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    Correction of whistle deformity using autologous free fat grafting: first results of a pilot study and review of the literature.
    Oral Maxillofac Surg 2017 Sep 17. Epub 2017 Sep 17.
    Department of Oral and Maxillofacial Surgery, University Essen, Kliniken-Essen-Mitte, Henricistr. 92, 45136, Essen, Germany.
    Purpose: Whistle deformities are frequent sequelae after surgical correction of cleft lip, trauma, or tumor excision. The aim of this study was to examine the role of autologous free fat grafting in the reconstruction of whistle deformity.

    Patients: Fifteen patients with whistle deformity were enrolled in this pilot study. Read More

    Regional anesthesia for maxillofacial surgery in developing countries.
    J Dent Anesth Pain Med 2016 Dec 31;16(4):245-252. Epub 2016 Dec 31.
    Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
    Regional anesthesia in the maxillofacial region is safer and more efficient than general anesthesia when its indications are carefully considered. In addition, the majority of medical institutions in developing countries are not well equipped for proper anesthesia and elective surgery. In this review, we describe regional anesthesia and cutaneous nerve divisions in the maxillofacial region. Read More

    Grafting materials for alveolar cleft reconstruction: a systematic review and best-evidence synthesis.
    Int J Oral Maxillofac Surg 2017 Aug 29. Epub 2017 Aug 29.
    State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China; Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, China; Department of Evidence-based Dentistry, West China School of Stomatology, Sichuan University, Chengdu, China. Electronic address:
    The purpose of this study was to compare the efficacy of alveolar bone reconstruction for alveolar cleft patients performed with the traditional iliac graft or alternative/supplementary bone grafting materials. Electronic databases, relevant journals, and reference lists of the included studies were searched to the end of June 2016. A best-evidence synthesis was performed to draw conclusions. Read More

    Application of Computer-Aided Design and Customized Implants in the Reconstruction of Pyriform Aperture Defects Secondary to Unilateral Cleft Lip and Palate.
    J Craniofac Surg 2017 Sep;28(6):1517-1520
    Department of Oral and Craniomaxillofacial Surgery, Shanghai Key Laboratory of Stomatology, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
    Purpose: To design and develop customized implants with the rapid prototyping (RP) technique in order to reconstruct the defected pyriform aperture.

    Methods: A 3-dimensional digital model was reconstructed with the software proplan CMF based on the computed tomography data of the patient's skeleton. Then an individualized implant was designed by computer-aided design (CAD) and prepared with the RP technique. Read More

    A New Method for Reconstruction of Vermilion Deficiency in Cleft Lip Deformity: The Bi-Winged Myomucosa Switch Flap.
    Plast Reconstr Surg 2017 Aug 8. Epub 2017 Aug 8.
    a Fellow, Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan b Professor, Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
    Background: This study reviewed the method of using "Bi-winged myomucosa switch flap" for correction of secondary cleft lip deformity in patients with vermilion mucosa deficiency, lack of the central tubercle and disproportionate lip projection, obviating the conventional Abbé flap when the prolabium has acceptable philtrum and Cupid's bow definition.

    Methods: The technique was applied to adult patients with secondary vermilion deficiency after primary bilateral cleft lip repair. The flap consisted of transverse vermilion mucosa and superior part of orbicularis oris muscle from the lower lip. Read More

    Binder syndrome: Clinical findings and surgical treatment of 18 patients at the Department of Plastic Surgery in Polanica Zdrój.
    Adv Clin Exp Med 2017 May-Jun;26(3):427-437
    Plastic Surgery Unit, Specialist Medical Centre, Polanica Zdrój, Poland.
    Background: Binder syndrome (BS) is an uncommon congenital underdevelopment of the maxilla and nasal skeleton. Other clinical features include a hypoplastic or absent anterior nasal spine; a short, flat nose with short columella; an acute nasolabial angle; a convex upper lip and class III malocclusion.

    Objectives: The aim of the study was to outline the major characteristics of BS and to present a variety of surgical treatment methods. Read More

    A Comparative Analysis of Recombinant Human Bone Morphogenetic Protein-2 with a Demineralized Bone Matrix versus Iliac Crest Bone Graft for Secondary Alveolar Bone Grafts in Patients with Cleft Lip and Palate: Review of 501 Cases.
    Plast Reconstr Surg 2017 Aug;140(2):318e-325e
    Los Angeles, Calif.; Ann Arbor, Mich.; New York, N.Y.; and Portland, Ore. From the Divisions of Plastic and Maxillofacial Surgery and Dentistry and Orthodontics, Children's Hospital Los Angeles; the Division of Plastic and Reconstructive Surgery and the Ostrow School of Dentistry, University of Southern California; the Department of Oral and Maxillofacial Surgery, University of Southern California, School of Dentistry; the Division of Plastic Surgery, University of Michigan; the Division of Plastic Surgery of New York-Presbyterian/Columbia, New York-Presbyterian/Morgan Stanley Children's Hospital; and Oregon Health & Science University.
    Background: Alveolar cleft reconstruction using iliac crest bone graft is considered standard of care for children with complete cleft lip and palate at the time of mixed dentition. Harvesting bone may result in donor-site morbidity and additional operating time and length of hospitalization. Recombinant human bone morphogenetic protein (rhBMP)-2 with a demineralized bone matrix is an alternative bone source for alveolar cleft reconstruction. Read More

    Upper lip reconstruction.
    Plast Reconstr Surg 2017 Jul 12. Epub 2017 Jul 12.
    U. Tennessee Health Science Center.
    Reconstruction of an aesthetically acceptable and functional upper lip requires a careful consideration of the transverse and vertical soft tissue, muscle and skin, deficiency. This review focuses on the reconstructive aspects of the upper lip.The functional anatomy of the upper lip is considerably complex and includes paired muscles in addition to the orbicularis, elevators of both the upper lip and commissure. Read More

    Maxillary Reconstruction Using Submental Artery Island Flap and Sagittal Mandibular Ramus/Coronoid Process Graft Pedicled With Temporalis Muscle.
    J Oral Maxillofac Surg 2017 Jun 29. Epub 2017 Jun 29.
    Assistant Professor, Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, Kunming, China.
    Purpose: The purpose of this study is to describe maxillary reconstruction using the submental artery island flap and the sagittal mandibular ramus and coronoid process graft pedicled with the temporalis muscle through the modified lateral lip and submandibular approach.

    Materials And Methods: From May 2013 to September 2016, 11 patients with maxillary defects secondary to maxillary cancer ablation who underwent maxillary reconstruction using a submental artery island flap and a sagittal mandibular ramus and coronoid process graft pedicled with the temporalis muscle through the modified lateral lip and submandibular approach were enrolled in this prospective study.

    Results: All submental artery island flaps and sagittal mandibular ramus and coronoid process grafts were successful, with satisfactory functional and esthetic outcomes. Read More

    Total lower lip and chin reconstruction with radial forearm free flap: A novel approach.
    Am J Otolaryngol 2017 Sep - Oct;38(5):618-625. Epub 2017 Jul 8.
    Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA.
    Background: The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip. Read More

    Reconstruction of Drug-induced Cleft Palate Using Bone Marrow Mesenchymal Stem Cell in Rodents.
    Ann Maxillofac Surg 2017 Jan-Jun;7(1):82-88
    Department of Anesthesia, Ponnaiyah Ramajayam Institute of Medical Sciences, Manamai Nallur, Kancheepuram, Tamil Nadu, India.
    Background: Triamcinolone acetonide (TAC) (Kenacort*) is a commonly used synthetic glucocorticoid in today's medical practice. The drug is also a potential agent in inducing cleft palates in rats. This drug has been used to induce cleft palate in the fetus of the pregnant rats to bring out a suitable animal model for human cleft lip and palate. Read More

    A simple technique for the correction of maxillonasal dysplasia using customized expanded polytetrafluoroethylene (ePTFE) implants.
    J Plast Reconstr Aesthet Surg 2017 Sep 5;70(9):1292-1297. Epub 2017 Jul 5.
    Department of Plastic and Reconstructive Surgery, Shanghai Jiaotong University Medical School, Ninth People's Hospital, China. Electronic address:
    Background: The treatment of maxillonasal dysplasia in Binder's syndrome using autologous costal bone and cartilage is well established, but postoperative results may be compromised by scarring, unpredictable absorption of transferred autologous tissue, and donor site morbidity. Here, we propose a simple surgical technique to improve maxillonasal dysplasia using an expanded polytetrafluoroethylene (ePTFE) implant.

    Materials And Methods: From February 1999 to May 2014, fifty-eight patients affected by maxillonasal dysplasia with different degrees of flattened nose and midfacial depression underwent surgical correction by augmentation of the nasal dorsum using an "L"-shaped ePTFE and subperiosteal implantation of an inverted "m"-shaped ePTFE at the base of the piriform aperture. Read More

    Single-stage reconstruction for buccal mucosa tumor resection including the labial commissure using a facial artery musculomucosal flap and a vermilion advancement flap.
    J Surg Case Rep 2017 Jun 20;2017(6):rjx108. Epub 2017 Jun 20.
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
    Resection of buccal mucosa tumors may occasionally involve the labial angle and peripheral skin. Reconstruction is required when the resection involves more than one-third of the lip. We describe a single-stage reconstruction using a facial artery musculomucosal (FAMM) flap and a vermilion advancement flap after buccal mucosa resection including the labial angle. Read More

    Extended Karapandzic Flap Technique for Reconstruction of Lower Lip and Chin Defect.
    J Oral Maxillofac Surg 2017 Jun 23. Epub 2017 Jun 23.
    Professor, Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb; Dental School, University of Zagreb, Zagreb, Croatia.
    Purpose: Near total defect of the lower lip adjacent to the chin remains a reconstructive challenge for surgeons in function and esthetics. The objective of this study was to present a modified extended Karapandzic technique for reconstruction of near total defects of the lower lip adjacent with the chin.

    Materials And Methods: From 2000 to 2013, patients with lip cancer or oral cavity cancer who required subtotal lower lip and chin resection and subsequently underwent reconstruction with an extended Karapandzic flap were included in this retrospective study. Read More

    Reconstruction of Mohs Defects of the Lips and Chin.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):427-442
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Taubman Center Floor 1 TC1904, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address:
    Reconstruction of defects of the lips after Mohs micrographic surgery should encompass functional and aesthetic concerns. The lower lip and chin compose two-thirds of the lower portion of the face. The focus of this article is local tissue transfer for primarily cutaneous defects after Mohs surgery. Read More

    Three-dimensional printed haptic model from a prenatal surface-rendered oropalatal sonographic view: a new tool in the surgical planning of cleft lip/palate.
    Int J Oral Maxillofac Surg 2017 Jun 30. Epub 2017 Jun 30.
    Center for Woman and Fetal Imaging, Lille, France.
    Three-dimensional (3D) ultrasound has significantly improved prenatal screening and perinatal care in the area of cleft lip/palate and other deformities, providing essential preoperative information to the surgical team. However, current 3D reconstruction modalities are limited primarily to display on a two-dimensional surface. In contrast, a 3D printed haptic model allows both the surgeon and the parents to develop a better understanding of the anatomy and the surgical procedure through the ability to interact directly with the printed model. Read More

    Reconstruction Techniques of Choice for the Facial Cosmetic Units.
    Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.
    Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.
    Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

    Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

    Complete Philtrum Reconstruction on the Partial-Thickness Cross-Lip Flap by Nasolabial Muscle Tension Line Group Reconstruction in the Same Stage of Flap Transfer.
    JAMA Facial Plast Surg 2017 Jun 29. Epub 2017 Jun 29.
    Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
    Importance: The blood supply pattern of the partial-thickness musculomucosal pedicle flaps is different from the traditional Abbe flap. The arterial blood supply and venous drainage are highly reliable during clinical practice.

    Objective: To describe the reconstruction of the philtrum in the cross-lip flap transfer using nasolabial muscle tension line group reconstruction. Read More

    Evidence-Based Medicine: Secondary Correction of Cleft Lip Nasal Deformity.
    Plast Reconstr Surg 2017 Jul;140(1):166e-176e
    Durham, N.C.; and Boston, Mass. From the Division of Plastic, Maxillofacial and Oral Surgery, Duke Children's Hospital, Duke University School of Medicine; and the Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School.
    Learning Objectives: After reading this article, the participant should be able to: 1. Understand the components of unilateral and bilateral cleft lip nasal deformity. 2. Read More

    Evidence-Based Medicine: The Bilateral Cleft Lip Repair.
    Plast Reconstr Surg 2017 Jul;140(1):152e-165e
    Vancouver, British Columbia, Canada From the Division of Plastic Surgery, University of British Columbia; and the Division of Plastic Surgery, British Columbia Children's Hospital, University of British Columbia.
    Learning Objectives: After reading this article, the participant should be able to: 1. Understand the epidemiology, abnormal embryology, anatomy, and etiopathogenesis of cleft lip. 2. Read More

    Effect of Carbon Dioxide Laser on Increasing Vestibular Depth in Cleft Lip and Palate Patients.
    Photomed Laser Surg 2017 Sep 20;35(9):492-497. Epub 2017 Jun 20.
    1 Department of Orthodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences , Yazd, Iran .
    Background: Shallow upper buccal sulcus deformity in cleft lip and palate patients is one of the common secondary deformities after primary cleft lip and palate repair; this deformity may prevent or complicate orthodontic and prosthodontic procedures causing aesthetic and functional problems. A number of methods are described to increase the anterior maxillary sulcus in these patients.

    Purpose: This study assessed the use of a carbon dioxide laser (CO2) to increase the sulcus depth. Read More

    [Results of urethral reconstruction in adults after multiple hypospadias repairs].
    Urologiia 2017 Jun(2):82-87
    Department of Andrology and Urology, V.I. Kulakov Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia, Moscow, Russia.
    Aim: To improve treatment results in patients after multiple hypospadias repairs by optimizing the postoperative management.

    Materials And Methods: Eighty-two patients (mean age 48.1+/-15. Read More

    [Technical information: The 'so called' Camille Bernard lower lip reconstruction: An eponymous confusion clarified].
    Ann Chir Plast Esthet 2017 Jun 14. Epub 2017 Jun 14.
    35, avenue des Pins, 13013 Marseille, France. Electronic address:
    The use of eponyms honours those who have contributed to the development of medicine and facilitates communication between colleagues. Eponyms are based on historical knowledge to know who was the first to use a given technique. In the previous century, two different operative procedures have been attached to the 'so called' Bernard lower lip reconstruction. Read More

    Electron efficiency measurements with the ATLAS detector using 2012 LHC proton-proton collision data.
    Eur Phys J C Part Fields 2017 27;77(3):195. Epub 2017 Mar 27.
    CERN, Geneva, Switzerland.
    This paper describes the algorithms for the reconstruction and identification of electrons in the central region of the ATLAS detector at the Large Hadron Collider (LHC). These algorithms were used for all ATLAS results with electrons in the final state that are based on the 2012 pp collision data produced by the LHC at [Formula: see text] = 8 [Formula: see text]. The efficiency of these algorithms, together with the charge misidentification rate, is measured in data and evaluated in simulated samples using electrons from [Formula: see text], [Formula: see text] and [Formula: see text] decays. Read More

    Anatomical Reconstruction of the Nasal Floor in Complete Unilateral Cleft Lip Repair.
    Ann Plast Surg 2017 Oct;79(4):365-371
    From the Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam, Gyeonggi, Republic of Korea.
    Background: Numerous methods exist for repairing unilateral cleft lips and mainly focus on cutaneous design to achieve sufficient rotation of the medial (M) cleft lip and produce a natural Cupid's bow and philtrum. However, precise nasal floor reconstruction has not been described in detail. This is the first study to introduce a technique for repairing complete unilateral cleft lips with a focus on nasal floor reconstruction. Read More

    Lower lip reconstruction using a skin-mucosa Abbe-Estlander flap after squamous cell carcinoma excision.
    An Bras Dermatol 2017 Mar-Apr;92(2):260-262
    Department of Dermatology, San Cecilio University Hospital - Granada. Spain.
    Lips are structures that play an essential role in aesthetics and in different functions such as nutrition and speech. The complex anatomy of the lips - with three different layers composed of skin, mucosa, and muscles - makes surgical management of this area a therapeutic challenge. The use of flaps for the reconstruction of large defects with low risk of necrosis is possible given the abundant blood supply of the lips. Read More

    Lip reconstruction using a functioning serratus anterior free flap: preliminary study.
    Int J Oral Maxillofac Surg 2017 Oct 19;46(10):1243-1247. Epub 2017 May 19.
    Department of Plastic, Reconstructive and Aesthetic Surgery, Necmettin Erbakan University, Medical Faculty of Meram, Konya, Turkey.
    Reconstructive surgery to the lips requires the replacement of defective tissues with similarly functioning tissues. While non-dynamic free tissue transfers provide adequate lower lip reconstruction, improved benefits may be obtained with innervated free muscle flaps. This study reports the use of innervated serratus anterior muscle free flaps for lip reconstruction in five patients. Read More

    Performance of algorithms that reconstruct missing transverse momentum in [Formula: see text]= 8 TeV proton-proton collisions in the ATLAS detector.
    Eur Phys J C Part Fields 2017 13;77(4):241. Epub 2017 Apr 13.
    CERN, Geneva, Switzerland.
    The reconstruction and calibration algorithms used to calculate missing transverse momentum ([Formula: see text] ) with the ATLAS detector exploit energy deposits in the calorimeter and tracks reconstructed in the inner detector as well as the muon spectrometer. Various strategies are used to suppress effects arising from additional proton-proton interactions, called pileup, concurrent with the hard-scatter processes. Tracking information is used to distinguish contributions from the pileup interactions using their vertex separation along the beam axis. Read More

    Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting.
    Plast Reconstr Surg Glob Open 2017 Apr 19;5(4):e1301. Epub 2017 Apr 19.
    Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Chiba, Japan; Department of Plastic and Reconstructive Surgery, Asakadai Central General Hospital, Saitama, Japan; and Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan.
    Background: The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. Read More

    Reconstructing Discontinuous Facial Defects with Simultaneous Ulnar Perforator Free Flaps.
    Plast Reconstr Surg Glob Open 2017 Apr 7;5(4):e1291. Epub 2017 Apr 7.
    Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colo.; and Division of Plastic Surgery, Departments of Surgery and Otolaryngology, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colo.
    Multiple, simultaneous skin cancers of the face are common. This is the first description of reconstructing discontinuous facial defects (i.e. Read More

    Vermillion Reconstruction With Anal Verge Transitional Epithelium: Turning Things Upside Down.
    J Burn Care Res 2017 May 4. Epub 2017 May 4.
    From the *Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, University of Michigan Medical School, Ann Arbor; and †Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston.
    Postburn lip deformities pose a significant set of challenges to reconstructive burn surgeons because of the complex anatomy, diverse functions, and specialized nature of the lip tissues. There has been a paucity of literature on restoration of the vermillion to date. The authors report on two patients who suffered burn injuries resulting in significant lip deformities who underwent a novel method of vermillion reconstruction with a full thickness anal verge skin graft. Read More

    Sphincter-Sparing Excision and Reconstruction Using Facial Artery Perforator Flaps for Lower Lip Carcinoma.
    J Oral Maxillofac Surg 2017 Aug 8;75(8):1792.e1-1792.e8. Epub 2017 Apr 8.
    Specialist, Pathology Department, Yildirim Beyazit University, Ataturk Training and Research Hospital, Ankara, Turkey.
    Purpose: This article discusses the results of orbicularis oris muscle-sparing surgery and reconstruction of defects through the use of facial artery perforator flaps and mucosal advancement flaps.

    Patients And Methods: Patients with lower lip carcinoma were evaluated retrospectively. Patients who underwent reconstruction with facial artery perforator flaps and mucosal advancement flaps with clear surgical margins and no muscle invasion were included in this study. Read More

    Full Mouth Reconstruction of a Skeletal Class II Division 1 Patient with Adenoid Cystic Carcinoma Using an Interim Immediate Obturator and a Definitive Obturator.
    Case Rep Dent 2017 4;2017:5458617. Epub 2017 Apr 4.
    Dental Research Center, Department of Prosthodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
    A 61-year-old female patient with adenoid cystic carcinoma (ACC) of the right maxilla and Angle class II division 1 malocclusion had received a subtotal maxillectomy in right side and used a conventional clasp-retained obturator. After implants placement, a maxillary interim immediate obturator (IIO) and then a definitive obturator using six endosseous implants were fabricated. During one-year follow-up, the patient was completely satisfied. Read More

    Development of a facescan 3D facial reconstruction technology method for quantitative evaluation of cheilitis granulomatosa.
    Sci Rep 2017 May 2;7(1):1295. Epub 2017 May 2.
    Department of Oral Medicine, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology, 22 South Zhongguancun Ave, Haidian District, Beijing, 100081, China.
    We explored the applicability of Facescan three-dimensional (3D) facial reconstruction technology for adjunctive diagnosis and therapeutic evaluation of cheilitis granulomatosa (CG) in 33 patients with CG and 29 healthy controls at the Dept. of Oral Medicine, Peking University, School and Hospital of Stomatology (PKUSS), from January 2015 to May 2016. The Facescan structured-light 3D facial reconstruction scanner was used to scan the scope of lips in both groups, in order to acquire 3D morphological data of the lips. Read More

    Surgical correction of mandibular hypoplasia in hemifacial microsomia: A retrospective study in 39 patients.
    J Craniomaxillofac Surg 2017 Jun 30;45(6):1031-1038. Epub 2017 Mar 30.
    Stomatology and Maxillo-facial Surgery Unit, Nantes University Hospital, 1 Place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.
    Purpose: Repair of the mandibular deformity in hemifacial microsomia (HFM) remains controversial, and there is scant information in the literature regarding the late outcomes. The aim of this study was to evaluate architectural and aesthetic long-term outcomes for primary mandibular surgery in patients with HFM.

    Materials And Methods: Thirty-nine patients with types II and type III HFM were included in this retrospective study. Read More

    Resection of upper lip adenoid cystic carcinoma and reconstruction with reverse Yu flap: Report of three cases and a literature review.
    Mol Clin Oncol 2017 Mar 3;6(3):444-450. Epub 2017 Feb 3.
    Department of Oral and Maxillofacial Surgery, Virgen Del Rocio University Hospital, 41013 Seville, Spain.
    The present study aimed to describe the techniques that were used, and the results obtained, with the reverse Yu flap to reconstruct medium-sized upper lip defects following resection for adenoid cystic carcinoma (ACC). Data concerning the clinical and pathological characteristics of tumours, the size and location of the defects, surgical resection and the reconstructive procedure used were evaluated in three patients, as well as postoperative complications and outcomes. In all cases, a complete surgical removal of ACC was achieved with clear margins of at least 1 cm. Read More

    Association of Increasing Nasal Tip Projection With Lip Position in Primary Rhinoplasty.
    JAMA Facial Plast Surg 2017 Jul;19(4):323-326
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Illinois at Chicago2The Facial Plastic Surgery Center, University of Illinois at Chicago, Chicago, Illinois.
    Importance: The effects of rhinoplasty maneuvers on adjacent facial features are an important component in preoperative planning and patient counseling. Tip projection modifications are commonly performed in both cosmetic and reconstructive rhinoplasty.

    Objective: To evaluate the subsequent change in lip projection that results from increasing nasal tip projection. Read More

    The Transposition Flap for the Reconstruction of Lower Cutaneous Lip Defects.
    J Drugs Dermatol 2017 Apr;16(4):385-387

    The lower cutaneous lip is a highly visible and functionally sensitive unit, and numerous factors must be considered when deciding on the optimal repair for defects in this area. The transposition flap represents an excellent option in the reconstruction of larger lower cutaneous lip defects. We describe the use of random pattern transposition flaps for the repair of lower lateral cutaneous lip defects. Read More


    A New Design for Reconstruction of Nasal Dimensions during the Primary Repair of Unilateral Cleft Lip.
    Plast Reconstr Surg 2017 06;139(6):1376e-1377e
    State Key Laboratory of Oral Disease, West China College of Stomatology, Chengdu, People's Republic of China State Key Laboratory of Oral Disease, West China College of Stomatology, and Department of Cleft Lip and Palate Surgery, West China Stomatological Hospital, Sichuan University, Chengdu, People's Republic of China State Key Laboratory of Oral Disease, West China College of Stomatology, Chengdu, People's Republic of China, Department of Growth and Development and Section of Orthodontics, School of Dentistry, University of California, Los Angeles, Los Angeles, Calif. State Key Laboratory of Oral Disease, West China College of Stomatology, and Department of Cleft Lip and Palate Surgery, West China Stomatological Hospital, Sichuan University, Chengdu, People's Republic of China.

    Transoral Cross-Lip (Abbé-Estlander) Flap as a Viable and Effective Reconstructive Option in Middle Lower Lip Defect Reconstruction.
    Ann Dermatol 2017 Apr 24;29(2):210-214. Epub 2017 Mar 24.
    Department of Dermatology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
    The Abbé-Estlander flap surgery is a cross-lip procedure that is valuable in repairing a defect on the lower lip using a full-thickness flap, consisting of the skin, muscle and mucosa, from the upper lip. As usefulness and practicality of the flap in reconstruction of lower lip surgical defects in Asian ethnicity have not been documented, the authors present a case of successful lower lip reconstruction with a staged, Abbé-Estlander lip switching flap with commissuroplasty as an illustrative example. A 71-year-old male has presented with an ulcerating lip nodule in the middle one third of the lower lip, measuring about 1. Read More

    More than just the helix: A series of free flaps from the ear.
    Microsurgery 2017 Apr 1. Epub 2017 Apr 1.
    Department of Plastic Surgery, Töölö Hospital, Helsinki University Hospital, University of Helsinki, Finland.
    Aim: We herein present our experience using free flaps harvested from the ear region in facial, nasal and intraoral reconstruction.

    Patients And Methods: Between 2011 and 2016, 19 patients underwent reconstruction using 20 free flaps from the ear region based on the superficial temporal vessels. There were 10 males and 9 females with a mean age of 57 years. Read More

    A Comparative Analysis of rhBMP-2/DBM vs. ICBG for Secondary Alveolar Bone Grafts in Patients with Cleft Lip and Palate: Review of 501 Cases.
    Plast Reconstr Surg 2017 Mar 31. Epub 2017 Mar 31.
    1Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, CA, USA 2 Division of Plastic and Reconstructive Surgery, University of Southern California, CA, USA 3Department of Oral and Maxillofacial Surgery, University of Southern California, School of Dentistry, CA, USA 4Devision of Plastic Surgery, University of Michigan, Ann Arbor, MI, USA 5Division of Plastic Surgery of New York-Presbyterian/Columbia, New York-Presbyterian/Morgan Stanley Children's Hospital, NY, USA 6Oregon Health & Science University, Portland, OR, USA 7 Ostrow School of Dentistry, University of Southern California, CA, USA 8Division of Dentistry and Orthodontics, Children's Hospital Los Angeles, CA USA.
    Background: Alveolar cleft reconstruction using iliac crest bone graft(ICBG) is considered standard of care for children with complete cleft lip and palate at the time of mixed dentition. Harvesting bone may result in donor site morbidity, additional operating time and length of hospitalization. Recombinant human bone morphogenetic protein(rhBMP)-2 with a demineralized bone matrix(DBM) was used as an alternative bone source for alveolar cleft reconstruction. Read More

    Near-total lower lip reconstruction: combined Karapandzic and Bernard-Burrow-Webster flap.
    Acta Dermatovenerol Alp Pannonica Adriat 2017 Mar;26(1):19-20
    Dermatology Department, Trás-os- Montes e Alto Douro Central Hospital, Vila Real, Portugal.
    Lip carcinoma is a common cancer of the head and neck region. It more often affects the lower lip (> 90%), and squamous cell carcinoma represents 95% of the cases. The authors present a reconstruction of the lower lip combining two classical flaps: the Karapandzic and Bernard-Burrow-Webster flap. Read More

    How reliable is the vomer flap in early hard palate repair?
    J Plast Reconstr Aesthet Surg 2017 Jun 10;70(6):828-832. Epub 2017 Mar 10.
    Department of Plastic and Reconstructive Surgery, Our Lady's Children's Hospital Crumlin, Dublin 12, Ireland. Electronic address:
    Hard palate closure with a vomer flap at the time of lip repair has been widely adopted. A recent study by Deshpande et al. showed a high rate of failure of the vomer flap and led the authors to abandon the technique. Read More

    Cleft Septorhinoplasty: Form and Function.
    Facial Plast Surg Clin North Am 2017 May;25(2):223-238
    Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA. Electronic address:
    Nasal deformity associated with typical cleft lip can cause aesthetic and functional issues that are difficult to address. The degree of secondary nasal deformity is based on the extent of the original cleft deformity, growth over time, and any prior surgical correction to the nose or lip. Repair and reconstruction of these deformities require comprehensive understanding of embryologic growth, the cleft anatomy, as well as meticulous surgical technique and using a spectrum of structural grafting. Read More

    Platysma Motor Nerve Transfer for Restoring Marginal Mandibular Nerve Function.
    Plast Reconstr Surg Glob Open 2016 12 13;4(12):e1164. Epub 2016 Dec 13.
    Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; and Center of Anatomy and Cell Biology and Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
    Background: Injuries of the marginal mandibular nerve (MMN) of the facial nerve result in paralysis of the lower lip muscle depressors and an asymmetrical smile. Nerve reconstruction, when possible, is the method of choice; however, in cases of long nerve gaps or delayed nerve reconstruction, conventional nerve repairs may be difficult to perform or may provide suboptimal outcomes. Herein, we investigate the anatomical technical feasibility of transfer of the platysma motor nerve (PMN) to the MMN for restoration of lower lip function, and we present a clinical case where this nerve transfer was successfully performed. Read More

    Transoral robotic surgery with radial forearm free flap reconstruction: case control analysis.
    J Otolaryngol Head Neck Surg 2017 Mar 14;46(1):20. Epub 2017 Mar 14.
    Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of Alberta, 8440-112 st, 1E4 Walter Mackenzie Centre, Edmonton, AB, T6G 2B7, Canada.
    Background: The resection of large oropharyngeal tumors traditionally involves a lip-splitting mandibulotomy for adequate margin visualization and free flap reconstruction of the surgical defect. Transoral robotic surgery (TORS) has emerged as a technique that can resect large and complex oropharyngeal tumors, avoiding a lip-splitting approach. The aim of this study is to compare the lip-splitting mandibulotomy approach versus TORS for the management of advanced stage oropharyngeal carcinomas. Read More

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