Current Issue : April - June Volume : 2014 Issue Number : 2 Articles : 4 Articles
Parotidectomy is a surgical procedure associated to functional (Frey�s syndrome) as well as aesthetic (facial asymmetry)\ncomplications that can be very disturbing for the patient. Several procedures have been described to primarily avoid or secondarily\nreconstruct the facial defect and treat the neurological iatrogenic syndrome. Autologous fat transfer was primarily used in 10 cases\nto avoid such complications. It is an easy technique widely used in cosmetic and reconstructive surgery. This technique gives very\nsatisfying long-term results on the cosmetic as well as on the physiological point of view....
The eyebrow region is of utmost importance for facial movement, symmetry, and the overall cosmetic appearance of the face.\nTrauma or tumor resection often leave scars that may dislocate the eyebrow producing an alteration both in static symmetry of\nthe face and in the dynamic expressivity.The authors present a technique for eyebrowââ?¬â?¢s defects repair using the remaining eyebrow\nadvancement by means of a ââ?¬Å?freestyle-likeââ?¬Â V-Y flap. In the past two years a total of eight consecutive patients underwent excision\nof skin lesions in the superciliary region and immediate reconstruction with this technique. On histology, six patients were affected\nfrom basal cell carcinomas, one from squamous cell carcinoma, and one from congenital intradermal melanocytic nevus. The\npedicle of the flap included perforators from the supratrochlear, supraorbital, or superficial temporalis artery. Advancement of the\nentire aesthetic subunit that includes the eyebrow using a V-Y perforator flap was performed successfully in all cases achieving\nfull, tension-free closure of defects up to 3.0 cm. ââ?¬Å?Freestyle-likeââ?¬Â V-Y flaps should be considered as a first-line choice for partial\ndefects of the eyebrow.The greater mobility compared to random subcutaneous flaps allows to reconstruct large defects providing\nan excellent cosmetic result....
Introduction. The common surgical approach for standard temporal lobectomy is a question-mark skin incision and a frontotemporal\r\ncraniotomy. Herein, we describe minicraniotomy approach through a linear skin incision for standard temporal\r\nlobectomy. Methods. A retrospective observational cohort study was conducted for a group of consecutive 21 adult patients (group\r\nI) who underwent minicraniotomy for standard temporal lobectomy utilizing a linear skin incision. This group was compared\r\nto a consecutive 17 adult patients (group II) who previously underwent a reverse question-mark skin incision and standard\r\nfrontotemporal craniotomy. Results. The mean age was 29 and 23 for groups I and II, respectively.The mean estimated blood loss\r\nwas 190mL and 280mL in groups I and II, respectively (?? = 0.019). Three patients in group II developed chronic postcraniotomy\r\nheadache compared to none in group I.Cosmetic outcome was excellent in group Iwhile 4 patients in group II developed disfiguring\r\ndepression at lateral sphenoid wing and anterior temple. In group I 17 out of 21 became seizure-free at one-year followup. Conclusion.\r\nMinicraniotomy through a linear skin incision is a sufficient surgical approach for effective standard temporal lobectomy and it has\r\nan excellent cosmetic outcome....
Introduction. Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resectionmay be readily\r\nreconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral\r\nincompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free\r\nradial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction. Patients and Methods.This procedure\r\nwas used in 5 patients with 80ââ?¬â??100% lip defect resulting from Squamous cell carcinoma. Patientsââ?¬â?¢ age ranged from 46 to 82 years.\r\nThey are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of\r\nmandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon\r\nwas used instead. All patients tolerated the procedure well. Results. All flaps totally survived. No patient suffered from drooling.\r\nAll patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one. Conclusion. We\r\nconclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result\r\napproaches reconstructive goals....
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