Current opinion in otolaryngology & head and neck surgery
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Twenty-one face transplants have been performed to date. This review provides an overview of the clinical outcomes and the lessons learned from these initial cases. ⋯ The outcomes of facial transplantation thus far have been very encouraging. The development of standardized tools to measure functional and psychological outcomes is required as more cases are performed. We recommend that facial transplantation is still only to be performed by experienced multidisciplinary teams.
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Curr Opin Otolaryngol Head Neck Surg · Aug 2012
ReviewUpdate on the management of dentoalveolar trauma.
Dentoalveolar injuries are the most common type of facial injury and are often associated with concomitant facial fractures. These injuries may initially be seen by surgeons who do not have formal dental training. This article reviews the assessment and management of dentoalveolar fractures. ⋯ Surgeons need to be aware that dentoalveolar injuries may be a marker for other injuries. Prompt relocation and splinting of displaced teeth is associated with better outcomes.
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Curr Opin Otolaryngol Head Neck Surg · Dec 2011
ReviewManagement and prevention of endotracheal intubation injury in neonates.
To summarize the diagnosis, pathology, and management of glottic, subglottic, and tracheal injuries secondary to endotracheal intubation in neonates. ⋯ Although intubation-related injuries may occur in anyone, neonates are at increased risk due to their small airway lumen and cricoids cartilage morphology. Endoscopic and open reconstructive techniques increase treatment options to treat glottic and SGS.
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Curr Opin Otolaryngol Head Neck Surg · Aug 2011
ReviewThe expanding role of the anterolateral thigh free flap in head and neck reconstruction.
To review the recent literature on the expanding use of the anterolateral thigh free flap for head and neck reconstruction. ⋯ The role of the anterolateral thigh free flap in reconstructing head and neck defects is ever expanding, with many novel harvesting and reconstructive techniques described in recent years. Because of the large surface area of the anterolateral thigh, as well as the ability to tailor variable amounts of skin, muscle, fat, or fascia associated with this flap, the reconstruction options are numerous. More importantly, good functional and aesthetic outcomes are achievable with an associated low morbidity of the donor site.
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Curr Opin Otolaryngol Head Neck Surg · Aug 2011
Review Comparative StudySupraclavicular artery island flap for reconstructing defects in the head and neck region.
The supraclavicular artery island flap is a rotation flap that offers a versatile reconstructive option for head and neck defects. Recent anatomical studies have improved our understanding of the vascular supply of the supraclavicular artery island flap. Furthermore, several published large series describe the utility and reliability of this flap. In this article, we review the scientific literature describing the vascular anatomy of the supraclavicular artery island flap, its clinical application, and limitations in reconstructing defects in the head and neck region. ⋯ The supraclavicular artery island flap offers a versatile and well tolerated option in reconstruction of head and neck defects with several advantages over more traditional regional flaps and distant-free flaps.