Dorsal Augmentation in Facial Profiloplasty

2019 ◽  
Vol 35 (05) ◽  
pp. 492-498 ◽  
Author(s):  
Yong Ju Jang ◽  
Shin Hyuk Yoo
Keyword(s):  
Surgical Technique ◽  
Preoperative Evaluation ◽  
Graft Material ◽  
Nasal Dorsum ◽  
Central Importance ◽  
Facial Profile ◽  
Profile Line ◽  
Surgical Option

AbstractNasal profile line has central importance in forming an aesthetically balanced facial profile. Thus, rhinoplasty is a critically necessary surgery in shaping ideal profile line. For successful rhinoplasty, meticulous preoperative evaluation and proper planning should be performed before surgery. The nasal dorsum is the broadest and most prominent part of the nose; any minor imperfection is readily appreciated by an observer. Thus, dorsal augmentation is one of the most challenging areas in rhinoplasty as there is virtually no single ideal graft material and method for the nasal dorsum, which is free of aesthetic complication The surgeon should be able to discern the pattern of the abnormal nasal profile and to strategize the best possible surgical option to create a long-lasting, aesthetically pleasing dorsal line in good harmony with the overall facial profile. This study addresses our strategy to deal with various types of aesthetically unpleasant nasal profile line. The characteristics of augmentation materials and considerations in surgical technique are also addressed.

Surgical Treatment of the Infected Aortic Graft

2017 ◽  
Author(s):  
Jayer Chung
Keyword(s):  
Preoperative Evaluation ◽  
Graft Infection ◽  
Prosthetic Graft ◽  
Vascular Reconstruction ◽  
Graft Material ◽  
Aortic Graft ◽  
Operative Planning ◽  
Femoral Vessels ◽  
Aortic Graft Infection ◽  
Autogenous Reconstruction

The primary goal of treatment in dealing with an infected aortic graft is to save life and limb. This goal is best accomplished by eradicating all infected graft material and maintaining adequate circulation with appropriate vascular reconstruction. This review describes the choice of procedures, including an extra-anatomic bypass, an aortic allograft, an antibiotic-treated prosthetic graft, and an in situ autogenous reconstruction. Once a procedure has been decided on, preoperative evaluation and operative planning must take place. The review describes operative technique from the thigh incision and exposure of the femoral vessels to closure. Postoperative care is described. Outcomes and complications are discussed. Special consideration is given to aortoenteric fistulas. This review contains 8 figures, 2 tables, and 83 references. Key words: antibiotic-impregnated Dacron, aortic graft infection, aortoenteric erosion, aortoenteric fistula, axillobifemoral bypass, cryopreserved allograft,  neoaortoiliac surgery  

Salvage Procedures

2018 ◽  
pp. 307-322
Author(s):  
Joaquin Sanchez-Sotelo
Keyword(s):  
Surgical Technique ◽  
Surgical Procedures ◽  
Glenohumeral Joint ◽  
Resection Arthroplasty ◽  
Successful Management ◽  
The Many ◽  
And Function ◽  
Surgical Option

The many surgical procedures summarized in previous chapters allow successful management of most shoulder conditions and result in improved pain, motion, and function. However, salvage procedures that sacrifice the glenohumeral joint or the scapulothoracic joint represent the best surgical option for a few patients. These salvage procedures are uncommon, but shoulder surgeons need to be familiar with their indications, surgical technique, and reported outcomes. This chapter addresses glenohumeral arthrodesis, scapulothoracic arthrodesis, and glenohumeral resection arthroplasty.

scholarly journals Making the “inoperable” tumors “operable”: Harvey Cushing's contributions to the surgery of posterior fossa tumors

2014 ◽  
Vol 36 (4) ◽  
pp. E15 ◽  
Author(s):  
Mahdi Malekpour ◽  
Aaron A. Cohen-Gadol
Keyword(s):  
Surgical Technique ◽  
Posterior Fossa ◽  
Preoperative Evaluation ◽  
Pivotal Role ◽  
Surgical Removal ◽  
Posterior Fossa Surgery ◽  
Posterior Fossa Tumors ◽  
Harvey Cushing ◽  
Ventricular Puncture

Harvey Cushing played a pivotal role in establishing neurosurgery as a distinct surgical discipline. One of his most important contributions was defining the surgical removal of posterior fossa tumors. Compulsive preoperative evaluation followed by meticulous surgical technique as well as incorporation of maneuvers such as ventricular puncture and electrocautery further advanced resection of tumors in this region. Herein, the authors review Cushing's contributions to posterior fossa surgery.

Occult Intrasacral Meningocele: Clinical and Radiographic Diagnosis

Neurosurgery ◽  
1989 ◽  
Vol 24 (4) ◽  
pp. 616-625 ◽  
Author(s):  
James R. Doty ◽  
Jeffrey Thomson ◽  
Gary Simonds ◽  
Setti S. Rengachary ◽  
E. Neal Gunby
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Technique ◽  
Imaging Techniques ◽  
Preoperative Evaluation ◽  
Radiographic Imaging ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Radiographic Diagnosis ◽  
Intrasacral Meningocele

ABSTRACT We evaluated four patients who had occult intrasacral meningocele with multimodality radiographic imaging techniques. The clinical features, radiological findings, gross appearances of the lesion at surgery, surgical technique, histopathological features of the cyst wall, and surgical outcome are described. The role of magnetic resonance imaging in the preoperative evaluation compared with standard radiographic techniques is discussed. Theories regarding the pathogenesis of this lesion are reviewed.

Penile fracture: preoperative evaluation and surgical technique for optimal patient outcome

2008 ◽  
Vol 102 (11) ◽  
pp. 1640-1644 ◽  
Author(s):  
Ciamack Kamdar ◽  
Unni M.M. Mooppan ◽  
Hong Kim ◽  
Frederick A. Gulmi
Keyword(s):  
Patient Outcome ◽  
Surgical Technique ◽  
Preoperative Evaluation ◽  
Penile Fracture ◽  
Optimal Patient Outcome

scholarly journals Overview of tympanoplasty techniques and results

2017 ◽  
Vol 3 (2) ◽  
pp. 170
Author(s):  
Reshma P. Chavan ◽  
Shivraj M. Ingole ◽  
Santosh N. Birajdar
Keyword(s):  
Surgical Technique ◽  
Success Rate ◽  
Day Care ◽  
Research Articles ◽  
Graft Material ◽  
Time Saving ◽  
Day Care Surgery ◽  
Sinus Tympani ◽  
Retraction Pockets ◽  
Care Surgery

<p>The objective of this article is to overview about the changing techniques of tympanoplasty surgery and increase in the anatomical and functional success rate of surgeries. Introduction of endoscope in ear surgeries is time saving. Endoscopes are helpful to access hidden areas which was difficult with the help of microscope such as facial recesses, sinus tympani, extension of posterior-superior retraction pockets, etc. Also various modifications done in the techniques of using graft material for tympanoplasty surgery are reviewed in terms of graft acceptance and improvement of hearing. Articles reviewed are research articles, original articles and review articles published in pub med indexed journals. Because of Newer techniques in ear surgeries, tympanoplasty is becoming day care surgery. Also newer techniques are with cosmetic view and gives maximum post-operative hearing using minimal instrumentation. Efforts are taken to review the tympanoplasty surgical technique and its results.</p><p> </p>

scholarly journals Surgical pearl on reconstructing surgical defects of the nasal tip

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Artur César ◽  
Ana Barros ◽  
Paulo Santos ◽  
Filomena Azevedo
Keyword(s):  
Surgical Technique ◽  
Nasal Dorsum ◽  
Full Thickness ◽  
Nasal Tip ◽  
Skin Defects ◽  
Full Thickness Skin ◽  
One Stage ◽  
Thickness Skin ◽  
Cutaneous Flap

Repairing surgical defects of the nasal tip is challenging, mainly because of the lack of freely mobile skin available peripherally. The Peng flap is a one-stage cutaneous flap that circumvents this difficulty by recruiting skin from the nasal dorsum and sidewall regions. The design produces a tridimensional shape perfectly adapted to the configuration of the nasal tip and allows for an inconspicuous closure of the defect. We present three examples of full-thickness skin defects involving the nasal tip, reconstructed using a modified version of the Peng flap, and present the experience at our department with this surgical technique.

Effect of head circumference in combination with facial profile line on ultrasonic diagnosis of microcephaly

2019 ◽  
Vol 33 (14) ◽  
pp. 2372-2376
Author(s):  
Yang Li ◽  
Ming-Zhi Pan ◽  
Guo-Wei Tao ◽  
Zhe Ma ◽  
Hai-Fang Wu ◽  
...  
Keyword(s):  
Head Circumference ◽  
Ultrasonic Diagnosis ◽  
Facial Profile ◽  
Profile Line

Venous Ligation for Treatment of Cosmetically Unwanted Periorbital Facial Veins

2002 ◽  
Vol 19 (3) ◽  
pp. 153-157
Author(s):  
Deborah J. Daly ◽  
Eyal Levit ◽  
Emil Bisaccia ◽  
Dwight Scarborough
Keyword(s):  
At Risk ◽  
Surgical Technique ◽  
Patient Selection ◽  
Preoperative Evaluation ◽  
Target Vessel ◽  
Exclusion Criteria ◽  
Full Resolution ◽  
Photographic Documentation ◽  
Facial Vein ◽  
Anastomotic Circulation

Introduction: Treatment of unwanted periorbital facial veins is a challenge. Common modalities used to treat facial veins include electrocautery, radioelectrosurgery, laser, and microsclerotherapy. Periorbital veins resistant to electrocautery, difficult to safely target with laser, or at risk for sclerosant flow to ophthalmo-cranial anastomotic circulation may be treated with a vein ligation technique in properly selected patients. Methods: Patient selection, preoperative evaluation, exclusion criteria, and anatomic considerations are described in detail. The surgical technique is described in conjunction with intraoperative photos. Discussion: Patient selection and characteristics of ideal target vessels are reviewed to optimize results. Less than ideal patient and target vessel characteristics are reviewed in relation to inclusion and exclusion criteria for periorbital vein ligation technique. Results: This ligation technique provides a useful approach for treatment of cosmetically unwanted 1.5- to 3.0-mm facial veins in properly selected patients. Partial to full resolution may be expected for individual veins. Postoperative photographic documentation shows the typical improvement obtained. Conclusion: Periorbital facial vein ligation is a useful technique for addressing the problem of cosmetically unwanted periorbital facial veins in properly selected patients.

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