nasal Defect Reconstruction.

Ann Plast Surg 2018 Oct;81(4):427-432

From the Department of Plastic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Background: Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001483DOI Listing
October 2018
21 Reads

The Combination of Expanded Scalp Flap and 800 nm Diode Laser in the Reconstruction of Forehead Defect.

Aesthetic Plast Surg 2018 Aug 3;42(4):1019-1023. Epub 2018 May 3.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, People's Republic of China.

Skin grafting is often the first choice for closing forehead defects. However, the aesthetics of skin grafting-reconstructed forehead defects are still not accepted by a large number of patients. With the technological advancement of laser hair removal, scalp flaps have been considered as donors for reconstruction of forehead defects. Read More

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http://dx.doi.org/10.1007/s00266-018-1142-xDOI Listing
August 2018
10 Reads

Hatchet Flap With Transposed Nasal Inset for Midfacial Reconstruction.

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):393-395

Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Purpose: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs.

Methods: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001114DOI Listing
August 2018
5 Reads

Comparison of Ipsilateral and Contralateral Paramedian Forehead Flaps to Reconstruct Lateral Nasal Subunits.

Dermatol Surg 2018 Dec;44(12):1639-1641

Department of Dermatology, University of Minnesota Medical School, Minneapolis, Minnesota St. Louis University School of Medicine, St. Louis, Missouri Center for Health Outcomes Research, St. Louis University, St. Louis, Missouri Department of Dermatology, Mohs Surgery and Cutaneous Oncology St. Louis University School of Medicine, St. Louis, Missouri.

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http://Insights.ovid.com/crossref?an=00042728-201812000-0002
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http://dx.doi.org/10.1097/DSS.0000000000001504DOI Listing
December 2018
5 Reads

Evaluation of facial artery perforator-based flaps in reconstruction of facial defects.

Indian J Plast Surg 2017 Sep-Dec;50(3):266-272

Department of Plastic and Reconstructive Surgery, R. G. Kar Medical College, Kolkata, West Bengal, India.

Introduction: Several flaps have been described for reconstructing facial or oral defects. Flaps such as forehead and pectoralis major are often too bulky for small-to-moderate-sized defects, for which nasolabial flaps are often ideal. However, nasolabial flaps have limited mobility and reach and may need two stages, particularly for intraoral defects. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_91_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868105PMC
April 2018
4 Reads

Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection.

Arch Craniofac Surg 2018 Mar 20;19(1):64-67. Epub 2018 Mar 20.

Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.

Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. Read More

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http://e-acfs.org/journal/view.php?doi=10.7181/acfs.2018.19.
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http://dx.doi.org/10.7181/acfs.2018.19.1.64DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894554PMC
March 2018
4 Reads

The Combined Application of Database and Three-Dimensional Image Registration Technology in the Restoration of Total Nose Defect.

J Craniofac Surg 2018 Jul;29(5):e484-e487

Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, China.

Objective: The purpose of this study is to present a virtual planning protocol based on the database and three-dimensional (3D) image registration technology for the restoration of the total nasal defect, and evaluate its feasibility and clinical efficacy.

Methods: Patients were scanned with a FaceScan to obtain the 3D facial model which was stored in an Extensible Neuroimaging Archive Toolkit (XNAT) database. Personalized search and similarity evaluation were performed in the database to find a normal 3D facial model with the highest similarity to the patient's. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9572
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http://dx.doi.org/10.1097/SCS.0000000000004500DOI Listing
July 2018
13 Reads

Expanded Paramedian Forehead Flaps for Nasal Defects: Beyond Aesthetic Subunits.

Ann Plast Surg 2018 Dec;81(6S Suppl 1):S54-S58

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Reconstruction of nasal tip defects presents a significant challenge for plastic surgeons. The form, function, and aesthetic appeal of all nasal subunits must be addressed. The expanded paramedian forehead flap is a good choice for nasal reconstruction, providing similar texture, structure, and skin color, and high reliability. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9744
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http://dx.doi.org/10.1097/SAP.0000000000001371DOI Listing
December 2018
10 Reads

Simple solution to prevent postoperative bleeding from paramidline forehead flap.

J Am Acad Dermatol 2018 04;78(4):e85-e86

Department of Dermatology and Dermatologic Surgery, Silver Falls Dermatology, Salem, Oregon.

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http://dx.doi.org/10.1016/j.jaad.2017.02.036DOI Listing
April 2018
1 Read
4.450 Impact Factor

Facial Defect Reconstruction Using the True Scarless Pre-Expanded Forehead Flap.

J Craniofac Surg 2018 Jul;29(5):1154-1160

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

Objective: This clinical study describes a reconstructive method for facial soft-tissue defects that uses the pre-expanded forehead flap and minimizes donor site morbidities.

Methods: The surgery was subdivided into 3 stages. First stage, an appropriately sized expander was buried underneath the forehead. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004450DOI Listing
July 2018
5 Reads

Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects.

Arch Plast Surg 2018 Mar 5;45(2):140-145. Epub 2018 Mar 5.

Department of Plastic and Reconstructive Surgery, Celal Bayar University Faculty of Medicine, Manisa, Turkey.

Background: Cranially-based nasolabial flaps are a good alternative for the reconstruction of nasal defects.

Methods: A cranially-based nasolabial flap was used in 18 patients to reconstruct defects of the nose from 2010 to 2016, and the long-term results are presented in this report.

Results: Fifteen of the flaps completely survived. Read More

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http://dx.doi.org/10.5999/aps.2017.00689DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869428PMC
March 2018
4 Reads

Total nasal reconstruction with 3D custom made porous titanium prosthesis and free thoracodorsal artery perforator flap: A case report.

Microsurgery 2018 Feb 21. Epub 2018 Feb 21.

Department of Head & Neck Surgery, Gustave Roussy, Cancer Campus Grand-Paris, Villejuif, F-94805, France.

Total nasal reconstruction is a challenging surgical procedure which usually involves a free flap, forehead flap, and cartilage grafts. In certain failure situations where patients do not accept the idea of anaplastology, possibilities become very limited. We report the case of a patient who underwent several reconstruction steps with multiple failures including free and local flaps and cartilage harvests which showed recurrent episodes of necrosis and infection leading to melting and collapse of reconstructed structures. Read More

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http://dx.doi.org/10.1002/micr.30302DOI Listing
February 2018
6 Reads

Aesthetic and Functional Evaluation of Total Nasal Reconstructions.

Indian J Otolaryngol Head Neck Surg 2018 Mar 12;70(1):71-78. Epub 2017 Jan 12.

1Operative Unit of Maxillo-Facial Surgery, University of Sassari Hospital, Viale San Pietro 43B, 07100 Sassari, Italy.

The loss of a portion or the totality of the nose has great relevance on the perception of the beauty of a face and can result in a catastrophic quality of life impairment. Several surgical techniques are currently available for the reconstruction of the nasal pyramid. However, there are very few nasal reconstruction quality evaluation protocols that allow the surgeon to choose objectively the best technique for each kind of defects. Read More

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http://dx.doi.org/10.1007/s12070-017-1061-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807278PMC
March 2018
2 Reads

Nose resurfacing with free fasciocutaneous flaps in burns patients.

Microsurgery 2018 Sep 10;38(6):659-666. Epub 2018 Feb 10.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Linko, Taiwan.

Background: Nasal reconstruction after burn injury can be challenging due to limited availability of local flaps. We present our experience of free flap reconstruction for full-thickness nasal defect after severe facial burn injury.

Methods: Between August 1998 and September 2015, six patients underwent nasal reconstruction with seven free flaps after burn injury. Read More

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http://dx.doi.org/10.1002/micr.30305DOI Listing
September 2018
4 Reads

Neurofibroma of the Nasal Ala: Pediatric Nasal Reconstruction.

J Craniofac Surg 2018 May;29(3):e314-e315

Plastic Surgery Unit, National University of Colombia, Bogotá, Colombia.

Benign tumors of the nasal cavity originating from a peripheral nerve sheath are rare. The authors present a case of a 3-month-old boy with a mass in the left nasal vestibule. The surgical resection was complicated by full-thickness necrosis of more than 50% of the nasal ala. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004365DOI Listing
May 2018
5 Reads

Using the Reversed Temporal Island Flap to Cover Small Forehead Defects from Titanium Mesh Exposure After Cranial Reconstruction.

World Neurosurg 2018 Apr 31;112:e514-e519. Epub 2018 Jan 31.

Maxillofacial Surgery Department 2, Department No. 16. of Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, P.R. China. Electronic address:

Background: Skin ulcers and alloplastic implant exposure are intractable complications that arise after cranial defect reconstruction. Many methods have been used to repair these defects, including skin grafting, local flaps, and free flaps; however, in most cases, alloplastic implants must be removed to control infections. Here, we describe the use of a reversed temporal island flap to repair exposed titanium mesh without removing it. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.01.070DOI Listing
April 2018
11 Reads

Combination of Melolabial Interpolation Flap and Nasal Sidewall and Cheek Advancement Flaps Allows for Repair of Complex Compound Defects.

Dermatol Surg 2018 Jun;44(6):785-795

Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.

Background: The paramedian forehead flap (PMFF) is the repair of choice for large nasal defects involving multiple cosmetic subunits. However, the PMFF may not be optimal for all patients. The combination of a melolabial interpolation flap (MLIF) and a nasal sidewall flap may serve as an alternative. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001471DOI Listing
June 2018
14 Reads

The "Batman flap": a novel technique to repair a large central glabellar defect.

Int J Dermatol 2018 Apr 2;57(4):477-479. Epub 2017 Dec 2.

Department of Dermatology and Dermatologic Surgery, Ospedale di Sassuolo, Sassuolo (Modena), Italy.

Background: Given the critical position of central glabella among the frontal, nasal, and supraorbital aesthetic subunits of the face, the reconstruction of large defects in this area represents a surgical challenge.

Methods: We describe a surgical technique based on a modified, curved, A-T flap to repair a large glabellar defect.

Results: Our modification is useful for large glabellar defects because it enables the distribution of the tension all over the reconstruction sides, avoiding a stressed central area and the subsequent risk of necrosis; functionally, it respects the eyebrows position and since the advancement is parallel to their major axes, it avoids the reduction of the distance between them. Read More

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http://doi.wiley.com/10.1111/ijd.13844
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http://dx.doi.org/10.1111/ijd.13844DOI Listing
April 2018
27 Reads

Revisiting the Skin Lines on the Forehead and Glabellar Area.

Authors:
Kun Hwang

J Craniofac Surg 2018 Jan;29(1):209-211

Department of Plastic Surgery, Inha University Hospital, Incheon, South Korea.

This paper attempted to revisit the skin lines in forehead and glabellar area.Using PubMed, Scopus, and Google, papers describing skin tension lines of face were searched. Papers with illustrations or pictures of the facial lines were selected and reviewed. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9609
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http://dx.doi.org/10.1097/SCS.0000000000004073DOI Listing
January 2018
4 Reads

Reply: Topographic Analysis of the Supratrochlear Artery and the Supraorbital Artery: Implication for Improving the Safety of Forehead Augmentation.

Plast Reconstr Surg 2017 11;140(5):753e-755e

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand Koh Iksoo Aesthetic Clinic Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of Korea.

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http://dx.doi.org/10.1097/PRS.0000000000003782DOI Listing
November 2017
20 Reads

Topographic Analysis of the Supratrochlear Artery and the Supraorbital Artery: Implication for Improving the Safety of Forehead Augmentation.

Authors:
Kun Hwang

Plast Reconstr Surg 2017 11;140(5):753e

Department of Plastic Surgery, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea,

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http://dx.doi.org/10.1097/PRS.0000000000003781DOI Listing
November 2017
3 Reads

Hemodynamic Changes in Paramedian Forehead Flap.

J Craniofac Surg 2018 Jan;29(1):159-162

Department of Public Health, Celal Bayar University, Manisa, Turkey.

Paramedian forehead flap is a workhorse for nasal reconstruction. However, vascular complications may lead to flap failure. The purpose of this study was to evaluate the blood flow objectively and determine the hemodynamic changes in paramedian forehead flap with respect to influential factors of age, gender, and smoking. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004023DOI Listing
January 2018
24 Reads

Superficial temporal artery perforator flap: Anatomic study of number and reliability of distal branches of the superficial temporal artery and clinical applications in three cases.

Microsurgery 2017 Nov 16;37(8):924-929. Epub 2017 Oct 16.

Unit of Plastic Surgery and Dermatology, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Rome 00128, Italy.

Background: Limited information is available about the anatomical feasibility and clinical applications of flaps based on distal divisions of the superficial temporal artery (STA). The aim of this study was to investigate the anatomy of the STA, focusing on the number and reliability of distal branches and to show representative cases for the use of such flaps for zygomatic, parieto-frontal and occipital reconstructions.

Methods: Fifty volunteers were examined bilaterally by Doppler to investigate the presence and variability of the distal divisions of STA branches. Read More

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http://dx.doi.org/10.1002/micr.30237DOI Listing
November 2017
1 Read

"Arrow" mark for orientation in paramedian forehead flap.

J Am Acad Dermatol 2018 05 12;78(5):e105-e106. Epub 2017 Oct 12.

Department of Dermatology, School of Medicine, Kyungpook National University, Daegu, South Korea. Electronic address:

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http://dx.doi.org/10.1016/j.jaad.2017.09.075DOI Listing
May 2018
3 Reads

Aesthetic Refinements in Forehead Flap Reconstruction of the Asian Nose.

Plast Surg (Oakv) 2017 May 30;25(2):71-77. Epub 2017 May 30.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.

Background: Traditional paramedian forehead flap reconstruction exploits the aesthetic subunit principle. Refinements and outcomes of forehead flap nasal reconstruction largely reflect Western experience. Differences in ethnic Asian anatomy and wound healing may foster suboptimal outcomes. Read More

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http://dx.doi.org/10.1177/2292550317694853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626181PMC
May 2017
2 Reads