Upper Eyelid Blepharoptosis Correction Performed Under the Operating Microscope.

Background: Eyelid blepharoptosis correction is commonly performed with loupe magnification. The posture in which this operation is performed, with cervical spine flexion and forward lean, places significant stress on the cervical spine.

Objectives: Performing upper eyelid surgery under the operating microscope is not commonly practiced.

Reconstructive considerations after resection of malignant melanoma in the head and neck.

Little has been written about reconstructive methods after resection of melanomas in the head and neck region. We investigated reconstructive methods retrospectively related to the site and size of the melanomas resected by examining the medical records of 28 patients who had malignant melanomas of the head and neck resected at our hospital from 1984 to 2001. The tumour distribution was 12 in the cheek, 6 in the conjunctiva, 2 in the upper lip, 2 in the lower lip, one each in the lower eyelid, eyebrow, scalp, nose, and auricle.

Surgical management of maxillectomy defects based on the concept of buttress reconstruction.

Background: Few published large series have described a surgical approach to maxillary skeletal reconstruction on the basis of the extent of maxillectomy.

Methods: We have reviewed a 10-year experience with 38 consecutive maxillary reconstructions with respect to maxillectomy defects, reconstructive procedures, reconstructed buttresses, and functional and aesthetic outcomes.

Results: Maxillectomy defects were classified into three categories on the basis of the buttress concept.

Use of the "supercharge" technique in esophageal and pharyngeal reconstruction to augment microvascular blood flow.

Background: Although gastric tubes are commonly used in thoracic esophageal reconstruction, sometimes circumstances are such that an alternative method must be found. On these occasions, pedicled jejunum transfer and colonic interposition are used. After reconstruction, partial necrosis can occur because of poor blood flow in the oral end of the segment used to restore esophageal continuity.