14,823 results match your criteria Nasal Reconstruction


Recurrent Ameloblastoma Involving Fibula Neo-mandible: Management with Digital Planning and Reconstruction Using a Contralateral Free Fibula Flap.

Cureus 2020 Apr 29;12(4):e7880. Epub 2020 Apr 29.

Maxillofacial Surgery, St. James's Hospital, Dublin, IRL.

Ameloblastoma is a locally aggressive tumor that most commonly arises in the mandible. It has a high rate of recurrence if inadequately excised. We report a case of a patient who developed recurrence of his ameloblastoma in his fibula flap mandibular reconstruction despite clear resection margins 23 years after resection. Read More

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http://dx.doi.org/10.7759/cureus.7880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255542PMC

Maxillary Sinus Ameloblastoma: Transnasal Endoscopic Management.

Ear Nose Throat J 2020 Jun 2:145561320930555. Epub 2020 Jun 2.

Department of Otolaryngology, University of British Columbia and St Paul's Sinus Centre, Vancouver, British Columbia, Canada.

Ameloblastoma (AM) is a slow growing and aggressive benign tumor with an odontogenic epithelial origin arising from the mandible or maxilla. The odontogenic neoplasm invades local tissues asymptomatically and accounts for 1% of oral tumors and over 10% of odontogenic tumors. A 64-year-old man with a history of allergic fungal rhinosinusitis (AFRS) undergoing a revision image-guided endoscopic sinus surgery was found to have a fibrous mass suspicious of malignancy projecting inferolaterally and attached to the floor of the left maxillary sinus. Read More

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http://dx.doi.org/10.1177/0145561320930555DOI Listing

Recent Advances in Cone-beam CT in Oral Medicine.

Curr Med Imaging 2020 ;16(5):553-564

Oral Rehabilitation Department, Dental Faculty, Paul Sabatier University, Toulouse University Hospital (CHU de Toulouse), Toulouse, France.

Background: The cone-beam computed tomography (CBCT) technology has continuously evolved since its appearance in oral medicine in the early 2000s.

Objectives: To present recent advances in CBCT in oral medicine: i) selection of recent and consensual evidence-based sources, ii) structured summary of the information based on an iterative framework and iii) compliance with ethical, public health and patient-centered concerns.

Main Findings: We will focus on technological advances, such as sensors and reconstruction algorithms used to improve the constant quality of the image and dosimetry. Read More

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http://dx.doi.org/10.2174/1573405615666190114152003DOI Listing
January 2020

Intraoperative Sphenoid Sinus Volume Measurement as an Alternative Technique to Intraoperative Computer Tomography.

Diagnostics (Basel) 2020 May 28;10(6). Epub 2020 May 28.

Radio Engineering Systems Department, Saint Petersburg Electrotechnical University "LETI", 197376 St Petersburg, Russia.

Isolated sphenoid sinus disease (ISSD) is where there is a group of pathologies characterized by inflammation in one or both sphenoid sinuses. Although computer tomography (CT)-based 3D reconstruction remains the gold standard among noninvasive approaches to ISSD diagnostics, no standardized techniques for direct intraoperative measurements of the sphenoid sinus volume in ISSD patients have been documented. We suggest a novel technique for the intraoperative measurement of the sphenoid sinus volume. Read More

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http://dx.doi.org/10.3390/diagnostics10060350DOI Listing

Diagnosis and treatment of congenital nasal dermoid and sinus cysts in 11 infants: A consort compliant study.

Medicine (Baltimore) 2020 May;99(21):e19435

Department of Otolaryngology-Head and Neck Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai Key Laboratory of Sleep Disordered Breathing, Shanghai, China.

There have been few studies on congenital nasal dermoid and sinus cysts (NDSCs) in infants.This study was performed to obtain clinical data for the diagnosis and treatment of NDSCs in infants.We performed a retrospective analysis of 11 infants admitted with NDSCs between 2014 and 2019. Read More

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http://dx.doi.org/10.1097/MD.0000000000019435DOI Listing

Conjunctival Adenosquamous Carcinoma Lacks Translocation: A Variant of Squamous Cell Carcinoma With Mucoepidermoid Differentiation and Aggressive Behavior?

Int J Surg Pathol 2020 May 31:1066896920918944. Epub 2020 May 31.

Department of Pathology, Queen Elizabeth Hospital, Kowloon, Hong Kong SAR, China.

Conjunctival adenosquamous carcinoma, also known as mucoepidermoid carcinoma (MEC), is a rare tumor that preferentially affects the perilimbal area of the conjunctiva with aggressive local invasion. Consisting of infiltrative proliferation of squamous cells and mucous cells, its morphologic features are reminiscent of the salivary gland-type MEC except for the absence of intermediate cells and frequent keratin production. We reported 2 cases of conjunctival adenosquamous carcinoma and, for the first time, studied the translocation status of this rare entity. Read More

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http://dx.doi.org/10.1177/1066896920918944DOI Listing

Heminasal Reconstruction Utilizing Presurgical Planning, Template-Based Cartilage Reconstruction and Tissue Expansion.

J Craniofac Surg 2020 May 28. Epub 2020 May 28.

Division of Plastic and Reconstructive Surgery. Children's National Hospital. Washington DC.

Heminasal aplasia is a rare congenital nasal anomaly in which there is unilateral deficiency in both the external nasal anatomy and nasal airway. Unilateral failure in development of a nasal placode in embryogenesis is thought to be the underlying cause of this anomaly. The authors describe the reconstruction of heminasal aplasia in a teenager utilizing a templated cartilaginous framework and tissue expansion. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006522DOI Listing

deficiency interacts with hypoxia and induces a morphogenetic regulation during lip development.

Development 2020 May 28. Epub 2020 May 28.

Biosciences Institute, Newcastle University, International Centre for Life, Newcastle upon Tyne, UK

Nonsyndromic clefts of the lip and palate are common birth defects resulting from gene-gene and gene-environment interactions. mutations have been linked to orofacial clefting and we show here that deficiency causes a growth defect of the medial nasal process (Mnp) in mouse embryos. While this defect alone does not disrupt lip formation, -deficient embryos develop a cleft lip when the mother is transiently exposed to reduced oxygen levels or to Phenytoin, a drug known to cause embryonic hypoxia. Read More

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http://dx.doi.org/10.1242/dev.189175DOI Listing

A Rare Case Report of Encephalocele with Numerous Ependymal Components: A Potential Diagnostic Pitfall.

Int J Surg Pathol 2020 May 28:1066896920925146. Epub 2020 May 28.

Chongqing Hospital of Traditional Chinese Medicine, Jiangbei District, Chongqing, China.

Different cellular constituents of the central nervous system occurring in encephaloceles or neuroglial heterotopias (NGHs) have been reported, but the ependymal morphology has rarely been described in the previous literature, let alone the related histological images. To determine the ependymal morphology in encephaloceles or NGHs, we report a rare case of encephalocele with numerous ependymal components. Radiological examination showed that a 6. Read More

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http://dx.doi.org/10.1177/1066896920925146DOI Listing

Emergency Laryngectomy Feasibility and Indications Beyond Airway Obstruction in the Era of Concurrent Chemoradiotherapy.

Ear Nose Throat J 2020 May 26:145561320927946. Epub 2020 May 26.

National Health Service, Birmingham, United Kingdom.

Background: It is believed that carrying out laryngectomy in tracheotomized patients leads to higher postoperative complications and stomal recurrence compared to carrying out the procedure upfront without prior tracheotomy. We believe that emergency laryngectomy is a feasible procedure in most cancer centers and can be carried out for indications beyond acute airway obstruction as well and complex reconstruction procedures can be also carried out simultaneously. We hereby describe our experience with emergency laryngectomy with or without pharyngectomy. Read More

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http://dx.doi.org/10.1177/0145561320927946DOI Listing

Rhinoplasty Refinements: Addressing the Deviated, Over-projected Nose.

Plast Reconstr Surg 2020 May 21. Epub 2020 May 21.

Dallas Plastic Surgery Institute.

Deprojection of an overprojected nose and correction of an infralobular deformity are very challenging for rhinoplasty surgeons because they need systematic approach to correct these problems. A deviated nose with a dorsal hump is a common deformity which is best treated using septal reconstruction and the component dorsal hump reduction technique using an open rhinoplasty approach. This article and video shows how to correct a deviated nose with overprojection and a dorsal hump deformity. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006800DOI Listing

Giant nasofrontal meningioma: endoscopic and transcranial approach followed by microvascularized vastus laterallis flap reconstruction.

Childs Nerv Syst 2020 May 26. Epub 2020 May 26.

Department of Plastic Surgery, Hospital La Fe, Valencia, Spain.

A 12-year-old girl presented with headache, nasal voice, and anosmia. Magnetic resonance imaging demonstrated a 11 × 9 × 8-cm tumor extending from the nasal cavity to the frontal lobes. Histological analysis was consistent with transitional meningioma WHO grade I. Read More

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http://dx.doi.org/10.1007/s00381-020-04684-6DOI Listing

Ear malformations: what do radiologists need to know?

Clin Imaging 2020 Apr 20;66:42-53. Epub 2020 Apr 20.

Department of Radio-diagnosis, Zagazig University, Zagazig, Egypt.

Ear malformations represent 50% of ear, nose and throat malformations. Ear malformations cause conductive hearing loss (CHL) and/or sensorineural hearing loss (SNHL) with a significant childhood disability worldwide. Early accurate diagnosis and treatment are mandatory to enhance language and speech development. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.04.022DOI Listing

Two-stage pedicled interpolation flap with wings for reconstruction of combined nasal tip/columella defects.

J Dtsch Dermatol Ges 2020 May 24. Epub 2020 May 24.

Department of Dermatology and Allergology, School of Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

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http://dx.doi.org/10.1111/ddg.14111DOI Listing

Force balance reconstruction of the orbicularis oris in unilateral incomplete cleft lip.

J Plast Reconstr Aesthet Surg 2020 Mar 16. Epub 2020 Mar 16.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China, 610041. Electronic address:

Purpose: To demonstrate a maneuver for achieving optimal force balance of reconstructed orbicularis oris during primary unilateral incomplete cleft lip reconstruction.

Methods: The surgical maneuver was performed as follows: the length of the orbicularis oris on the noncleft side is first isolated and adjusted to be equal to the length of the muscle on the cleft side. The remaining muscle from the noncleft side near the midline is used to fill in the vermilion tubercle, and finally, the two orbicularis oris muscles are sutured at the midline. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.03.010DOI Listing

Duplication of the oral cavity and mandible: a rare congenital craniofacial anomaly.

BMJ Case Rep 2020 May 19;13(5). Epub 2020 May 19.

Otolaryngology - Head & Neck Surgery, MUSC, Charleston, South Carolina, USA.

A newborn girl was referred to the otolaryngology service after prenatal imaging showed a right mandibular mass. Physical examination revealed a 1-2 cm mass along the right mandible with the appearance of a vestigial oral cavity. Tissue resembling the vermillion and primitive tongue appeared innervated and moved in conjunction with oral movements. Read More

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http://dx.doi.org/10.1136/bcr-2019-233799DOI Listing

Facial Reconstruction Based on Combined Three-Dimensional Printing and Microsurgical Free Transfer.

J Craniofac Surg 2020 May 19. Epub 2020 May 19.

Department of Plastic and Reconstructive Surgery and Burn Unit, Centro Hospitalar de São João, Porto Medical School, Alameda Professor Hernâni Monteiro, Porto, Portugal.

There are patients with craniofacial deformity that can lead to extensive bone loss and severe disfigurement. Autologous reconstruction may be challenging in these patients, and it is usually associated with flap donor area morbidity and unfavorable aesthetic and functional results. A 51-year-old patient with human immunodeficiency virus infection, developed in the context of immunosuppression a fulminant fungal rhino-sinusitis with the need for surgical debridement, and in consequence extensive destruction of the nasal cavity and upper jaw, resulting in severe disfigurement due to nasal deformity and maxillary collapse. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006559DOI Listing

Comparison of the Outcomes of Closed Reduction Nasal Bone Fractures With a Surgical Navigation System.

J Craniofac Surg 2020 May 19. Epub 2020 May 19.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Republic of Korea.

Background: The most prevalent form of facial bone fractures is nasal fractures. The surgical procedures used for these fractures are relatively simple, but complete correction is not easy because the nasal bone is small and identifying the fracture site by palpation is difficult. This study aimed to investigate the efficacy of intraoperative surgical navigation systems in nasal bone fracture surgery through a prospective analysis. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006546DOI Listing

Superficial Muscular Aponeurotic System-Pedicled Flaps for the Reconstruction of Facial Defects: Clinical application and Anatomical Basis.

J Plast Reconstr Aesthet Surg 2020 Mar 13. Epub 2020 Mar 13.

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. Electronic address:

Background: Application of distant skin flaps in facial defect reconstruction has limitations such as leaving a patch like appearance and being restricted by the length of the vascular pedicles. Leveraging the abundance of blood supply from superficial muscular aponeurotic system (SMAS), a local skin flap pedicled by SMAS can be used to avoid the aforementioned problems. Herein, we report the clinical application as well as the anatomical study of SMAS-pedicled skin flaps. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.02.009DOI Listing

Congenital arrhinia: A case report and literature review.

Int J Pediatr Otorhinolaryngol 2020 May 5;135:110083. Epub 2020 May 5.

Al-Quds University Faculty of Medicine, Jerusalem, Palestine. Electronic address:

Introduction: Underdevelopment of the nose is a wide spectrum entity ranges from partial absence of the nose to congenital arrhinia (CA). CA is the congenital absence of the external nose, nasal cavities, and/or nasal nostrils±olfactory apparatus, and is an extremely rare entity as less than 50 cases reported in the literature. CA can be isolated and idiopathic in origin or be a part of genetic-linked certain syndromes. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110083DOI Listing

Concomitant Dorsal Preservation Rhinoplasty and Orthognathic Surgery: A Technical Note.

J Oral Maxillofac Surg 2020 Apr 18. Epub 2020 Apr 18.

Private Practitioner, Faculty of Dentistry, Boroujerd Islamic Azad University, Boroujerd, Iran. Electronic address:

Purpose: In the present report, we have introduced a novel technique for concomitant Le Fort I surgery and dorsal preservation rhinoplasty and reviewed the reported data.

Patients And Methods: Concurrent surgery could be considered a suitable option for patients requiring both upper jaw orthognathic surgery and rhinoplasty or those who are willing to undergo single-stage concomitant rhinoplasty and orthognathic surgery. In the present technical note, we have introduced a dorsal preservation rhinoplasty technique combined with Le Fort I surgery through an intraoral approach. Read More

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http://dx.doi.org/10.1016/j.joms.2020.04.015DOI Listing

Evaluation of olfactory function in patients undergoing endoscopic skull base surgery with nasoseptal flap.

Braz J Otorhinolaryngol 2020 Apr 27. Epub 2020 Apr 27.

Santa Casa de Misericórdia de São Paulo, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil; Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.

Introduction: Endoscopic transnasal access to the skull base, both for treatment and reconstruction, can cause olfactory morbidity. Knowing the main consequences of this intervention is essential to have objective criteria for decision-making regarding the appropriate surgical technique.

Objectives: The aim of this study is to determine the impact on olfactory function of the endonasal endoscopic access to the skull base with the creation of the nasoseptal flap. Read More

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http://dx.doi.org/10.1016/j.bjorl.2020.03.006DOI Listing

Management of Complicated Nasal Defects.

Facial Plast Surg 2020 Apr 15;36(2):158-165. Epub 2020 May 15.

Department of Otolaryngology Head and Neck Surgery, Johns Hopkins Medical Institute, Baltimore, Maryland.

The nose is the most common site for nonmelanoma skin cancer. Fortunately, most skin cancer lesions on the nose are discovered early and their timely diagnosis and excision result in superficial defects that can be reconstructed with minimal impact on the aesthetics and function. Reconstruction of full-thickness defects of the nose remains a challenging endeavor for reconstructive surgeons. Read More

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http://dx.doi.org/10.1055/s-0040-1709141DOI Listing

Experience With the Endoscopic Contralateral Transmaxillary Approach to the Petroclival Skull Base.

Laryngoscope 2020 May 15. Epub 2020 May 15.

Center for Cranial Base Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Objectives/hypothesis: The contralateral transmaxillary (CTM) approach is a new surgical approach that improves the surgical trajectory relative to the petrous segment of the internal carotid artery (ICA). Here, we present our clinical experience with the CTM approach to the petroclival region of the skull base.

Study Design: Retrospective review. Read More

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http://dx.doi.org/10.1002/lary.28740DOI Listing

Best Practice Guidelines for the Management of Acute Craniomaxillofacial Trauma During the COVID-19 Pandemic.

J Craniofac Surg 2020 May 11. Epub 2020 May 11.

Division of Plastic and Reconstructive Surgery, University of Toronto.

Coronavirus disease 2019 (COVID-19) is an infectious disease that is caused by severe respiratory syndrome coronavirus 2. Although elective surgical procedures are being cancelled in many parts of the world during the COVID-19 pandemic, acute craniomaxillofacial (CMF) trauma will continue to occur and will need to be appropriately managed. Surgical procedures involving the nasal, oral, or pharyngeal mucosa carry a high risk of transmission due to aerosolization of the virus which is known to be in high concentration in these areas. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006654DOI Listing

Do Postoperative Antibiotics Affect Outcomes in Mohs Reconstructive Surgery?

Laryngoscope 2020 May 13. Epub 2020 May 13.

Department of Otolaryngology-Head and Neck Surgery,, University of Virginia, Charlottesville, Virginia, U.S.A.

Objectives/hypothesis: The prescribing of postoperative antibiotics for patients undergoing Mohs reconstructive surgery has increased in the last decade, while antibiotic resistance has been increasing. We hypothesized that routine prescribing of postoperative antibiotics after Mohs reconstruction does not decrease the risk of surgical site infection.

Study Design: Retrospective, single-institution cohort study. Read More

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http://dx.doi.org/10.1002/lary.28700DOI Listing

Facial Artery Musculomucosal Flap for Nasopharyngeal and Oropharyngeal Reconstruction.

Facial Plast Surg Aesthet Med 2020 May 12. Epub 2020 May 12.

Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA.

The facial artery musculomucosal (FAMM) flap is a well vascularized axial flap which has been described for mucosal reconstructions throughout the oral cavity. There are limited data regarding its efficacy in secondary repair of nasopharyngeal stenosis and velopharyngeal insufficiency due previous surgery and scar tissue formation. This study seeks to demonstrate the efficacy of FAMM flap procedure in patients with nasopharyngeal stenosis and velopharyngeal insufficiency. Read More

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http://dx.doi.org/10.1089/fpsam.2019.0001DOI Listing

Comparison of a purely endoscopic three-layer technique versus pericranial flap for reconstruction of anterior skull base defects after sino-nasal tumor resection: assessment of postoperative frontal lobe sagging and frontal lobe falling.

Rhinology 2020 May 12. Epub 2020 May 12.

Otorhinolaryngology, Audiology and Phoniatrics Operative Unit, Azienda Ospedaliero Universitaria Pisana, Department of Surgical, Medical, Molecular Pathology and Emergency Medicine, University of Pisa, Pisa, Italy.

Background: The evolution of endoscopic skull base approaches has enabled surgeons to manage selected skull base tumors through a transnasal endoscope-assisted approach. On the other side, more extensive lesions may require a combined cranioendoscopic approach. In this paper, we analysed and compared the incidence of frontal lobe sagging after endoscopic multilayer (EM) reconstruction versus pericranial flap (PF) reconstruction. Read More

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http://dx.doi.org/10.4193/Rhin19.431DOI Listing

Radiographic surveillance of abdominal free fat graft in complex parotid pleomorphic adenomas: A case series.

Heliyon 2020 May 4;6(5):e03894. Epub 2020 May 4.

Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.

Background: Free abdominal fat transfer is commonly used to restore facial volume and improve cosmesis after parotidectomy for pleomorphic adenomas. We describe the radiographic characteristics of these grafts on follow-up imaging.

Methods: Medical records of four patients who underwent parotidectomy with abdominal fat graft in 2016 and had follow up imaging available were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e03894DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210407PMC

Premaxillary Deficiency: Techniques in Augmentation and Reconstruction.

Semin Plast Surg 2020 May 6;34(2):92-98. Epub 2020 May 6.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

Progressive premaxillary retrusion is a common sequela of the facial aging process. In most cases, this manifests with central maxillary recession. Central maxillary insufficiency is also commonly encountered within certain ethnic communities, or in cleft lip nasal deformity, and may represent a challenge for the plastic and reconstructive surgeon attempting correction in the setting of facial contouring, rhinoplasty, or reconstruction following oncologic resection or trauma. Read More

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http://dx.doi.org/10.1055/s-0040-1709175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202913PMC

Palatomaxillary Reconstruction: Fibula or Scapula.

Semin Plast Surg 2020 May 6;34(2):86-91. Epub 2020 May 6.

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York.

Palatomaxillary reconstruction presents a unique challenge for the reconstructive surgeon. The maxillofacial skeleton preserves critical aerodigestive functions-it provides a stable hard palate to support mastication and separate the nasal and oral cavities, and buttress support to provide adequate midface contour. Free tissue transfer has become a routine part of the reconstructive ladder in managing palatomaxillary defects. Read More

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http://dx.doi.org/10.1055/s-0040-1709431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202915PMC

[Long-Term Survival in a Patient with Stage Ⅳ Gastric Cancer Successfully Treated with Multidisplinary Treatment].

Gan To Kagaku Ryoho 2020 Apr;47(4):655-657

Dept. of Surgery, Kansai Rosai Hospital.

A man in his 60s who had epigastric pain was referred to our hospital and diagnosed with advanced type 3 gastric cancer with multiple liver metastases, cT4acN2cN1(H1), cStage Ⅳ(HER2 3+). He underwent chemotherapy using capecitabine, cisplatin(CDDP), and trastuzumab(T-mab)(XPT). After 7 courses of XPT and 23 courses of XT, liver metastases disappeared, and we decided to perform open distal gastrectomy, D2+ #18 lymphadenectomy, and Billroth Ⅰ reconstruction as a conversion surgery. Read More

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How to manage continuous positive airway pressure (CPAP) failure -hybrid surgery and integrated treatment.

Auris Nasus Larynx 2020 May 5. Epub 2020 May 5.

Department of Sports Sciences, University of Taipei, Taipei 111, Taiwan.

Obstructive sleep apnea (OSA) is a prevalent disease, which influences social relations and quality of life with major health impact. The etiology of OSA is multi-factorial involving both anatomical obstruction and physiological collapse of the upper airway during sleep with different proportion in individual patients. Continuous positive airway pressure (CPAP) is the gold standard and first-line treatment for OSA patients. Read More

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http://dx.doi.org/10.1016/j.anl.2020.03.007DOI Listing

Secondary Intention Healing After Mohs Surgical Excision as an Alternative to Surgical Repair: Evaluation of Wound Characteristics and Esthetic Outcomes.

Ann Plast Surg 2020 May 7. Epub 2020 May 7.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery.

Background: A multitude of reconstructive options exist for patients after Mohs surgery of cutaneous neoplasms of the head and neck. Secondary intention healing is often overlooked and underused but has numerous advantages, including superior esthetic outcomes compared with surgical reconstruction for wounds that exhibit particular characteristics. The ability to predict cosmetic results based on wound characteristics can greatly help in the decision between surgical repair and secondary intention healing. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002330DOI Listing

Surgical Adjuncts to Rhinoplasty: An Algorithmic Approach.

Aesthetic Plast Surg 2020 May 7. Epub 2020 May 7.

Division of Plastic and Reconstructive Surgery, University of Kentucky, Lexington, KY, USA.

Background: Nasal aesthetics can be significantly affected by the interdependence of the surrounding bone and soft tissues of the face. These include the maxilla, septum, frontal bone, mandible, and the soft tissues and cartilage surrounding the nose. Therefore, it is pertinent to analyze and address these critical relationships of the nose in order to achieve a successful rhinoplasty. Read More

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http://dx.doi.org/10.1007/s00266-020-01744-9DOI Listing

BILOBED FLAP IN FACIAL RECONSTRUCTION.

Acta Chir Plast 2020 ;61(1-4):10-15

Introduction: The bilobed flap was first described by Esser in 1918. He used it to reconstruct the defects of the nose. It has been used in the reconstructions of trunk and feet defects by many authors since then. Read More

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January 2020

Tailored Nasal Reconstruction after Dog-Bite Injury in a Young Woman.

Indian J Plast Surg 2020 Mar 14;53(1):157-158. Epub 2020 Apr 14.

Department of Otolaryngology-Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy.

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http://dx.doi.org/10.1055/s-0040-1709811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192702PMC

Head and Neck Tumor Resection and Free Flap Reconstruction in Low-Volume Center.

Ear Nose Throat J 2020 May 4:145561320923835. Epub 2020 May 4.

John A Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.

Objective: To determine the surgical outcomes of free tissue transfer surgery following head and neck tumor extirpation in a low-volume medical center.

Methods: Retrospective chart review of patients who underwent free tissue transfer surgery for head and neck cancer at Moanalua Medical Center from 2015 to 2018.

Main Outcome Of Measure: Free flap failure rate and free flap-related complications. Read More

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http://dx.doi.org/10.1177/0145561320923835DOI Listing

Mouth breathing impairs the development of temporomandibular joint at a very early stage.

Oral Dis 2020 Apr 30. Epub 2020 Apr 30.

Department of Oral & Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China.

Objectives: The study aimed to explore the effects of mouth breathing and hypoxia on the condyle of temporomandibular joint (TMJ) via two animal models.

Methods: 24 four-week-old rats were randomly separated into three groups, consisting of eight control rats, eight intermittent hypoxia (IH) rats, and eight intermittent nasal obstruction (INO) rats. We use the IH model and the INO model to simulate children suffering from hypoxia and mouth breathing. Read More

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http://dx.doi.org/10.1111/odi.13377DOI Listing

Advances in regenerative medicine for otolaryngology/head and neck surgery.

BMJ 2020 04 29;369:m718. Epub 2020 Apr 29.

Head and Neck Regenerative Medicine Laboratory, Mayo Clinic Arizona, Scottsdale, AZ, USA

Head and neck structures govern the vital functions of breathing and swallowing. Additionally, these structures facilitate our sense of self through vocal communication, hearing, facial animation, and physical appearance. Loss of these functions can lead to loss of life or greatly affect quality of life. Read More

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http://dx.doi.org/10.1136/bmj.m718DOI Listing

Intrasinus bolstering of traumatic maxillary sinus fractures by using Foley catheter balloons in two foals.

Vet Surg 2020 Apr 29. Epub 2020 Apr 29.

Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio.

Objective: To describe the repair of unstable facial fractures by using Foley catheter balloons as intrasinus bolsters.

Study Design: Case report ANIMALS: Two weanling foals with unilateral fractures of the sinus and orbit secondary to kick injuries. Preoperative imaging that included positive contrast dacrocystorhinography and computed tomography confirmed severe comminution of facial fractures and nasolacrimal duct disruption in both foals. Read More

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http://dx.doi.org/10.1111/vsu.13433DOI Listing

Endoscopic endonasal open reduction for fractures of the frontal process of the maxilla.

J Int Med Res 2020 Apr;48(4):300060520920043

Department of Otorhinolaryngology, Wuxi Huishan District People's Hospital, Wuxi, P.R. China.

Objective: This study was performed to evaluate the clinical efficacy of endoscopic endonasal open reduction of fractures of the frontal process of the maxilla (FFPM).

Methods: We performed a retrospective study of patients who underwent endoscopic endonasal open reduction of FFPM from December 2013 to October 2018. The preoperative assessment included nasal endoscopy, computed tomography imaging, and three-dimensional craniofacial reconstruction. Read More

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http://dx.doi.org/10.1177/0300060520920043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221172PMC

Epithelial-Myoepithelial Carcinoma of the Lacrimal Sac and Literature Review of the Lacrimal System.

Allergy Rhinol (Providence) 2020 Jan-Dec;11:2152656720920600. Epub 2020 Apr 20.

Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana.

Background: Epithelial-myoepithelial carcinomas make up less than 0.1% of head and neck malignancies and are regarded as rare, low-grade malignant neoplasms of the salivary gland. They are thought to arise from intercalated ducts with histopathology showing a classic biphasic morphology of an outer layer of myoepithelial cells and inner layer of epithelial cells. Read More

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http://dx.doi.org/10.1177/2152656720920600DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175067PMC

The expanded endonasal approach in pediatric skull base surgery: A review.

Laryngoscope Investig Otolaryngol 2020 Apr 4;5(2):313-325. Epub 2020 Mar 4.

Otolaryngology-Head and Neck Surgery The Ohio State University Columbus Ohio USA.

Objective: Surgery of the pediatric skull base has multiple unique challenges and has seen recent rapid advances. The objective of this review is to assess key issues in pediatric skull base surgery (SBS), including anatomic limitations, surgical approaches, reconstruction techniques, postoperative care, complications, and outcomes.

Data Sources: PubMed literature review. Read More

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http://dx.doi.org/10.1002/lio2.369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178460PMC

Nasal Obstruction and Rhinoplasty: A Focused Literature Review.

Aesthetic Plast Surg 2020 Apr 23. Epub 2020 Apr 23.

MetroHealth System, Case Western Reserve University, Cleveland, OH, 44113, USA.

Background: There is a significant variation in the assessment, treatment, and outcomes of nasal airway obstruction and management in the published literature. This study aimed to: (1) define key components of the nasal airway, (2) identify frequent causes of nasal obstruction, and (3) review existing treatment methods.

Methods: A systematic review of the literature was performed, and 135 studies were included via the following criteria: English, human subjects, and a primary endpoint of nasal airway improvement. Read More

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http://dx.doi.org/10.1007/s00266-020-01710-5DOI Listing

Early nasal reconstruction after skin-preserving excision of squamous cell carcinoma of the nasal vestibule.

J Plast Reconstr Aesthet Surg 2020 Mar 15. Epub 2020 Mar 15.

Department of Otorhinolaryngology, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.

Surgery for early-stage squamous cell carcinoma of the nasal vestibule (SCCNV) may lead to facial disfigurement. We wanted to investigate if skin-preserving excision of SCCNV with reconstruction is oncologically, aesthetically, and functionally justifiable in cases with proximity to the skin. From 2010 to 2016, 16 patients underwent skin-preserving excision of T1-2 N0 SCCNV by a lateral rhinotomy approach at a tertiary referral center. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.03.001DOI Listing

Morbidity in the postoperative follow-up of endoscopic anterior skull base surgery.

Braz J Otorhinolaryngol 2020 Apr 11. Epub 2020 Apr 11.

Departamento de Morfologia da Faculdade de Medicina da Universidade de Brasília, Brasília, DF, Brazil.

Introduction: Endoscopic access to the sellar region by videoendoscopy shows a low rate of surgical complications, with findings that indicate risk factors for reducing morbidities during and after the postoperative period.

Objective: To evaluate, over a nine-year period, the acquisition of skills by the anterior skull base surgical team, according to the time of elimination of nasal crusts and/or the presence of morbidities in the postoperative follow-up of individuals treated in a tertiary public hospital.

Methods: After confirming the diagnosis of skull base pathologies, the individuals in this study underwent endoscopic surgery according to the rostrocaudal or coronal axis. Read More

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http://dx.doi.org/10.1016/j.bjorl.2020.02.006DOI Listing

Giant Post-Traumatic Frontoethmoid Osteoma: Diagnostic, Therapeutic and Reconstructive Approach.

Turk Arch Otorhinolaryngol 2020 Mar 1;58(1):61-64. Epub 2020 Mar 1.

Department of Neurosurgery, Hospital de Braga, Braga, Portugal.

Paranasal sinus osteomas are rare, slow-growing and benign lesions with potentially serious complications. They usually remain asymptomatic but when osteomas grow they can lead to local complications and cause evident aesthetic deformity due to the direct mass effect and in these situations, surgery is required. This is a report of a 30-year-old man with a rare giant post-traumatic osteoma that occupies the right nasal fossa, ethmoidal cells and frontal sinuses with extension into the right orbit. Read More

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http://dx.doi.org/10.5152/tao.2020.4858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162604PMC

Management of double-head pterygium with conjunctival autograft and primary closure.

Int Med Case Rep J 2020 1;13:111-115. Epub 2020 Apr 1.

Centre for Ophthalmology, University of Tübingen, Tübingen, Germany.

Purpose: Double-headed pterygia are rare and present the surgeon with challenges. This case report illustrates the surgical management and the course of healing in a double-head pterygium patient.

Case Report: A 53-year-old man was referred to our eye hospital with a double-head pterygium of the right eye. Read More

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http://dx.doi.org/10.2147/IMCRJ.S203897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138956PMC