Considerations in Orbital Exenteration
Seminars in Plastic Surgery 2019; 33: 103-105 DOI: 10.1055/s-0039-1685209Orbital exenteration (OE) is a radical operation associated with significant psychosocial disability and functional impairment. Indications for OE include primary tumors of the eye, oral cavity, paranasal sinuses, skin, and brain. Careful consideration regarding the likelihood of local control and cure is needed before proceeding with this operation. Multidisciplinary work-up should be performed before proceeding with surgery. The method of reconstruction after OE should be tailored to the defect and the postoperative needs of the patient. Appropriate...
Source: Seminars in Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Cohn, Jason E. Kohlert, Scott Lee, Thomas Kadakia, Sameep Ducic, Yadranko Tags: Review Article Source Type: research
Eyelid Malposition Repair: A Review of the Literature and Current Techniques
This article is a review of commonly encountered forms of eyelid malposition. Relevant reconstructive techniques and current evidence-based methods of reconstruction are discussed in detail. Anatomical considerations, the nature of specific defects, pearls of preoperative evaluation, and the reconstructive options available to the facial plastic and oculoplastic surgeon are outlined. Topics discussed include ectropion, entropion, eyelid retraction, and blepharoptosis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text...
Source: Seminars in Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Authors: Guthrie, Ashley J. Kadakia, Pooja Rosenberg, Joshua Tags: Review Article Source Type: research
Surgical Orbital Anatomy
Seminars in Plastic Surgery 2019; 33: 085-091 DOI: 10.1055/s-0039-1685476In this article, the anatomy of the orbit is reviewed, with a specific emphasis on surgical anatomy. A brief discussion of the ocular globe is also included. The orbits are pyramidal structures separating the upper and middle facial skeletons. The walls, apex, and base harbor several foramina and fissures as well as bony irregularities where various ligaments, muscles, and capsules attach. There are a variety of surgical approaches to the orbit, including the traditional transcutaneous and neurosurgical techniques and, more recently, minimally invasiv...
Source: Seminars in Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Authors: Hu, Shirley Colley, Patrick Tags: Review Article Source Type: research
Orbital Reconstruction
Seminars in Plastic Surgery 2019; 33: 083-084 DOI: 10.1055/s-0039-1685210 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Authors: Kadakia, Sameep Tags: Preface Source Type: research
Sameep Kadakia, MD
Seminars in Plastic Surgery 2019; 33: 081-082 DOI: 10.1055/s-0039-1685481 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - April 25, 2019 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research
Pharyngeal Reconstruction with Microvascular Free Tissue Transfer
Seminars in Plastic Surgery 2019; 33: 078-080 DOI: 10.1055/s-0039-1677877Reconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration of normal swallowing. The reconstructive armamentarium contains many options for reconstruction and creation of a new upper digestive tract. This review article focuses on the most commonly used free tissue transfer options for the reconstruction of these defects, with an assessment of their advantages and disa...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Bahrami, Arash Vincent, Aurora Inman, Jared Mourad, Moustafa Sawhney, Raja Ducic, Yadranko Tags: Review Article Source Type: research
Free-Flap Reconstruction of Skull Base and Orbital Defects
Seminars in Plastic Surgery 2019; 33: 072-077 DOI: 10.1055/s-0039-1677881Orbital and anterior skull base defects present a significant challenge for reconstruction due to the complexity of the anatomy and the need for separation of intracranial and extracranial contents in this area. While endoscopic techniques have revolutionized the treatment of many anterior skull base defects, microvascular free tissue transfer is a viable option for large volume defects not suitable for traditional open approaches or for cases where endoscopic techniques have failed. The various free tissue transfer techniques for anterior skull base ...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Wang, Weitao Vincent, Aurora Sokoya, Mofiyinfolu Kohlert, Scott Kadakia, Sameep Ducic, Yadranko Tags: Review Article Source Type: research
Free Tissue Reconstruction of the Scalp
Seminars in Plastic Surgery 2019; 33: 067-071 DOI: 10.1055/s-0039-1678470Reconstruction of scalp defects can be accomplished by many methods, but larger defects, especially those in which the periosteum is absent or calvarial defects are present, require free tissue transfer. Various methods of scalp reconstruction, as guided by the defect components and size, are presented herein, with a focus on free tissue transfer. Different free flaps for scalp reconstructed are described with a comparison of their advantages and disadvantages. Overall, free tissue transfer for scalp defects provides a reliable, durable, and cosmetica...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Misch, Emily Vincent, Aurora Wang, Weitao Kadakia, Sameep Ducic, Yadranko Smith, Jesse Tags: Review Article Source Type: research
Free Tissue Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 059-066 DOI: 10.1055/s-0039-1677703Free tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Dibbs, Rami Trost, Jeff DeGregorio, Valerie Izaddoost, Shayan Tags: Review Article Source Type: research
Microsurgical Reconstruction of the Lower Extremity
Seminars in Plastic Surgery 2019; 33: 054-058 DOI: 10.1055/s-0039-1677878Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Many lower extremity reconstructions require staged procedures. Planning is of paramount importance especially in regard to vascular access when multiple free flaps are required. Soft tissue reconstruction of the lower extremity may be accomplished with mus...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Pederson, William C. Grome, Luke Tags: Review Article Source Type: research
Free-Flap Reconstruction of the Mandible
This article discusses current vascularized techniques for mandible reconstruction. While each reconstructive method has advantages and disadvantages, a defect-based reconstruction focused on full rehabilitation allows surgeons to plan and counsel the patient for the best available reconstruction. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Kim, Roderick Y. Sokoya, Mofiyinfolu Ducic, Yadranko Williams, Fayette Tags: Review Article Source Type: research
Free-Flap Reconstruction of the Tongue
Seminars in Plastic Surgery 2019; 33: 038-045 DOI: 10.1055/s-0039-1677789The tongue is paramount to natural speech and swallowing, and good tongue function is important in the overall quality of life. Autologous free-flap reconstruction of the tongue after glossectomy allows for adequate speech, swallow, and quality-of-life outcomes in a majority of patients. Herein, the authors review autologous free-flap reconstruction of the tongue with a focus on different flap options, speech and swallow outcomes, quality-of-life outcomes, and factors that affect how patients perform after tongue reconstruction. [...] Thieme Medical P...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Kohlert, Scott Lee, Thomas S. Inman, Jared Ducic, Yadranko Tags: Review Article Source Type: research
Free Flap Reconstruction of the Maxilla
Seminars in Plastic Surgery 2019; 33: 030-037 DOI: 10.1055/s-0039-1677701Tumors of the maxilla and midface are some of the most difficult to manage, not only in terms of treatment but also in terms of achieving acceptable orofacial reconstruction. Today, free flaps dominate the reconstructive field. Many patients can achieve successful reconstruction after free flap transfer with a return of intelligible speech, a regular diet, and acceptable cosmesis. Herein, the authors review free flap reconstruction of the maxilla, with a focus on the classifications of defects, when obturators are appropriate, types and sources of fre...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Burkes, Jason Williams, Fayette Ducic, Yadranko Tags: Review Article Source Type: research
Free Tissue Transfer Penile Reconstruction
Seminars in Plastic Surgery 2019; 33: 024-029 DOI: 10.1055/s-0039-1677879Phalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Each procedure has advantages and disadva...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Kropp, Bradley Cohn, Jason E. Wang, Weitao Sokoya, Mofiyinfolu Ducic, Yadranko Tags: Review Article Source Type: research
Free Tissue Transfer for Upper Extremity Reconstruction
Seminars in Plastic Surgery 2019; 33: 017-023 DOI: 10.1055/s-0039-1677702With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Today, microsurgery offers an alternative when options lower on the reconstructive ladder have been exhausted or will not produce a desirable result. In this article, the authors review the use of free tissue transfer for upper extremi...
Source: Seminars in Plastic Surgery - March 7, 2019 Category: Cosmetic Surgery Authors: Dibbs, Rami Grome, Luke Pederson, William C. Tags: Review Article Source Type: research
