259 results match your criteria Nasal Reconstruction Principles and Techniques


Nasal Reconstruction: Current Overview.

Ann Plast Surg 2018 Dec;81(6S Suppl 1):S30-S34

University of South Florida Health, Tampa, FL.

The nose, with its conspicuous location, intricate convexities, and delicate 3-dimensional structure, continues to challenge the reconstructive surgeon. Today, there are a myriad of options available for reconstruction. The practitioner must take into account the location of the defect as well as the components needed to be restored. Read More

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http://Insights.ovid.com/crossref?an=00000637-201812001-0000
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http://dx.doi.org/10.1097/SAP.0000000000001608DOI Listing
December 2018
2 Reads

Reconstructing a Traumatic Empty Orbit: Principles, Difficulties of Treatment, and Literature Review.

J Oral Maxillofac Surg 2018 Sep 21;76(9):1952.e1-1952.e4. Epub 2018 Apr 21.

Consultant Oral and Maxillofacial Surgeon, Northampton General Hospital, Northampton, UK.

Purpose: This report describes the case of a serious orbital injury in which the globe was completely displaced into the nasal cavity and the orbit was clinically empty. The authors discuss the difficulties encountered in the management of this patient and their principles in the reconstruction of a complex defect.

Materials And Methods: In this rare case of severe injury, the authors used a combined transconjunctival and ethmoidal approach to retrieve the displaced globe from the nasal cavity. Read More

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http://dx.doi.org/10.1016/j.joms.2018.04.013DOI Listing
September 2018
5 Reads

Facial Fractures: Pearls and Perspectives.

Plast Reconstr Surg 2018 05;141(5):742e-758e

Oklahoma City, Okla. From the Section of Plastic Surgery, University of Oklahoma.

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Read More

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http://Insights.ovid.com/crossref?an=00006534-201805000-0004
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http://dx.doi.org/10.1097/PRS.0000000000004340DOI Listing
May 2018
12 Reads

Bending the Arc of the Trilobed Flap Through External Interlobe Angle Inequality.

Dermatol Surg 2018 May;44(5):621-629

Department of Dermatology, St. Louis University School of Medicine, Anheuser Busch Institute, St. Louis, Missouri.

Background: The trilobed flap is a useful repair option for distal nasal defects. In certain cases, however, the placement of its quaternary defect may risk compression of the internal nasal valve or induction of ectropion. In this study, we propose a modified design of the trilobed flap, which uses unequal external interlobe angles. Read More

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http://Insights.ovid.com/crossref?an=00042728-900000000-9884
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http://dx.doi.org/10.1097/DSS.0000000000001440DOI Listing
May 2018
15 Reads

Repair of the Nasal Floor by the Cleft Margin Flap in Bilateral Complete Cleft Lip.

J Craniofac Surg 2018 Mar;29(2):495-497

Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Kaohsiung, Taiwan.

Bilateral complete cleft lip deformity has been the most challenging to plastic surgeons, and lots of methods of repair have been described in the literature. The basic principles are to achieve continuity of the orbicularis oris muscle, a balanced Cupid's bow with nasal ala, and a complete reconstruction of the nasal floor. The last one is, however, easily neglected. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004187DOI Listing
March 2018
4 Reads

The 50 Most Cited Articles in Facial Plastic Surgery.

Aesthetic Plast Surg 2017 Oct 20;41(5):1202-1207. Epub 2017 Jun 20.

Section of Otolaryngology, Yale School of Medicine, New Haven, CT, USA.

Bibliometric analysis is a common method to determine the most influential articles in medical specialties, as it is an objective measure of peer recognition of scientific work. This study is the first bibliometric analysis of the literature in facial plastic surgery, to determine the most cited papers in the field. Bibliometric analysis was performed using the Science Citation Index from the Institute for Scientific Information, accessed through the Web of Science™. Read More

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http://dx.doi.org/10.1007/s00266-017-0908-xDOI Listing
October 2017
6 Reads
1.190 Impact Factor

[The morphological and clinical aspects of the curvature of the nasal septum].

Vestn Otorinolaringol 2017;82(3):25-27

Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation, Kazan, Russia, 420012.

The curvature of the nasal septum (NS) is one of the most widespread deformations of the facial skeleton. The objective of the present study was to substantiate the principles of and develop the rationale for the surgical correction and conservative treatment of this condition based on the morphological features of various types of deflection of the nasal septum. We have undertaken the morphological analysis of the osseous and cartilaginous structures determining the type and the shape of the curvature of the nasal septum together with the clinical analysis of different morphological variants of the deflection of the nasal septum making use of the R. Read More

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http://dx.doi.org/10.17116/otorino201782325-27DOI Listing
September 2017
2 Reads

Principles of Cleft Lip Repair: Conventions, Commonalities, and Controversies.

Plast Reconstr Surg 2017 Mar;139(3):764e-780e

Durham, N.C. From the Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Medical Center; and Duke Cleft and Craniofacial Center, Duke Children's Hospital.

Learning Objectives: After reading this article, the participant should be able to: 1. Understand the principles of contemporary methods for repair of unilateral and bilateral cleft lip. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000003148DOI Listing
March 2017
8 Reads

Local Cutaneous Flaps in Nasal Reconstruction.

Facial Plast Surg 2017 Feb 22;33(1):27-33. Epub 2017 Feb 22.

Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas.

Facial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for small- to medium-sized defects and are preferentially utilized when feasible. Read More

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http://dx.doi.org/10.1055/s-0036-1597982DOI Listing
February 2017
5 Reads

Principles of Nasal Reconstruction.

Facial Plast Surg 2017 Feb 22;33(1):9-16. Epub 2017 Feb 22.

Department of Otolaryngology-Head and Neck Surgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.

The rise in cutaneous malignancies over the past 20 years has led to significant advances in reconstructing the nose from an aesthetic and functional standpoint. The principles of nasal reconstruction center on application of the nasal subunit principle, three-layered reconstruction, nasal skin characteristics, and patient factors. Reconstructive planning starts with proper defect analysis, followed by application of the reconstructive ladder for soft-tissue repair, adequate structural support, and repair of nasal lining deficits. Read More

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http://dx.doi.org/10.1055/s-0036-1597949DOI Listing
February 2017
11 Reads

A New Approach to Upper Eyelid Reconstruction.

Aesthetic Plast Surg 2017 Apr 15;41(2):346-351. Epub 2017 Feb 15.

Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Viale San Pietro 43, 07100, Sassari, Italy.

Background: Reconstruction of large defects of the upper eyelid is challenging because of its complex anatomy and specialized function. The aim of this work is to develop a single-stage reconstruction procedure based on a new approach. The technique consists of the advancement of an orbicularis oculi myocutaneous flap designed within the blepharoplasty skin excision pattern. Read More

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http://dx.doi.org/10.1007/s00266-017-0816-0DOI Listing
April 2017
31 Reads

Anthropometrically-Based Surgical Technique for Tessier 3 Cleft Reconstruction.

J Craniofac Surg 2016 Nov;27(8):e785-e787

Division of Plastic Surgery, Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK.

Craniofacial clefts are rare entities, with an incidence reported as 1.43 to 4.85 per 100,000 births. Read More

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http://dx.doi.org/10.1097/SCS.0000000000003129DOI Listing
November 2016
24 Reads

[Secondary treatment of cleft lip and palate].

Ann Chir Plast Esthet 2016 Oct 21;61(5):360-370. Epub 2016 Aug 21.

Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.

For 18 years our protocol has corrected the cleft lip nose and achieved an intravelar veloplasty at the time of the first operation, leaving the least scaring as possible. No doubt that the best treatment of the sequellae is their prevention: - the oro-nasal fistulas have disappeared; the nostril is almost normal; the continuity of a wide maxillary arch is restored in primary dentition - all that favor a nasal ventilation. This context has changed the nature of the secondary treatment described here. Read More

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http://dx.doi.org/10.1016/j.anplas.2016.06.012DOI Listing
October 2016
11 Reads

[Primary treatment of cleft lip and palate. Its fundamental principles].

Ann Chir Plast Esthet 2016 Oct 16;61(5):348-359. Epub 2016 Jul 16.

Centre de compétence de traitement des fentes labio-palatines des Pays-de-Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.

If the multiplicity of functional protocols of cleft lip and palate treatment has been bewildering, it is now a source of learning. The lessons we can draw from them assist us to choose the best age for the primary surgery and a chronology that prevents the palate from the worst scaring. Eventually, with 18 years of follow-up, the best functional achievement comes unexpectedly from an ambitious primary rhinoplasty that had till now been condemned. Read More

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http://dx.doi.org/10.1016/j.anplas.2016.06.007DOI Listing
October 2016
2 Reads

Solid Implants in Facial Plastic Surgery: Potential Complications and How to Prevent Them.

Facial Plast Surg 2016 Oct 28;32(5):520-31. Epub 2016 Sep 28.

Department of Otolaryngology Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

Allogenic implants are an effective alternative to autologous grafts in the reconstruction of facial defects. These implants are used to reconstruct a variety of bony and soft-tissue defects, including the frontal and temporal regions; internal orbit; infraorbital rim; malar, paranasal, and nasal regions; mandible; and chin. In comparison to their autologous counterparts, alloplastic materials are more readily available, lack donor-site morbidity, decrease surgical time and cost, and still have relatively good postoperative tissue tolerance. Read More

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http://dx.doi.org/10.1055/s-0036-1586497DOI Listing
October 2016
41 Reads

Uses of Various Grafting Techniques in External Approach Rhinoplasty: An Overview.

Indian J Otolaryngol Head Neck Surg 2016 Sep 27;68(3):322-8. Epub 2016 Jun 27.

Otorhinolaryngology Skims Medical College, Srinagar, India.

The surgeons performing rhinoplasty found Graft selection the greatest challenge. To avoid an immune response the preferred choice thus far for nasal reconstruction would be autograft compared to allograft due to its lower rate of rejection. We have evaluated 30 patients who underwent open rhinoplasty and We used conchal and septal cartilaginous grafts in various forms by the open approach to correct various nasal deformities compared our experience regarding the operative technique, graft availability, indications, and limitations. Read More

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http://link.springer.com/10.1007/s12070-016-1007-z
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http://dx.doi.org/10.1007/s12070-016-1007-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961647PMC
September 2016
4 Reads

Options for Middle Vault and Dorsum Restoration after Hump Removal in Primary Rhinoplasty.

Facial Plast Surg 2016 Aug 5;32(4):374-83. Epub 2016 Aug 5.

Department of Otolaryngology, Head and Neck Surgery, University Medical Center Erlangen, Germany.

Prevention of unfavorable sequelae following humpectomy in reduction rhinoplasty by restoration of the middle nasal vault complex today has become imperative in the majority of patients with perhaps the exception of small humps. In general, the techniques used for preservation and reconstruction of these important anatomical structures can be divided into two main categories: spreader graft and spreader flap techniques. Oversimplified spreader graft techniques require donor cartilage, whereas spreader flap techniques use the excess height of the medial portion of the upper lateral cartilages in patients with a cartilaginous hump. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586124
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http://dx.doi.org/10.1055/s-0036-1586124DOI Listing
August 2016
7 Reads

Reconstruction of nasal defects: contemporary approaches.

Curr Opin Otolaryngol Head Neck Surg 2016 Oct;24(5):453-60

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina Hospitals, Chapel Hill, North Carolina, USA.

Purpose Of Review: There are many well-established principles and surgical techniques for nasal reconstruction. The purpose of this study is to describe contemporary reconstruction of nasal defects. The unique anatomic features of the nose make this a challenging task. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077171PMC
http://dx.doi.org/10.1097/MOO.0000000000000295DOI Listing
October 2016
4 Reads

An Overview of Asian Rhinoplasty.

Ann Plast Surg 2016 Feb;77 Suppl 1:S22-4

From the Department of Plastic Surgery, Peking University Third Hospital, Beijing, People's Republic of China.

East Asian rhinoplasty is an expanding topic in the field of rhinoplasty. Although the main principles of various rhinoplasty techniques apply equally to the East Asian nose, East Asian rhinoplasty is unique owing to its different anatomy and ethnicity. In recent years, there have been some noteworthy developments in East Asian rhinoplasty. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SAP.0000000000000841DOI Listing
February 2016
3 Reads

An algorithm for using expanded cervical flaps to resurface facial defects based on five different methods.

Burns 2016 Dec 2;42(8):1867-1874. Epub 2016 Jul 2.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, China. Electronic address:

Background: For patients with healthy skin in the cervical region, the expanded cervical flap method is highly recommended for resurfacing facial skin defects. Many methods exist that use an expanded cervical flap. However, a gold standard for selecting the appropriate method for each patient is lacking. Read More

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http://dx.doi.org/10.1016/j.burns.2016.06.006DOI Listing
December 2016
13 Reads

The Essential Anatomical Subunit Approximation Unilateral Cleft Lip Repair.

Plast Reconstr Surg 2016 Jul;138(1):91e-4e

Melbourne, Victoria, Australia; and Los Angeles, Calif. From the Division of Plastic Surgery, Royal Children's Hospital; and the Division of Plastic Surgery, University of Southern California and the Shriner's Hospital for Children.

The anatomical subunit approximation cleft lip repair advantageously achieves a balanced lip contour, with the line of repair hidden along seams of aesthetic subunits. Dr. David Fisher's original description of the repair reflects the considerable thought that went into the evolution of his design. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002257DOI Listing
July 2016
21 Reads

V-Y Advancement Flaps Based on Yotsuyanagi Aesthetic Subunit Principles for Small Nasal Defects in Asian Patients.

Facial Plast Surg 2016 Jun 1;32(3):315-9. Epub 2016 Jun 1.

Department of Plastic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Cosmesis is paramount in the reconstruction of small nasal defects. Yotsuyanagi et al have previously described nasal aesthetic subunits in patients of Asian descent and their implications for reconstruction of large nasal defects, including forehead flap and Z-plasty. The impact of Asian skin types and aesthetic subunits on reconstruction planning of small nasal defects has not been rigorously explored. Read More

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http://dx.doi.org/10.1055/s-0036-1579783DOI Listing
June 2016
13 Reads

Principles and Planning in Nasal and Facial Reconstruction: Making a Normal Face.

Plast Reconstr Surg 2016 Jun;137(6):1033e-47e

Tucson, Ariz. From St. Joseph's Hospital.

Learning Objectives: After reading this article, the participant should be able to: 1. Understand the rationale and value of principles of facial reconstruction in the complex patient. 2. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002237DOI Listing
June 2016
1 Read

Total Face, Eyelids, Ears, Scalp, and Skeletal Subunit Transplant Cadaver Simulation: The Culmination of Aesthetic, Craniofacial, and Microsurgery Principles.

Plast Reconstr Surg 2016 May;137(5):1569-81

New York, N.Y. From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center.

Background: The application of aesthetic, craniofacial, and microsurgical principles in the execution of face transplantation may improve outcomes. Optimal soft-tissue face transplantation can be achieved by incorporating subunit facial skeletal replacement and subsequent tissue resuspension. The purpose of this study was to establish a reconstructive solution for a full face and scalp burn and to evaluate outcome precision and consistency. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002122DOI Listing
May 2016
20 Reads

A Practical Approach to Rhinoplasty.

Plast Reconstr Surg 2016 Apr;137(4):725e-746e

Dallas, Texas; and Mississauga and Toronto, Ontario, Canada From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; The Plastic Surgery Clinic; and the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto.

Rhinoplasty continues to be one of the most commonly performed aesthetic surgical procedures. Over the past 25 years, the open approach has increased in popularity and is the focus of this article. The principles for successful rhinoplasty include comprehensive clinical analysis and defining rhinoplasty goals, preoperative consultation and planning, precise operative execution, postoperative management, and critical analysis of one's results. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002240DOI Listing
April 2016
24 Reads

Rationale and Argument for Subunit Mohs Excision in Nasal Reconstruction.

J Cutan Med Surg 2016 Jul 1;20(4):343-5. Epub 2016 Feb 1.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA

Background: Optimal aesthetic results are achieved when nasal defects after Mohs micrographic surgery (MMS) are reconstructed as entire nasal subunits.

Objective: To illustrate the importance of reconstructing the nose in entire subunits and explore the possibilities of expanding the principles of subunit reconstruction to the concept of subunit Mohs excision.

Methods: An 83-year-old man presented for MMS to excise 3 lesions on the nasal ala. Read More

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http://journals.sagepub.com/doi/ 10.1177/1203475416629594
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http://dx.doi.org/10.1177/1203475416629594DOI Listing
July 2016
5 Reads

A Different Approach to the Reconstruction of Nasal Septum Perforations: Alar Winged Flap.

J Craniofac Surg 2015 Nov;26(8):e698-702

Department of Plastic Reconstructive and Aesthetic Surgery, Erzurum Regional Education and Research Hospital, Erzurum, Turkey.

Purpose: Nasal septal perforations (NSPs) are one of the major complications among the nose surgery that the surgeon has to solve it. There are many reasons on the etiology of septal perforation such as iatrogenic and idiopathic. All the surgical procedures are based on 2 main principles, namely repair using an intranasal flaps: mucosal, mucoperichondrial, mucoperiosteal flaps within the nasal cavity; and extranasal flaps. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000002182DOI Listing
November 2015
5 Reads

Rhinoplasty in Clefts: An 18-Year Retrospective Review.

Authors:
Adham Farouk

Facial Plast Surg 2015 Oct 18;31(5):539-52. Epub 2015 Nov 18.

Lecturer of Plastic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Cleft rhinoplasty has spurred much interest in literature because of the difficult task in obtaining a normal nasal form, function, and development. The pursuit of perfection has resulted in myriad techniques, modifications, and innovations to optimize results, but no one protocol or algorithm was proved to be completely satisfactory. Controversies still exist in timing, surgical approach, nonsurgical techniques, and outcome assessment. Read More

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http://dx.doi.org/10.1055/s-0035-1564718DOI Listing
October 2015
23 Reads
1 Citation
0.992 Impact Factor

Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction.

Otolaryngol Head Neck Surg 2015 Nov;153(5):708-20

American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.

Objective: To develop a clinical consensus statement on septoplasty with or without inferior turbinate reduction.

Methods: An expert panel of otolaryngologists with no relevant conflicts of interest was assembled to represent general otolaryngology and relevant subspecialty societies. A working definition of septoplasty with or without inferior turbinate reduction and the scope of pertinent otolaryngologic practice were first established. Read More

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http://dx.doi.org/10.1177/0194599815606435DOI Listing
November 2015
6 Reads

Maxillofacial Fractures: Midface and Internal Orbit-Part II: Principles and Surgical Treatment.

Facial Plast Surg 2015 Aug 15;31(4):357-67. Epub 2015 Sep 15.

Department of Otorhinolaryngology-Head and Neck Surgery, Cantonal Hospital, St. Gallen, Switzerland.

Current clinical assessment and imaging techniques were described in part 1, and this article presents a systematic review of the surgical treatment principles in the management of midface and internal orbit fractures from initial care to definitive treatment, including illustrative case examples. New developments enabled limited surgical approaches by standardization of osteosynthesis principles regarding three-dimensional buttress reconstruction, by newly developed individualized implants such as titanium meshes and, especially for complex fracture patterns, by critical assessment of anatomical reconstruction through intraoperative endoscopy, as well as intra- and postoperative imaging. Resorbable soft tissue anchors can be used both for ligament and soft tissue resuspension to reduce ptosis effects in the cheeks and nasolabial area and to achieve facial aesthetics similar to those prior to the injury. Read More

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http://dx.doi.org/10.1055/s-0035-1563693DOI Listing
August 2015
2 Reads

Complex nasal reconstruction after paracoccidioidomycosis infection--Case report.

An Bras Dermatol 2015 May-Jun;90(3 Suppl 1):203-5

Universidade Federal da Bahia, Salvador, BA, BR.

Paracoccidioidomycosis is an infectious disease whose etiological agent belongs to the Paracoccidioides genus. Although it affects primarily the lungs, it can spread to other tissues, including the skin and mucous membranes. Despite the clinical treatment for this disease, scarring can produce sequelae, manifesting as anatomical and functional deformities of the face. Read More

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http://www.scielo.br/pdf/abd/v90n3s1/0365-0596-abd-90-03-s1-
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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/abd1806-4841.20153527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540551PMC
January 2016
3 Reads

Endoscopic Endonasal Clipping of Intracranial Aneurysms: Surgical Technique and Results.

World Neurosurg 2015 Nov 25;84(5):1380-93. Epub 2015 Jun 25.

Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Objective: Microsurgical clipping of intracranial aneurysms requires meticulous technique and is usually performed through open approaches. Endoscopic endonasal clipping of intracranial aneurysms may use the same techniques through an alternative corridor. The aim of this article is to report a series of patients who underwent an endoscopic endonasal approach (EEA) for microsurgical clipping of intracranial aneurysms. Read More

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http://dx.doi.org/10.1016/j.wneu.2015.06.032DOI Listing
November 2015
16 Reads

Reconstruction of facial nerve after radical parotidectomy.

Acta Otolaryngol 2015 10;135(10):1065-9. Epub 2015 Jun 10.

Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital , Stockholm , Sweden.

Conclusion: Most patients benefitted from immediate facial nerve grafting after radical parotidectomy. Even weak movement is valuable and can be augmented with secondary static operations. Post-operative radiotherapy does not seem to affect the final outcome of facial function. Read More

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http://dx.doi.org/10.3109/00016489.2015.1050604DOI Listing
May 2016
13 Reads

[Correction of severe alar retraction with alar rotation flap].

Zhonghua Zheng Xing Wai Ke Za Zhi 2015 Jan;31(1):19-21

Objective: To investigate the therapeutic effect of alar rotation flap for severe alar retraction.

Methods: Patients with severely retracted alar underwent ala reconstruction using alar rotation flaps and autogenous cartilage batten grafts. First, costal cartilage was used to reshape the nasal tip and nasal dorsum. Read More

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January 2015
6 Reads

Long-Term Outcome of Endonasal Transsphenoidal Approach for the Treatment of Pontine Cavernous Malformation: Case Report with 11 Years of Follow-Up.

J Neurol Surg A Cent Eur Neurosurg 2016 May 22;77(3):269-73. Epub 2015 May 22.

Department of Neurosurgery, National Institute of Neurosurgery, Budapest, Hungary.

Ventromedial localized cavernous malformations in the pons pose a difficult problem because of their surgical access and the high risk of deleterious consequences due to damage of the surrounding tissues. We report an endonasal transsphenoidal approach for the treatment of ventromedial pontine cavernomas that also follows principles of optimal access known as the "two-point method" for the resection of cavernous malformations. A 31-year-old woman presented with sudden left hemiparesis, nausea, and headache. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549305
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http://dx.doi.org/10.1055/s-0035-1549305DOI Listing
May 2016
1 Read

A Retrospective Review of Reconstructive Options and Outcomes of 202 Cases Large Facial Mohs Micrographic Surgical Defects, Based on the Aesthetic Unit Involved.

J Cutan Med Surg 2015 Nov-Dec;19(6):580-7. Epub 2015 May 18.

Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center Rotterdam, The Netherlands

Background: For optimal treatment of facial defects following Mohs micrographic surgery (MMS), the aesthetic unit principles should be applied. Often multiple staged procedures and revisions are necessary.

Objective: To analyze the reconstructive options and outcomes for complex facial defects per aesthetic unit. Read More

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http://journals.sagepub.com/doi/ 10.1177/1203475415586665
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http://dx.doi.org/10.1177/1203475415586665DOI Listing
December 2015
3 Reads

Principles and practice of reconstructive surgery for head and neck cancer.

Surg Oncol Clin N Am 2015 Jul 11;24(3):473-89. Epub 2015 Apr 11.

Division of Plastic and Reconstructive Surgery, Department of Surgical Oncology, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA.

Reconstruction after surgical treatment of head and neck cancers can be challenging. Goals for reconstruction include restoration of appearance as well as function when appropriate. Commonly encountered sites requiring reconstruction include the soft tissues of the face (including the critical areas of the eyes, ears, nose, and lips), scalp, tongue and oral cavity, maxilla, mandible, and pharynx. Read More

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http://dx.doi.org/10.1016/j.soc.2015.03.005DOI Listing
July 2015
4 Reads

A modified Mohler technique for patients with unilateral cleft lip based on geometric principles--A primary report.

J Craniomaxillofac Surg 2015 Jun 31;43(5):663-70. Epub 2015 Mar 31.

Oral Department, Children's Hospital, Chongqing Medical University, Chongqing, 400014, PR China. Electronic address:

Objective: The Mohler technique is one of the most popular methods to repair unilateral cleft lip (UCL) among the modified Millard methods, but it is still imperfect. We successfully designed a modified Mohler method based on geometric principles and observed its clinical effect.

Materials And Methods: Photogrammetry was performed in 56 patients who underwent UCL repair with the new technique. Read More

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http://dx.doi.org/10.1016/j.jcms.2015.03.021DOI Listing
June 2015
3 Reads

Joseph Constantine Carpue and the Bicentennial of the Birth of Modern Plastic Surgery.

Aesthet Surg J 2015 Aug 19;35(6):748-58. Epub 2015 Mar 19.

Dr Freshwater is a Voluntary Professor of Surgery at the University of Miami School of Medicine, Miami, FL.

September 2014 marked the bicentennial of the birth of modern plastic surgery. It was then that Carpue began a prospective observational study of nasal reconstruction that culminated in his 1816 monograph, which caused an explosion of interest in reconstructive surgery throughout Europe. In conducting his study, Carpue demonstrated ethical standards and the power of planning a procedure. Read More

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http://asj.oxfordjournals.org/content/asj/early/2015/03/27/a
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http://asj.oxfordjournals.org/lookup/doi/10.1093/asj/sju157
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http://dx.doi.org/10.1093/asj/sju157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520582PMC
August 2015
2 Reads

Superior rhinoplasty outcomes with precise nasal osteotomy: an individualized approach for maintaining function and achieving aesthetic goals.

Aesthet Surg J 2015 Jan;35(1):28-39

Dr Ghanaatpisheh is a plastic surgeon in private practice in Tehran, Iran. Drs Sajjadian and Daniel are plastic surgeons in private practice in Newport Beach, CA.

Background: Although frequently performed in rhinoplasty, nasal osteotomies have been unpredictable in consistently controlling postoperative alterations in bony morphology in many patients. Consequently, a detailed algorithm for an individualized approach to osteotomy is needed to achieve superior aesthetic and functional outcomes.

Objectives: The authors aimed to propose a component-oriented and individualized approach for nasal osteotomy in rhinoplasty. Read More

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https://academic.oup.com/asj/article/35/1/28/223901
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http://dx.doi.org/10.1093/asj/sju013DOI Listing
January 2015
7 Reads

[Sir Harold D. Gillies, pioneer of plastic surgery].

Ned Tijdschr Geneeskd 2015 ;160:A9547

Jeroen Bosch Ziekenhuis, afd. Plastische Chirurgie, 's-Hertogenbosch.

In the First World War, large numbers of soldiers perished because machine guns and artillery bombardments had rendered the old techniques of combat and weapons hopelessly outdated. In addition to the many deaths, many soldiers were also seriously injured. At the outbreak of the First World War, ENT surgeon Harold D. Read More

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November 2017
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Full-thickness nasal defect: place of prosthetic reconstruction.

Eur Ann Otorhinolaryngol Head Neck Dis 2015 Apr 23;132(2):85-9. Epub 2014 Dec 23.

Institut de cancérologie de l'Ouest Nantes-Atlantique, 44805 Saint-Herblain, France.

Extensive rhinectomy or full-thickness defects are not uncommon, in particular in the treatment of skin cancer. The present study lays out the principles of choice and creation of prostheses for nasal reconstruction. Prosthetic nasal reconstruction in France depends on a specialist prescription drawn up under the "Ocular and Facial Prostheses" rubric of the official List of Products and Procedures. Read More

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http://dx.doi.org/10.1016/j.anorl.2014.02.007DOI Listing
April 2015
2 Reads

Graftless sinus augmentation technique with contextual placement of implants: a case report.

J Med Case Rep 2014 Dec 17;8:437. Epub 2014 Dec 17.

'Sapienza' University of Rome - Department of Oral and Maxillofacial Sciences, Via Caserta, 6, 00161 Rome, Italy.

Introduction: The positioning of implants in the jaw bones with contextual graftless lateral approach sinus lifting is finding an increasingly broad consensus in the literature. Since the 1970s, various clinical research projects have been conducted on applications of biological and synthetic biomaterials in bone regenerative surgery, both in sinus lift procedures and in cystic cavity filling after cystectomy or in bone defects in regenerative periodontal surgery. Currently, we are finding that there is an increasing trend of clinicians aiming to adopt graftless techniques, with satisfactory results in terms of implant survival in the long term. Read More

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http://dx.doi.org/10.1186/1752-1947-8-437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301887PMC
December 2014
1 Read

Endoscopic approaches to the craniovertebral junction and odontoid process.

World Neurosurg 2014 Dec;82(6 Suppl):S49-53

Department of Otorhinolaryngology, Bombay Hospital Institute of Medical Sciences, Mumbai, India.

Background: The microsurgical transoral approach has traditionally been the preferred access for ventral decompression of the craniovertebral junction. This natural corridor, although direct, may be a challenging approach because of potential morbidities. The evolution of endoscopic methods in skull base surgeries has reduced morbidity and improved results. Read More

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http://dx.doi.org/10.1016/j.wneu.2014.07.025DOI Listing
December 2014
3 Reads

Contemporary techniques for effective nasal lengthening.

Facial Plast Surg Clin North Am 2015 Feb;23(1):81-91

Department of Plastic Surgery, University Hospitals Case Medical Center, 29017 Cedar Road, Cleveland, OH 44124, USA. Electronic address:

The short nose deformity is a complex entity with diverse causes and variable characteristics. This article divides shortening into anterior and pan-nose shortening as well as mild, moderate, or severe. Mild anterior shortening can be corrected with shield grafting, whereas moderate to severe shortening can be corrected using septal extension grafts, composite grafts, or the tongue-and-groove technique. Read More

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http://dx.doi.org/10.1016/j.fsc.2014.09.006DOI Listing
February 2015
6 Reads

[Cleft rhinoplasty, from primary to secondary surgery].

Ann Chir Plast Esthet 2014 Dec 26;59(6):555-84. Epub 2014 Sep 26.

Chirurgie plastique, centre de compétence de traitement des fentes labio-maxillo-palatines Des Pays de la Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.

Despite fifty years of statistics, congresses, publications, the cleft nose remains an enigma to the great majority of cleft specialists. Most of the published papers give recipes to camouflage the cleft deformity, very few are concerned by the functional anatomy and its relation with facial growth. The complexity of the matter, the results frequently disappointing, the lack of awareness of the necessity of early nasal breathing, and the academic condemnation of any imperfect attempt to correct the nose at the time of the first operation have led to resignation. Read More

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http://dx.doi.org/10.1016/j.anplas.2014.08.004DOI Listing
December 2014
4 Reads

Design principles for transposition flaps: the rhombic (single-lobed), bilobed, and trilobed flaps.

Dermatol Surg 2014 Sep;40 Suppl 9:S43-52

Department of Dermatology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia, Pennsylvania.

Background: When tension at a cutaneous defect is too great for primary closure or causes distortion of surrounding anatomy, transposition flaps provide a useful reconstruction option.

Objective: To review the tissue biomechanics of the rhombic, bilobed, and trilobed transposition flaps.

Materials And Methods: A systematic evaluation of a cutaneous defect is provided to guide a logical approach to the design and execution of transposition flaps. Read More

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http://pdfs.journals.lww.com/dermatologicsurgery/2014/09001/
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/DSS.0000000000000115DOI Listing
September 2014
7 Reads

Correction of the deviated septum: from ancient Egypt to the endoscopic era.

Int Forum Allergy Rhinol 2014 Nov 18;4(11):931-6. Epub 2014 Aug 18.

Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT.

Background: Obstructed nasal breathing can occur due to deviation of the nasal septum. When the external nose appears grossly normal and cosmesis is not the focus, septoplasty has been the procedure used to straighten the septum with the goal of improving nasal airflow. Septoplasty has evolved over time. Read More

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http://dx.doi.org/10.1002/alr.21371DOI Listing
November 2014
2 Reads

Revising or redoing an imperfect or failed nasal reconstruction.

Facial Plast Surg 2014 Jun 11;30(3):342-56. Epub 2014 Jun 11.

Department of Plastic Surgery, St. Joseph's Hospital, Tucson, Arizona.

Almost all major nasal reconstructions will require a late revision to refine aesthetics and function. The early surgical result after pedicle division will be determined by the materials, methods, priorities, planning, and surgical stages chosen by the surgeon. Imperfections in nasal contour, including recreation of the alar crease and nasolabial fold, are corrected by soft tissue debulking and secondary cartilage grafting through peripheral or direct incisions. Read More

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http://dx.doi.org/10.1055/s-0034-1376878DOI Listing
June 2014
2 Reads

Framework fabrication with rib cartilage in partial and total nasal reconstruction.

Facial Plast Surg 2014 Jun 11;30(3):306-17. Epub 2014 Jun 11.

Klinik fuer Plastische Gesichtschirurgie, Zentrum Plastische Chirurgie, Marienhospital, Stuttgart, Germany.

The framework reconstruction of the nose is a significant and complex component of its partial or total reconstruction. On the one hand, the design of the individual framework parts is based on the anatomic nature of available rib or ear cartilage, which must on the other hand be adapted to the anatomic characteristics of the defect. The framework parts must be anchored not only to each other but also stably to the facial skeleton. Read More

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http://dx.doi.org/10.1055/s-0034-1376876DOI Listing
June 2014
4 Reads