scholarly journals Karapandzic Flap for Functional & Cosmetic Reconstruction of Lower Lip Cancer with Review of Literature

2021 ◽  
Vol 5 (5) ◽  
pp. 01-05
Author(s):  
Sachin S Kadam ◽  
Saurabh Phadke ◽  
Tejaswini Kadam
Keyword(s):  
Oral Cavity Cancer ◽  
The Body ◽  
Full Thickness ◽  
Reconstructive Procedure ◽  
Review Of Literature ◽  
Lip Cancer ◽  
Large Defect ◽  
Vascular Integrity ◽  
Lower Lip ◽  
Good Cosmetic

The incidence and prevalence of lip and oral cavity cancer has increased over the last decade, worldwide and in India. It ranks at 1st position in males in india, all ages, in 2020. Lips are essential organ of the body which carries dynamic role in facial expression, speech, sensuality, deglutition. Resection of central, large, lower lip cancer creates a more than 2/3rd large defect. Covering of this defect with maintenance of oral competency is a difficult task for a treating surgeon. Number of techniques are described for covering of large lower lip defects. Out of these techniques, karapandzic flap is a successful, accepted, simple, easy to learn reconstructive procedure with good cosmetic results. It is a modification of Gillie’s fan flap and it involves unilateral or bilateral full-thickness circumoral advancement-rotation flaps. The feature which distinguishes it from other techniques is preservation of neuro-vascular integrity, symmetry and oral competency. We are reporting a case of an elderly gentleman with large, central, lower lip cancer who underwent oncological resection with reconstruction by karapandzic flap technique.

scholarly journals Religion, Belonging, and Active Citizenship: A Systematic Review of Literature on Muslim Youth in Australia

Religions ◽  
2021 ◽  
Vol 12 (4) ◽  
pp. 237
Author(s):  
Mehmet Ozalp ◽  
Mirela Ćufurović
Keyword(s):  
Systematic Review ◽  
Civic Engagement ◽  
The Body ◽  
Active Citizenship ◽  
Review Of Literature ◽  
The West ◽  
Important Conclusion ◽  
Muslim Youth ◽  
Effective Manner ◽  
The Impact

Muslim youth have been under scrutiny over the last two decades from a radicalisation and countering violent extremism lens. This bias has largely carried itself to research conducted on Muslim youth in the West. This article undertakes a systematic review and analysis of literature conducted on Muslim youth in the West and in Australia in the last two decades since 11 September 2001. The body of literature in this field can be grouped under three main themes: (1) the impact of terrorism policies and discourse on Muslim youth and their disengaged identities, (2) the relationship between religion (Islam) and civic engagement of Muslim youth, and (3) Muslim youth as active citizens. An important conclusion of this review is that most of the research is dated. There have been significant changes in the development of youth as they quickly evolve and adapt. The systematic review of literature exposed a number of gaps in the research: the current literature ignores generic adolescent factors and external social factors other than Islam that also influence Muslim youth; studies that examine both online and traditional activism and volunteering space are needed to understand the dynamics of change and shift; research needs to focus on Muslim youth who were born and raised in Australia rather than focus only on migrant youth; the ways some Muslim youth use their unique sense of identity as Australian Muslims to become successful citizens engaged in positive action is not known; how Muslim youth use avenues other than their faith to express themselves in civic engagement and their commitment to society is underexplored; it is not known the degree to which bonding networks influence the identity formation and transformation of Muslim youth; there is no research done to examine how adult–youth partnership is managed in organisations that successfully integrate youth in their leadership; there is a need to include Australian Muslim youth individual accounts of their active citizenship; there is a need to understand the process of positive Muslim youth transformations as a complement to the current focus on the radicalisation process. Addressing these gaps will allow a more complete understanding of Muslim youth in the West and inform educational and social policies in a more effective manner.

scholarly journals Reconstruction of a Large Anterior Ear Defect after Mohs Micrographic Surgery with a Cartilage Graft and Postauricular Revolving Door Flap

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Stephanie Nemir ◽  
Lindsey Hunter-Ellul ◽  
Vlad Codrea ◽  
Richard Wagner
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Structural Integrity ◽  
Revolving Door ◽  
Cartilage Graft ◽  
Full Thickness ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Large Defect ◽  
And Cartilage

A novel postauricular revolving door island flap and cartilage graft combination was employed to correct a large defect on the anterior ear of an 84-year-old man who underwent Mohs micrographic surgery for an antihelical squamous cell carcinoma. The defect measured 4.6 × 2.4 cm and spanned the antihelix, scapha, a small portion of the helix, and a large segment of underlying cartilage, with loss of structural integrity and anterior folding of the ear. The repair involved harvesting 1.5 cm2of exposed cartilage from the scaphoid fossa and then sculpting and suturing it to the remnant of the antihelical cartilage in order to recreate the antihelical crura. The skin of the posterior auricle was then incised just below the helical rim and folded anteriorly to cover the cartilage graft. The flap remained attached by a central subcutaneous pedicle, and an island designed using the full-thickness defect as a stencil template was pulled through the cartilage window anteriorly to resurface the anterior ear. This case demonstrates the use of the revolving door flap for coverage of large central ear defects with loss of cartilaginous support and illustrates how cartilage grafts may be used in combination with the flap to improve ear contour after resection.

Airway management in a non ventilable patient due to giant lower lip cancer

2008 ◽  
Vol 25 (Sup 44) ◽  
pp. 241-242
Author(s):  
D. Campello ◽  
C. Cilla ◽  
T. Alcázar ◽  
A. Sabaté
Keyword(s):  
Airway Management ◽  
Lip Cancer ◽  
Lower Lip

O5 Photodynamic therapy as an optimal technique for treating lower lip cancer

2010 ◽  
Vol 7 ◽  
pp. S7
Author(s):  
E.Ph. Stranadko ◽  
V.A. Titova ◽  
M.V. Rjabov ◽  
V.Yu. Petrovsky
Keyword(s):  
Photodynamic Therapy ◽  
Lip Cancer ◽  
Lower Lip ◽  
Optimal Technique

scholarly journals Diffuse Parenchymal Neurocysticercosis: A Case Report and Review of Literature

2020 ◽  
Vol 17 (02) ◽  
pp. 149-152
Author(s):  
Hanuman Prasad Prajapati
Keyword(s):  
Skeletal Muscles ◽  
Taenia Solium ◽  
Radiological Feature ◽  
Management Plan ◽  
The Body ◽  
Review Of Literature ◽  
Subcutaneous Tissues ◽  
The Central Nervous System ◽  
Tomography Scan ◽  
Widespread Dissemination

AbstractNeurocysticercosis is the commonest parasitic disease of the central nervous system and the leading cause of seizure in the developing world. Human cysticercosis is caused by the dissemination of the embryo of Taenia solium in the intestine via the hepatoportal system to the tissues and organs of the body. The organs most commonly affected are the subcutaneous tissues, skeletal muscles, lung, brain, eye, liver, and occasionally the heart, thyroid, and pancreas. Widespread dissemination of the cysticerci can result in the involvement of almost any organ in the body. We report a case of 60 years old male presented with head injury due to fall, which was diagnosed as diffuse parenchymal neurocysticercosis on computed tomography scan of brain. We discuss the radiological feature, diagnostic criteria, management plan, and literature review of such reported cases.

scholarly journals Management of facial burns

2020 ◽  
Vol 8 ◽  
Author(s):  
David G Greenhalgh
Keyword(s):  
Skin Grafting ◽  
Healing Time ◽  
The Body ◽  
Full Thickness ◽  
Partial Thickness ◽  
Facial Burns ◽  
The Face ◽  
Partial Thickness Burns

Abstract Burns to the face affect a part of the body that cannot be hidden and thus exposes potentially major changes in appearance to society. Therefore, it is incumbent upon the caregiver to optimize healing and minimize scarring. The goal for partial-thickness burns is to have them heal within 2–3 weeks to minimize healing time. For full-thickness burns there needs to be strategies to optimize the outcomes for skin grafting and minimize scarring. The goal of this review is to discuss the best way to improve the outcomes of these devastating injuries.

Fusuma Sliding Flap for Lip Reconstruction of Lower Lip Cancer

2020 ◽  
Vol 31 (4) ◽  
pp. e405-e407
Author(s):  
Ryo Miyazaki ◽  
Tomohisa Nagasao ◽  
Akinori Iwasaki ◽  
Mao Tanaka ◽  
Fumi Nakai ◽  
...  
Keyword(s):  
Lip Cancer ◽  
Lower Lip ◽  
Lip Reconstruction

Mega Fibula Free Flap for Reconstruction of an Extensive Mandibulofacial Defect

2020 ◽  
pp. 000348942094678
Author(s):  
Chen Lin ◽  
Akina Tamaki ◽  
Enver Ozer
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Single Mode ◽  
Soft Tissue Defect ◽  
Peroneal Artery ◽  
Soft Tissue Coverage ◽  
Large Defect ◽  
Skin Paddle ◽  
Lower Lip ◽  
Fibula Free Flap

Objective: Extensive mandibulofacial defects can be challenging to reconstruct. We present the case of a complex mandibulofacial defect reconstructed with a mega, chimeric fibula free flap. Methods: Ablation of the oral cavity tumor resulted in a large defect involving mandible, floor of mouth, and tongue. Skin of the chin and neck as well as the lower lip were also resected. A fibula free flap was harvested with the skin paddle involving most of the lateral compartment. Results: The fibula free flap was split into proximal (80 cm2) and distal (120 cm2) skin paddle islands, which were supplied by separate perforators off the peroneal artery. The intraoral soft tissue defect was reconstructed with the proximal skin paddle while the skin was recreated with the distal skin paddle. A Karapandzic flap was used to reconstruct the lower lip. Conclusions: The traditional fibula free flap skin paddle often does not provide sufficient soft tissue coverage for large mandibulofacial defects. Some surgeons opt to harvest a second free flap. We describe our technique for using the mega fibula free flap – one of the largest reported in the literature – as a single mode of reconstruction.

A custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket

2020 ◽  
pp. 112067212097494
Author(s):  
Fan Yang ◽  
Zhengkang Li ◽  
Yuan Deng
Keyword(s):  
Oral Mucosa ◽  
Clinical Effects ◽  
Compression Bandage ◽  
Artificial Eye ◽  
Lower Lip ◽  
Custom Made ◽  
Good Cosmetic ◽  
Contracted Socket ◽  
Cosmetic Outcomes ◽  
The Mean

Purpose: To investigate the clinical effects of a custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket. Methods: Clinical data and photographs of 32 patients with severely contracted socket were retrospectively analyzed. Among the 32 cases, 21 were males and 11 were females. Their ages ranged from 20 to 71 years (mean, 45 years). Each patient underwent conjunctival sac plasty using a custom-made conformer wrapped by oral mucosa, then compression bandage for 1 month. All patients received tarsorrhaphy 6 months postoperatively, and an artificial eye was worn 1 week later. Results: All the grafts were fully vascularized. The conjunctival sacs had enough space to fit the desirable artificial eyes, and adequate aesthetic outcomes were reached postoperatively. The mean depth of the upper fornix was 4.28 ± 0.66 mm preoperatively and 18.84 ± 0.65 mm postoperatively ( p < 0.01), and lower fornix depth was 2.69 ± 0.42 and 8.78 ± 0.82 mm, respectively ( p < 0.01). Lower lip deformity occurred in one case. Conclusion: A custom-made conformer wrapped in lower oral mucosa was a safe and effective grafting material. The grafts can be effectively used in the reconstruction of severely contracted socket and lead to good cosmetic outcomes.

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