AN ELEVEN YEAR FOLLOW-UP CASE OF FACIAL HEMIATROPHY TREATED BY COMBINED APPROACHES OF CRANIOFACIAL AND

Size: px
Start display at page:

Download "AN ELEVEN YEAR FOLLOW-UP CASE OF FACIAL HEMIATROPHY TREATED BY COMBINED APPROACHES OF CRANIOFACIAL AND"

Transcription

1 Keio Journal of Medicine 34: , 1985 CASE REPORT AN ELEVEN YEAR FOLLOW-UP CASE OF FACIAL HEMIATROPHY TREATED BY COMBINED APPROACHES OF CRANIOFACIAL AND MICROVASCULAR SURGERIES TOYOMI FUJINO,*1 RYUZABURO TANINO,*2 CHITOH SUGIMOTO,*1 HIDEO NAKAJIMA*1 and TAKASHI KIYOIZUMI*1 *1 Department of Plastic and Reconstructive Surgery, Keio University Hospital, Tokyo, Japan *2 Tokai University Hospital, Isehara, Japan (Received for publication July 18, 1985) ABSTRACT A 19 year-old male with facial hemiatrophy who underwent the combined surgical techniques of craniofacial surgery for the bony defect and microvascular surgery for the soft tissue defect showed a successful result at 11 year follow-up. Key words: Facial hemiatrophy, Craniofacial surgery, Microvascular surgery, Reconstruction, Flap The facial hemiatrophy is one of the most difficult deformities in reconstructive surgery. In most cases, it has been reconstructed by either autogenous tissue transfer or heterogenous foreign body implantation. Utilizing the latest techniques in plastic surgery, the first case of facial hemiatrophy by combined craniofacial and microsurgical approaches was performed by us and reported in Plastic and Reconstructive Surgery in This is a 11 year follow-up case report. CASE REPORT A 19 year-old male was admitted to for surgical correc tion of facial hemiatrophy on the right (Fig. 1). On March 25, 1974, under general anesthesia, an osteotomy of the frontal, 123

2 124 Toyomi Fujino et al. Fig. 1 A 19 year-old male with right facial hemiatrophy. Preoperative findings. A. frontal B. semiaxial 1 month postoperative. C. frontal D. semiaxial 11 years postoperative. E. frontal F semiaxial zygomatic and maxillary bones via biconoral incisions by Tessier and Converse's tech niques was carried out for en bloc advancement of the right orbit by one cm. The bony gap was filled with autogenous rib and iliac bone grafts, which were fixed by surgical wires (Fig. 2).2 Succeedingly, on May 21, 1974, an augmentation cheekplasty was performed by a free deltopectral dermal fat flap transfer (Fig. 3).1 His postoperative course was uneventful. For the past 11 years, he has been well except for the history of socketplasty and mandibular reconstruction for tumor of the mandible. Physical examination on July 14, 1985 showed only a very slight resorption of the implanted rib and iliac bone grafts

3 A 11 Year Fig. A. B. C. D. E. F. 2 Follow-up Craniofacial Case surgical of Facial approach Hemiatrophy for bony 125 hemiatrophy.2 Preoperative designs of bicoronal and right infraorbital incisions. After incision, the supraorbital rim, temporal bone and zygomatic arch were exposed. The supraorbital rim and zygomatic arch were chisled. The lateral wall of the orbit was chisled. The orbital rim was advanced forwards by one cm. The gap was filled with autogenous rib and iliac bone grafts, which were fixed by surgical wires. The infraorbital finding with bone graft. with irregular skin surface fat flap in the cheek (Fig. on the temporal region, and soft and well preserved dermal 1). DISCUSSION A single surgical approach for facial hemiatrophy has been done by many surgeons for years. Eitner3 first reported the free dermal fat grafting, but Schuessler4 reported the incidence of postoperative absorption in 15%, infection 15% and cyst formation 5% and especially emphasized high incidence of complications in the area of poor vascular networks. In the past, there were no successful follow-up reports by free dermal fat grafting. Utilizing the same technique, Newman5 reported the case, and Converse6 re-

4 126 Toyomi Fujino et al.

5 A 11 Year Fig. A. B. C. D. 3 Follow-up Microvascular Case surgical of Facial approach Hemiatrophy for soft tissue 127 defect. Preoperative design. Dotted line is the proposed area to fill by a free deltopectral dermal fat flap. The skin of the free flap was shaved by the dermatome. The shaved skin was returned to the donor site, deltopectral area. The cheek was filled by a free deltopectral dermal flat flap. Immediate postoperative finding. Through the two small incisions, one in the temporal area, and another in the submandibular area, the the cheek was undermined, and filled with free flap. (From T. Fujino et al. Microvascular transfer of free deltopectral fat flap. Plast. Reconstr. Surg. 55: , 1975) dermal-

6 128 Toyomi Fujino et al. ported its 20 year follow-up, emphasizing that dermal fat from the abdomen increased the volume when he became obese. According to this fact, McDowellF stated the arm flap has become popular in the 1940s. In the past, many kinds of foreign body implantation in the cheek such as paraffin, tantalum, sponge latex rubber, vinyl acetate, polyethylene and fiber glass has been at tempted but not successful. Ashley7 first reported medical silicone injection method. After 10 years' follow-up, Rees8 reported that injection of medical dimethylpolysiloxane fluid in a total of 3.5 ml to 55.5 ml by medical specialists showed less postoperative complications, emphasizing not iniecting the fluid into the vascular cavity. Many surgeons often insist to perform the surgical correction of the hemifacial atrophy by autogenous tissue, mainly for its safety in a long run. Combined surgical techniques for facial hemiatrophy was never carried out until 1974, when Fujino first performed successfully the craniofacial surgical approach for the bony defect and microvascular surgical approach for the soft tissue defect. Both surgical techniques are the latest development of plastic surgery in the world and their combined techniques to a single case was the first ever reported. A 11 year follow-up study reveals a successful long term surgical result by the autogenous tissue transfer except for further necessity of eye socketplasty although it is different matters from this correcting methods. REFERENCES 1. Fujino, T., Tanino, R. and Sugimoto, C.: Microvascular transfer of free deltopectral dermal-fat flap. Plast. Reconstr. Surg. 55: , Fujino, T.: Treatment of congenital anomaly of the face-recent advancement. Modern General Surgery Series 1975-C. p Nakayama Shoten, 1975 (in Japanese) 3. Eitner, E.: Cosmetic surgery in hemiatrophy of the face (as quoted by Kajanjian). 4. Shuessler, W. W. and Steffanoff, D. N.: Dermal grafts for correction of facial defects; A series of 80 cases. Plast. Reconstr. Surg. 4: , Neuman, C. G.: The use of large buried pedicled flaps of dermis and fat. Clinical and pathological evaluation in the treatment of progressive facial hemiatrophy. Plast. Reconstr. Surg. 11: , Converse, J. M. and Betson, R. J.: A 20 year follow-up of a patient with hemifacial atrophy treated by buried deepithelized flap. Case report. Plast. Reconstr. Surg. 48: , Ashley, F. S., Rees, T. D., Ballentayne, D. L., Galloway, D., Machida, R., Grazer, F., McConnell, D. V., Edgerton, T. and Kiskadden, W.: An injection technique for the treatment of facial hemiatrophy. Plast. Reconstr. Surg. 35: , Rees, T. D., Ashley, F. L. and Delgado, J. P.: Silicone fluid injections for facial atrophy. A ten year study. Plast. Reconstr. Surg. 52: , 1973

What is Hemifacial Microsomia? By Pravin K. Patel, MD and Bruce S. Bauer, MD Children s Memorial Hospital, Chicago, IL

What is Hemifacial Microsomia? By Pravin K. Patel, MD and Bruce S. Bauer, MD Children s Memorial Hospital, Chicago, IL What is Hemifacial Microsomia? By Pravin K. Patel, MD and Bruce S. Bauer, MD Children s Memorial Hospital, Chicago, IL 773-880-4094 Early in the child s embryonic development the structures destined to

More information

CHAPTER 8 SECTION 1.4 ORAL SURGERY TRICARE/CHAMPUS POLICY MANUAL M DEC 1998 SPECIAL BENEFIT INFORMATION

CHAPTER 8 SECTION 1.4 ORAL SURGERY TRICARE/CHAMPUS POLICY MANUAL M DEC 1998 SPECIAL BENEFIT INFORMATION TRICARE/CHAMPUS POLICY MANUAL 6010.47-M DEC 1998 SPECIAL BENEFIT INFORMATION CHAPTER 8 SECTION 1.4 Issue Date: October 8, 1986 Authority: 32 CFR 199.4(e)(10) I. DESCRIPTION There are certain oral surgical

More information

SYLLABUS OF ORAL AND MAXILLOFACIAL SURGERY

SYLLABUS OF ORAL AND MAXILLOFACIAL SURGERY MEDICAL UNIVERSITY OF VARNA FACULTY OF DENTAL MEDICINE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY AND SID SYLLABUS OF ORAL AND MAXILLOFACIAL SURGERY (State examination) ACADEMIC YEAR 2015 2016 1. Asepsis

More information

JPRAS Open 6 (2015) 5e10. Contents lists available at ScienceDirect. JPRAS Open. journal homepage:

JPRAS Open 6 (2015) 5e10. Contents lists available at ScienceDirect. JPRAS Open. journal homepage: JPRAS Open 6 (2015) 5e10 Contents lists available at ScienceDirect JPRAS Open journal homepage: http://www.journals.elsevier.com/ jpras-open Case report Intraosseous hemangioma of the zygomatic bone Junji

More information

SCOPE OF PRACTICE PGY-6 PGY-7 PGY-8

SCOPE OF PRACTICE PGY-6 PGY-7 PGY-8 PGY-6 Round on all plastic surgery inpatients every day. Assess progress of patients and identify real or potential problems. Review patients progress with attending physicians daily and participate in

More information

Progressive Hemifacial Atrophy Treated by Orthodontic Surgery

Progressive Hemifacial Atrophy Treated by Orthodontic Surgery Oral Science International, November 2005, p.131 135 Copyright 2005, Japanese Stomatology Society. All Rights Reserved. Progressive Hemifacial Atrophy Treated by Orthodontic Surgery Yasumitsu Kodama, Marta

More information

Anatomical study. Clinical study. R. Ogawa, H. Hyakusoku, M. Murakami, R. Aoki, K. Tanuma* and D. G. Pennington?

Anatomical study. Clinical study. R. Ogawa, H. Hyakusoku, M. Murakami, R. Aoki, K. Tanuma* and D. G. Pennington? British Journal of Plastic Surgery (2002) 55, 396-40 I 9 2002 The British Association of Plastic Surgeons doi: 10.1054/bjps.2002.3877 PLASTIC SURGERY An anatomical and clinical study of the dorsal intercostal

More information

The Case FOR Oncoplastic Surgery in Small Breasts. Barbara L. Smith, MD, PhD Massachusetts General Hospital Harvard Medical School Boston, MA USA

The Case FOR Oncoplastic Surgery in Small Breasts. Barbara L. Smith, MD, PhD Massachusetts General Hospital Harvard Medical School Boston, MA USA The Case FOR Oncoplastic Surgery in Small Breasts Barbara L. Smith, MD, PhD Massachusetts General Hospital Harvard Medical School Boston, MA USA Changing issues in breast cancer management Early detection

More information

Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report

Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report 220 Nasal septal reconstruction Case Report Fibular Bone Graft for Nasal Septal Reconstruction: A Case Report Yakup Cil1* Diyarbakır Military Hospital, Department of Plastic Surgery 21000 Diyarbakır, Turkey

More information

Proboscis lateralis: report of two cases

Proboscis lateralis: report of two cases The British Association of Plastic Surgeons (2003) 56, 704 708 CASE REPORT Proboscis lateralis: report of two cases Lütfi Eroğlu a, *, Osman Ata Uysal b a Faculty of Medicine, Department of Plastic and

More information

Modified T-Plate Interpositional Arthroplasty for Temporomandibular Joint Ankylosis: A New and Versatile Option

Modified T-Plate Interpositional Arthroplasty for Temporomandibular Joint Ankylosis: A New and Versatile Option Original rticle Modified T-Plate Interpositional rthroplasty for Temporomandibular Joint nkylosis: New and Versatile Option Imran hmad, Mohd ltaf Mir, Lalit Mohan ariar Department of Plastic and Reconstructive

More information

FOLLOWING INTRODUCTION OF

FOLLOWING INTRODUCTION OF ORIGINAL ARTICLE Alternative 1-Step Nasal Reconstruction Technique Kazuo Kishi, MD, PhD; Nobuaki Imanishi, MD, PhD; Yusuke Shimizu, MD; Ruka Shimizu, MD, PhD; Keisuke Okabe, MD; Hideo Nakajima, MD, PhD

More information

MEDPOR. Plastic surgery

MEDPOR. Plastic surgery MEDPOR Plastic surgery MEDPOR biomaterial MEDPOR has been a trusted name in the industry since 1985, with hundreds of thousands of procedures performed, and hundreds of published clinical reports in reconstructive,

More information

THE pedicled flap, commonly used by the plastic surgeon in the reconstruction

THE pedicled flap, commonly used by the plastic surgeon in the reconstruction THE PEDICLE!) SKIN FLAP ROBIN ANDERSON, M.D. Department of Plastic Surgery THE pedicled flap, commonly used by the plastic surgeon in the reconstruction of skin and soft tissue defects, differs from the

More information

ISOLATED ZYGOMATIC BONE FRACTURE; MANAGEMENT BY THREE POINT FIXATION

ISOLATED ZYGOMATIC BONE FRACTURE; MANAGEMENT BY THREE POINT FIXATION The Professional Medical Journal 1. BDS, FCPS 2. BDS, FCPS 3. BDS, MSc Community Dentistry 4. BDS, MSc (Trainee) 5. MBBS, FRCS Associate Professor General Surgery LUMHS, Correspondence Address: Dr. Suneel

More information

EAR RECONSTRUCTION. Reconstruction of the ear is one of MICROTIA

EAR RECONSTRUCTION. Reconstruction of the ear is one of MICROTIA Ear Reconstruction EAR RECONSTRUCTION Reconstruction of the ear is one of the most challenging problems facing a reconstructive surgeon as it demands precise technique combined with artistic creativity.

More information

Breast Reconstruction: Current Strategies and Future Opportunities

Breast Reconstruction: Current Strategies and Future Opportunities Breast Reconstruction: Current Strategies and Future Opportunities Hani Sbitany, MD Assistant Professor of Surgery University of California, San Francisco Division of Plastic and Reconstructive Surgery

More information

Principles of Facial Reconstruction After Mohs Surgery

Principles of Facial Reconstruction After Mohs Surgery Objectives Principles of Facial Reconstruction After Mohs Surgery Identify important functional anatomy and aesthetic units of the face. Describe techniques used in facial reconstruction. Discuss postoperative

More information

The eyebrow is so aesthetically important that. Reconstructive

The eyebrow is so aesthetically important that. Reconstructive Original Article Reconstructive Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid Shinji Matsuo, MD Ichiro Hashimoto, MD Takuya Seike, MD Yoshiro Abe, MD

More information

Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear

Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear The British Association of Plastic Surgeons (2004) 57, 238 244 Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear Yong Oock Kim*, Beyoung Yun Park, Won Jae Lee Institute

More information

SURGICAL TREATMENT OF MANDIBULAR ASYMMETRY By MARIAN GORSKI, M.D., 1 and IRENA HALINA TARCZYNSKA, M.D. Maxillo-Facial Clinic, Warsaw Medical Academy

SURGICAL TREATMENT OF MANDIBULAR ASYMMETRY By MARIAN GORSKI, M.D., 1 and IRENA HALINA TARCZYNSKA, M.D. Maxillo-Facial Clinic, Warsaw Medical Academy SURGICL TRETMENT OF MNDIULR SYMMETRY y MRIN GORSKI, M.D., 1 and IREN HLIN TRCZYNSK, M.D. Maxillo-Facial Clinic, Warsaw Medical cademy UNILTERL mandibular deformities may be due to either overgrowth or

More information

The goal of septorhinoplasty is the reconstruction of the

The goal of septorhinoplasty is the reconstruction of the Otolaryngology Head and Neck Surgery (2007) 137, 862-867 ORIGINAL RESEARCH FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY The use of autogenous costal cartilage graft in septorhinoplasty Ali Moshaver, MSc,

More information

Current Strategies in Breast Reconstruction

Current Strategies in Breast Reconstruction Current Strategies in Breast Reconstruction Hani Sbitany, MD Assistant Professor of Surgery University of California, San Francisco Division of Plastic and Reconstructive Surgery 12 th Annual School of

More information

Closure of an Oronasal Fistula in an Irradiated Palate by Tissue and Bone Distraction Osteogenesis CASE REPORT

Closure of an Oronasal Fistula in an Irradiated Palate by Tissue and Bone Distraction Osteogenesis CASE REPORT Closure of an Oronasal Fistula in an Irradiated Palate by Tissue and Bone Distraction Osteogenesis Peter J. Taub, MD* James P. Bradley, MD* Henry K. Kawamoto, MD, DDS* Los Angeles, California Pittsburgh,

More information

Departmental Segregated Total Form for Plastic and Reconstructive Surgery

Departmental Segregated Total Form for Plastic and Reconstructive Surgery Departmental Segregated Total Form for Plastic and Reconstructive Surgery American Osteopathic Association and the American College of Osteopathic Surgeons Revised, COPT 11/2001 Revised, BOT 2/2006, Effective,

More information

Intraoral mandibular distraction osteogenesis in facial asymmetry patients with unilateral temporomandibular joint bony ankylosis

Intraoral mandibular distraction osteogenesis in facial asymmetry patients with unilateral temporomandibular joint bony ankylosis Int. J. Oral Maxillofac. Surg. 2002; 31: 544 548 doi:10.1054/ijom.2002.0297, available online at http://www.idealibrary.com on Intraoral mandibular distraction osteogenesis in facial asymmetry patients

More information

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment

A New Classification of Zygomatic Fracture Featuring Zygomaticofrontal Suture: Injury Mechanism and a Guide to Treatment IBIMA Publishing Plastic Surgery: An International Journal http://www.ibimapublishing.com/journals/psij/psij.html Vol. 2013 (2013), Article ID 383486, 6 pages DOI: 10.5171/2013.383486 Research Article

More information

Report of Ankylosis of the Temporomandibular Joint: Treatment with a Temporalis Muscle Flap and Augmentation Genioplasty

Report of Ankylosis of the Temporomandibular Joint: Treatment with a Temporalis Muscle Flap and Augmentation Genioplasty Report of Ankylosis of the Temporomandibular Joint: Treatment with a Temporalis Muscle Flap and Augmentation Genioplasty Abstract A case of true bilateral ankylosis of the temporomandibular joint (TMJ)

More information

SuFg W. The Use of Methyl Methacrylate Cranioplasty in Forehead Reconstruction

SuFg W. The Use of Methyl Methacrylate Cranioplasty in Forehead Reconstruction Eur J Plast Surg (1986) 9:94-99 European Ill1 Joumal of I ~' l #~ll ~l'~lhr I SuFg W Springer-Verlag 1986 The Use of Methyl Methacrylate Cranioplasty in Forehead Reconstruction L.C. Argenta and M.H. Newman

More information

Reconstruction of the Breast after Cancer An Overview of Procedures and Options by Karen M. Horton, MD, MSc, FRCSC

Reconstruction of the Breast after Cancer An Overview of Procedures and Options by Karen M. Horton, MD, MSc, FRCSC Downloaded from Reconstruction of the Breast after Cancer An Overview of Procedures and Options by Karen M. Horton, MD, MSc, FRCSC What is Breast Reconstruction? Reconstruction of the breast involves recreating

More information

BUILDING A. Achieving total reconstruction in a single operation. 70 OCTOBER 2016 // dentaltown.com

BUILDING A. Achieving total reconstruction in a single operation. 70 OCTOBER 2016 // dentaltown.com BUILDING A MANDI Achieving total reconstruction in a single operation by Dr. Fayette C. Williams Fayette C. Williams, DDS, MD, FACS, is clinical faculty at John Peter Smith Hospital in Fort Worth, Texas,

More information

REFERENCES for PLATELET RICH PLASMA (PRP)

REFERENCES for PLATELET RICH PLASMA (PRP) REFERENCES for PLATELET RICH PLASMA (PRP) Daif ET. Autologous blood injection as a new treatment modality for chronic recurrent temporomandibular joint dislocation. Oral Surg Oral Med Oral Pathol Oral

More information

Surgical Treatment of Short Nose

Surgical Treatment of Short Nose Surgical Treatment of Short Nose Dr. Otto YT Au MD (JEFFERSON, USA) 1957, MCPS (MANITOBA) 1963, FHKAM (SURGERY) 1995 Diplomate American Board Plastic Surgery Plastic Surgery Specialist Dr.OttoYTAu A nice

More information

Maxillary Reconstruction with the Free Fibula Flap

Maxillary Reconstruction with the Free Fibula Flap Maxillary Reconstruction with the Free Fibula Flap Xin Peng, D.D.S., Ph.D., Chi Mao, D.D.S., Ph.D., Guang-yan Yu, D.D.S., Ph.D., Chuan-bin Guo, D.D.S., Ph.D., Min-xian Huang, D.D.S., and Yi Zhang, D.D.S.,

More information

The effect of tissue expanders on the growing craniofacial skeleton

The effect of tissue expanders on the growing craniofacial skeleton Free full text on www.ijps.org Original Article The effect of tissue expanders on the growing craniofacial skeleton Mohamed M. S. Awad Department of Surgery, Zagazig University Hospitals, Zagazig, Egypt

More information

Reconstruction of large mandibular defects

Reconstruction of large mandibular defects Immediate Reconstruction of a Large Mandibular Defect of Locally Invasive Benign Lesions (A New Method) Gholamreza Shirani, OMFS, DDS, MS,* Mahnaz Arshad, DDS, 1 Farnoush Mohammadi, OMFS, DDS, MS* Tehran,

More information

By JOHN MARQUIS CONVERSE, M.D., and DAUBERT TELSEY, D.D.S.

By JOHN MARQUIS CONVERSE, M.D., and DAUBERT TELSEY, D.D.S. THE TRIPARTITE OSTEOTOMY OF THE MID-FACE FOR ORBITAL EXPANSION AND CORRECTION OF THE DEFORMITY IN CRANIOSTENOSIS By JOHN MARQUIS CONVERSE, M.D., and DAUBERT TELSEY, D.D.S. Center for Craniofacial Anomalies

More information

Vascularized Rib for Facial Reconstruction

Vascularized Rib for Facial Reconstruction Vascularized Rib for Facial Reconstruction Steven P. Davison, M.D., D.D.S., James H. Boehmler, M.D., Jason C. Ganz, M.D., and Bruce Davidson, M.D. Washington, D.C. The reconstruction of maxillectomy defects

More information

Core Curriculum Syllabus Emergencies in Otolaryngology-Head and Neck Surgery FACIAL FRACTURES

Core Curriculum Syllabus Emergencies in Otolaryngology-Head and Neck Surgery FACIAL FRACTURES Core Curriculum Syllabus Emergencies in Otolaryngology-Head and Neck Surgery A. General Considerations FACIAL FRACTURES Look for other fractures like skull and/or cervical spine fractures Test function

More information

This article was published in an Elsevier journal. The attached copy is furnished to the author for non-commercial research and education use, including for instruction at the author s institution, sharing

More information

Medical Policy Oral and Maxillofacial Surgery and Procedures

Medical Policy Oral and Maxillofacial Surgery and Procedures Medical Policy Oral and Maxillofacial Surgery and Procedures Document Number: 003 Commercial and Qualified Health Plans MassHealth Authorization required X X No Prior Authorization *Cleft lip and palate

More information

Combined tongue flap and V Y advancement flap for lower lip defects

Combined tongue flap and V Y advancement flap for lower lip defects British Journal of Plastic Surgery (2005) 58, 258 262 CASE REPORTS Combined tongue flap and V Y advancement flap for lower lip defects Kenji Yano*, Ko Hosokawa, Tateki Kubo Department of Plastic and Reconstructive

More information

Facelift approach for mandibular resection and reconstruction

Facelift approach for mandibular resection and reconstruction ORIGINAL ARTICLE Facelift approach for mandibular resection and reconstruction Bernardo Bianchi, MD, Andrea Ferri, MD, * Silvano Ferrari, MD, Chiara Copelli, MD, Enrico Sesenna, MD Maxillo-Facial Surgery

More information

Subciliary versus Subtarsal Approaches to Orbitozygomatic Fractures

Subciliary versus Subtarsal Approaches to Orbitozygomatic Fractures CME Subciliary versus Subtarsal Approaches to Orbitozygomatic Fractures Rod J. Rohrich, M.D., Jeffrey E. Janis, M.D., and William P. Adams, Jr., M.D. Dallas, Texas Learning Objectives: After studying this

More information

PROGRAM OVERALL AND SPECIFIC GOALS AND OBJECTIVES

PROGRAM OVERALL AND SPECIFIC GOALS AND OBJECTIVES PROGRAM OVERALL AND SPECIFIC GOALS AND OBJECTIVES The four year oral and maxillofacial surgery program is an educational program designed to provide clinical, didactic, and hospital experiences at the

More information

The America Association of Oral and Maxillofacial Surgeons classify occlusion/malocclusion in to the following three categories:

The America Association of Oral and Maxillofacial Surgeons classify occlusion/malocclusion in to the following three categories: Subject: Orthognathic Surgery Policy Effective Date: 04/2016 Revision Date: 07/2018 DESCRIPTION Orthognathic surgery is an open surgical procedure that corrects anomalies or malformations of the lower

More information

THREE-DIMENSIONAL COMPUTED TOMOGRAPIDC ANALYSIS FOR PLACEMENT OF MAXILLOFACIAL IMPLANTS AFTER MAXILLECTOMY

THREE-DIMENSIONAL COMPUTED TOMOGRAPIDC ANALYSIS FOR PLACEMENT OF MAXILLOFACIAL IMPLANTS AFTER MAXILLECTOMY Nagoya J. Med. Sci. 56. 69-79,1993 THREE-DIMENSIONAL COMPUTED TOMOGRAPIDC ANALYSIS FOR PLACEMENT OF MAXILLOFACIAL IMPLANTS AFTER MAXILLECTOMY MINORU VEDA, YOSHIHIRO SAWAKI, and TOSHIO KANEDA Department

More information

Primary closure of the deltopectoral flap-donor site without skin grafting

Primary closure of the deltopectoral flap-donor site without skin grafting Primary closure of the deltopectoral flap-donor site without skin grafting Received: 4/3/2013 Accepted: 14/5/2013 Introduction Reliable and simultaneous reconstruction of head-and-neck defects has been

More information

INTERNATIONAL MEDICAL COLLEGE

INTERNATIONAL MEDICAL COLLEGE INTERNATIONAL MEDICAL COLLEGE Joint Degree Master Program: Implantology and Dental Surgery (M.Sc.) Specialized Modules: List of individual modules Specialized Module 1 Basic principles of implantology

More information

Table of Contents: Neligan Plastic Surgery 4e. Volume 1: Principles. 1. Plastic Surgery and Innovation in Medicine

Table of Contents: Neligan Plastic Surgery 4e. Volume 1: Principles. 1. Plastic Surgery and Innovation in Medicine Table of Contents: Neligan Plastic Surgery 4e Volume 1: Principles 1. Plastic Surgery and Innovation in Medicine 2. History of Reconstructive and Aesthetic Surgery 3. Psychological Aspects of Plastic Surgery

More information

Posterior mandible and vertical augmentation

Posterior mandible and vertical augmentation CASE REPORT Bilateral Vertical Ridge Augmentation With Block Grafts and Guided Bone Regeneration in the Posterior Mandible: A Case Report Maria A. Peñarrocha* Jose A. Vina Laura Maestre David Peñarrocha-Oltra

More information

The majority of high-energy maxillary defects CRANIOFACIAL

The majority of high-energy maxillary defects CRANIOFACIAL CRANIOFACIAL Microsurgical Reconstruction of Posttraumatic High-Energy Maxillary Defects: Establishing the Effectiveness of Early Reconstruction Eduardo D. Rodriguez, M.D., D.D.S. Mark Martin, M.D., D.M.D.

More information

Tanta University. Faculty of Medicine. Plastic and Reconstructive Surgery Department. Doctorate Degree in Plastic Surgery

Tanta University. Faculty of Medicine. Plastic and Reconstructive Surgery Department. Doctorate Degree in Plastic Surgery Componenets : Tanta University Faculty of Medicine Plastic and Reconstructive Surgery Department Doctorate Degree in Plastic Surgery Students should fulfill the designated number of credit hours, including

More information

Repair of scalp defect using a superficial temporal fascia pedicle VY advancement scalp flap *

Repair of scalp defect using a superficial temporal fascia pedicle VY advancement scalp flap * British Journal of Plastic Surgery (2005) 58, 676 680 Repair of scalp defect using a superficial temporal fascia pedicle VY advancement scalp flap * Kiyoshi Onishi a, *, Yu Maruyama b, Akiteru Hayashi

More information

Oral and Maxillofacial Surgery Privileges REAPPOINTMENT Effective from July 1, 2015 to June 30, 2016

Oral and Maxillofacial Surgery Privileges REAPPOINTMENT Effective from July 1, 2015 to June 30, 2016 Initial privileges (initial appointment) Renewal of privileges (reappointment) All new applicants must meet the following requirements as approved by the Health Authority or Hospital, effective: 11/Dec/2014.

More information

ISPUB.COM. Abdominoplasty Combined With Treatment of Enterocutaneous Fistula. H Canter, E Hamaloglu INTRODUCTION CASE REPORT

ISPUB.COM. Abdominoplasty Combined With Treatment of Enterocutaneous Fistula. H Canter, E Hamaloglu INTRODUCTION CASE REPORT ISPUB.COM The Internet Journal of Surgery Volume 11 Number 1 Abdominoplasty Combined With Treatment of Enterocutaneous Fistula H Canter, E Hamaloglu Citation H Canter, E Hamaloglu. Abdominoplasty Combined

More information

The bi-pedicle post-auricular tube flap for reconstruction of partial ear defects

The bi-pedicle post-auricular tube flap for reconstruction of partial ear defects The British Association of Plastic Surgeons (2003) 56, 593 598 The bi-pedicle post-auricular tube flap for reconstruction of partial ear defects Mohammed G. Ellabban*, Maamoun I. Maamoun, Moustafa Elsharkawi

More information

Clinical Accuracy of Portrait 3D Surgical Simulation Platform in Breast Augmentation. Ryan K. Wong MD, David T Pointer BS, Kamran Khoobehi MD FACS

Clinical Accuracy of Portrait 3D Surgical Simulation Platform in Breast Augmentation. Ryan K. Wong MD, David T Pointer BS, Kamran Khoobehi MD FACS Clinical Accuracy of Portrait 3D Surgical Simulation Platform in Breast Augmentation Ryan K. Wong MD, David T Pointer BS, Kamran Khoobehi MD FACS Division of Plastic, Reconstructive & Reconstructive Surgery,

More information

Quantitative Determination of

Quantitative Determination of The Application of 3D Images for Quantitative Determination of Zygoma in an Asian Population Shih-Hsuan Mao, Yu-Hsuan Hsieh, Chih-Hao Chen, Chien-Tzung Chen Department of Plastic and Reconstructive Surgery,

More information

DELINEATION OF PRIVILEGES - ORAL AND MAXILLOFACIAL SURGERY

DELINEATION OF PRIVILEGES - ORAL AND MAXILLOFACIAL SURGERY KALEIDA HEALTH Name Date DELINEATION OF PRIVILEGES - ORAL AND MAXILLOFACIAL SURGERY PLEASE NOTE: Please check the box for each privilege requested. Do not use an arrow or line to make selections. We will

More information

Use of internal callus distraction in the treatment of congenital brachymetatarsia

Use of internal callus distraction in the treatment of congenital brachymetatarsia British Journal of Plastic Surgery (2005) 58, 1014 1019 CASE REPORT Use of internal callus distraction in the treatment of congenital brachymetatarsia Naoto Yamada*, Yoshihiro Yasuda, Nobuko Hashimoto,

More information

An island flap based on the anterior branch of the superficial temporal artery for perioral defects

An island flap based on the anterior branch of the superficial temporal artery for perioral defects Free full text on www.ijps.org Original Article An island flap based on the anterior branch of the superficial temporal artery for perioral defects V. Bhattacharya, Ganji Raveendra Reddy, Sheikh Adil Bashir,

More information

The Next Horizons in Reconstructive Microsurgery

The Next Horizons in Reconstructive Microsurgery Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/the-next-horizonsreconstructive-microsurgery/7949/

More information

Free Flap Surgery at Mengo Hospital, Uganda - A Review of The First 19 Consecutive Microvascular Free Tissue Transfers.

Free Flap Surgery at Mengo Hospital, Uganda - A Review of The First 19 Consecutive Microvascular Free Tissue Transfers. Free Flap Surgery at Mengo Hospital, Uganda - A Review of The First 19 Consecutive Microvascular Free Tissue Transfers. G.W. Galiwango Mengo Hospital, Kampala - Uganda. Correspondence to: Dr. G.W. Galiwango,

More information

The progress in microsurgical procedures has led

The progress in microsurgical procedures has led Original Article Breast reconstruction with free anterolateral thigh flap Ranjit Raje, Ramesh Chepauk, Kanti Shetty, Rajendra Prasad J. S. Plastic & Reconstructive Services, Department of Surgical Oncology,

More information

An Algorithm to Guide Recipient Vessel Selection in Cases of Free Functional Muscle Transfer for Facial Reanimation

An Algorithm to Guide Recipient Vessel Selection in Cases of Free Functional Muscle Transfer for Facial Reanimation An Algorithm to Guide Recipient Vessel Selection in Cases of Free Functional Muscle Transfer for Facial Reanimation Original Article Francis P Henry, Jonathan I Leckenby, Daniel P Butler, Adriaan O Grobbelaar

More information

Pectus Excavatum Reconstruction With Silicone Implants. Long-Term Results and a Review of the English-Language Literature

Pectus Excavatum Reconstruction With Silicone Implants. Long-Term Results and a Review of the English-Language Literature REVIEW ARTICLES Pectus Excavatum Reconstruction With Silicone Implants Long-Term Results and a Review of the English-Language Literature Bart Jorrit Snel, MD,* Cees A. Spronk, MD, Paul M. N. Werker, MD,

More information

Endoscopic assisted harvest of the pedicled pectoralis major muscle flap

Endoscopic assisted harvest of the pedicled pectoralis major muscle flap British Journal of Plastic Surgery (2005) 58, 170 174 Endoscopic assisted harvest of the pedicled pectoralis major muscle flap Arif Turkmen*, A. Graeme B. Perks Plastic Surgery Department, Nottingham City

More information

Despite breast reduction being one of the BREAST. Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction?

Despite breast reduction being one of the BREAST. Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction? BREAST Does Knowledge of the Initial Technique Affect Outcomes after Repeated Breast Reduction? Jamil Ahmad, M.D. Sarah M. McIsaac, M.D. Frank Lista, M.D. Mississauga and Ottawa, Ontario, Canada Background:

More information

A new classification system of nasal contractures

A new classification system of nasal contractures Original Article J Cosmet Med 2017;1(2):106-111 https://doi.org/10.25056/jcm.2017.1.2.106 pissn 2508-8831, eissn 2586-0585 A new classification system of nasal contractures Geunuck Chang 1, Donghak Jung

More information

Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair

Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair Original Article Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair Yoon Seok Lee 1, Dong Hyeok Shin 1, Hyun Gon Choi 1, Jee Nam Kim 1, Myung Chul

More information

Learning Objectives. Head and Neck Cancer: Post-Treatment Changes. Neck Dissection Classification * Radical neck dissection. Radical Neck Dissection

Learning Objectives. Head and Neck Cancer: Post-Treatment Changes. Neck Dissection Classification * Radical neck dissection. Radical Neck Dissection Head and Neck Cancer: Post-Treatment Changes Daniel W. Williams III, MD Learning Objectives In patients treated for H/N Cancer: Describe the various types of neck dissections Explain reconstruction techniques

More information

SOFT TISSUE SUPPORT IS AN

SOFT TISSUE SUPPORT IS AN ORIGINAL ARTICLE Reconstructive Application of the Endotine Suspension Devices James H. Boehmler IV, MD; Benjamin L. Judson, MD; Steven P. Davison, MD, DDS Objective: To illustrate the potential reconstructive

More information

THE USE OF FREE AUTOGENOUS RIB GRAFTS IN MAXILLOFACIAL RECONSTRUCTION

THE USE OF FREE AUTOGENOUS RIB GRAFTS IN MAXILLOFACIAL RECONSTRUCTION THE USE OF FREE AUTOGENOUS RIB GRAFTS IN MAXILLOFACIAL RECONSTRUCTION * P. DONKOR, D.O. BANKAS, G. BOAKYE 1, S. ANSAH and A.O. ACHEAMPONG Oral and Maxillofacial Unit, Departments of Surgery and 1 Anaesthesia,

More information

Traumatic Hemi Facial Soft Tissue Amputation. Immediate Surgical Flap Reconstruction

Traumatic Hemi Facial Soft Tissue Amputation. Immediate Surgical Flap Reconstruction ISPUB.COM The Internet Journal of Plastic Surgery Volume 3 Number 1 Traumatic Hemi Facial Soft Tissue Amputation. Immediate Surgical Flap Reconstruction J Mohammad Citation J Mohammad. Traumatic Hemi Facial

More information

Mandibular Reconstruction Using ProPlan CMF: AReview

Mandibular Reconstruction Using ProPlan CMF: AReview THIEME Review Article e35 Mandibular Reconstruction Using ProPlan CMF: AReview Ryo Sasaki, DDS, PhD 1,2 Michael Rasse, MD, DDS, PhD 1 1 Department of Craniomaxillofacial and Oral Surgery, Medical University

More information

ORIGINAL ARTICLE. most commonly result. involving the paranasal sinuses, the overlying facial skin, or both. Such defects may result in substantial

ORIGINAL ARTICLE. most commonly result. involving the paranasal sinuses, the overlying facial skin, or both. Such defects may result in substantial ORIGINAL ARTICLE Use of Precontoured Positioning Plates and Pericranial Flaps in Midfacial Reconstruction to Optimize Aesthetic and Functional Outcomes Yadranko Ducic, MD, FRCSC; Lance E. Oxford, MD Objectives:

More information

IBRA scholarship report program B

IBRA scholarship report program B IBRA scholarship report program B Training Center: Department of Cranio-Maxillofacial Surgery, Amiens, France Fellowship Director: Professor Sylvie Testelin Head of Department: Professor Bernard Devauchelle

More information

Breast Reconstruction

Breast Reconstruction Steven E. Copit, M.D. Chief- Division of Plastic Surgery Thomas Jefferson University Hospital Philadelphia, PA analysis of The Defect Skin Breast Volume Nipple Areola Complex analysis of The Defect the

More information

Bones of the skull & face

Bones of the skull & face Bones of the skull & face Cranium= brain case or helmet Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The cranium is composed of eight bones : frontal Occipital

More information

CURRICULUM VITAE DR. MOHAMED ABDELRAHEEM SHOEIB. M.B.B.Ch., M.Sc., MD. Plastic Surgery, lecturer of Plastic & Reconstructive

CURRICULUM VITAE DR. MOHAMED ABDELRAHEEM SHOEIB. M.B.B.Ch., M.Sc., MD. Plastic Surgery, lecturer of Plastic & Reconstructive Mohamed Aabdelraheem Shoeib, M.B.B.Ch., M.Sc, MD. CURRICULUM VITAE DR. MOHAMED ABDELRAHEEM SHOEIB M.B.B.Ch., M.Sc., MD. Plastic Surgery, lecturer of Plastic & Reconstructive Surgery, Sohag Faculty of Medicine,

More information

Expanded Transposition Flap Technique for Total and Subtotal Resurfacing of the Face and Neck

Expanded Transposition Flap Technique for Total and Subtotal Resurfacing of the Face and Neck Expanded Transposition Flap Technique for Total and Subtotal Resurfacing of the Face and Neck Robert J. Spence, MD, FACS Johns Hopkins School of Medicine, Baltimore, MD Correspondence: rspence@jhmi.edu

More information

126 ISSN East Cent. Afr. J. surg. (Online)

126 ISSN East Cent. Afr. J. surg. (Online) 126 Macrostomia Repair: Comparison of the Z- Plasty Repair with the Straight line Closure O.A. Olawoye 1, O.M. Fatungashe 2, B.A. Ayoade 3, A.O. Tade 3 Department of Plastic Surgery, University College

More information

cally, a distinct superior crease of the forehead marks this spot. The hairline and

cally, a distinct superior crease of the forehead marks this spot. The hairline and 4 Forehead The anatomical boundaries of the forehead unit are the natural hairline (in patients without alopecia), the zygomatic arch, the lower border of the eyebrows, and the nasal root (Fig. 4.1). The

More information

Post-operative stability of the maxilla treated with Le Fort I and horseshoe osteotomies in bimaxillary surgery

Post-operative stability of the maxilla treated with Le Fort I and horseshoe osteotomies in bimaxillary surgery European Journal of Orthodontics 24 (2002) 471 476 2002 European Orthodontic Society Post-operative stability of the maxilla treated with Le Fort I and horseshoe osteotomies in bimaxillary surgery Kiyoshi

More information

Reconstruction of an extensive scalp defect using the split latissimus dorsi flap in combination with the serratus anterior musculo-osseous flap

Reconstruction of an extensive scalp defect using the split latissimus dorsi flap in combination with the serratus anterior musculo-osseous flap British Journal of Plastic Surgery (1998), 51,250-254 1998 The British Association of Plastic Surgeons BRITISH JOURNAL OF PLASTIC SURGERY Reconstruction of an extensive scalp defect using the split latissimus

More information

There has been a resurgence in the description CME. Vascularized Calvarial Bone Flaps and Midface Reconstruction

There has been a resurgence in the description CME. Vascularized Calvarial Bone Flaps and Midface Reconstruction CME Vascularized Calvarial Bone Flaps and Midface Reconstruction Steven P. Davison, M.D., D.D.S. Ali N. Mesbahi, M.D. Mark W. Clemens, M.D. Catherine A. Picken, M.D. Washington, D.C. Learning Objectives:

More information

Regions Hospital Delineation of Privileges Plastic and Hand Surgery

Regions Hospital Delineation of Privileges Plastic and Hand Surgery Regions Hospital Delineation of Privileges Plastic and Hand Surgery Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and

More information

Interesting Case Series. Virtual Surgical Planning in Orthognathic Surgery

Interesting Case Series. Virtual Surgical Planning in Orthognathic Surgery Interesting Case Series Virtual Surgical Planning in Orthognathic Surgery Suraj Jaisinghani, MS, a Nicholas S. Adams, MD, b,c Robert J. Mann, MD, b,c,d John W. Polley, MD, b,c,d, and John A. Girotto, MD,

More information

A Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report

A Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report Neenu M Varghese et al Case Report 10.5005/jp-journals-10012-1148 A Novel Technique for the Management of a Maxillary Anterior Alveolar Defect with an Implant-retained Fixed Prosthesis: A Clinical Report

More information

The history of face lift surgery encompasses a wide

The history of face lift surgery encompasses a wide Richard Ellenbogen, MD; Anthony Youn, MD; Dan Yamini, MD; and Steven Svehlak, MD Dr. Ellenbogen, Dr. Yamini, and Dr. Svehlak are in private practice in Los Angeles, CA. Dr. Youn is in private practice

More information

Combination of transconjunctival and endonasal-transantral approach in the repair of blowout fractures involving the orbital floor q

Combination of transconjunctival and endonasal-transantral approach in the repair of blowout fractures involving the orbital floor q The British Association of Plastic Surgeons (2004) 57, 37 44 Combination of transconjunctival and endonasal-transantral approach in the repair of blowout fractures involving the orbital floor q M. Kakibuchi*,

More information

Lesson Plans and Objectives: Review material for article Prep work for article Picture recovery Review for placement on-line.

Lesson Plans and Objectives: Review material for article Prep work for article Picture recovery Review for placement on-line. Lesson Plans and Objectives: Review material for article Prep work for article Picture recovery Review for placement on-line. After reading the article, the staff will be able to: Define facial trauma

More information

Chapter 11 Worksheet Code It

Chapter 11 Worksheet Code It Class: Date: Chapter 11 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. Surgical destruction is considered part of the surgical procedure description. 2. Prepping

More information

Ann Johanson and Robert Blizzard described this syndrome

Ann Johanson and Robert Blizzard described this syndrome CASE REPORT Johanson-Blizzard syndrome: A challenge in nasal reconstruction Norma Timoney FDSRCS FRCS Plast, Michael J Weinberg MSc FRCSC, David A Ross FRACS, Hugh G Thomson MS FRCSC FACS N Timoney, MJ

More information

Fascia Lata Free Flap Reconstruction of Limited Hard Palate Defects

Fascia Lata Free Flap Reconstruction of Limited Hard Palate Defects Open Access Original Article DOI: 10.7759/cureus.2356 Fascia Lata Free Flap Reconstruction of Limited Hard Palate Defects Rhorie P. Kerr 1, Andrea Hanick 1, Michael A. Fritz 1 1. Head and Neck Institute,

More information

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY PARAMEDIAN FOREHEAD FLAP NASAL RECONSTRUCTION SURGICAL TECHNIQUE Brian Cervenka, Travis Tollefson, Patrik Pipkorn The paramedian forehead

More information

Trigeminal Trophic Syndrome: Report of 2 Cases

Trigeminal Trophic Syndrome: Report of 2 Cases Trigeminal Trophic Syndrome: Report of 2 Cases Yoko Osaki, MD, Tateki Kubo, MD, PhD, Kyosuke Minami, MD, and Daisuke Maeda, MD Department of Plastic Surgery, Osaka Rosai Hospital, Sakai, Japan Correspondence:

More information

Reconstruction for Oral Neoplasms in Indian Setup: Redebating the Utility of Radial Artery Free Flaps

Reconstruction for Oral Neoplasms in Indian Setup: Redebating the Utility of Radial Artery Free Flaps World Articles of Ear, Nose and Throat ---------------------Page 1 Reconstruction for Oral Neoplasms in Indian Setup: Redebating the Utility of Radial Artery Free Flaps Authors: Ranjan G Aiyer*, Rahul

More information