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Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...

Post auricular advancement flap for partial helix defect repair

Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...

Reconstruction after parotid surgery

This is a retrospective study from Naples, Italy. The authors analyse and compare patients that had benign parotid disease that were reconstructed with three different techniques. Between February 2002 and March 2009, 224 patients were included; these patients had either...

Outcomes of heavily pre-treated oral squamous cell carcinomas

Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...

Do implants assist rehabilitation following mandibular reconstruction?

The gold standard for the reconstruction of the mandible is a free bony flap, the fibula being commonly used. Following reconstruction optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech...

Dental implant rehabilitation in fibula free flaps

The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Bioengineered human tissue

This is a literature review of the current status of tissue engineering related to ocular and oculoplastic reconstructive surgery. The authors describe the process of bioengineering for tissue reconstruction. The aim is to reproduce functional tissue by the use of...

Semi dynamic reconstruction of the lower lip

The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...

Sliding lower lid tarsal flap

This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...

Perforator Flaps – Anatomy, Technique, & Clinical Application (2nd Edition)

The two-volume second edition of this great work is simply an essential component of all good plastic surgery libraries, both as an inspiring read and a valuable reference. The second edition mirrors the first in its basic structure and layout,...

Facial reconstruction with polyethylene implants

Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...