Publication date: Available online 2 July 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Nicholas S.J. Tang, Iraj Ahmadi, Anand RamakrishnanSUMMARYBackgroundThe traditional approach to head and neck reconstruction is considered challenging, requiring a subjective assessment of an often-complex defect followed by careful modelling of a bony flap to match this. The introduction of Virtual Surgical Planning (VSP) has provided the surgeon with a means to increase efficiency,...
Wed Jul 03, 2019 18:21
Publication date: Available online 2 July 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Stefan Hummelink, Dietmar J.O. Ulrich
Wed Jul 03, 2019 18:21
Publication date: Available online 2 July 2019Source: Journal of Plastic, Reconstructive & Aesthetic SurgeryAuthor(s): Marissa Suchyta, Waleed Gibreel, Karim Bakri, Hatem Amer, Samir MardiniAbstractIntroductionFace transplantation can offer patients with severe facial deformities a better quality of life, but questions of donor suitability remain unanswered. The aim of this study is to determine how an obesity mismatch between donor and recipient affects facial fat graft retention and cellular...
Tue Jul 02, 2019 15:53
This case series examines the application of a novel lateral extended nasal island flap and its cosmetic outcome in nasal reconstruction of cosmetic defects.
Wed Jul 03, 2019 03:00
Abstract Background With the demand for stem cells in regenerative medicine, new methods of isolating stem cells are highly sought. Adipose tissue is a readily available and non-controversial source of multipotent stem cells that carries a low risk for potential donors. However, elevated donor body mass index has been associated with an altered cellular microenvironment and thus has implications for stem cell efficacy in recipients. This...
Tue Jul 02, 2019 03:00
Abstract Introduction In rhinoplasty operations, concavity and convexity have a particular place in terms of aesthetic and functional problems. To fix the problems associated with concavity and convexity, several techniques were reported for straightening of the lower lateral cartilage (LLC). The scroll ligament and its associated tissues can be preserved, and a better nasal tip can be obtained after the surgery. The purpose of this research...
Mon Jul 01, 2019 03:00
Mon Jul 01, 2019 03:00
Abstract Introduction Lately, the growing number of bariatric procedures performed each year led to an increasing demand for lower trunk reconstruction. Our team previously described the lipo–body lift (LBL) technique into lower duration of drainage and therefore seromas and other complications. In this study, we compared the classical body lift (CBL) technique to the LBL procedure. ...
Mon Jul 01, 2019 03:00
Abstract Introduction The inferior turbinate is a critical and dynamic structure during rhinoplasty in the internal valve. Many surgeons try to preventively reduce its resistance against the path in the post-rhinoplasty period. To this end, the two methods of “sub mucosal partial inferior turbinectomy” and “inferior turbinate out fracture” are compared in the present study. Methods...
Mon Jul 01, 2019 03:00
Mon Jul 01, 2019 03:00
Abstract Background With the extensive application of autologous fat grafting (AFG) to the breasts, postoperative complications such as breast lumps attract high attention. Breast lumps greatly reduce patient satisfaction and bring mental stress. However, there are few detailed reports about minimally invasive treatment strategies for breast lumps after AFG. Our study aimed to investigate the effectiveness of the vacuum-assisted breast...
Mon Jul 01, 2019 03:00
Mon Jul 01, 2019 03:00
Abstract Perivascular epithelioid cell tumours, known as PEComas, are a family of tumours with immunoreactive melanocytic and smooth muscle markers. They are a rare heterogeneous group in adulthood and childhood with primary osseous PEComas representing an even rarer subgroup. The clinical behaviour is not well understood and the treatment options vary. We present an index case of a primary osseous PEComa of the craniofacial skeleton in a 3-year-old girl. Level...
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Abstract Eccrine porocarcinoma is a rare and potentially fatal malignant adnexal tumor that can arise de novo or develop from its benign precursor, poroma. Diagnosis is difficult due to its rarity and resemblance to many other (benign) skin tumors. We present the case of a 71-year-old woman presenting with a long-standing case of eccrine porocarcinoma on the scalp. After multiple incomplete excisions over the last 15 years, no metastases were found. Major reconstructive surgery...
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Abstract A dog bite injury involving joints and bones has poor prognosis. We described a case of open proximal phalangeal fracture with bone defect of the left index finger due to dog bite injury. The patient was treated successfully with a pedicled second metacarpal vascularized bone graft based on the second dorsal metacarpal artery following debridement and external fixation. Subsequently, extensor tendon tenolysis wrapped with adipofascial flap based on the first dorsal metacarpal...
Wed Jul 03, 2019 03:00
Purpose: Orbital myositis occurs in typical and atypical forms. This review summarizes and updates the current state of knowledge of all forms of inflammation affecting extraocular muscle, excluding thyroid-associated orbitopathy. Methods: A comprehensive literature review of orbital myositis was performed. Results: Orbital myositis typically occurs in an idiopathic acute form, with painful diplopia due to inflammation in 1 or more extraocular muscles of young adult females, which usually...
Mon Jun 24, 2019 03:00
No abstract available
Mon Jun 24, 2019 03:00
Langerhans cell histiocytosis (LCH) is a clonal neoplastic proliferation of Langerhans-type cells. Orbital LCH is infrequent, typically manifesting as an isolated lytic bony lesion with an adjacent soft tissue mass in a child. Isolated lacrimal gland involvement by LCH is extremely rare, with only 2 previously reported cases. The authors describe a 37-year-old woman with a 6-month history of painless right upper eyelid swelling and diffuse right lacrimal gland enlargement without bony changes on...
Mon Jun 24, 2019 03:00
Objective: Prolapse of silicone tubes is one of the most common complications after bicanalicular intubation of the lacrimal system. This study describes a new method of repositioning prolapsed silicone tubes by using a suture-probe. Methods: This study was a retrospective chart review of 12 patients who experienced complete silicone tube prolapse after bicanalicular intubation. The silicone tube was repositioned by using a suture-probe; a double-stranded suture was placed in the lacrimal...
Mon Jun 24, 2019 03:00
A flesh-colored, supraciliary lesion of the left upper eyelid in a 47-year-old man was excised for cosmetic reasons. Histopathology and immunohistochemistry demonstrated CD34-positive benign spindle cells, factor XIIIa-positive dendritic cells, and CD163-positive histiocytes, all dispersed within a diffuse collagenous background. Prominent loose perivascular cuffs of fibroblastic cells and collagen surrounded small blood vessels. Interpreted as an angiofibroma, the histopathology bore resemblance...
Mon Jun 24, 2019 03:00
A 54-year-old woman underwent uncomplicated bilateral lower eyelid surgery for eyelid retraction using porcine decellularized membrane graft (TarSys). Left lower eyelid pain began several months after surgery and persisted until the graft was removed 15 months after implantation. The opposite eyelid graft caused no symptoms. Histologically, the lesion consisted of acellular collagen surrounded by florid granulomatous inflammation. Although the inflammatory reaction suggested a cell-mediated immune...
Mon Jun 24, 2019 03:00
Purpose: To evaluate the relationship between pre-Mohs skin cancer lesion measurements with the post-Mohs defect size in order to most accurately estimate post-Mohs defect size. Methods: This is a retrospective analysis of patients who underwent Mohs excision by one of 3 Mohs surgeons followed by reconstruction for basal cell carcinoma or squamous cell carcinoma of the eyelid. The study included all patients from January 2011 to May 2018 operated on by a single oculoplastic surgeon (R.M.)...
Mon Jun 24, 2019 03:00
Purpose: To study the CT appearance of the nasolacrimal canal (NLC) in cases of congenital nasolacrimal duct obstruction (CNLDO) where there is a tactile sensation of a hard contact (HC) stop in the duct preventing stent intubation. Methods: The authors retrospectively reviewed all consecutive cases of chronic CNLDO observed between 2003 and 2018 in which an apparent HC obstruction prevented nasolacrimal intubation. CT scans were reviewed to determine the cause of probing failure: distal...
Mon Jun 24, 2019 03:00
No abstract available
Mon Jun 24, 2019 03:00
Human ocular Dirofilariasis is a relatively rare, zoonotic disease, caused by a filarial nematode, Dirofilaria repens. This parasitic infestation usually presents as a subconjunctival nodule with hyperemia. The authors present a case of subconjunctival dirofilariasis in a 91-year-old gentleman, who presented with manifestations of orbital cellulitis. The live worm was surgically removed and identified to be D. repens. Accepted for publication May 8, 2019. The authors have no financial or conflicts...
Mon Jun 24, 2019 03:00
Purpose: Orbital decompression is an established surgical treatment option for a range of orbital conditions. Traditionally, Ear, Nose and Throat surgeons have adopted the endoscopic route while ophthalmologists operate via an external approach. The authors report the outcomes of endonasal decompression performed by oculoplastic surgeons experienced in endonasal techniques. Methods: This was a retrospective case series of patients who underwent endoscopic orbital decompression for proptosis...
Mon Jun 24, 2019 03:00
Purpose: To evaluate the efficacy of Müller’s muscle-conjunctival resection combined with tarsectomy for the treatment of congenital ptosis. Methods: A retrospective, noncomparative case series was performed on 38 eyes of 36 patients who underwent Müller’s muscle-conjunctival resection combined with tarsectomy for the treatment of congenital ptosis. Age range was 2–25 years (mean: 7.86 years). Follow-up measurements taken up to 4 years after procedure were compared with baseline values. ...
Mon Jun 24, 2019 03:00
Purpose: To provide a systematic review of the literature on diagnostic and therapeutic indications, techniques, utility, and complications of dacryoendoscopy (DEN). Methods: The authors performed a PubMed search of articles published in English/German/Japanese/Chinese on DEN. Data captured include evolution and techniques, diagnostic utility, therapeutic interventions, outcomes, and limitations. Specific emphasis was laid on addressing the current practice patterns and existing lacunae. ...
Mon Jun 24, 2019 03:00
Purpose: Define incidence of severe ocular trauma in orbital fracture patients and determine if ocular signs and symptoms are useful predictors of severe ocular injuries. Methods: Retrospective chart review was performed on all patients with orbital fractures between April 1, 2013, and December 31, 2014. Patients were included if they had radiographic evidence of acute fracture of at least one orbital wall and were evaluated by the Ophthalmology service. Demographics, concurrent injury data,...
Mon Jun 24, 2019 03:00
The purpose of this report is to detail the unique occurrence of comedo-like trichoadenoma of the upper eyelid. A 54-year-old man underwent surgical resection of the lesions of the left upper eyelid that were suspected to be dilated pores. The lesions were studied with histopathological examination. Histopathology showed lesions in the dermis and epidermis containing keratinous cysts surrounded by interstitial edema and infiltration of lymphocytes. The lesions were finally diagnosed as trichoadenoma. ...
Mon Jun 24, 2019 03:00
Purpose: To introduce a new (Supine) test and assess the values of lateral eyelid bulging for diagnosis of lacrimal gland (LG) prolapse before upper blepharoplasty. Methods: In a prospective case series (2011–2017), lateral eyelid bulging and Supine Test were recorded, preoperatively. Lacrimal gland prolapse was graded as mild (7 mm). A few spots of cautery on LG capsule was performed in patients with bilateral mild and suture repositioning in unilateral or bilateral moderate and severe LG...
Mon Jun 24, 2019 03:00
Purpose: Volume restoration is an important component of aesthetic facial rejuvenation, particularly in the brow and upper eyelid regions. In this study, the authors describe transposition of the central, preaponeurotic fat pad in the sub-brow preperiosteal plane with full release of the brow during upper blepharoplasty. Methods: A retrospective review including all patients who underwent transposition of the upper eyelid central, preaponeurotic fat pad at the time of upper blepharoplasty....
Mon Jun 24, 2019 03:00
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