Archives of Facial Plastic Surgery最新文献_第8页

Intraoperative computed tomography for repair of facial fractures. 术中计算机断层扫描修复面部骨折。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2011.1397

E Bradley Strong

{"title":"Intraoperative computed tomography for repair of facial fractures.","authors":"E Bradley Strong","doi":"10.1001/archfacial.2011.1397","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1397","url":null,"abstract":"Objective: To assess the practicality and potential benefitsofintraoperativecomputedtomographyusingamobile scanner in the operating room during repair of orbitozygomatic fractures. Setting: Level I trauma center. Design: Twenty-five patients undergoing open reductionofaunilateraldisplacedfractureofthezygomaand/or repairofablow-outfractureoftheorbitwithcranialbone grafts were placed into a radiolucent head holder and interfaced with the mobile scanner. Spatial vectors were drawn on scans displayed on a computer monitor to allow intraoperative side-to-side comparison of the position of the malar prominences and orbital walls. Corrections of fracture reduction or bone graft position were made as indicated by the comparisons. Results: All scans were accomplished without apparent contamination of the surgical field. Major revisions were performed, based on the scans, in 2 patients whose displaced, comminuted zygoma fractures had been initially reduced with wide exposure of all fracture sites. Minor revisions were performed in 3 patients with displaced but less severely comminuted fractures that had been reduced without exposure of all fracture sites. Bone grafts were repositioned within the orbit in 2 patients with large 2-wall blow-out fractures. Conclusions: Intraoperative computed tomographic evaluation of the adequacy of repair of orbitozygomatic fractures is feasible with the mobile computed tomographic scanner. The scanner allows correction of discrepancies in position of the malar prominences and orbital walls at the time of acute repair, rather than during costly, more difficult delayed revisions. It may eliminate the need for direct visualization of all fracture sites to ensure adequate reduction in selected cases with displaced, comminuted fractures, thus decreasing operating room time and expense. Further study is required to fully document the cost-effectiveness of this approach to facial fracture management.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Highlights of archives of facial plastic surgery. 面部整形手术档案亮点。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2012.372

引用次数: 0

John Singleton Copley's Mrs Richard Skinner (Dorothy Wendell). 约翰·辛格尔顿·科普利的理查德·斯金纳夫人(多萝西·温德尔饰)。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2012.247

Emily B Collins

引用次数: 0

Scar revision review. 疤痕修正复查。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2012.223

J Regan Thomas, Michael Somenek

引用次数: 45

Ethical conduct of humanitarian medical missions: I. Informed Consent. 人道主义医疗特派团的道德行为:I.知情同意。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2011.1643

G Richard Holt

引用次数: 20

Anatomical comparison of minimally invasive nasal valve procedures. 微创鼻瓣膜手术的解剖学比较。

Archives of Facial Plastic Surgery Pub Date : 2012-05-01 DOI: 10.1001/archfacial.2012.24

David M Weeks, David D Walker, Jay M Dutton

{"title":"Anatomical comparison of minimally invasive nasal valve procedures.","authors":"David M Weeks, David D Walker, Jay M Dutton","doi":"10.1001/archfacial.2012.24","DOIUrl":"https://doi.org/10.1001/archfacial.2012.24","url":null,"abstract":"OBJECTIVE\u0000To determine the quantitative effects of Z-plasty vs spreader grafts on nasal valve surface area.\u0000\u0000\u0000METHODS\u0000Eight fresh cadaver heads were used that provided 16 total nasal valve procedures. Surgical sides were randomized, and Z-plasty was performed on 8 valves and endonasal spreader grafts were performed on 8 valves. The minimal cross-sectional area at the level of the nasal valve was measured preoperatively and postoperatively using acoustic rhinometry. We then compared Z-plasty and spreader grafts using a Wilcoxon signed rank test.\u0000\u0000\u0000RESULTS\u0000The mean nasal surface area at the nasal valve before Z-plasty was 1.37 cm(2) (range, 0.39-2.25 cm(2)) and after Z-plasty was 1.95 cm(2) (range, 1.08-2.62 cm(2)). The mean surface area at the nasal valve before spreader grafts was 1.15 cm(2) (range, 0.75-1.48 cm(2)) and after spreader grafts was 1.48 cm(2) (0.95-1.95 cm(2)). This correlates with a mean increase in the nasal valve surface area of 65% when Z-plasty was performed (95% CI, 28%-88%; P = .007) and 31% when a spreader graft was performed (95% CI, 15%-54%; P = .01).\u0000\u0000\u0000CONCLUSIONS\u0000Z-plasty and spreader grafts were shown to increase nasal valve surface area. Z-plasty seems to increase nasal valve surface area more than spreader grafts.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Risk factors associated with repair of orbital and lateral skull defects. 眼眶及侧颅骨缺损修复的相关危险因素。

Archives of Facial Plastic Surgery Pub Date : 2012-03-01 Epub Date: 2011-12-19 DOI: 10.1001/archfacial.2011.1301

Nicholas A Serrano, Gilean N Trenité, Bevan Yueh, D Gregory Farwell, Neal D Futran, Eduardo Méndez

{"title":"Risk factors associated with repair of orbital and lateral skull defects.","authors":"Nicholas A Serrano, Gilean N Trenité, Bevan Yueh, D Gregory Farwell, Neal D Futran, Eduardo Méndez","doi":"10.1001/archfacial.2011.1301","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1301","url":null,"abstract":"Objective: To explore the complications and associated risks factors after orbital exenteration and lateral skull base defect repair.Methods: Patients who had undergone a reconstruction of their orbital cavity and lateral skull base defects were selected from our departmental database. The outcome of interest was postoperative complications. The risks factors were defined as age, sex, history of radiation therapy, and intracranial involvement (with and without dural involvement). Information was collected on the type of reconstruction used after the orbital cavity repair. The χ(2) test and logistic regression were used to analyze associations between postoperative complications and the various risks factors.Results: Of the 32 identified patients, 19 had intracranial involvement (9 with dural involvement). Twenty-four patients underwent reconstruction with free tissue transfer in the same setting. Reconstruction with free tissue transfer was significantly associated with fewer major postoperative complications (P < .053). There was a trend toward more complications with a history of radiation therapy or intracranial involvement.Conclusions: Reconstruction of the orbital cavity and lateral skull base can be challenging, especially if there is a history of radiation therapy and intracranial involvement. Free tissue transfer is a safe and effective method for reconstruction of such defects.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30336842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Lateral crural turn-in flap in functional rhinoplasty. 外侧脚瓣在功能性鼻成形术中的应用。

Archives of Facial Plastic Surgery Pub Date : 2012-03-01 Epub Date: 2011-10-17 DOI: 10.1001/archfacial.2011.798

Fazil Apaydin

{"title":"Lateral crural turn-in flap in functional rhinoplasty.","authors":"Fazil Apaydin","doi":"10.1001/archfacial.2011.798","DOIUrl":"https://doi.org/10.1001/archfacial.2011.798","url":null,"abstract":"Objective: To use the trimmed cartilage as a support material for both internal and external valves.Methods: The lateral crural turn-in flap (LCTF) technique is simply to make cephalic trimming of the lateral crura and turn it into a pocket created under the remaining lateral crus. Twenty-four patients with lateral crura wider than 12 mm and in whom this technique was applied took part in this study. The trimmed cartilage was used to reshape and/or support the lateral crus and the internal valve by keeping the scroll intact. The support and suspension of the lateral crura \"sandwich\" helped not only to prevent stenosis of the internal valve angle but also to widen it in some cases.Results: The LCTF has been used in 24 patients to reshape and/or add structure to the lateral crus with great success. The internal valve was also kept open by keeping the scroll area intact, especially in 1 patient with concave lateral crura in whom this technique helped to widen the internal valve angle.Conclusions: This study shows that the LCTF can be used to reshape and add structure to the lateral crus and to suspend the internal valve. Although it is a powerful technique by itself in functional rhinoplasty, it should be combined with other methods, such as spreader flaps/grafts or alar battens, to obtain the maximum functional result.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.798","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30213740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Split-thickness skin graft harvested from the scalp for the coverage of extensive temple or forehead defects in elderly patients. 老年患者广泛的太阳穴或额部缺损的头皮裂厚皮肤移植。

Archives of Facial Plastic Surgery Pub Date : 2012-03-01 DOI: 10.1001/archfacial.2011.1345

Julien Quilichini, Marc-David Benjoar, Mikael Hivelin, Laurent Lantieri

{"title":"Split-thickness skin graft harvested from the scalp for the coverage of extensive temple or forehead defects in elderly patients.","authors":"Julien Quilichini, Marc-David Benjoar, Mikael Hivelin, Laurent Lantieri","doi":"10.1001/archfacial.2011.1345","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1345","url":null,"abstract":"Objective: To review our experience of facial reconstruction with split-thickness skin grafts (STSGs) harvested from the scalp.Methods: We included all patients undergoing STSG harvested from the scalp for the reconstruction of extensive forehead or temple defects after cancer resection. We recorded the size of resection before surgery and after healing, and we calculated the resulting contraction rate. Time of healing and occurrence of complication were also recorded.Results: Forty patients were included. Their mean age was 87 years, and the mean size of resection was 26 cm(2). The duration of healing at the donor site was shorter than 12 days, and pain levels were low. The rate of contraction at the recipient site was 11% after healing. Good morphologic outcomes were reported by both patients and surgeon.Conclusion: Extensive forehead and temple defects can be covered in this way with a low morbidity; rapid, painless healing; and a high success rate, making this procedure particularly suitable for elderly patients.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30513932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

No need to fear evidence-based medicine. 没有必要害怕循证医学。

Archives of Facial Plastic Surgery Pub Date : 2012-03-01 Epub Date: 2011-12-19 DOI: 10.1001/archfacial.2011.1182

John S Rhee, Opeyemi O Daramola

引用次数: 27