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    1 OF 91

    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 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

    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 Mar 7. 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

    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 Feb 23. Epub 2018 Feb 23.
    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 Feb 14. Epub 2018 Feb 14.
    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 Feb 15. 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 Feb 6. Epub 2018 Feb 6.
    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 02 2. 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

    Primary Repair in Patients With Unilateral Complete Cleft of Lip and Primary Palate: Assessment of Outcomes.
    Ann Plast Surg 2018 Feb;80(2S Suppl 1):S2-S6
    Objective: Asymmetry of median facial structures is a major concern for patients with unilateral cleft lip and palate, and the principal goal of its treatment is to restore symmetry. Unilateral complete cleft of lip and primary palate (UCCLPP) is an uncommon subgroup and rarely reported. Patients with UCCLPP have protruding and deviating premaxilla, rendering a primary repair difficult. Read More

    One-Stage vs. Two-Stage Repair of Asymmetric Bilateral Cleft Lip: A 20-Year Retrospective Study of Clinical Outcome.
    Plast Reconstr Surg 2018 Jan 12. Epub 2018 Jan 12.
    Fellow, Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
    Background: The one-stage or two-stage approaches have been a widely used technique for patients with an asymmetric bilateral cleft lip (ABCL). There is insufficient long-term outcome data between these two methods. The purpose of this retrospective study is to compare the clinical outcome over the last 20 years. Read More

    Resorbable Plates in Secondary Cleft Nasal Reconstruction.
    Cleft Palate Craniofac J 2018 Feb 14;55(2):226-230. Epub 2017 Dec 14.
    2 Division of Pediatric Plastic Surgery, Department of Pediatric Surgery, McGovern Medical School, University of Texas Health Sciences Center, Houston and Children's Memorial Hermann Hospital, Houston, TX, USA.
    Objective: The authors report on the use and complications of alloplastic resorbable plates and compare their use to autologous cartilage grafts in secondary cleft nasal reconstruction.

    Design: Institutional review board (IRB)-approved retrospective chart review.

    Setting: Texas Cleft-Craniofacial Center at the McGovern Medical School at the University of Texas Health Sciences Center at Houston. Read More

    Versatility of Modified Nasolabial Flap in Oral and Maxillofacial Surgery.
    Arch Craniofac Surg 2017 Dec 23;18(4):243-248. Epub 2017 Dec 23.
    Department of Oral & Maxillofacial Surgery, Sri Aurobindo College of Dentistry, Indore, India.
    Background: To evaluate the versatility and reach of modified nasolabial flap used in reconstruction of defects created in and around the oral cavity.

    Methods: A total number of 20 cases were selected. Out of which 13 were males and 7 females. Read More

    Long-term craniofacial morphology in young adults treated for a non-syndromal UCLP: A systematic review.
    J Plast Reconstr Aesthet Surg 2018 Apr 13;71(4):504-517. Epub 2017 Dec 13.
    Department of Plastic Surgery, Wilhelmina Children's Hospital, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.
    Minimizing mid-facial growth impairment is one of the treatment goals in cleft lip and palate surgery. As growth of the maxilla extends into young adulthood, long-term evaluation is essential to make a comprehensive assessment of a treatment protocol. There are numerous treatment approaches for cleft lip/palate surgery, and most have the characteristic distinction between either an early or a late cleft palate closure. Read More

    Genome-wide comparisons reveal evidence for a species complex in the black-lip pearl oyster Pinctada margaritifera (Bivalvia: Pteriidae).
    Sci Rep 2018 Jan 9;8(1):191. Epub 2018 Jan 9.
    Centre for Sustainable Tropical Fisheries and Aquaculture and College of Science and Engineering, James Cook University, Townsville Campus, Townsville, QLD 4811, Queensland, Australia.
    Evolutionary relationships in the black-lip pearl oyster Pinctada margaritifera which is highly valued for pearl production remain poorly understood. This species possesses an 18,000 km Indo-Pacific natural distribution, and its current description includes six subspecies defined exclusively on morphological characters. To evaluate its taxonomic identity using molecular data, 14 populations in both the Indian and Pacific Oceans (n = 69), and the congeneric taxa P. Read More

    [Soft tissue management to control nasal changes after Le Fort I Osteotomy].
    Orthod Fr 2017 Dec 9;88(4):343-346. Epub 2018 Jan 9.
    Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain - Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
    Introduction: Adverse effects in the nasolabial region should be anticipated after Le Fort I osteotomy. Intraoperative factors such as the extent of surgical dissection, type of closure and perinasal soft tissue reconstruction seem to influence soft tissue response. Attempts to control these changes have been made over the years and several techniques have been proposed. Read More

    Unit Advancement Flap for Lower Lip Reconstruction.
    J Craniofac Surg 2018 Jan 5. Epub 2018 Jan 5.
    Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.
    Background: Lower lip reconstruction requires consideration of esthetic and functional outcome in selecting a surgical procedure, and reconstruction with local tissue is useful. The authors reconstructed full-thickness defects with a unit advancement flap.

    Methods: Reconstruction was performed using this method in 4 patients with lower lip squamous cell carcinoma in whom tumor resection with preservation of the mouth angle was possible. Read More

    Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid
    Turk J Med Sci 2017 Dec 19;47(6):1673-1680. Epub 2017 Dec 19.
    Background/aim: Various flap procedures have been described and used for the lower eyelids; however, the nasolabial flap is rarely employed. We herein aimed to present the clinical results of using the superiorly based nasolabial island flap for repair of surgical defects extending to the lateral lower eyelid. Materials and methods: Nine patients with a mean age of 62 +- 6 years underwent surgery for reconstruction of the lower eyelid. Read More

    Evaluating Resident Perspectives on International Humanitarian Missions.
    J Craniofac Surg 2018 Mar;29(2):279-285
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Palo Alto, CA.
    Background: Opportunities for international missions are highly sought after by medical students, residents, and attending plastic surgeons. The educational benefits and ethical considerations of trainees participating in these ventures have been extensively debated. At the time of this writing, many surgical training programs lack the necessary infrastructure or funds to support missions of this sort. Read More

    Bone regeneration using composite non-demineralized xenogenic dentin with beta-tricalcium phosphate in experimental alveolar cleft repair in a rabbit model.
    J Transl Med 2017 Dec 23;15(1):263. Epub 2017 Dec 23.
    Department of Oral and Maxillofacial Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
    Background: Alveolar cleft repair is performed via bone grafting procedure to restore the dental arch continuity. A suitable bone substitute materials should possess osteoinductive and osteoconductive properties, to promote new bone formation, along with a slowly resorbable scaffold that is subsequently replaced with functionally viable bone. Calcium phosphate biomaterials have long proved their efficacy as bone replacement materials. Read More

    Karapandzic Flap for Esthetic and Functional Reconstruction of Large Defect of Lower Lip.
    Ann Maxillofac Surg 2017 Jul-Dec;7(2):300-303
    Department of Oral and Maxillofacial Surgery, Rural Dental College, Ahmednagar, Maharashtra, India.
    Squamous cell carcinoma is the most common cancer occurring in the oral cavity. The lips are one of the most common sites of occurrence with involvement, lower lip being more common than upper. Reconstruction of large defects of lower lip with good functional and esthetic outcome is the biggest challenge faced by the surgeon. Read More

    Strategy for Nasal Reconstruction in Atypical Facial Clefts.
    Plast Reconstr Surg Glob Open 2017 Nov 3;5(11):e874. Epub 2017 Nov 3.
    Department of Plastic Surgery and Burn, Menoufia University, Menoufia, Egypt.
    It is difficult to put forward a strategy for the treatment of nasal clefts due to the rarity and diversity of anatomical aberrations of these cases contrary to the common nasal affection in cleft lip and palate patients, which differ in severity rather than differing in the morbid anatomy. This simple strategy for correction of these nasal clefts will hopefully help surgeons to achieve better results. In the mean time I intended to describe the morbid anatomy of these cases by choosing examples of each morbid anatomy. Read More

    A Systematic Review of Lower Lip Anatomy, Mechanics of Local Flaps, and Special Considerations for Lower Lip Reconstruction.
    J Drugs Dermatol 2017 12;16(12):1254-1261
    Reconstruction of defects of the lower lip can be very challenging. The aim of this review is to analyze the unique characteristics of lower lip anatomy and provide a systematic approach for lower lip reconstruction. A review of current literature was performed using the PubMed database. Read More

    Ex corpore linguae: A cohort analysis after a unique surgical technique in oral cancer resection.
    J Craniomaxillofac Surg 2018 Feb 21;46(2):190-194. Epub 2017 Nov 21.
    University Hospital Giessen, Dept. for Maxillofacial Surgery, Head: Prof. Dr. Dr. Hans-Peter Howaldt, Klinikstr. 33, 35385, Giessen, Germany.
    Objective: Resection of posteriorly located oral squamous cell carcinomas (OSCCs) remains challenging for head and neck surgeons. However, several surgical techniques, such as lip and mandibular splitting, as well as submental "visor drop-down" of intraoral soft tissues, have been proposed for this purpose. Merrick et al. Read More

    Revisiting lip shave: a solution for disorders of the vermilion border.
    Br J Oral Maxillofac Surg 2018 Jan 6;56(1):60-63. Epub 2017 Dec 6.
    Maxillofacial Unit, Poole Hospital NHS Trust, Dorset BH15 2JB, UK.
    Actinic keratosis, leukoplakia, carcinoma in situ, and superficially invasive carcinomas of the lower lip are caused mainly by the cumulative effects of exposure of the vermilion of the lower lip to ultraviolet radiation. Current treatments all have limitations: cryosurgery or electrosurgery is suitable to treat only focal lesions; topical chemotherapy, which is an option for diffuse actinic damage, yields unreliable results; and laser treatment fails to rejuvenate the vermilion. However, "lip shave", which involves full-thickness excision of the damaged vermilion and reconstruction with an advancement labial mucosal flap, will produce a fresh mucosal lining to the vermilion border. Read More

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