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Reconstructing post-resective auricular defects

1 November 2017 | | PMFA - Facial Plastic Surgery
The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Auricular Reconstruction

1 April 2018 | | PMFA - Facial Plastic Surgery
In 2013 I sat in a little cafe in Nice with a small band of ear surgeons. We were there to put finishing touches to our plans to form the International Society for Auricular Reconstruction (ISAR). One in our midst...

Complex auricular reconstruction using a 3D printer

10 February 2014 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...

Auricular reconstruction: star-pattern reconstruction

30 March 2022 | | PMFA - Facial Plastic Surgery
We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

Aesthetics and Functionality in Ear Reconstruction

1 October 2013 | | PMFA - Facial Plastic Surgery
Recent years have brought important refinements to the approach and techniques of functional and aesthetic ear reconstruction. Aesthetics and Functionality in Ear Reconstruction by R Staudenmaier is an excellent book providing concise but detailed overview on the state of the...

Microtia and Atresia – Combined Approach by Plastic and Otologic Surgery

1 April 2014 | | PMFA - Facial Plastic Surgery
In this textbook Kaga and Asato, both leading experts in otology and plastic surgery respectively, present over 10 years of their experience in joint reconstructive surgery for microtia and auricular atresia, combining autologous auricular reconstruction with external auricular canaloplasty and...

Malignant lesions and reconstruction of the pinna

2 August 2022 | | PMFA - General Plastic Surgery
External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

Auricular reconstruction: flip-flop flap

1 June 2022 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

Converse scalping flap for nasal reconstruction procedures

1 June 2015 | | PMFA - Rhinoplasty
Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | PMFA - Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

Facial nerve palsy and Facial Palsy UK

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

Oral minoxidil: innovations in hair loss

15 August 2023 | | ONLINE EXCLUSIVE ARTICLES, PMFA - Aesthetic Medicine
Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...