Journal Reviews

Risks of tracheostomy in head and neck cancer

7 January 2020 | | ENTA-Head & Neck, Maxillofacial Surgery | Maxillofacial surgery, Microvascular flaps, Reconstructive surgery, Temporary tracheotomy

Tracheostomy is associated with several complications, with rates quoted as high as 8-45%, including: bleeding; displacement; obstruction; surgical emphysema; pneumothorax; fistulae and failure to decannulate. There are now many studies that confirm the increased length of stay and complications of...

Reconstructing post-resective auricular defects

1 November 2017 | | Auricle, Auricular, Reconstruction, Reconstructive, Defect

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Money saving using CAD-CAM in mandibular reconstruction

1 January 2017 | Computer-aided design, Computer-aided manufacturing, Cost, Mandibular reconstruction, Reconstructive surgery, Surgical time

CAD-CAM (computer aided design and computer aided manufacturing) is an exciting field in the functional and accurate reconstruction of oral cavity defects. This is a prospective study from Italy based on data from 20 consecutive mandibular reconstructions from 2011 to...

A modification of the crescentic flap for nasal skin reconstruction

1 November 2016 | | Crescentic flap, Non-melanoma skin cancer, Oncologic surgery, Reconstructive surgery

Non-melanoma skin cancers are the most frequent skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction may be challenging. Reconstruction aims to preserve the anatomical units, nasal functions and also an aesthetic final outcome....

CAD/CAM assisted mandibular reconstruction or freestyle?

1 September 2016 | | Computer-aided design, Computer-aided manufacturing, Mandible, Microsurgery, Morphological results, Reconstructive algorithm

The gold standard for the reconstruction of the mandible is a free bone flap and the fibula is commonly used. The fibula is a straight bone and presents considerations and difficulties in the formation of a U-shaped neo-mandible. Computer aided...

3D ultrasonography for evaluation of muscles following facial palsy

1 September 2014 | | 3D-Sonography, Facial musculature, Facial nerve, Facial palsy, Reconstructive surgery

Reconstructive surgery for facial nerve palsies is not recommended beyond two to three years after a degenerative facial nerve lesion. Since the time course of muscle atrophy is variable, this timeline is a rough guideline. The only assessment method currently...