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doi: N/Apmid: N/A
A literature search could not identify a study on the prevalence of the use of perioperative corticosteroids by surgeons performing craniomaxillofacial surgery. To
doi: N/Apmid: N/A
This study investigated the feasibility of prefabrication of a bilaminar‐epithelialized flap by using a tissue expander and cultured keratinocytes, for reconstruction of perforate defects in the oral cavity and upper aerodigestive tract. In each of six rats, a 10‐ml volume expander was implanted under the inferior epigastric flap and a thin silicon catheter was introduced into periexpander space. Seven days after implantation, 10 × 10
doi: N/Apmid: N/A
The endoscope has been widely used in aesthetic surgery in recent years, but rarely has it been used in cases of facial trauma. From July of 1996 to December of 1996, the endoscope was used successfully to assist in the repair of mandibular subcondylar fractures in eight patients (five men and three women). Their ages ranged from 15 to 60 years with an average age of 31 years. Six of the patients had other associated mandibular fractures including angular, parasymphyseal, and contralateral subcondylar fractures. A 4.0‐mm, 30‐degree telescope was introduced to visualize the fracture site by means of an intraoral incision over the ascending ramus. A miniplate was used to stabilize the fracture site with the help of a percutaneous trocar. Intermaxillary fixation was applied for 3 to 6 days. Functionally, all patients returned to normal range of motion within 8 weeks. A slight deviation to the trauma site was noted on maximal opening in three patients, but this condition returned to normal 3 months after surgery. There was no facial palsy or lip numbness. The benefits of the endoscopic approach include not only the provision of better visualization and precise anatomic alignment of bony segments but also the avoidance of large facial scars and facial nerve injuries. (
doi: N/Apmid: N/A
Endoscopic surgical procedures in plastic surgery have been applied in numerous aesthetic and reconstructive surgical techniques. The use of the endoscopic videoassisted technique in peripheral nerve surgery is one of the most recent advances in reconstructive surgery. In this preliminary report, the seventh intercostal nerve, in fresh human cadavers, was harvested with the aid of endoscopy through a single 2‐cm transverse incision. The anatomy of the intercostal nerve and the endoscopic surgical technique are described in this report. Multiple intercostal nerve grafts of adequate size, number, and length could be harvested, with less donor site morbidity, and used for future reconstruction of the injured peripheral nerve. The advantages of using an endoscopic technique to harvest the intercostal nerve include a magnified, clear, and illuminated visualization; a better remote access incision site; and an atraumatic technique, which may be proven particularly applicable in clinical procedures in patients who are prone to hypertrophic scars such as in women and children. (
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