65 results match your criteria Forehead and Temple Reconstruction

Triple Advancement Flap for the Lateral Upper Forehead and Temple.

J Cutan Med Surg 2018 May 1:1203475418777952. Epub 2018 May 1.

1 University of Southern California, Keck School of Medicine, Department of Dermatology, Los Angeles, CA, USA.

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Surgical Anatomy of the Upper Face and Forehead.

Facial Plast Surg 2018 Apr 9;34(2):109-113. Epub 2018 Apr 9.

Otolaryngology Division, Facial Plastic and Reconstructive Surgery, The Permanente Medical Group, Oakland, California.

Aesthetic ideals regarding proportion and balance of the face have existed for centuries. The upper third of the face, including the brow, forehead, and temple, provides an important contribution to the overall facial aesthetic. This is especially true given how the brow frames the eyes, and the eyes serve as the key focal point in our interactions with others. Read More

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April 2018
1 Read

Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap: Technique Improvements to Enlarge the Reconstructive Territory.

J Craniofac Surg 2017 Sep;28(6):1526-1530

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

The scars of face and scalp caused by burning often show as 1 large facial-scalp scar. The deltopectoral flap was recognized as one of the first choices for the facial scar reconstruction. However, this flap cannot cross the level of zygomatic arch traditionally when it was transferred with pedicle. Read More

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September 2017
8 Reads

Non-melanoma skin cancer: United Kingdom National Multidisciplinary Guidelines.

J Laryngol Otol 2016 May;130(S2):S125-S132

Department of Otolaryngology-Head and Neck Surgery,Manchester Royal Infirmary,Oxford Road,Manchester,UK.

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper provides consensus recommendations on the management of cutaneous basal cell carcinoma and squamous cell carcinoma in the head and neck region on the basis of current evidence. Recommendations • Royal College of Pathologists minimum datasets for NMSC should be adhered to in order to improve patient care and help work-force planning in pathology departments. Read More

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May 2016
4 Reads

Rejuvenation of the Upper Face and Periocular Region: Combining Neuromodulator, Facial Filler, Laser, Light, and Energy-Based Therapies for Optimal Results.

Dermatol Surg 2016 May;42 Suppl 2:S77-82

*Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina; †Department of Dermatology & Skin Science, University of British Columbia, Vancouver, British Columbia, Canada; Departments of ‡Ophthalmology, and §Dermatology, Duke University Medical Center, Durham, North Carolina.

Background: The upper face and periocular region is a complex and dynamic part of the face. Successful rejuvenation requires a combination of minimally invasive modalities to fill dents and hollows, resurface rhytides, improve pigmentation, and smooth the mimetic muscles of the face without masking facial expression.

Methods: Using review of the literature and clinical experience, the authors discuss our strategy for combining botulinum toxin, facial filler, ablative laser, intense pulsed light, microfocused ultrasound, and microneedle fractional radiofrequency to treat aesthetic problems of the upper face including brow ptosis, temple volume loss, A-frame deformity of the superior sulcus, and superficial and deep rhytides. Read More

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May 2016
2 Reads

Marking sutures to orientate specimens of basal cell carcinoma: do they really make a difference?

Br J Oral Maxillofac Surg 2016 Jul 25;54(6):682-5. Epub 2016 Apr 25.

Department of Maxillofacial Surgery, St Richards Hospital, Chichester.

Traditionally, marking sutures have been used to orientate specimens of non-melanomatous skin cancers, and they provide an identifiable point as a reference for monitoring and further treatment. For histopathological purposes, the orientated specimen is marked with different inks, which enables measurement to the nearest lateral and deep margins, and if invaded, guides further excision. We retrospectively analysed 688 specimens of basal cell carcinoma (BCC) from the head and neck from two separate years: 2010 and 2012. Read More

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Perceptions of Aesthetic Outcome of Linear vs Multiple Z-Plasty Scars in a National Survey.

JAMA Facial Plast Surg 2016 Jul;18(4):263-7

Department of Dermatology, University of Southern California, Los Angeles.

Importance: The process of Z-plasty scar revision breaks up a linear scar into multiple parts with the purpose of camouflage and improvement of the cosmetic appearance of surgical scars. Although this postulation guides the practices of many reconstructive surgeons, few studies support improved aesthetic outcomes.

Objective: To compare the perceived cosmetic appearance of linear scars vs zigzag scars by the general public. Read More

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July 2016
4 Reads

Use of a Titanium Microplate to Anchor Subunit Reconstruction at the Nasal-Cheek Junction.

J Craniofac Surg 2016 Jan;27(1):e99-101

Baylor Scott & White, Division of Plastic Surgery, Department of Surgery, Temple, TX.

Reconstruction of combined nose, cheek, and/or inferior eyelid defects is facilitated by stable anchorage at the nasal-cheek junction. The previously reported techniques of drill holes and Mitek anchors are not without disadvantages. The authors present a simple means of anchoring soft tissue flaps at the nasal-cheek junction: a titanium miniplate secured with a screw at each end. Read More

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January 2016
2 Reads

Reconstruction With Modified Face Lift and Orbicularis Oculi V-Y Advancement Flap for Sebaceous Carcinoma on Temple Area.

J Craniofac Surg 2015 Sep;26(6):e490-2

Department of Plastic & Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Extraocular sebaceous carcinoma that occurs on sebaceous gland is a rare malignant cancer with unknown causes and nonspecific clinical characters, but with distinct pathology and immunohistochemical finding. In Kangnam Sacred Heart Hospital, there was a case that the result of preoperative punch biopsy was squamous cell carcinoma and malignant proliferating trichilemmal tumor, but that of postoperative permanent biopsy was sebaceous carcinoma. The type of tumor, differentiation, location, and aesthetic results are considered to get both recurrence-safe and aesthetically pleasing result. Read More

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September 2015
3 Reads

Surgical treatment and reconstruction of nonmelanoma facial skin cancers.

Plast Reconstr Surg 2015 May;135(5):895e-908e

Madison, Wis.; Boston, Mass.; Tucson, Ariz.; and Halifax, Nova Scotia, Canada From University of Wisconsin Hospital and Clinics; Boston Children's Hospital; St. Joseph Hospital; and Dalhousie University.

Learning Objectives: After reading this article, the participant should be able to: (1) Identify the appropriate resection margins for common types of nonmelanoma skin cancer. (2) Discuss indications for secondary intention healing, skin grafting, and local flaps for reconstruction of facial skin cancer defects. (3) Describe at least one local flap for reconstruction of scalp, forehead, temple/cheek, periocular, nose, and lips. Read More

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May 2015
3 Reads

A reappraisal of surgical techniques and efficacy in forehead rejuvenation.

Plast Reconstr Surg 2014 Sep;134(3):426-35

Cleveland, Ohio From the Department of Plastic and Reconstructive Surgery, University Hospitals Case Medical Center, Case Western Reserve University.

Summary: Forehead rejuvenation has an essential role in overall facial rejuvenation. Despite the evolution of rejuvenation techniques, principles of forehead rejuvenation remain the same. Circumspect facial analysis provides a crucial foundation in selecting the appropriate surgical technique and in optimizing the final aesthetic outcome. Read More

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September 2014
2 Reads

The contralateral subgaleal sliding flap for the single-stage reconstruction of large defects of the temple and lateral forehead.

W Hussain

Br J Dermatol 2014 Apr;170(4):952-5

Department of Mohs Micrographic Surgery, Dermatology Surgical & Laser Unit (C4), Leeds Centre for Dermatology, Chapel Allerton Hospital, Leeds, U.K.

Background: Due to the relative lack of a mobile tissue reservoir, the flap repair of large defects of the temple and lateral forehead is challenging.

Objective: To present our experience of the contralateral subgaleal sliding (CLASS) flap for the single-stage aesthetic repair of such defects.

Methods: Data were collated on all patients at one regional Mohs centre in whom the CLASS flap had been performed since 2011. Read More

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April 2014
6 Reads

[Forehead and temple aesthetic reconstruction].

Ann Chir Plast Esthet 2013 Oct 13;58(5):389-427. Epub 2013 Sep 13.

Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address:

The purpose of this article is to address the techniques of reconstruction of the forehead and the temple trying to add an "aesthetic" dimension, as the fourth dimension introduced by Burget for the reconstructive surgery of the nose. Achieve "aesthetic" reconstruction is to have constant attention to details. This is how to choose the right indication depending on the age and the etiology of the defect. Read More

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October 2013
6 Reads

Facial dermis grafts after removal of basal cell carcinomas.

J Craniofac Surg 2012 Nov;23(6):1895-7

Department of Plastic Surgery, Korea University Guro Hospital, Seoul, Korea.

Selecting a proper reconstruction method is the key to success in skin cancer management, especially for lesions involving the face. Using a skin graft is usually straightforward when covering a skin defect; however, major concerns in skin grafting include a poor color match in the recipient-site and donor-site morbidity. To overcome these limitations, the authors have developed a dermis graft, which utilizes a de-epithelialized split-thickness skin graft method. Read More

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November 2012
2 Reads

[A case of skin cancer diagnosed 21 days after renal transplantation].

Hinyokika Kiyo 2012 Sep;58(9):503-6

The Department of Urology, Osaka Koseinenkin Hospital, Japan.

The patient was a 67-year-old man who was started on peritoneal dialysis for treatment of diabetic nephropathy in March 2010. He received an ABO-compatible living-donor kidney transplant from his wife in October 2010. The immunosuppressive regimen consisted of tacrolimus, mycophenolate mofetil, steroid and basiliximab. Read More

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September 2012
3 Reads

A novel advancement flap for reconstruction of massive forehead and temple soft-tissue defects.

Laryngoscope 2012 Aug 2;122(8):1679-84. Epub 2012 Jul 2.

Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond, Virginia, USA.

Objectives/hypothesis: To describe the authors' experience with an extended deep-plane cervicofacial (EDPCF) advancement flap, a modification of the deep-plane cervicofacial flap, for reconstruction of large forehead and temple soft-tissue defects.

Study Design: Case series at a tertiary referral medical center.

Methods: The charts of 11 consecutive patients who underwent EDPCF flap surgery for reconstruction of forehead and temple skin cancer defects were reviewed for demographics, smoking status, defect size, length of surgery and hospitalization, American Society of Anesthesiologists Physical Status Classification (ASA) grade, and postoperative complications. Read More

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August 2012
4 Reads

Split-thickness skin graft harvested from the scalp for the coverage of extensive temple or forehead defects in elderly patients.

Arch Facial Plast Surg 2012 Mar-Apr;14(2):137-9

Department of Plastic Surgery, Henri Mondor Hospital, 51 Ave. du Maréchal De Lattre De Tassigny, Créteil, France.

Objective: To review our experience of facial reconstruction with split-thickness skin grafts (STSGs) harvested from the scalp.

Methods: We included all patients undergoing STSG harvested from the scalp for the reconstruction of extensive forehead or temple defects after cancer resection. We recorded the size of resection before surgery and after healing, and we calculated the resulting contraction rate. Read More

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July 2012
1 Read

Structural fat grafting: facial volumetric restoration in complex reconstructive surgery.

J Craniofac Surg 2011 Sep;22(5):1695-701

Unit of Cranio Maxillo Facial Surgery, Center for Craniofacial Deformities & Orbital Surgery, St Anna Hospital and University, Corso Giovecca, 203, 44100 Ferrara, Italy.

Background: The authors overview the application of structural fat grafting (SFG) in the management of volumetric deficit in the maxillofacial area. Structural fat grafting was introduced as a way to improve facial aesthetics and in recent years has evolved into applications in craniomaxillofacial reconstructive surgery.

Methods: A retrospective cohort study population was composed of patients grafted with autologous fat referred to our department from February 2005 to July 2009. Read More

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September 2011
4 Reads
7 PubMed Central Citations(source)
0.68 Impact Factor

Should all skin grafts be low fat? Composite skin and fat grafts in facial reconstruction.

Br J Oral Maxillofac Surg 2012 Mar 26;50(2):137-40. Epub 2011 Jan 26.

York District Hospital, Wiggington Road, York, North Yorkshire YO31 8HE, United Kingdom.

Reconstruction of the nose and scalp after resection of cutaneous malignancy can be challenging, and can involve multiple stage surgery and cause secondary scarring in adjacent facial areas. The author describes his experience of a series of 100 composite full thickness skin and fat grafts in the head and neck region using the neck as the donor site. The technique was used to reconstruct the nose (n=48) and scalp including temple and forehead (n=46), and at 6 other sites, mainly the cheek or lower eyelid. Read More

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March 2012
2 Reads

Reconstruction of temporal and suprabrow defects.

Ann Plast Surg 2010 Mar;64(3):298-301

Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, NY, USA.

Large temple and suprabrow lesions can pose a reconstructive challenge. When the lesion extends anterior to the hairline, esthetically acceptable local flaps may be difficult to design. We describe a modified scalp flap (ie, part Converse scalping flap and part scalp rotation flap) that can be tailored to reconstruct a variety of difficult temple and suprabrow lesions while simultaneously maintaining eyebrow position. Read More

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March 2010
2 Reads

Facial contour reconstruction after benign tumor ablation using reverse facial-submental artery deepithelialized submental island flaps.

J Craniofac Surg 2010 Jan;21(1):83-6

Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

This study assessed the reliability of using the reverse facial-submental artery deepithelialized submental island flap for reconstructing facial contour deformities. Reverse facial-submental artery deepithelialized submental island flaps were used for reconstructing facial contour deformities in 5 patients after benign tumor ablation. The patients, 4 women and 1 man, ranged in age from 29 to 36 years. Read More

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January 2010
3 Reads

Brow lift for the correction of visual field impairment.

Aesthet Surg J 2008 Sep-Oct;28(5):512-7

Carmel Medical Center, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Background: Eyebrow ptosis and hooding gives the eye a sad, heavy look that often disturbs the visual field.

Objective: A direct extended scalpel-shaped brow lift is proposed to correct this functional and aesthetic disfigurement. This manuscript reviews our experience with the presented technique and evaluates the clinical results in the light of ongoing concerns regarding the appearance of the postoperative scar. Read More

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February 2009
2 Reads

[Contributions and results of lipo-structure in repair and rejuvenation of frontal anatomical unit].

Ann Chir Plast Esthet 2009 Apr 29;54(2):93-102. Epub 2008 Nov 29.

Service de chirurgie plastique, centre hospitalier Saint-Luc et Saint-Joseph, 20, quai Claude-Bernard, 69003 Lyon, France.

Forehead is the most large anatomical unit of face. It includes forehead and anterior part of temple. Deteriorations of frontal anatomical units are numerous, ageing forehead has atrophy with eyebrow ptosis. Read More

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April 2009
3 Reads

Hairline design in hair replacement surgery.

Michael Beehner

Facial Plast Surg 2008 Nov 25;24(4):389-403. Epub 2008 Nov 25.

Saratoga Hair Transplant Clinic, Saratoga Springs, New York 12866, USA.

This article attempts to guide the reader through all of the considerations that must be made before settling on the best hairline for a given individual patient. Five essential components to the hairline's design and construction are considered in detail: the height of the hairline, the general contour of the hairline, the intersection of the hairline's lateral arms with the side fringe, creating macrocontouring and microcontouring, and, finally, the direction and angulation of the hairs along the hairline. The pros and cons for using either the hemioval or the flared hairline contours are outlined. Read More

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November 2008
2 Reads

Geometric reconstructive surgery of the temple and lateral forehead: the best election for avoiding a graft.

Pedro Redondo

Dermatol Surg 2008 Nov 15;34(11):1553-60. Epub 2008 Sep 15.

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

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November 2008
2 Reads

The open coronal approach to forehead rejuvenation.

Clin Plast Surg 2008 Jul;35(3):331-51; discussion 329

The Flowers Clinic, 677 Ala Moana Boulevard, Suite 1011, Honolulu, HI 96813, USA.

The coronal or frontal lift is a simple operation and the most effective tool for brightening and refreshing facial appearance. It becomes even more effective when combined with canthopexy, midcheek lifting, and lower lid surgery. Its rejuvenation and beauty-enhancing effects are awesome, and much of its benefit is transferable to endoscopic lifts or lateral juxta-brow, temple excisions, if one takes the time to master the details. Read More

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July 2008
1 Read

Biplanar temple lift for lateral brow ptosis: comparison with uniplanar dissection technique.

Aesthetic Plast Surg 2008 May 11;32(3):517-22. Epub 2008 Mar 11.

The Morrow Institute, 69-780 Stellar Drive, Rancho Mirage, CA 92270, USA.

Background: The amount of lift achievable in the temple region has been limited by traditional uniplanar dissection techniques. A biplanar temple-lifting technique (BTL), involving a biplanar dissection both deep and superficial to the superficial musculoaponeurotic system (SMAS) of the temporal region, is described. This study compares the amount of temporal lifting that can be achieved using a uniplanar dissection with that achieved using a biplanar dissection. Read More

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May 2008
5 Reads

Pulsed dye laser for the treatment of hypergranulation tissue with chronic ulcer in postsurgical defects.

J Drugs Dermatol 2007 Dec;6(12):1191-4

Department of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY 07920, USA.

Background And Objective: Hypergranulation tissue may complicate postoperative wounds, causing them to become chronic nonhealing ulcers. There is no reliably effective treatment. We report the use of the 595-nm pulsed-dye laser (PDL) for the treatment of wounds healing by second intention and complicated by hypergranulation tissue after Mohs micrographic surgery. Read More

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December 2007
4 Reads

Follicular anatomy of the anterior temporal hairline and implications for rhytidectomy.

Plast Reconstr Surg 2007 May;119(6):1891-5; discussion 1896

Laguna Beach, CA 92651, USA.

Background: Incisions made perpendicular to the hair follicles during anterior frontal hairline brow lifts or forehead shortening procedures help produce an inconspicuous forehead scar. The success of this "hidden" incision relies on the anteriorly directed frontal hairline follicles and their growth vector. The authors hypothesized that a similar incision could be made perpendicular to the hair follicles in the temple region during rhytidectomy. Read More

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May 2007
2 Reads

[En block frontal-temple silicone for humping the forehead and temple].

Zhonghua Zheng Xing Wai Ke Za Zhi 2006 Sep;22(5):354-5

Department of Plastic and Cosmetic Surgery, Meitan General Hospital, Beijing 100028, China.

Objective: To explore the reliability of humping the forehead and temple by en block frontal temporal silicone .

Methods: Make wax mold by piling up wax slices layer by layer according to the rang of depressing of the forehead and temple, the section being humped and the hight need to be projected. Order the silicone block according to the dimension of the wax mold. Read More

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September 2006
3 Reads

[Rejuvenation of the forehead/temple by limited incision].

Zhonghua Zheng Xing Wai Ke Za Zhi 2005 May;21(3):184-6

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041, China.

Objective: To utilize multiplane, subcutaneous and subperiosteal, dissection through small incisions in scalp to rejuvenate aging signs of forehead/temple.

Methods: Forehead: We make four small incisions in scalp, widely separate tissues between subperiosteum skin and frontal muscle to form galea frontal muscle-periosteum flap, the flap is tightened and sutured with the galea at the posterior border of the incision. This method avoid to excise scalp. Read More

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May 2005
1 Read

Scalp and forehead reconstruction.

Clin Plast Surg 2005 Jul;32(3):377-90, vi-vii

Division of Plastic Surgery, University of Western Ontario, Hand and Upper Limb Centre, London, Ontario, Canada.

The reconstruction of defects that involve the scalp and forehead presents unique aesthetic and functional challenges. This article reviews the surgical anatomy of these regions and presents an algorithm for decision making in reconstructive surgery. Nonmicrosurgical techniques are briefly reviewed. Read More

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July 2005
4 Reads

Soft tissue reconstruction of the forehead and temple.

Facial Plast Surg Clin North Am 2005 May;13(2):243-51, vi

Division of Otolaryngology-Head and Neck Surgery, University of California-San Diego, and San Diego Veterans Affairs Healthcare System, 3350 La Jolla Village Drive, #112C, San Diego, CA 92161, USA.

Soft tissue reconstruction of the forehead and temple challenges facial plastic surgeons to balance esthetic goals with functional concerns. Understanding the muscular and neurovascular anatomy is essential to achieve these ends. Reconstructive considerations include maintaining hairlines and eyebrows, minimizing scarring, using relaxed skin tension lines, and preserving motor and sensory function. Read More

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May 2005
2 Reads

Surgical repair of temple defects after Mohs micrographic surgery.

J Am Acad Dermatol 2005 Apr;52(4):631-6

DermSurgery Associates, Houston, Texas 77030, USA.

Background: It is typically recommended that linear surgical closures follow a relaxed skin tension line (RSTL). In the temple, these lines generally run parallel to the orbital rim. However, closures parallel to RSTLs are not feasible for many medium and large surgical defects because of anatomic constraints. Read More

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April 2005
1 Read

Periorbital lymphatic malformation: clinical course and management in 42 patients.

Plast Reconstr Surg 2005 Jan;115(1):22-30

Vascular Anomalies Center, Division of Plastic Surgery, and the Department of Radiology, Children's Hospital, Harvard Medical School, Boston, Mass 02115, USA.

Lymphatic malformation in the orbital cavity and surrounding region often causes disfigurement and visual problems. To better clarify the evolution and treatment of this condition, the authors studied a retrospective cohort of 42 consecutive patients seen between 1971 and 2003 and analyzed anatomic features, complications, and management. The ratio of female to male patients was 1:1. Read More

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January 2005
1 Read

Who was the Red Queen? Identity of the female Maya dignitary from the sarcophagus tomb of Temple XIII, Palenque, Mexico.

Homo 2004 ;55(1-2):65-76

Facultad de Ciencias Antropológicas, Universidad Autónoma de Yucatán, Calle 76 n 455 LL 41 y 43, Centro, CP 97000, Mérida, Yucatán, México.

The present investigation aims at contributing to the ongoing discussion on the unconfirmed identity of the Red Queen, a Classic Maya dignitary discovered in Temple XIII at Palenque, Mexico, by comparing her reconstructed facial profile to the portraiture of known female personages from the site. The comparison rests upon individual cranial features, like buccal prognatism, nasal root and inclination, chin prominence and the artificially shaped forehead. The similarities between the reconstruction, the female's funerary mask and local portraiture appear to identify the Red Queen as Lady Ix Tz'akb'u Ajaw (Ahpo Hel), the wife of Janaab' Pakal, one of the famous Maya rulers of the Classic Period. Read More

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February 2005
3 Reads

Objective changes in brow position, superior palpebral crease, peak angle of the eyebrow, and jowl surface area after volumetric radiofrequency treatments to half of the face.

Dermatol Surg 2004 Jun;30(6):922-8; discussion 928

University of California, San Diego, School of Medicine, San Diego, California, USA.

Background: Radiofrequency application through a proprietary device has recently been used for facial tissue tightening. Uniform volumetric heating of the dermis is created by passage of electrical current, while protection of the epidermis is maintained by concurrent cryogen cooling.

Objective: To objectively quantify the effectiveness of volumetric radiofrequency application on the face, we treated 10 patients on the left side of the face with radiofrequency and evaluated the changes in brow position, superior palpebral crease, angle of the eyebrow, and jowl surface area. Read More

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June 2004
16 Reads

Repair of large temple defect.

Pedro Redondo

Dermatol Surg 2004 May;30(5):825-7

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

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May 2004
2 Reads

Regional variation in wound contraction of mohs surgery defects allowed to heal by second intention.

Dermatol Surg 2003 Jul;29(7):712-22

Mohs Surgery Unit, Hawaii Skin Cancer and Photodamage Center, Honolulu, Hawaii 96813, USA.

Background: The phenomenon of wound contraction results in a decrease in wound size and a healed scar significantly smaller than the original defect.

Objective: This study was undertaken (1) to determine the amount of wound contraction in Mohs surgery defects allowed to heal by second intention, (2) to evaluate for regional differences in wound contraction based on the facial anatomic zones for second intention healing described by Zitelli, and (3) to determine whether regional differences in wound contraction account for observed differences in cosmetic outcome.

Methods: One hundred sixty secondarily healed Mohs surgery defects limited to the head and neck having a wound age of greater than 12 weeks in 102 consecutively examined patients were carefully measured with a tissue caliper. Read More

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July 2003
1 Read

Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus.

Plast Reconstr Surg 2002 Sep;110(3):873-84; discussion 897-911

Division of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard #E7.212, Dallas, TX 75390-9132, USA.

Description of the surgical anatomy of the superficial fascia of the face must include its deep attachments. These attachments have been mapped out for the forehead, temple, and cheek as retaining ligaments. The deep attachments of the orbicularis oculi of the lower lid and lateral canthus have long been recognized in canthopexy surgery but have yet to be properly defined. Read More

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September 2002
2 Reads

Excision of head and neck basal cell carcinoma with a rapid, cross-sectional, frozen-section technique.

Arch Facial Plast Surg 2002 Apr-Jun;4(2):114-9

Fallon Clinic, Worcester, MA 01604, USA.

Objectives: To compare a rapid, cross-sectional frozen-section technique with Mohs micrographic surgery, using recurrence rate and cost of treatment for excision of basal cell carcinoma as indicators to validate our indications for Mohs surgery.

Design: Retrospective study of 557 head and neck basal cell carcinomas excised over 10 years.

Main Outcome Measures: Recurrence rates; tumor comparisons by size, location, and subtype; a life table, and a patient satisfaction survey. Read More

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June 2002
1 Read

Advancement flaps for large defects of the eyebrow, glabella, forehead, and temple.

Ophthalmic Plast Reconstr Surg 2002 Mar;18(2):138-45

Section of Orbital and Ophthalmic Plastic Surgery, Department of Ophthalmology, Eye Institutte, Medical College of Wisconsin, Milwaukee, Wisconsin 53226-4812, USA.

Purpose: To describe a system for reconstruction of large defects of the eyebrow, glabella, forehead, and temple. The system maximizes the use of direct approximation and advancement flaps before resorting to less aesthetic techniques.

Methods: This was a retrospective cohort study drawn from approximately 70 patients with post-Mohs defects of the eyebrow, glabella, forehead, and temple. Read More

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March 2002
1 Read

The dog-ear rotation flap for the repair of large surgical defects on the head and neck.

Dermatol Surg 2001 Oct;27(10):908-10

Department of Dermatology, University of Colorado Health Sciences Center, Denver, Colorado, USA.

Background: The Mohs micrographic surgeon is often faced with the daunting challenge of having to repair very large surgical defects on the head and neck where cosmesis and maintenance of normal function are of paramount importance.

Objective: We describe a novel flap, the dog-ear rotation flap, for the repair of such defects. We will demonstrate that this flap offers superior cosmetic and functional results to many other closure options, particularly for extensive defects of the cheek, temple, forehead and scalp. Read More

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October 2001
2 Reads

Current practices in endoscopic brow and temporal lifting.

Facial Plast Surg Clin North Am 2001 Aug;9(3):439-51

Department of Surgery, Division of Head and Neck Surgery, University of California Los Angeles School of Medicine, Los Angeles, California, USA.

This article describes new innovations in the endoscopic treatment of the ptotic brow and temple. Extensive release of upper midface ligamentous structures and wide undermining of the orbicularis oculi are maneuvers that have been added to the standard brow lift procedure. Suspension sutures have improved brow tail and cheek fat elevation. Read More

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August 2001
3 Reads

Forehead and temple reconstruction.

R Grigg

Otolaryngol Clin North Am 2001 Jun;34(3):583-600

Department of Otolaryngology-Head and Neck Surgery, Toowoomba Base Hospital, Toowoomba, Australia.

Reconstruction of the forehead and temple region poses special aesthetic challenges for maintaining eyebrow symmetry and hairline. The preservation of motor and sensory function is also important. There are a wide variety of techniques available to the reconstructive surgeon, and these methods are compared and discussed with specific reference to the forehead and temple region. Read More

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June 2001
2 Reads

Applications of the double O to Z flap repair for facial reconstruction.

Dermatol Surg 2001 Jan;27(1):79-81

Department of Dermatology, University of Colorado Health Sciences Center, Denver, Colorado 80262, USA.

Multiple defects are often encountered in the treatment of malignant skin tumors. Nearby defects can present a reconstructive challenge since the closure of one defect may impact the closure of the other defect. The double O to Z flap design is ideally suited to combine the closure of adjacent defects into one technique. Read More

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January 2001
1 Read

Carbon dioxide laser abrasion. Is it appropriate for all regions of the face?

Arch Facial Plast Surg 2000 Apr-Jun;2(2):137-40

Beaches Facial Plastic & Nasal Surgery Center, Jacksonville Beach, Fla., USA.

Objectives: To evaluate the effectiveness of the carbon dioxide laser for treatment of facial acne scarring and to determine if certain regions of the face would respond more favorably to carbon dioxide laser resurfacing than other areas of the face.

Methods: Twenty-five patients with facial acne scarring were treated with the carbon dioxide laser with the flash-scanning attachment. Physician and patient evaluations were performed at postoperative follow-up. Read More

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September 2000
2 Reads

Concepts of sliding and lifting tissue movement in flap reconstruction.

Dermatol Surg 2000 Mar;26(3):274-8

Department of Dermatology, University of Michigan Medical Center, Ann Arbor, Michigan 48109-0314, USA.

Background: The optimal design of a skin flap requires an understanding of the concepts of tissue movement.

Objective: The purpose of this manuscript was to demonstrate concepts of sliding and lifting tissue movement for flap reconstruction.

Methods: Six similar defects located in the forehead-temple-eyebrow region were repaired using a different skin flap. Read More

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March 2000
2 Reads

Frozen section analysis in the management of skin cancers.

Ann Plast Surg 1999 Aug;43(2):156-60

Scott & White Clinic and Memorial Hospital, Texas A&M University Health Science Center, College of Medicine, Temple 76508, USA.

Frozen section analysis is used routinely to ensure complete removal of basal cell and squamous cell carcinomas of the skin, but the current emphasis on controlling costs raises the question as to which lesions should be evaluated with frozen section histology. A retrospective study of the clinical records and pathological reports of 51 patients selected randomly from a total of 225 patients was undertaken to determine the overall impact of frozen section analysis on the surgical management of skin cancers at this institution. The results indicate that frozen section analysis was performed on 76% of the 277 lesions evaluated, and that the results of frozen section examination were 91. Read More

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August 1999
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The birhombic transposition flap for soft tissue reconstruction.

J Am Acad Dermatol 1999 Aug;41(2 Pt 1):232-6

Department of Dermatology, University of Michigan Medical Center, Ann Arbor, USA.

Background: Soft tissue reconstruction requires a thorough understanding of both anatomy and tissue movement. Flaps and grafts should be considered when simpler closure methods result in excessive tension or distortion of surrounding structures.

Objective: We describe our experience with the birhombic transposition flap. Read More

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August 1999
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