2,144 results match your criteria Forehead Reconstruction


Postoperative Complications of Paramedian Forehead Flap Reconstruction.

JAMA Facial Plast Surg 2019 Mar 14. Epub 2019 Mar 14.

Division of Facial Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, Missouri.

Importance: Paramedian forehead flaps are commonly used to reconstruct facial defects caused by skin cancers. Data are lacking on the complications from this procedure, postoperative outcomes, and association of cancer diagnosis with rate of deep venous thrombosis (DVT).

Objectives: The primary objective was to determine complication rates after paramedian forehead flap reconstruction for defects resulting from resection of facial cancers; and the secondary objective was to determine patient factors and complications that are associated with readmission. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.1855DOI Listing
March 2019
1 Read

The Superficial Temporal Artery Island Flap: An Option for Moustache Reconstruction.

J Craniofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Kahramanmaraş Sutcu Imam University School of Medicine. Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras, Turkey.

Vascular anomalies are a group of lesions originating from blood vessels and lymphatics with varying histology and clinical behavior. They form the most common congenital anomalies in infants and children. The reconstructive method for the facial region defects varies depending on the size and position of the defect, as well as the patient's age, health status and aesthetic concerns. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005344DOI Listing
March 2019
3 Reads

[LIG4 syndrome: a report of four cases and literature review].

Zhonghua Er Ke Za Zhi 2019 Mar;57(3):217-221

Department of Hematology, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

To analyze clinical, immunological and genetic characteristics of 4 cases of LIG4 syndrome. We retrospectively analyzed the clinical data of 4 patients from 3 families with LIG4 syndrome who were admitted to Children's Hospital of the Capital Institute of Pediatrics from June 2017 to May 2018, and reviewed related articles, the clinical, immunological and genetic characteristics of LIG4 syndrome were summarized and analyzed. Those 4 cases (P1 to P4), including 2 males and 2 females, had an average age of 1. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2019.03.012DOI Listing
March 2019
1 Read

Complementary Fat Graft Retention Rates Are Superior to Initial Rates in Craniofacial Contour Reconstruction.

Plast Reconstr Surg 2019 Mar;143(3):823-835

Campinas, São Paulo, Brazil From the Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital.

Background: The purposes of this study were to (1) assess complementary fat graft outcomes, (2) compare initial and complementary fat graft retention rates, and (3) evaluate the influence of different postoperative time points (3, 6, and 12 months after the initial procedure) for performing complementary fat grafting on fat graft outcomes.

Methods: A prospective analysis was conducted on patients with unilateral craniofacial contour deformities (n = 115) who underwent initial and complementary fat grafting. Complementary fat grafting was performed 3, 6, or 12 months after the initial fat grafts. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005389DOI Listing
March 2019
1 Read

Reconstruction of a subtotal septorhinectomy defect with a chimeric paramedian-pericranial forehead flap.

Am J Otolaryngol 2019 Feb 19. Epub 2019 Feb 19.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, United States of America.

The nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a unique case of nasal reconstruction utilizing a bilaminar paramedian forehead flap (combined pericranial flap and forehead flap) with embedded cantilever rib graft in a patient who underwent resection for an intranasal malignancy involving the septum and soft tissue envelope. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.02.014DOI Listing
February 2019
2 Reads

Facial fold and crease development: A new morphological approach and classification.

Clin Anat 2019 Feb 20. Epub 2019 Feb 20.

Department of Biological and Material Sciences in Dentistry, School of Dentistry, Faculty of Health, Witten/Herdecke University, Witten, Germany.

Facial folds and creases are established descriptive anatomical terms for structures of which the morphological characteristics and origins are not clearly defined. The aim of this study was to perform a morphological investigation of the nasolabial fold (NLF), mandibular fold (MF), deep transverse forehead (DTFC), infraorbital fold (IOF) and upper eyelid fold (UEF), correlating their phenotypes to differences in the superficial musculoaponeurotic system (SMAS), noting morphological differences and similarities. Full-graft tissue blocks of skin, subcutaneous tissue, and mimic muscles collected postmortem were studied histologically. Read More

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http://dx.doi.org/10.1002/ca.23355DOI Listing
February 2019

Broadening applications and insights into the cross-paramedian forehead flap over a 19-year period.

J Plast Reconstr Aesthet Surg 2018 Dec 25. Epub 2018 Dec 25.

Department of Plastic Surgery, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC 27157, United States.

Background: Forehead flap reconstruction of large nasal defects can be challenging. The senior author has used a paramedian forehead flap modification using the supratrochlear artery on the contralateral side of the defect.

Methods: A 9-year retrospective review (2008-2016) was performed for patients undergoing nasal reconstruction with the cross-paramedian forehead flap. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.12.001DOI Listing
December 2018
2 Reads

Utility of Indocyanine Green Angiography to Identify Clinical Factors Associated With Perfusion of Paramedian Forehead Flaps During Nasal Reconstruction Surgery.

JAMA Facial Plast Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: Identifying factors affecting forehead flap neovascularization during nasal reconstruction surgical procedures using quantitative dynamics of fluorescence from indocyanine green angiography may be associated with reduced vascular complications.

Objectives: To identify quantifiable forehead flap perfusion measures using indocyanine green angiography during nasal reconstruction procedures and to evaluate clinical factors associated with neovascularization.

Design, Setting, And Participants: Retrospective cohort study of 71 patients at a tertiary referral center of Stanford University, Stanford, California, between January 1, 2010, and March 31, 2018, undergoing forehead flap nasal reconstruction surgery with flap perfusion assessed by indocyanine green angiography. Read More

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http://dx.doi.org/10.1001/jamafacial.2018.1829DOI Listing
January 2019

Surgical anatomy of ovine facial and hypoglossal nerves for facial nerve reconstruction and regeneration research: An experimental study in sheep.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas.

Background: The lack of a clinically relevant animal model for facial nerve research is a challenge. The goal of this study was to investigate the anatomy of the ovine facial and hypoglossal nerves to establish a clinically relevant facial nerve research model.

Materials And Methods: Six cadaver female Merino sheep (33. Read More

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http://doi.wiley.com/10.1002/micr.30405
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http://dx.doi.org/10.1002/micr.30405DOI Listing
January 2019
7 Reads

Postoperative Care in Facial Implants.

Facial Plast Surg 2018 Dec 28;34(6):612-623. Epub 2018 Dec 28.

Meridian Plastic Surgery Center - Private Practice, Indianapolis, Indiana.

Facial augmentation is a growing field, secondary to the appreciation of the changes seen in the facial skeleton with aging and the growing acceptance/popularity of facial fat grafting and facial fillers. In addition, it plays a significant role in patients with congenital facial deficiencies as well as those interested in facial feminization/masculinization surgery. Several facial implants are discussed in this article including classic facial implants such as malar, submalar, chin, and prejowl implants as well as newer facial implants such as mandible, temporal, forehead, and skull implants. Read More

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http://dx.doi.org/10.1055/s-0038-1676463DOI Listing
December 2018

A New Approach to an Old Flap: A Technique to Augment Venous Drainage from the Paramedian Forehead Flap.

Plast Reconstr Surg 2019 01;143(1):269-271

Sheffield and London, United Kingdom From the Department of Plastic Surgery, Sheffield Teaching Hospitals NHS Foundation Trust; the Departments of Radiology and Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust; and the Department of Anatomy, King's College London.

The paramedian forehead flap is commonly used in nasal reconstruction, and survival of the distal part of the flap is usually essential for a good cosmetic outcome. Venous congestion leading to tissue necrosis is a recognized complication with this flap. The standard paramedian forehead flap is designed with a number of aims. Read More

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http://Insights.ovid.com/crossref?an=00006534-201901000-0005
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http://dx.doi.org/10.1097/PRS.0000000000005121DOI Listing
January 2019
7 Reads

Impact of Botulinum Toxin Type A Treatment of the Glabella and Crow's Feet on Static Forehead Rhytides.

Dermatol Surg 2019 01;45(1):167-169

The Few Institute for Aesthetic Plastic Surgery, Chicago, Illinois.

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http://dx.doi.org/10.1097/DSS.0000000000001512DOI Listing
January 2019
2 Reads

Congenital infantile fibrosarcoma of the glabella: Nuances of achieving surgical cure without cosmetic or functional deformity.

Int J Pediatr Otorhinolaryngol 2019 Feb 13;117:110-114. Epub 2018 Oct 13.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, UNM School of Medicine, MSC 10 5610, 1 University of New Mexico, Albuquerque, NM, 87131, United States. Electronic address:

Congenital Infantile Fibrosarcoma is a rare neoplasm that typically presents during the first year of life, but uncommonly in the head and neck. We report a six-day old male presenting with an expanding mass of the right glabella associated with visual field obstruction. The patient underwent a two-staged procedure for surgical removal of the tumor due to the initially unclear pathologic diagnosis of the tumor, combined with the desire to close the defect while incurring minimal aesthetic or functional deformity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183053
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http://dx.doi.org/10.1016/j.ijporl.2018.10.020DOI Listing
February 2019
1 Read

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
2 Reads
0.676 Impact Factor

A Novel Approach for Total Nasal Reconstruction.

J Oral Maxillofac Surg 2018 Nov 22. Epub 2018 Nov 22.

Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Louisiana State University Health and Sciences Center, New Orleans, LA.

A 61-year-old woman who lost her nose, upper lip, and most of her midface bony structures because of cancer 20 years previously underwent advanced surgical reconstruction. This patient previously underwent multiple reconstructive surgeries that failed to satisfactorily restore her nose. Therefore, a multistage reconstruction was performed to recreate a complete nose and increase her upper lip length. Read More

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http://dx.doi.org/10.1016/j.joms.2018.11.007DOI Listing
November 2018
1 Read

The Paramedian Forehead Flap for Nasal Reconstruction: From Antiquity to Present.

J Craniofac Surg 2018 Dec 10. Epub 2018 Dec 10.

Columbia Presbyterian Medical Center, New York City, NY.

Nasal reconstruction is considered the historic foundation of facial plastic surgery, and the forehead flap remains the workhorse of repair. To recreate both the aesthetic contour and function of the nose, all anatomic layers must be addressed-covering, lining, and structural support. This article reviews the noteworthy history underlying the development of the paramedian forehead flap as the primary tool in reconstruction of large nasal defects while highlighting its implications on modern nasal repair. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004976DOI Listing
December 2018
2 Reads

Anterior Cranial Vault Reconstruction With Distraction for Primary and Secondary Craniosynostosis Repair.

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

Division of Plastic and Reconstructive Surgery, University of Nebraska Medical Center, Omaha, NE.

Traditional fronto-orbital advancement continues to be a useful operation for correction of craniosynostosis involving the coronal or metopic sutures. Recently, distraction osteogenesis has been used to correct a variety of cranial deformities. Studies have mostly focused on posterior vault distraction due to its simplicity and greater volume gain when compared with anterior vault distraction. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005011DOI Listing
November 2018
3 Reads

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
2 Reads

Recurrent Pott's Puffy Tumor Treated With Anterior Skull Base Resection With Reconstruction of the Anterolateral Thigh Flap.

J Craniofac Surg 2019 Jan;30(1):e94-e96

Department of Otorhinolaryngology, Dokkyo Medical University Saitama Medical Center.

Pott's puffy tumor (PPT) is a rare, life-threatening complication of frontal sinusitis that is treated with a combination of appropriate antibiotics and surgery for the removal of infected tissue. A 56-year-old man with recurrent forehead swelling was admitted and diagnosed with recurrent PPT. He had undergone endoscopic sinus surgery and pericranial abscess drainage. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005100DOI Listing
January 2019
4 Reads

Costochondral Grafting for Nasal Airway Reconstruction in an Infant With Frontonasal Dysplasia.

J Craniofac Surg 2019 Jan;30(1):200-201

Department of Plastic and Reconstructive Surgery, Saitama Children's Medical Center, Saitama, Japan.

Frontonasal dysplasia (FND) is a congenital malformation of the central portion of the face, including the eyes, nose, and forehead. Owing to its rarity and wide spectrum of phenotypes, the optimal timing and technique of surgery remain controversial. Here, we report a case of a patient with FND, who presented with respiratory distress. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004914DOI Listing
January 2019
2 Reads

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
20 Reads

Muscle Forehead Flap: Salvage Surgery for Closure of Cutaneous Fistula After Cranioplasty Exposure.

World Neurosurg 2019 Feb 4;122:210-214. Epub 2018 Nov 4.

Department of Maxillofacial and Facial Plastic Surgery, Trousseau Hospital, University Hospital Center of Tours, Tours, France; University of François Rabelais, School of Medicine, Tours, France. Electronic address:

Background: Infection and skin fistula are well-known complications after cranioplasty leading to reconstruction exposure and usually requiring new surgical procedure with poor condition for cutaneous closure. We describe 2 cases using muscle forehead flap (MFF) to treat skin fistula and cranioplasty exposure.

Case Description: The first case was a 43-year-old man who underwent a calvarial bone graft of the frontal sinus anterior wall after craniofacial trauma. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183249
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http://dx.doi.org/10.1016/j.wneu.2018.10.184DOI Listing
February 2019
13 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
5 Reads

The Superficial Temporal Artery: Anatomical Map for Facial Reconstruction and Aesthetic Procedures.

Aesthet Surg J 2018 Oct 23. Epub 2018 Oct 23.

Malopolska Center for Burns and Plastic Surgery, The Ludwik Rydygier Hospital, Krakow, Poland.

Background: The superficial temporal artery (STA) is a terminal branch of the external carotid artery, which supplies multiple regions of the scalp and face. Reconstructive and aesthetic procedures are important clinical aspects of STA supply.

Objectives: The aim of this study was to develop an anatomical map of the STA related to anatomical landmarks. Read More

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https://academic.oup.com/asj/advance-article/doi/10.1093/asj
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http://dx.doi.org/10.1093/asj/sjy287DOI Listing
October 2018
21 Reads

Aesthetic Assessment of Infants With Different Cleft Types Before, During, and After Orthopedic Treatment.

J Craniofac Surg 2018 Nov;29(8):2081-2087

Department of Orthodontics, Yeditepe University, Istanbul, Turkey.

Objective: The aim of the present study is to compare the aesthetic assessments of infants with different types of cleft before (T1), during (T2), and after (T3) orthopedic therapy (OT) by orthodontists, dentists, and laypersons.

Methods: Photographs of 3 patients (incomplete lip [C1], complete unilateral [C2], and complete bilateral cleft [C3]) at T1 (C1, C2, C3 chronologic age: 5, 2, 2 days), T2 (C1, C2, C3 chronologic age: 32, 28, 35 days; using forehead anchoraged nasal stent or conventional nasoalveolar therapy plates), and T3 (C1, C2, C3 chronologic age: 80, 91, 105 days) were collected from the archive. The nasolabial region at stage T3 were masked and also added to the evaluation form (T4). Read More

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http://dx.doi.org/10.1097/SCS.0000000000004888DOI Listing
November 2018
16 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
5 Reads

Face-neck lifting and ancillary procedures: A series of 203 cases.

Medicine (Baltimore) 2018 Sep;97(39):e12333

Professor of Plastic Surgery, A-Plast Estetik, Istanbul, Turkey.

Various methods and ancillary procedures have been defined in the era of face-lifting surgery.The purpose of this study was to evaluate the esthetic outcomes of our face-neck cases and the importance of adding ancillary procedures based on individual assessment.We conducted a retrospective review of 203 face-neck cases, basically following the endoscopic and open principles of Vasconez. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809280-0003
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http://dx.doi.org/10.1097/MD.0000000000012333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181572PMC
September 2018
6 Reads

Necrosis of the Glabella After Injection With Hyaluronic Acid Into the Forehead.

J Craniofac Surg 2018 Oct;29(7):e726-e727

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

Skin necrosis is a rare but severe potential complication after injection of hyaluronic acid (HA). Based on the understanding of the causes and mechanisms of this complication, many precautions have been proposed. Still, this adverse reaction happened from time to time. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004987DOI Listing
October 2018
7 Reads

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

Microsurgery 2019 Feb 16;39(2):124-130. 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
February 2019
3 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 11 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
7 Reads

Abandoning the Supraorbital Bandeau in Anterior Craniosynostosis Repairs, for a Single-Segment Reconstruction.

Plast Reconstr Surg 2018 09;142(3):334e-341e

Dallas and El Paso, Texas From The Craniofacial Center; the Department of Research, Medical City Dallas Hospital; and the Department of Surgery, Texas Tech University Health Sciences Center of El Paso.

Background: Following correction of anterior sutural fusions, long-term forehead irregularities may arise. Based on the premise that frontal reconstructions using a seamless construct might produce better long-term aesthetic results, the supraorbital bandeau was abandoned for a single-piece frontal reconstruction. The purpose of this review was to compare outcomes and complications between children who underwent reconstruction with the traditional supraorbital bandeau and those who underwent reconstruction with a single bony segment. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004649DOI Listing
September 2018

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
9 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

Intravascular involvement of cutaneous squamous cell carcinoma.

Cutis 2018 Jun;101(6):E19-E21

Division of Dermatology, Center for Dermatologic and Cosmetic Surgery, Washington University in St. Louis, Missouri, USA.

We present a case of a 72-year-old man who was found to have intravascular invasion during Mohs micrographic surgery (MMS) of cutaneous squamous cell carcinoma (cSCC) on the left side of the forehead. The patient was subsequently treated with adjuvant radiation without evidence of disease recurrence. We present a case review to discuss treatment options for high-risk features of cSCC with the aim to assist in treatment guidelines. Read More

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June 2018
8 Reads

Brow Position After Paramedian Forehead Flap Nasal Reconstruction.

JAMA Facial Plast Surg 2018 Jul 26. Epub 2018 Jul 26.

Department of Otolaryngology, University of Kansas Medical Center, Kansas City.

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http://dx.doi.org/10.1001/jamafacial.2018.0814DOI Listing
July 2018
13 Reads

Long-Term Results in Isolated Metopic Synostosis: The Oxford Experience over 22 Years.

Plast Reconstr Surg 2018 10;142(4):509e-515e

Headington, Oxford, United Kingdom From the Oxford Craniofacial Unit, John Radcliffe Hospital.

Background: Metopic synostosis causing trigonocephaly is treated by fronto-orbital advancement and remodeling to correct the deformity and cerebral distortion and to treat intracranial hypertension in a small number of cases. The aim of this study was to evaluate complications, revisions, and long-term outcomes.

Methods: A retrospective chart review was performed on consecutive metopic craniosynostosis patients treated between February of 1995 and February of 2017 at the Oxford Craniofacial Unit. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004768DOI Listing
October 2018
2 Reads

The radial forearm free flap for scalp and forehead reconstruction: A 20-year experience.

Clin Otolaryngol 2018 Dec 1;43(6):1611-1613. Epub 2018 Aug 1.

Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Ottawa, Canada.

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http://dx.doi.org/10.1111/coa.13189DOI 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
36 Reads

The curious case of a forehead metatypical basal cell carcinoma.

Rom J Morphol Embryol 2018 ;59(1):345-352

Department of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital of Bucharest, Romania;

The risk of developing basal cell carcinoma (BCC) during lifetime varies between 29-55%, while for squamous cell carcinoma (SCC) varies between 7-11%. Between them, considered to be a BCC, there is a particular histological type, named metatypical basal cell carcinoma (MTC) or basosquamous cell carcinoma (BSCC). In this paper, we presented a rare case of metatypical carcinoma of the forehead with an interesting history of unexpected recurrences, underlining the clinical, therapeutic and histological essential aspects that may come in use to other clinicians in managing this type of cancer. Read More

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October 2018
4 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
6 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

Facial Gender Confirmation Surgery: Facial Feminization Surgery and Facial Masculinization Surgery.

Clin Plast Surg 2018 Jul;45(3):323-331

Deschamps-Braly Clinic of Plastic & Craniofacial Surgery, 450 Sutter Street, Suite 1520, San Francisco, CA 94108, USA. Electronic address:

Facial feminization surgery was pioneered in the 1980s to provide options for trans women who were having difficulty with their outward appearance. This process presented a novel application of craniofacial surgery at the time. This text outlines the basic differences between male and female facial morphology, as well as the procedures we use to feminize the face. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.005DOI Listing
July 2018
2 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
15 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
4 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
4 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
5 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
1 Read

[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

Forehead reconstruction with a custom-made three-dimensional titanium implant in a Parry-Romberg syndrome patient.

Arch Craniofac Surg 2018 Jun 24;19(2):135-138. Epub 2018 May 24.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Parry-Romberg syndrome is a rare neurocutaneous syndrome characterized by progressive shrinkage and degeneration of the tissues usually on only one side of the face. It is usually difficult to restore the facial contour due to skin tightness. In this case report, we report a forehead reconstruction with custom-made three-dimensional (3D) titanium implant of a Parry-Romberg syndrome patient who was treated with multiple fat grafts but had limited effect. Read More

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http://dx.doi.org/10.7181/acfs.2018.01704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057123PMC
June 2018
4 Reads

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
7 Reads