Abstract Background Lower lip is a vital organ with important functions as well aesthetic importance. It critical to provide an aesthetically appealing lower facial subunit maintenance of understandable speech and oral competence. Achieving these targets very difficult especially in total defects. This report presents technique using super‐thin anterolateral thigh (ALT) flaps fascia graft for reconstruction large, complex sphincter Patients methods Six patients squamous cell carcinoma (SCC)...

The classic hypoglossal transfer to the facial nerve invariably results in profound functional deficits speech, mastication, and swallowing, causes synkinesis involuntary movements muscles despite good reanimation. Techniques such as a hypoglossal/facial interpositional jump graft splitting cause poor reanimation mild-to-moderate hemiglossal atrophy, respectively. Direct cross-over through end-to-side coaptation without tension was done three fresh cadavers four patients. patients had...

Reanimation of a spontaneous and synchronous smile, sufficient depressor mechanism the lower lip presents surgical challenge in facial paralysis. Hypoglossal-facial nerve crossover cross-facial grafting are best options if mimetic muscles around mouth still viable patients whom was sacrificed at brainstem. Although good muscle tone motion have been obtained by hypoglossal-facial crossover, smile is dependent on conscious tongue movement. Cross-facial provides voluntary emotion-driven but...

Objectives Recently, anterolateral thigh flap has become one of the most commonly used free flaps in reconstructive surgery. Although its pedicle relatively sufficient length, it falls short some circumstances. Eccentric perforator location can be to lengthen pedicle, but tip viability a problem this case. In addition, partial loss encountered flaps. The aim study was use multidetector computed tomographic angiography preoperative mapping overcome these problems. Materials and Methods...

Abstract Many techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide best tissue match with nose. However, when local donor sites are limited, alternative options such as free transfers should be considered. Herein, we describe a case of 72‐year‐old male patient who had total left malar defect reconstructed two‐staged, pre‐laminated, super‐thin anterolateral thigh (ALT) flap....

Facial paralysis in the midface causes loss of cheek tonus, asymmetry at rest, and inability to smile. Static suspension is generally performed patients who cannot tolerate time-consuming dynamic reanimation. Current methods for static slings are overly simplistic. A sling, which fascia lata or palmaris tendon, placed between modiolus zygomatic arch temporalis fascia, with further extension midline upper end lower lips 1 vector. Recently, sutures a multivectorial approach, but suture failure...

The aims of this study were to determine various morphometric measurements auricle, investigate asymmetry and its relation with handedness in both sexes.Main auricles hand preferences determined on 200 male female healthy university students.All the larger males than corresponding ones females all differences except earlobe widths statistically significant.All left right significantly different sexes length males, distance from highest point auricle bottom intertragic notch females.Auricle...

When there is no suitable vessel in the injured leg for microsurgical transfer, cross-leg free flaps can be considered lower extremity reconstruction. This report describes patients who experienced trauma and underwent reconstruction with preserved blood flow recipient artery. Anterolateral thigh flap preferred small to moderate defects. The descending branch of lateral femoral circumflex artery was dissected 2 cm proximally distally prepared a T-shape. branches T were anastomosed...

Abstract Blue naevus is an acquired benign melanocytic naevus. It a firm, sharply defined dark blue to grey–black papule or nodule, which likely arise from the arrested dermal melanocytes in dermis. In last few years, has attracted much attention due recognition of new entities and its confusion with malignant melanoma. We report 69‐year‐old man who developed blue–black nodular lesion satellitosis on his scalp. Although clinically it was thought be melanoma, histopathological investigation...

Eyelid reconstruction is a challenging surgical procedure because of the special function and structure eyelids. There are various useful techniques which can be used to reconstruct eyelid defects. In this report, authors aimed present clinical results angular artery-based island flap for repair full thickness This presented series consists eight patients with full-thickness Oncologic resection was reason all them. Five had lower defects other three upper Nasojugal axial in patients. The...

<h3>Objectives:</h3> To emphasize different clinical features of tumor that can be misdiagnosed clinically. <h3>Methods:</h3> A total 8 cases operated between September 2009 and 2016 at the Celal Bayar University, Faculty Medicine were included in study. Patients' clinicopathological features, type surgery follow up information evaluated. <h3>Results:</h3> Six patients male. The average age was 75.50. lesions located on head neck, chest wall. had a history rapid growth lesion. There no...

A functional free muscle without creation of different vectors and tension adjustment is an insufficient substitute for the mimetic muscles in reanimation facial paralysis. Placement lower 3 slips serratus anterior their were revised 2 patients with paralysis to provide stronger upper lip movement coordinated corner mouth superiorly laterally. The harvested gradually decreasing lengths separated from each other on both sides common neurovascular pedicle. 9th slip was oriented at 55 60...

The authors attempted to develop a reliable and reproducible new animal model in which the blood-flow velocity flap could be varied. This was utilized study effects of different velocities on patency rate small 1- 2-mm vessels after common microsurgical procedures. Male Sprague-Dawley rats, weighing 450 550 gm, were used creating either "high blood flow" or "low state by ligating rat femoral artery, distally proximally, an epigastric artery based groin cutaneous flap. Blood-flow measured...

The major problems in paralytic eyelids are the inability to close eye, lower lid sagging, and epiphora. upper eyelid is responsible for most of opening closing whereas a positioned properly against globe necessary collection flow tear fluid. Modification temporalis muscle transfer, classic technique, was planned restore these functions selectively eyelids. Twelve unilateral one bilateral irreversible facial paralysis patients with different degrees lagophthalmos ectropion were included....

We investigated lateral thoracic and posterior thigh perforator flaps for viability, vascularization, perfusion apoptosis in a rat model. Wistar albino rats were divided into six groups: artery flap (LTPF) sham, 3 × 2 cm2 LTPF, 6 (PTPF) PTPF, PTPF. Flap viability was determined on postoperative days 1 7. On day 7, photographed their measured using two-dimensional planimeter paper. Tissue samples harvested examination by histology immunohistochemistry. Viability differences statistically...

Manisa and Izmir, Turkey Ahmet Seyhan, M.D. Celal Bayar University, Medical Faculty Department of Plastic Reconstructive Surgery 45010, Manisa, [email protected] From the Faculty, Surgery, Dokuz Eylül Surgery. Received for publication July 29, 1999.

Abstract The reanimation of both upper and lower paralytic eyelids requires dynamic procedures for longevity correction. Temporalis muscle ensures the criteria is used widely as a result. Many modifications were described to improve success classical technique. One these was reported by senior author in 1999. Twice much mass (in thickness) eyelid than taken passed submuscularly 5 6 mm away from limbus thinner split subcutaneously beneath cilia. aim this study present outcomes technique after...

There have been considerable advances in the management of craniomaxillofacial injuries children. Conservative approaches such as close observation, a liquid-to-soft diet, and analgesics can be used for mandibular fractures without displacement malocclusion. However, displaced need to an anatomic reduction immobilization. The basic principle both children adults is stabilization fracture fragments forming pretraumatic contour occlusion state until osteosynthesis occurs. major differences...

End-to-side venous anastomosis is sometimes necessary when there the lack of a suitable vein, size discrepancy in veins to be repaired, or multiple required. The effects elliptical vs. slit venotomy on vessel patency have not been investigated flap model. A new, simple, reliable, and reproducible model described which femoral vein groin anastomosed side deep dorsal penile vein. Elliptical hole venotomies were tested 26 Sprague–Dawley rats, anastomoses 100% patent. type was found affect...

Microvascular anastomosis is mandatory for free flap surgery, but transfer can be challenging because of vascular diameter discrepancies during microsurgery. Different methods have been described preventing discrepancies. The aim this study was to test a simple technique using hemostatic clip taper the vessels. In 12 patients who had tissue with between donor and recipient vessels, tapering used. After key sutures were placed on in an oblique fashion vessel larger diameter. tapered same...

Smile and eyelid reanimation are generally emphasized in facial reanimation, but the loss of cheek tone provided by buccinator muscle is not adequately addressed. The use free gracilis flap for has become widespread since it was used head neck reconstruction Harii et al. effect transfer on drooling clearly defined literature. In our study, we aimed to evaluate patients with paralysis (FP) using Blasco index. function overemphasized literature, evaluated. What happens after functional clear,...