scholarly journals PARAMEDIAN FOREHEAD FLAP FOR RECONSTRUCTION OF THE NOSE

2015 ◽  
Vol 38 (2) ◽  
pp. 147
Author(s):  
Al Hafiz ◽  
Effy Huriyati ◽  
Bestari J. Budiman ◽  
Jacky Munilson

AbstrakPenutupan defek yang ditimbulkan akibat operasi di daerah kepala dan leher umumnya dapat dilakukan dengan penjahitan langsung. Untuk defek yang lebih luas, atau apabila metode penjahitan langsung tidak memungkinkan untuk dilakukan, maka dapat digunakan flap kulit. Laporan kasus ini bertujuan untuk mendemonstrasikan ke ahli THT-KL, bagaimana forehead flap dapat memperbaiki estetika dan fungsi hidung pada kasus deformitas hidung. Satu kasus deformitas pada hidung, seorang laki-laki berusia 69 tahun dengan riwayat basalioma di daerah hidung. Pada pasien dilakukan rekonstruksi hidung dengan menggunakan forehead flap. Rekonstruksi hidung menggunakan forehead flap dapat mengurangi defek pada deformitas hidung. Diperlukan analisis wajah terutama daerah hidung untuk menentukan jenis dan posisi dari flap kulit yang tepat.AbstractA Defect following head and neck surgery can often be closed using the technique of direct suture. For larger defects or in situations where direct suture is neither applicable, surgical defect in the head and neck especially at the nose, can be filled by local skin flaps. The case was reported in order to demonstrate to Otorhinolaryngology Head and Neck surgeons on how the forehead flap could restore the aesthetic and function of the nose in nasal deformity case. One case of the nasal deformity was reported in a 69 years old man with history of basal cell carcinoma on the nose. This patient was managed using the forehead flap for nasal reconstruction purpose. The employment of this technique could reduce the defects of nasal deformity. Facial analysis particularly nasal area is necessary to determine the exact kind and position of skin flap.

2012 ◽  
Vol 126 (10) ◽  
pp. 1073-1076 ◽  
Author(s):  
J van Griethuysen ◽  
R Kuchai ◽  
A S Taghi ◽  
H A Saleh

AbstractObjective:We report the use of triamcinolone injections to correct severe nasal deformity due to sarcoidosis, as an alternative to formal surgical rhinoplasty.Case report:A 30-year-old woman with a long-standing history of sarcoidosis presented to a tertiary referral rhinology clinic complaining of breathing difficulty and nasal deformity. Flexible nasoendoscopy revealed red nasal plaques typical of nasal sarcoidosis, together with significant widening of the nasal bridge. Triamcinolone, a long-acting corticosteroid, was injected both intralesionally and subcutaneously over the nasal dorsum, at zero, three and eight months, resulting in long-lasting improvement of the nasal shape.Conclusion:Sarcoidosis is a non-caseating, granulomatous, epithelioid inflammation. Otorhinolaryngological manifestations occur in approximately 10 per cent of patients; however, there is little published experience of nasal reconstruction in such patients. We describe a quick, simple and relatively cost-effective technique, with little or no co-morbidity, with which to improve the aesthetic and symptomatic outcomes of nasal sarcoidosis.


Author(s):  
Prashant Bhardwaj ◽  
Abhinav Srivastava ◽  
Danish Arora ◽  
FNU Sadhna

ABSTRACT Rhinoplasty, is derived from the Greek word rhinos (nose) and plassein (to shape), and is a surgery performed to achieve two results: To improve breathing function of nose and to improve cosmetic look of the nose. Rhinoplasty is a plastic surgery for correcting and reconstructing the form, restoring the functions, and esthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty. An otolaryngologist or a plastic and reconstructive surgeon creates a functional, esthetic, and facially proportionate nose by separating the nasal skin and the soft tissues from the osseocartilaginous nasal framework, correcting them as required for form and function, suturing the incisions, and applying either a pack or a stent, or both, to immobilize the corrected nose to ensure the proper healing of the surgical incision. The nonsurgical rhinoplasty procedure corrects and modifies slight defects of the nose by means of subcutaneous injections of biologically inert fillers; the results tend to be relatively transitory, in comparison with the results of nose surgery. The forehead rhinoplastic reconstruction of nose practiced by Indians centuries ago is known universally as Indian forehead flap for nasal reconstruction. How to cite this article Arora D, Mohan C, Bhardwaj P, Sadhna, Srivastava A. History of Rhinoplasty. Int J Adv Integ Med Sci 2017;2(1):40-43.


HNO ◽  
2021 ◽  
Vol 69 (5) ◽  
pp. 338-365
Author(s):  
Albert Mudry ◽  
Robert Mlynski ◽  
Burkhard Kramp

AbstractIn 2021, the German Society of Otorhinolaryngology, Head and Neck Surgery is celebrating the 100th anniversary of its foundation. The aim of this article is to present the main inventions and progress made in Germany before 1921, the date the society was founded. Three chronological periods are discernible: the history of otorhinolaryngology (ORL) in Germany until the beginning of the 19th century, focusing mainly on the development of scattered knowledge; the birth of the sub-specialties otology, laryngology (pharyngo-laryngology and endoscopy), and rhinology in the 19th century, combining advances in knowledge and implementation of academic structures; and the creation of the ORL specialty at the turn of the 20th century, mainly concentrating on academic organization and expansion. This period was crucial and allowed for the foundation of the German Society of Otorhinolaryngology, Head and Neck Surgery on solid ground. Germany played an important role in the development and progress of ORL internationally in the 19th century with such great contributors as Anton von Tröltsch, Hermann Schwartze, Otto Körner, Rudolf Voltolini, and Gustav Killian to mention a few.


2019 ◽  
Vol 130 (3) ◽  
Author(s):  
Zaid Al‐Qurayshi ◽  
Jarrett Walsh ◽  
Scott Owen ◽  
Gregory Randolph ◽  
Emad Kandil

1996 ◽  
Vol 115 (5) ◽  
pp. 379-385 ◽  
Author(s):  
JEROME C. GOLDSTEIN ◽  
GEORGE A. SISSON SR.

1978 ◽  
Vol 86 (1) ◽  
pp. ORL-23-ORL-26 ◽  
Author(s):  
Joseph H. Ogura

This lecture portrays a 3O-year span in the history of head and neck surgery In otolaryngology, which the author experienced from its beginning, and describes the multiple events that have evolved In its transition to maturity.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Abdulkadir Bucak ◽  
Sahin Ulu ◽  
Abdullah Aycicek ◽  
Emre Kacar ◽  
Murat Cem Miman

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible. Patients typically present with painful torticollis. Diagnosis of Grisel’s syndrome is largely based on suspicion of the patient who has recently underwent surgery or history of infection in head and neck region. Physical examination and imaging techniques assist in diagnosis. Therefore, clinicians should be aware of acute nontraumatic torticollis after recently applied the head and neck surgery or undergone upper respiratory tract infection. In this paper, a case of an eight-year-old male patient who had Grisel’s syndrome after adenotonsillectomy is discussed with review of the literature.


Author(s):  
Shashhidhar K. ◽  
Venkatesh Doreyawar ◽  
Nabeel Malick ◽  
Sandhya N. S. ◽  
Preetham H. N. ◽  
...  

<p class="abstract"><strong>Background:</strong> Head and neck malignancies are of common occurrence in India requiring early diagnosis for effective reconstruction by various surgical techniques. The aim of the present study was to evaluate the pattern of involvement of head and neck malignancies and to evaluate various surgical resection and reconstruction techniques used in the management of head and neck malignancies<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This is a retrospective study carried out in the Department of ENT and Head &amp; Neck Surgery And Surgical Oncology, Karnataka Institute Of Medical Sciences, Hubballi, from July 2015 to December 2016. All patients who underwent surgery for head and neck malignancy were included in our study<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> Retrospective analysis of our study yielded 36 cases of which 29 patients were male and 7 were female. In our study commonest age group was 6<sup>th</sup> and 7<sup>th</sup> decade constituting 55.55%. The most common site involved was oral cavity constituting about 63.88%. The most common sub-site in oral cavity malignancy was found to be anterior 2/3<sup>rd</sup>of tongue (25%), followed by lip and buccal mucosa each of which constituted 13.88%<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In our study oral cavity was the most common site to be involved in head and neck malignancies, of which anterior 2/3rd of tongue is the most common sub-site. Majority of the patients underwent tumour resection with flap reconstruction. Locoregional flaps form an efficient alternative in cases where primary closure is not possible without compromising the aesthetic outcomes<span lang="EN-IN">.</span></p>


2022 ◽  
Vol 12 (1) ◽  
pp. 87-91
Author(s):  
Lucretya Yeniwati Tanuwijaya ◽  
Agus Roy Rusly Hariantana Hamid ◽  
I Gusti Putu Hendra Sanjaya

Background: Acquired syndactyly is a very rare disorder on the interdigital area. Syndactyly with only soft tissue involvement can be a sequela of trauma, such as burn, inflammation or infection in the interdigital area, resulting in bony fusion following crush injury. Case Report: An 8-year-old boy came to our department with fusion from the base to the tip of the first to fourth right toes since the accidental step on burnt plastic 5 years ago. He complained of a poor appearance and discomfort when walking. Then we performed zigzag incision for first to second toes and third to fourth toes. Skin graft closure was performed to cover the defect on third to fourth toes. The second reconstruction surgery will be scheduled 6 months later. Discussion: The surgical techniques for foot syndactyly were derived from those for hand syndactyly, which are to separate the digital fusion by creating local skin flap. Additionally, skin graft might be necessary when recent surgeons avoid the use of skin graft for open treatment, primary closure by defatting, or intricate local flaps. These can shorten the operation time and minimize donor site morbidity. However, surgeons should consider the free tension closure of the wound by combining the skin graft after the flap. Conclusion: Reconstruction procedure for foot syndactyly aims to improve the appearance and function of the toes as well as to avoid progressive deformity through development. The skin graft addition in combination of skin flap shows promising outcome. Key words: acquired syndactyly, syndactyly reconstruction, zigzag flap, skin graft.


2020 ◽  
Vol 134 (5) ◽  
pp. 381-386
Author(s):  
J C Watkinson

Mr President, Mr President Elect, Fellows and Members, Ladies and Gentleman, it is a pleasure to address the Section of Laryngology this morning and deliver the 94th Semon Lecture. I would like to thank the Semon Committee for their kind invitation. My lecture will discuss Sir Felix Semon (the man himself), highlight the history of head and neck surgery, and then discuss the requirements of a modern-day thyroid surgeon. I have no conflict of interest and nothing to declare.


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