You searched for "obstruction"
A move away from bony free flaps in reconstruction
Techniques for facial reconstruction have come on in leaps and bounds since the world wars. The use of titanium implants is more recent and the technology for manipulating the metal and how we use it is rapidly developing. Here the...
Free flap reconstruction in stage three bisphosphonate-related osteonecrosis
There is no widely accepted gold standard for the treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ). Early BRONJ is managed conservatively but there is controversy regarding the treatment of the later stages. Stage three is defined as exposed bone...
Nasolabial flap to reconstruct periorbital defects
The authors present a series of 25, mainly geriatric patients that had ablative surgery with complex defects in the paranasal and orbital regions. The paranasal and periorbital regions are extremely important for facial aesthetics and quality of life. The authors...
Delirium post-op
This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...
Polydioxanone in septal reconstruction
Septal reconstruction is a challenging problem and is undertaken for functional or cosmetic reasons, or a combination of both. Either autologous cartilage, commonly auricular, or other alloplastic material can be used. The authors describe the use of a Polydioxanone (PDS)...
Peripheral nerve reconstruction using cell-enhanced acellular nerve grafts
Autologous nerve grafts are the current gold standard for peripheral nerve reconstruction. This systematic review analyses the role of cell-enhanced acellular nerve (ANA) grafts on the regeneration of peripheral nerve injuries. Several studies have been published to examine alternatives to...
Speech predictors after glossectomy
This is a cross-sectional study from India where 69 patients were assessed for speech intelligibility and phonetics using an assessment tool in the local language. Volume defects were classified into thirds and the location of this defect noted. Not unsurprisingly,...
Should we leave a reconstructed auricle exposed?
Microtia results in psychological and functional morbidity and total auricle reconstruction offers the affected individual a more cosmetically pleasing ear. The art of dressing postoperatively can be heterogenous between surgeons. This single-centre retrospective study based in China compared complication rate...Wound moisture sensing in traumatic wounds
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may enable bacterial or fungal invasion. The successful...The role of the maxillo-facial surgeon in the management of skull base malignancy
Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...Pathways for becoming an audiologist in the USA Part 1: the early years
Part 2 of this topic is available here. The Doctor of Audiology degree is required for clinical practice in the USA. In part one of a two-part series, Professor Hall reviews the evolution of academic credentialing for American audiologists, beginning...
