Single Stage Reconstruction of Composite Rhinectomy Defects Using Osteocutaneous Radial Forearm Free Flap.

Background: Composite rhinectomy defects pose significant challenges due to the nose's complex structure and role in facial esthetics and function. Traditional nasal reconstructions often require multiple stages to restore mucosal lining, structural support, and external skin.

Methods: This case series examines the use of a single-stage osteocutaneous radial forearm free flap (OCRFFF) for composite rhinectomy reconstruction.

Lateral optico-carotid recess as an anatomical landmark for optimal endoscopic optic nerve decompression.

Background: Transnasal endoscopic decompression of the optic nerve is increasingly gaining acceptance among ear, nose, and throat (ENT) surgeons, however neither strict indications for the procedure nor the precise extent of effective decompression have been firmly established to date. This study aimed to determine the distance between endoscopically visible, anatomical structures within the sphenoid sinus and the posterior (i.e.

Ear Reconstruction following Mohs Micrographic Surgery.

Relative to other regions of the body, the ear has a high risk of developing cutaneous malignancies that often necessitate Mohs micrographic surgery (MMS) for removal. This procedure can create defects that are immediately noticeable if left untreated. Reconstructive techniques are often needed to restore the appearance of the affected ear and its symmetrical relationship to the contralateral ear.

[Therapeutic efficacy of ear endoscopic surgery for middle ear cholesterol granuloma].

This study aimed to investigate the surgical efficacy of middle ear cholesterol granuloma using otoendoscopy. A total of 23 patients (9 males and 14 females) aged (38±18) years who were diagnosed with middle ear cholesterol granuloma at the Otology Medical Center, the First People's Hospital of Foshan from May 2020 to August 2023 were retrospectively analyzed. Based on clinical characteristics of the lesions, the patients were categorized into retention type and granulation type; the latter was further subdivided into localized and extensive types.

[The effectiveness of CT-MRI image fusion technology in the preoperative assessment of middle ear cholesteatoma].

To evaluate the effectiveness of CT-MRI image fusion technology in the preoperative assessment of middle ear cholesteatoma. The clinical data of patients with middle ear cholesteatoma who underwent surgery at Guangdong Provincial People's Hospital from September 2018 to January 2020 were retrospectively analyzed. Preoperative CT and MRI of the patients were automatically fused using the open-source software 3D Slicer, followed by 3D reconstruction of the fused inner ear structures.

[Expert consensus on endoscopic surgery for the pediatric middle ear cholesteatoma based on the classification of cholesteatoma location].

Pediatric middle ear cholesteatoma is an aggressive keratotic lesion caused by abnormal proliferation of keratinised squamous epithelium in the temporal bone, with the characteristics of high postoperative recurrence rate, poor hearing effect and poor quality of life. Endoscopic surgery is able to deal with the majority of pediatric middle ear cholesteatoma cases with the features of minimal trauma and wide surgical field. However, endoscopic surgical treatment still has problems in standardization.

A Novel Genetic Variation Identified in Patients With Orofacial Clefts.

Background: Orofacial clefts represent the most prevalent form of craniomaxillofacial deformity. Genetic factors are particularly significant in the development of orofacial clefts. This study was to investigate genetic variation in patients with orofacial clefts.

Divergent otolithic systems in the inner ear of Paranthropus robustus and Australopithecus africanus.

The bony labyrinth of the inner ear houses the sensory end-organs responsible for balance (otolithic system in the utricle and saccule, and semicircular canal system) and hearing (cochlea). Study of the bony labyrinth has revealed considerable morphological diversity in the hominin lineage (semicircular canals and cochleae) and aided in reconstructing essential aspects of primate evolution, including positional behavior, audition, and phylogenic affinities. However, evidence of evolutionary change in the hominin otolithic system remains elusive.

Utilization of hyperbaric oxygen therapy in oculoplastic surgery: A case series.

Objective: Hyperbaric oxygen therapy (HBOT) has emerged as a versatile tool in the management of an array of medical conditions, including tissue ischemia and delayed wound healing. Despite the incorporation of HBOT in other medical fields, HBOT is not routinely utilized in the field of ophthalmic plastic and reconstructive periorbital surgery.

Design: Case series.

Between unity and disparity: current treatment protocols for common orofacial clefts in European expert centres.

There is considerable variability in the management of common orofacial clefts across Europe, reflecting differing opinions on optimal treatments. An updated overview of treatment protocols for orofacial clefts across 26 expert centres in the European Reference Network CRANIO is presented here. A structured questionnaire was distributed to map the surgical protocol and additional standard procedures for cleft palate (CP), unilateral cleft lip and palate (UCLP), and bilateral cleft lip and palate (BCLP).

Two-flap earlobe rotation for extensive mid-helix defect: a case report of a new modification to an existing technique.

Reconstructing ear defects in very elderly patients is challenging, but one-step procedures are beneficial due to reduced morbidity and fewer hospital visits while maintaining ear size, shape, and symmetry. In 2018, Jaber . introduced a 90° earlobe rotation technique to repair full-thickness auricular defects while preserving the earlobe.

Massive pneumocephalus after Valsalva maneuver in sphenoidal meningocele.

Pneumocephalus, defined as the presence of gas within the intracranial space, typically results from head trauma, surgery, or diagnostic/therapeutic procedures that disrupt the dura. However, spontaneous or non-traumatic pneumocephalus is rare. This video article presents a case report of a 64-year-old woman referred to the Department of Otolaryngology with a severe frontal headache and clear nasal discharge (rhinorrhea) after performing the Valsalva maneuver to relieve ear fullness.

Geometric Reconstruction of Cartilage Tissue With Mesenchymal Stem Cell-Assisted Electromechanical Reshaping: An Experimental Study.

Shaping the ear cartilage and preserving the shape are important and quite difficult. The aim of this study was to demonstrate the effectiveness of the Wharton's jelly-derived stem cell-assisted electromechanical reshaping method in a rabbit ear cartilage defect model and to compare it with surgical reshaping.For the purpose of 25 × 4-mm cartilage defect reconstruction, 48 rabbit ears were divided into 2 main groups according to the shaping method, and these main groups were divided into 3 subgroups according to stem cell injection: control, sham, and stem cell.

A Primer on Abdominoplasty Safety.

Abdominoplasty continues to be a frequently performed plastic surgery procedure. Futhermore, an increase in both surgical and medical weight loss is contributing to the procedure's increasing popularity. Technical refinements have improved surgical outcomes and safety.

Reconstruction Using a Bilobed Flap in a Patient With Recurrent Neck Soft Tissue Metastasis From Oral Cancer: A Case Report.

Soft tissue defects in the head and neck are frequently encountered, often resulting from trauma or the surgical management of malignancies. Flap reconstruction plays a critical role in the closure of these defects, aiming to minimize complications and improve cosmetic outcomes. While various flap techniques are commonly utilized in head and neck reconstruction, to the best of our knowledge, the bilobed flap has not been previously reported in this anatomical region.

Surgical Timing for Patients with Thyroid Eye Disease Treated with Teprotumumab: A Collaborative Multicenter Study.

Purpose: To compare regression rates, characteristics, and surgical outcomes of thyroid eye disease patients who underwent orbit, strabismus, or eyelid surgery at various times during or after teprotumumab treatment.

Design: Multicenter, retrospective, observational cohort study.

Participants: Adult patients (age >18) with a minimum of 4 infusions of teprotumumab treatment for thyroid eye disease who had had eye surgery during or after treatment.

Evaluation of Situs Inversus Combined With Plastic Surgery-Related Malformations in a Chinese Clinic Population.

Background: Situs inversus is a congenital malformation that occurs in one or multiple organs simultaneously and can be accompanied by malformations in other body parts. We analyzed the prevalence and phenotype of patients with situs inversus and comorbidities associated with other plastic surgery-related malformations to enhance the knowledge of its related disorders and facilitate treatment.

Methods: We recruited patients with situs inversus who were seen at our institution from February 2015 to July 2023.

Secondary cleft lip rhinoplasty. Our experience of two decades.

Patients who underwent cleft lip surgery in childhood may develop nasal malformation later in life. Various procedures have been described to correct these malformations. This study aims to describe our surgical approach and assess the morphometric outcomes of secondary cleft-lip rhinoplasty performed at the plastic surgery department in Marseille between 2002 and 2022.

"Man vs. Machine: 3D Milling of Auricular Frameworks".

Objective: Autologous rib harvest with manual framework production is the current gold standard for microtia reconstruction. Recent clinical success with implantation of cadaveric costal cartilage grafts opens the possibility of point of care auricular framework production. This paper assesses the feasibility and efficiency of 3D milling of cadaveric costal cartilage for auricular framework production.

Reconstruction of the Amputated Auricle with Retro Auricular Flap in the Three Acts After a Human Bite.

Amputations of the earlobe after a human bite are rare. But when they appear, they present a challenge for the plastic surgeon, due to its reconstruction since the earlobe is anatomically built only from skin and cartilage. In these cases, the retro auricular flap represents a perfect solution for reconstruction.

Platysma Myocutaneous Flap for Skull Base Reconstruction: A Cadaveric Feasibility Study.

As skull base defects become increasingly complex, necessitating more extensive repairs, alternative strategies are needed to address challenging reconstructions and rescue cases of failed primary reconstruction. In this study, we aimed to validate the surgical technique and assess the feasibility of using the platysma myocutaneous flap for skull base reconstruction, using cadaveric specimens in a preclinical setting. This descriptive anatomical study was conducted on 2 fresh human cadavers (4 sides).

Insights into Argentavis magnificens (Aves, Teratornithidae) lifestyle based on neuroanatomy.

Teratornithidae is an extinct bird family, likely related to Cathartidae, known exclusively from the Americas. They were once thought to be scavengers, but recent theories suggest they were opportunistic or piscivorous birds capable of swallowing prey whole. The most notable species, Argentavis magnificens, had a wingspan of 6 to 8 m and weighed 70 to 80 kg.

Variation in whale (Cetacea) inner ear anatomy reveals the early evolution of "specialized" high-frequency hearing sensitivity.

As fully aquatic mammals, hearing is arguably the most important sensory component of cetaceans. Increasingly, researchers have been harnessing computed tomography (CT) to investigate the details of the inner ear as they can provide clues to the hearing abilities of whales. We use microCT scans of a broad sampling of the ear bones (periotics) of primarily toothed whales (Odontoceti) to investigate the inner ear bony labyrinth shape and reconstruct hearing sensitivities among these cetaceans, including several taxa about which little is currently known.