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Reconstruction with scapular tip following hemimaxillectomy and rehabilitation with dental implants
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and may result in significant morbidity. Rehabilitation may be difficult with either an obturator or surgical reconstruction with a free fibula, Iliac crest or scapula. This...
Evidence based outcomes for canal wall up, canal wall down and subsequent canal wall reconstruction for primary cholesteatoma
There has been a long standing controversy over whether to treat primary cholesteatoma with open or closed technique. The general consensus is that limited disease can be treated with closed technique whereas the canal wall down approach helps reduce recidivism...
Money saving using CAD-CAM in mandibular reconstruction
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...
The double-half bilobed flap or traditional bilobed flap: which is better?
Reconstruction of the nasal tip following ablative surgery can be taxing. The nasal tip is a very visible area with largely immovable skin and reconstruction needs an appreciation of the various subunits to achieve best results. The traditional superiorly based...
Fingernail for orbital floor reconstruction
Orbital damage is common in maxillofacial injuries and about half of them result in damage to the orbital floor. Suitable material that could be used for repairing the orbital floor includes autografts, allografts and alloplastic materials. The disadvantage of using...
A new flap for the perinasal region
Perinasal defects are most commonly caused by tumour extirpation or trauma. There are a number of methods to reconstruct the defect, and the method chosen depends on the size of the defect and other patient considerations. When the defect is...
Microtia and Atresia – Combined Approach by Plastic and Otologic Surgery
In this textbook Kaga and Asato, both leading experts in otology and plastic surgery respectively, present over 10 years of their experience in joint reconstructive surgery for microtia and auricular atresia, combining autologous auricular reconstruction with external auricular canaloplasty and...
CAD/CAM assisted mandibular reconstruction or freestyle?
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...
Two for one forearm flaps
There are many and varied free flaps available for reconstructions. Here is a variant on the workhorse radial free forearm flap. The modification involves a longer, narrower flap that can be rotated back on itself to increase the flap width...Partial reconstruction of the pinna
Reconstruction of the pinna is one of the most challenging procedures in facial plastic surgery. Although there has been significant progress since one of the earliest recorded descriptions by Sushruta in 600 BC, the complex three-dimensional structure of the pinna...
Reconstructing post-resective auricular defects
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...
