Jackson IT

Vascularized skull bone grafts based on a pedicle of temporalis muscle have been used in 30 zygomatic arch and malar reconstructions, 1 mandible reconstruction, and 1 palate reconstruction. The surgical technique, complications, and postope…

The conjunctival approach to the infraorbital rim and the orbit is discussed. A series of patients is presented with a small number of complications. The technique is described and the important factors in preventing problems are emphasized…

The use of tissue expanders having external reservoirs is presented. Twenty-four patients had 36 tissue expanders placed in the scalp, face, neck, upper limbs, chest, and lower limbs. All patients, apart from one, were taken to completion. …

As more extensive craniofacial resections for recurrent orbital and nasoethmoidal carcinoma are performed, the need for complex external prostheses increases. A new method of stabilization for large prostheses using osseointegrated implants…

The anatomy and the technique of raising the galeal frontalis myofascial flap is described. In 38 patients with various pathologies, congenital anomalies, tumors, and trauma, this technique was employed. There were no extradural infections.…

The major advantage of three-dimensional computed tomographic imaging is the ability to obtain accurate anatomic measurements of distance, area, and volume. This accuracy is possible because the three-dimensional relationships of soft tissu…

The use of the Shaw hemostatic scalpel eliminates the frustration and physical fatigue formerly associated with the carving of solid silicone implants from blocks of silicone of all grades. It enables very accurate shaping and saves operati…

The skeletal deformities associated with acromegaly are not reversed by correction of abnormal growth hormone dynamic. We describe a patient with acromegaly in whom facial reconstruction was undertaken after successful removal of a pituitar…

The type of surgery described in this article is safe and effective when performed by an experienced team of plastic surgeons and neurosurgeons. In a very extensive series of patients with tumors of the cranial base, there has been only one…

The potential for a tumor of the upper face, either malignant or nonmalignant, to involve the anterior cranial base is often not appreciated. This leads to inadequate preoperative investigation and to surgery performed by the head and neck …

In the massively injured hand when both volar and dorsal surfaces are traumatized, the options for coverage are limited. Simultaneous bilateral groin flaps have been used in 2 patients for reconstruction of soft tissue defects with acceptab…

The anterior cranial fossa may be invaded by malignant or nonmalignant tumors arising in the orbit, orbital contents, nose, nasopharynx, or frontal, ethmoid, or sphenoid sinuses. Skin and maxillary tumors can also spread to the skull base. …

Three techniques are described for obtaining bone grafts from the skull for the correction of craniofacial defects. The advantages over the traditional methods of obtaining bone grafts are discussed. A total of 64 patients have undergone re…

The base of the skull can be divided into three segments. This division allows a better understanding of the spread and the symptoms related to tumours in this area. Based on the location of the tumour, the surgical approach is varied. This…

A series of 112 cases of bone grafting in secondary cleft lip and palate deformities is presented with a follow-up averaging 7.5 years. The orthodontic management of these patients is described. The advantages of this procedure, in terms of…

A procedure to reconstruct the coloboma of the lower lid and to reposition the lateral canthus in the Treacher Collins deformity is presented. A composite upper lid flap forms the basis of the method. The results are satisfactory on long-te…

We report the experiences in 6 major craniofacial centers, with similar teams but in different parts of the world, in a total of 793 craniofacial operations. The mortality rate was 1.6%. Complications developed in 16.5% of the cases (includ…

A technique for nasal lengthening is described in 3 cases using nasolabial flaps for lining and an island forehead flap for skin reconstruction. It is basically a 2-stage procedure with short hospitalisation.…

A method of pharyngoplasty based on the orticochea principle of using lateral pharyngeal flaps which contain the palaptopharyngeus muscle, is described. The results of this procedure, and its advantages over other methods, are presented.…

A simple method is described of using a commercial drape or sheet of polyethylene to keep dressings moist prior to the application of delayed skin grafts.…