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Facial Plast Surg 2021 Jun 18. Epub 2021 Jun 18.

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig-Maximilians-University Munich, München, Germany.

This study evaluates the surgical outcome and patient benefit after auricular reconstruction with porous polyethylene frameworks and temporoparietal fascia flaps in both children and adults. A total of 161 patients who had undergone auricular reconstruction between 2003 and 2014 by doctors in our department were asked to answer both a validated health-related quality-of-life questionnaire (Glasgow Benefit Inventory or Glasgow Children's Benefit Inventory) and a questionnaire reporting satisfaction, complaints, and complications with the reconstructed pinna. Furthermore, postoperative surgical complications were recorded. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2021 May 31. Epub 2021 May 31.

Department of Otolaryngology and Head and Neck Surgery, IRCCS Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.

Ear Nose Throat J 2021 Apr 29:1455613211007967. Epub 2021 Apr 29.

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Shijingshan District, Beijing, People's Republic of China.

Objectives: Ear reconstruction is a challenging surgery for the complicated conditions in patients with microtia. The tissue expansion techniques were necessary and relatively safe for patients with insufficient soft tissue. However, complications such as necrosis of expanded flap and exposure of tissue expander limited the popularization of this method. Read More

Ann Otol Rhinol Laryngol 2021 Apr 21:34894211008699. Epub 2021 Apr 21.

Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS, USA.

Objective: Complications associated with intracranial vault compromise can be neurologically and systemically devastating. Primary and secondary repair of these deficits require an air and watertight barrier between the intracranial and extracranial environments. This study evaluated the outcomes and utility of using intracranial free tissue transfer as both primary and salvage surgical repair of reconstruction. Read More

Cir Pediatr 2021 Jan 1;34(1):51-55. Epub 2021 Jan 1.

Plastic Surgery Unit. Pediatric Surgery Department. Sant Joan de Déu Hospital. Barcelona (Spain).

Introduction: Microtia is a congenital malformation of the auricle. The most common complication of microtia surgical repair is costal cartilage exposure. We describe the case of a patient with costal cartilage exposure and the use of temporoparietal fascia flap (TPFF) for covering purposes. Read More

Laryngoscope 2021 Jan 27. Epub 2021 Jan 27.

Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele - Milan, Italy.

Objective/hypothesis: To define the best surgical technique able to reduce Frey syndrome (FS) incidence after parotidectomy.

Study Design: Systematic review and network meta-analysis.

Methods: An arm-based network analysis was conducted using a Bayesian hierarchical model. Read More

BMC Surg 2021 Jan 18;21(1):41. Epub 2021 Jan 18.

School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Background: Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The "crane principle" is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Read More

Head Neck 2021 Apr 13;43(4):1345-1358. Epub 2021 Jan 13.

Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

Background: Prevention of Frey syndrome (FS) after parotidectomy using an interposition barrier has long been gaining a wide popularity; however, there is no clear evidence regarding which preventive technique is more effective. The aim of this network meta-analysis (NMA) is to answer the question: What is the best method for prevention of FS after parotidectomy?

Methods: A comprehensive search of the PubMed, Embase, SCOPUS, and Cochrane library was conducted to identify the eligible studies. The outcome was the incidence of subjective Frey syndrome (SFS) and objective Frey syndrome (OFS). Read More

Head Neck 2021 May 12;43(5):1692-1694. Epub 2021 Jan 12.

Department of Otolaryngology-Head and Neck Surgery, University Hospital of Verona, Verona, Italy.

The procedure for salvage total laryngectomy (STL) is burdened by a high rate of postoperative complications as a result of delayed wound healing in previously irradiated tissue. Several observational studies have investigated the role of prophylactic vascularized flaps to aid pharyngeal closure after STL and prevent the development of PCF. The use of a temporoparietal fascia free flap (TFFF) as an overlay flap for STL has been described previously in two published studies and both sets of authors agreed that the most obvious benefit of the TFFF in STL is a reduced PCF rate with low site morbidity and good functional outcomes. Read More

Laryngoscope Investig Otolaryngol 2020 Dec 15;5(6):1029-1038. Epub 2020 Oct 15.

Department of Otolaryngology-Head and Neck Surgery University of Iowa Hospitals and Clinics Iowa City Iowa USA.

Objective: Techniques for reconstruction of skull base defects have advanced greatly since the introduction of the vascular pedicled nasoseptal flap in 2006. The objective of this review is to assess the current state of the field by examining both intranasal and extranasal techniques of vascular pedicled skull base defect repair, their indications and success rates, and novel techniques that are currently under investigation.

Methods: A review of the literature describing the use of vascular pedicled flaps in skull base defect reconstruction was conducted using PubMed and Google Scholar. Read More

Facial Plast Surg Aesthet Med 2020 Dec 1. Epub 2020 Dec 1.

Department of Plastic Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, P.R. China.

Various methods exist to manage unwanted hair in low hairline microtia. We present our 10-year experience that compares the two procedures toward all degrees of low hairline microtia. The tongue-shaped split-thickness skin graft procedure (modified Chen's procedure) and the modified Nagata procedure were used for ear reconstruction in 42 microtia patients with three degrees of low hairlines from 2010 to 2020. Read More

World Neurosurg 2021 02 7;146:118. Epub 2020 Nov 7.

Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Department of Otorhinolaryngology-Head and Neck Surgery, ASST Lariana, Sant'Anna Hospital, University of Insubria, San Fermo della Battaglia, Como, Italy.

Reconstruction of wide skull base defects resulting from multimodal treatment of cranial base malignancies are challenging. Endonasal pedicled flaps (e.g. Read More

J Craniofac Surg 2020 Nov/Dec;31(8):2329-2330

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of New Mexico, Albuquerque, NM.

Self-inflicted gunshot wounds (GSW) to the palate result in complex bony and soft tissue trauma to the mid and upper face. Patients who survive these injuries are faced with significant speech and feeding difficulties. Upper and midface fractures open reduction and internal fixation (ORIF) is required for many of these patients, and consideration to incision planning is critical in order to preserve a primary option for oroantral fistula repair. Read More

Laryngoscope 2021 04 23;131(4):E1088-E1093. Epub 2020 Sep 23.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Medical Center, Columbus, Ohio, USA.

Indian J Plast Surg 2020 Aug 10;53(2):280-286. Epub 2020 Aug 10.

Department Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

 Classification of posttraumatic ear deformities and its reconstruction is an uphill task for a reconstructive surgeon as they present in various combinations. In our study, we have described ear deformity as per a new classification and reconstructed the ear accordingly.  Posttraumatic ear deformity was described under the following four headings: (a) zone of defect, (b) size of defect, (c) missing components, and (d) condition of surrounding skin. Read More

Acta Otorhinolaryngol Ital 2020 Jun;40(3):181-189

Otorhinolaryngology Unit, Humanitas University, IRCCS Humanitas Clinical and Research Center, Rozzano (MI), Italy.

World Neurosurg 2020 11 23;143:38-45. Epub 2020 Jul 23.

Department of Neurosurgery, Lenox Hill Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, New York, USA.

Background: The major difficulty in treating glioblastoma stems from the intrinsic privileged nature of the brain. This complicates therapy, as many traditionally potent chemotherapeutics cannot access their target sites in the brain. Several techniques have been investigated to overcome this barrier and facilitate drug delivery. Read More

Int Forum Allergy Rhinol 2020 11 7;10(11):1249-1254. Epub 2020 Jul 7.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.

Background: The ability to reconstruct large cranial base defects has greatly improved with the development of pedicled vascularized flaps. The temporoparietal fascia flap (TPFF) is a viable alternative to the Hadad-Bassagasteguy nasoseptal flap for large ventral skull-base defects. This study aims to characterize the size of the TPFF necessary for optimal ventral skull-base reconstruction. Read More

Curr Opin Otolaryngol Head Neck Surg 2020 Aug;28(4):212-217

Department of Otolaryngology-Head and Neck Surgery.

Purpose Of Review: Multiple successful techniques and approaches for nasal septal perforation repair have been described, yet consistency in perforation and outcome metrics is required to identify the optimal approach to repair. The present article will review the recent literature.

Recent Findings: Computational fluid dynamic studies continue to expand our understanding of the airflow dynamics in nasal septal perforation and after repair. Read More

Laryngoscope Investig Otolaryngol 2020 Jun 14;5(3):381-389. Epub 2020 Apr 14.

Department of Otolaryngology/Head and Neck Surgery University of North Carolina Health Care Chapel Hill North Carolina USA.

Objectives: Multiple surgical techniques exist in the acute management of auricular avulsion injuries, including reattachment of the tissue as a composite graft, reconstruction using local skin flaps, the pocket principle, the Baudet method, and microvascular repair. This review aimed to compare the success rates of reattachment methods in auricular avulsion injuries.

Methods: A PubMed search systematically identified cases in which (a) an auricular avulsion injury occurred and (b) reattachment was attempted. Read More

Plast Reconstr Surg 2020 05;145(5):1252-1261

From the Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California; Cedars Sinai Medical Center; and the Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital.

Background: Because auricular reconstruction is a complex and relatively uncommon procedure, there are many patients that have had disappointing reconstructions. This study describes the authors' large experience with secondary procedures in patients with unsatisfactory or failed initial ear reconstruction.

Methods: A prospectively maintained database of all consecutive patients who underwent secondary total ear reconstruction from March of 1991 to December of 2017 was reviewed. Read More

Ann Plast Surg 2020 07;85(1):89-92

Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.

Microtia reconstruction is a unique and challenging field in reconstructive surgery. In the early 20th century, many different alloplastic materials have been used in an attempt to recreate the fibrocartilaginous framework of the native ear. These materials include celluloid, tantalum wire cage, nylon mesh, polyethylene, and acrylic. Read More

Ann Maxillofac Surg 2019 Jul-Dec;9(2):444-450

Department of Oral and Maxillofacial Surgery, P.M.N.M. Dental College, Bagalkot, Karnataka, India.

The various surgical procedures for surgical management of oral submucous fibrosis (OSMF) include excision of fibrous bands with or without grafts or flaps. Materials for attempted grafting included skin, placental grafts, and artificial dermis. Materials that can be used as flaps are tongue flaps, buccal fat pad, greater palatine pedicle flaps nasolabial flaps, anterolateral thigh flap, radial forearm flap, and temporalis fascia flap. Read More

Oper Neurosurg (Hagerstown) 2020 07;19(1):E68-E69

Stanford University Medical Center, Stanford, California.

A 2-yr-old patient with a giant craniopharyngioma presented with seizures and panhypopituitarism. The lesion was initially approached at an outside institution with a transfrontal cyst fenestration, but progressive growth occurred later. Multiple management options were considered; we recommended an endoscopic endonasal approach with the goal of maximal safe resection. Read More

Arch Craniofac Surg 2019 Oct 20;20(5):319-323. Epub 2019 Oct 20.

Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine, Jeju, Korea.

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):107-109

Universidad Autónoma de Guadalajara, Guadalajara, México.

Background: The full creation of an ear requires 2 reconstruction stages. In the second stage of reconstruction, the cartilaginous framework placed at first stage is separated from the head creating an auriculocephalic sulcus. Then a piece of rib cartilage is placed in the sulcus to maintain this separation and is covered with tissue that allows the integration of a full-thickness skin graft. Read More

Ann Otol Rhinol Laryngol 2020 Feb 27;129(2):135-141. Epub 2019 Sep 27.

Department of Surgery, Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.

Objective: To report the rate of major soft tissue complications after cochlear implantation and to describe the use of the temporoparietal fascia (TPF) flap for such complications.

Study Design: Retrospective case series.

Setting: Tertiary care, University Hospital. Read More

World Neurosurg 2020 Feb 14;134:e68-e74. Epub 2019 Sep 14.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.

Background: A paramount concern after transmaxillary approaches has been skull base reconstruction. Regional pedicled flaps represent the best reconstructive option. We have described a technique to harvest a lateral-based multilayered vascularized flap for skull base reconstruction after resection of large tumors using the transmaxillary transpterygoid approach (TMTPA). Read More

J Craniofac Surg 2019 Jul;30(5):e386-e388

Plastic Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Angiolymphoid Hyperplasia with Eosinophilia (AHLE) is a rare benign vascular disorder of unknown etiology. While World Health Organization recognizes it as a benign neoplasm, its progressive nature and high recurrence rate are consistent with being a locally malignant tumor. It may present as solitary or multiple nodules with more predilection to head and neck region, especially auricular area. Read More