Reconstruction of the Lower Eye Lid With a Rotation-Advancement Tarsoconjunctival Cheek Flap

Primary intraosseous vascular malformations (PIVMs) are rare intraosseous lesions, accounting for approximately 0.5–1% of all intraosseous tumours. In this case report, we aimed to present a rare case of intraosseous vascular malformation causing a large lytic area in the parietal bone. A 25-year-old male patient was admitted to the clinic with a mass on the parietal bone. On physical examination, it was observed that the hair density on the mass was decreased, the mass had a soft consistency, and there was no pain on palpation. The patient was operated under local anaesthesia with a provisional diagnosis of a trichilemmal cyst. However, intraoperative diagnosis was a vascular malformation. There was a 3-cm full-thickness defect on the parietal bone caused by the lesion. The mass was excised completely while preserving the integrity of the dura. The resulting defect was reconstructed with bilateral rotation advancement flaps. The calvarial defect was not reconstructed due to equipment inadequacy. No complications were encountered in the postoperative period. Ninety-three PIVM cases have been reported in the skull since 1845. In very few of these cases, the mass is located in the parietal bone. The pathogenesis of PIVMs is not completely understood. The definitive diagnosis is made by histopathological examination. The therapeutic gold standard is surgery. Surgeons should keep in mind that radiological examination before the operation could prevent undesirable complications.

Download Full-text

Rotation-advancement repair of the unilateral cleft lip: One center's perspective

Journal of Oral and Maxillofacial Surgery ◽

10.1016/0278-2391(94)90195-3 ◽

1994 ◽

Vol 52 (10) ◽

pp. 1094

Author(s):

R.H. Haug

Keyword(s):

Cleft Lip ◽

Rotation Advancement

Download Full-text

Cleft Lip Repair: Technical Refinements for the Wide Cleft

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0030-1254377 ◽

2010 ◽

Vol 3 (2) ◽

pp. 81-86 ◽

Cited By ~ 10

Author(s):

Eric Meyer ◽

Alan Seyfer

Keyword(s):

Congenital Malformations ◽

Cleft Lip ◽

Common Type ◽

Upper Lip ◽

Vast Array ◽

Triangular Flap ◽

Aesthetic Results ◽

Cleft Lip Repair ◽

Rotation Advancement

Clefts of the lip and palate are among the most common congenital malformations. A unilateral deformity is the most common type of cleft, but even within this subgroup there is a great deal of variety due to the accompanying severe distortion of the upper lip, cheek, nose, and maxilla. To repair such a variety of clefts with good aesthetic results, several general incisional approaches should be mastered along with a variety of subtle techniques that improve the end product. The most common repair utilized in America is the Millard rotation-advancement technique. This is partly due to the perceived superiority in results compared with other repairs and the ease with which this repair can be taught to residents. This repair places the scar along an artificial philtral column and is often quite sufficient in small clefts. Unfortunately, adoption of this “one size fits all” approach can limit the arsenal of the surgeon facing the vast array of differing cleft lip deformities. For example, the modified triangular flap, or Tennison-Randall repair, can be of value when presented with the wider unilateral cleft lip. In an effort to not only demonstrate that excellent results can be achieved when incisional patterns (Millard and Tennison) are used appropriately (small versus large clefts), we compared the results of two types of repairs, performed by a single surgeon over a period of 30 years. In addition, a variety of subtle techniques are reviewed to assist in obtaining excellent aesthetic results for any size repair.

Download Full-text

Approach to the posterolateral maxilla and retromolar trigone using the lower cheek flap: two cases report and literature review

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2015.08.275 ◽

2015 ◽

Vol 44 ◽

pp. e273

Author(s):

B.W. Park ◽

Y.H. Kang ◽

J.H. Byun

Keyword(s):

Literature Review ◽

Retromolar Trigone ◽

Cheek Flap

Download Full-text

Antropometric Evaluation Of Gentur's Cheiloplasty Method In Unilateral Cleft Lip

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v3i2.202 ◽

2017 ◽

Vol 3 (2) ◽

pp. 52-60

Author(s):

Rani Septrina ◽

Gentur Sudjatmiko

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Anthropometric Data ◽

Cross Sectional ◽

Before And After ◽

Cleft Lip Repair ◽

Unilateral Cleft Lip Repair ◽

Palate Patient ◽

Vertical Height ◽

Rotation Advancement

Background: Cheiloplasty, the earliest surgical procedure in cleft lip and palate patient, has impact on functional and aesthetical appearance1. The Gentur’s technique is a method of cleft lip surgery that has been developed by him and has been used in RSUPN Cipto Mangunkusumo/Faculty of Medicine Universitas Indonesia2. It uses the rotation-advancement, small triangular, preventing notching concepts with some other details to overcome the wide cleft. This study was conducted to answer whether the Gentur’s technique gives symmetrical result in anthropometric measurements. Methods: Cross sectional analytic study will be taken from medical record in 14 unilateral cleft lip patients underwent cheiloplasty procedure. Direct anthropometric data before and after procedure were analyzed using SPSS17. Anthropometric data such as cupid’s bow, vertical height, horizontal height, vermillion and nostril were noted. Results: From 14 patients, we found 9 patients who underwent surgery in 3 months of age (64.3%) are mostly female (n=9, 64.3%), have complete defect (n=12, 85.8%) and left sided defect (n=8, 57.1%). Gentur’s technique is able to produce significant lip and nose symmetry (CI 95%, pvalue <0.005) in cupid’s bow, vertical height, horizontal height, thickness of vermillion and nose. By doing this technique, the author is able to create good lip and nose symmetry (78.57%) even in wide defect (64.3%) and palatal collapse (57.1%). Conclusion: Gentur’s technique is able to utilize tissue deficiency to create ideal lip and nose in unilateral cleft lip repair even in patients with wide gap.

Download Full-text