scholarly journals RADIO-FREQUENCY WAVE APPLICATION IN ESTHETIC SURGERY OF HEAD AND NECK

2008 ◽  
Vol 37 (2) ◽  
pp. 137-142
Author(s):  
Vukoje Novak
Keyword(s):  
Head And Neck ◽  
Surgical Procedures ◽  
Soft Tissues ◽  
New Technology ◽  
Surgical Techniques ◽  
Pathological Process ◽  
Wave Form ◽  
Esthetic Surgery ◽  
Frequency Wave ◽  
Radio Frequency Wave

Introduction: Four-megahertz radiowave surgery is a relatively new technology usage of which rapidly expands reaching superior results compared to other surgical techniques. Radiosurgery is an atraumatic metod of cutting and coagulation of soft tissues that uses optimal low heat 4.0 MHz source for numerous plastic,esthetic and cosmetic interventions which reguires surgical precision, penetration control and low temperature. This technology allows us to simultaneously cut and coagulate the tissue with minimal lateral tissue alteration, without burning damage and with better wounds healing.This mode is used by the author in high vascularity anatomical areas and for the deeper tissue of the head and neck. The pure cutting wave-form is ideal for skin excision with otoplasty and blepharoplasty when we expect ideal esthetic result. Coagulation is obviously paramount for any surgeon and can make the difference between a good and poor result. When he coagulates tissues in the head and neck, the surgen is frequently close to significant structures such as nerves and vessels which we must protect. Ellman Sugitron 4.0 offers great advantages. One of the stronges point of the Ellman system is the large array of specialized electrodes. By bending the malleable electrodes we can use them at any angle or even around corners. Material and Methods: The Author has done surgical procedures on over 600 patients using this technique on different esthetic problems with satisfying results. In operative material dominate various skin growths (hemangioma, fibroma, naevus, wart) blepharoplasy, otoplasty, rhinoplasty and other minor surgical procedures. Interventions were done in local anesthesy. The aim of this work is to present our observations about radioablation in heterogenous pathological process on head and neck based of our own experience. Results: Our results show that this technology have great advantage over other techniques (scalpel, electrocouter, laser) from which the most important are simultaneous cutting and coagulation,coagulation in liquid medium, minimal termal damage of latteral tissues, faster healing of wounds with excellent cosmetic results. If we want surgery without cut,cut without scar, Ellman Sugitron is the best choice.

scholarly journals Control of the radio-frequency wave form at the chuck of an industrial oxide-etch reactor

2000 ◽  
Vol 18 (6) ◽  
pp. 2806-2814 ◽  
Author(s):  
Lee Berry ◽  
Helen Maynard ◽  
Paul Miller ◽  
Tony Moore ◽  
Michael Pendley ◽  
...  
Keyword(s):  
Radio Frequency ◽  
Wave Form ◽  
Frequency Wave ◽  
Radio Frequency Wave

Facial Feminization Surgery Review: Diagnosis, Preoperative Planning, Surgical Techniques, and Outcomes

FACE ◽  
2021 ◽  
pp. 273250162110572
Author(s):  
Joshua Choe ◽  
Sajni Parikh ◽  
Sarah L. Barnett ◽  
Sabrina Sam ◽  
Kevin Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Patient Satisfaction ◽  
Surgical Procedures ◽  
Soft Tissues ◽  
Preoperative Planning ◽  
Surgical Techniques ◽  
Facial Features ◽  
Virtual Planning ◽  
Objective Outcome ◽  
Aesthetic Preferences

Facial Feminization Surgery (FFS) broadly encompasses a series of surgical procedures offered by craniomaxillofacial surgeons designed to modify facial features and transform both skeletal and soft tissues to create a more feminine appearance. Techniques, initially pioneered by Dr. Douglas Ousterhout, have been modified to include preoperative virtual planning and evolving aesthetic preferences. Computed Tomography (CT) imaging assists with morphologic typing of the brow, supraorbital, chin, and lateral mandible regions. Advancements in instrumentation increase the efficiency and accuracy of FFS procedures. More recently, trends in transgender acceptance have led to improved insurance authorization for FFS procedures. Objective outcome studies have shown success in achieving goals of (1) minimizing mis-gendering in public (appropriately identifying trans-women as female) and (2) reduction in dysphoric feelings (improved patient satisfaction).

Epithelioid haemangioendothelioma in the parapharyngeal space

2006 ◽  
Vol 120 (6) ◽  
pp. 505-507 ◽  
Author(s):  
J-C Lee ◽  
B-J Lee ◽  
S-G Wang ◽  
H-W Kim
Keyword(s):  
Endothelial Cells ◽  
Facial Nerve ◽  
Head And Neck ◽  
Soft Tissues ◽  
Parapharyngeal Space ◽  
Malignant Potential ◽  
Vascular Neoplasm ◽  
Cytoplasmic Vacuolation ◽  
Upper And Lower Extremities ◽  
Epithelioid Haemangioendothelioma

Epithelioid haemangioendothelioma (EHE) is an uncommon vascular neoplasm which occurs rarely in the head and neck and has an unpredictable clinical behaviour. It is characterized by round or spindle-shaped endothelial cells with cytoplasmic vacuolation. Most often, EHE arises from the soft tissues of the upper and lower extremities, and it has borderline malignant potential. We describe the first reported case of EHE in the parapharyngeal space, which was treated successfully via a transcervical–transparotid approach (following angiography with embolization), without massive intra-operative bleeding or facial nerve damage.

Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema

2021 ◽  
pp. 000313482199508
Author(s):  
Dezarae R. Leto ◽  
Derek T. Clar ◽  
David A. Goodman
Keyword(s):  
Head And Neck ◽  
Chest Wall ◽  
Clinical Evaluation ◽  
Subcutaneous Emphysema ◽  
Balloon Dilatation ◽  
Soft Tissues ◽  
Bowel Resection ◽  
Bowel Perforation ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She underwent laparotomy and bowel resection and recovered well. Subcutaneous emphysema in the head and neck from perforated bowel is a rare but recognized presentation of viscus perforation.

Orthodontic Pre Grafting Closure of Large Alveolar Bony and Soft Tissue Gaps: A Novel Nonsurgical Protraction of the Lesser Segments in Growing Patients With Cleft Lip and Palate

2021 ◽  
pp. 105566562110076
Author(s):  
Maria Costanza Meazzini ◽  
Noah Cohen ◽  
Valeria Marinella Augusta Battista ◽  
Cristina Incorvati ◽  
Federico Biglioli ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Efficient Method ◽  
Bone Grafting ◽  
Cleft Lip ◽  
Soft Tissues ◽  
Cleft Lip And Palate ◽  
Face Mask ◽  
Younger Patients ◽  
Good Healing

Background: Closure of wide alveolar clefts with large soft tissue gaps and reconstruction of the dentoalveolar defect are challenging for the surgeon. Some authors successfully used interdental segmental distraction, which requires an additional surgical procedure. Objective: This study evaluates the effectiveness of tooth borne devices utilized to orthopedically advance the lesser segments, with a complete approximation of the soft tissue of the alveolar stumps, allowing traditional simultaneous soft tissue closure and bone grafting, and avoiding the need for supplementary surgery. Methods: Eight growing patients, 2 with unilateral complete cleft lip and palate (UCLP) and 6 with bilateral complete cleft lip and palate (BCLP), with large soft tissue and bony alveolar defects prior to bone grafting were prospectively selected. A banded rapid palatal expander (RPE) in BCLP and a modified RPE in UCLP combined with protraction face mask in younger patients or a modified Alt-Ramec in patients older than 12 years were applied. Radiographic and photographic records were available at T0, at the end of protraction (T1) and at least 1 year after bone grafting (T2). Results: Patients with large gaps showed a significant reduction in the bony cleft area and approximation of the soft tissues at T1. All patients received bone grafting with good healing and ossification at T2. Conclusion: In growing patients with UCLP and BCLP with large gaps, presurgical orthodontic protraction seems to be an efficient method to reduce the cleft defect, minimizing the risk of post grafting fistulas, reducing the need for supplementary surgical procedures.

scholarly journals An additional challenge for head and neck radiologists: anatomic variants posing a surgical risk – a pictorial review

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Davide Farina ◽  
Davide Lombardi ◽  
Martina Bertuletti ◽  
Giovanni Palumbo ◽  
Ivan Zorza ◽  
...  
Keyword(s):  
Head And Neck ◽  
Surgical Procedures ◽  
Cross Sectional ◽  
Surgical Risk ◽  
Pictorial Review ◽  
Additional Challenge ◽  
Anatomic Variants ◽  
Accurate Reporting

AbstractAnatomic variants in the head and neck are quite numerous and occur frequently: a minority of them increase the risk of complications during surgical procedures and may be visualized on cross-sectional images. As some of these complications are potentially fatal, awareness (and accurate reporting) of such variants is a basic responsibility of radiologists, particularly when surgery in the pertinent anatomic area is under consideration.

Tophaceous gout presenting as a dorsal nasal lump

2005 ◽  
Vol 119 (6) ◽  
pp. 492-494 ◽  
Author(s):  
J P Hughes ◽  
Silvana Di Palma ◽  
J Rowe-Jones
Keyword(s):  
Literature Review ◽  
Head And Neck ◽  
Soft Tissues ◽  
Neck Region ◽  
Endoscopic Technique ◽  
Tophaceous Gout ◽  
Head And Neck Region ◽  
Nasal Bones ◽  
Aesthetic Rhinoplasty ◽  
Emergency Tracheotomy

A literature review reveals that gout has been described as affecting many sites in the head and neck region, both in the arthritic and tophaceous form. Gout can often mimic malignancy or infection, and has been described as causing acute airway problems requiring emergency tracheotomy. Here we describe the first published case of tophaceous gout affecting the soft tissues overlying the nasal bones. The patient presented with a bony, hard, dorsal hump and requested aesthetic rhinoplasty.We also describe an endoscopic technique for removal of tophi using a powered microdebrider system with a protected burr head. Endoscopic powered microdebrider blade excision of tophi affecting the limbs has already been described, with reduced complications when compared with conventional curettage and debridement techniques. This is the first such application to the nose.

Surgical Morbidity of Neck Dissection after Chemoradiotherapy in Advanced Head and Neck Cancer

1997 ◽  
Vol 106 (2) ◽  
pp. 117-122 ◽  
Author(s):  
James P. Newman ◽  
Willard E. Fee ◽  
David J. Terris ◽  
Richard L. Goode ◽  
Harlan A. Pinto ◽  
...  
Keyword(s):  
Head And Neck ◽  
Surgical Procedures ◽  
Complication Rate ◽  
Organ Preservation ◽  
Surgical Complication ◽  
Control Group ◽  
Surgical Morbidity ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Lower Complication

The use of chemotherapy and irradiation for organ preservation attempts to eliminate the need for extensive surgery in patients with advanced squamous cell carcinoma of the head and neck (SCCHN). We sought to characterize the morbidity of surgery in patients who needed surgery after treatment with induction chemotherapy followed by simultaneous chemotherapy and radiotherapy (chemoradiotherapy). The surgical morbidity within the first 30 postoperative days of 17 patients treated in an organ preservation approach between July 1991 and December 1994 was compared with a control group of patients undergoing similar surgical procedures during the same period. The organ preservation study patients underwent surgical procedures consisting of 18 neck dissections and 5 resections of the primary site. Six patients in the organ preservation study group experienced 8 surgical complications within the first 30 postoperative days, and most complications were minor. There was no significant difference in the duration of surgery or length of hospitalization between study patients and matched controls. Our surgical complication rate (35.3%) was higher but not statistically different from that of the control group, and compared favorably to reports of surgical morbidity (44% to 61%) in the literature on patients treated with chemoradiotherapy. The lower complication rate seen in this study may be a reflection of early surgical intervention as part of our organ preservation study scheme, the preponderance of neck dissections performed, and the limited number of pharyngeal procedures performed.

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