A longitudinal study of angular artery island flap, used for reconstruction of facial defects
|
|
|
- Brent Butler
- 5 years ago
- Views:
Transcription
1 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, donor area Introduction Considering cosmetic and functional outcome, reconstruction of moderate to large mid & upper facial soft-tissue defects due to trauma, neoplasm, or infection remains a challenge. We used either ipsilateral or contralateral angular artery island flap in patients with full-thickness soft-tissue defects in those areas. We present our experience in 30 patients (17 females & 13 males) with mean age of 65, with complex soft-tissue defects in mid & upper face reconstructed with angular artery island flaps. Defect sizes changed from 1 2 cm to3.5 5 cm. Flap size varied from a length of 2.2 to 6 cm average (average 4 cm) and width of 2.7 to 6.5 cm (average 5 cm). All donor sites were closed primarily. Twenty seven flaps (90%) healed without any necrosis and completely survived. Ipsilateral or contralateral angular artery island flap is a very convenient, safe and reliable flap for reconstruction of moderate to large mid and upper facial defects. Good aesthetic outcome for variety of facial defects could be obtained with this flap. Donor site morbidity also less. Table 1. Age distribution. Age range (years) >80 3 Arghya Bera*, Goutam Guha RGKAR Medical College Kolkata, West Bengal India *Author for correspondence: drarghyabera7@gmail.com Table 2. Sex distribution Sex Male 13 Female 17 Table 3. Diabetes. Diabetes Yes 9 No 21 Table 4. Nature of lesion. Lesion BCC 18 SCC 12 78, ISSN
2 Arghya Bera Table 5. Site of lesions. Site Paranasal 1 Infra orbital 6 Medial canthus 8 Malar region 6 Nasal dorsum 4 Nasal tip 2 Glabella 1 Nasal ala 2 Table 6. Size of lesions. Length (cm) Breadth (cm) Minimum Maximum Minimum Maximum Table 7. Size of defects. Length (cm) Breadth (cm) Minimum Maximum Minimum Maximum Table 8. Size of flaps. Length (cm) Breadth (cm) Minimum Maximum Minimum Maximum Table 9. Operative time-time required to create defect, raise flap & inset of flap. Maximum (mins) Minimum (mins) Mean Table 10. Post-operative hospital stay. Maximum (days) Minimum (days) Mean Table 11. Complication. Complication No complication 23 Partial necrosis 3 Bulky 2 Haematoma 1 Ectropion 1 Table12. Relation between flap survival and smoking. Smoking Complication No complication p value Yes No 4 15 Table13. Relation between flap survival and Diabetes. Diabetes Complication No complication p value Yes No
3 A longitudinal study of angular artery island flap, used for reconstruction of facial defects Table15. Facial aesthetics. Best outcome Worst outcome Mean outcome Table15.Relation between flap dimension and complication Null Hypothesis Test Sig. Decision The distribution of Flap_L is the same across categories of Complication_New. Independent-Samples Mann-Whitney U Test Retain the null hypothesis. The distribution of Flap_B is the same across categories of Complication_New. Independent-Samples Mann-Whitney U Test Retain the null hypothesis. Asymptotic significances are displayed. The significance level is Exact significance is displayed for this test. Figure 1: BCC Left medial canthus. Figure 3: Marking of flap. Figure 2: Defect following resection of the lesion. Figure 4: Identification of angular artery red arrow shows angular artery. 80
4 Arghya Bera Figure 5: Delay of flap. Figure 9: 2 weeks follow up. Figure 6: Insetting of flap. Figure 10: 3 months follow up. Figure 7: Congestion of the flap. Figure 8: 1 week follow up. 81 Figure 11: 6 months follow up. Figure 12: 6 months follow up.
5 A longitudinal study of angular artery island flap, used for reconstruction of facial defects Figure 13: BCC of Left medial canthus & upper eyelid. Figure 14: Defect after excision with flap marking arrow showing exposed bone. Figure 15: Flap elevation. Figure 16: Flap insetting. Figure 17: Follow up 2 week. Figure 18: 4 weeks follow up. Figure 19: 3 months follow up. Figure 20: 6 months follow up. 82
6 Arghya Bera Figure 21: BBCC near Right medial canthus. Figure 22: Excision of the lesion. Figure 23: Elevation of flap. Figure 24: Insetting of flap. 83 Figure 25: Follow up of 2 weeks. Figure 26: 4 Weeks follow up. Figure 27: 3 months follow up. Figure 28: 6 months follow up.
7 A longitudinal study of angular artery island flap, used for reconstruction of facial defects Figure 29: SCC Right medial canthus & adjacent lateral nasal wall. Figure 30: Excision of lesion with nasal bone removal arrow shows removed bone. Figure 31: 4 weeks follow up. Figure 32: 6 months follow up. Figure 33: BCC Left infraorbital region. Figure 34: Defect after excision. Figure 35: Shows reach of flap over forehead. Figure 36: Shows reach of flap over forehead. 84
8 Arghya Bera Figure 37: Reach go upto ipsilateral lateral canthus. Figure 38: Shows reach of flap to nasal tip. Figure 39: Reach of angular island flap contralateral upper eyelid. 85 Figure 40: Insetting of flap. Figure 41: After maxillectomy defect covered with angular artery island flap. Figure 42: After maxillectomy defect covered with angular artery island flap.
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
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
Mc Gregor Flap for Lower Eyelid Defect
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 4 Ver. V (April. 2017), PP 69-74 www.iosrjournals.org Mc Gregor Flap for Lower Eyelid Defect
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
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
Eyelid Reconstruction An Oculoplastic Surgical Coding Minicourse. Riva Lee Asbell Philadelphia, PA. Part II
INTRODUCTION Eyelid Reconstruction An Oculoplastic Surgical Coding Minicourse Riva Lee Asbell Philadelphia, PA Part II In this second part of the Minicourse on Surgical Coding for Eyelid Reconstruction
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
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
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
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
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
A Propeller Flap for Single-Stage Nose Reconstruction in Selected Patients: Supratrochlear Artery Axial Propeller Flap
332 A Propeller Flap for Single-Stage Nose Reconstruction in Selected Patients: Supratrochlear Artery Axial Propeller Flap Adriana Cordova, MD 1 Salvatore D Arpa, MD, PhD 1 Tripoli Massimiliano, MD, PhD
Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction
Archives of Craniofacial Surgery Arch Craniofac Surg Vol.19 No.4, 254-259 Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction Original Article Geon Woo Kim 1, Yong Chan
Head and neck cancer - patient information guide
Head and neck cancer - patient information guide The development of reconstructive surgical techniques in the last 20 years has led to major advances in the treatment of patients with head and neck cancer.
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,
Reconstruction of seventeen full-thickness defects of the eyelids with twenty-two Hübner tarsomarginal grafts *
British Journal of Plastic Surgery (2005) 58, 361 365 Reconstruction of seventeen full-thickness defects of the eyelids with twenty-two Hübner tarsomarginal grafts * G. Dagregorio a, *, V. Huguier b, V.
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
Role Of Reverse Sural Artery Flap In Ankle, Foot And Leg Defects
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 5 Ver. VIII (May. 2016), PP 64-68 www.iosrjournals.org Role Of Reverse Sural Artery Flap In
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
Anatomy of. External NOSE. By Dr Farooq Aman Ullah Khan PMC
Anatomy of External NOSE By Dr Farooq Aman Ullah Khan PMC 24 th Nov. 2017 The External Nose Descriptions of the nose always begin with that part of it which is covered by the skin, i.e., the EXPOSED PART
JMSCR Vol 07 Issue 01 Page January 2019
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.36 Original Article A Study on the
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
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
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
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY
OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY INFERIOR MAXILLECTOMY Tumours of the hard palate and superior alveolus may be resected by inferior maxillectomy (Figure 1). A Le Fort
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
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
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
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
Hyperbaric oxygen therapy and surgical delay improve flap survival of reverse pedicle flaps for lower third leg and foot reconstruction
Original Article Plastic and Aesthetic Research Hyperbaric oxygen therapy and surgical delay improve flap survival of reverse pedicle flaps for lower third leg and foot reconstruction Pradeoth Mukundan
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,
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
Lower Eyelid Reconstruction after Basal Cell Carcinoma Removal
Lower Eyelid Reconstruction after Basal Cell Carcinoma Removal A Decision Management Tool Pooja Sethi 1, Soroosh Behshad 1, Alejandra A. Valenzuela 1 Corresponding author address: From Department of Ophthalmology,
Heel Defect Reconstruction using Local Vascularized Flaps: Results and Clinical Outcomes in 16 Patients
JFS (P) Kuldeep Singh et al ORIGINL RTICLE 10.5005/jp-journals-10040-1083 Heel Defect Reconstruction using Local Vascularized Flaps: Results and Clinical Outcomes in 16 Patients 1 Kuldeep Singh, 2 Zile
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
Considerations in Oncologic Resection (mandible & maxilla)
Considerations in Oncologic Resection (mandible & maxilla) Jeeve Kanagalingam MA, FRCS (ORL-HNS), FAMS Consultant ENT / Head & Neck Surgeon Tan Tock Seng Hospital Assistant Professor Lee Kong Chian School
Epidemiology 3002). Epidemiology and Pathophysiology
Epidemiology Maxillofacial trauma or injuries are commonly encountered in the practice of emergency medicine and are presenting one of the most challenging problems to the attending surgeons or physicians
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.
Wound coverage of plantar metatarsal ulcers in leprosy using a toe web flap
Free full text on www.ijps.org Original Article Wound coverage of plantar metatarsal ulcers in leprosy using a toe web flap J. Joshua, V. Chakraborthy Premananda Memorial Leprosy Hospital, The Leprosy
Arzu Taskiran Comez, 1,2 Baran Gencer, 1 Selcuk Kara, 1 and Hasan Ali Tufan Introduction. 2. Case Report
Case Reports in Ophthalmological Medicine Volume 2013, Article ID 952079, 4 pages http://dx.doi.org/10.1155/2013/952079 Case Report A Minor Modification of Direct Browplasty Technique in a Patient with
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,
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
Through-and-through Nasal Reconstruction with the Bi-Pedicled Forehead Flap
Through-and-through Nasal Reconstruction with the Bi-Pedicled Forehead Flap Original Article Tommaso Agostini, Raffaella Perello, Giulia Lo Russo, Giuseppe Spinelli Department of Plastic and Reconstructive
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
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
Technicians & Nurses Program
ASCRS ASOA Symposium & Congress Technicians & Nurses Program May 6-10, 2016 New Orleans Evaluation and Treatment of Eyelid Malignancies Richard C. Allen MD PhD FACS Professor Section of Ophthalmology Dept.
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
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 )
MALIGNANT TUMOURS OF THE JAWS
MALIGNANT TUMOURS OF THE JAWS MALIGNANT TUMOURS OF THE JAWS Squamous cell carcinoma Osteogenic sarcoma Chondrosarcoma Fibrosarcoma Malignant lymphomas (incl. Burkitt s) Multiple myeloma Ameloblastoma Secondary
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
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
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
Jonathan A. Dunne, MBChB, MRCS, a Daniel J. Wilks, MBChB, MRCS, b and Jeremy M. Rawlins, MBChB, MPhil, FRCS (Plast) c INTRODUCTION
CASE REPORT A Previously Discounted Flap Now Reconsidered: MatriDerm and Split-Thickness Skin Grafting for Tendon Cover Following Dorsalis Pedis Fasciocutaneous Flap in Lower Limb Trauma Jonathan A. Dunne,
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
It is a common observation that the Asian face
INJECTABLES Ethnic and Gender Considerations in the Use of Facial Injectables: Asian Patients Steven Liew, FRACS Sydney, New South Wales, Australia Background: Asians have distinct facial characteristics
Original Article Facial Reconstruction Pak Armed Forces Med J 2014; 64 (2):
Original Article Facial Reconstruction Pak Armed Forces Med J 2014; 64 (2): 333-38 RECONSTRUCTION OF NON-MELANOTIC FACIAL TUMOURS WITH LOCAL FLAPS; REPLACING LIKE WITH LIKE Rana Hassan Javaid, Shahid Hameed,
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,
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
Versatility of Reverse Sural Artery Flap for Heel Reconstruction
ORIGINAL ARTICLE Introduction: The heel has two parts, weight bearing and non-weight bearing part. Soft tissue heel reconstruction has been a challenge due to its complex nature of anatomy, weight bearing
Single-Stage Full-Thickness Scalp Reconstruction Using Acellular Dermal Matrix and Skin Graft
Single-Stage Full-Thickness Scalp Reconstruction Using Acellular Dermal Matrix and Skin Graft Yoon S. Chun, MD, a and Kapil Verma, BA b a Division of Plastic and Reconstructive Surgery, Department of Surgery,
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
Planning and outcome of soft tissue defects of the foot
206; 2(4): 47-423 ISSN: 2395-958 IJOS 206; 2(4): 47-423 206 IJOS www.orthopaper.com Received: -08-206 Accepted: 2-09-206 Dr. Shuaib Ahmed Dr. Latheesh Leo Hand and Microvascular Surgery, Department of
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,
Chapter 49: Reconstructive Rhinoplasty. Fred J. Stucker, Gary Y. Shaw. Conchal Cartilage Grafting for Nasal Valve Collapse
Chapter 49: Reconstructive Rhinoplasty Fred J. Stucker, Gary Y. Shaw Nasal reconstruction differs significantly from cosmetic rhinoplasty. A cosmetic rhinoplasty attempts to create fairly subtle changes
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:
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
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,
Rehabilitation of the Paralyzed Face
Rehabilitation of the Paralyzed Face Elizabeth J. Rosen, MD Faculty Advisor: Karen H. Calhoun, MD The University of Texas Medical Branch Department of Otolaryngology Grand Rounds Presentation October 30,
NEW THREE-FLAP SCALP RECONSTRUCTION TECHNIQUE
NEW THREE-FLAP SCALP RECONSTRUCTION TECHNIQUE By MIGUEL ORTICOCHEA, M.D. Professor of Plastic Surgery, Medical School, Javeriana University, Bogotd, Colombia Former Student, Pasteur Hospital, Montevideo,
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
PLASTICS Referral Guidelines
PLASTICS Referral Guidelines Austin Health PLASTICS Unit holds fortnightly multidisciplinary meetings with ENT/ Maxillary Facial and Oncology Units to discuss and plan the treatment of patients with cancerous
Scapular Flap for Maxillectomy Defect Reconstruction and Preliminary Results Using Three-Dimensional Modeling
The Laryngoscope VC 2016 The American Laryngological, Rhinological and Otological Society, Inc. Scapular Flap for Maxillectomy Defect Reconstruction and Preliminary Results Using Three-Dimensional Modeling
Plastic Surgery Referral Guidelines
Plastic Referral Guidelines Austin Health PLASTICS Unit holds fortnightly multidisciplinary meetings with ENT/ Maxillary Facial and Oncology Units to discuss and plan the treatment of patients with cancerous
Selective salvage of zones 2 and 4 in the pedicled TRAM flap: a focus on reducing fat necrosis and improving aesthetic outcomes
DOI 10.1186/s40064-016-1714-7 RESEARCH Open Access Selective salvage of zones 2 and 4 in the pedicled TRAM flap: a focus on reducing fat necrosis and improving aesthetic outcomes Chi Sun Yoon and Kyu Nam
TRANSPOSITIONAL ADIPOFASCIAL FLAPS FOR COMPLICATED ACUTE FINGER INJURIES
K.B. Poon, S.H. Chien, G.T. Lin, et al TRANSPSITINAL ADIPFASCIAL FLAPS FR CMPLICATED ACUTE FINGER INJURIES Kein Boon Poon, Song-Hsiung Chien, 1 Gau-Tyan Lin, 1 and Yin-Chih Fu 1 Department of rthopaedic
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
ZYGOMATIC (MALAR) FRACTURES
b854_chapter-12.qxd 1/31/2011 9:40 AM Page 129 ZYGOMATIC (MALAR) FRACTURES CHAPTER 12 Anatomical articulations FZ Fronto-zygomatic ZT Zygomaticotemporal ZMB Zygomatico - maxillary buttress IO Infraorbital
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,
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
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
Deposited on: 13 December 2010
Ng, Z.Y., Fogg, Q., and Shoaib, T. (2010) Where to find facial artery perforators: a reference point. Journal of Plastic, Reconstructive & Aesthetic Surgery, 63 (12). pp. 2046-2051. ISSN 1748-6815. http://eprints.gla.ac.uk/45921/
Case Report Mid Facial Degloving Procedure: Managing A Case of Multiple Mid Face Fractures with Significant External Deformity
55 Bangladesh J Otorhinolaryngol 2015; 21(1): 51-56 Case Report Mid Facial Degloving Procedure: Managing A Case of Multiple Mid Face Fractures with Significant External Deformity Akhil Chndra Biswas 1,
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
A Study of Classification Systems for Maxillectomy Defects
A Study of Classification Systems for Maxillectomy Defects Zubair Durrani FFDRCS, FRCS, FRCS (OMFS)* Syed Ghazanfar Hassan FFDRCS** Shomaila Ameer Alam BDS*** * Associate Professor & Consultant Oral and
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
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
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
Anatomical Context of Facial Aesthetics Online CME Post-Test
progressive aesthetic learning essential to technical expertise Anatomical Context of Facial Aesthetics Online CME Post-Test Full Name: Degree: e-mail: May we contact you in approximately three months
We investigated the effectiveness of reconstruction using an infraglabellar bilobed
SURGICAL TECHNIQUE Infraglabellar Transnasal Bilobed Flap in the Reconstruction of Medial Canthal Defects Jodhbir S. Mehta, MRCOphth; Jane M. Olver, FRCOphth We investigated the effectiveness of reconstruction
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
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
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.
Correction of the epicanthal fold using the VM-plasty
British Journal oj Plastic Surgery (2000), 53, 95 99 9 2000 The British Association of Plastic Surgeons DOI: I 0,1054/bj ps. 1999.3288 BRITISH JOURNAL PLASTIC SURGERY Correction of the epicanthal fold
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
Accepted 13 March 2008 Published online 18 July 2008 in Wiley InterScience ( DOI: /hed.20874
ORIGINAL ARTICLE ZYGOMATICOMAXILLARY BUTTRESS RECONSTRUCTION OF MIDFACE DEFECTS WITH THE OSTEOCUTANEOUS RADIAL FOREARM FREE FLAP Patricio Andrades, MD, Eben L. Rosenthal, MD, William R. Carroll, MD, Christopher
Only the Mohs Knows: Management of Periocular Skin Cancers
Only the Mohs Knows: Management of Periocular Skin Cancers Andrew R. Harrison, M.D. Director, Oculoplastic and Orbital Surgery University of Minnesota Overview Common Eyelid Skin Cancers Management Options
THE SURGICAL TREATMENT OF POST-RADIATION RECURRENT BASAL-CELL CARCINOMA OF THE FACE AND SCALP
THE SURGICAL TREATMENT OF POST-RADIATION RECURRENT BASAL-CELL CARCINOMA OF THE FACE AND SCALP By RANDELL CHAMPION, M.B.E., F.R.C.S.Ed., and ROBERT GIBB, M.B., Ch.B., D.M.R.T.(Eng.) From Christie Hospital
Section 1. Lids and lacrimal COPYRIGHTED MATERIAL
Section Lids and lacrimal COPYRIGHTED MATERIAL Basal cell carcinoma Basal cell carcinoma (BCC) is a proliferation of the basal cells of the dermis in human skin. There are four recognised types of BCC: