Fasciocutaneous Flap Side-to-Side V-Y: Fish Flap.

The use of fasciocutaneous flaps remain as first election of reconstructive method after remotion of tumors, benign lesions and sequel of traumas.A new designed fasciocutaneous flap according to mechanism V-Y like island flap is described. It has 2 different portions: 1.

Treatment Options in Maxillofacial Fractures.

From 2000 to 2010, 720 patients with facial trauma were admitted in Plastic Surgery Service of Argerich Hospital, Buenos Aires, Argentina; 58 of them with panfacial fractures were included in this study. Height velocity impact is the principal etiology, and most concomitant extrafacial injuries are neurocranium and cervical spine. Common affected areas were orbits, nose, and malar-zygoma.

Video-assisted resection in benign frontal tumors.

Soft and osseous tumors that develop into the frontal are the most profitable with the use of video-assisted surgery, thus avoiding also a visible scar. In the Department of Plastic Surgery at Argerich Hospital in Buenos Aires, Argentina, from 1999 to 2010, video-assisted operations were used in the treatment of 158 patients, 26 of them presented lipomas and osteomas into the frontal tissues. In all 26 patients, both local anesthesia and incisions behind the hairline were performed.

Giant cells mandibular lesion: surgical treatment with preservation of the dentition.

Giant cell tumors of the jaw (GCTJ) are common in the long bones but rare in the craniofacial region, with only 1% of cases occurring in the latter; they account for approximately 3% to 5% of all primary bone tumors and 15% to 20% of all benign bone tumors. The biologic behavior of central giant cell lesions of the jaws ranges from quiescent to aggressive with destructive expansion, and the clinical behavior of GCTJ of the jaws is variable and difficult to predict. A number of tumors that occur in the jaws contain giant cells but are not true benign giant cell tumors.

Video-assisted resection in mediofacial lateral tumors.

Tumors that developed into the soft tissues of the cheek rising from the anterior prolongation of the parotid gland, minor salivary glands, and the masseter muscle are the most profitable with the use of video-assisted surgery.In the Department of Plastic Surgery at Argerich Hospital in Buenos Aires, Argentina, from 1999 to 2010, video-assisted approaches were used in the treatment of 158 patients, 16 of them presented tumors that developed into the tissues of the cheek.Intraoral approach such as natural orifice surgery was performed in 13 cases; in the other 3 cases, a preauricular incision was performed.

Follicular variant of papillary carcinoma in submandibular ectopic thyroid with no orthotopic thyroid gland.

Ectopic thyroid tissue with no orthotopic gland is extremely rare; malign transformation of ectopic thyroid is also an uncommon event, and rarer is the follicular variant of papillary carcinoma. In this clinical report, a case with submandibular ectopic thyroid without orthotropic thyroid gland is presented. Treatment was a complete resection of tumor, and histologic findings reveal follicular variant of papillary carcinoma.

Synchronous lymphomas arising in ipsilateral parotid and submandibular glands: video-assisted surgery.

The incidence of lymphomas in salivary glands is 5%, and it represents 10% of malignant salivary tumors. Synchronous tumors arising in different major salivary glands are not only very infrequent but also extremely rare; on the other hand, synchronous lymphomas in ipsilateral major salivary glands have not been reported previously. This article reports a case of synchronous lymphomas in mucosa-associated lymphoid tissue in the ipsilateral parotid and submandibular glands.

Transternocleidomastoid vertical muscle approach in the extirpation of the lateral cervical cysts: video-assisted technique.

Congenital tumors as branchiogenic cysts and hygromas are most likely to occur in the middle and superior third of the lateral area of the neck. They are found beneath the sternocleidomastoid (SCM); domus can lie just beneath anterior, middle, and posterior aspect of the muscle, depending on the development of the tumor. When tumor is placed on the anterior edge of SCM, an anterior approach is used; if it develops on the posterior border, a posterior way is indicated.

Minimal invasive surgery in head and neck: video-assisted technique.

The recent advent of endoscopic procedures has compelled plastic surgeons to reconsider the conventional methods by which the excision of different types of head and neck tumors are classically achieved. Endoscopic resection is a safe and minimally invasive approach and spares unnecessary discomfort to the patient. This article describes the authors' method for performing a video-assisted surgery for extirpation of benign tumors as branchiogenic cysts, frontal tumors, frontocygomatic cysts, epidermic nasal cysts, and submandibular and sublingual gland diseases.

Periorbital rejuvenation: a safe subcutaneous approach to forehead, eyebrow, and orbicularis oculis muscle mobilization.

Background: Periorbital rejuvenation constitutes a common and much demanded claim. With aging face, fascial attachments and ligamentous supports become attenuated, and therefore, skin, orbicular muscle, malar fat and lateral eyebrow descend in middle-age women. Conventional facelift and standard blepharoplasty does not give an effective periorbital rejuvenation.

Solitary benign schwannomas in major nerve systems of the head and neck.

Solitary schwannomas of the head and neck are uncommon tumors arising from any cranial or autonomic nerve. Twenty-five percent to 45% of extracranial schwannomas occur in the head and neck. A total of 28 consecutive patients treated be tween January 2000 and August 2006 for solitary schwannomas in different major nerves of the head and neck were included in this study.

Functional reconstruction of the trachea: prelaminated chondromuscular flap.

Background: An ideal substitute for injured tracheal tissues must have (1) biomechanical characteristics similar to the replaced tissues, (2) reliable vascular supply, (3) inner lining, and (4) skeletal framework.

Method: In May 2004, 5 patients with 1.2- to 2.

Lateral deltopectoral flap: a new and extended flap.

Tissues of the pectoral area such as skin and pectoralis major muscle are used in safe and extended flaps for cervical and neck reconstructions. As blood supply is derived from medial vessels (internal mammary artery) or lateral (thoracodorsal and lateral thoracic arteries), 2 different flaps can be constructed: medial and lateral deltopectoral flaps. Medial deltopectoral flap was developed by Bakamjian as an axial-pattern skin flap, and its blood supply depends on perforating branches from the internal mammary artery.

Total forehead flap: hemicraniofacial giant congenital melanocytic nevus.

Being non-hair-bearing and relatively thin and having similar color and texture of the skin of the forehead provide an excellent characteristic not only for nasal reconstruction but also in other facial areas. A 28-year-old man presented in the Department of Plastic Surgery, Argerich Hospital, Buenos Aires, Argentina, with a giant congenital melanocytic nevus extended on complete left cheek, total nose, both upper and lower lids, ocular globe, and temporoparietal region. Tumor resection and reconstructive aspect were planned in 3 stages.

Adnexal carcinomas of the head and neck.

Adnexal carcinomas of the skin are rare and they derive from structures such as sweat glands, sebaceous glands, and hair follicles. Adnexal tumors represent 1-2% of skin cancers. Between 1998 and 2004, eight patients with malignant adnexal tumors of the head and neck were treated in the Plastic Surgery Service in Argerich Hospital in Buenos Aires, Argentina.

Extended approach in head and neck tumors: modified Schobinger incision.

Surgical treatment of many tumors of the head and neck require extended approaches. Many cervicotomies have been described in the treatment of head and neck and cervical tumors; careful thought must be made by a surgeon when surgical treatment is planned for an extended tumor.Our purpose is to show the versatility of the modified Schobinger incision.

Intraneural topography of the extratemporal facial nerve: microsurgical nerve reconstruction.

The fascicular pattern is the most important component of a nerve when a microsurgical reconstruction is made. The intraneural topography of the extratemporal facial nerve does not have a reliable fascicular pattern, although our study in 25 extratemporal facial nerves showed a definite fascicular pattern in the different studied levels. The microanatomic intraneural investigation was made in four different levels; we studied the diameter of the trunk, number and diameter of each fascicle, fascicular pattern, characteristics of the epineurium, perineurium, and interfascicular connective tissue, and extra- and intraneural blood supply.

Giant hemangiopericytoma of mandible: a propos of a case: a variant of the surgical technique for protection of the articular fosse.

The hemangiopericytoma is a tumor of the pericytes. It represents 1% of vascular tumors. It is frequently located in inferior limbs, the pelvis, and the retroperitoneum.

Endoscopic excision of frontozygomatic dermoid cysts.

A dermoid cyst is a tumor frequently located in the external third of the fronto-orbital region. It develops along the line of embryonic fusion of the naso-optic groove, infolding the ectoderm during embryonic development. The classic treatment is complete surgical resection by means of an external approach on the dome of the cyst; consequently, a visible scar is a permanent esthetic sequel.

Surgical treatment of dry eye syndrome: conjunctival graft of the minor salivary gland.

Despite the availability of efficient tear substitutes, many patients with dry eye syndrome experience severe corneal injuries and a subsequent loss of vision. Surgical techniques using mayor salivary glands to provide a substitute for tears have been reported; with this technique the drainage of saliva goes into the conjunctival fornix, permitting corneal and conjunctival humidification. The authors describe a new surgical approach in which minor salivary glands are autotransplanted into the conjunctival fornix by means of a graft of the intraoral mucosa-transporting salivary glands.

Scalping forehead flap for extranasal reconstructions: total reconstruction of the lower lid.

J. M. Converse described the scalping forehead flap in 1942 with the aim of using it in total nasal reconstruction.

A transparotid transcutaneous approach for internal rigid fixation in condylar fractures.

Closed versus open reduction in condyle fractures is a dilemma that may torment the plastic surgeon. Although at present it is accepted that there are fractures that must be open reduced as when the middle cranial fossa or temporal fossa are involucrated, foreign body are in the joint capsule, lateral extracapsular deviation of condylar deviation, and open fractures. Risdon or retromandibular approaches are used for the treatment of fractures in the condyle neck and superior third of the lower ramus.