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Journal articles on the topic 'Maxillo-Facial Microvascular Free-flap Surgery'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Mahattanasakul, Patnarin, Veerachai Kerekhanjanarong, and Porn-ake Apipan. "The learning curve in head and neck reconstruction with microvascular free flaps: a retrospective review." Asian Biomedicine 4, no. 6 (2010): 949–54. http://dx.doi.org/10.2478/abm-2010-0125.

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Abstract Background: Tissue defect around the head and neck region is a great challenge for reconstructive surgeons. Successful outcomes of surgery is influenced by many factors such as surgical technique in recipient and donor site, meticulous microvascular anastomosis, position of vascular pedicle, and post-surgery monitoring. The learning curve is important for any new microvascular surgeons. Objectives: Evaluate the quality of training for a new otolaryngologist, head and neck surgeon, on their performance of free flaps in facial plastic and reconstructive surgery using a retrospective rev

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Rauso, Raffaele, Giovanni Francesco Nicoletti, Enrico Sesenna, et al. "Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity." Dentistry Journal 8, no. 4 (2020): 117. http://dx.doi.org/10.3390/dj8040117.

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The aim of this retrospective case series was to discuss indications, surgical outcomes, and donor site morbidity in the use of superficial temporal artery perforator (STAP) flaps in intra-oral or extra-oral facial reconstruction. This study involved 9 patients treated with a STAP flap at the Maxillo-Facial Surgery Unit of the University of Campania “Luigi Vanvitelli”, Naples. A STAP flap was used alone or in combination with other local flaps, for the coverage of facial soft tissue defects, after the resection of craniofacial malignant tumors (n = 7) or as a salvage flap, in partial or total

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Parvati, R., M. V. Subbalaxmi, R. Srikanth, P. Sajani, and R. V. Koteswara Rao. "Is Single-stage Microvascular Reconstruction for Facial Mucormycosis Safe?" Indian Journal of Plastic Surgery 54, no. 02 (2021): 130–37. http://dx.doi.org/10.1055/s-0041-1731961.

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Abstract Introduction This is a retrospective therapeutic series of eight cases of facial mucormycosis treated over a 15-year period to determine the safety of simultaneous debridement and free-flap reconstruction in facial mucormycosis. Methods Surgical debridement was done for three cases that presented acutely with systemic manifestations (group 1) and five cases that presented in the subacute phase without systemic manifestations (group 2). The debridement involved total maxillectomy with orbital exenteration in three cases, total maxillectomy with orbital preservation in two, and subtotal

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Rose, Louisa, Naomi Prado, David Mulvey, David Laugharne, Keith Jones, and John Stenhouse. "Do vasoactive agents negatively influence the success of Maxillo-Facial microvascular free-flap surgery: A retrospective audit." British Journal of Oral and Maxillofacial Surgery 54, no. 10 (2016): e107. http://dx.doi.org/10.1016/j.bjoms.2016.11.118.

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Schultes, G., G. Wolf, Y. Yamashita, E. Sorantin, H. Kärcher, and R. M. Aigner. "18F-FDG PET: early postoperative period of oro-maxillo-facial flaps." Nuklearmedizin 42, no. 05 (2003): 210–14. http://dx.doi.org/10.1055/s-0038-1625191.

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Summary: Aim: We addressed the feasibility of FDG-PET to differentiate between viability and non-viability in the immediate postoperative assessment of flaps (autologous microvascular anastomosed pedicled flaps) in oro-maxillo-facial surgery. Methods: 3-7 days after surgery, FDG-PET was done in 38 patients who had received flaps for reconstruction of the mandible after partial resection. The studies were done on a dedicated full ring PET-scanner (ECAT EXACT HR+, Siemens/CTI). Acquisition started between 60 and 80 min post injection. The findings of the soft tissue component of the flaps were g

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Samant, Apurva Nayan, Sagar Gundewar, Yogesh Jaiswal, and Rajat Kapoor. "Surgical Outcome of Free Flap Surgery in a Tertiary Referral Center in Maharashtra." New Indian Journal of Surgery 14, no. 3 (2023): 29–34. http://dx.doi.org/10.21088/nijs.0976.4747.14323.4.

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Introduction: Reconstruction with a free flap is routinely done at site especially head and neck and oral because of better surgical and functional outcomes, improved esthetics results, and overall higher success rates. Aim & Objective: To evaluate the clinical outcomes in patients undergoing different microvascular free flap reconstructions and tudy various demographic and pre-operative factors associated with it. Methods: This was a retrospective study of 45 patients undergoing reconstructions with free flaps from January 2020 to December 2022. Different types of free flap were performed

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Hamzan, Muhammad Izzuddin, Mior Faiq Abu Tahrin, and Wan Azman Wan Sulaiman. "Outcome Analysis Following Microvascular Free Gracilis Muscle Transfer for Multi-Vector Facial Reanimation." Tropical Health and Medical Research 3, no. 1 (2021): 44–52. http://dx.doi.org/10.35916/thmr.v3i1.32.

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The purpose of this research to address objective excursion and symmetry results from a series of free gracilis muscle transfer (FGMT) cases and examine the predictive intraoperative number of vectors anchored during flap inset on outcomes. A retrospective analysis performs by data retrieved from the HUSM Plastic & Reconstructive Surgery OR Registry from January 2005 to June 2019. All patients who reported facial nerve palsy were recorded and re-evaluated. All characteristics in interest were epidemiologically tabulated and analyzed in detail. Subsequently, outcome assessment was performed

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Skoner, Judith M., Luke Buchmann, Joshua Hornig, et al. "S113 – Facial Suspension & Free Flaps in Composite Parotid Defects." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P115. http://dx.doi.org/10.1016/j.otohns.2008.05.286.

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Objectives 1) Study efficacy of 2 methods of immediate static facial suspension after total composite parotidectomy, facial nerve sacrifice & free flap reconstruction. 2) Compare these regarding outcomes & patient satisfaction. Methods Retrospective review 2005–08 of all patients at academic tertiary referral center with advanced H&N malignancy necessitating extirpation, including parotidectomy, CN-VII sacrifice, and microvascular reconstruction. Ipsilateral face addressed simultaneously with either acellular human dermal allograft (AHDA) ‘sling’ or suture suspension (SS). Follow-u

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Saraiya, Hemant A. "Wide Excision with Immediate Reconstruction of the Mandible Using Free Fibular Flap in Ameloblastoma of the Mandible—A Need of Time: Our Experience of 37 Cases." Indian Journal of Plastic Surgery 53, no. 03 (2020): 363–70. http://dx.doi.org/10.1055/s-0040-1719198.

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Abstract Background Ameloblastoma is a benign yet locally aggressive odontogenic tumor of the jaw with high recurrence rates. Despite many studies, the search is still on for the treatment approach which can render the acceptable recurrence rates with good functional and esthetic results. Methods In this prospective study, we operated on 37 patients of mandibular ameloblastoma between 2009 and 2018. Two patients were treated with curettage and chemical sterilization of the cavity. Resection of a tumor with a 2-cm margin was performed in the rest of 35 patients. The mandibular defect was primar

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Widiarni, Dini, and Indah Saraswati. "Rekonstruksi defek mandibula menggunakan jabir bebas fibula." Oto Rhino Laryngologica Indonesiana 44, no. 2 (2015): 146. http://dx.doi.org/10.32637/orli.v44i2.96.

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Latar belakang: Perkembangan teknik pembedahan mikrovaskular telah menghasilkan jabir bebas fibula yang dapat digunakan untuk rekonstruksi oromandibular. Jabir bebas fibula merupakan salah satu jabir tulang yang sering digunakan untuk mengatasi defek pada daerah wajah, terutama dalam rekonstruksi mandibula. Jabir ini memiliki banyak keunggulan dibandingkan dengan jabir tulang lainnya, seperti jabir skapula dan jabir iliaka. Jabir ini memiliki angka kesuksesan yang cukup tinggi yaitu mencapai 95%, namun untuk mencapai angka keberhasilan tersebut diperlukan perencanaan yang tepat sebelum dilakuk

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Helman, Samuel, Sameep Kadakia, Ashley Guthrie, Moustafa Mourad, and Grigoriy Mashkevich. "Temporoparietal Fascia Free Flap for Nasoseptal Perforation Repair." Craniomaxillofacial Trauma & Reconstruction 11, no. 3 (2018): 238–41. http://dx.doi.org/10.1055/s-0037-1604425.

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Nasoseptal perforations can be a challenging defect for the reconstructive surgeon, with repair limited by the surrounding tissue availability and the defect size. In patients with a history of cocaine use, often the integrity of surrounding vasculature is questionable and large defects may not be well suited for local reconstruction. In the otolaryngology literature, several reconstructive options using local tissue and synthetic materials have been described, but there have been no reports of microvascular free flaps utilized in this regard. We present a unique case of a 37-year-old woman wi

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Camacho-Martínez, Francisco Miguel, Angel Rollón, Clara Salazar, Elena M. Rodríguez-Rey, and David Moreno. "Free flaps in Surgical Dermatology: comparison between fasciocutaneous and myocutaneous free flaps in facial reconstructions." Anais Brasileiros de Dermatologia 86, no. 6 (2011): 1145–50. http://dx.doi.org/10.1590/s0365-05962011000600013.

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BACKGROUND: Dermatologic surgeons routinely harvest pedicled flaps at distance with an axial or random pattern to repair facial defects. These types of skin flaps are time-consuming and have high economic, social and personal costs. These drawbacks could be avoided with the introduction of a single-step transfer of free flaps to the recipient site, with microvascular anastomosis. OBJECTIVE: To demonstrate that better results are obtained with myocutaneous or fasciocutaneous free flaps and which one is more suitable in surgical dermatology. MATERIAL AND METHODS: We selected two patients of oppo

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Moy, Jennifer D., Paul A. Gardner, Shaum Sridharan, and Eric W. Wang. "Radial Forearm Free Tissue Transfer to Clival Defect." Journal of Neurological Surgery Part B: Skull Base 80, S 04 (2019): S380—S381. http://dx.doi.org/10.1055/s-0039-1700890.

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Abstract Introduction Reconstruction of craniocervical junction (CCJ) defects after endoscopic endonasal skull base surgery (ESBS) remains challenging, despite advancements in vascularized intranasal and regional flaps. Microvascular free tissue transfers have revolutionized reconstruction in open skull base surgery but have been utilized rarely in ESBS. We describe the use of a radial forearm free flap (RFFF) for reconstruction of a recalcitrant CCJ defect after resection of a clival chordoma. Case Report A 54-year-old female who underwent ESBS for a clival chordoma complicated by a C1–C2 epi

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Kangloo, Shubhanshi, Nitin Bhola, Anchal Agarwal, Raj Kumar Chakraborty, Priyatam Mishra, and Saurabh Pillai. "Reconstruction of Partial Glossectomy Defects in Patients with Squamous Cell Carcinoma of Oral Tongue: A Prospective Clinical Study on the Assessment and Comparison of Intraoperative and Postoperative Outcomes of Islanded Nasolabial Flap Tunneled Under the Mandible and Radial Forearm Free Flap." Journal of Head & Neck Physicians and Surgeons 11, no. 2 (2023): 114–20. http://dx.doi.org/10.4103/jhnps.jhnps_12_23.

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Background: Reconstruction of the glossectomy defect following surgery plays a pivotal role in a patient’s quality of life. Reconstruction of surgical defects following glossectomy has evolved greatly from locoregional flaps such as nasolabial, submental, infrahyoid, and pectoralis major myocutaneous flaps to microvascular free flaps (radial forearm free flap [RAFF], anterolateral thigh flap). Due to certain drawbacks, microvascular-free flaps are avoided; instead, local/regional flaps are preferred. Islanded Nasolabial Flap Tunneled Under the Mandible (INFTUM) is a modification of the convent

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Venkatesh, Vishnu, Megan Fracol, Sergey Turin, Marco Ellis, and Mohammed Alghoul. "Utilization of Intraparotid Segments of Superficial Temporal Vessels for Head and Scalp Free Flap Microanastomosis: A Clinical, Histological, and Cadaveric Study." Journal of Reconstructive Microsurgery 36, no. 04 (2019): 253–60. http://dx.doi.org/10.1055/s-0039-3401830.

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Abstract Background The superficial temporal vessels (STV) are an underutilized target for head and neck microvascular reconstruction. Most surgeons regard the dissection as difficult, unreliable, and the anastomosis prone to vasospasm. The intraparotid course of the STV may provide more reliable flow without accompanying morbidity. Methods A retrospective review of patients who underwent head and scalp free flap reconstruction utilizing STV intraparotid segment was performed. Demographic factors such as intraoperative and postoperative complications are reported. Five bilateral cadaver heads

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Krasavina, E. A., E. L. Choynzonov, D. E. Kulbakain, and V. A. Aleekseev. "Correction of eating disorders in patients with oral and oropharyngeal cancer after reconstructive plastic surgery." Head and Neck Tumors (HNT) 11, no. 2 (2021): 41–49. http://dx.doi.org/10.17650/2222-1468-2021-11-2-41-49.

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The study objective – to evaluate the feasibility of correcting eating disorders in patients undergoing surgery for oral and oropharyngeal cancers using various reconstructive techniques to restore postoperative defects.Materials and methods. Between 2012 and 2019, a total of 56 patients with stage II–IV oral and oropharyngeal cancer underwent reconstructive surgery after either hemiglossectomy or glossectomy. The patients ranged in age from 26 to 70 years. The patients were divided into two groups. Group I consisted of 36 (64.3 %) patients who underwent tongue reconstruction using rotation fl

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Shehee, Lindsey, Danielle Bottalico, and Brandon Prendes. "Management of large head and neck defects in the vessel-depleted neck." Current Opinion in Otolaryngology & Head & Neck Surgery 32, no. 4 (2024): 278–81. http://dx.doi.org/10.1097/moo.0000000000000980.

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Purpose of review Surgery, radiation, and chemotherapy are often utilized in the treatment of head and neck cancer. These treatments can cause extensive scarring within the neck and can limit the viability of recipient vessels for further microvascular reconstruction. Patients with vessel-depleted necks provide a significant challenge for microvascular surgeons and are a topic of much discussion in the field. Recent findings While reconstruction in the vessel-depleted neck is an active area of interest, the patient population is rare. Therefore, single institution series with small numbers com

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Katre, Mahendra I., Prashant Keche, Arvind Gaikwad, and Sunil Deshmukh. "Versatility of the submental island flap in head and reconstruction." International Journal of Otorhinolaryngology and Head and Neck Surgery 3, no. 4 (2017): 1072. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20174336.

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<p class="abstract"><strong>Background:</strong> Head neck cancer is major cause of morbidity and mortality worldwide. India has one of the highest incidences of oral cancer and accounts for about 30% of all new cases annually. Ablative surgery is main stay of treatment which is followed by reconstructive surgery. Microvascular surgery revolutionized onco-reconstruction which requires great expertise even in tertiary cancer centre and it is not possible many times due to long waiting list for it or patient condition. Here there is role locoregional pedicled flap which mitigat

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Marsee, Mathew K., Faisal S. Shariff, Grant Wiarda, et al. "Use of Thromboelastography and Rotational Thromboelastometry in Otolaryngology: A Narrative Review." Journal of Clinical Medicine 11, no. 4 (2022): 1119. http://dx.doi.org/10.3390/jcm11041119.

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In the field of otolaryngology—head and neck surgery (ENT), coagulopathies present unique diagnostic and therapeutic challenges. In both hyper- and hypocoagulable patients, management of coagulopathies requires intricate attention to the nature of hemostatic competence. Common coagulation tests (CCTs) offer only a snapshot of hemostatic competence and do not provide a clear insight into the patient’s real-time hemostatic condition. Viscoelastic tests (VETs) offer a holistic and concurrent picture of the coagulation process. Although VETs have found prominent utilization in hepatic transplants,

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Burget, Gary C., and Robert L. Walton. "Optimal Use of Microvascular Free Flaps, Cartilage Grafts, and a Paramedian Forehead Flap for Aesthetic Reconstruction of the Nose and Adjacent Facial Units." Plastic and Reconstructive Surgery 120, no. 5 (2007): 1171–207. http://dx.doi.org/10.1097/01.prs.0000254362.53706.91.

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Manayath, Nithya, Gayathri Priyabindu Vardhani Vanguri, Rajendra Suresh Gujjalanavar, Adarsh Manjunath, Balachandra Bhat, and Pooja Rao G. "Case report of a massive giant ameloblastoma and its management." International Surgery Journal 10, no. 1 (2022): 143. http://dx.doi.org/10.18203/2349-2902.isj20223607.

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Ameloblastoma is a benign odontogenic tumor. It is slow growing, locally aggressive, rare tumor, accounting for 1% of all the jaw tumors. Here, we report a case of a Giant ameloblastoma in a 38-year-old gentleman who presented with a massive tumor of the mandible, possibly the largest reported in literature. The tumor had caused significant facial disfigurement and functional impairment leading to nutritional deficiency, anemia and dehydration induced elevated renal parameters. It was neglected by the patient for over ten years, due to the fear of surgery and financial constraints. Pre-operati

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Piramide, Chiara, Luca Ulrich, Pietro Piazzolla, and Enrico Vezzetti. "Toward Supporting Maxillo-Facial Surgical Guides Positioning with Mixed Reality—A Preliminary Study." Applied Sciences 12, no. 16 (2022): 8154. http://dx.doi.org/10.3390/app12168154.

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Following an oncological resection or trauma it may be necessary to reconstruct the normal anatomical and functional mandible structures to ensure the effective and complete social reintegration of patients. In most surgical procedures, reconstruction of the mandibular shape and its occlusal relationship is performed through the free fibula flap using a surgical guide which allows the surgeon to easily identify the location and orientation of the cutting plane. In the present work, we present a Mixed Reality (MR)-based solution to support professionals in surgical guide positioning. The propos

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Chan, R. C. L., and J. Y. W. Chan. "Deltopectoral Flap in the Era of Microsurgery." Surgery Research and Practice 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/420892.

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Background. Our study aimed to review the role of deltopectoral (DP) flap as a reconstructive option for defects in the head and neck region in the microvascular era.Methods. All patients who received DP flap reconstruction surgery at the Department of Surgery, Queen Mary Hospital, between 1999 and 2011 were recruited. Demographic data, indications for surgery, defect for reconstruction, and surgical outcomes were analyzed.Results. Fifty-four patients were included. All but two patients were operated for reconstruction after tumour resection. The remaining two patients were operated for necrot

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Di Giorgio, Danilo, Riccardo Nocini, Mattia Di Bartolomeo, et al. "Jaw Reconstruction with Scapular Bone Flap and Prosthetic Implant Rehabilitation: A Comprehensive Systematic Review." Applied Sciences 14, no. 17 (2024): 7890. http://dx.doi.org/10.3390/app14177890.

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A rising demand for prosthetic-driven jaw reconstruction is encountered in maxillo-facial surgery. The free scapula flap is a workhorse of cervico-facial reconstructions, but an implant-based prosthetic rehabilitation on this flap is a debated topic. A systematic review of the papers on this subject has been conducted on Embase, MEDLINE, and Cochrane libraries following PRISMA guidelines, in order to analyze the results described in the literature. A total of nine papers were eligible for inclusion, with 83 scapula flaps overall being used for an implant-based prosthetic rehabilitation. The ma

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Siebert, John W., and Michael T. Longaker. "Aesthetic Facial Contour Reconstruction with Microvascular Free Flaps." Clinics in Plastic Surgery 28, no. 2 (2001): 361–66. http://dx.doi.org/10.1016/s0094-1298(20)32371-3.

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Rodriguez, Amanda, Diego Velasquez, and Hsun-Liang Chan. "Review of Intraoral Vasculature and Implications on Incision Designs of Periodontal and Implant Surgeries." International Journal of Periodontics & Restorative Dentistry 43, no. 6 (2023): 753–61. http://dx.doi.org/10.11607/prd.6213.

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Currently, the incision design for periodontal and implant surgeries is mainly based on the surgeon’s personal preference. The primary aim of this study is to review the intricate periodontal microvascular system and to illustrate the potential impact of commonly applied flap designs on the integrity of this system. A complete literature electronic search resulted in 37 relevant articles. The maxillary, facial, and lingual arteries supply the microvasculature system, including the supraperiosteal, intraligamental, and intraosseous arterioles. These arterioles have their own territories yet are

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Zeman-Kuhnert, K., A. J. Gaggl, C. Brandtner, A. I. Wittig-Draenert, G. B. Bottini, and J. Wittig. "Donor site morbidity after microvascular medial femoral condylar flap procurement for facial reconstruction." International Journal of Oral and Maxillofacial Surgery 49, no. 5 (2020): 569–75. http://dx.doi.org/10.1016/j.ijom.2019.11.006.

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Moffat, D. A., V. S. P. Durvasula, A. Stevens King, R. De, and D. G. Hardy. "Outcome following retrosigmoid microvascular decompression of the facial nerve for hemifacial spasm." Journal of Laryngology & Otology 119, no. 10 (2005): 779–83. http://dx.doi.org/10.1258/002221505774481255.

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This paper evaluates the outcome of retrosigmoid microvascular decompression of the facial nerve in a series of patients suffering from hemifacial spasm who had been referred to the skull-base team (comprising senior authors DAM and DGH). The paper is a retrospective review of 15 patients who underwent retrosigmoid microvascular decompression of the facial nerve at Addenbrooke's Hospital between 1985 and 1995. In this series it was possible to obtain complete resolution of hemifacial spasm in 93.3 per cent of cases in the short term and in 80 per cent in the long term. Twelve patients (80 per

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Volk, Angela S., Tom Shokri, Mofiyinfolu Sokoya, Yadranko Ducic, and Larry H. Hollier. "Facial Gunshot Wounds." Facial Plastic Surgery 35, no. 06 (2019): 578–83. http://dx.doi.org/10.1055/s-0039-1700879.

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AbstractCraniomaxillofacial gunshot injuries, resulting from assault, suicide attempts, and accidental trauma, represent a major public health dilemma in the United States. Due to the extent of injury and resulting osseous and soft tissue loss, facial gunshot wounds pose a unique challenge to the reconstructive surgeon. Initial management should use advanced trauma life support principles with the goal of patient stabilization. Acute operative management should center around wound decontamination, debridement, and temporary closure. Historically, definitive surgical management focused on delay

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OʼBrien, Bernard McC, William C. Pederson, Rakesh Kumar Khazanchi, Wayne A. Morrison, Allan M. MacLeod, and Vinod Kumar. "Results of Management of Facial Palsy with Microvascular Free-Muscle Transfer." Plastic and Reconstructive Surgery 86, no. 1 (1990): 12–22. http://dx.doi.org/10.1097/00006534-199007000-00002.

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OʼBrien, Bernard McC, William C. Pederson, Rakesh Kumar Khazanchi, et al. "Results of Management of Facial Palsy with Microvascular Free-Muscle Transfer." Plastic and Reconstructive Surgery 86, no. 1 (1990): 23–24. http://dx.doi.org/10.1097/00006534-199007000-00003.

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Jeon, Chiman, Na Young Jung, Minsoo Kim, and Kwan Park. "Intraoperative Monitoring of the Facial Nerve during Microvascular Decompression for Hemifacial Spasm." Life 13, no. 7 (2023): 1616. http://dx.doi.org/10.3390/life13071616.

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This review article discusses the clinical significance of intraoperative neurophysiological monitoring (IONM), provides recommendations for monitoring protocols, and considers the interpretation of results in microvascular decompression (MVD) for hemifacial spasm (HFS). The lateral spread response (LSR) is an important monitoring parameter during MVD. It helps to identify the responsible blood vessel and confirms its thorough decompression from the facial nerve. The disappearance of the LSR during surgery is associated with favorable clinical outcomes. Standard and revised monitoring protocol

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Valentin, Violetti, and Ratna Rayeni Natasha Roosseno. "The microvascular reconstruction in children with maxillofacial defects: A Systematic Review." Intisari Sains Medis 13, no. 1 (2022): 96–101. http://dx.doi.org/10.15562/ism.v13i1.1271.

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Background: Facial bones trauma in the pediatric population is linked to severe damage and impairment, particularly in maxillofacial, particularly in area. In addition, reconstruction of maxillofacial in pediatric patients has some unique considerations. Therefore, this study described the effectiveness of microvascular reconstruction in children with maxillofacial defects.Methods: The relevant literature from PubMed and Science Direct databases. The strategic search is using the keywords such as "Pediatric" OR "Children" OR "Under-eighteen years" AND "microvascular reconstruction" OR "microva

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Lee, Hyun-Seok, and Kwan Park. "Penetrating Offenders in Hemifacial Spasm: Surgical Tactics and Prognosis." Life 13, no. 10 (2023): 2021. http://dx.doi.org/10.3390/life13102021.

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(1) Background: In cases of hemifacial spasm (HFS), there are various patterns related to the vascular compression of the facial nerve, including a very rare form that is seen when the offending vessel penetrates the facial nerve. However, there have been few reports in the literature regarding the associated surgical techniques and postoperative prognosis. (2) Methods: A retrospective review was conducted of 4755 patients who underwent microvascular decompression (MVD) surgery from April 1997 to June 2023. In total, 8 out of the 4755 patients (0.2%) exhibited a penetrating offending vessel; t

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Gajiwala, Kalpesh Jayantkumar. "Turned in fasciocutaneous island flap from face and neck based on subdermal microcirculation for reconstruction of the oral cavity following cancer surgery." Indian Journal of Plastic Surgery 49, no. 03 (2016): 362–69. http://dx.doi.org/10.4103/0970-0358.197249.

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ABSTRACT Background: The skin and soft tissues of the face and neck have a rich plexus of dermal-subdermal vessels, which creates the possibility of raising a fasciocutaneous flap based on this vascular supply. A turned in fasciocutaneous island flap (TIFCIF) from an adjacent area of the defect can provide a simple substitute to many complex reconstructive procedures. Materials and Methods: Fifteen patients underwent wide excision for oral cancer and upper neck dissection, maintaining bone framework, between August 2010 and June 2014. The reconstruction was done with a 'turned in fasciocutaneo

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Wijayarathna, Rachel, Rachel Wijayarathna, Gareth Jones, Samantha Ringshall, Alison Dinham, and Ricard Simo. "P018 What is the incidence of hospital acquired pneumonia (HAP) in patients that undergo oral and maxillo-facial surgery (OMFS) with free flap reconstruction for head and neck malignancy?" British Journal of Oral and Maxillofacial Surgery 61, no. 10 (2023): e37. http://dx.doi.org/10.1016/j.bjoms.2023.08.089.

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Saprina, O. A., A. F. Bacev, E. R. Oganjan, B. G. Pkheshkhova, and A. M. Mihajlova. "The use of the facial artery musculomucosal flap for reconstruction of oral cavity defects after cancer resection." Siberian journal of oncology 21, no. 2 (2022): 88–95. http://dx.doi.org/10.21294/1814-4861-2022-21-2-88-95.

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Background. Reconstruction of defects following surgery for head and neck cancer possess challenges for surgeons. The choice of the reconstruction option is determined by various factors, namely: the size and location of the defect, patients’ age, concomitant pathology, prognosis of the disease, and individual decisions of surgeons and patients. Microvascular surgery is a highly successful and relatively safe method for the reconstruction of large head and neck defects. However, the use of revascularized autografts is not possible in all categories of patients, and therefore the search for new

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Günther, Thomas, Venelin M. Gerganov, Lennart Stieglitz, Wolf Ludemann, Amir Samii, and Madjid Samii. "MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA IN THE ELDERLY." Neurosurgery 65, no. 3 (2009): 477–82. http://dx.doi.org/10.1227/01.neu.0000350859.27751.90.

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Abstract OBJECTIVE Multiple studies have proved that microvascular decompression (MVD) is the treatment of choice in cases of medically refractory trigeminal neuralgia (TN). In the elderly, however, the surgical risks related to MVD are assumed to be unacceptably high and various alternative therapies have been proposed. We evaluated the outcomes of MVD in patients aged older than 65 years of age and compared them with the outcomes in a matched group of younger patients. The focus was on procedure-related morbidity rate and long-term outcome. METHODS This was a retrospective study of 112 patie

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Bakker, Nicolaas A., J. Marc C. Van Dijk, Steven Immenga, Michiel Wagemakers, and Jan D. M. Metzemaekers. "Repeat microvascular decompression for recurrent idiopathic trigeminal neuralgia." Journal of Neurosurgery 121, no. 4 (2014): 936–39. http://dx.doi.org/10.3171/2014.7.jns132667.

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Object Microvascular decompression (MVD) is considered the method of choice to treat idiopathic trigeminal neuralgia (TN) refractory to medical treatment. However, repeat MVD for recurrent TN is not well established. In this paper, the authors describe a large case series in which patients underwent repeat MVD for recurrent TN, focusing on outcome, risk factors, and complication rates. Methods Between 1990 and 2012, a total of 33 consecutive patients underwent repeat MVD for recurrent TN at the University Medical Center Groningen. The authors performed a retrospective chart review and telephon

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Loeser, John D. "Tic Douloureux." Pain Research and Management 6, no. 3 (2001): 156–65. http://dx.doi.org/10.1155/2001/108138.

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Tic douloureux is an excruciatingly painful condition that primarily affects elderly people. It consists of unilateral electric shock-like facial pains triggered by non-noxious stimulation with clear-cut pain-free intervals. It should be discriminated from all other types of facial pain by the history and physical examination. Primary treatment includes anticonvulsant drugs if these fail or side effects prevent their use, a surgical procedure is warranted. Almost every patient with tic douloureux can be relieved of his or her pain with anticonvulsant medications or surgery. Stereotactic radios

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Møller, Aage R., and Peter J. Jannetta. "Monitoring facial EMG responses during microvascular decompression operations for hemifacial spasm." Journal of Neurosurgery 66, no. 5 (1987): 681–85. http://dx.doi.org/10.3171/jns.1987.66.5.0681.

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✓ Facial electromyographic (EMG) responses were monitored intraoperatively in 67 patients with hemifacial spasm who were operated on consecutively by microvascular decompression of the facial nerve near its exit from the brain stem. At the beginning of the operation, electrical stimulation of the temporal or the zygomatic branch of the facial nerve gave rise to a burst of EMG activity (autoexcitation) and spontaneous EMG activity (spasm) that could be recorded from the mentalis muscle in all patients. In some patients, the spontaneous activity and the autoexcitation disappeared after the dura

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Pollock, Bruce E. "Comparison of posterior fossa exploration and stereotactic radiosurgery in patients with previously nonsurgically treated idiopathic trigeminal neuralgia." Neurosurgical Focus 18, no. 5 (2005): 1–4. http://dx.doi.org/10.3171/foc.2005.18.5.7.

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Object Stereotactic radiosurgery (SRS) is commonly performed in patients with trigeminal neuralgia, and numerous investigators have found that facial pain outcomes after this procedure are better for patients in whom prior surgery did not fail. Researchers in some centers claim that the results of SRS are equivalent to posterior fossa exploration (PFE). The goal in this study was to verify that claim. Methods Information was retrieved from a prospectively maintained database of patients less than 70 years old with idiopathic trigeminal neuralgia who underwent PFE (55 patients) or SRS (28 patie

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Mydlak, Anna, Łukasz Ścibik, Monika Durzynska, et al. "Low-grade myofibrosarcoma of the maxillary sinus: Two case reports." World Journal of Clinical Oncology 15, no. 4 (2024): 566–75. http://dx.doi.org/10.5306/wjco.v15.i4.566.

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BACKGROUND Low-grade myofibroblastic sarcoma (LGMS) is an extremely rare tumor characterized by the malignant proliferation of myofibroblasts. LGMS most commonly develops in adults, predominantly in males, in the head and neck region, oral cavity, especially on the tongue, mandible, and larynx. This article presents 2 cases of LGMS localized to the maxillary sinus and provides an overview of the available literature. CASE SUMMARY Two patients with LGMS located in the maxillary sinus underwent surgery at the Department of Head and Neck Surgery. Case 1: A 46-year-old patient was admitted to the

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Urken, Mark L., Daniel Buchbinder, Hubert Weinberg, Carlin Vickery, Alan Sheiner, and Hugh F. Biller. "Primary Placement of Osseointegrated Implants in Microvascular Mandibular Reconstruction." Otolaryngology–Head and Neck Surgery 101, no. 1 (1989): 56–73. http://dx.doi.org/10.1177/019459988910100111.

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The goal of mandibular reconstruction is to rehabilitate the patient by restoring occlusal relationships, lower facial contour, oral continence, and a denture-bearing surface. One of the major advantages of the use of vascularized bone over all other methods of mandibular reconstruction is its ability to achieve dental rehabilitation rapidly. The use of osseointegrated dental implants is a valuable adjunct in oral rehabilitation. It provides the most rigid form of stabilization to withstand the forces of mastication. In situations In which soft tissue reconstruction or the height of the alveol

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Teton, Zoe E., Daniel Blatt, Katherine Holste, Ahmed M. Raslan, and Kim J. Burchiel. "Utilization of 3D imaging reconstructions and assessment of symptom-free survival after microvascular decompression of the facial nerve in hemifacial spasm." Journal of Neurosurgery 133, no. 2 (2020): 425–32. http://dx.doi.org/10.3171/2019.4.jns183207.

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OBJECTIVEHemifacial spasm (HFS), largely caused by neurovascular compression (NVC) of the facial nerve, is a rare condition characterized by paroxysmal, unilateral, involuntary contraction of facial muscles. It has long been suggested that these symptoms are due to compression at the transition zone of the facial nerve. The aim of this study was to examine symptom-free survival and long-term quality of life (QOL) in HFS patients who underwent microvascular decompression (MVD). A secondary aim was to examine the benefit of utilizing fused MRI and MRA post hoc 3D reconstructions to better charac

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Amador, Nelly, and Bruce E. Pollock. "Repeat posterior fossa exploration for patients with persistent or recurrent idiopathic trigeminal neuralgia." Journal of Neurosurgery 108, no. 5 (2008): 916–20. http://dx.doi.org/10.3171/jns/2008/108/5/0916.

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Object Patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression (MVD) typically undergo less invasive procedures in the hope of providing pain relief. The outcomes and risks of repeat posterior fossa exploration (PFE) for these patients are not clearly understood. Methods From September 2000 to November 2006, 29 patients (14 men, 15 women) underwent repeat PFE. The mean number of surgeries per patient at the time of repeat PFE was 3.2 (range 1–6). The mean follow-up duration after surgery was 33.7 months. Results Compression of the trige

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Dannenbaum, Mark, Bradley C. Lega, Dima Suki, Richard L. Harper, and Daniel Yoshor. "Microvascular decompression for hemifacial spasm: long-term results from 114 operations performed without neurophysiological monitoring." Journal of Neurosurgery 109, no. 3 (2008): 410–15. http://dx.doi.org/10.3171/jns/2008/109/9/0410.

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Object Microvascular decompression (MVD) of the facial nerve is an effective treatment for hemifacial spasm (HFS), but the procedure is associated with a significant risk of complications such as hearing loss and facial weakness. Many surgeons advocate the use of intraoperative brainstem auditory evoked response (BAER) monitoring in an attempt to improve surgical outcomes. The authors critically assessed a large series of patients with HFS who underwent MVD without neurophysiological monitoring. Methods The authors retrospectively identified 114 consecutive patients, with a history of HFS and

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Yeo, Myeongki, Bong Jin Park, Hridayesh Pratap Malla, Bong Arm Rhee, and Young Jin Lim. "219 A Clinical Analysis on Microvascular Decompression Surgery for Treatment of Hemifacial Spasm: 2500 Cases Review in a Single Institute." Neurosurgery 64, CN_suppl_1 (2017): 259–60. http://dx.doi.org/10.1093/neuros/nyx417.219.

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Abstract INTRODUCTION Hemifacial spasm (HFS) is caused by vascular compression of the facial nerve at its root exit zone from the brainstem. Microvascular decompression (MVD) is the only treatment option that offers the prospect of a definitive cure for HFS. However, this surgery can be risky and the postoperative outcomes might not be good enough sometimes. In order to refine that, we investigated our result of MVDs. METHODS Among 2500 consecutive cases of MVDs have been performed in our institute between January 2000 and December 2015, 2196 patients were enrolled in the current study. They w

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Thirumala, Parthasarathy D., Ahmed M. Altibi, Robert Chang, et al. "The Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis." Neurosurgery 87, no. 4 (2020): E473—E484. http://dx.doi.org/10.1093/neuros/nyaa069.

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Abstract BACKGROUND Microvascular decompression (MVD) is the surgical treatment of choice for hemifacial spasm (HFS). During MVD, monitoring of the abnormal lateral spread response (LSR), an evoked response to facial nerve stimulation, has been traditionally used to monitor adequacy of cranial nerve (CN) VII decompression. OBJECTIVE To assess the utility of LSR monitoring in predicting spasm-free status after MVD postoperatively. METHODS We searched PubMed, Web of Science, and Embase for relevant publications. We included studies reporting on intraoperative LSR monitoring during MVD for HFS an

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Rahman, Quazi Billur, Mahmudur Rahman, Showkat Mamun, Munjur Iqbal, and Binay Kumar Das. "Reconstruction of Mandibular Defect by Free Re-Vascularized Fibula Graft: A Case Report." Bangabandhu Sheikh Mujib Medical University Journal 1, no. 1 (2009): 35. http://dx.doi.org/10.3329/bsmmuj.v1i1.3698.

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<p><strong>Background</strong>: In maxillofacial surgery tumor ablation often causes continuity defect of mandible which results anatomical and functional morbidity of the patient. The reconstruction of the mandibular defect is mandatory to restore the oral function and speech. Various methods of immediate reconstruction are implemented by different authors time to time including autogenous non vascularized bone graft, allogenic bone graft , auto frozen mandible or reconstruction plates and others. Each has its own advantages and disadvantages including donor site morbidity,

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