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    1 OF 92

    Comprehensive approach to reestablishing form and function after radical parotidectomy.
    Am J Otolaryngol 2018 Jun 7. Epub 2018 Jun 7.
    Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.
    Introduction: The reconstructive goals following radical parotidectomy include restoration of symmetry, reanimation of the face, and reestablishment of oral competence. We present our experience utilizing the anterolateral thigh (ALT) free flap, orthodromic temporalis tendon transfer (OTTT), and facial nerve cable grafting to reestablish form and function.

    Material And Methods: From 2010 to 2016, 17 patients underwent radical parotidectomy followed by immediate reconstruction. Read More

    Reconstruction of Large Defects of the Lower Lip After Mohs Surgery: The Use of Combined Karapandzic and Abbe Flaps.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Instituto Oncología Angel H. Roffo, Buenos Aires, Argentina.
    Introduction: Lower lip reconstruction should restore oral competence, speech, and cosmesis. These goals are a challenge when reparing large lower lip defects. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. Read More

    Successful Use of Deltopectoral Flap in Reconstruction of Defect Caused by Squamous Cell Carcinoma.
    J Coll Physicians Surg Pak 2018 Jun;28(6):S125-S127
    Sardar Begum Dental Hospital, Peshawar.
    Deltopectoral flap is a widely used flap in reconstruction surgery. A patient presented with extra-oral solitary swelling on the right lower jaw and an intra-oral exophytic growth located along the lower border of right mandibular jaw. Incisional biopsy was done which revealed moderately-differentiated squamous cell carcinoma. Read More

    Volumetric comparison of autogenous bone and tissue-engineered bone replacement materials in alveolar cleft repair: a systematic review and meta-analysis.
    Br J Oral Maxillofac Surg 2018 May 30. Epub 2018 May 30.
    Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Aachen, Germany.
    The goal of reconstruction of the alveolar cleft in patients with cleft lip and palate is to improve the quality of tissue, the structural stability, and increase the volume of bone. This study is a systematic review with meta-analysis of volumetric bony filling using autogenous bone and various tissue-engineered bone substitutes. We made an electronic search on MEDLINE, EMBASE, SCOPUS, WEB OF SCIENCE, "grey" publications (materials and research produced by organisations outside traditional channels for commercial or academic publishing and distribution), and relevant cross references according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

    Relational Anatomy of the Mimetic Muscles and Its Implications on Free Functional Muscle Inset in Facial Reanimation.
    Ann Plast Surg 2018 May 24. Epub 2018 May 24.
    Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
    Background: The human smile is a complex coordinated activity of mimetic muscles predominantly recognizable by a superolateral pull at the commissure and elevation of the upper lip. The aim of this study was to revisit the muscles of facial expression responsible for these motions, evaluate their relational anatomy and orientation, and relate this to optimal positioning of free muscle transfer in smile reanimation.

    Methods: Nineteen hemifaces from fresh cadaveric specimens were dissected. Read More

    Simplifying Lip Reconstruction: An Algorithmic Approach.
    Semin Plast Surg 2018 May 14;32(2):69-74. Epub 2018 May 14.
    Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
    The authors provide an overview of lip reconstruction after Mohs surgery based on the senior author's practice. Lip reconstruction offers unique challenges to preserve not only lip function but also aesthetics. Lip reconstruction must take into consideration the three anatomical layers that comprise the lip and defects that involve the mucosa, the muscle, the skin or more than one layer will help determine the modality of repair. Read More

    Microvascular Replantation Following Facial Dog Bites in Children: Systematic Review and Management Algorithm.
    Ann Plast Surg 2018 Jul;81(1):106-112
    Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University Medical Center, Richmond, VA.
    Background: Pediatric dog bite injuries account for 1% of emergency department visits per year and represent an underrecognized and underreported public health problem. Reconstructive surgery is frequently utilized, and in the most extreme injuries, microvascular replantation may be considered. We sought to systematically review the available literature on microvascular replantation after facial dog bite injuries in children, with particular attention to perioperative morbidity and long-term follow-up. Read More

    Mean GOSLON Yardstick Scores After 3 Different Treatment Protocols-A Long-term Study of Patients With Unilateral Cleft Lip and Palate.
    Cleft Palate Craniofac J 2018 Jan 1:1055665618774010. Epub 2018 Jan 1.
    1 Department of Reconstructive Plastic Surgery, Stockholm Cranofacial Team, Karolinska University Hospital, Stockholm, Sweden.
    Objectives: (1) To evaluate dental arch relationships, with the Great Ormond Street, London and Oslo (GOSLON) Yardstick, of participants with Unilateral cleft lip and palate (UCLP) and treated with 1-stage palatal closure with 3 different surgical protocols (2) to compare the mean GOSLON ratings with other CLP centers.

    Design: Retrospective study of medical charts and dental models.

    Setting: Karolinska University Hospital, Stockholm, Sweden. Read More

    Vascularized Iliac Bone Lining in Downgraded Treatment of Campanacci Grade III Giant Cell Tumor of the Distal Radius.
    J Hand Surg Asian Pac Vol 2018 Jun;23(2):255-258
    * Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
    It is commonly accepted that wide en bloc resection followed by reconstruction is essential in progressive lesions (Campanacci grade III) for local control of possible recurrence. However, specific grade III can be downgraded and treated with intralesional curettage to preserve better wrist function, without increasing the recurrency rates. In this report, Grade III giant cell tumor of the distal radius was successfully treated using vascularized osseous graft from the inner lip of the iliac bone in addition to downgrading strategy. Read More

    Omega "Ω" Pulley Plasty for Surgical Management of DeQuervain's Disease.
    J Hand Surg Asian Pac Vol 2018 Jun;23(2):170-175
    * Division of Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Lebanon.
    Background: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendons adhesions. The authors present an alternative procedure for the first extensor compartment pulley decompression: "Omegaplasty". Read More

    Comparing osteogenic effects between concentrated growth factors and the acellular dermal matrix.
    Braz Oral Res 2018 3;32:e29. Epub 2018 May 3.
    Department of Oral and Maxillofacial Surgery, Stomalogical Hospital, Guangzhou Medical University, Guangzhou, China.
    Concentrated growth factor (CGF) is an autogenuous product that contains highly concentrated number of platelets and can be derived from venous blood by selective centrifugation. It has been speculated that local growth factors in human platelets (insulinlike growth factor, IGF; transforming growth factor, TGF-b; platelet derived growth factor, PDGF) would enhance healing of grafts and also counteract resorption. The osteogensis effect of CGF and acellular dermal matrix (ADM) for alveolar cleft defects was evaluated in this study. Read More

    Our Surgical Repair for Macrostomia with Two Novel Small Triangular Flaps Long-term Follow-up and Results.
    Plast Reconstr Surg 2018 Mar 28. Epub 2018 Mar 28.
    Background: The surgical methods for repairing congenital macrostomia should be carefully selected from both functional and aesthetic points of view. The surgical correction of macrostomia results in normal orbicularis oris function and symmetry of the repaired lip. Herein, we report our novel technique and the results obtained, assessed retrospectively. Read More

    Computed Tomography-Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report.
    Cleft Palate Craniofac J 2018 Jan 1:1055665618770306. Epub 2018 Jan 1.
    4 Department of Pediatrics, The Fourth Affiliated Hospital, School of Medicine, Zhejiang University, Yiwu, People's Republic of China.
    Objectives: To evaluate the feasibility, effectiveness, and safety of computed tomography-assisted auricular cartilage grafting for treating alar base depression secondary to unilateral cleft lip.

    Design And Setting: For patients with obvious depression of the alar base, the difference in heights of the alar base and the piriform margin between the cleft side and the noncleft side were measured with computed tomography. If both were >3. Read More

    Complete Lower Lip Reconstruction with a Large Lip Switch Flap and a Composite Modiolus Advancement Flap.
    Plast Reconstr Surg Glob Open 2017 Dec 22;5(12):e1607. Epub 2017 Dec 22.
    Department of Plastic Surgery, Telemark Hospital, Skien, Norway; ALERT Center & Yekatit 12 Hospital, Addis Ababa, Ethiopia; Eminent Surgery, Kristiansand, Norway; and Department of Plastic Surgery, Odense University Hospital and Vejle/Lillebaelt Hospital, Denmark.
    Total loss of the lower lip is debilitating and poses a reconstructive challenge. Aiming to restore oral continence and function and also cosmetic appearance, a successful reconstruction has a huge impact on the quality of life for the individual patient. Early sources of local tissue rearrangement for lip reconstruction date back 3000 years, with earliest reports of lip switch procedures more than 2 centuries ago in Europe, when noma was still endemic in Europe, indicating that the anatomy was better understood by the barber surgeons of the past than we like to acknowledge. Read More

    A case illustrating successful eradication of recurrent, aggressive basal cell carcinoma located in a scar with vismodegib.
    Dermatol Online J 2018 Feb 15;24(2). Epub 2018 Feb 15.
    Departments of Dermatology, Oregon Health & Sciences University, Portland, Oregon.
    Vismodegib is a small molecule inhibitor of the Hedgehog signaling pathway that has shown efficacy in the control of locally advanced or metastatic basal cell carcinoma, although proof of its effectiveness in the elimination of aggressive tumors is lacking. We report a case and provide complete histological evidence of a 69-year-old gentleman who presented with a recurrent, infiltrative, and sclerosing (morpheiform) basal cell carcinoma on his left upper lip that was entirely eradicated with a three-month course of vismodegib 150 mg daily. Complete histologic clearance of a tumor in a recurrent, infiltrative, and sclerosing basal cell carcinoma with vismodegib is uncommon. Read More

    A novel technique using a subcutaneously pedicled islanded prolabial flap for the secondary correction of bilateral cleft lip and nasal deformity.
    Indian J Plast Surg 2017 Sep-Dec;50(3):251-259
    Department of Plastic Surgery, Shushrusha Hospital, Mumbai, Maharashtra, India.
    Context: The bilateral cleft lip and nose deformity frequently requires lip revision surgery at the time of secondary rhinoplasty. The goal is to achieve an adequate philtrum with a well-shaped Cupid's bow, white roll alignment and a central vermilion tubercle.

    Aims: We have devised a new technique of using prolabial tissue tailored as an island of skin based on a subcutaneous pedicle for the secondary reconstruction of the philtral aesthetic unit in patients with bilateral cleft lip nasal deformity. Read More

    Composite Resection of Tumors of the Rostral Maxilla and Dorsolateral Muzzle Utilizing an Upper Lip-Sparing, Combined Approach in Dogs.
    Front Vet Sci 2018 20;5:54. Epub 2018 Mar 20.
    Dentistry and Oral Surgery, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, United States.
    Tumors of the rostral maxilla that involve both the oral mucosa and the dermis or subdermis of the dorsolateral muzzle provide unique challenges for the oromaxillofacial surgeon. Traditionally described approaches to such lesions may involve an intraoral incision that extends and involves the upper lip to envelope the involved dermis of the dorsolateral muzzle. However, such an approach unnecessarily resects upper lip tissue resulting in a large defect that likely requires advanced skin flaps or grafts for reconstruction. Read More

    Management of Severely Atrophic Maxilla in Ectrodactyly Ectodermal Dysplasia-cleft Syndrome.
    Plast Reconstr Surg Glob Open 2018 Feb 27;6(2):e1678. Epub 2018 Feb 27.
    Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel; Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; and Department of Orthodontics and Cleft Palate, Rambam Health Care Campus, Haifa, Israel.
    Background: Ectrodactyly ectodermal dysplasia-cleft syndrome is a rare genetic syndrome with an incidence of 1/90,000 live births, characterized by cleft lip and palate, severely hypoplastic maxilla, and hypodontia. Patients diagnosed with ectrodactyly ectodermal dysplasia-cleft syndrome suffer from a severely hypoplastic maxilla that is highly difficult to treat using traditional orthognathic methods. In this study, we propose using distraction osteogenesis to achieve a major advancement while maintaining good stability and minimal relapse. Read More

    Speech in 5-Year-Olds With Cleft Palate With or Without Cleft Lip Treated With Primary Palatal Surgery With Muscle Reconstruction According to Sommerlad.
    Cleft Palate Craniofac J 2018 Jan 1:1055665618768541. Epub 2018 Jan 1.
    1 Department of Specialized Surgery, Skåne University Hospital, Malmö, Sweden.
    Objective: To evaluate speech in 5-year-olds with cleft palate with or without cleft lip (CP±L) treated with primary palatal surgery in 1 stage with muscle reconstruction according to Sommerlad at about 12 months of age.

    Design: Retrospective study.

    Setting: Primary care university hospital. Read More

    Modified Abbé flap for reconstruction of Cupid's bow and vermilion tubercle in secondary cleft lip deformity.
    Arch Craniofac Surg 2018 Mar 20;19(1):13-19. Epub 2018 Mar 20.
    Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
    Background: Abbé flap technique is one of the most challenging operations to correct horizontal deficiencies in secondary cleft lip deformity. Since its first introduction, the operative method was dynamically modified from simple variation to complete conceptual change, but conventional Abbé flap has many drawbacks in esthetic and functional aspect. Our purpose was reconstructing the symmetry of Cupid's bow and central vermilion tubercle with minimal sequalae. Read More

    Effect of early correction of nasal septal deformity in unilateral cleft lip and palate on inferior turbinate hypertrophy and nasal patency.
    Int J Pediatr Otorhinolaryngol 2018 May 7;108:190-195. Epub 2018 Mar 7.
    Plastic Reconstructive and Aesthetic Surgery Department, S.Orsola-Malpighi University Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
    Objectives: A relatively neglected aspect of cleft lip nasal deformity is the effect of septal deviation and inferior turbinate hypertrophy (ITH) on the functional airway. In particular, ITH in the noncleft side can be especially problematic, because it reduces the healthy nasal area, creating bilateral nasal obstruction that might affect the growth of the maxillofacial skeleton. Although these anatomic and functional changes are documented, few recommendations have been developed regarding the proper approach to ITH. Read More

    Influence of nasoalveolar molding on skeletal development in patients with unilateral cleft lip and palate at 5 years of age.
    Am J Orthod Dentofacial Orthop 2018 Apr;153(4):489-495
    Department of Orthodontics, Faculty of Dentistry, Research and Application Center for the Treatment of Cleft Lip and Palate and Craniomaxillofacial Deformities, Hacettepe University, Ankara, Turkey. Electronic address:
    Introduction: The aim of this retrospective study was to assess the influence of presurgical nasoalveolar molding (NAM) on skeletal development in patients with operated unilateral cleft lip and palate at 5 years of age.

    Materials: Lateral cephalometric radiographs of 26 unilateral cleft lip and palate patients who had undergone presurgical NAM (NAM group) and 20 unilateral cleft lip and palate patients who did not have any presurgical NAM (non-NAM group) were analyzed. The radiographs were digitally traced using Quick Ceph Studio software (version 3. Read More

    Morphological analysis and three-dimensional reconstruction of the SMAS surrounding the nasolabial fold.
    Ann Anat 2018 May 26;217:111-117. Epub 2018 Mar 26.
    Department of Biological and Material Sciences in Dentistry, Faculty of Health, Witten/Herdecke University, Witten, Germany. Electronic address:
    Background: The superficial musculoaponeurotic system (SMAS), a structure that has been discussed with some controversy, has a complex morphological architecture.

    Material And Methods: Histological analysis was performed on tissue blocks of the nasolabial fold (NLF) collected postmortem from formalin-fixed bodies of one male and one female donor. Serial histological sections were made, stained and digitized. Read More

    Long-Term Outcomes of Smile Reconstruction in Möbius Syndrome.
    Plast Reconstr Surg 2018 Jun;141(6):868e-882e
    Toronto, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, and the Division of Occupational Therapy, Department of Rehabilitation Services, The Hospital for Sick Children; and the University of Toronto.
    Background: Gracilis muscle transplant is the standard of care for smile reconstruction in children with Möbius syndrome. The authors describe the long-term clinical efficacy, durability, and psychosocial impact of this approach at a mean follow-up of 20 years.

    Methods: Patients with Möbius syndrome who underwent gracilis muscle transfer between 1985 and 2005 were included in the study. Read More

    KERATOACANTHOMA OF THE UPPER LIP: REVIEW OF THE LITERATURE AND REPORT OF CASE WITH CENTRAL UPPER LIP RECONSTRUCTION.
    Georgian Med News 2018 Feb(Issue):77-80
    Clinica Goldman, Porto Alegre, Rio Grande do Sul, Brazil; Department of Dermatology and Allergology, Municipal Hospital Dresden, Academic Teaching Hospital of the Technical University of Dresden, Germany.
    Keratoakanthoma (KA) is a common non-melanoma skin tumor of sun-exposed skin. Recently it has been classified as a highly differentiated squamous cell carcinoma, based on the evidence of local destruction, tissue invasion and malignant transformation with metastatic spread described in the medical literature. Lower lip KA is not uncommon on lower lip, and quite rare on upper lip. Read More

    Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps: A case report.
    Medicine (Baltimore) 2018 Mar;97(12):e0191
    Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Beijing, China.
    Rationale: A significant clinical issue for treating patients with large upper lip defects is how to reconstruct the lip functionally and aesthetically. Traditional methods usually lead to asymmetry of the nasal base, philtrum and the lips.

    Patient Concerns: A 22-year-old lady presented with a large congenital nevus on her upper lip which involved the cutaneous, vermilion, and the philtrum. Read More

    The Submental Island Flap Is a Viable Reconstructive Option for a Variety of Head and Neck Ablative Defects.
    Ochsner J 2018 ;18(1):53-58
    Department of Otolaryngology, Tulane University Medical Center, New Orleans, LA.
    Background: The submental island flap (SIF) is a pedicled flap based upon the submental artery and vein. Its utility in reconstruction following ablative head and neck procedures has been applied to various subsites including skin, lip, buccal mucosa, retromolar trigone, parotidectomy defects, and tongue. We review our experience using the SIF for reconstruction following tumor ablation. Read More

    Removal of Polyacrylamide Gel (Aquamid) from the Lip as a Solution for Late-Onset Complications: Our 8-Year Experience.
    Aesthetic Plast Surg 2018 Jun 7;42(3):791-797. Epub 2018 Mar 7.
    Center for Plastic and Aesthetic Surgery, Ocean Clinic Marbella, Marbella, Spain.
    Background: The polyacrylamide hydrogel Aquamid has been used as a permanent filler to enhance facial soft tissue volume and correct wrinkles since 2001. Various long-term studies have proved the safety of the product. Nonetheless, if complications such as migration occur, they can be difficult to treat. Read More

    Symptoms of dysphagia in children with cleft lip and/or palate pre- and post-surgical correction.
    Codas 2018 Mar 5;30(1):e20170018. Epub 2018 Mar 5.
    Departamento de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA, Porto Alegre (RS), Brasil.
    Purpose: Determine the occurrence of dysphagia symptoms in children with cleft lip and/or palate (CLP) pre- and post-surgical correction.

    Methods: Quantitative observational cross-sectional study. Existence of clef lip and/or palate without association with other syndromes was the study inclusion and/or exclusion criterion. Read More

    Management of Rare Craniofacial Anomalies With Soft Tissue Reconstruction on Humanitarian Missions.
    J Craniofac Surg 2018 Mar;29(2):452-456
    Department of Surgery, Plastic Surgery Division, College of Medicine, King Faisal University, Dammam, Saudi Arabia.
    In poor communities, patients may suffer from health problems requiring special management that cannot be provided locally because of lack of equipment and/or expertise. Children with craniofacial anomalies represent one of these challenging problems. Visiting medical missionary teams have attempted to address these issues for a long time. Read More

    Predicting need for orthognathic surgery in early permanent dentition patients with unilateral cleft lip and palate using receiver operating characteristic analysis.
    Am J Orthod Dentofacial Orthop 2018 Mar;153(3):405-414
    Graduate Institute of Dental and Craniofacial Science, Chang Gung University; Department of Craniofacial Orthodontics, Craniofacial Research Center, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC. Electronic address:
    Introduction: The purpose of this study was to predict the need for orthognathic surgery in patients with unilateral cleft lip and palate (UCLP) in the early permanent dentition.

    Methods: In this retrospective cohort study, we included 61 patients with complete UCLP (36 male, 25 female; mean age, 18.47 years; range, 16. Read More

    Functional and Aesthetic Outcomes in Free Flap Reconstruction of Intraoral Defects With Lip-Split Versus Non-Lip-Split Incisions.
    Ann Plast Surg 2018 Apr;80(4 Suppl 4):S150-S155
    Background: Traditional free flap reconstruction of complex intraoral defects often uses large lip-splitting incisions. To reduce morbidity and preserve aesthetics, we have adopted a more technically demanding visor technique obviating an incision through the lower lip through which the resection and reconstruction are performed.

    Methods: A retrospective review was performed of patients who underwent free flap reconstruction of intraoral defects over 7 years by a single plastic surgeon (C. Read More

    Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada).
    Open Access Maced J Med Sci 2018 Jan 10;6(1):93-95. Epub 2018 Jan 10.
    Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
    Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. Read More

    Iatrogenic Conchal Defect Secondary to Auricular Cartilage Graft.
    J Craniofac Surg 2018 Jun;29(4):e402-e404
    Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL.
    Background: Cleft lip and palate are the most common craniofacial congenital malformations. Timing of the nasal repair remains somewhat controversial. Some authors perform a combined nasal and lip repair in infancy while others advocate for a staged repair with the nasal component occurring later in childhood. Read More

    Comparison of the bone regeneration ability between stem cells from human exfoliated deciduous teeth, human dental pulp stem cells and human bone marrow mesenchymal stem cells.
    Biochem Biophys Res Commun 2018 03;497(3):876-882
    Department of Orthodontics and Craniofacial Developmental Biology, Division of Dental Sciences, Biomedical Sciences Major, Hiroshima University Graduate School of Biomedical & Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
    Cleft lip and palate is the most common congenital anomaly in the orofacial region. Autogenous iliac bone graft, in general, has been employed for closing the bone defect at the alveolar cleft. However, such iliac bone graft provides patients with substantial surgical and psychological invasions. Read More

    Functional lower lip reconstruction with the partial latissimus dorsi muscle free flap without nerve coaptation.
    Microsurgery 2018 Feb 23. Epub 2018 Feb 23.
    Department of Neurology, Akdeniz University Hospital, Antalya, Turkey.
    Background: The repair of extensive lower lip defects is difficult due to the presence of both functional and esthetic requirements. This report describes functional lip repair using the partial latissimus dorsi free flap without nerve coaptation.

    Methods: Reconstruction of the lower lip due to subtotal and total tissue defects was performed using latissimus dorsi free flap on twelve patients, between 2013 and 2017. Read More

    Total Lower Lip Reconstruction With Functional Gracilis Free Muscle Flap.
    J Craniofac Surg 2018 May;29(3):735-737
    Department of Plastic Reconstructive and Aesthetic Surgery.
    Free flaps based on static slings principles cannot provide esthetic and functional outcomes at a desired level in total or close to total lip loss. Therefore, dynamic methods have become a current issue in recent years and especially the idea of functional gracilis free muscle flap has been suggested. In this study, we present a case of a successful total lower lip repair with this flap. Read More

    Magnetic Resonance Imaging Diagnosis of Medial Meniscal Ramp Lesions in Patients With Anterior Cruciate Ligament Injuries.
    Arthroscopy 2018 May 15;34(5):1631-1637. Epub 2018 Feb 15.
    Department of Orthopaedic Sports Surgery, Asakura Sports Rehabilitation Clinic, Maebashi, Gunma, Japan.
    Purpose: To prospectively evaluate the sensitivity and specificity of magnetic resonance imaging (MRI) for diagnosing ramp lesions, to compare them between 1.5- and 3-T MRI, and to evaluate whether bone contusion of the posterior lip of the medial tibial plateau was associated with ramp lesions.

    Methods: For 155 knees that underwent primary ACL reconstruction, we prospectively examined for ramp lesions and medial meniscal body tears on MRI. Read More

    An Intercenter Comparison of Nasolabial Appearance Including a Center Using Nasoalveolar Molding.
    Cleft Palate Craniofac J 2018 May 15;55(5):655-663. Epub 2018 Feb 15.
    12 Lancaster Cleft Palate Clinic, Lancaster, PA, USA.
    Objective: To compare nasolabial appearance outcomes of patients with complete unilateral cleft lip and palate (CUCLP) in preadolescence from 4 cleft centers including a center using nasoalveolar molding (NAM) and primary nasal reconstruction.

    Design: Retrospective cohort study.

    Setting: Four cleft centers in North America. Read More

    Application of Digital Diagnosis and Treatment Technique in Benign Mandibular Diseases.
    J Craniofac Surg 2018 May;29(3):663-667
    Department of Oral and Maxillofacial Surgery, Sichuan University West China College of Stomatology, Chengdu, China.
    Purpose: To explore the feasibility of preoperative planning for treatment of benign mandibular lesions (BML) using digital technologies such as three-dimensional (3D) reconstruction, measurement, visualization as well as image contrast and design of neural positioning protection template (NPPT) in combination with 3D printing technology in the BML diagnosis and treatment.

    Methods: The 3D models of BML and inferior alveolar nerves (IAN) of 10 BML patients were reconstructed based on their digital imaging and communications in medicine (DICOM) data using MIMICS16.0 software. Read More

    Additive Manufacturing Techniques for the Reconstruction of 3D Fetal Faces.
    Appl Bionics Biomech 2017 19;2017:9701762. Epub 2017 Dec 19.
    Department of Industrial Engineering, University of Naples Federico II, Naples, Italy.
    This paper deals with additive manufacturing techniques for the creation of 3D fetal face models starting from routine 3D ultrasound data. In particular, two distinct themes are addressed. First, a method for processing and building 3D models based on the use of medical image processing techniques is proposed. Read More

    Oral mucosa grafting in periorbital reconstruction.
    Orbit 2018 Feb 6:1-18. Epub 2018 Feb 6.
    a Corneoplastic Unit , Queen Victoria Hospital NHS Foundation Trust , East Grinstead , UK.
    To provide an extensive literature review on the clinical indications of oral mucosa grafts (OMG) and minor salivary gland grafts (MSGG) in periorbital reconstruction together with safe practice graft harvesting techniques to minimize donor-site morbidity. A literature review was performed by searching the databases of PUBMED, EMBASE, and COCHRANE library using the keywords: minor salivary glands; oral mucosal graft; orbit; and eye. The bibliographies of the pertinent articles were examined for additional papers. Read More

    Standard morphology of the oral commissure and changes resulting from reconstruction for defects involving the commissure.
    Int J Oral Maxillofac Surg 2018 Feb 2. Epub 2018 Feb 2.
    Department of Oral and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
    The aim of this study was to characterize the standard morphology of the oral commissure and to describe the changes after reconstruction in patients with through-and-through cheek defects involving the oral commissure. Indices for the morphological analyses of the commissure were derived from examinations of 50 normal Japanese volunteers. Ten patients with full-thickness cheek defects involving the commissure were then evaluated. Read More

    Use of Social Media and an Online Survey to Discuss Complex Reconstructive Surgery: A Case of Upper Lip Reconstruction with 402 Responses from International Microsurgeons.
    J Reconstr Microsurg 2018 Jul 2;34(6):413-419. Epub 2018 Feb 2.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan.
    Background:  The best reconstructive strategy for upper lip defects is still in debate. The purpose of this study was to analyze the decisions made by international microsurgeons, who were participated through online questionnaire, distributed by email and social media network.

    Materials And Methods:  A case of a two-thirds upper lip oncologic defect was presented via an online questionnaire and 402 microsurgeons replied their treatment options. Read More

    [A Patient with Lower Lip Verrucous Carcinoma Treated with a Tongue Flap for Functional and Esthetic Reconstruction].
    Gan To Kagaku Ryoho 2017 Nov;44(12):1936-1938
    Dept. of Oral and Maxillofacial Surgery, National Hospital Organization Hamada Medical Center.
    Surgery is generally indicated for the treatment of lower lip carcinoma. However, surgery can lead to esthetic as well as functional issues, with disturbances in eating and articulation. If the defect involves less than one-third of the width of the lower lip, primary closure is possible. Read More

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