271 results match your criteria Nasal Reconstruction Principles and Techniques


Reconstruction after endoscopic surgery for skull base malignancies.

J Neurooncol 2020 Mar 27. Epub 2020 Mar 27.

Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Introduction: The ability to resect malignancies of the ventral skull base using endoscopic endonasal approaches has created a need for effective endoscopic reconstructive techniques. The purpose of this review is to summarize current techniques for reconstruction of large skull base defects during endoscopic endonasal surgery.

Methods: Recent medical literature was reviewed to identify techniques and best practices for repair of skull base defects during endoscopic endonasal surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11060-020-03465-0DOI Listing

Gaining Large Coverage With Small Island Pedicle Flaps in Tight Cosmetic Subunits: Taking Advantage of Rotation and Pincer Principles on the Nasal Ala.

J Cutan Med Surg 2020 Mar/Apr;24(2):154-160. Epub 2020 Feb 27.

8166 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada.

Background: Island pedicle flaps (IPFs) are widely used in reconstructive surgery due to their versatility, tissue efficiency, and excellent clinical outcomes. While IPF rotations and 'pincer flap' modifications have previously been sparsely described, they are not often discussed in the literature.

Objective: We demonstrate the use of both rotating IPFs and pincer techniques for defects traditionally considered too large for classic IPF design on the nasal ala. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1203475420902044DOI Listing
February 2020

Challenges in the Successful Reconstruction of Cleft Lip and Palate: Managing the Nasomaxillary Deformity in Adolescence.

Plast Reconstr Surg 2020 03;145(3):591e-603e

Potomac, Md. From the Posnick Center for Facial Plastic Surgery; Georgetown University; Howard College of Dentistry; and the University of Maryland School of Dentistry.

The surgical techniques and execution of primary cleft lip and palate repair are no longer the greatest challenge to achieving successful rehabilitation for those born with facial clefting (i.e., bilateral and unilateral cleft lip and palate). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000006614DOI Listing

[Use of navigation in skull base surgery].

Authors:
V V Nazarov

Zh Vopr Neirokhir Im N N Burdenko 2019 ;83(5):109-118

Burdenko Neurosurgical Center, Moscow, Russia.

The review briefly presents the history of development of navigation systems in neurosurgery. The idea of the existing principles underlying the navigation systems used in neurosurgery is given. Currently, the basic principles of navigation are optical and electromagnetic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/neiro201983051109DOI Listing
January 2020

Complications in Reductive Profileplasty.

Facial Plast Surg 2019 Oct 22;35(5):476-485. Epub 2019 Oct 22.

Aesthetic Institute of Oklahoma, Edmond, Oklahoma.

The ability of a surgeon to create an aesthetically pleasing and functionally competent nasal dorsum weighs heavily on following the foundations of rhinoplasty, beginning with the examination and analysis. These same fundamental principles should be used and applied in secondary rhinoplasty. The most common chief complaints of those patients seeking primary rhinoplasty relates to the presence of a hump or dorsal convexity, and similarly complications surrounding the dorsum are the most common indications for secondary rhinoplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1696990DOI Listing
October 2019
1 Read

Total nasal reconstruction: a review of the past and present, with a peak into the future.

Authors:
Tim J Phillips

Curr Opin Otolaryngol Head Neck Surg 2019 Oct;27(5):420-425

Division of Head and Neck Surgery, Queen's University, Kingston, Ontario, Canada.

Purpose Of Review: The goal of this article is to review the complex topic of total nasal reconstruction and present a wide range of options for completing this difficult surgical procedure.

Recent Findings: Nasal reconstruction has a long history dating back thousands of years. Some historical techniques still exist today, including the paramedian forehead flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MOO.0000000000000573DOI Listing
October 2019
4 Reads

Primary Open Rhinoplasty.

Plast Reconstr Surg 2019 07;144(1):102e-117e

Dallas, Texas; and Miami, Fla. From the Dallas Plastic Surgery Institute and private practice.

Learning Objectives: After studying this article and viewing the videos, the participant should be able to: 1. Describe the operative technique necessary to perform open rhinoplasty. 2. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00006534-201907000-0004
Publisher Site
http://dx.doi.org/10.1097/PRS.0000000000005778DOI Listing
July 2019
4 Reads

Septal Flip Flap for Anterior Skull Base Reconstruction After Endoscopic Transnasal Craniectomy: Long-Term Outcomes.

World Neurosurg 2019 Aug 28;128:e409-e416. Epub 2019 Apr 28.

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Head and Neck Surgery and Forensic Dissection Research Center (HNS & FDRC), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Background: Endoscopic endonasal anterior skull base malignant sinonasal tumor resection and reconstruction remains a challenge. We describe our septal flip flap (SFF) reconstruction, a new surgical technique for repairing anterior skull base defects and report our outcomes.

Methods: We retrospectively reviewed the clinical data of 24 patients who underwent skull base reconstruction using a SFF following endoscopic resection with transnasal craniectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.04.166DOI Listing
August 2019
9 Reads

Mechanical Strain of the Nasal Bilobed Transposition Flap-Graduated Changes in Skin Thickness Superiorly Displace the Location of the Pivot Point.

Dermatol Surg 2019 09;45(9):1136-1140

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001825DOI Listing
September 2019
17 Reads

Nasal Tip Reconstruction following Skin Cancer Resection: A Novel Approach Combining Reconstructive and Tip Rhinoplasty Principles.

Authors:
Victor J Hassid

Plast Reconstr Surg 2018 12;142(6):990e-991e

1327 Lake Pointe Parkway, Suite 201, Sugar Land, Texas 77478,

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000005055DOI Listing
December 2018
3 Reads

Nasal Reconstruction: Current Overview.

Ann Plast Surg 2018 12;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

View Article

Download full-text PDF

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

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

J Oral Maxillofac Surg 2018 09 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.joms.2018.04.013DOI Listing
September 2018
13 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

View Article

Download full-text PDF

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

Double-Opposing Z-Plasty for Secondary Surgical Management of Velopharyngeal Insufficiency Following Primary Furlow Palatoplasty.

Cleft Palate Craniofac J 2018 05 28;55(5):706-710. Epub 2018 Feb 28.

1 Division of Pediatric Plastic Surgery, Lurie Children's Hospital of Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Objective: The present study investigates the efficacy of performing a "palate rerepair" utilizing a double-opposing z-palatoplasty (DOZ) following primary Furlow palatoplasty.

Design: Retrospective study.

Setting: Tertiary referral academic center for craniofacial surgery. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/1055665618756072
Publisher Site
http://dx.doi.org/10.1177/1055665618756072DOI Listing
May 2018
13 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

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00042728-900000000-9884
Publisher Site
http://dx.doi.org/10.1097/DSS.0000000000001440DOI Listing
May 2018
30 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004187DOI Listing
March 2018
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00266-017-0908-xDOI Listing
October 2017
30 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/otorino201782325-27DOI Listing
September 2017
7 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000003148DOI Listing
March 2017
13 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1597982DOI Listing
February 2017
11 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1597949DOI Listing
February 2017
19 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00266-017-0816-0DOI Listing
April 2017
40 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000003129DOI Listing
November 2016
54 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anplas.2016.06.012DOI Listing
October 2016
16 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anplas.2016.06.007DOI Listing
October 2016
6 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1586497DOI Listing
October 2016
78 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

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s12070-016-1007-z
Publisher Site
http://dx.doi.org/10.1007/s12070-016-1007-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961647PMC
September 2016
11 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

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1586124
Publisher Site
http://dx.doi.org/10.1055/s-0036-1586124DOI Listing
August 2016
33 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

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077171PMC
http://dx.doi.org/10.1097/MOO.0000000000000295DOI Listing
October 2016
9 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

View Article

Download full-text PDF

Source
http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
Publisher Site
http://dx.doi.org/10.1097/SAP.0000000000000841DOI Listing
February 2016
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.burns.2016.06.006DOI Listing
December 2016
21 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000002257DOI Listing
July 2016
58 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1579783DOI Listing
June 2016
17 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000002237DOI Listing
June 2016
6 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000002122DOI Listing
May 2016
49 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000002240DOI Listing
April 2016
31 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

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/ 10.1177/1203475416629594
Publisher Site
http://dx.doi.org/10.1177/1203475416629594DOI Listing
July 2016
10 Reads
0.714 Impact Factor

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

View Article

Download full-text PDF

Source
http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
Publisher Site
http://dx.doi.org/10.1097/SCS.0000000000002182DOI Listing
November 2015
11 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0035-1564718DOI Listing
October 2015
116 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599815606435DOI Listing
November 2015
20 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0035-1563693DOI Listing
August 2015
8 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

View Article

Download full-text PDF

Source
http://www.scielo.br/pdf/abd/v90n3s1/0365-0596-abd-90-03-s1-
Web Search
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/abd1806-4841.20153527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540551PMC
January 2016
13 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2015.06.032DOI Listing
November 2015
38 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3109/00016489.2015.1050604DOI Listing
May 2016
46 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

View Article

Download full-text PDF

Source
January 2015
10 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

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1549305
Publisher Site
http://dx.doi.org/10.1055/s-0035-1549305DOI Listing
May 2016
3 Reads

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

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/ 10.1177/1203475415586665
Publisher Site
http://dx.doi.org/10.1177/1203475415586665DOI Listing
December 2015
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.soc.2015.03.005DOI Listing
July 2015
9 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

View Article

Download full-text PDF

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