2,394 results match your criteria Forehead Reconstruction

Forehead and Frontal Scalp Reconstruction After Resection of Subcutaneous Dermatofibrosarcoma Protuberans.

Dermatol Surg 2021 Jun 9. Epub 2021 Jun 9.

All authors are affiliated with the Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

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Neuroma of The Supraorbital Nerve Following Forehead Flap Reconstruction - Presentation and Surgical Management.

J Craniofac Surg 2021 Jun;32(4):1515-1516

Department of Plastic and Reconstructive Surgery.

Abstract: Localized pain or headache from neuroma formation is a rare and challenging complication of forehead flap surgery. Here the authors present a patient who developed local pain and dysesthesia following iatrogenic injury to the left supraorbital nerve during forehead flap elevation. Following a diagnostic nerve block in clinic, surgical excision of the neuroma was performed through an upper blepharoplasty approach. Read More

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A twostep supraclavicular flap method in head and neck reconstruction for refractory osteoradionecrosis.

J Stomatol Oral Maxillofac Surg 2021 Jun 4. Epub 2021 Jun 4.

Gustave Roussy, Paris-Saclay University, Department of Plastic Surgery, Villejuif, F-94805, France.

Techniques of reconstructive surgery of the head and neck region have existed since Antiquity, with the pedicled forehead flap of Susruta as a reference. These methods are constantly evolving, with the introduction of free flaps in the 1980s, and more recently new technologies such as CAD-CAM. However, the surgical management of patients treated by radiotherapy for upper airway cancers remains a challenge in terms of functional and aesthetic results. Read More

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Nose Reconstruction Using Local and Regional Flaps: The Challenges and Advantages.

J Cutan Aesthet Surg 2021 Jan-Mar;14(1):77-83

Department of Plastic Surgery, Ramaiah Medical College, Bengaluru, Karnataka, India.

Background: Nose is a central structure in midface. It has an important function in maintaining the aesthesis of the face. The three-dimensional (3D) structure of the nose is challenging to reconstruct. Read More

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The history of nasal reconstruction.

David A Shaye

Curr Opin Otolaryngol Head Neck Surg 2021 Jun 1. Epub 2021 Jun 1.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA Department of Otolaryngology - Head & Neck Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda.

Purpose Of Review: Total nasal reconstruction is a unique plastic surgery challenge of the highest order. The history of nasal reconstruction dates back to ancient times and it remains a fundamental challenge today. This article reviews the historical context of nasal reconstruction, and highlights how the essential tenets of this art have been conserved over millennia. Read More

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Current Trends in Facial Feminization Surgery: An Assessment of Safety and Style.

J Craniofac Surg 2021 May 28. Epub 2021 May 28.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY.

Background: Facial feminization surgery (FFS) plays an instrumental role in the process of gender affirmation. These procedures are becoming increasingly appreciated for their ability to improve patient satisfaction and gender identity in a way that alleviates gender dysphoria and improves the quality of life. Despite the recent surge in popularity across the US, the current literature lacks evidence on the safety profile of combined facial feminization procedures. Read More

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Three-Stage Paramedian Forehead Flap Reconstruction of the Nose Using the Combination of Composite Septal Pivot Flap with The Turbinate Flap and L-Septal Cartilaginous Graft - a Case Report.

Acta Chir Plast 2021 ;63(1):6-13

Nasal basal cell carcinomas are the most common malignant tumors of the facial skin, which predilectively affect areas exposed to sunlight, including the nasal area. After their radical removal, there is a variable complex defect of the affected area (defect of all 3 layers of the nose) or even a composite defect (it also occupies the adjacent soft tissues around the nose), which are usually used to reconstruct this area. A 73-year-old female patient with recurrent infiltrative basal cell carcinoma of the left nasal ala underwent four re-excisions before histologically verified free margins without the presence of the tumor. Read More

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Point of care virtual surgical planning and 3D printing in facial gender confirmation surgery: a narrative review.

Ann Transl Med 2021 Apr;9(7):614

Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Facial gender confirmation surgery (FGCS) is a powerful set of procedures in the armamentarium of plastic surgeons that can transform the male face into a gender-congruent female face and provide the transgender individual with improved quality of life, positive body image and help in social integration. The goals of the FGCS procedures are to address the individual patients' concerns and expectations about their facial appearance, offer safely executed surgery, minimize complications, and optimize surgical outcomes. Pre-operative computed tomography (CT) scanning and three-dimensional (3D) reconstruction before facial feminization or masculinization delineates important skeletal and sinus anatomy and can also be a useful tool in patient consultation. Read More

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Narrative review of facial gender surgery: approaches and techniques for the frontal sinus and upper third of the face.

Ann Transl Med 2021 Apr;9(7):606

Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Facial gender confirmation surgery (FGCS) is a series of procedures which seek to harmonize a patient's face with his/her self-image and gender identity. Originally described in San Francisco in the 1980s, FGCS has evolved to encompass all elements of the craniofacial skeleton and facial soft tissue. This field in plastic and reconstructive surgery has quickly gained more attention in the past decade due to the pioneering work of groups around the world along with increased social acceptance and medical care of the transgender community. Read More

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Reconstruction of Anterior Skull Base Fracture Using Autologous Fractured Fragments: A Simple Stitching-Up Technique.

Korean J Neurotrauma 2021 Apr 14;17(1):25-33. Epub 2021 Apr 14.

Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Objective: A displaced fracture in the anterior cranial base may be complicated by cerebrospinal fluid (CSF) rhinorrhea and enophthalmos. This study introduces a reconstruction technique with direct dural repair and reduction and fixation of the autologous fractured fragments.

Methods: Displaced fractures in the anterior cranial base were reconstructed using a stitching-up technique: A bicoronal scalp incision and frontal craniotomy was performed and the displaced bone was withdrawn. Read More

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Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection.

J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: The reconstruction of nasal alar defects after resection of a melanocytic nevus becomes one of the most challenging procedures for surgeons. Choosing the most appropriate technique is still difficult sometimes. The authors reviewed our cases and published experience on choosing optimal surgical methods to repair different types of nasal alar defect following melanocytic nevus resection. Read More

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A modified method for upper eyelid reconstruction with innervated orbicularis oculi myocutaneous flaps and lower lip mucosal grafts.

JPRAS Open 2021 Jun 24;28:131-139. Epub 2021 Mar 24.

Department of Plastic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Background: Numerous reports have described methods for repairing full-thickness upper eyelid defects using lower eyelid tissue. To avoid sacrificing the lower eyelid and thereby prevent lower eyelid sagging or dysfunction, we used innervated orbicularis oculi myocutaneous flaps harvested from the upper eyelid for upper eyelid reconstruction.

Methods: We modified a method reported by Moschella and Cordova for repairing full-thickness upper eyelid defects using innervated bipedicled orbicularis oculi myocutaneous flaps mobilized from the upper eyelid and labial mucosal grafts. Read More

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Scalp Reconstruction after Mohs Cancer Excision: Lessons Learned from More Than 900 Consecutive Cases.

Plast Reconstr Surg 2021 May;147(5):1165-1175

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Background: Scalp reconstruction has evolved over time. Given the large surface area, location, and high likelihood of sun exposure, the scalp is particularly prone to sun damage and skin cancer. Resection of scalp cancers often leaves a large defect that can be challenging for reconstruction. Read More

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Total nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case report.

Microsurgery 2021 Apr 22. Epub 2021 Apr 22.

Plastic Reconstructive and Aesthetic Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Many techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide the best tissue match with the nose. However, when local tissue donor sites are limited, alternative options such as free tissue transfers should be considered. Read More

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Repair of frontal sinus fractures: clinical and radiological long-term outcomes.

J Laryngol Otol 2021 May 21;135(5):448-451. Epub 2021 Apr 21.

Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel.

Objective: The long-term clinical and radiological outcomes of patients surgically treated for frontal sinus fracture were assessed.

Methods: A retrospective, single-centre analysis was conducted of patients treated for frontal sinus fracture in a tertiary trauma centre between 2000 and 2017. Patients who underwent surgical repair for frontal sinus fracture followed by clinical and radiographical evaluation for at least six months were included. Read More

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A Strategy for Integrative Reconstruction of Midface Defects Using an Extended Forehead Flap.

Facial Plast Surg Aesthet Med 2021 Apr 20. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Midface reconstruction is challenging because the structures and deformities involved are complicated. In this study, we present a strategy for integrally reconstructing nasal and midface defects, including hair-bearing defects, using extended forehead-expanded flaps. From 2015 to 2018, a total of 22 patients with midface defects underwent reconstruction with extended forehead-expanded flaps. Read More

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A new treatment for static forehead rhytides: Autologous fibroblast and keratin injection.

J Cosmet Dermatol 2021 Apr 20. Epub 2021 Apr 20.

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

Objective: To assess the effectiveness of injection of autologous keratin gel and fibroblast for static forehead rhytides rectification as new soft tissue filler.

Materials And Methods: Totally, 48 volunteers suffering static forehead rhytides received the injection of autologous keratin and fibroblast, and 6 volunteers received botulinum toxin type A (BTX-A) and hyaluronic acid (HA) treatment as parallel control. The follow-up study was carried out at 1, 3, 6, 12, and 24 months after treatment, and photographs and satisfactions questionnaire were collected and assessed. Read More

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Application of FACE-Q and NOSE in Nasal Reconstruction with Paramedian Frontal Flap after Skin Cancer Resection.

Plast Reconstr Surg Glob Open 2021 Apr 8;9(4):e3533. Epub 2021 Apr 8.

Division of Plastic Surgery, Medical School, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.

Introduction: Nonmelanoma skin cancer (NMSC) is responsible for high morbidity and mortality, resulting in a high cost to the health system. The nose is the leading region affected by this type of tumor and may need reconstruction by tissue transfer. The paramedian forehead flap (PFF) is one of the main options used, and the factors that influence the result should be studied. Read More

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Use of Dorsal Nasal Flap in Combination With Nasolabial Perforator Propeller Flap for Reconstruction of Nasal Skin Defects of Medium to Large Size; A Simpler Alternative to Frontal Flap.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

Department of Plastic, Reconstructive and Aesthethic Surgery, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Bakirköy Sadi Konuk Education and Research Hospital Department of Plastic, Reconstructive and Aesthethic Surgery, Memorial Atasehir Hospital, Istanbul Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Izmir Bozyaka Education and Research Hospital, Izmir Department of Plastic, Reconstructive and Aesthethic Surgery, Kirsehir Education and Research Hospital, Kirsehir.

Abstract: Nasal reconstruction is one of the most challenging procedures in plastic surgery. To get optimal aesthetic and functional results, the surgeon should know all the options well. Forehead flap is the gold standard technique for closure of medium to large defects of the nose. Read More

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Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report.

World J Plast Surg 2021 Jan;10(1):125-131

Beverly Hills Sunset Surgery Center at Valiant Clinic Dubai, United Arab Emirates.

A 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. Read More

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January 2021

[Application of three-staged paramedian forehead flap in reconstruction and repair of full-thickness nasal defect].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):374-380

Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

To evaluate the application of three-staged paramendian forehead flap technique in reconstruction of severe full-thickness nasal defect. Clinical data of 7 cases with nasal reconstruction by three-staged forehead flap technique in the First Affiliated Hospital of Xinjiang Medical University and HongKong University Shenzhen Hospital between June 2016 and October 2019 was retrospectively reviewed. All were males aged from 10 to 71 years. Read More

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The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure.

Facial Plast Surg 2021 Jun 8;37(3):340-347. Epub 2021 Apr 8.

Department of Facial Plastic Surgery, Rigeneralab Center for Regenerative Medicine, Torino, Italy.

As facial aging occurs, aesthetic changes of the nasal tip and the senile upper lip include tip ptosis, increase in skin length, loss of vermillion height and Cupid's bow, and vertical wrinkles.Regardless of the rejuvenation procedure, the lips are not to be considered as a single anatomical entity, instead they should be placed in a strong correlation with the nose. The aim of this study is therefore to demonstrate the effectiveness of the association of primary closed rhinoplasty together with indirect subnasal lip-lifting technique. Read More

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Management of sagittal synostosis in the Synostosis Research Group: baseline data and early outcomes.

Neurosurg Focus 2021 04;50(4):E3

Divisions of1Pediatric Neurosurgery, Primary Children's Hospital, and.

Objective: Sagittal synostosis is the most common form of isolated craniosynostosis. Although some centers have reported extensive experience with this condition, most reports have focused on a single center. In 2017, the Synostosis Research Group (SynRG), a multicenter collaborative network, was formed to study craniosynostosis. Read More

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Forehead and Hairline Surgery for Gender Affirmation.

Kamol Pansritum

Plast Reconstr Surg Glob Open 2021 Mar 22;9(3):e3486. Epub 2021 Mar 22.

Kamol Cosmetic Hospital, Kwaeng Plabpla, Khet Wangthonglang, Bangkok, Thailand.

Background: With the improvement of the results of surgical treatment for facial transformation globally, many female transgender individuals seek surgical management for their faces, especially the forehead and hairline. These are critical aspects in the surgical management of the frontonasal-orbital area because the anatomy of the frontal sinuses is complicated and shows a high variation.

Methods: The author presents a grid method to measure the boundary of the frontal sinus in the female transgender forehead contouring and reconstruction. Read More

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Usefulness of a Skin Graft Obtained from the Bilateral Nasolabial Folds for a Skin Defect following Resection of a Malignant Tumor at the Nasal Tip.

Plast Reconstr Surg Glob Open 2021 Mar 26;9(3):e3481. Epub 2021 Mar 26.

Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.

The cosmetic appeal of the nose is very important, as it is a structure located at the center of the face. Hence, the removal of nasal tumors requires matching aesthetic subunits for the ensuing reconstruction. This procedure often creates large defects that require skin grafts or local flaps for repair. Read More

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Biomechanical Effects of Unidirectional Expansion Using Anisotropic Expanders in Horse Skin Tissue.

J Equine Vet Sci 2021 04 3;99:103399. Epub 2021 Feb 3.

Department of Materials, University of Oxford, Parks Road, OX1 3PH, United Kingdom.

The use of a self-inflating tissue expander is a technique to stretch cutaneous tissues for potential use in reconstructive skin surgeries. This study investigates the mechanical properties of horse skin stretched by the subcutaneous implantation of anisotropic tissue expanders at the forehead, right shoulder, and dorsomedial part of the cannon region of the right forelimb in six (n = 6) horses. After 14 days of skin expansion, expanded and normal (control) skin samples were harvested and their mechanical properties of elastic modulus (EM), maximum force (MF), maximum stress (MSs) and maximum strain (MSr) were evaluated using uniaxial tension test. Read More

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The role of near-infrared fluorescence imaging with indocyanine green dye in pedicle division with the paramedian forehead flap.

Int Wound J 2021 Mar 24. Epub 2021 Mar 24.

Department of Plastic and Aesthetic Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Frankfurt am Main, Germany.

The paramedian forehead flap is considered the gold standard for nasal reconstruction following oncologic surgery. During the 21-day delay in two-stage surgery protocols, many patients report considerably reduced quality of life because of the pedicle. This prospective case series study examined the usefulness of near-infrared (NIR) fluorescence with indocyanine green (ICG) for flap perfusion assessment and identified variables associated with time to flap perfusion. Read More

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Deep Plane Reconstruction of a Large Forehead Defect and Modified Browlift With Browpexy.

Dermatol Surg 2021 Mar 9. Epub 2021 Mar 9.

University of Texas Southwestern Medical School, Dallas, Texas; University of Washington School of Medicine, Spokane, Washington; Chesnut MD Cosmetic Fellowship, Spokane, Washington.

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Reconstruction of a Large Oncologic Defect Involving Lower Eyelid and Infraorbital Cheek Using MSTAFI Flap.

Ear Nose Throat J 2021 Mar 17:1455613211000294. Epub 2021 Mar 17.

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

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. Read More

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Primary Reconstruction of Extensive Forehead Defects Using Supraorbital Artery Propeller Perforator Flap.

J Oral Maxillofac Surg 2021 Feb 9. Epub 2021 Feb 9.

Professor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. Electronic address:

Purpose: Extensive resection of skin carcinomas in the periorbital and forehead regions often results in complicated defects involving the upper eyelid, superciliary arch, and nasal dorsum. The aim of this study is to report our experience with the use of supraorbital artery perforator propeller flaps for primary repair of complicated forehead defects.

Methods: A total of 6 patients underwent carcinoma resection with primary surgical reconstruction using supraorbital propeller flap at the Peking University School and Hospital of Stomatology from December 2015 to December 2018. Read More

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February 2021