Contributors
ROBERTO L. FLORES, MD (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 27, 2021 Category: Cosmetic Surgery Source Type: research
Contents
Roberto L. Flores (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 27, 2021 Category: Cosmetic Surgery Source Type: research
Forthcoming Issues
Melanoma (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 27, 2021 Category: Cosmetic Surgery Source Type: research
Craniosynostosis
Posterior cranial vault distraction osteogenesis is a powerful, reliable, low-morbidity method to achieve intracranial expansion. It is particularly useful in treating turribrachycephaly seen in syndromic craniosynostosis, allowing for gradual expansion of the bone while stretching the soft tissues over several weeks allowing greater volumetric expansion than conventional techniques. Posterior cranial vault distraction osteogenesis constitutes a more gradual remodeling modality, with infrequent complications. As a first step in intracranial expansion, it preserves the frontal cranium for future frontofacial procedures. A d...
Source: Clinics in Plastic Surgery - May 11, 2021 Category: Cosmetic Surgery Authors: Laura S. Humphries, Jordan W. Swanson, Scott P. Bartlett, Jesse A. Taylor Source Type: research
Treating Syndromic Craniosynostosis with Monobloc Facial Bipartition and Internal Distractor Devices
The objective of this study is to detail the surgical planning used to achieve medialization of the orbits and describe the authors ’ experience using MFBDO to destigmatize the syndromic face. By using MFBDO, hypertelorism, vertical orbital dystopia, and downslanting of the palpebral fissure were surgically corrected in all patients, thereby destigmatizing the syndromic face. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 11, 2021 Category: Cosmetic Surgery Authors: Cassio Eduardo Raposo-Amaral, Pedro Henrique Vieira, Rafael Denadai, Enrico Ghizoni, Cesar Augusto Raposo-Amaral Source Type: research
Craniofacial Distraction –The Thirty-Year Journey
Thirty years ago, a study published in Plastic and Reconstructive Surgery by McCarthy and colleagues1 reported on a technique of bone lengthening, applied to the mandible in a child with craniofacial microsomia. At that time, distraction osteogenesis was a well-characterized orthopedic surgery technique in which an external fixation frame was attached to the lower extremity to gradually lengthen bone over time. The technique was developed and popularized by the Russian orthopedic surgeon, Gavrill Ilizarov, who, practicing in Siberia, was an unknown to the rest of the world. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 11, 2021 Category: Cosmetic Surgery Authors: Roberto L. Flores Tags: Preface Source Type: research
Modern Mandibular Distraction Applications in Hemifacial Microsomia
Phenotypic severity dictates the timing and type of surgical intervention required. Mandibular distraction in children without respiratory and feeding difficulties remains controversial with regard to long-term mandibular growth outcomes and reducing surgical burden. Early mandibular distraction does not obviate secondary orthognathic surgery at skeletal maturity; it provides improved functional, aesthetic, and psychosocial outcomes, at least in the short term. Costochondral rib grafting for Pruzansky type IIB and III mandibles can produce reliable results, especially when combined with subsequent mandibular distraction. S...
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Sameer Shakir, Scott P. Bartlett Source Type: research
Cleft Lip and Palate
Distraction osteogenesis is a viable treatment option for patients with a cleft associated with severe maxillary retrusion. A rigid external distraction device and a hybrid internal maxillary distractor have been used to advance the maxilla allowing for predictable and stable results. These techniques can be applied by itself or as an adjunct to traditional orthognathic procedures. The technical aspects are presented. These procedures tend to be simpler and demonstrate great stability compared to traditional surgical methods. The reasons for stability are discussed. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Alvaro A. Figueroa, Aaron D. Figueroa, Richard G. Burton, Christina Tragos Source Type: research
Cleft Lip and Palate
Maxillary hypoplasia is a commonly seen dentofacial anomaly in patients with cleft lip and palate after surgical repair of the cleft anomaly. To facilitate large horizontal movements of the maxilla, distraction osteogenesis is used to slowly stretch the soft tissue envelope with the skeletal advancement preventing tissue recoil and skeletal relapse. Internal distraction devices have the advantage of reducing the amount of physical and psychological stress placed on patients, families, and caregivers. The technique has been successful in producing stable results for large advancements of the facial skeleton when compared wi...
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Waleed Gibreel, Jordan R. Wlodarczyk, Erik M. Wolfswinkel, Stephen Yen, Mark M. Urata, Jeffrey A. Hammoudeh Source Type: research
Alveolar Distraction
Alveolar distraction osteogenesis (ADO) has been used for the reconstruction of atrophic alveolus for decades. The advantage of this technique is that it augments the bone and soft tissues together, creating a better alveolar platform for subsequent surgeries and dental rehabilitation. It is especially useful in patients with large and/or complex alveolar clefts for which approximating the alveolar segments reduces the size of the bony cleft and associated fistula. Displacement of the transported segment is the most frequently encountered complication of ADO but can be managed by constructing case-specific distractors. (So...
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: El çin Esenlik, Evellyn M. DeMitchell-Rodriguez Source Type: research
Le Fort II Distraction with Simultaneous Zygomatic Repositioning
Severe midface hypoplasia is often managed by Le Fort III distraction. Le Fort II distraction with zygomatic repositioning is a modification of the Le Fort III distraction operation aimed to correct abnormal facial ratios of patients with greater central than lateral midface deficiency. The operation starts with Le Fort III osteotomies and is followed by separation and fixation of bilateral zygomas. The central nasomaxillary Le Fort II segment is then distracted to achieve independent movements of the central and lateral midface. The Le Fort II zygomatic repositioning operation has become our procedure of choice for patien...
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Richard A. Hopper, Howard D. Wang, Ezgi Mercan Source Type: research
Craniosynostosis
The introduction of distraction osteogenesis to frontofacial monobloc advancement has increased the safety of the procedure. One hundred forty-seven patients with syndromic craniosynostosis underwent frontofacial monobloc advancement using 4 internal distractors. Twenty-five were aged 18 months or less. Ten patients presented with a tracheostomy, 5 (50%) were decannulated after surgery, and 3 others (30%) required an additional intervention before decannulation. Six patients required the addition of a transfacial pin and external traction. Very early frontofacial monobloc with 4 i nternal distractors is a safe and effect...
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Giovanna Paternoster, Samer Elie Haber, Roman Hossein Khonsari, Syril James, Eric Arnaud Source Type: research
Craniofacial Distraction
A combined surgical and orthodontic approach to midface and mandibular distraction optimizes stability and outcomes. Orthodontic considerations include proper planning of the distraction vector, appropriate device use, and thorough follow-up through the consolidation and postoperative period. The dental occlusion must be managed throughout treatment in order to achieve ideal results. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Shayna Avinoam, Pradip.R. Shetye Source Type: research
Craniosynostosis
The Le Fort III advancement was first described in 1950 and has since become a key technique in the armamentarium of craniofacial surgeons. The application of distraction osteogenesis to the craniofacial skeleton has allowed for large movements to be performed safely in young patients. This technique is valuable for correcting exorbitism, airway obstruction owing to midface retrusion, and class III malocclusion. It can be performed with either an external distractor or internal distractors. Although serious complications have been reported, these occur rarely when performed by experienced providers. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Paul A. Mittermiller, Roberto L. Flores, David A. Staffenberg Source Type: research
Robin Sequence
This article provides a current, comprehensive review of neonatal mandibular distraction and offers treatment guidelines based on a combined surgical experience of more than 400 patients. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 8, 2021 Category: Cosmetic Surgery Authors: Kerry A. Morrison, Marcus V. Collares, Roberto L. Flores Source Type: research
