Cartilage-sparing otoplasty: a review with long-term results

1997 ◽  
Vol 111 (5) ◽  
pp. 424-430 ◽  
Author(s):  
H. D. Vuyk
Keyword(s):  
Surgical Technique ◽  
Head And Neck ◽  
Surgical Techniques ◽  
Neck Region ◽  
Psychological Aspects ◽  
Long Term Results ◽  
Congenital Deformity ◽  
Head And Neck Region ◽  
Prominent Ears

AbstractProminent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

Cartilage-sparing otoplasty: Our experience

2002 ◽  
Vol 116 (9) ◽  
pp. 682-685 ◽  
Author(s):  
Victor Vital ◽  
Athanasia Printza
Keyword(s):  
Head And Neck ◽  
Revisional Surgery ◽  
Long Term Results ◽  
Congenital Deformity ◽  
Prominent Ears ◽  
Loss Of Correction ◽  
Neck Area ◽  
And Cartilage ◽  
Anatomical Defects

Prominent ears are the most frequent congenital deformity in the head and neck area. Otoplasty has undergone important developments and numerous techniques have been employed to address the anatomical defects, namely the lack of antihelix and the overdevelopment of the concha. We present a cartilage-sparing technique involving scapha – conchal sutures insertion to recreate the antihelix, conchal setback and cartilage weakening. No cartilage is excised. Prior to creating the antihelix, the medial surface of the cartilage is superficially scored. Occasionally a tangential excision of the posterior prominence of the cartilage prior to the placement of set back sutures is employed for an excessively large conchal bowl. A series of 86 consecutive patients underwent otoplasty with this technique. According to our experience the described technique gives good and predictable long-term results with a natural-appearing ear. Significant complications are rare. In case of loss of correction, revisional surgery is straightforward on the intact pinna cartilage.

scholarly journals A Peripheral Primitive Neuro-ectodermal Tumor (pPNET) of Larynx

2018 ◽  
Vol 26 (1) ◽  
pp. 69-72
Author(s):  
Raman Wadhera ◽  
Usha Sehrawat ◽  
Sharad Hernot ◽  
Pawan Kumar Gahlawat ◽  
Aman Jakhar
Keyword(s):  
Head And Neck ◽  
Malignant Tumors ◽  
Survival Rates ◽  
Disease Free Survival ◽  
Neck Region ◽  
Immunohistochemical Analysis ◽  
Cystic Mass ◽  
Term Survival ◽  
Head And Neck Region

Introduction Primitive neuroectodermal tumors (PNETs) are malignant tumors comprised of small round cells of neuro-ectodermal origin that affect soft tissue and bone. Though the occurrence of pPNETs in the head and neck region is rare, these are aggressive malignant tumors, and long-term survival rates following diagnosis remain poor. Case Report In the present case, a tumour was located in larynx (as globular/cystic mass of epiglottis) of the patient and was diagnosed as pPNET. Immunohistochemical analysis indicated that tumor cells were positive for CD99 and NSE, focally positive for EMA but negative for synaptophysin and chromogranin. The mass was surgically excised with negative margins. In post op period patient was planned for post-op chemotherapy and radiotherapy. Conclusion pPNETs are very rare in head and neck region. Significant advances in the neoadjuvant and adjuvant chemotherapeutic regimens, as well as improved facility in diagnosing these tumors through cytogenetic and immunohistochemical analysis improves the long-term disease-free survival.

scholarly journals A Limited Thoracocervical Approach for Accessing the Anterior Mediastinum in Retrosternal Goiters: Surgical Technique and Implications for the Management of Head and Neck Emergencies

2016 ◽  
Vol 95 (3) ◽  
pp. E39-E43
Author(s):  
Petros V. Vlastarakos ◽  
Aaron Trinidade ◽  
Marie-Claire Jaberoo ◽  
George Mochloulis
Keyword(s):  
Surgical Technique ◽  
Head And Neck ◽  
Innominate Artery ◽  
Anterior Mediastinum ◽  
Long Term Results ◽  
Know How ◽  
Carotid Blowout Syndrome ◽  
Acceptable Quality

In this article we describe the surgical management of retrosternal goiters via a limited thoracocervical approach, and we explore how the respective surgical know-how can be used in the management of the carotid blowout syndrome. Four cases involving patients who had undergone thyroidectomy via a limited thoracocervical approach are retrospectively reviewed. An acute blowout of the innominate artery managed with the same principal surgical technique is also reviewed. Tree patients had a total thyroidectomy and one had a hemithyroidectomy. No malignancy was found. There was no mortality or unexpected morbidity from the limited thoracocervical approach. The median length of the inpatient stay was 3 days. The blowout survivor lived for 9 months, with no rebleeding and with an acceptable quality of life. We conclude that a limited thoracocervical approach can be safely performed by head and neck surgeons for accessing the anterior mediastinum in retrosternal goiters, and the respective surgical know-how can be used in the immediate management of an acute carotid blowout syndrome with satisfying long-term results and provision of quality end-of-life care.

scholarly journals The long term effects of firearm injuries on special senses

2019 ◽  
pp. 083-087
Author(s):  
Chavan Shrinivas
Keyword(s):  
Quality Of Life ◽  
Head And Neck ◽  
Neck Region ◽  
Standard Protocol ◽  
Sense Organs ◽  
Long Term Effects ◽  
Head And Neck Region ◽  
Firearm Injuries

Introduction: Special senses are group of sensory organs that help us to connect with external environment by various modes of elements like sound, sight, touch and smell. Any damage to these organs though may not be physically handicapping but can affect the quality of life of any individual. Bullet injuries to the head and neck region are life-threatening and demand a detailed clinical examination and meticulous operative management due to the complexity of craniofacial anatomy. Head and neck region also house sense organs, but most of the time their functions are not properly assessed during the primary care provided in firearm injuries. The main aim of this study was – To study the long term effects of firearm injuries on special senses. To study the impact of these injuries on facial visage causing impairment on quality of life. To set a standard protocol that can be applied in such injuries for a bedside evaluation of sense organs of victims. Materials and Methods: The following study was conducted by the Department of Otorhinolaryngology & Head and Neck Surgery, Department of Forensic Medicine and Department of Community Medicine, at Grant Government Medical College and Sir JJ Group of Hospitals. A retrospective study of 532 patients who were victims of various firearm injuries in isolated civil incidents and terrorist attacks in Mumbai between January 1990 to July 2018. Institutional ethical clearance was obtained prior to initiating the study. Data regarding the patients were obtained from hospital records. Results: The age group which was most affected was between 20- 40 years i.e.; the working population of the country. Most of the patients were of the male gender, nearly 70.3%. The sense organ to be affected the most in these incidents was ear(55.2%) ,followed by eyes(39.3%) . Facial scar caused a significant social impact on the quality of life among females. Conclusion: This study aims to set a standard protocol in the post-critical phase in firearm injuries; giving priority to functions of sense organs and facial visage to ensure a good quality of life in the post-trauma period.

scholarly journals Individualized Surgical Management in the Head and Neck Region

2020 ◽  
Author(s):  
Zoltán Lóderer
Keyword(s):  
Head And Neck ◽  
Surgical Management ◽  
Malignant Tumors ◽  
Surgical Techniques ◽  
Neck Region ◽  
Free Flaps ◽  
Head And Neck Region ◽  
Surgical Interventions ◽  
Special Cases ◽  
Microsurgical Free Flaps

The surgical management of malignant tumors or in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome. Not only head and neck cancer and related surgical interventions, but also trauma and congenital cranio-maxillofacial deformities can result in appearance, which may impair the socialization or social integration of the patient. These special cases indicate special consideration and surgical techniques. The aim of the current thesis is to present the importance of the individualized surgical management through special cases.

scholarly journals An adult spindle cell rhabdomyosarcoma in the head and neck region with long-term survival: a case report

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Stefan Hartmann ◽  
Grit Lessner ◽  
Thomas Mentzel ◽  
Alexander C Kübler ◽  
Urs DA Müller-Richter
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Spindle Cell ◽  
Neck Region ◽  
Term Survival ◽  
Head And Neck Region ◽  
Long Term Survival

Dental and Maxillofacial Abnormalities in Long-Term Survivors of Childhood Cancer: Effects of Treatment with Chemotherapy and Radiation to the Head and Neck

PEDIATRICS ◽  
1984 ◽  
Vol 73 (6) ◽  
pp. 816-823
Author(s):  
Norman Jaffe ◽  
Béla B. Toth ◽  
Robert E. Hoar ◽  
Hubert L. Ried ◽  
Margaret P. Sullivan ◽  
...  
Keyword(s):  
Childhood Cancer ◽  
Head And Neck ◽  
Tooth Development ◽  
Effective Interaction ◽  
Neck Region ◽  
Head And Neck Region ◽  
Maxillofacial Abnormalities ◽  
Survivors Of Childhood Cancer ◽  
Long Term Survivors

Sixty-eight long-term survivors of childhood cancer were evaluated for dental and maxillofacial abnormalities. Forty-five patients had received maxillofacial radiation for lymphoma, leukemia, rhabdomyosarcoma, and miscellaneous tumors. Forty-three of the 45 patients and the remaining 23 who had not received maxillofacial radiation also received chemotherapy. Dental and maxillofacial abnormalities were detected in 37 of the 45 (82%) radiated patients. Dental abnormalities comprised foreshortening and blunting of roots, incomplete calcification, premature closure of apices, delayed or arrested tooth development, and caries. Maxillofacial abnormalities comprised trismus, abnormal occlusal relationships, and facial deformities. The abnormalities were more severe in those patients who received radiation at an earlier age and at higher dosages. Possible chemotherapeutic effects in five of 23 patients who received treatment for tumors located outside the head and neck region comprised acquired amelogenesis imperfecta, microdontia of bicuspid teeth, and a tendency toward thinning of roots with an enlarged pulp chamber. Dental and maxillofacial abnormalities should be recognized as a major consequence of maxillofacial radiation in long-term survivors of childhood cancer, and attempts to minimize or eliminate such sequelae should involve an effective interaction between radiation therapists, and medical and dental oncologists.

scholarly journals Long-term changes induced by high-dose irradiation of the head and neck region: imaging findings.

Radiographics ◽  
1997 ◽  
Vol 17 (1) ◽  
pp. 5-26 ◽  
Author(s):  
M Becker ◽  
G Schroth ◽  
P Zbären ◽  
J Delavelle ◽  
R Greiner ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
High Dose ◽  
Imaging Findings ◽  
Head And Neck Region ◽  
Dose Irradiation ◽  
Long Term Changes
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