215 results match your criteria cheek rotation

Reconstruction of a Large Traumatic Medial Cheek Defect Using an Anterior-Based Subcutaneous Cervicofacial Rotation Advancement Flap.

Plast Surg Nurs 2021 Apr-Jun 01;41(2):117-120

Sourabh Shankar Chakraborty, MBBS, DNB, MNAMS, is a Senior Resident, Department of Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

In this article, we describe reconstruction of a large left-side medial cheek defect in a 78-year-old woman using a cervicofacial rotation advancement flap. To our knowledge, this is the second case of reconstruction of a large traumatic medial cheek defect using an anterior-based subcutaneous cervicofacial rotation advancement flap that has ever been reported. We applied retention sutures at the level of the jawline and zygomatic eminence using 3-0 nonabsorbable sutures between the subcutaneous tissue of the flap and the periosteum. Read More

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Does Head Orientation Influence 3D Facial Imaging? A Study on Accuracy and Precision of Stereophotogrammetric Acquisition.

Int J Environ Res Public Health 2021 04 17;18(8). Epub 2021 Apr 17.

Section of Orthodontics, Dental School, Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

This study investigates the reliability and precision of anthropometric measurements collected from 3D images and acquired under different conditions of head rotation. Various sources of error were examined, and the equivalence between craniofacial data generated from alternative head positions was assessed. 3D captures of a mannequin head were obtained with a stereophotogrammetric system (Face Shape 3D MaxiLine). Read More

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Cheek soft tissue prediction in cleft orthognathic surgery: A 3D computer-assisted investigation with comparative analysis.

J Plast Reconstr Aesthet Surg 2021 Mar 29. Epub 2021 Mar 29.

Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background: The Le Fort I maxillary advancement and rotational movement have been adopted to treat patients with cleft-related skeletal Class III pattern and anteromedial cheek soft tissue deficiency, but cleft-specific cheek soft tissue prediction data are insufficient. This 3D imaging-based study addressed the issue.

Methods: 3D craniofacial soft tissue and bone models were created from 32 consecutive patients who received computer-aided two-jaw orthognathic surgery for the correction of cleft-related Class III deformity and cheek soft tissue deficiency. Read More

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Reconstruction of a Large Oncologic Defect Involving Lower Eyelid and Infraorbital Cheek Using MSTAFI Flap.

Ear Nose Throat J 2021 Mar 17:1455613211000294. Epub 2021 Mar 17.

Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People Republic of China.

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. Read More

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Taking a step down on the reconstruction ladder for head and neck reconstruction during the COVID-19 pandemic.

BMC Surg 2021 Mar 8;21(1):120. Epub 2021 Mar 8.

Plastic Surgery Department, Shifa International Hospital, Pitras Bukhari Road H-8, Islamabad, Pakistan.

Background: Most of the head and neck cancers are time-critical and need urgent surgical treatment. Our unit is one of the departments in the region, at the forefront in treating head and neck cancers in Pakistan. We have continued treating these patients in the COVID-19 pandemic with certain modified protocols. Read More

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Reconstruction of Orbital Exenteration Defects with Cheek Rotation Flaps: Indications, Technique, Complications, Rehabilitation, and Survival.

Facial Plast Surg 2021 Jun 14;37(3):288-295. Epub 2021 Jan 14.

Department of Oral and Maxillofacial Surgery, University of Duisburg-Essen, Kliniken-Essen-Mitte, Essen, Germany.

The objective of this study was to examine the role of cheek rotation flaps in the reconstruction of orbital defects after exenteration. From January 2000 to August 2018, patients undergoing orbital exenteration and reconstruction with cheek rotation flaps were enrolled in this retrospective study. All patients were evaluated for wound complications, orbital rehabilitation, tumor relapse, and survival. Read More

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Research paper: The three-dimensional mechanical response of orthodontic archwires and brackets in vitro during simulated orthodontic torque.

J Mech Behav Biomed Mater 2021 02 17;114:104196. Epub 2020 Nov 17.

Department of Mechanical Engineering, Faculty of Engineering, University of Alberta, Edmonton, Alberta, Canada; School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada. Electronic address:

Orthodontic archwire rotation around its long axis, known as third-order torque, is utilised to correct tooth rotational misalignments moving the tooth root closer to or away from the cheek through engagement with an orthodontic bracket. Studying the behaviour of archwire and brackets during an applied rotation can aid in better understanding and appreciating the mechanics of third-order torque, potentially allowing for more effective orthodontic treatment protocols. Mechanically characterising archwire behaviour during third-order torque application is a complex task due to their physical scale and geometries. Read More

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February 2021

Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction.

Case Reports Plast Surg Hand Surg 2020 Aug 14;7(1):98-104. Epub 2020 Aug 14.

Division of Plastic Surgery, Department of Surgery, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.

We report the combination of osteocutaneous radial forearm free flap and extensive cervicothoracic flap to reconstruct a large through-and-through cheek and mandibular defect. In patients with difficult clinical settings, this approach reduces operative time and complications without compromising the functional and cosmetic outcomes. Read More

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Buccal fat pad in cleft palate repair- An institutional experience of 27 cases.

Int J Pediatr Otorhinolaryngol 2020 Oct 11;137:110218. Epub 2020 Jul 11.

Department of Oral &Maxillofacial Surgery &Department of Craniofacial Surgery and Research Centre, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, 580009, India.

Objectives: The purpose of this paper is to consider the anatomical basis and surgical technique along with the utility of buccal fat pad (BFP) for the reconstruction in cleft lip and palate patients.

Methods: We reviewed 27 cases of CLAP treated with BFP over three year period in our institution which included 2 cases of primary palatoplasty & 25 cases of secondary palatoplasty. Inclusion criteria consisted of patients operated by a single surgeon with a minimum follow up of 2yrs. Read More

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October 2020

Effect of Le Fort I Maxillary Advancement and Clockwise Rotation on the Anteromedial Cheek Soft Tissue Change in Patients with Skeletal Class III Pattern and Midface Deficiency: A 3D Imaging-Based Prediction Study.

J Clin Med 2020 Jan 18;9(1). Epub 2020 Jan 18.

Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan 333, Taiwan.

Patients with a skeletal Class III deformity may present with a concave contour of the anteromedial cheek region. Le Fort I maxillary advancement and rotational movements correct the problem but information on the impact on the anteromedial cheek soft tissue change has been insufficient to date. This three-dimensional (3D) imaging-assisted study assessed the effect of surgical maxillary advancement and clockwise rotational movements on the anteromedial cheek soft tissue change. Read More

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January 2020

The effects of head rotation and tilt on oral pressure and muscle activity.

Anat Cell Biol 2019 Dec 31;52(4):378-384. Epub 2019 Dec 31.

Department of Dental Hygiene, Division of Health Sciences, Dongseo University, Busan, Korea.

We present basic data on head positions that can serve as compensatory interventions for patients with weak tongue and buccinator muscles. We studied 30 Korean adults (15 males, 15 females; mean age, 23 years; range, 20-30 years). A TPS-100 instrument was used to measure tongue and cheek pressures and suprahyoid and buccinator muscle activities at various head rotations and tilts, as independent variables. Read More

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December 2019

Control of the Suborbital Cheek in Pediatric Patients: Working in the Deep Plane.

Plast Reconstr Surg Glob Open 2019 Nov 27;7(11):e2559. Epub 2019 Nov 27.

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health; New York, N.Y.

Reconstruction of suborbital cheek and lower eyelid defects can be challenging in pediatric patients due to the need for lower eyelid support, lack of reliable local tissue, and difficulties of scar concealment. The deep-plane cervicofacial rotation-advancement flap is a useful technique for cheek reconstruction in adults; however, its utility in the pediatric population has not been described.

Methods: Experience using the deep-plane Schrudde flap for large suborbital defects in pediatric patients is presented. Read More

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November 2019

Analysis of Risk Factors Associated With Drooping Deformity After Lower Eyelid Reconstruction: A Newly Developed Drooping Index.

Ann Plast Surg 2020 06;84(6):700-704

From the Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science, Tokushima, Japan.

Background: Lower eyelid reconstruction is challenging because of the risk of severe postreconstruction deformities of the lower eyelid, such as drooping, entropion, and ectropion. However, the risk factors for these postreconstruction deformities are unclear. The present study aimed to quantify the drooping deformity of the lower eyelid after reconstruction using a cheek rotation flap and to identify risk factors associated with postreconstruction deformities. Read More

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Does the Optimal Layer of the Skin Include the Orbicularis Oculi Muscle When Elevating Cheek Rotation Flap?

J Cutan Aesthet Surg 2019 Apr-Jun;12(2):112-117

Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.

Background: The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved.

Materials And Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. Read More

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Nonmelanoma Skin Cancer at Critical Facial Sites: Results and Strategies of the Surgical Treatment of 102 Patients.

J Skin Cancer 2019 26;2019:4798510. Epub 2019 Jun 26.

Department of Dermatology, University Hospital Maria Aparecida Pedrossian, Federal University of Mato Grosso do Sul, Medical School, Brazil.

Background: To evaluate the surgical treatment results of a consecutive series of patients with nonmelanoma skin cancer in critical facial regions such as the nose, lip, eyelid, ear, forehead, cheek, and chin.

Methods: This was a prospective observational cohort study evaluating the surgical treatment results of 102 patients with nonmelanoma skin cancer who underwent surgical excision and required some type of reconstruction. The reconstruction strategy used, histological type and margins, aesthetic result, and complications were evaluated. Read More

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The Superficial Temporal Artery Island Flap: An Option for Moustache Reconstruction.

J Craniofac Surg 2019 Jul;30(5):e404-e406

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

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

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Zygomatic Rotation-Advancement: A New Concept for the Correction of Exorbitism in Patients With Syndromic Craniosynostosis.

J Craniofac Surg 2020 Jan/Feb;31(1):178-182

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY.

Background: The exophthalmos and class III malocclusion seen in Crouzon syndrome can be treated by Le Fort III advancement/distraction. However, reconstructive options for zygomatic retrusion are limited. The authors describe the repair of isolated exorbitism in a patient with Crouzon syndrome, via bilateral zygomatic rotation-advancement. Read More

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Modified cheek advancement flap for medial lower eyelid, nasal sidewall and infraorbital cheek reconstruction: a case series.

Orbit 2020 Apr 21;39(2):123-127. Epub 2019 Jun 21.

Oculoplastic and Orbital Surgery Service, Department of Ophthalmology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.

: To describe and evaluate surgical outcomes of the Modified Cheek Advancement Flap (MCAF) to reconstruct defects involving medial lower eyelid, nasal sidewall and infraorbital cheek following Mohs micrographic surgery for basal cell carcinoma (BCC).: All patients who underwent MCAF between 2012 and 2018 under the care of a single surgeon (LCA) were identified. The technique described in this report is a significant modification of the traditional cheek advancement flap. Read More

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The Flip-Back Myocutaneous Advancement Flap for Periocular Reconstruction.

Ophthalmic Plast Reconstr Surg 2019 Nov/Dec;35(6):569-573

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.

Purpose: To present a novel myocutaneous flap for anterior lamellar reconstruction.

Methods: Retrospective interventional case series of consecutive patients who underwent Mohs reconstruction using the flip-back flap. Operations were performed by a single surgeon (DTT) between January 2012 and May 2016. Read More

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January 2020

Repair of Apical Triangle Defects Using Melolabial Rotation Flaps.

Dermatol Surg 2019 03;45(3):358-362

DermSurgery Associates, Houston, Texas.

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

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

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[The application of modified rhomboid flap in repairing facial skin and soft tissue defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 02;33(2):207-211

Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China.

Objective: To explore the effectiveness of modified rhomboid flap for repairing facial skin and soft tissue defect.

Methods: Between January 2016 and May 2018, 23 patients with facial skin and soft defect were repaired by the modified rhomboid flap. There were 10 males and 13 females with the median age of 27 years (range, 11-72 years). Read More

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February 2019

Modiolar rotational cheiloplasty: Addressing the central oval in facial paralysis.

Laryngoscope 2019 10 28;129(10):2262-2268. Epub 2018 Dec 28.

Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, U.S.A.

Objectives/hypothesis: Current static reanimation of the midface fails to provide adequate functional and aesthetic improvement; there is a need for more effective static correction of the ptotic midface. Our objective herein was to describe a novel method of static midface suspension that produces improved functional and aesthetic outcomes compared to previous techniques. Specifically, our goal was to describe the technique of alar and oral commissure repositioning via modiolar rotational cheiloplasty with alar base transposition, and gingivobuccal sulcoplasty. Read More

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October 2019

Function Preservation of the Upper Lip after Tumor Resection Using Residual Orbicularis Oris Muscle and Attached Levator Labii Superioris Alaeque Nasi.

Plast Reconstr Surg Glob Open 2018 Oct 4;6(10):e1962. Epub 2018 Oct 4.

Division of Plastic Surgery, Nara Medical University Hospital, Nara, Japan.

We report a case, function preservation of the upper lip after tumor resection was possible using residual orbicularis oris muscle and attached levator labii superioris alaeque nasi. Patient was 67-year-old male with squamous cell carcinoma at the vermilion border. The tumor was resected with an 8-mm margin, leaving the oral mucosa as intact as possible. Read More

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October 2018

Reconstruction of the Cheek.

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

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February 2019

New Reconstruction of Cranial Musculature in Ornithischian Dinosaurs: Implications for Feeding Mechanisms and Buccal Anatomy.

Ali Nabavizadeh

Anat Rec (Hoboken) 2020 02 25;303(2):347-362. Epub 2018 Nov 25.

Department of Biomedical Sciences, Cooper Medical School of Rowan University, Camden, New Jersey.

The charismatic and diverse ornithischian dinosaurs exhibited some of the most extreme examples of cranial anatomy, inspiring decades of investigation into their muscular anatomy. Current ornithischian jaw muscle reconstructions, although parsimonious, pose concerns of small adductor muscles and caudally displaced insertions relative to mandibular proportions. Here, craniomandibular material of ornithischian genera spanning all subclades is reexamined for osteological correlates indicative of intracranial and oral soft tissues. Read More

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February 2020

Use of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects.

Asım Uslu

J Plast Reconstr Aesthet Surg 2019 Jan 20;72(1):119-124. Epub 2018 Sep 20.

Department of Plastic and Reconstructive Surgery(,) Antalya Training and Research Hospital(,) Varlık, Kazım Karabekir Cd.(,) 07100 Antalya(,) Turkey. Electronic address:

Full-thickness skin grafts (FTSGs) and flaps from the upper eyelid or cheek can be used for reconstruction of lower eyelid defects, including the anterior lamella. However, the upper eyelid has a limited and insufficient amount of skin, whereas cheek flaps have a restricted arch of rotation. Here we report the procedure and outcomes of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects including the anterior lamella. Read More

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January 2019

Treatment of class 2 malocclusion by corrective osteotomy using two short locking compression plates.

Equine Vet J 2019 May 27;51(3):316-322. Epub 2018 Oct 27.

Lingehoeve Diergeneeskunde, Lienden, the Netherlands.

Objective: To describe a symphyseal osteotomy stabilised with two short locking compression plates (LCPs) for treatment of class 2 malocclusions.

Study Design: Case series.

Methods: Five horses (age range 8 months to 5¾ years) with overjets and/or overbites ranging from 6 to 32 mm and from 0 to 60 mm, respectively, were treated by osteotomy through the caudal third of the mandibular symphysis, cranial to the interdental space. Read More

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Venous Congestion in Pedicled Frontal Branch Superficial Temporal Artery Flaps Reconstructions for Head and Neck Defects: A Review.

Ann Plast Surg 2019 03;82(3):330-336

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

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The facial artery perforator flap for intraoral reconstruction of a mouth floor defect.

Microsurgery 2018 Oct 2;38(7):795-798. Epub 2018 May 2.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation. Read More

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October 2018

Propeller flaps in eyelid reconstruction.

Eye (Lond) 2018 07 14;32(7):1259-1264. Epub 2018 Mar 14.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, SA, Australia.

Purpose: Propeller flaps are island flaps that reach the recipient site through an axial rotation. The flap has a subcutaneous pedicle on which it pivots, thereby resembling a helicopter propeller. We present our series of propeller flaps for the reconstruction of large eyelid defects. Read More

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