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Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndrome.
Parotidectomy may be associated with a significant depression in the retromandibular region and a significant incidence of gustatory sweating (Frey's syndrome). Superiorly and inferiorly based sternocleidomastoid flaps and posterior plicati…
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Primary neoplasms of the facial nerve.
A series of 30 primary facial nerve tumors is reviewed. Most of them were benign (n = 26); there were four malignant tumors. Neoplasms originating within the temporal bone were found to have preoperative facial paralysis in 84 percent of ca…
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Cheiloplasty in the treatment of facial paralysis.
There have been dramatic improvements in the treatment of facial paralysis. These include the successful use of free autogenous nerve grafting, nerve crossover techniques, regional masticatory muscle transposition, and free muscle grafts. T…
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Reconstruction of half of the face.
A 29-year-old man underwent a severe electrical burn involving the entire right side of the face, resulting in destruction of the temple, orbit, a portion of the nose, zygoma, and maxilla, through-and-through destruction of the cheek and li…
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Intranasal composite grafts for dorsal support.
Reconstruction of the dorsal support of the nasal pyramid is often a challenging proposition. Intranasal resection of the septum or lateral walls of the nose will cause collapse, widening, shortening, and a depressed profile. This problem h…
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The risk to the orbit in head and neck cancer.
Cancers in the head and neck are recognized as placing their environs at risk. The orbit is threatened by a variety of cancers originating in adjacent structures because of its anatomic relationship to skin, sinuses, nasal cavity, skull, pa…
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Functional and aesthetic consequences of total platysma resection.
The functional and aesthetic effects of total unilateral platysma resection during ablative surgery is described and outlined for the first time (to our knowledge). The consequences of this resection are analyzed with respect to the partial…
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Thread augmentation for facial rhytides.
Thread augmentation, a subsurface technique for correcting facial rhytides, is especially applicable to perioral wrinkles, melolabial furrows, and frown lines about the forehead. It is basically an augmentation technique which places a volu…
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Thread augmentation.
A review of thread augmentation has added helpful points to the technique and given an opportunity to assess the long-range results. It is obvious at this stage that there is no panacea for the wrinkling process. Each technique has advantag…
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Avoiding facial nerve injuries in rhytidectomy. Anatomical variations and pitfalls.
Injury to the facial nerve in rhytidectomy has been occurring in less than one percent of the cases, and a spontaneous return of function in more than 80 percent of these injuries has resulted within 6 months. With the introduction of the n…
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Facial rehabilitation with temporal muscle. New concepts.
Facial rehabilitation, utilizing the transposed temporalis muscle, was performed. Three new innovations of this technique include: (1) The whole muscle is transposed into the face to accomplish augmentation, support, protection for the eye,…
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A new treatment for wrinkles.
A technique identified as threading is described for the treatment of wrinkles. Colorless 4-0 and 2-0 clear vicryl (Ethicon) has been threaded underneath the wrinkle for augmentation, and "basket weaving" has been applied to atrophic areas.…
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Composite pedicled rib flap for reconstruction of the mandible and face.
A new technique of bony and soft tissue augmentation to the mandible, face, and neck is presented. It consists of a composite soft tissue flap from the anterior chest, including two ribs attached and transposed without delay to the newly pr…
- Regional plastic surgery.
- Investigation of bone changes in composite flaps after transfer to the head and neck region.
- New face, same owner.
- The use of regional flaps in major head and neck surgery.
- Use of composite flaps containing bone for major repairs in the head and neck.
- Face-lift operation.
- Reconstructive procedures in radical head and neck surgery.
- Plastic surgery in head and neck tumors.
- Plastic surgery in cancer of the head and neck.
- Cancer of the skin of the nose.
- Neck incision in block dissection. Experiences with the long anterior cervical flap incision.