Radiation Necrosis of the Lateral Skull Base and Temporal Bone
Semin Plast Surg 2020; 34: 265-271 DOI: 10.1055/s-0040-1721763Radiation therapy plays a critical role in the treatment of malignancies involving the head and neck. Although the therapeutic effects of ionizing radiation are achieved, normal tissues are also susceptible to injury and significant long-term sequelae. Osteoradionecrosis of the temporal bone (ORNTB) is among the many complications that can arise after therapy. ORNTB is a debilitating and potentially lethal condition that continues to challenge patients and treating physicians. Herein, we review the pathophysiology, presentation, work-up, and management of ORNTB....
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Herr, Marc W. Vincent, Aurora G. Skotnicki, Meghan A. Ducic, Yadranko Manolidis, Spiros Tags: Review Article Source Type: research
Avoiding Complications in Functional and Aesthetic Rhinoplasty
Semin Plast Surg 2020; 34: 260-264 DOI: 10.1055/s-0040-1721762Historically, nasoseptal surgery favoring functional considerations has compromised aesthetic ones, and vice versa, but modern techniques have evolved that allow symbiotic achievement of both goals. Nasoseptal surgery is among the most commonly performed plastic surgical procedures in the United States, and while it is generally well tolerated, there are a few surgical and aesthetic complications of which to be aware. Herein, we review surgical techniques that improve the nasal airway and nasal aesthetics in a top-down approach with a discussion of possible ensu...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Hohman, Marc H. Vincent, Aurora G. Anderson, Spencer R. Ducic, Yadranko Cochran, Spencer Tags: Review Article Source Type: research
Secondary Reconstruction of the Zygomaticomaxillary Complex
Semin Plast Surg 2020; 34: 254-259 DOI: 10.1055/s-0040-1721761Zygomaticomaxillary (ZMC) fractures are the second most common facial fractures after nasal bone fractures. The zygoma, with its location and multiple points of articulations, lends itself to both facial structure and esthetics. Secondary ZMC deformities are complications of inadequate primary correction, delayed repair, or lack of repair. Secondary revisions of ZMC aim to correct ZMC displacement and projection and to address orbital discrepancies. Extensive correction involving significant orbital and malar defects requires zygomatic repositioning osteotomies ...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Aman, Hessah M. Alenezi, Abdulrahman Ducic, Yadranko Reddy, Likith V. Tags: Review Article Source Type: research
Facial Transplantation: Complications, Outcomes, and Long-Term Management Strategies
This article reflects on the medical and surgical advancements in facial transplantation surgery and highlights anticipated future challenges. It aims to encourage discussion regarding anticipated barriers to current practice and suggest future directions as we transition into the next phase of facial allograft transplantation. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Shokri, Tom Saadi, Robert Wang, Weitao Reddy, Likith Ducic, Yadranko Tags: Review Article Source Type: research
Osteoradionecrosis of the Midface and Mandible: Pathogenesis and Management
Semin Plast Surg 2020; 34: 232-244 DOI: 10.1055/s-0040-1721759Radiation therapy is an important and commonly used treatment modality for head and neck cancers. Osteoradionecrosis (ORN) is a potential debilitating complication of treatment, which most commonly affects the mandible. Management strategies are tailored to the severity of disease. Medical management including oral rinses, irrigations, antibiotics, and pharmacological treatments is viable for mild-to-moderate ORN. More severe disease is best addressed with a combination of medical management and surgical intervention aimed at aggressively removing devitalized ti...
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Vahidi, Nima Lee, Thomas S. Daggumati, Srihari Shokri, Tom Wang, Weitao Ducic, Yadranko Tags: Review Article Source Type: research
Complications of Mandibular Fracture Repair and Secondary Reconstruction
Semin Plast Surg 2020; 34: 225-231 DOI: 10.1055/s-0040-1721758Mandibular fractures are common facial injuries. Their treatment varies as do postoperative complications. This paper discusses the common complications that are associated with the treatment of mandibular fractures and presents management strategies. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Perez, Daniel Ellis, Edward Tags: Review Article Source Type: research
Complications and Secondary Management and Repair in Head, Neck and Plastic Surgery
Semin Plast Surg 2020; 34: 223-224 DOI: 10.1055/s-0040-1721809 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Ducic, Yadranko Tags: Preface Source Type: research
Yadranko Ducic, MD, FRCS(C), FACS
Semin Plast Surg 2020; 34: 221-222 DOI: 10.1055/s-0040-1721810 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - December 24, 2020 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research
Complications and Solutions in Propeller Flap Surgery
Semin Plast Surg 2020; 34: 210-220 DOI: 10.1055/s-0040-1714087Propeller perforator flaps (PPFs) have long been proven as valid reconstructive tools for a wide range of soft tissue defects in different body regions. During the last decade, despite their numerous advantages, many authors have thoroughly analyzed outcomes of these flaps, sometimes discouraging their use mainly because of a high failure rate. Accurate patient selection, adequate preoperative planning, and an appropriate dissection technique seem to potentially improve outcomes. Our study provides a review of the relevant literature related to PPF complications...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Cajozzo, Marta Jiga, Lucian P. Jandali, Zaher Muradov, Mismil Pignatti, Marco Cordova, Adriana D'Arpa, Salvatore Tags: Review Article Source Type: research
The Chimeric Propeller Flap
Semin Plast Surg 2020; 34: 207-209 DOI: 10.1055/s-0040-1714290A chimeric flap consists of multiple discrete tissues or flaps connected only by a common source vessel. Each component must have an independent source of circulation. Rotation of any included part only about its specific vascular supply, such as done with a propeller flap, would be possible. These characteristics, whereby the chimeric flap concept and propeller flap concept are combined, would result in a chimeric propeller flap. Such a choice will enhance overall flap insetting capabilities and versatility, while often limiting the reconstructive need to but a...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Hallock, Geoffrey G. Tags: Review Article Source Type: research
Perforator-Pedicled Propeller Flaps for Lower Extremity Reconstruction
Semin Plast Surg 2020; 34: 200-206 DOI: 10.1055/s-0040-1715154Reconstruction of the lower extremity is considered a major challenge due to frequent bone exposure and the absence of local tissue redundancy, as well as often due to the presence of vascular insufficiency. Many surgeons have preferred free flaps especially for reconstructing the more distal lower limb defects until the evolution of pedicled perforator flaps and propeller flaps in particular provided a like-with-like reconstruction of the lower extremity without affecting the main vessels of the limb or the underlying muscles, and without the risk of any microa...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Ellabban, Mohamed A. Awad, Ahmed I. Hallock, Geoffrey G. Tags: Review Article Source Type: research
Propeller Flaps for Hand and Digit Reconstruction
Semin Plast Surg 2020; 34: 192-199 DOI: 10.1055/s-0040-1715155The reconstruction of soft tissue defects of the hand, as seen often after trauma or tumor excision, is a challenge due to the great differentiation of tissues depending on the hand area involved. The classical intrinsic “workhorse flaps” of the hand are associated with a significant donor-site morbidity. Capturing perforator vessels in discrete donor areas can reduce the amount of soft tissue that has to be dissected and included in what now would be a perforator flap, while also insuring robust vascularization of those transferred tissues. Moreover, the pr...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Tos, Pierluigi Crosio, Alessandro Pugliese, Pierfrancesco Georgescu, Alexandru Valentin Tags: Review Article Source Type: research
Propeller Flaps in the Upper Extremity: Arm and Forearm Reconstruction
Semin Plast Surg 2020; 34: 184-191 DOI: 10.1055/s-0040-1715153The propeller flap is an island of skin that is raised on its pedicle (most commonly a single perforator) and can rotate 180 degrees to cover a soft tissue defect. Thanks to these features, the propeller flap brings reliable tissue from outside of the zone of injury while sparing the main vessels of the upper extremity. This technique limits the donor site to the same limb, captures skin characterized by having the same color and texture, does not necessarily need a microvascular anastomosis, and overall reduces the operating time and surgical cost. Our intent...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Malzone, Gerardo Innocenti, Marco Tags: Review Article Source Type: research
Propeller Flaps in the Posterior Trunk
Semin Plast Surg 2020; 34: 176-183 DOI: 10.1055/s-0040-1714086The reconstruction of complex posterior trunk defects remains challenging. But now with an increased knowledge of angiosomes and the practice of perforator flaps, the posterior trunk offers a new plethora of options for reconstruction. Propeller flaps based on such perforator(s) offer an elegant solution for managing defects while achieving primary donor-site closure without significant morbidity. We will discuss the relevant anatomy and design principles for propeller flaps based on a review of the literature and our experience. Steps beginning with preoperativ...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Kedar, Daniel J Pak, Changsik John Suh, Hyunsuk Peter Hong, Joon Pio Tags: Review Article Source Type: research
Propeller Flaps for the Anterior Trunk
Semin Plast Surg 2020; 34: 171-175 DOI: 10.1055/s-0040-1714270Various types of propeller flaps from multiple donor sites can be used to reconstruct anterior trunk skin defects. The actual selection depends on the condition and location of the recipient site, especially if it is to be the chest or abdomen that requires attention. Before surgery commences, it is always important to use an imaging analyses such as computed tomography angiography to examine and identify perforators that could perfuse a perforator-pedicled propeller flap (PPPF), as it is the most multifaceted imaging technique. Clusters of perforators that can ...
Source: Seminars in Plastic Surgery - September 21, 2020 Category: Cosmetic Surgery Authors: Ogawa, Rei Tags: Review Article Source Type: research
