Principles of Facial Reconstruction After Mohs Surgery

Save this PDF as:

Size: px
Start display at page:

Download "Principles of Facial Reconstruction After Mohs Surgery"

Transcription

1 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 care and complications. Participate in an interactive discussion on caring for patients with skin cancer of the face. September 30, 2013 Ken Deem, MD, MPH Otolaryngology Head and Neck Surgery Group Health Cooperative Tacoma, Washington Mohs Micrographic Surgery Resources. New York: Thieme, Objectives Identify important functional anatomy and aesthetic units of the face. Functional Anatomy Anatomical Unit Eyelids Lacrimal System External Nose Lips External Ear Function Corneal Protection Lubrication and Drainage Nasal Airway Speech and Swallowing Sound Conduction 1

2 Functional Anatomy Functional Anatomy Eyelids & Lacrimal System External Nose and Septum medfriendly.com/images/lacrimal.gif Chan & Most. Op Tech OHNS. 2008;19(4):263. Functional Anatomy Functional Anatomy Lips and Facial Musculature External Ear Aesthetic Unit Scalp Forehead Eyes Ears Nose Cheek Lips Chin Border Hairline Preauricular Crease Orbital Rim Nasofacial Groove Melolabial Fold Labiomental Crease Border of Mandible Forehead Subunits Central Forehead Lateral (Temporal) Forehead Eyebrows 2

3 Eye Subunits Upper Eyelid Lower Eyelid Medial Canthus Lateral Canthus Nasal Subunits Dorsum Sidewall Tip Ala Columella Facet/ Soft Triangle Cheek Subunits Medial Zygomatic Buccal Lateral Ear Subunits Helix Antihelix Scapha Triangular Fossa Concha Lobe Lip and Chin Subunits Lateral Upper Lip Philtrum Vermillion Lower Lp Chin 3

4 Objectives Describe techniques used in facial reconstruction. Reconstructive Ladder Free Flaps Regional Tissue Flaps Local Tissue Flaps Tissue Expansion Skin Grafting pathol.med.stu.edu.cn Relaxed Skin Tension Lines Lines of Maximal Extensibility 4

5 Grafting Local Tissue Flap Skin Cartilage Bone 5

6 Local Tissue Flap Local Tissue Flap Local Tissue Flap Local Pedicled Flap Local Pedicled Flap Objectives Discuss postoperative care and complications. 6

7 Reconstructive Ladder Free Flaps Regional Tissue Flaps Local Tissue Flaps Tissue Expansion Skin Grafting Antibiotic Ointment Non-adherent Dressing Peroxide Extended Healing Time Scar Contracture Distortion of Anatomy Excessive Tension Scarring Wound Separation Distortion of Anatomy Skin Graft Split Thickness Scalp Full Thickness Facial Units Revascularization ~ 1 Week Minimize Shearing Forces Bolster Dressing x 1 Week Skin Graft Complications Seroma / Hematoma Graft Failure Contraction Pin-cushioning Poor color match 7

8 Local Tissue Flaps Dermal Blood Supply Incision Care Avoid Tension Local Tissue Flaps Complications Dog-ear Deformity Inadequate Blood Supply Graft Necrosis Healing by Secondary Intention Pedicled Flaps Staged Procedure 1.Flap Raised & Transferred 2.Pedicle Divided & Flap Inset Pedicled Flaps Complications Donor Site Reconstruction Distortion of Anatomy Revascularization ~ 3 Weeks Pedicle Kept Clean Avoid Shearing Forces Avoid Tension Graft Failure Objectives Discussion Participate in an interactive discussion on caring for patients with skin cancer of the face. How can we best care for patients with skin cancer of the face? 8

9 Discussion Multidisciplinary Team: What roles do nurses play in the care of these patients? Thank You How can nurses lead improved care for these patients? September 28, 2013 Ken Deem, MD, MPH Otolaryngology Head and Neck Surgery Group Health Cooperative Tacoma, Washington 9

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A.

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. UvA-DARE (Digital Academic Repository) Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. Link to publication Citation for published

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

Pearls for Keeping it Simple in Cutaneous Reconstruction

Pearls for Keeping it Simple in Cutaneous Reconstruction Pearls for Keeping it Simple in Cutaneous Reconstruction Jerry D. Brewer, MD, MS, FAAD brewer.jerry@mayo.edu Professor of Dermatology Division of Dermatologic Surgery Department of Dermatology Mayo Clinic

More information

Kevin T. Kavanagh, MD

Kevin T. Kavanagh, MD Kevin T. Kavanagh, MD Axial Based upon a named artery. Survival length depends upon the artery not the width of the flap. Random Has random unnamed vessels supplying it. Survival length is directly proportional

More information

5/20/2015. Mohs Surgery BCCA High risk anatomic locations. Mohs Surgery High risk anatomic locations. Mohs Surgery Histologically Aggressive BCCA

5/20/2015. Mohs Surgery BCCA High risk anatomic locations. Mohs Surgery High risk anatomic locations. Mohs Surgery Histologically Aggressive BCCA Mohs Surgery BCCA High risk anatomic locations High risk areas H zone nasal ala, nasal septum, nasal ala groove, periorbital region, periauricual region, region around and in ear canal, ear pinna and scalp

More information

ORIGINAL ARTICLE. Reconstruction of the Nasal Columella. David A. Sherris, MD; Jon Fuerstenberg, MD; Daniel Danahey, MD, PhD; Peter A.

ORIGINAL ARTICLE. Reconstruction of the Nasal Columella. David A. Sherris, MD; Jon Fuerstenberg, MD; Daniel Danahey, MD, PhD; Peter A. ORIGINAL ARTICLE Reconstruction of the Nasal Columella David A. Sherris, MD; Jon Fuerstenberg, MD; Daniel Danahey, MD, PhD; Peter A. Hilger, MD Objective: To report techniques successful for nasal columella

More information

Local Flaps in Facial Reconstruction

Local Flaps in Facial Reconstruction Local Flaps in Facial Reconstruction Velupillai Ilankovan Madan Ethunandan Tian Ee Seah Local Flaps in Facial Reconstruction A Defect Based Approach Velupillai Ilankovan Poole Hospital NHS Foundation

More information

This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and

This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution

More information

PART 1. Dermatologic Surgery COPYRIGHTED MATERIAL

PART 1. Dermatologic Surgery COPYRIGHTED MATERIAL 1 PART 1 Dermatologic Surgery COPYRIGHTED MATERIAL 1 CHAPTER 1 Cutaneous anatomy in dermatologic surgery Diana Bolotin1, Lucille White2 3, and Murad Alam 1 Section of Dermatology, University of Chicago,

More information

The Versatile Naso-Labial Flaps in Facial Reconstruction

The Versatile Naso-Labial Flaps in Facial Reconstruction Journal of the Egyptian Nat. Cancer Inst., Vol. 17, No. 4, December: 245-250, 2005 The Versatile Naso-Labial Flaps in Facial Reconstruction HAMDY H. EL-MARAKBY, M.D., F.R.C.S. The Departments of National

More information

Surgical Management of wounds, flaps, grafts, and scars

Surgical Management of wounds, flaps, grafts, and scars Disclosures Surgical Management of wounds, flaps, grafts, and scars I have no financial disclosures Cherrie Heinrich, MD, FACS Department of Plastic Surgery Regions Hospital Assistant Professor University

More information

Naso-Orbital Complex Reconstruction with Titanium Mesh and Canthopexy

Naso-Orbital Complex Reconstruction with Titanium Mesh and Canthopexy Case Report imedpub Journals http://www.imedpub.com DOI: 10.4172/2472-1905.100011 Naso-Orbital Complex Reconstruction with Titanium Mesh and Canthopexy Abstract Context: We are introducing the reconstruction

More information

A longitudinal study of angular artery island flap, used for reconstruction of facial defects

A longitudinal study of angular artery island flap, used for reconstruction of facial defects A longitudinal study of angular artery island flap, used for reconstruction of facial defects KEYWORDS: mid and upper facial defect, angular artery island flap, ipsilateral or contralateral, local flap,

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

Sequellae of Chemical Burn.. Scar management in burn patient

Sequellae of Chemical Burn.. Scar management in burn patient Sequellae of Chemical Burn.. Scar management in burn patient ก ก ก ก ก ก ก ก ก ก ก ก ก ก ก กก ก ก ก ก ก (hypertrophic scar) ก ก ก ก ก ก ก ก ก immature 12 18 ก ก กก ก ก ก ก ก ก ก ก ก ก ก immature (2-9 )

More information

RECONSTRUCTION OF SUBTOTAL DEFECTS OF THE NOSE BY ABDOMINAL TUBE FLAP. By MICHAL KRAUSS. Plastic Surgery Hospital, Polanica-Zdroj, Poland

RECONSTRUCTION OF SUBTOTAL DEFECTS OF THE NOSE BY ABDOMINAL TUBE FLAP. By MICHAL KRAUSS. Plastic Surgery Hospital, Polanica-Zdroj, Poland RECONSTRUCTION OF SUBTOTAL DEFECTS OF THE NOSE BY ABDOMINAL TUBE FLAP By MICHAL KRAUSS Plastic Surgery Hospital, Polanica-Zdroj, Poland RECONSTRUCTION of the nose is one of the composite procedures in

More information

RECONSTRUCTION of large surgical

RECONSTRUCTION of large surgical Triple-Flap Technique for Reconstruction of Large Nasal Defects Timothy W. Wild, MD, DDS; C. Patrick Hybarger, MD ORIGINAL ARTICLE Objective: To determine the usefulness of a triple-flap technique for

More information

Nov 8: Grafts and Flaps in H&N Surgery (updated 06/06) Preceptor: Tadros ; vacation Dara & Jeff

Nov 8: Grafts and Flaps in H&N Surgery (updated 06/06) Preceptor: Tadros ; vacation Dara & Jeff Nov 8: Grafts and Flaps in H&N Surgery (updated 06/06) Preceptor: Tadros ; vacation Dara & Jeff 1. (Amy) Discuss the stages involved in the survival of a split thickness graft. Initial adherence: A thin

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

Introduction. Images supplied. SUBJECT IMAGES (Victor Vinnetou) TARGET IMAGES (Mbuyisa Makhubu)

Introduction. Images supplied. SUBJECT IMAGES (Victor Vinnetou) TARGET IMAGES (Mbuyisa Makhubu) Victor Vinnetou and Mbuyisa Makhubu facial comparison case, compiled by Dr T Houlton, School of Anatomical Sciences, University of the Witwatersrand (3 June 2016) Introduction There currently exists an

More information

A NEW METHOD FOR TOTAL RECONSTRUCTION OF THE NOSE : THE EARS AS DONOR AREAS

A NEW METHOD FOR TOTAL RECONSTRUCTION OF THE NOSE : THE EARS AS DONOR AREAS A NEW METHOD FOR TOTAL RECONSTRUCTION OF THE NOSE : THE EARS AS DONOR AREAS By MIGUEL ORTICOCHEA, M.D. 1 Professor of Plastic Surgery, Medical School, Javeriana University, Bogotd, Colombia THE early history

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

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 NASOLABIAL FLAP FOR ORAL CAVITY RECONSTRUCTION Harry Wright, Scott Stephan, James Netterville Designed as a true myocutaneous flap pedicled

More information

1 The nasal bones are deeper and are therefore MATERIAL AND METHODS. At the Department of Plastic and Reconstructive

1 The nasal bones are deeper and are therefore MATERIAL AND METHODS. At the Department of Plastic and Reconstructive Technical Experiences Reconstruction of the Nasal Tip Valerio Cervelli, MD, DJ Bottini, PhD, Pietro Gentile, MD Rome, Italy Defects of the nasal tip present complex problems in terms of reconstruction,

More information

Evaluation of the donor site after the median forehead flap

Evaluation of the donor site after the median forehead flap Evaluation of the donor site after the median forehead flap June Seok Choi 1, Yong Chan Bae 1,2, Soo Bong Nam 1, Seong Hwan Bae 1, Geon Woo Kim 1 1 Department of Plastic and Reconstructive Surgery, Pusan

More information

Principles of flap reconstruction in ORL-HN defects. O.M. Oluwatosin Department of Surgery

Principles of flap reconstruction in ORL-HN defects. O.M. Oluwatosin Department of Surgery Principles of flap reconstruction in ORL-HN defects O.M. Oluwatosin Department of Surgery Nasal defects and deformities Cleft palate and Velopharyngeal incompetence Pharyngeal and oesophageal defects Pinnal

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

Mohs Surgery and Reconstruction after Mohs Surgery November 1999

Mohs Surgery and Reconstruction after Mohs Surgery November 1999 TITLE: Mohs Surgery and Reconstruction after Mohs Surgery SOURCE: Grand Rounds Presentation, The University of Texas Medical Branch in Galveston, Department of Otolaryngology DATE: November 10, 1999 RESIDENT

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

CME. Nasal Reconstruction

CME. Nasal Reconstruction CME Nasal Reconstruction Frederick J. Menick, M.D. Tucson, Ariz. Learning Objectives: After studying this article, the participant should be able to: 1. Understand nasal wound healing and develop an organized

More information

Eyelid basal cell carcinoma Patient information

Eyelid basal cell carcinoma Patient information Eyelid basal cell carcinoma Patient information Your procedure relates to the face, eyelids, orbit or tear drainage system that together are treated by specialist surgeons in the field of oculoplastic

More information

Reconstruction of Midf acial Defects. Following Surgical Management of Skin Cancer. The Role of Tissue Expansion SHAN R. BAKER, MD NEIL A.

Reconstruction of Midf acial Defects. Following Surgical Management of Skin Cancer. The Role of Tissue Expansion SHAN R. BAKER, MD NEIL A. Reconstruction of Midf acial Defects Following Surgical Management of Skin Cancer The Role of Tissue Expansion SHAN R. BAKER, MD NEIL A. SWANSON, MD Compared with other locations on the face, skin cancer

More information

Background: Methods: Results: Conclusions: 887

Background: Methods: Results: Conclusions:  887 RECONSTRUCTIVE Defects of the Nose, Lip, and Cheek: Rebuilding the Composite Defect Frederick J. Menick, M.D. Tucson, Ariz. Background: The face can be divided into regions (units) with characteristic

More information

Other ways to use tissue expanded flaps

Other ways to use tissue expanded flaps The British Association of Plastic Surgeons (2004) 57, 336 341 CASE REPORTS Other ways to use tissue expanded flaps Donald A. Hudson* Department of Plastic and Reconstructive Surgery, University of Cape

More information

Our algorithm for nasal reconstruction *

Our algorithm for nasal reconstruction * Journal of Plastic, Reconstructive & Aesthetic Surgery (2006) 59, 239 247 Our algorithm for nasal reconstruction * T. Yoon*, J. Benito-Ruiz, E. García-Díez, J.M. Serra-Renom Department of Plastic, Reconstructive

More information

PARTIAL RECONSTRUCTION OF THE AURICLE

PARTIAL RECONSTRUCTION OF THE AURICLE Hirosaki Med.J. 66:99 104,2016 REVIEW PARTIAL RECONSTRUCTION OF THE AURICLE Satoshi Urushidate,Katsunori Yokoi,Yosuke Watanabe, Makoto Mikami and Yuko Higuma Abstract Auricular reconstruction is often

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

Correction of the Retracted Alar Base

Correction of the Retracted Alar Base 218 William D. Losquadro, M.D. 1 Anthony Bared, M.D. 2 Dean M. Toriumi, M.D. 2 1 Mount Kisco Medical Group, Katonah, New York 2 Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology

More information

Head and Face Anatomy

Head and Face Anatomy Head and Face Anatomy Epicranial region The Scalp The soft tissue that covers the vault of skull. Extends from supraorbital margin to superior nuchal line. Layers of the scalp S C A L P = skin = connective

More information

CHAPTER 17 FACIAL AESTHETIC SURGERY. Christopher C. Surek, DO and Mohammed S. Alghoul, MD. I. BROW LIFT (Figures 1 and 2)

CHAPTER 17 FACIAL AESTHETIC SURGERY. Christopher C. Surek, DO and Mohammed S. Alghoul, MD. I. BROW LIFT (Figures 1 and 2) CHAPTER 17 FACIAL AESTHETIC SURGERY Christopher C. Surek, DO and Mohammed S. Alghoul, MD I. BROW LIFT (Figures 1 and 2) A. Open Coronal Brow Lift Technique 1. Coronal incision is made in the hair-bearing

More information

Facial Accupressure Massage. Taha Haque, D.O. CAM Workshop

Facial Accupressure Massage. Taha Haque, D.O. CAM Workshop Facial Accupressure Massage Taha Haque, D.O. CAM Workshop 1 10July2015 Benefits of facial accupressure Enhance local blood flow Firm and tone face and neck Mild to moderate symptomatic relief of headaches,

More information

Skin Flaps. Mary Tschoi, MD a, Erik A. Hoy, BS b, Mark S. Granick, MD a, *

Skin Flaps. Mary Tschoi, MD a, Erik A. Hoy, BS b, Mark S. Granick, MD a, * Clin Plastic Surg 32 (2005) 261 273 Skin Flaps Mary Tschoi, MD a, Erik A. Hoy, BS b, Mark S. Granick, MD a, * a Division of Plastic Surgery, Department of Surgery, New Jersey Medical School-UMDNJ, 90 Bergen

More information

Surgical removal of cutaneous neoplasms from RECONSTRUCTIVE

Surgical removal of cutaneous neoplasms from RECONSTRUCTIVE RECONSTRUCTIVE Secondary Intention Healing after Excision of Nonmelanoma Skin Cancer of the Head and Neck: Statistical Evaluation of Prognostic Values of Wound Characteristics and Final Cosmetic Results

More information

Lisa M. DiFrancesco, M.D., Mark A. Codner, M.D., and Clinton D. McCord, M.D.

Lisa M. DiFrancesco, M.D., Mark A. Codner, M.D., and Clinton D. McCord, M.D. CME Upper Eyelid Reconstruction Lisa M. DiFrancesco, M.D., Mark A. Codner, M.D., and Clinton D. McCord, M.D. Atlanta, Ga. Learning Objectives: After studying this article, the participant should be able

More information

Otoplasty. Multimedia Health Education. Disclaimer

Otoplasty. Multimedia Health Education. Disclaimer Disclaimer This movie is an educational resource only and should not be used to make a decision on. All decisions about must be made in conjunction with Your Surgeon or a licensed healthcare provider.

More information

Remember from the first year embryology Trilaminar disc has 3 layers: ectoderm, mesoderm, and endoderm

Remember from the first year embryology Trilaminar disc has 3 layers: ectoderm, mesoderm, and endoderm Development of face Remember from the first year embryology Trilaminar disc has 3 layers: ectoderm, mesoderm, and endoderm The ectoderm forms the neural groove, then tube The neural tube lies in the mesoderm

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

Face. Definition: The area between the two ears and from the chin to the eye brows. The muscles of the face

Face. Definition: The area between the two ears and from the chin to the eye brows. The muscles of the face Face Definition: The area between the two ears and from the chin to the eye brows. The muscles of the face The muscle of facial expression (include the muscle of the face and the scalp). All are derived

More information

Large full-thickness nasal tip defects after Mohs

Large full-thickness nasal tip defects after Mohs RECONSTRUCTIVE CONUNDRUM Repair of a Large, Exposed-Cartilage Nasal Tip Defect Using Nasalis-Based Subcutaneous Pedicle Flaps and Full-Thickness Skin Grafting DIEGO E. MARRA, MD, EDGAR F. FINCHER, MD,

More information

SECTION N: PLASTIC SURGERY

SECTION N: PLASTIC SURGERY Visits Fee Anae 5N Initial Assessment $91.80 -- of a specific condition includes: pertinent family history, patient history, history of presenting complaint, functional enquiry, examination of affected

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

Case Report Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap

Case Report Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap Volume 2012, Article ID 927260, 4 pages doi:10.1155/2012/927260 Case Report Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap Simon R. Bababeygy, 1 Anne R. Kao, 1 Niels

More information

Burns: Treatment and Outcomes

Burns: Treatment and Outcomes Burns: Treatment and Outcomes Andrew Burd, M.D., F.R.C.S. 1 ABSTRACT Burns can cause extensive and devastating injuries of the head and neck. Prevention of the initial injury must always be a priority,

More information

Department of Maxillo-Facial Plastic Surgery, University of Berne, Switzerland

Department of Maxillo-Facial Plastic Surgery, University of Berne, Switzerland ljritish Journal of Plastic Surgery ~I97i), 24, 375-381 A SIMPLE PROCEDURE FOR CORRECTION OF THE HUMP NOSE By Professor O. NEUNER, M.D. Department of Maxillo-Facial Plastic Surgery, University of Berne,

More information

Nose Reshaping (Rhinoplasty)

Nose Reshaping (Rhinoplasty) Nose Reshaping (Rhinoplasty) Are you interested in improving the appearance of your nose? If so, you re not alone. Nose reshaping, or rhinoplasty, is one of the most common plastic surgery procedures performed

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

Facial Trauma. Rural Emergency Services and Trauma Symposium 2008

Facial Trauma. Rural Emergency Services and Trauma Symposium 2008 Rural Emergency Services and Trauma Symposium 2008 Facial Trauma Mitchell Stotland, MD Associate Professor of Surgery and Pediatrics Dartmouth-Hitchcock Medical Center Children s Hospital of Dartmouth

More information

ISPUB.COM. Cutting Burr Otoplasty. D Wynne, N Balaji INTRODUCTION ANATOMY CUTTING BURR TECHNIQUE

ISPUB.COM. Cutting Burr Otoplasty. D Wynne, N Balaji INTRODUCTION ANATOMY CUTTING BURR TECHNIQUE ISPUB.COM The Internet Journal of Otorhinolaryngology Volume 7 Number 1 D Wynne, N Balaji Citation D Wynne, N Balaji.. The Internet Journal of Otorhinolaryngology. 2006 Volume 7 Number 1. Abstract Prominent

More information

Clinical Study Reconstruction of Nasal Skin Cancer Defects with Local Flaps

Clinical Study Reconstruction of Nasal Skin Cancer Defects with Local Flaps Skin Cancer Volume 2011, Article ID 181093, 8 pages doi:10.1155/2011/181093 Clinical Study Reconstruction of Nasal Skin Cancer Defects with Local Flaps A. C. Salgarelli, 1 P. Bellini, 1 A. Multinu, 1 C.

More information

Anatomy and Physiology. Bones, Sutures, Teeth, Processes and Foramina of the Human Skull

Anatomy and Physiology. Bones, Sutures, Teeth, Processes and Foramina of the Human Skull Anatomy and Physiology Chapter 6 DRO Bones, Sutures, Teeth, Processes and Foramina of the Human Skull Name: Period: Bones of the Human Skull Bones of the Cranium: Frontal bone: forms the forehead and the

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

SECTION N: PLASTIC SURGERY

SECTION N: PLASTIC SURGERY Visits 5N Initial Assessment $91.80 -- of a specific condition includes: pertinent family history, patient history, history of presenting complaint, functional enquiry, examination of affected part(s)

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

Skin Graft Survival on Subcutaneous Hinge Flaps: An Algorithm for Nasal Reconstruction

Skin Graft Survival on Subcutaneous Hinge Flaps: An Algorithm for Nasal Reconstruction The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Skin Graft Survival on Subcutaneous Hinge Flaps: An Algorithm for Nasal Reconstruction Robert Almeyda, MSc,

More information

Nose Reshaping (Rhinoplasty)

Nose Reshaping (Rhinoplasty) Nose Reshaping (Rhinoplasty) Are you interested in improving the appearance of your nose? If so, you re not alone. Nose reshaping, or rhinoplasty, is one of the most common plastic surgery procedures performed

More information

RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2

RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2 RECONSTRUCTION OF SCALP DEFECTS: AN INSTITUTIONAL EXPERIENCE Sathyanarayana B. C 1, Somashekar Srinivas 2 HOW TO CITE THIS ARTICLE: Sathyanarayana B. C, Somashekar Srinivas. Reconstruction of Scalp Defects:

More information

3-Deep fascia: is absent (except over the parotid gland & buccopharngeal fascia covering the buccinator muscle)

3-Deep fascia: is absent (except over the parotid gland & buccopharngeal fascia covering the buccinator muscle) The Face 1-Skin of the Face The skin of the face is: Elastic Vascular (bleed profusely however heal rapidly) Rich in sweat and sebaceous glands (can cause acne in adults) It is connected to the underlying

More information

Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft

Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft THIEME Review Article e55 Comprehensive Algorithm for Nasal Ala Reconstruction: Utility of the Auricular Composite Graft Collin Chen, MD 1 Ruchin Patel, MD 1 John Chi, MD 1 1 Division of Facial Plastic

More information

McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #1 Facial Trauma

McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #1 Facial Trauma McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education 2019 #1 Facial Trauma The face is vital to human appearance and function. Facial injuries can impair a patient

More information

RHINOPLASTY PRE OPERATIVE PATIENT INFORMATION

RHINOPLASTY PRE OPERATIVE PATIENT INFORMATION RHINOPLASTY PRE OPERATIVE PATIENT INFORMATION Rhinoplasty is surgery on the nose that will impact on it s external appearance. This may be a cosmetic rhinoplasty with the goal of improving one or several

More information

Scientific Forum. Nostrilplasty: Raising, Lowering, Widening, and Symmetry Correction of the Alar Rim

Scientific Forum. Nostrilplasty: Raising, Lowering, Widening, and Symmetry Correction of the Alar Rim Nostrilplasty: Raising, Lowering, Widening, and Symmetry Correction of the lar Rim Richard Ellenbogen, MD; and Greg azell, MD ackground: lthough the alar rim has frequently been neglected in correction

More information

PTERYGOPALATINE FOSSA

PTERYGOPALATINE FOSSA PTERYGOPALATINE FOSSA Outline Anatomical Structure and Boundaries Foramina and Communications with other spaces and cavities Contents Pterygopalatine Ganglion Especial emphasis on certain arteries and

More information

Preoperative Evaluation of the Aesthetic Patient

Preoperative Evaluation of the Aesthetic Patient Preoperative Evaluation of the Aesthetic Patient Michael E. Prater, MD Karen H. Calhoun, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation May 2005 Introduction

More information

SECTION N: PLASTIC SURGERY

SECTION N: PLASTIC SURGERY Visits 5N Initial Assessment $91.80 -- of a specific condition includes: pertinent family history, patient history, history of presenting complaint, functional enquiry, examination of affected part(s)

More information

Successes, Revisions, and Postoperative Complications in 446 Mohs Defect Repairs

Successes, Revisions, and Postoperative Complications in 446 Mohs Defect Repairs 358 Original Article Successes, Revisions, and Postoperative Complications in 446 Mohs Defect Repairs Anthony P. Sclafani, M.D., F.A.C.S. 1, 2, 3 James A. Sclafani 3 Anthony M. Sclafani 3 1 Division of

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

Anatomic Considerations

Anatomic Considerations Brian S. Jewett and Shan R. Baker A thorough understanding of nasal anatomy is essential to successful nasal reconstruction. Addressing deficiencies of the external soft-tissue envelope, nasal framework,

More information

The overprojected ( Pinocchio ) tip and the ptotic

The overprojected ( Pinocchio ) tip and the ptotic Featured Operative Technique Management of the Overprojected Nose and Ptotic Nasal Tip William E. Silver, MD, FCS; and Giancarlo F. Zuliani, MD The overprojected ( Pinocchio ) tip and the ptotic tip are

More information

Nasolabial flap reconstruction in oral cancer

Nasolabial flap reconstruction in oral cancer Singh et al. World Journal of Surgical Oncology 2012, 10:227 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Nasolabial flap reconstruction in oral cancer Seema Singh, Rajesh Kumar Singh and Manoj

More information

Facial Sports Injuries

Facial Sports Injuries Facial Sports Injuries Playing catch, shooting hoops, bicycling on a scenic path or just kicking around a soccer ball have more in common than you may think. On the up side, these activities are good exercise

More information

Reconstruction of Large Facial Defects after Delayed Mohs Surgery for Skin Cancer

Reconstruction of Large Facial Defects after Delayed Mohs Surgery for Skin Cancer 2015;23(4):265-269 CLINICAL ARTICLE Reconstruction of Large Facial Defects after Delayed Mohs Surgery for Skin Cancer Uwe Wollina Department of Dermatology and Allergology, Dresden-Friedrichstadt Academic

More information

McGregor Flap Reconstruction of Extensive Lower Lip Defects Following Excision of Squamous Cell Carcinoma

McGregor Flap Reconstruction of Extensive Lower Lip Defects Following Excision of Squamous Cell Carcinoma Kasr El Aini Journal of Surgery VOL., 12, NO 2 May 2011 27 McGregor Flap Reconstruction of Extensive Lower Lip Defects Following Excision of Squamous Cell Carcinoma Mohamed A. Albadawy, MD and Bassem M.

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

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 BUCCINATOR MYOMUCOSAL FLAP The Buccinator Myomucosal Flap is an axial flap, based on the facial and/or buccal arteries. It is a flexible

More information

Chapter 16. Cosmetic Concerns. Better Blood Supply and Circulation

Chapter 16. Cosmetic Concerns. Better Blood Supply and Circulation Chapter 16 FACIAL LACERATIONS KEY FIGURES: Tissue flap Suture bites: face vs. rest of body Lip anatomy Soft tissue loss The face has several unique properties that dictate the choice of treatment after

More information

Management of Complex Avulsion Injuries of the Dorsum of the Foot and Ankle in Pediatric Patients by Using Local Delayed Flaps and Skin Grafts

Management of Complex Avulsion Injuries of the Dorsum of the Foot and Ankle in Pediatric Patients by Using Local Delayed Flaps and Skin Grafts Management of Complex Avulsion Injuries of the Dorsum of the Foot and Ankle in Pediatric Patients by Using Local Delayed Flaps and Skin Grafts Ahmed Elshahat, MD Plastic Surgery Department, Ain Shams University,

More information

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

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A.

Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. UvA-DARE (Digital Academic Repository) Surgical treatment of non-melanoma skin cancer of the head and neck: expanding reconstructive options van der Eerden, P.A. Link to publication Citation for published

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

CONSENT FOR FACE-LIFT SURGERY (RHYTIDECTOMY)

CONSENT FOR FACE-LIFT SURGERY (RHYTIDECTOMY) CONSENT FOR FACE-LIFT SURGERY (RHYTIDECTOMY) Patient s Name Date Please initial each paragraph after reading. If you have any questions, please ask your doctor BEFORE initialing. I have been informed that

More information

PATIENT PREFERENCES / SATISFACTION 9/24/2016. Marta Van Beek 1. I m always conflicted.but I have no conflicts

PATIENT PREFERENCES / SATISFACTION 9/24/2016. Marta Van Beek 1. I m always conflicted.but I have no conflicts Missouri Dermatological Society Surgical Reconstruction: Integrating Patient Preferences Marta J. Van Beek, MD, MPH C. William Hanke Associate Professorship in Dermatologic Surgery Director, Division of

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

Pattern and Management of acquired Facial defects in Imo State University Teaching Hospital, Orlu, Nigeria.

Pattern and Management of acquired Facial defects in Imo State University Teaching Hospital, Orlu, Nigeria. Pattern and Management of acquired Facial defects in Imo State University Teaching Hospital, Orlu, Nigeria. Kingsley O. Opara, B.C. Jiburum. Type of Article: Original Plastic Surgery Division, Department

More information

Trigeminal Nerve (V)

Trigeminal Nerve (V) Trigeminal Nerve (V) Lecture Objectives Discuss briefly how the face is developed. Follow up the course of trigeminal nerve from its point of central connections, exit and down to its target areas. Describe

More information

Nasolabial Flap Reconstruction of Oral Cavity Defects: A Report of 18 Cases

Nasolabial Flap Reconstruction of Oral Cavity Defects: A Report of 18 Cases J Oral Maxillofac Surg 58:1104-1108, 2000 Nasolabial Flap Reconstruction of Oral Cavity Defects: A Report of 18 Cases Yadranko Ducic, MD, FRCS (C),* and Mark Burye, DDS Purpose: This article describes

More information

New York Science Journal 2017;10(5) Primary Rhino-cheiloplasty in unilateral Cleft lip.

New York Science Journal 2017;10(5)  Primary Rhino-cheiloplasty in unilateral Cleft lip. Primary Rhino-cheiloplasty in unilateral Cleft lip Abd Elmoneim H. Hota 1, Magdy A. Abdelmoktader 1, Refaat I. El Badawy 2 and Ahmed F. Salem 1 1 Plastic Surgery Department Faculty of Medicine, Alazhar

More information

Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects

Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects ORIGINAL ARTICLE https://doi.org/10.14730/aaps.2017.23.3.149 Arch Aesthetic Plast Surg 2017;23(3):149-154 pissn: 2234-0831 eissn: 2288-9337 aaps Aesthetic Plastic Surgery Four Limb Shaped Auricular Chondrocutaneous

More information

Lecture 07. Lymphatic's of Head & Neck. By: Dr Farooq Amanullah Khan PMC

Lecture 07. Lymphatic's of Head & Neck. By: Dr Farooq Amanullah Khan PMC Lecture 07 Lymphatic's of Head & Neck By: Dr Farooq Amanullah Khan PMC Dated: 28.11.2017 Lymphatic Vessels Of the 800 lymph nodes in the human body, 300 are in the Head & neck region. The lymphatic vessels

More information

Perichondrial Cutaneous Grafts in Facial Reconstruction

Perichondrial Cutaneous Grafts in Facial Reconstruction IJHNS Jamie G Bizzell, Jennings R Boyette ORIGINAL ARTICLE 10.5005/jp-journals-10001-1285 1 Jamie G Bizzell, 2 Jennings R Boyette ABSTRACT Aim: The purpose of this study is to review the indications, techniques,

More information