1,721,152 research outputs found
Facial animation in patients with Moebius and Moebius-like syndromes.
No full textMoebius syndrome, a rare congenital disorder of varying severity, involves multiple cranial nerves and is characterised predominantly by bilateral or unilateral paralysis of the facial and abducens nerves. Facial paralysis causes inability to smile and bilabial incompetence with speech difficulties, oral incompetence, problems with eating and drinking, including pocketing of food in the cheek and dribbling, as well as severe drooling. Other relevant clinical findings are incomplete eye closure and convergent strabismus. The authors report on 48 patients with Moebius and Moebius-like syndromes seen from 2003 to September 2007 (23 males and 25 females, mean age 13.9 years). In 20 cases a reinnervated gracilis transplant was performed to re-animate the impaired sides of the face. In this series, all free-muscle transplantations survived the transfer, and no flap was lost. In 19 patients complete reinnervation of the muscle was observed with an excellent or good facial symmetry at rest in all patients and whilst smiling in 87% of cases. In conclusion, according to the literature, the gracilis muscle free transfer can be considered a safe and reliable technique for facial reanimation with good aesthetic and functional results
Dyskeratosis congenita and squamous cell carcinoma of the mandibular alveolar ridge
No full textDyskeratosis congenita is a rare disease caused by telomerase dysfunction classically characterised by the triad: skin pigmentation, nail dystrophy and mucosal leukoplakia. Few cases are described in literature regarding patients with head and neck squamous cell carcinoma affected by dyskeratosis congenita, and the therapeutic decisions are not yet well defined. A review of the literature of the last 20 years (2001-2021) was performed, and it was analysed the case of a 38-year-old male patient affected by dyskeratosis congenita diagnosed with a squamous cell carcinoma of the inferior alveolar ridge, treated with surgery. The absence of complications and the good postoperative recovery of the patient comfort in saying that resection and reconstructive surgery can be safely performed. The occurrence of disseminated disease 6 months after the treatment warns about the extreme aggressiveness of the pathology, its often systemic nature and the necessity of a multidisciplinary approach as well as further studies
Reconstructing large palate defects: the double buccinator myomucosal island flap.
No full textAfter oncologic resection, the palate can be reconstructed by use of fasciocutaneous free flaps, locoregional pedicled flaps, or local flaps, depending on the size and site of the defect. Although microsurgical free flaps are currently the first choice for reconstructing several head and neck defects, palate resections smaller than 8 to 10 cm can easily be restored by use of a local or locoregional flap, reducing the donor-site morbidity and lengths of surgery and hospitalization. However, the use of locoregional flaps such as a temporalis myocutaneous pedicled flap or pedicled temporoparietal fascial flap is limited by postoperative contracture, which can limit mouth opening or even lead to trismus.
The buccinator myomucosal flap is an ideal option for reconstructing palate defects, although the amount of tissue available with a single flap may be inadequate for wide palate defects. For such defects, we suggest the use of a double buccinator myomucosal flap harvested from the mucosa of both cheeks
The Bozola flap in oral cavity reconstruction
No full textThe buccinator musculomucosal flaps are actually considered the main reconstructive option for small-moderate defects of the oral mucosa. In this paper we present our experience with the posteriorly based buccinator musculomucosal flap. A retrospective review was performed of all patients who had had a Bozola flap reconstruction at the Operative Unit of Maxillo-Facial Surgery of Parma, Italy, between 2003 and 2010. The Bozola flap was used in 19 patients. In most cases they had defects of the palate (n=12). All flaps were harvested successfully and no major complications occurred. Minor complications were observed in two cases. At the end of the follow up all patients returned to a normal diet without alterations of speech and swallowing. We consider the Bozola flap the first choice for the reconstruction of defects involving the palate, the cheek and the postero-lateral tongue and floor of the mout
Anterolateral thigh flap pedicle for interposition artery and vein grafts in head and neck reconstruction: A case report
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Bilateral mandibular reconstruction with a single vascularised fibula flap: a case report.J Plast Reconstr Aesthet Surg. 2008 Oct;61(10):1252-4. Epub 2008 Jun 13
No full textTumori dello spazio parafaringeo: trattamento e problematiche ricostruttive. Nostra esperienza
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