2,268 results match your criteria Forehead Reconstruction


Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy.

Ann Otol Rhinol Laryngol 2020 Jun 24:3489420935481. Epub 2020 Jun 24.

Division of Otolaryngology / Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA.

Background: Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection.

Methods: A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Read More

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http://dx.doi.org/10.1177/0003489420935481DOI Listing

Paramedian forehead flap pedicle division after 7 days using laser-assisted indocyanine green angiography.

J Plast Reconstr Aesthet Surg 2020 May 29. Epub 2020 May 29.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University, School of Medicine, Stanford, CA, United States.

The paramedian forehead flap is a major workhorse for reconstruction of medium- to large-sized nasal defects. The tissue bridge that results from the vascular pedicle results in significant cosmetic deformity, with associated social and occupational costs to the patient. This prospective cross-sectional study sought to assess efficacy and safety of takedown of the flap pedicle at 1 week using indocyanine green (ICG) angiography to assist in determining neovascularization of the flap. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.05.079DOI Listing

Full-Thickness Skin Grafts and Quilting Sutures for the Reconstruction of Internal Nasal Lining.

Facial Plast Surg 2020 Jun 17;36(3):297-304. Epub 2020 Jun 17.

Department of Otolaryngology - Head and Neck Surgery, University Erlangen - Nuremberg, Erlangen, Germany.

Restoration of the inner nasal lining is an essential factor in successful nasal reconstruction. Among various methods, free full-thickness skin grafting represents a readily available and feasible technique. A prerequisite for success is a secure and immobile fixation to the undersurface of the nourishing forehead flap. Read More

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http://dx.doi.org/10.1055/s-0040-1713116DOI Listing

Total Nasal Reconstruction with a Nonlaminated Vascularized Free Temporal Fascia as the Lining.

Plast Reconstr Surg Glob Open 2019 Dec 30;7(12):e2583. Epub 2019 Dec 30.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.

Various methods to generate the lining for a full-thickness nasal reconstruction have been reported. We used bilateral septal mucoperichondrial flaps, the distal portion of an expanded median forehead flap, and a nonlaminated vascularized free temporal fascia flap as a lining during total nasal reconstruction of a total full-thickness nasal defect in a 45-year-old woman with a nasal squamous cell carcinoma. In the first step of the two-stage surgery, a tissue expander was inserted into the forehead simultaneously with tumor resection. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288870PMC
December 2019

Single-stage nasal reconstruction with the islanded forehead flap.

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

Background And Purposes: Multi-staged forehead flaps are a well-recognised reconstructive workhorse for subtotal and total nasal defects. It carries the disadvantage of repeated trips to theatre for revisional surgery, which is not suited to all patient cohorts. The single-stage islanded forehead flap eliminates this need. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.03.026DOI Listing

Outcomes of Dog Bite Avulsion Injury Reconstruction With Urinary Bladder Matrix.

Otolaryngol Head Neck Surg 2020 Jun 9:194599820932534. Epub 2020 Jun 9.

Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.

Dog bite avulsion injuries of the head and neck are difficult to manage in pediatric patients. This study assesses the outcomes of using porcine urinary bladder extracellular matrix (UBM) for reconstruction of these complete avulsion injuries. Five male pediatric patients underwent reconstruction using UBM. Read More

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http://dx.doi.org/10.1177/0194599820932534DOI Listing

Saethre-Chotzen Syndrome: A Report of 7 Patients and Review of the Literature.

Ann Plast Surg 2020 Jun 1. Epub 2020 Jun 1.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California Los Angeles Medical Center, Los Angeles, CA.

Introduction: Saethre-Chotzen syndrome is a genetic condition characterized by craniofacial and limb anomalies, with craniosynostosis (mainly coronal) being the most frequent craniofacial finding. Cranial and facial deformities can be extremely variable requiring individualization of treatment strategies. We present our case series to highlight clinical findings, treatment philosophy, and challenges facing Saethre-Chotzen patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002391DOI Listing
June 2020
1.458 Impact Factor

Crane Principle Revisited.

Plast Reconstr Surg Glob Open 2020 Apr 22;8(4):e2741. Epub 2020 Apr 22.

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt.

Background: Scalp and forehead defects represent one of the most complex defects for reconstruction. The nature of these sites being hair bearing, together with the complicated nature of the injuries, for example, electrical burns and motor vehicle accidents, and of course the aesthetic concern being in the face, all add to the complexity of reconstruction.

Methods: This is a case series representing the experience of the authors in using the "crane principle" in the reconstruction of various defects in the forehead and the scalp presented to emergency department, Cairo University Hospital, for the period between January 2018 and January 2019. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209862PMC

Surgical Adjuncts to Rhinoplasty: An Algorithmic Approach.

Aesthetic Plast Surg 2020 May 7. Epub 2020 May 7.

Division of Plastic and Reconstructive Surgery, University of Kentucky, Lexington, KY, USA.

Background: Nasal aesthetics can be significantly affected by the interdependence of the surrounding bone and soft tissues of the face. These include the maxilla, septum, frontal bone, mandible, and the soft tissues and cartilage surrounding the nose. Therefore, it is pertinent to analyze and address these critical relationships of the nose in order to achieve a successful rhinoplasty. Read More

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http://dx.doi.org/10.1007/s00266-020-01744-9DOI Listing

RECONSTRUCTION OF DEEP HEAD BURN WITH A FREE FLAP - A CASE REPORT.

Acta Chir Plast 2020 ;61(1-4):32-35

Third degree burn trauma of the head and neck requires an interdisciplinary approach. After emergency care and hemodynamic stabilization of the patient the focus lies on the reconstruction of the damaged tissue. The options of reconstruction are influenced by the general condition of the patient and by the condition of the surrounding tissues. Read More

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January 2020

GIANT BASAL CELL CARCINOMA ON THE FOREHEAD AND WHY WE SHOULD PREVENT THEM - CASE REPORT.

Acta Chir Plast 2020 ;61(1-4):24-27

Basal cell carcinoma (BCC) is the most prevalent malignancy, with rising incidence worldwide. Despite its naturally slow growth and initially low metastatic potential, it can cause significant morbidity and mortality when unrecognized, inadequately treated or poorly followed up. Authors present the case of a 61-year-old male with a 7-year history of multiple incomplete excisions of a “simple” BCC on the forehead. Read More

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January 2020

Misdiagnosis of sebaceous carcinoma.

Acta Chir Belg 2020 May 19:1-6. Epub 2020 May 19.

Department of Plastic Surgery, ZNA Middelheim Hospital, Antwerp, Belgium.

Sebaceous carcinoma is an aggressive malignant tumour. To prevent mutilating surgery and improve patient outcomes, early diagnosis and prompt treatment are necessary. When the tumour invades surrounding tissues, treatment may become complex. Read More

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http://dx.doi.org/10.1080/00015458.2020.1765674DOI Listing

Two-stage surgical treatment of giant congenital melanocytic nevus around the auricle.

J Cosmet Dermatol 2020 Apr 21. Epub 2020 Apr 21.

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

Background: This study presents the results of complete excision of giant congenital melanocytic nevi (GCMN) on the auricle, forehead, or periorbital area combined with tissue expansion, and skin graft transplantation performed in two stages based on 10 years of experience.

Aims: To solve the giant congenital melanocytic nevi on the auricle, forehead, or periorbital area with two-stage operation.

Patients/methods: A total of 21 patients with GCMN were included in this study. Read More

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http://dx.doi.org/10.1111/jocd.13416DOI Listing

Novel "all-in-one" sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report.

J Int Med Res 2020 Apr;48(4):300060520918697

Department of Oral and Maxillofacial Surgery, Iuliu-Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

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http://dx.doi.org/10.1177/0300060520918697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175061PMC

Successful Treatment of Full Thickness Frontal Skull Bone Defect With Dermal Fat Grafting and Artificial Bone Grafts.

J Craniofac Surg 2020 Jul-Aug;31(5):1279-1283

Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery.

Rigid reconstruction for frontal bone defects not only improves function, but also approximates more normal appearance. However, in cases involving dural scar contractures, a concave deformation remains when rigid reconstruction is performed without compensating for dead space created by swelling of the brain. This study involved 4 cases in which a 2-stage reconstruction procedure was used to first eliminate dead space by grafting dermal fat, and subsequently carry out rigid reconstruction to achieve a natural forehead configuration. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006484DOI Listing

Reconstruction of moustache and ala of the nose with a single forehead flap.

Indian J Dent Res 2020 Jan-Feb;31(1):153-156

Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.

Reconstruction of critical-sized defects of composite facial units is a challenging one. This is amplified when facial hair-bearing areas are included. A case of reconstruction of multiple midfacial defects is presented. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_100_20DOI Listing

Superior Extended Nasal Myocutaneous Island Flap: An Alternative to Forehead Flap Reconstruction of the Nose.

Facial Plast Surg Aesthet Med 2020 Jul/Aug;22(4):294-300. Epub 2020 Apr 1.

Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California, USA.

Medium and large nasal defects are mostly addressed with paramedian forehead flap reconstruction. The superior extended nasal myocutaneous island (SENMI) flap offers an alternative that can be single stage and can avoid a gross deformity. To describe a new flap for nasal reconstruction of medium and large nasal defects and to define the flap's limitations and indications. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0066DOI Listing

Alternative Methods to Local Flap Applications in Large Tissue Losses Caused by Gunshot Injuries in the Syrian War.

Authors:
Murat Uçak

J Craniofac Surg 2020 Jul-Aug;31(5):1208-1211

Department of Plastic and Reconstructive Surgery, Defne Research State Hospital, Hatay, Turkey.

Purpose/object/background: In gunshot injury (GSI), the distance, ballistic properties, and the site of injury of lead or scattering gain importance. The authors investigated alternative methods to local flap applications in large tissue losses on facial regions caused by GSI in the Syrian War at the light of our approaches and outcomes.

Materials And Methods: The study was designed as a cross-sectional retrospective clinical cohort analyze. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006347DOI Listing

Sparing the Paramedian Forehead Flap for Reconstruction of Large Nasal and Cheek Defects.

Dermatol Surg 2020 Mar 24. Epub 2020 Mar 24.

Both authors are affiliated with the Lahey Hospital and Medical Center Burlington, Plastic and Reconstructive Surgery, Tufts University School of Medicine, Surgery, Burlington, Massachusetts.

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http://dx.doi.org/10.1097/DSS.0000000000002392DOI Listing

Setbacks in Forehead Feminization Cranioplasty: A Systematic Review of Complications and Patient-Reported Outcomes.

Aesthetic Plast Surg 2020 Jun 9;44(3):743-749. Epub 2020 Mar 9.

Section of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, 1611 W. Harrison Street; Suite 550, Chicago, IL, 60612, USA.

Importance: Forehead feminization cranioplasty (FFC) is an important component of gender-affirming surgery and has become increasingly popular in recent years. Little objective evidence exists for the procedure's safety and clinical impact via patient-reported outcome measures (PROMs).

Objective: To determine what complications are observed following FFC, the relative frequency of complications by surgical technique, and what impact the procedure has on patient's quality of life. Read More

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http://dx.doi.org/10.1007/s00266-020-01664-8DOI Listing

Modified Supratrochlear Artery Forehead Island Flap: A Novel Approach for 1-Stage Reconstruction of Nasal Defects.

Ear Nose Throat J 2020 Mar 5:145561319900389. Epub 2020 Mar 5.

Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People's Republic of China.

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http://dx.doi.org/10.1177/0145561319900389DOI Listing

Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose.

Arch Craniofac Surg 2020 Feb 20;21(1):69-72. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia. It occurs most frequently in the head and neck region. Nose reconstruction is tricky because of its unique threedimensional structure and different tissue components. Read More

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http://dx.doi.org/10.7181/acfs.2019.00668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054197PMC
February 2020

Nasal tip rotation flap to avoid paramedian forehead flap for large nasal tip and alar defects.

J Am Acad Dermatol 2020 Feb 14. Epub 2020 Feb 14.

Epiphany Dermatology, Dallas, Texas. Electronic address:

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http://dx.doi.org/10.1016/j.jaad.2020.02.023DOI Listing
February 2020

Combining Rotation and V-Y Design for Lower Forehead and Temporal Region Reconstruction With Myocutaneous Frontal Flap: Our Experience on 27 Consecutive Cases.

Ann Plast Surg 2020 Feb 7. Epub 2020 Feb 7.

From the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.

Background: Because of direct sun exposure, lower forehead and temporal area are anatomical regions with frequently observed skin tumors. The resulting defects after oncological ablations are usually treated, especially in older patients, by split thickness skin grafting or A-to-T and O-to-T flaps if facing small defects. On specific sites that expose bone or periosteum as well as when a skin graft is best avoided for cosmetic reasons, alternative reconstructive procedures should be considered. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002256DOI Listing
February 2020
1.458 Impact Factor

Paramedian Forehead Flap.

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar 25;28(1):23-28. Epub 2019 Dec 25.

Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Hospital, 1500 South Main Street, Fort Worth, TX 76104, USA.

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http://dx.doi.org/10.1016/j.cxom.2019.11.003DOI Listing

Laser hair removal following forehead flap for nasal reconstruction.

Lasers Med Sci 2020 Feb 1. Epub 2020 Feb 1.

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

The forehead flap is a dependable option for nasal reconstruction owing to its reliability and anatomic likeness to nasal skin. For patients with low hairlines, the vertical design of the paramedian forehead flap can intrude into the scalp, thus incorporating hair into the nasal reconstruction. The inadequate length of the forehead flap or shift to an oblique design may result in eyebrow elevation and asymmetry. Read More

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http://dx.doi.org/10.1007/s10103-020-02965-9DOI Listing
February 2020

Orbital myiasis: A case report and literature review.

Medicine (Baltimore) 2020 Jan;99(4):e18879

Department of Ophthalmology.

Rationale: Myiasis is a parasitic disease caused by fly larvae of the Diptera order that infest human and other vertebrate animal tissues. Orbital myiasis is a potentially destructive infestation of the orbital tissues, which may affect individuals with previous ocular diseases or disorders of consciousness.

Patient Concerns: A 72-year-old man presented with a complaint of repeated pain for two years after trauma to his right eyelid and aggravated symptoms with larvae wriggling out for 2 days. Read More

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http://dx.doi.org/10.1097/MD.0000000000018879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004749PMC
January 2020

Small margin (up to 2 mm) excision of periocular basal cell carcinomas in the setting of a one-stop clinic - long-term outcomes at a minimum of 11 years' follow-up.

Eye (Lond) 2020 Jan 21. Epub 2020 Jan 21.

Princess Alexandra Eye Pavilion, Edinburgh, UK.

Objectives: To analyse the long-term outcome of small margin (up to 2 mm) excision of clinically well-demarcated primary periocular basal cell carcinomas (BCCs).

Methods: Retrospective evaluation of 185 patients with excised well-demarcated primary BCCs at a minimum of 11 years following excision. All patients underwent tumour excision with maximum margins of 2 mm. Read More

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http://dx.doi.org/10.1038/s41433-020-0768-5DOI Listing
January 2020
1.897 Impact Factor

[Minimally Invasive Corrugator Resection and Backfill Using Self-made Modified Liposuction Needle in the Treatment of Moderate and Severe Glabellar Frown Lines].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2019 Dec;41(6):821-824

Department of Plastic Surgery,Emergency General Hospital,Beijing 100028,China.

To exploring a new minimally invasive method for the removal of moderate and severe glabellar frown lines. The corrugator supercilii muscles were subjected to blunt cutting and vacuum suction by using a self-made modified liposuction needle,and the obtained muscle particles were backfilled subcutaneously into the depression area between eyebrows to expand the wrinkles. Seventeen cases were followed up for six to twelve months after the operation. Read More

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http://dx.doi.org/10.3881/j.issn.1000-503X.11111DOI Listing
December 2019

Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients.

J Cosmet Dermatol 2019 Dec 27. Epub 2019 Dec 27.

Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing, China.

Background: Due to the relatively higher tendency of postsurgery scars, insufficient cartilage support, and low surgical acceptability, nasal defect repair with forehead flap in Asian patients needs further study.

Objective: We aim to determine the necessity of tissue expansion, timing of pedicle division, and the importance of cartilage scaffold reinforcement and scar prevention at the donor site during nasal reconstruction in Asian patients with paramedian forehead flap.

Methods: A retrospective analysis was performed on patients who underwent nasal reconstruction with forehead flap at our hospital from January 2013 to January 2018. Read More

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http://dx.doi.org/10.1111/jocd.13273DOI Listing
December 2019

[Clinical effects of expanded forehead flaps in repairing midfacial defects].

Zhonghua Shao Shang Za Zhi 2019 Dec;35(12):855-858

Institute of Plastic Surgery of PLA, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

To explore the clinical effects of expanded forehead flaps in repairing midfacial defects. From January 2003 to December 2018, 19 patients with midfacial defects were admitted to our unit, including 8 males and 11 females, aged 7 to 52 years. One cylindrical expander with rated capacity ranged from 100 to 170 mL was placed in the forehead of patients in the first stage of expansion, and the total water injection volume was about 2 times of the rated capacity of the expander during 1 to 2 months. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.12.005DOI Listing
December 2019

[Effect of axial flap of adjacent artery perforator with vascular pedicle in repairing facial and cervical scar deformity in patients].

Zhonghua Shao Shang Za Zhi 2019 Dec;35(12):848-854

Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the effect of axial flap of adjacent artery perforator with vascular pedicle in repairing scar deformity of face and neck in patients. From January 2010 to June 2018, 38 patients with cicatricial deformity of face and neck after deep burn were admitted to author's unit, including 22 males and 16 females, aged 5-56 years. The time of admission was 7 months to 19 years after burn injury. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.12.004DOI Listing
December 2019

Case report: neonatal giant forehead hemangiopericytoma with a 5-year follow-up.

Medicine (Baltimore) 2019 Nov;98(47):e17888

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan province.

Rationale: Hemangiopericytoma (HPC) is a rare pediatric neoplasm with a high risk of bleeding, aggressive growth and high early relapse rates. Surgical excision remains the mainstream treatment, while the functions of chemotherapy and radiotherapy remain controversial. In particular, an infantile giant extracranial HPC located in the forehead has never been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000017888DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882637PMC
November 2019

Endoscopic Temporal Brow Lift: Surgical Indications, Technique, and 10-Year Outcome Analysis.

Plast Reconstr Surg 2019 12;144(6):1305-1310

Dallas, Texas From the Dallas Plastic Surgery Institute.

Background: Brow-lift techniques have evolved from the most invasive approach, such as a coronal brow lift, to a minimally invasive technique, such as an endoscopic brow lift over the past century. Although an endoscopic brow lift offers the advantage of being minimally invasive, it suffers from a high recurrence rate. The authors present their experience of combining an endoscopic and temporal brow lift approach for long-lasting results, and discuss the surgical indication, techniques, and outcome of an endoscopic temporal brow lift. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006238DOI Listing
December 2019

Release of Extra Articular Ankylosis of Jaws as a Sequelae of Cancrum Oris with Extensive Gingival Myasis in a Scoliosis Patient: A Rare Case Report.

Indian J Otolaryngol Head Neck Surg 2019 Oct 13;71(Suppl 1):734-736. Epub 2018 Nov 13.

Department of Oral & Maxillofacial Surgery, Guru Nanak Institute of Dental Sciences & Research, Kolkata, India.

'Noma' is an allusion to the rapidly destructive course of gangrene (Emmanuel et al. in J Maxillofac Surg 11:160-170, 1983). The pathogenicity is related to the high bacterial load of microorganisms resulting in gangrene that rapidly invades the facial tissues. Read More

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http://dx.doi.org/10.1007/s12070-018-1526-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848646PMC
October 2019

Bridge Flaps: A Hybrid Family of Bipedicled Flaps for the Forehead, Temple, and Scalp: Experience With 103 Cases.

Authors:
Paul J M Salmon

Dermatol Surg 2020 Jul;46(7):890-896

Dermatology Surgery Unit, Skin Cancer Institute, Auckland, New Zealand.

Background: Medium-sized defects of the scalp, temple, and forehead can be challenging to reconstruct in an aesthetic fashion. The author proposes the use of a hybrid flap that is at times bipedicled, perforator, and/or axially supplied.

Objective: To describe the author's experience with the bridge flap and its various subtypes. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002241DOI Listing

Medial femoral condyle free flap in combination with paramedian forehead flap for total/subtotal nasal reconstruction: Level of evidence: IV (therapeutic studies): Level of evidence: IV (therapeutic studies).

Microsurgery 2020 Mar 9;40(3):343-352. Epub 2019 Nov 9.

Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Background: The nose is a functionally complex organ with also a critical role in aesthetics. For reconstruction of full thickness nasal defects, multiple stages are needed and there is risk for resorption resulting in residual deformity. The aim of this report was to develop and evaluate a new method for full thickness total/subtotal nose reconstruction using the medial femoral condyle free flap (MFCFF) in combination with a paramedian forehead flap. Read More

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http://dx.doi.org/10.1002/micr.30532DOI Listing

Forehead Fat Grafting: Asian Facial Contouring and Augmentation.

Plast Reconstr Surg 2019 11;144(5):1057-1065

Beijing, People's Republic of China; and Ann Arbor, Mich. From the No. 17 Department, Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College; and the Department of Surgery, Section of Plastic and Reconstructive Surgery, and the Department of Biomedical Engineering, University of Michigan.

Background: Aesthetic facial contouring procedures, particularly forehead augmentation, continue to increase in popularity in the Asian population. However, there are very few reports in the literature specifically examining the long-term outcomes of forehead fat grafting. In the present study, the authors aimed to objectively evaluate the efficacy of autologous forehead fat grafting through evaluation of facial proportions and patient-reported outcomes. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006122DOI Listing
November 2019

Nasal Reconstruction With Two Stages Versus Three Stages Forehead Fap: What is Better for Patients With High Vascular Risk?

J Craniofac Surg 2020 Jan/Feb;31(1):e57-e60

Department of Surgery "Pietro Valdoni," Plastic Surgery Unit, Sapienza University of Rome, Rome.

In nasal reconstruction, it is necessary to replace all anatomic layers in order to reinstate correct aesthetics. The most apt donor site to use in order to cover the nose has been recognized as forehead skin. Traditionally 2 phases are required to reconstruct the forehead flap; however, an intermediate third phase was described by Millard which is between transfer of the flap and division of the pedicle. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005894DOI Listing

Forehead deformities after tissue expansion: Retrospective analysis and recommendations.

J Plast Reconstr Aesthet Surg 2019 Dec 2;72(12):2027-2032. Epub 2019 Oct 2.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, P.R. China. Electronic address:

Background: Tissue expanders can lead to bone deformity as well as bone resorption. Not all changes in the cranial bone can be completely normalised after tissue expander extraction. This study aimed to investigate the potential factors for persistent forehead deformities after tissue expansion. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.09.020DOI Listing
December 2019

Forehead/Brow Reduction or Augmentation with Custom Implants for Enhanced Facial Profileplasty.

Authors:
Barry L Eppley

Facial Plast Surg 2019 Oct 22;35(5):430-445. Epub 2019 Oct 22.

Eppley Plastic Surgery, Carmel, Indiana.

After studying this article, the reader should be able to understand the basic concepts of aesthetic reshaping of the forehead and the different methods to make those upper facial contour changes. The operative techniques for bony forehead and brow bone reduction and biomaterials for forehead and brow bone augmentation are described. Innovations in bony reduction and implant augmentation methods are emphasized. Read More

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http://dx.doi.org/10.1055/s-0039-1697962DOI Listing
October 2019

Evaluation of Direct Surgical Remodeling of Frontal Bossing in Patients With Sagittal Synostosis.

J Craniofac Surg 2019 Nov-Dec;30(8):2350-2354

Division of Plastic and Reconstructive Surgery, The Warren Alpert Medical School of Brown University, Providence, RI.

Background: The need for surgical correction of frontal bossing in patients with sagittal synostosis is currently debated. The authors retrospectively analyzed frontal bossing in patients with isolated, nonsyndromic sagittal synostosis who underwent calvarial remodeling with and without frontal craniotomy and compared with control subjects.

Methods: The authors analyzed computed tomography (CT) scans of patients with sagittal synostosis <9 months of age (6. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005786DOI Listing
January 2020
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Maintaining Quality of Life: Electrochemotherapy for Palliative Periorbital Malignancy.

Ophthalmic Plast Reconstr Surg 2019 Nov/Dec;35(6):e138-e142

Corneoplastic Unit.

Electrochemotherapy has been used successfully for treatment of recurrent head and neck skin cancers and skin metastasis. It combines both electroporation and chemotherapy. The authors report 4 patients, who all had metastatic periorbital malignancy. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001468DOI Listing
January 2020
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0.914 Impact Factor

Basal Cell Carcinoma Arising over a Venous Malformation of the Forehead Communicating with the Endocranial Veins.

J Craniofac Surg 2020 Jan/Feb;31(1):e92-e95

University of Milan, San Paolo Hospital, Department of Maxillo Facial Surgery, Italy.

Introduction: An increasing number of skin cancer arising over vascular anomaly has been reported in literature. In such cases, the oncologic radicality required to threat skin malignancies may be in contrast with the safety needed when dealing with vascular malformation. As a result, treatment of this association may be insidious and treacherous and imposes a sound knowledge and carefulness. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005947DOI Listing

Tips to Avoid Complications Following Mohs Reconstruction.

Authors:
Andrew J Kaufman

Facial Plast Surg Clin North Am 2019 Nov;27(4):571-579

The Center for Dermatology Care, 267 West Hillcrest Drive, Thousand Oaks, CA 91360, USA; Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

To avoid complications or bad results following reconstruction of skin cancer defects, there are several factors that can be incorporated into the design and execution of repairs. These techniques not only decrease the need to correct bad results, they improve the final aesthetic and functional outcome. So although one surgeon might focus on standard corrective treatments, another might use elements of flap design and implementation that will decrease the need for such corrective procedures. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.012DOI Listing
November 2019

Reconstruction of Large Transmural Nasal Defects With a Nasolabial Turnover Interpolation Flap.

Dermatol Surg 2020 Jul;46(7):899-903

Department of Dermatology, University of North Carolina, Chapel Hill, North Carolina.

Background: Reconstruction of large nasal surgical defects often warrant the use of mucosal flaps to repair the inner lining. This often presents a challenge for surgical reconstruction.

Objective: To describe a unique reconstructive option for the repair of large surgical wounds that necessitate mucosal nasal lining. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002151DOI Listing
July 2020
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Validation of two handheld devices against a non-portable three-dimensional surface scanner and assessment of potential use for intraoperative facial imaging.

J Plast Reconstr Aesthet Surg 2020 Jan 7;73(1):141-148. Epub 2019 Aug 7.

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Pettenkoferstraße 8a, 80336 Munich, Germany.

Background: The aim of this study was to compare accuracy and timing of two handheld, mobile three-dimensional surface imaging (3DSI) devices against an established non-portable medical imaging system, and to evaluate future intraoperative use for facial surgery.

Methods: Surface-to-Surface root mean square analysis was used to evaluate both a consumer device (Sense 3D) and a professional surface scanner (Artec Eva) against a reference imaging system (Vectra XT). Two assessors repeatedly 3D-imaged the facial region of an imaging phantom and 30 volunteers in two separate sessions. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.07.008DOI Listing
January 2020

Experience of Replantation and Reconstruction in Total Scalp, Partial Forehead, and Ear Avulsions.

J Craniofac Surg 2019 Oct;30(7):2268-2270

Necmettin Erbakan University, Meram Faculty of Medicine Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, Konya, Turkey.

In this study, the authors present the challenges of replantation and management of 2 patients who have total scalp, partial forehead and ear avulsion. A 39-year-old male farmer was admitted to the emergency room with the total scalp, forehead, partial right eyebrow and upper eyelid amputation after his hair was catched by an agricultural machine. Anastomoses of 2 arteries and 2 veins in the occipital region were done first. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005993DOI Listing
October 2019
8 Reads

Early Pediatric Nasal Reconstruction Utilizing the Tagliacozzi Flap.

J Craniofac Surg 2019 Oct;30(7):2073-2075

Department of Plastic Surgery, UT Southwestern.

The Tagliacozzi cross arm flap has been historically described for repair of large nasal defects. The authors report what we believe is the youngest case in modern literature of nasal reconstruction with a Tagliacozzi flap, in a 6-year-old girl. Due to her poor face and scalp skin quality, the more modern reconstructive options of a forehead flap or free tissue transfer were not deemed suitable. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005952DOI Listing
October 2019
2 Reads