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Arch Craniofac Surg 2022 Feb 20;23(1):39-42. Epub 2022 Feb 20.

Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School, Jeonju, Korea.

The reconstruction of total lower eyelid defects is challenging to plastic surgeons due to the complicated anatomical structure of the eyelid. In addition, in the setting of cancer excision, the resection is deep, which requires some volume augmentation. However, in some cases, free tissue transfer is not applicable. Read More

Plast Reconstr Surg Glob Open 2021 May 18;9(5):e3573. Epub 2021 May 18.

Bona Microtia and Aesthetic Ear Surgery Clinic, Seoul, Korea.

The temporoparietal fascia (TPF) flap has been successfully used in the treatment of microtia with primary or secondary cases. The literature contains numerous studies about its structure and vascular anatomy in adults. However, it is rare to study its vasculature and characteristics in children. Read More

Case Reports Plast Surg Hand Surg 2021 30;8(1):191-194. Epub 2021 Nov 30.

Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital.

We herein report a case of intractable flexor tenosynovitis. The inflamed synovium was debrided twice because of suspected infectious tenosynovitis. However, it relapsed and caused a soft tissue defect. Read More

J Maxillofac Oral Surg 2021 Dec 23;20(4):597-606. Epub 2021 Jan 23.

Department of Oral and Maxillofacial Surgery, PMNM Dental College and Hospital, Navanagar, Bagalkot, Karnataka India.

Background: Oral submucous fibrosis is a chronic, progressive, scarring, precancerous condition of oral mucosa which on progression causes severe trismus.

Aim And Objectives: To compare and evaluate the efficiency of buccal fat pad, platysmal mucocutaneous flap, nasolabial flap, collagen membrane graft, split thickness skin graft and temporoparietal fascia in reconstruction of surgical defect created by excision of fibrous bands in oral submucous fibrosis.

Results: After 6 months of follow-up, the interincisal mouth opening was 40. Read More

Plast Reconstr Surg 2021 Oct;148(4):850-860

From the Plastic Surgery Department, Sun Yat-sen Memorial Hospital, Sun Yat-sen University.

Background: In ear reconstruction, the difficulty lies in reestablishing the ear's bionic form with adequate skin coverage and an appropriate framework. Skin expansion and a porous polyethylene (i.e. Read More

Ann Plast Surg 2021 12;87(6):e189-e200

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

Abstract: The temporoparietal fascial flap (TPFF) is a versatile tool used in head and neck reconstructive surgeries as well as distal upper and lower extremity reconstructions. Depending on the anatomical location and characteristics of the recipient site soft tissue defects, harvesting techniques for TPFF retrieval may include elevation as a pedicle or a free flap, inclusion of the temporalis muscle and/or adjacent calvarial bone as a composite flap. The TPFF as a free flap is not only used for soft tissue coverage of various defects, and it can be used as a joint gliding surface with coverage of nerve and tendons after repair or trauma. Read More

World J Plast Surg 2021 May;10(2):93-97

Dental student at MUMS, Student Research Committee, Faculty of Denti-stry, Mashhad University of Medical Sciences, Mashhad, Iran.

The adhesion of mandibular condyle to the glenoid fossa by bone or fibroblastic tissue is called temporomandibular joint (TMJ) ankylosis. Trauma and infection are the main reasons for affecting TMJ ankylosis. TMJ arthroplasty is the treatment of choice for this situation. Read More

Maxillofac Plast Reconstr Surg 2021 Jul 14;43(1):26. Epub 2021 Jul 14.

Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gang-dong, #892 Dongnam-ro, Gangdong-gu, Seoul, 05278, Republic of Korea.

Background: Chondroblastomas, which account for approximately 1% of all bone tumors, typically occur in long bones, such as the femur, humerus, and tibia. However, in extremely rare cases, they may also occur in the craniofacial region where the tumor is often found in the squamous portion of the temporomandibular joint (TMJ) and in the temporal bone.

Case Presentation: This case report describes a large chondroblastoma (diameter, approximately 37 mm) that occurred in the TMJ. Read More

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 Sep 31;138 Suppl 2:49-51. 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 2022 Jan 21;131(1):94-100. 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 08 27;131(8):1761-1768. 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

J Craniofac Surg 2021 Jun;32(4):1400-1404

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

Abstract: The temporoparietal fascial flap (TPFF) is a versatile tool that can be used in the reconstruction of head and neck and distal upper and lower extremity defects. The TPFF may be harvested as a pedicle or free flap as well as with the temporalis muscle and/or adjacent calvarial bone as a composite flap. As a free flap, the TPFF has been used as a joint gliding surface with coverage of nerves and tendons, for extremity soft tissue repair, for tracheal and pharyngeal coverage and for defects of the nose, scalp, and auricle. 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 04 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 05 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

World Neurosurg 2021 03 5;147:1-6. Epub 2020 Dec 5.

Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, United Kingdom.

Background: With the advent of modern endoscopes and a better anatomic understanding of the skull base, the indications of endonasal approaches are increasing. These procedures may be complicated by high rates of postoperative cerebrospinal fluid (CSF) leak, and reconstruction of the defect remains challenging. In the anterior skull base, vascularized grafts have been reported as superior in preventing CSF leakage and infection. Read More

Facial Plast Surg Aesthet Med 2021 Jul-Aug;23(4):294-301. 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