Synergic effect of buccal fat pad pedicled flap and dermal acellular matrix for large cheek defect.

Reconstruction of large defects of the upper cheek defects still remains a challenge for the surgeon, who can apply different techniques. We present a new method involving the use of a dermal regeneration template to achieve an improved, faster healing of pedicled buccal fat flap in a 75-year-old woman affected by melanoma of the upper-middle cheek. The tumor involved soft tissue, zygomatic arch and periocular fact.

Epithelioid hemangioendothelioma of the mandibular gingiva: A rare case of metastasis 4 years after radical excision and literature review.

Malignant epithelioid hemangioendothelioma (MEH), or high-risk epithelioid hemangioendothelioma, is a low- to intermediate-grade vascular malignancy. A few cases of MEH have been documented in the head and neck region, including the neck, thyroid gland, larynx and scalp. MEHs are extremely rare in the oral cavity.

Crescentic flap for the reconstruction of the nose after skin cancer resection.

Purpose: Non-melanoma skin cancers are the most frequent skin tumours; in 25.5% of cases, they are reported to affect the nasal area. For an excellent surgical outcome, first of all the radical excision of the lesion is important, with appropriate margins of healthy skin in order to avoid recurrences.

Non-melanoma skin cancer of the head and neck: the aid of reflectance confocal microscopy for the accurate diagnosis and management.

Background: Non-melanoma skin cancer (NMSC) represents the most common cutaneous neoplasms of the head and neck. In recent years, novel non-invasive diagnostic tool have been developed, and among these we have the reflectance confocal microscopy (RCM), that offers the evaluation of the skin at real time with cellular resolution. Numerous studies have identified the main confocal features of skin tumours, demonstrating the good correlation of these features with certain dermatoscopic patterns and histologic findings.

Intraoral approach for aesthetic restoration of posttraumatic zygomatic arch deformities.

Minimally invasive oral and maxillofacial surgery is now being developed for virtually all minor and major oral and maxillofacial surgeries, and developments are now focused on facial trauma surgery. This article assesses the feasibility of reducing isolated zygomatic arch fractures using the intraoral lateral coronoid approach. The procedure is cost-effective and timesaving, as it can be performed under local anesthesia in an emergency department or similar clinical setting and does not need postoperative hospitalization if no other comorbidities are present.

Technical tips for a cosmetic approach to parotid surgery.

Purpose: Recently, skin incisions have tended to be smaller if surgical exposure is not greatly compromised, especially for benign lesions of the head and neck. An incision in a visible area of the neck needs to be moved to hidden or less prominent sites or away from the head and neck. For aesthetic considerations, the preauricular broken/postauricular trichophytic skin incision was developed for parotid surgery.

Wave technique for treatment of lower lip cancer.

Purpose: This article reports the authors' experience with treatment of lower lip cancer using the wave technique.

Patients And Methods: Twenty-one patients (16 males, 5 females) were treated using the wave technique between September 2009 and October 2010. Patients undergoing the procedure had tumors that were classified as either T1N0M0 or T2N0M0.

Piezosurgery to perform hyoid bone osteotomies in thyroglossal duct cyst surgery.

Ultrasonic bone-cutting surgery has been introduced as a feasible alternative to the conventional sharp instruments used in craniomaxillofacial surgery because of its precision and safety. The device used is unique in that the cutting action occurs when the tool is used on mineralized tissues and stops on soft tissues. This work describes the use of piezosurgery for hyoid bone resection in thyroglossal duct cyst surgery, briefly reviews the literature on the surgical technique, and reports our experience with 12 cases.

Cicatricial iatrogenic lower eyelid malposition in skin cancer surgery: results of a combined approach.

Purpose: Malposition of the lower lid, including rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and ectropion, is a relatively frequent complication in the surgical treatment of skin cancer of the cheek and zygomatic areas. The tarsal strip technique, in association with a vertical vector cheek lift, is a reliable method for correcting lower lid malposition.

Materials And Patients: From January 2008 to January 2010, we treated 19 patients with lower eyelid malposition after skin cancer surgery of the cheek and zygomatic areas.

Tracheostomy in maxillofacial surgery: a simple and safe technique for residents in training.

Background: Tracheostomy is a frequently performed surgical procedure and may be required under emergency, semiurgent, or elective conditions. In maxillofacial surgery, it is indicated in congenital, inflammatory, oncologic, or traumatic respiratory obstruction and prolonged intubation. This article presents a simplified tracheostomy procedure based on anatomic markers that gives the best compromise between minimum invasiveness and safety.

The bilobed flap in skin cancer of the face: our experience on 285 cases.

Background: This article describes how many of the defects caused by oncological surgery can be closed with an easily estended flap.

Patient And Method: The Zitelli bilobed flap was used to treat 285 consecutive patients with basal cell carcinomas (BCCs) or squamous cell carcinomas (SCCs); 167 men (58.60%) and 118 women (41.

Usefulness of fine-needle aspiration in parotid diagnostics.

Purpose: Fine needle aspiration (FNA) is a safe diagnostic technique that is widely employed for lesions of the head and neck. Among head and neck sites, the parotid gland is unique in the number, diversity, and peculiarity of its pathological processes. This complexity has prompted a great deal of discussion regarding the application of FNA to parotid masses, primarily focusing on the reliability of FNA as a diagnostic tool in guiding patient management.

A comparative study of different approaches in the treatment of orbital trauma: an experience based on 274 cases.

Purpose: The aim of the study was to compare the aesthetic results, complications and surgical indications in patients treated for orbital trauma by one of three different approaches: subciliary, transconjunctival or transconjunctival with lateral canthotomy.

Materials And Methods: In this retrospective study, 274 patients (169 men and 105 women aged 16-78 years) who had been treated for orbital trauma without soft tissue lacerations of orbital region and then returned for long-term follow-up (6-48 months) between 2000 and 2007 were evaluated in terms of aesthetics and function for the presence of a visible scar and lower-eyelid malposition (scleral show or ectropion).

Results: Of the 274 patients, 50 (18.

Combined technique for the correction of prominent ears: results in 140 patients.

We present our assessment of a combined technique for the correction of prominent ears in 140 patients between 1991 and 2007. We had no major complications, and minor complications including extrusion of a stitch, granuloma around a suture, hypertrophic scarring, and superficial ulceration on the anterior side of the helix developed in nine patients. Two also developed residual asymmetry.

Surgical treatment of lip cancer: our experience with 106 cases.

Purpose: To report our experience with 106 cases of lip cancer.

Patients And Methods: We treated 106 patients with stages T1, T2, or T3 lip cancer (76, 22, and 8 cases, respectively). For the 34 T1 lesions up to 1 cm in diameter, we used a V or W excision.

A simple method of identifying the spinal accessory nerve in modified radical neck dissection: anatomic study and clinical implications for resident training.

Purpose: The major complication of neck dissection and surgery at the posterior triangle of the neck is the shoulder syndrome, which results from spinal accessory nerve injury. Erb's point (the great auricular nerve) and the point where the spinal accessory nerve enters the trapezius muscle are used to identify the spinal accessory nerve in the posterior nerve triangle.

Materials And Methods: Measurements were made during unilateral neck dissections in 30 patients to identify the relationship between the spinal accessory nerve and great auricular nerve and the distance between the entrance of the accessory nerve in the trapezious and clavicle.