Ocular Reconstruction Using Bone-Anchored Implants in Irradiated Facial Deformities After Tumor Extirpation

2016 ◽  
Vol 27 (8) ◽  
pp. 2141-2142 ◽  
Author(s):  
Mansher Singh ◽  
Raquel Minasian ◽  
Matthew Jackson ◽  
E.J. Caterson
Keyword(s):  
Tumor Extirpation

Canadian Trends in Free Flap Management for Microsurgical Lower Limb Reconstruction

2021 ◽  
pp. 229255032110196
Author(s):  
Michelle Bonapace-Potvin ◽  
Alexander Govshievich ◽  
Laurent Tessier ◽  
Mihiran Karunanayake ◽  
Dominique Tremblay ◽  
...  
Keyword(s):  
Lower Limb ◽  
Free Flaps ◽  
Online Questionnaire ◽  
Limb Reconstruction ◽  
Changing Practice ◽  
Current State ◽  
Lower Limb Reconstruction ◽  
Tumor Extirpation ◽  
Based Medicine ◽  
Previous Training

Introduction: Free tissue transfers have become a mainstay in lower limb salvage, allowing safe and reliable reconstruction after trauma, tumor extirpation, and complex wounds. The optimal perioperative (PO) management of these flaps remains controversial. This study aims to assess the current state of practice among Canadian microsurgeons. Methods: Sixty-four Canadian microsurgeons were approached to complete an online questionnaire regarding their PO management of fasciocutaneous free flaps used for lower limb reconstruction. Trends in dangling timing and duration, use of venous couplers, compressive garments, thromboprophylaxis, and surgeons’ satisfaction with their protocol were assessed. Results: Twenty-eight surgeons responded. Fifty-seven percent did not have a specific mobilization protocol. Dangling was mainly initiated on postoperative days 5 to 6 (44%). The most common protocol duration was 5 to 6 days (43%). The concern for prolonged venous pooling was the main reason for delay of dangling (71%). Compressive garments were placed routinely by 12 surgeons (43%) with 20% starting before dangling, 46% with dangling, and 33% after dangling. Venous couplers were routinely used by 24 surgeons (85.7%). Trends in management were influenced by previous training in 53.6% of cases (vs evidence-based medicine 7.1%). Although 89.3% were satisfied with their approach, 92.8% would consider changing practice if higher-level evidence was available. Conclusions: The majority of Canadian microsurgeons initiate dangling early and utilize venous couplers. However, the use of compressive garments is limited. Trends in management are largely based on personal experience. Nearly all surgeons would consider changing their practice if higher-level evidence was available.

scholarly journals Mandibular Osteotomies for Tumor Extirpation

1992 ◽  
Vol 102 (1) ◽  
pp. 73???80 ◽  
Author(s):  
Patrick K. Sullivan ◽  
Richard Fabian ◽  
Dan Driscoll
Keyword(s):  
Tumor Extirpation

Nose and Ear Reconstruction Following Tumor Extirpation

2020 ◽  
pp. 295-334
Author(s):  
Petros Konofaos ◽  
Charles A. Pierce ◽  
Xi Lin Jing ◽  
Robert D. Wallace
Keyword(s):  
Ear Reconstruction ◽  
Tumor Extirpation

scholarly journals Mohs Micrographic Surgery Peripheral Margin Control Prior to En Bloc Tumor Resection: A Report of Three Cases

2018 ◽  
Vol 2 (1) ◽  
pp. 49-53
Author(s):  
Daniel Bernstein ◽  
Sara Giddings ◽  
Hooman Khorasani
Keyword(s):  
Plastic Surgery ◽  
Tumor Resection ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
En Bloc ◽  
Facial Plastic Surgery ◽  
Facial Plastic ◽  
Tumor Extirpation ◽  
The Right ◽  
Margin Control

Background: Mohs micrographic surgery (MMS) is an important part of non-melanoma skin cancer (NMSC) management but may even be useful for tumors that cannot be cleared in an office setting.  There are sparse reports of MMS for peripheral margin control in the dermatology literature but various techniques have been reported.Case 1: 58-year-old male with morpheaform basal cell carcinoma of the left midface treated with MMS peripheral margin control followed by facial plastic surgery central tumor extirpation and defect repair.Case 2: 56-year-old female with recurrent morpheaform BCC of the scalp treated with MMS peripheral margin control followed by facial plastic surgery central tumor extirpation and defect repair.Case 3: 73-year-old male with multiply recurrent SCC of the right lower extremity treated with MMS peripheral margin control followed by above the knee amputation.Conclusions:  MMS peripheral margin control followed by central tumor extirpation and defect reconstruction at a later date in the operating room is an option for deeply invasive, large and aggressive NMSC.  Benefits include decreased time under general anesthesia and superior rates of tumor clearance.  In the interim, the peripheral defect between the central tumor and healthy outer tissue can be sutured closed to decrease patient morbidity.

Lateral Rhinotomy Approach to Inverted Papilloma

1995 ◽  
Vol 9 (2) ◽  
pp. 77-80 ◽  
Author(s):  
Dennis H. Kraus
Keyword(s):  
Literature Review ◽  
Surgical Management ◽  
Gold Standard ◽  
Inverted Papilloma ◽  
Lateral Rhinotomy ◽  
Tumor Extirpation ◽  
Midfacial Degloving

The successful surgical management of inverted papilloma requires total tumor extirpation. This article will review the technique of lateral rhinotomy and indications for its use. Prevention of complications will be stressed. Literature review focusing on the efficacy of this procedure will be presented. A brief review of midfacial degloving will also be included. Its use for limited, noninvasive lesions will be described. Lateral rhinotomy remains the gold standard against which all other procedures must be compared.

scholarly journals Modified transnasal endoscopic medial maxillectomy with inferior turbinate flap for dentigerous cyst

2015 ◽  
Vol 45 (2) ◽  
pp. 151 ◽  
Author(s):  
Retno Sulistyo Wardani ◽  
Michael Lekatompessy ◽  
Brent Anthony Senior
Keyword(s):  
Maxillary Sinus ◽  
Functional Result ◽  
Traditional Approach ◽  
Dentigerous Cyst ◽  
Inferior Turbinate ◽  
Molar Tooth ◽  
Tumor Extirpation ◽  
Ectopic Tooth ◽  
Medial Maxillectomy

Background: Dentigerous cyst is one of the most frequent types of odontogenic cyst that usually involving an impacted, supernumerary or ectopically erupted tooth. One of the non-dental sites for ectopiceruption is the maxillary sinus. The traditional approach under such circumstances is a Caldwell-Luc maxillotomy, but this type of procedure may result in significant long-term complications. Endoscopic transnasal medial maxillectomy (ETMM) has several advantages, such as good il lumination, as wellas clear and magnified visualization. The new modified endoscopic transnasal medial maxillectomy(METMM) can provide good visualization and more functional result by preserving the nasolacrimalduct and the inferior turbinate. Purpose: We present this case to introduce the METMM technique forextirpation of any tumor in the maxillary sinus. Case: One case of dentigerous cyst with an ectopicleft maxillary 3 molar tooth in a 27 year old woman who presented with sinusitis. Management:Surgery with a METMM technique to enucleate the cyst, combined with functional endoscopic sinussurgery (FESS) for the sinusitis. The patient then evaluated subjectively for epiphora and objectivelywith nasoendoscopic examination. Conclusion: In this case, METMM was effective in accessing themaxillary sinus allowing for tumor extirpation, while preserving the function of the inferior tubinate andnasolacrimal duct. Keywords : Dentigerous cyst, maxillary ectopic tooth eruption, transnasal medial maxillectomy ABSTRAKLatar belakang: Kista dentigerous merupakan salah satu jenis kista otontogenik yang paling sering ditemukan, biasanya berhubungan dengan gigi impaksi, supernumeri atau gigi yang tumbuhektopik. Salah satu tempat erupsi ektopik adalah sinus maksilaris. Pendekatan tradisional dalamkeadaan ini adalah operasi Caldwell-Luc, tetapi teknik operasi ini dapat mengakibatkan komplikasijangka panjang. Maksilektomi medial transnasal dengan endoskopi (MMTE) memiliki beberapakeunggulan, seperti visualisasi yang jelas dan diperbesar. Teknik maksilektomi medial transnasaldengan endoskopi yang dimodifikasi (MMTEM) dapat memberikan visualisasi yang baik dan hasillebih fungsional dengan mempertahankan duktus nasolakrimal dan konka inferior. Tujuan: makalahini diajukan untuk memperkenalkan teknik MMTEM untuk ekstrirpasi massa yang berada di dalamsinus maksila, karena teknik ini memberikan hasil yang lebih fungsional. Kasus: melaporkan satu kasuskista dentigerous dengan gigi molar 3 yang erupsi ektopik pada sinus maksila kiri pada wanita 27tahun. Penatalaksanaan: kasus ini ditatalaksana dengan teknik MMTEM untuk mengenukleasi kistadan BSEF untuk sinusitis. Pasien kemudian dievaluasi secara subjektif dengan anamnesis mengenaiadanya epifora dan objektif dengan pemeriksaan nasoendoskopi. Kesimpulan: MMTEM terbukti efektifuntuk ekstirpasi tumor yang berada di dalam sinus maksila, dan teknik ini juga memberikan hasil yanglebih fungsional dengan dipertahankannya konka inferior dan duktus nasolakrimal. Kata kunci : Kista dentigerous, erupsi gigi ektopik di maksila, transnasal maksilektomi medial

Risk Factors and the Mechanism of Induced Oral Cancer by the Chemical Substances

2018 ◽  
Vol 69 (5) ◽  
pp. 1283-1287
Author(s):  
Ovidiu Mihail Stefanescu ◽  
Raluca Dragomir ◽  
Oanaelena Ciurcanu ◽  
Cristian Constantin Budacu
Keyword(s):  
Risk Factors ◽  
Oral Cancer ◽  
Oral Cavity ◽  
Combined Therapy ◽  
Considerable Change ◽  
Component Structure ◽  
Sex Risk ◽  
Tumor Group ◽  
Molar Teeth ◽  
Tumor Extirpation

At this end of the millennium we witness an impressive increase in cancer frequency. According to WHO reports, cancer is the second cause of death, being overpriced by cardiovascular disease only. The oral cavity cancer is part of the ENT sphere malignant tumor group. It may appear at the level of any component structure: mobile tongue, mouth floor, retromolar trine (behind the last molar teeth in the lower arch), tough palate, internal cheek, lips, mouth vestibule or alveolar rebord. Salivary glands, although opening into the oral cavity, can not be included in this category, due to histological and enlargement features. Oral cancer is very easy to be noted because it causes a mouthstroke that does not heal over several weeks. This is the main symptom of the disease, but not the only one. Other signs are: whitish spots in the mouth, unexplained bleeding, difficulty in moving the jaw or chewing; hoarseness or considerable change in voice, loss of sensation or pain in the mouth, face or neck area, undue ear pain. The study includes 544 cases, and the statistical data collected over a 5-year period, 2013-2017, and: age, environment, sex, risk factors involved, location, tumor study and treatment are of interest. Combined therapy was reserved for patients with a low healing rate. The most common form of treatment was tumor removal within the limits of tumor safety, followed by another type of intervention: tumor extirpation and ganglion recording, whether or not associated with radiotherapy. An important role is also played by patients who come late, either due to a lack of health education or because of the fear of illness, or in most cases due to the oligosymptomatic character of the disease at the onset of onset.

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