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    1 OF 86

    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 Dec 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

    Digitalized analysis of philtral anatomy for planning individual treatment.
    Surg Radiol Anat 2017 Mar 13. Epub 2017 Mar 13.
    Department of Anatomy, Faculty of Medicine, Ege University, 35100, Izmir, Turkey.
    Objective: Restoration of the philtral region following traumatic, cleft, and tumor surgeries is often difficult due to influence of this feature to whole facial beauty. The aim of this study is to investigate the types and measurements of the philtrum and its relationship with the upper lip using a software.

    Methods: Standard personal photographs of the philtral region were obtained from 200 young adults participated in this study. Read More

    Aesthetic Reconstruction of the Frontotemporal Region: The Extended A-T Plasty, A Workhorse Revisited.
    Ann Plast Surg 2017 Mar 7. Epub 2017 Mar 7.
    From the Unit of Plastic Surgery and Dermatology, "Campus Bio-Medico di Roma" University, Rome, Italy.
    Background: A-T plasty has long been a workhorse for defects located around the eyebrow or in the upper and lower lip. It allows like-with-like reconstruction with placement of the scars in natural creases or subunit junctions. In this article, the authors describe their refined technique to specifically address moderate to large size defects of the frontotemporal, preauricular, and zygomatic regions. Read More

    Congenital double-level cervical spondylolysis: a case report and review of the literature.
    Eur Spine J 2017 Feb 28. Epub 2017 Feb 28.
    Department of Orthopaedic Surgery, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
    Purpose: We report a rare Japanese female who was affected with three genetic-linked diseases: double-level cervical bilateral spondylolysis in association with spina bifida occulta, cleft lip and monostotic fibrous dysplasia of the right proximal femur. The case was considered to be congenital in origin. We also review the pertinent literature of cervical spondylolysis, with a focus on the pathogenesis of multiple-level cervical spondylolysis. Read More

    Can I Make Robotic Surgery Make Sense in My Practice?
    Plast Reconstr Surg 2017 Mar;139(3):781e-792e
    Houston, Texas From The University of Texas, M. D. Anderson Cancer Center.
    Over the past 10 years, robotic technology has had a significant impact on minimally invasive surgery. Because plastic surgery is rooted in "open" techniques, robotic applications in the specialty have been slow to emerge. That said, robotic technology possesses superhuman precision and high-definition, three-dimensional optics that are promising attributes in the hands of the plastic surgeon. Read More

    Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 10. Parental perceptions of appearance and treatment outcomes in their 5-year-old child.
    J Plast Surg Hand Surg 2017 Feb;51(1):81-87
    n Centre for Appearance Research , University of the West of England , Bristol , UK.
    Background And Aim: Few studies have explored children's emotional and behavioural reactions to cleft surgery and treatment-related stress. The objective was to investigate parents' evaluations of appearance and treatment outcomes in their 5-year-old child with unilateral cleft lip and palate (UCLP), and their perceptions of how their child was coping with treatment, comparing this information with recorded postsurgical complications.

    Design: Three parallel group randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. Read More

    Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 7. Occlusion in 5 year-olds according to the Huddart and Bodenham index.
    J Plast Surg Hand Surg 2017 Feb;51(1):58-63
    e Department of Plastic and Reconstructive Surgery , Oslo University Hospital Rikshospitalet , Oslo , Norway.
    Background And Aim: Good dentofacial development and good occlusion are main goals in the treatment of UCLP. The aim was to evaluate dental occlusion at age 5 years with the Huddart and Bodenham index after four different protocols of primary surgery for UCLP.

    Design: Three parallel randomised controlled trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK. 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 Feb 15. Epub 2017 Feb 15.
    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

    Sequence of Surgical Reconstruction in a Child With Cleft Lip and Palate Associated With Congenital Facial Teratomas.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    Division of Plastic Surgery, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.
    We describe a case of left homolateral complete cleft lip/palate associated with a congenital left maxillary teratoma and left orbital teratoma. The patient required step-by-step reconstruction that first included resection of the 2 teratomas in consideration of cleft lip repair, cleft palate repair, and correction of the left periorbital anomalies, which were performed later. After performing all the necessary procedures, complete resection of the tumors and correction of the anomalies associated with the lip, palate, and left orbit were achieved. Read More

    Functional Outcomes and Complications of Robot-Assisted Free Flap Oropharyngeal Reconstruction.
    Ann Plast Surg 2017 Mar;78(3 Suppl 2):S76-S82
    From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, †Department of Otolaryngology, Taichung Veterans General Hospital, Taichung; and ‡Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China.
    Background: Robotic surgical systems provide a clear, magnified 3-dimensional visualization as well as precise, stable instrumental movement, thereby minimizing technical difficulties that may be encountered in the surgical treatment of oropharyngeal tumors. This study assessed the outcomes of robotic-assisted free flap oropharyngeal reconstruction compared with those of conventional free flap reconstruction.

    Materials And Methods: A retrospective review of 47 patients who underwent reconstructive operations using a free radial forearm fasciocutaneous flap for oropharyngeal defects was conducted over a 20-month period (May 2013-December 2014). Read More

    Labia Majora Share.
    Arch Plast Surg 2017 Jan 20;44(1):80-84. Epub 2017 Jan 20.
    Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.
    Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Read More

    Iterative reconstruction of SiPM light response functions in a square-shaped compact gamma camera.
    Phys Med Biol 2017 Feb 13. Epub 2017 Feb 13.
    Department of Physics,University of Coimbra, University of Coimbra, Coimbra, 3004-516,PORTUGAL.
    Compact gamma cameras with a square-shaped monolithic scintillator crystal and an array of silicon photomultipliers (SiPMs) are actively being developed for applications in areas such as small animal imaging, cancer diagnostics and radiotracer guided surgery. Statistical methods of position reconstruction, which are potentially superior to the traditional centroid method, require accurate knowledge of the spatial response of each photomultiplier. Using both Monte Carlo simulations and experimental data obtained with a camera prototype, we show that the spatial response of all photomultipliers (light response functions) can be parameterized with axially symmetric functions obtained iteratively from flood field irradiation data. Read More

    Double-paddle peroneal flap for extensive lip defect reconstruction.
    Microsurgery 2017 Feb 7. Epub 2017 Feb 7.
    Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
    Introduction: Today, reconstructive surgeons offer an array of options to reconstruct the lip defects. Herein we present our experience of using free double-paddle peroneal flaps for extensive lip defect reconstruction.

    Patients And Methods: From 1996 to 2014, 16 patients with extensive lip defects after tumor ablation were included. Read More

    Hearing sensitivity in adults with a unilateral cleft lip and palate after two-stage palatoplasty.
    Int J Pediatr Otorhinolaryngol 2017 Mar 26;94:76-81. Epub 2016 Dec 26.
    Department of Plastic Surgery, University Medical Centre Utrecht, P.O. Box 85090, 3508 AB, Utrecht, Utrecht, The Netherlands.
    Objective: To evaluate long-term hearing and middle ear status in patients treated for a unilateral complete cleft lip and palate (UCLP) by two-stage palatoplasty.

    Methods: Forty-nine UCLP patients aged 17 years and older were included in this retrospective study. Patients were invited for a multidisciplinary long-term follow-up of their treatment at a tertiary center for craniofacial surgery in the Netherlands. Read More

    Face Transplantation: Partial Graft Loss of the First Case 10 Years Later.
    Am J Transplant 2017 Jan 31. Epub 2017 Jan 31.
    Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute, Amiens, France.
    Ten years after the first face transplantation, we report the partial loss of this graft. After two episodes of acute rejection (AR) occurred and completely reversed in the first posttransplantation year, at 90 months posttransplantation the patient developed de novo class II donor-specific antibodies, without clinical signs of AR. Some months later, she developed several skin rejection episodes treated with steroid pulses. Read More

    Incidence of Palatal Fistula at Time of Secondary Alveolar Cleft Reconstruction.
    Cleft Palate Craniofac J 2017 Jan 31. Epub 2017 Jan 31.
    Objective:   We aim to establish consistent time points for evaluating palatal fistula incidence to standardize reporting practices and clarify prospective literature.

    Design:   An institutional retrospective chart review was conducted on 76 patients with unilateral or bilateral complete cleft lip and palate who underwent secondary alveolar bone grafting between 2006 and 2015.

    Main Outcome Measures:   Early fistula incidence rates were reported prior to maxillary expansion, and late fistula rates were reported at the time of alveolar bone grafting. Read More

    Haplotype-based gene-gene interaction of bone morphogenetic protein 4 and interferon regulatory factor 6 in the etiology of non-syndromic cleft lip with or without cleft palate in a Chilean population.
    Eur J Oral Sci 2017 Apr 30;125(2):102-109. Epub 2017 Jan 30.
    Instituto de Investigación en Ciencias Odontológicas, Facultad de Odontología, Universidad de Chile, Santiago, Chile.
    Non-syndromic cleft lip with or without cleft palate (NSCL/P) is the most common craniofacial birth defect in humans, the etiology of which can be dependent on the interactions of multiple genes. We previously reported haplotype associations for polymorphic variants of interferon regulatory factor 6 (IRF6), msh homeobox 1 (MSX1), bone morphogenetic protein 4 (BMP4), and transforming growth factor beta 3 (TGFB3) in Chile. Here, we analyzed the haplotype-based gene-gene interaction for markers of these genes and NSCL/P risk in the Chilean population. Read More

    Implant-Retained Prosthetic Auricular Reconstruction in a Hemifacial Microsomia Individual: A Clinical Report.
    Int J Prosthodont 2017 Jan/Feb;30(1):54-57
    Hemifacial microsomia is the second most frequently encountered congenital facial anomaly after cleft lip and palate. This case history report describes a two-implant-supported auricular prosthetic reconstruction in a young patient with an absent auricle and malpositioned lobule. The selected treatment protocol was chosen because of its superior retention when compared with alternative retention systems. Read More

    The versatility of the Karapandzic flap: A review of 65 cases with patient-reported outcomes.
    J Craniomaxillofac Surg 2017 Feb 14;45(2):325-329. Epub 2016 Dec 14.
    Oral and Maxillofacial Surgery Department, York Teaching Hospitals NHS Foundation Trust, The York Hospital, Wigginton Road, York, YO31 8HE, United Kingdom.
    Objective: The Karapandzic flap is an established technique for reconstruction of large lip defects and in our experience is particularly valuable in repair of the upper lateral lip and the commissures as well. We present our experience in a case series of 65 patients under one consultant.

    Method: This is a retrospective study of patients who underwent Karapandzic flap repair for lip defects following cancer resection from 2007 to 2014 in North Yorkshire. Read More

    Intraflagellar transport 88 (IFT88) is crucial for craniofacial development in mice and is a candidate gene for human cleft lip and palate.
    Hum Mol Genet 2017 Jan 9. Epub 2017 Jan 9.
    Center for Craniofacial Molecular Biology, University of Southern California, Los Angeles, CA 90033, USA
    Ciliopathies are pleiotropic human diseases resulting from defects of the primary cilium, and these patients often have cleft lip and palate. IFT88 is required for the assembly and function of the primary cilia, which mediate the activity of key developmental signaling pathways. Through whole exome sequencing of a family of three affected siblings with isolated cleft lip and palate, we discovered that they share a novel missense mutation in IFT88 (c. Read More

    Horizontally Opposed V-Y Advancement Flaps for Surgical Reconstruction of Central Upper Lip Defects.
    J Craniofac Surg 2017 Mar;28(2):578-579
    University of Arizona Cancer Center, Phoenix, AZ Division of Dermatology, University of Arizona, Tucson, AZ Dermatology and Plastic Surgery of Arizona, Tucson, AZ Northwestern University Feinberg School of Medicine, Chicago, IL.

    Assessment of complete unilateral cleft lip and palate patients: Determination of factors effecting dental arch relationships.
    Int J Pediatr Otorhinolaryngol 2017 Jan 11;92:70-74. Epub 2016 Nov 11.
    Forensic Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. Electronic address:
    Objectives: The purpose of the current study was to assess the treatment outcome of non-syndromic patients having complete unilateral cleft lip and palate (CUCLP) by using GOSLON index and to determine any association of pre and/or postnatal factors with the treatment outcome.

    Materials And Methods: One hundred and one sets of dental models of patients having CUCLP were assessed in this retrospective study. Five examiners that were blinded to case-specific information scored the dental models at two instances with an interval of two weeks to ensure memory bias elimination (5 × 101 × 2 = 1010 observations). Read More

    The temporalis muscle flap for reconstruction of soft palate and lateral oropharyngeal wall after transoral robotic surgery.
    Auris Nasus Larynx 2016 Dec 19. Epub 2016 Dec 19.
    Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Azienda USL della Romagna, Forlì, Italy.
    Trans Oral Robotic Surgery (TORS) is a prominent surgical approach for the resection of oropharyngeal tumors without division of the lip and mandible. Some defects following TORS are large and complex enough to benefit soft-tissue coverage. The pedicled temporalis muscle flap is a versatile and reliable flap and may be a valid option to reconstruct defects of the lateral pharyngeal wall and partial soft palate. Read More

    A New Surgical Approach for Tessier No. 4 Facial Cleft Reconstruction: Lip-Rescue Flap.
    J Craniofac Surg 2016 Nov;27(8):2138-2140
    *Plastic Reconstructive and Aesthetic Surgery Clinic, Ankara Diskapi Yildirim Beyazit Education And Research Hospital, Ankara, Turkey†Plastic Reconstructive and Aesthetic Surgery Department, Showa University School of Medicine, Tokyo, Japan‡Plastic Reconstructive and Aesthetic Surgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.
    Craniofacial clefts are rare, severe challenges for surgeons about which there is limited literature. Tessier Number 4 (No. 4) clefts are one of the most complex craniofacial anomalies and present difficulties in surgical treatment. Read More

    Two-Thirds Lip Defects: A New Combined Reconstructive Technique for Patients With Epithelial Cancer.
    J Craniofac Surg 2016 Nov;27(8):1995-2000
    *Department of Experimental and Clinical Medicine, University "Magna Græcia" of Catanzaro, Catanzaro†Department of Surgery "P Valdoni," University of Rome La Sapienza, Rome, Italy.
    Background: The lips are a common site prone to squamous cell carcinomas, which arise in the facial region. There are different techniques to reconstruct the excised lip region, according to dimensions, area, and position of the tumor. The authors describe a new technique of lip reconstruction born from a combination between a nasolabial flap and adipose tissue transplant. Read More

    Columellar Reconstruction: A New Technique for Median Cleft Lip Repair.
    J Craniofac Surg 2017 Mar;28(2):506-507
    Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Trabzon, Turkey.
    Median cleft lip (MCL), failure of the fusion of the medial nasal prominences in the midline resulting in vertical cleft through the center of the upper lip, can be repaired by various columellar reconstruction approaches depending on the nature of patient. The main drawback of these surgical techniques is the use of healthy neighboring structures that may compromise the process. In this report, the authors present a new approach for repairing MCL which involves simultaneous columellar reconstruction without damaging any nasal units. Read More

    Presurgical nasoalveolar molding: A boon to facilitate the surgical repair in infants with cleft lip and palate.
    Contemp Clin Dent 2016 Oct-Dec;7(4):569-573
    Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
    Cleft lip and palate (CLP) is the most common congenital craniofacial anomaly. Rehabilitation of CLP generally requires a team approach. Alveolar and nasal reconstruction for these patients is a challenge for the reconstructive surgeon. Read More

    One Stage Aesthetic and Functional Reconstruction of Major Lower Lip Defects.
    Ann Plast Surg 2017 Apr;78(4):417-420
    From the *Department of Plastic Surgery, Faculty of Medicine, Tanta University, Tanta; and †Department of Plastic Surgery, Faculty of Medicine, Menofia University, Menofia, Egypt.
    Introduction: Multiple techniques have been used for reconstruction of large defects of the lower lip. However, some complications, such as microstomia, distortion of oral commissure, lip functional problems, and sensory loss might occur with these techniques. The aim of this work is to evaluate a new method of reconstruction of large lower lip defects after excision of squamous cell carcinoma. Read More

    Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures.
    JAMA Facial Plast Surg 2016 Dec 15. Epub 2016 Dec 15.
    FACIALTEAM Surgical Group, Marbella High Care International Hospital, Marbella, Málaga, Spain.
    Importance: Together with the forehead reconstruction, feminization of the nose is one of the most common procedures in facial feminization surgery. Rhinoplasty surgical techniques, which provide correct support and stability in the midterm to long term, are essential for obtaining a predictable result.

    Objective: To report on the technical and clinical considerations of rhinoplasty and related procedures to feminize the nose, harmonize the nose in relation to the other modified structures (mainly the forehead and maxillomandibular complex), and achieve an aesthetic result beyond gender differences. Read More

    Upper Lip Reconstruction after Oncologic Resection by a Sliding Advancement Cheek Flap with Buccal Mucosal Eversion.
    Plast Reconstr Surg Glob Open 2016 Nov 10;4(11):e1100. Epub 2016 Nov 10.
    Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of the Ryukyus, Nakagami, Okinawa, Japan; and Department of Oral and Maxillofacial Surgery, University of the Ryukyus Hospital, Nakagami, Okinawa, Japan.

    Surgical Repair of a Median Cleft of the Upper Lip via a Pfeifer Incision: A Case Report.
    J Dent (Tehran) 2016 Mar;13(2):139-142
    Postgraduate Student, Department of Oral and Maxillofacial Surgery School of Dental Sciences, Sharda University, Greater Noida, UP, India.
    Median cleft is the midline cleft of the lip. It develops due to incomplete or failed fusion of the median nasal prominence. It can present with minimal deformities such as involvement of the vermilion border, or complex clefting of the midline structures and brain. Read More

    A Systematized Strategy in Corrective Rhinoplasty for the Asian Deviated Nose.
    Ann Plast Surg 2016 Dec 5. Epub 2016 Dec 5.
    Departments of Plastic and Reconstructive Surgery, Yeungnam University, Daegu, Republic of Korea.
    Background: A deviated nose is a common deformity encountered in rhinoplasty. Over the past several decades, a variety of rhinoplasty techniques have been described focusing on the classification of bony and cartilaginous deviation. Nevertheless, corrective rhinoplasty is still a challenging procedure even for experienced surgeons because of the high recurrence rate of deviation. Read More

    Nasolabial and forehead flap reconstruction of contiguous alar-upper lip defects.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):330-335. Epub 2016 Nov 11.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan. Electronic address:
    Background: Defects of the nasal ala and upper lip aesthetic subunits can be challenging to reconstruct when they occur in isolation. When defects incorporate both the subunits, the challenge is compounded as subunit boundaries also require reconstruction, and local soft tissue reservoirs alone may provide inadequate coverage. In such cases, we used nasolabial flaps for upper lip reconstruction and a forehead flap for alar reconstruction. Read More

    A case of severe mandibular retrognathism with bilateral condylar deformities treated with Le Fort I osteotomy and two advancement genioplasty procedures.
    Korean J Orthod 2016 Nov 14;46(6):395-408. Epub 2016 Nov 14.
    Department of Orthodontics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
    We report a case involving a young female patient with severe mandibular retrognathism accompanied by mandibular condylar deformity that was effectively treated with Le Fort I osteotomy and two genioplasty procedures. At 9 years and 9 months of age, she was diagnosed with Angle Class III malocclusion, a skeletal Class II jaw relationship, an anterior crossbite, congenital absence of some teeth, and a left-sided cleft lip and palate. Although the anterior crossbite and narrow maxillary arch were corrected by interceptive orthodontic treatment, severe mandibular hypogrowth resulted in unexpectedly severe mandibular retrognathism after growth completion. Read More

    Pre-expanded Bipedicled Supratrochlear Perforator Flap for Simultaneous Reconstruction of the Nasal and Upper Lip Defects.
    Clin Plast Surg 2017 Jan;44(1):153-162
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai 200011, P.R. China. Electronic address:
    The double "S" principle should be followed for facial reconstruction: the "similarity" of the donor site to the defect area and the reconstruction should be based on the different "subunits" of the face. In this article the pre-expanded, bipedicled supratrochlear perforator flap method is described, which is used for the resurfacing of both nasal and upper lip defects. This method can provide 2 independent flaps with sufficient tissue from 1 single donor site, resurfacing the nasal and upper lip units separately and providing an unparalleled color and texture match and ideal reconstructive result. Read More

    Medial Femoral Condyle Free Flap for Premaxillary Reconstruction in Median Facial Dysplasia.
    J Craniofac Surg 2017 Jan;28(1):e57-e60
    *Department of Plastic and Reconstructive Surgery, Ulsan University, College of Medicine, Seoul Asan Medical Center †Eastman Dental Clinic, Seoul, Korea.
    Objective: Median facial dysplasia is a distinct development anomaly of the craniofacial region that is characterized by deficient mid facial structures. Medial femoral condyle free flap could be used as a bony flap, and the unique characteristics of this flap provide the surgeons with the periosteal component as well. In this work, the authors present our experience with a patient of median facial dysplasia with unilateral cleft lip, cleft palate, and premaxillary deficiency. Read More

    Soft Tissue Engineering.
    Oral Maxillofac Surg Clin North Am 2017 Feb;29(1):89-104
    Department of Oral & Maxillofacial Surgery, University of Michigan Health System, Towsley Center Rm G1114, 1515 East Medical Center Drive, Ann Arbor, MI 48109-5222, USA. Electronic address:
    There is a recognized need to reconstruct and restore complex craniomaxillofacial soft tissues. The objective of this article is to focus on the role that tissue engineering/regenerative medicine can play in addressing various barriers (vascularity, tissue bulk, volitional control, and esthetics) and impediments (timing, regional applicability/dissemination, and regulation by the US Food and Drug Administration) to optimal tissue reconstruction of complex soft tissue structures. We will use the lips as an example to illustrate our points. Read More

    Treating Scars of the Chin and Perioral Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):55-71
    Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address:
    Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Read More

    Regional early development and eruption of permanent teeth: case report.
    Eur Arch Paediatr Dent 2017 Feb 23;18(1):59-63. Epub 2016 Nov 23.
    Pathology Department, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
    Background: Early development and eruption of permanent teeth are rarely reported in scientific literature. Early eruption of permanent teeth has been reported to occur due to local factors such as trauma or dental abscesses in primary teeth, and in systemic conditions. Congenital diffuse infiltrating facial lipomatosis (CDIFL) is a rare condition that belongs to a group of lipomatosis tumours. Read More

    Use of Combined PMMC and Nasolabial Flap for Reconstruction of Full Thickness Cheek Defect Involving Lip Commisure.
    Indian J Surg Oncol 2016 Dec 8;7(4):453-455. Epub 2016 Jun 8.
    Government Cancer Hospital Aurangabad, Aurangabad, India.
    Head neck cancer constitute significant cancer burden and among it carcinoma of oral cavity involving buccal mucosa is most common entity in India. Very often it involves lip commisure. Radical surgery along with radiotherapy still remains treatment of choice. Read More

    Contrast-enhanced ultrasonography as a new method for assessing autonomization of pedicle and microvascular free flaps in head and neck reconstructive surgery.
    Clin Hemorheol Microcirc 2016 Nov 18. Epub 2016 Nov 18.
    Institute of Radiology, University Medical Center Regensburg, Regensburg, Germany.
    Objective: Evaluating vascular autonomization of pedicle and microvascular free flaps for soft tissue reconstruction in the head and neck area by means of postoperative quantitative measurement of dynamic contrast values obtained with contrast-enhanced ultrasound.

    Methods: 8/18 patients underwent lip reconstruction with a pedicle flap, 10 patients reconstruction of other parts of the head with a microvascular free transplant. Ultrasound examinations were within the 1st postoperative week and 4 weeks after surgery. Read More

    Oral cavity and lip cancer: United Kingdom National Multidisciplinary Guidelines.
    J Laryngol Otol 2016 May;130(S2):S83-S89
    Queen Victoria Hospital,East Grinstead,UK.
    This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessment and management of patients with cancer of the oral cavity and the lip. Recommendations • Surgery remains the mainstay of management for oral cavity tumours. Read More

    Immediate Reconstruction of Large Full-Thickness Segmental Anterior Maxillary Defect with Bone Transport.
    Craniomaxillofac Trauma Reconstr 2016 Nov 15;9(4):305-312. Epub 2016 Sep 15.
    Department of Plastic and Reconstructive Surgery, Instituto Portugues de Oncologia Francisco Gentil, Lisbon, Portugal.
    Maxillary segmental defects are a reconstructive challenge particularly when the anterior arch is involved. Missing bone, mucosa, and teeth should be replaced; fistulae closure should be guaranteed by bone and mucosa continuity; stable functional occlusion should be achieved; and facial aesthetics restored. These defects resulting from tumor excisions, if left untreated, will cause additional problems related to interposed scar and collapse of lip and nose. Read More

    A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction.
    Indian J Plast Surg 2016 May-Aug;49(2):253-257
    The Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trissur, Kerala, India.
    Acampomelic campomelic dysplasia (CD) is a type of CD (CD; OMIM #114290), a rare form of congenital short-limbed dwarfism and is due to mutations in SOX9 gene family. Characteristic phenotypes of CD include bowing of the lower limbs, a narrow thoracic cage, 11 pairs of ribs, hypoplastic scapulae, macrocephaly, flattened supraorbital ridges and nasal bridge, cleft palate and micrognathia. The bending of the long bones is not an obligatory feature and is absent in about 10% of cases, referred to as acampomelic CD. Read More

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