Temporomandibular joint reconstruction.

Purpose Of Review: Temporomandibular joint (TMJ) reconstruction represents one of the more challenging clinical problems that a head and neck surgeon encounters. Fortunately, the problem is fairly uncommon; however, at the same time, clear clinical guidelines have not been formulated. The goal of this review is to present the established solutions to this difficult reconstructive challenge and highlight key developments that have been recently published.

The secondary correction of post-traumatic craniofacial deformities.

Objective: To analyze the aesthetic and functional outcomes in a large series of patients who underwent secondary correction of post-traumatic craniofacial deformities (PTCD) and to highlight the underlying principles and formulate treatment guidelines.

Methods: A single surgeon's retrospective case series of 57 patients who underwent correction of PTCD.

Outcome Measures: Evaluation by multiple surgeons who assessed aesthetic results and functional parameters after secondary correction of PTCD.

Skull base reconstruction.

Reconstruction of skull base defects following tumor resection is of paramount importance in avoiding serious and life-threatening complications. Cranial base surgery has evolved and outcomes have steadily improved as increasingly reliable reconstructive techniques have been adapted to repair the challenging wounds in this complex anatomic region. The most significant development has been the introduction and refinement of microvascular free tissue transfer to the skull base over the past 15 to 20 years.

Orbital preservation in surgical management of sinonasal malignancy.

Objective: To determine the oncological and functional outcome when applying defined criteria for orbital preservation during surgical treatment of sinonasal malignancy encroaching on the orbital structures.

Study Design: Retrospective consecutive review of patients in tertiary care center setting.

Methods: Analysis of 66 patients undergoing surgical treatment for sinonasal malignancy encroaching on the orbit.

The versatility of distraction osteogenesis in craniofacial surgery.

Objectives: To review our preliminary results using distraction osteogenesis for the correction of craniofacial deformities and to determine its role in treating anatomic deformities and functional deficits relative to conventional craniofacial surgery.

Design And Setting: Retrospective clinical review; tertiary care center.

Methods: Twenty-four consecutive patients were treated with distraction osteogenesis during a 34-month period.