Evaluation of facial symmetry after jaw reconstruction surgery

Men’s circumcision is in many countries considered as a hygienic-cosmetic or aesthetic treatment. However, it still remains in close connection with religious rites (Judaism, Islam) and is still practiced all over the world. During the Second World War the visible effects of circumcision became an indisputable evidence of being a Jew and were often used especially by the so-called szmalcownicy (blackmailers). Fear of the possibility of discovering as non-Aryan prompted many Jews hiding on the so-called Aryan side of Warsaw to seek medical practitioners who would restore the condition as it was before the circumcision. The reconstruction surgery was called in surgical jargon “knife baptizing”. Almost all of the procedures were performed by Aryan doctors although four cases of hiding Jewish doctors participating in such procedures are known. Surgical technique consisted of the surgical formation of a new foreskin after tissue preparation and stretching it by manual treatment. The success of the repair operation depended on the patient’s cooperation with the doctor, the worst result was in children. The physicians described in the article and the operating technique are probably only a fragment of a broader activity, described meticulously by only one of the doctors – Dr. Janusz Skórski. This work is an attempt to describe the phenomenon based on the very scanty source material, but it seems to be the first such attempt for several decades.

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Jaw Reconstruction With Printed Titanium and Free Tissue Transfer

Case Medical Research ◽

10.31525/ct1-nct03905005 ◽

2019 ◽

Author(s):

Keyword(s):

Free Tissue Transfer ◽

Jaw Reconstruction ◽

Tissue Transfer

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Ossicular chain reconstruction: endoscopic or microscopic?

The Journal of Laryngology & Otology ◽

10.1017/s0022215120002728 ◽

2021 ◽

pp. 1-7

Author(s):

E A Guneri ◽

A Cakir Cetin

Keyword(s):

Word Recognition ◽

Middle Ear ◽

Risk Index ◽

Ossicular Chain ◽

Recognition Score ◽

Reconstruction Surgery ◽

Ossicular Chain Reconstruction ◽

Operation Duration ◽

Air Conduction

Abstract Objective To compare the results of endoscopic and microscopic ossicular chain reconstruction surgery. Methods Patients undergoing ossicular chain reconstruction surgery via an endoscopic (n = 31) or microscopic (n = 34) technique were analysed for age, gender, Middle Ear Risk Index, ossicular chain defect, incision type, ossicular chain reconstruction surgery material, mean air conduction threshold, air–bone gap, air–bone gap gain, word recognition score, mean operation duration and mean post-operative follow up. Results Post-operative air conduction, air–bone gap and word recognition score improved significantly in both groups (within-subject p < 0.001 for air conduction and air–bone gap, and 0.026 for word recognition score); differences between groups were not significant (between-subject p = 0.192 for air conduction, 0.102 for air–bone gap, and 0.709 for word recognition score). Other parameters were similar between groups, except for incision type. However, endoscopic ossicular chain reconstruction surgery was associated with a significantly shorter operation duration (p < 0.001). Conclusion Endoscopic ossicular chain reconstruction surgery can achieve comparable surgical and audiological outcomes to those of microscopic ossicular chain reconstruction surgery in a shorter time.

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Geometric Analysis of the Bilobed Flap for Nasal Reconstruction Surgery

FACE ◽

10.1177/2732501621993908 ◽

2021 ◽

pp. 273250162199390

Author(s):

Daniel Henick ◽

Kelvin K. Ampem-Darko ◽

Farah Sayegh ◽

Paymon Sanati-Mezrahi ◽

Mehul Bhatt ◽

...

Keyword(s):

Geometric Analysis ◽

Nasal Reconstruction ◽

Anatomical Features ◽

Reconstruction Surgery ◽

Repair Technique ◽

Bilobed Flap ◽

Calculated Ratio ◽

Flap Design ◽

Objectively Measured ◽

Angle Of Rotation

Background: Reconstruction of the nose can be difficult due to its complex anatomical features. In 1989, Zitelli described a modified version of the bilobed flap design technique using 45° and 90° angles to improve nasal reconstructions. While the bilobed flap is still frequently referenced in scholarly literature, there seems to be inconsistency in preoperative flap design; these deviations can lead to suboptimal outcomes. The authors aim to illustrate the variability in bilobed flap execution and provide guidelines in preoperative design to improve consistency. Methods: A geometrically-based approach was used to characterize the inconsistency of bilobed repair technique. The pre-operative design images from fifteen scholarly articles were analyzed via a series of measurements and computations to quantify the angle of rotation and dimensions for the primary and secondary lobes. The “Error Quotient” was a calculated ratio that objectively measured the extent to which a bilobed design deviated from Zitelli’s specifications. Results: There was a noticeable variability in the design of both the primary and secondary lobes. Bilobed designs with smaller angles of rotation, particularly of the first lobe, were associated with higher Error Quotients and greater amounts of deviation from Zitelli’s design. Designs with the smallest Error Quotients had a primary lobe rotation that approached 45°. Conclusion: Consistency of application of the bilobed flap should be established to allow for optimal results, particularly with emphasis on design of the primary lobe. This can be accomplished by including a disposable protractor and marker in their sterile kit to measure a 45° rotation.

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