Search Our Scientific Publications & Authors

J Craniofac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Plastic and Reconstructive Surgery, The First Affiliated Hospital of China Medical University, People's Republic of China.

Background: Rhinophyma is a rare disease characterized by chronic inflammation and hypertrophy of sebaceous glands, blood vessels, and fibrous tissue, associated with end-stage severe acne rosacea. There are multiple approaches to treatment and repair, including dermal shaving, secondary intention healing, free skin graft, and skin flaps. However, these methods have various disadvantages, such as prolonged healing, obvious scarring, and skin texture mismatch. Read More

Scand J Surg 2019 Apr 17:1457496919840958. Epub 2019 Apr 17.

1 Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Background And Aims: Additive manufacturing or three-dimensional printing is a novel production methodology for producing patient-specific models, medical aids, tools, and implants. However, the clinical impact of this technology is unknown. In this study, we sought to characterize the clinical adoption of medical additive manufacturing in Finland in 2016-2017. Read More

Sultan Qaboos Univ Med J 2018 Nov 28;18(4):e549-e552. Epub 2019 Mar 28.

Center of Advanced Research in Medical Mycology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Conidiobolomycosis is a rare fungal infection that affects adults in tropical regions. We report a 42-year-old male patient who was referred to the Sulaiman Al Habib Hospital, Dubai, United Arab Emirates (UAE), in 2013 with excessive nasal bleeding and a suspected nasal tumour. He reported having briefly visited central India nine months previously. Read More

Indian J Plast Surg 2018 Sep-Dec;51(3):306-308

Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India.

Background: While using radial forearm free flap in palate reconstruction, the pedicle lies in the nasal floor, constantly exposed to the nasal secretions and turbulent air current. To overcome this problem, we have designed a procedure which utilises the adipofascial extension to wrap the pedicle and nasal side of the flap.

Materials And Methods: The study was done during 2017 and 2018, 2 years' period. Read More

Laryngorhinootologie 2019 Apr 9;98(4):278-292. Epub 2019 Apr 9.

Reconstruction of defects resulting from the resection of skin tumors in the face depends on patient-specific factors such as prior radiation therapy or prior surgery, the patient´s individual expectations and the skills of the surgeon. Local flaps are favorable in several respects, however they require a detailed plan and experience when being executed. The following article provides an overview of the most frequently used local flaps which have a high reliability for reconstruction. Read More

Childs Nerv Syst 2019 Apr 9. Epub 2019 Apr 9.

ENT Department, Maxcure Hospital, Hyderabad, India.

Introduction: Benign lesions of the skull base are common in the paediatric population, and are usually congenital in aetiology. Majority of these lesions are treated transcranially exposing the patients to a number of risks. Although endoscopic endonasal surgery (EES) helps avoid many of these potential morbidities, CSF leak with its attendant complication remains a big concern. Read More

J Plast Reconstr Aesthet Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of Plastic and Reconstructive Surgery, Charing Cross Hospital Campus, Imperial College Healthcare, Fulham Palace Road, London W6 8RF, UK.

Background: The incidence of head and neck cancer (H&N) continues to increase together with the need for reconstructive surgery. Head and Neck microsurgeons are likely to encounter challenging secondary free flap surgery on the background of failed primary flaps, radiotherapy treatment or recurrence. The aim of this study was to review our experience of treating such cases in a tertiary referral centre in the United Kingdom. Read More

J Dermatolog Treat 2019 Apr 8:1-13. Epub 2019 Apr 8.

a Department of Dermatology , Seoul National University College of Medicine, Bundang Hospital , Gyeonggi , Korea.

Abstracts Background: Several local flaps have been introduced for the reconstruction of small-to-medium-sized nasal supratip defects.

Objective: To evaluate the outcome of reconstructing supratip defects using tangential advancement flaps from the vertical alar groove tissue.

Methods & Materials: Medical records of 20 patients who underwent supratip reconstruction using this flap between January 2012 and July 2018 were retrospectively analyzed. Read More

J Craniofac Surg 2019 Apr 2. Epub 2019 Apr 2.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Kafrelsheikh University Hospitals.

Background: Different autologous materials are recently used in the purpose of augmentation of the nasal dorsum. Despite the benefits and drawbacks, nasal reconstruction with autologous tissue remains a better method for excellent results and lower morbidity rates.

Methods: The authors harvested conchal cartilage from the ears and use it after dicing. Read More

Br J Dermatol 2019 Apr 4. Epub 2019 Apr 4.

Mohs Micrographic and Dermatologic Surgery Unit, Skin Cancer Institute, Skin Centre, Tauranga, New Zealand.

Following our report of full thickness grafts for repair of ala defects , we present our experience with conchal bowl donor skin, for reconstruction of partial-thickness defects of the ala. Analysis of electronic medical records (April 2007 to January 2017) identified all cases. Defect dimension, revisionary procedures, infections and necrosis were recorded. Read More

Adv Healthc Mater 2019 Apr 4:e1801556. Epub 2019 Apr 4.

Centre for Biomaterials in Surgical Reconstruction and Regeneration, Division of Surgery & Interventional Science, University College London, 2QG, 10 Pond St, London, NW3 2PS, UK.

Despite the attention given to the development of novel responsive implants for regenerative medicine applications, the lack of integration with the surrounding tissues and the mismatch with the dynamic mechanobiological nature of native soft tissues remain in the current products. Hierarchical porous membranes based on a poly (urea-urethane) (PUU) nanohybrid have been fabricated by thermally induced phase separation (TIPS) of the polymer solution at different temperatures. Thermoresponsive stiffness softening of the membranes through phase transition from the semicrystalline phase to rubber phase and reverse self-assembly of the quasi-random nanophase structure is characterized at body temperature near the melting point of the crystalline domains of soft segments. Read More

Facial Plast Surg 2019 Apr 3;35(2):216. Epub 2019 Apr 3.

Department of Otorhinolaryngology, Head and Neck Surgery, Facial Plastic Surgery, Klinikum Karlsruhe, Karlsruhe, Germany.

Vestn Otorinolaringol 2019 ;84(1):51-54

Saint Petersburg Research institute of Ear, Throat, Nose and Speech, Saint Petersburg, Russia, 190013.

Spontaneous cerebrospinal fluid (CSF) leak is one of the types of non-traumatic CSF leaks in which the etiologic factor is unknown. Skull base defects transnasal endoscopic plasty is the initial method of surgical repair of spontaneous cerebrospinal fluid leaks. METHODS: Forty-five patients with spontaneous CSF leaks were managed using multilayer transplant technique. Read More

J Plast Reconstr Aesthet Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5, Fu-Xing Street, Guishan, Taoyuan, Taipei 333, Taiwan. Electronic address:

Background: Symmetry and balance in nasal reconstruction can be hard to achieve. Traditionally, a foil template modeled after the unaffected contralateral side is used in the design of a forehead flap. Crude two-dimensional models often generate underwhelming results. Read More

Laryngoscope 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, Division of Otolaryngology/Head and Neck Surgery, Albany Medical Center, Albany, New York, U.S.A.

Objectives/hypothesis: Releasing the nasoseptal flap (NSF) pedicle from the sphenopalatine artery (SPA) foramen may considerably improve flap reach and surface area. Our objectives were quantify increases in pedicle length and NSF reach through extended pedicle dissection into the pterygopalatine fossa (PPF) through cadaveric dissections and present clinical applications.

Study Design: Anatomical study and retrospective clinical cohort study. Read More

Wounds 2019 Mar;31(3):E18-E20

McLaren Greater Lansing Wound Care and Hyperbaric Center, Lansing, MI.

Introduction: Hyperbaric oxygen therapy is known to improve wound healing in the setting of chronic, nonhealing wounds of irradiated skin; however, failure of wound healing may still occur. Dehydrated human amnion/chorion membrane (dHACM) grafting is a technology that has been proven to promote wound healing of wounds related to venous stasis. Little has been published to date regarding use of dHACM in the setting of nonhealing wounds of irradiated skin. Read More

Ear Nose Throat J 2019 Mar 28:145561319837881. Epub 2019 Mar 28.

1 ENT Clinic, Head and Neck Department, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.

Sinonasal adenoid cystic carcinoma is a rare malignant epithelial tumor characterized by slow growth, multiple local recurrences, and perineural invasion; surgery followed by radiotherapy provides the best overall survival by means of an endoscopic, craniofacial, or combined approach. We present a previously undescribed case of frontal sinus adenoid cystic carcinoma involving the subcutaneous tissue and the dura mater treated with an open technique, free flap reconstruction, and hadron therapy together with a summary of the state of the art. Read More

J Craniofac Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.

Anterior cranial base reconstruction is occasionally necessary following severe trauma. Several methods for reconstruction have been described and some authors have described their experiences regarding the use of a pericranial flap for anterior skull base reconstruction after trauma. A 26-year-old woman was admitted to our department with multiple facial bone fractures identified using facial bone computed tomography. Read More

J Drugs Dermatol 2019 Mar;18(3):274-275

The use of full-thickness skin grafts (FTSG) in facial reconstruction during dermatologic surgery is well-established. Surgical sites that commonly receive a skin graft include the scalp, nose and ear Read More

J Craniofac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Plastic and Reconstructive Surgery.

Background: Arteriovenous malformations (AVMs) are high flow vascular anomalies that are difficult to manage given their high recurrence rate. At this time, the optimal treatment of AVMs involves embolization and surgical resection. However, few studies have examined patient outcomes after a delayed surgical resection approach. Read More

Int Emerg Nurs 2019 Mar 19. Epub 2019 Mar 19.

Department of Nursing, Qilu Hospital of Shandong University, Jinan, China. Electronic address:

This report describes an extremely rare case of combined penetrating trauma that includes the head, neck, chest, abdomen and scrotum. A 46-year-old male construction worker fell from a 5-metre-high platform, and a rebar that was fixed vertically on the ground penetrated the scrotum into the pelvic and abdominal cavities, passing through the chest, neck, mouth, and nose to the outside of the body through the left side of the head. The rebar penetrated the oral cavity and was palpable on the anterior side of the neck and abdomen. Read More

BMJ Case Rep 2019 Mar 20;12(3). Epub 2019 Mar 20.

Department of Otolaryngology Head Neck and Skull Base Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

A 24-year-old man sustained significant injuries as a result of a motor bicycle accident. CT scans demonstrated multiple intracranial injuries including bilateral temporal bone fractures. On emergence from sedation, the patient reported right-sided hearing loss which was attributed to ossicular chain disruption after the incus was found to be in the external auditory canal. Read More

J Craniofac Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Plastic, Aesthetic and Maxillofacial Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Background: In the last decade, many surgeons have reported their perspectives on microform cleft lip repair, including techniques for incision placement and size, philtral reconstruction, and nasal base reconstruction. This interest demonstrates continued controversy in the repair of microform cleft lip.

Methods: This is a retrospective cohort of patients from 2010 to 2016. Read More

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

All authors are affiliated with the Division of Dermatology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.

Dermatol Surg 2019 Feb 18. Epub 2019 Feb 18.

Bennett Surgery Center, Santa Monica, California.

Dermatol Surg 2019 Mar 14. Epub 2019 Mar 14.

Dermatologic Surgery, Department of Dermatology, University of Minnesota, Minneapolis, Minnnesota.

Background: The bilobed transposition flap recruits the relatively thinner and laxer skin of the nasal dorsum and sidewall to reconstruct defects of the more sebaceous nasal tip and alae. There have been no studies performed to quantify how the material properties of skin alter the bilobed flap's performance during nasal reconstruction.

Objective: To determine the effects of skin thickness and stiffness on bilobed flap mechanics to help guide flap design principles and optimize surgical outcomes. Read More

Plast Reconstr Surg Glob Open 2019 Feb 13;7(2):e2080. Epub 2019 Feb 13.

Plastic Surgery Department, Ain Shams University, Cairo, Egypt.

Background: Congenital, iatrogenic, and traumatic etiologies can produce a deficient nasal dorsum requiring dorsal augmentation. Traditional techniques for dorsal augmentation as onlay dorsal graft, cantilever graft, or conventional L-framework usually have less stability and produce a rigid lobule if the single unit framework extends to the tip. Because of abundant volume and relative ease of harvest and carving, the autogenous rib cartilage has been considered the graft of choice for dorsal nasal augmentation when structural support is necessary and sufficient septal cartilage is not available. Read More

Plast Reconstr Surg Glob Open 2019 Feb 5;7(2):e1978. Epub 2019 Feb 5.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Background: In free-flap reconstruction of the midface, options for the recipient artery are quite limited; the superficial temporal artery and the facial artery are the most commonly used arteries. We report our approach for the use of the angular artery (the terminal branch of the facial artery) as the recipient artery in free-flap reconstruction of the midface.

Methods: Nine patients with midface defects underwent free-flap reconstructions using the angular artery as the recipient artery. Read More

Aesthet Surg J 2019 Mar 15. Epub 2019 Mar 15.

Division of Dental and Maxillofacial Surgery, G.B. Rossi Hospital and Medical University of Verona, Piazzale L.A. Scuro, Verona, Italy.

Background: Canthopexies can be performed to modify the eye slant, both when the lateral canthus is lower than the medial one (congenital defect) or in case the patient asks for an almond-shaped eye (cosmetic indication).

Objectives: This peculiar type of canthopexy can be defined as "dynamic canthopexy," meaning that the later canthus is released from its original insertion and raised to a higher position.

Methods: We reviewed 30 patients treated with a "dynamic canthopexy" between January 2005 to March 2015. Read More

J Craniofac Surg 2019 Mar 6. Epub 2019 Mar 6.

Kahramanmaraş Sutcu Imam University School of Medicine. Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaras, Turkey.

Vascular anomalies are a group of lesions originating from blood vessels and lymphatics with varying histology and clinical behavior. They form the most common congenital anomalies in infants and children. The reconstructive method for the facial region defects varies depending on the size and position of the defect, as well as the patient's age, health status and aesthetic concerns. Read More

Ann Otol Rhinol Laryngol 2019 Mar 12:3489419836667. Epub 2019 Mar 12.

3 Leni & Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Objectives:: Nasal reconstruction is limited by the availability of autologous cartilage. The aim is to investigate an adhesive biomaterial for tissue engineering of nasal cartilage by evaluating mechanical properties of hydrogels made of fibrin crosslinked with genipin as compared to native tissue.

Methods:: Hydrogels of fibrin, fibrin-genipin, and fibrin-genipin with extracellular matrix (ECM) particles were created and evaluated with mechanical testing to determine compression, tensile, and shear properties. Read More

Dermatol Surg 2019 Mar;45(3):358-362

DermSurgery Associates, Houston, Texas.

Background: The apical triangle of the upper cutaneous lip, also known as the alar-facial sulcus, is an anatomical structure bound medially by the nasal ala, laterally by the medial cheek, and inferiorly by the remainder of the upper cutaneous lip. During reconstruction, retaining the central concavity and the convex lateral and medial outlines of this location is required to maintain midfacial symmetry.

Objective: This is a retrospective study of our use of the melolabial rotation flap for reconstruction of surgical defects of the apical triangle. Read More

JAMA Facial Plast Surg 2019 Mar 7. Epub 2019 Mar 7.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford Hospital and Clinics, Stanford, California.

Importance: Although the development of persistent opioid use after surgical procedures has garnered much attention in recent years, large-scale studies characterizing patterns of persistent opioid use among patients undergoing plastic and reconstructive surgery procedures are lacking.

Objective: To assess the prevalence of immediate and long-term postoperative opioid use after plastic and reconstructive surgery procedures.

Design, Setting, And Participants: In this population-based cohort study, patients who underwent 5 classes of plastic and reconstructive procedures (nasal, eye, breast, abdomen, and soft tissue reconstruction) between January 1, 2007, and December 31, 2015, were identified using IBM MarketScan Commercial and Medicare Supplemental research databases. Read More

J Craniofac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Oral and Maxillofacial Surgery.

Worldwide, the reconstruction of the posterior edentulous maxilla with dental implants has become a common practice in clinical settings. However, the poor bone condition in this area is sometimes accompanied by complications. Dental implant displacement into the maxillary sinus is viewed as a rare complication. Read More

Ann Thorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Thoracic Surgery; Sapienza University of Rome, Italy.

Background: Fourteen adults undergoing tracheal resection and reconstruction surgery were enrolled in this prospective observational pilot study to evaluate dexmedetomidine-based sedation after tracheal surgery in an Intensive Care Unit.

Methods: Patients remain electively intubated with an uncuffed nasal endotracheal tube, awake and exhibit spontaneous breathing. The neck was maintained in flexion through chin-to-chest sutures. Read More

Zhonghua Er Ke Za Zhi 2019 Mar;57(3):217-221

Department of Hematology, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

To analyze clinical, immunological and genetic characteristics of 4 cases of LIG4 syndrome. We retrospectively analyzed the clinical data of 4 patients from 3 families with LIG4 syndrome who were admitted to Children's Hospital of the Capital Institute of Pediatrics from June 2017 to May 2018, and reviewed related articles, the clinical, immunological and genetic characteristics of LIG4 syndrome were summarized and analyzed. Those 4 cases (P1 to P4), including 2 males and 2 females, had an average age of 1. Read More

Dermatol Surg 2019 Feb 20. Epub 2019 Feb 20.

Brevard Skin and Cancer Center, Rockledge, Florida.

Acta Otolaryngol 2019 Feb 26:1-6. Epub 2019 Feb 26.

d Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Republic of Korea.

Background: Although endoscopic endonasal approach (EEA) for skull base tumors showed a good prognosis in sinonasal quality of life (QOL), what factors have influence on QOL is still in question. Aim/Objectives: To investigate the recovery of sinonasal QOL after EEA for anterior skull base tumors and find its prognostic factors.

Material And Methods: The study enrolled 250 patients undergoing EEA for anterior skull base tumors over 3 years. Read More

Am J Otolaryngol 2019 Feb 19. Epub 2019 Feb 19.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, United States of America.

The nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a unique case of nasal reconstruction utilizing a bilaminar paramedian forehead flap (combined pericranial flap and forehead flap) with embedded cantilever rib graft in a patient who underwent resection for an intranasal malignancy involving the septum and soft tissue envelope. Read More

World Neurosurg 2019 Feb 19. Epub 2019 Feb 19.

Division of Otolaryngology, Albany Medical Center, Albany, New York, USA. Electronic address:

Objective: At our institution, skull base reconstruction using a free mucosal graft from the nasal cavity floor has been the standardized technique after pituitary adenoma resection via transsellar approach. In this study, the expected appearance of the reconstruction on postoperative magnetic resonance imaging (MRI) scans is described and its integrity and impact on the sinonasal cavity are assessed.

Methods: Fifty patients were selected, and their electronic medical records were reviewed for postoperative course, Sino-Nasal Outcome Test-22 (SNOT-22) scores, and nasal endoscopy reports. Read More

Cleft Palate Craniofac J 2019 Feb 20:1055665619828226. Epub 2019 Feb 20.

6 Department of Biostatistics, East Carolina University, Greenville, NC, USA.

Purpose:: To investigate the musculus uvulae morphology in vivo in adults with normal velopharyngeal anatomy and to examine sex and race effects on the muscle morphology. We also sought to provide a preliminary comparison of musculus uvulae morphology in adults with normal velopharyngeal anatomy to adults with repaired cleft palate.

Methods:: Three-dimensional magnetic resonance imaging data and Amira 5. Read More

J Craniomaxillofac Surg 2019 Feb 4. Epub 2019 Feb 4.

Klinikum Osnabrueck, Department of Oral and Cranio-Maxillofacial Surgery, Am Finkenhuegel 1, 49076, Osnabrueck, Germany. Electronic address:

Purpose: Patients with cleft lip, alveolus and palate (CLAP) may suffer from marked asymmetry with an impact on attractiveness and psychosocial aspects. The aim of this study was to assess symmetry in CLAP patients compared to non-cleft controls of similar age with regard to cleft type and treatment concept.

Materials And Methods: In CLAP patients with different cleft forms and in healthy non-cleft subjects (control group) a three-dimensional stereophotogrammetric face scan was performed and an objective 3D asymmetry index (AI) was calculated for the whole face, the midface, the upper lip and the nose. Read More

J Anat 2019 Feb 17. Epub 2019 Feb 17.

Museum für Naturkunde, Leibniz-Institut für Evolutions- und Biodiversitätsforschung, Berlin, Germany.

The cranial anatomy of the early non-mammalian cynodont Galesaurus planiceps from the South African Karoo Basin is redescribed on the basis of a computed tomographic reconstruction of the skull. Previously, little was known about internal skull morphology and the nervous and sensory system of this taxon. The endocranial anatomy of various cynodonts has been intensively studied in recent years to understand the origin of mammalian characters in the nasal capsule, brain and ear. Read More

J Dtsch Dermatol Ges 2019 02;17(2):210-213

Department of Dermatology, Venereology and Allergology, Mannheim University Medical Center, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Facial Plast Surg 2019 Feb 13;35(1):53-57. Epub 2019 Feb 13.

ENT, Facial Plastic Surgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

The reconstruction of the nasal dorsum after a hump resection is challenging if narrowing of the nose is to be avoided, the nasal skin is very thin, and the nasal bones are short. This report describes the replacement of the bony and cartilaginous nasal dorsum after resection with an anatomically shaped dorsal replacement graft of diced cartilage in fibrin glue. The technique is illustrated with a clinical case and sonographic morphometry of the nasal dorsum and tip. Read More

Facial Plast Surg 2019 Feb 13;35(1):31-46. Epub 2019 Feb 13.

Department of Plastic Surgery, Private Practice, Belo Horizonte, MG, Brazil.

Rhinoplasty is universally considered as the most demanding procedure in facial plastic surgery. Secondary rhinoplasty is its crown jewel, even more complex, and likewise highly fascinating. The evolution of thought and practice in rhinoplasty in the last decades has been quick and steady, progressively acknowledging the importance of maintaining structure in primary rhinoplasty and rebuilding structure in secondary procedures. Read More

Clin Implant Dent Relat Res 2019 Apr 11;21(2):301-309. Epub 2019 Feb 11.

Faculty of Medicine and Pharmacy, Oral Health Research Group (ORHE), Vrije Universiteit Brussel (VUB), Brussels, Belgium.

Background: A sinus floor augmentation may be indicated when a lack of hard tissue impedes implant placement. Although clinically successful, evidence supporting the long-term three-dimensional stability of the grafted volume is scarce. Second, evidence on the patient's acceptance of this type of treatment is limited. Read More

Ann Chir Plast Esthet 2019 Feb 7. Epub 2019 Feb 7.

Service de chirurgie maxillofaciale, university hospital Estaing, CHU Clermont-Ferrand, 1, place Lucie Aubrac, 63003 Clermont-Ferrand cedex 1, France; UMR Inserm U1107, Neuro-Dol, Trigeminal Pain and Migraine, faculté de chirurgie dentaire, université d'Auvergne, 2, rue de Braga, 63100 Clermont-Ferrand, France. Electronic address:

Mucosal melanoma is a rare malignant disease developed from melanocyte. We report the case of a patient with nasal cavity mucosal melanoma with a primary clinical and histological diagnosis of malignant lentigo with mucosal spreading. The presence of a c-Kit mutation, in a second lecture and the evolving nature of the lesion, reorientated the diagnosis of malignant lentigo to mucosal melanoma with skin extension. Read More

J Neurosurg 2019 Feb 8:1-9. Epub 2019 Feb 8.

OBJECTIVEEndonasal surgery of the skull base requires watertight reconstruction of the skull base that can seal the dural defect to prevent postoperative CSF rhinorrhea and consequent intracranial complications. Although the incidence of CSF leakage has decreased significantly since the introduction in 2006 of the vascularized nasoseptal flap (the Hadad-Bassagasteguy flap), reconstruction of extensive skull base dural defects remains challenging. The authors describe a new, modified vascularized nasoseptal flap for reconstruction of extensive skull base dural defects. Read More

J Plast Reconstr Aesthet Surg 2018 Dec 25. Epub 2018 Dec 25.

Department of Plastic Surgery, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC 27157, United States.

Background: Forehead flap reconstruction of large nasal defects can be challenging. The senior author has used a paramedian forehead flap modification using the supratrochlear artery on the contralateral side of the defect.

Methods: A 9-year retrospective review (2008-2016) was performed for patients undergoing nasal reconstruction with the cross-paramedian forehead flap. Read More