Multiple Skin Cancers Following Psoralen and Ultraviolet A Treatment of Psoriasis.
Archives of Craniofacial Surgery.2014;15(3):145-147. doi:10.7181/acfs.2014.15.3.145
Archives of Craniofacial Surgery
2002 (v1, n1) to Present ISSN: 1671-8925
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A Recurrent Giant Pilomatricoma on the Back.
Archives of Craniofacial Surgery.2014;15(3):142-144. doi:10.7181/acfs.2014.15.3.142
No abstract available.
Pilomatrixoma*
Pilomatrixoma*
Importance of Accurate Diagnosis in Pyoderma Gangrenosum.
Archives of Craniofacial Surgery.2014;15(3):138-141. doi:10.7181/acfs.2014.15.3.138
Pyoderma gangrenosum is a rare inflammatory reactive dermatosis marked by painful cutaneous ulcers. Diagnosis of pyoderma gangrenosum is usually made based on past medical history and after the exclusion of other possible diseases based on the clinical manifestations of the lesion. Diseases that show rapid progression to necrosis and that should not be misdiagnosed as pyoderma gangrenosum include malignant neoplasms and necrotizing fasciitis. Immunosuppressive agents such as steroids and cyclosporine are considered first-line therapy. Surgical removal of the necrotic tissues is contraindicated, as it may further induce immune reaction and promote ulcer to enlarge. Here, we present a case to encourage plastic surgeons to consider pyodermagangrenosum in the differential diagnosis of idiopathic ulcers. Satisfactory outcomes for patients with pyodermagangrenosum may be expected when using steroids and immunosuppressive agents during the early stage of the disease.
Cyclosporine ; Diagnosis* ; Diagnosis, Differential ; Fasciitis, Necrotizing ; Humans ; Immunosuppressive Agents ; Necrosis ; Pyoderma Gangrenosum* ; Skin Diseases ; Steroids ; Ulcer
Cyclosporine ; Diagnosis* ; Diagnosis, Differential ; Fasciitis, Necrotizing ; Humans ; Immunosuppressive Agents ; Necrosis ; Pyoderma Gangrenosum* ; Skin Diseases ; Steroids ; Ulcer
Reconstruction of Full Thickness Ala Defect with Nasolabial Fold and Septal Mucosal Hinge Flap.
Archives of Craniofacial Surgery.2014;15(3):133-137. doi:10.7181/acfs.2014.15.3.133
Reconstruction of a full-thickness alar defect requires independent blood supplies to the inner and outer surfaces. Because of this, secondary operations are commonly needed for the division of skin flap from its origin. Here, we report a single-stage reconstruction of full-thickness alar defect, which was made possible by the use of a nasolabial island flap and septal mucosal hinge flap. A 49-year-old female had presented with a squamous cell carcinoma of the right ala which was invading through the mucosa. The lesion was excised with a 5-mm free margin through the full-thickness of ala. The lining and cartilage was restored using a septal mucosa hinge flap and a conchal cartilage from the ipsilateral ear. The superficial surface was covered with a nasolabial island flap based on a perforator from the angular artery. The three separate tissue layers were reconstructed as a single subunit, and no secondary operations were necessary. Single-stage reconstruction of the alar subunit was made possible by the use of a nasolabial island flap and septal mucosal hinge flap. Further studies are needed to compare long-term outcomes following single-stage and multi-stage reconstructions.
Arteries ; Carcinoma, Squamous Cell ; Cartilage ; Ear ; Equipment and Supplies ; Female ; Humans ; Middle Aged ; Mucous Membrane ; Nasal Septum ; Nasolabial Fold* ; Nose ; Skin ; Surgical Flaps
Arteries ; Carcinoma, Squamous Cell ; Cartilage ; Ear ; Equipment and Supplies ; Female ; Humans ; Middle Aged ; Mucous Membrane ; Nasal Septum ; Nasolabial Fold* ; Nose ; Skin ; Surgical Flaps
Archives of Craniofacial Surgery.2014;15(3):129-132. doi:10.7181/acfs.2014.15.3.129
Facial skeletal remodeling was revolutionized more than 30 years ago, by the work of Tessier and other craniofacial surgeons. However, the need to correct the skeleton in the upper third of the face is not frequently diagnosed or treated in aesthetic facial surgery. Here, we report on the aesthetic correction of a protrusive forehead. A patient visited our hospital for aesthetic contouring with a prominent forehead. The anterior wall of the frontal sinus was removed with a craniotome via the bicoronal approach. After the excised bone was repositioned, it was fixed with a titanium mesh plate and screws. An electric burr was used to contour the supraorbital rim and frontal bone. Once the desired shape was achieved, the periosteum was replaced, and the wound was closed in layers. When performed properly, frontal sinus contouring could significantly improve the appearance in patients with a prominent forehead. Plastic surgeons must carefully evaluate patients with a prominent forehead for skeletal remodeling that involves the accurate and safe repositioning of the anterior wall of the frontal sinus.
Forehead* ; Frontal Bone ; Frontal Sinus* ; Humans ; Periosteum ; Skeleton ; Titanium ; Wounds and Injuries
Forehead* ; Frontal Bone ; Frontal Sinus* ; Humans ; Periosteum ; Skeleton ; Titanium ; Wounds and Injuries
Malignant Peripheral Nerve Sheath Tumor in Frontal Sinus, Orbital Cavity and Ethmoid Cavity.
Archives of Craniofacial Surgery.2014;15(3):125-128. doi:10.7181/acfs.2014.15.3.125
Malignant peripheral nerve sheath tumors are extremely rare soft tissue sarcomas. Among various locations, the trunk and extremities are the most commonly involved sites, with only 15% of such lesions occuring in head and neck region. Here, we report a case of a 74-year-old male who presented with forehead swelling and right eye deviation. Computed tomography images revealed a tumor involving the frontal sinus, ethmoid sinus, and the orbital cavity. The patient underwent a surgical excision of the lesion, which histopathological examination revealed to be a malignant peripheral nerve sheath tumor.
Aged ; Ethmoid Sinus ; Extremities ; Forehead ; Frontal Sinus* ; Head ; Head and Neck Neoplasms ; Humans ; Male ; Neck ; Neurilemmoma ; Orbit* ; Peripheral Nerves* ; Sarcoma
Aged ; Ethmoid Sinus ; Extremities ; Forehead ; Frontal Sinus* ; Head ; Head and Neck Neoplasms ; Humans ; Male ; Neck ; Neurilemmoma ; Orbit* ; Peripheral Nerves* ; Sarcoma
Venous Occlusion Detected by Caregiver with Implantable Doppler in a Buried Free Flap.
Archives of Craniofacial Surgery.2014;15(3):121-124. doi:10.7181/acfs.2014.15.3.121
The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.
Caregivers* ; Delivery of Health Care ; Female ; Free Tissue Flaps* ; Humans ; Skull ; Thigh ; Ultrasonography, Doppler, Pulsed ; Wounds and Injuries ; Young Adult
Caregivers* ; Delivery of Health Care ; Female ; Free Tissue Flaps* ; Humans ; Skull ; Thigh ; Ultrasonography, Doppler, Pulsed ; Wounds and Injuries ; Young Adult
Clinical Characteristics of the Forehead Lipoma.
Archives of Craniofacial Surgery.2014;15(3):117-120. doi:10.7181/acfs.2014.15.3.117
BACKGROUND: Lipomas can be categorized into deep and superficial lipomas according to anatomical depth. Many cases of forehead lipomas are reported to be deep to the muscle layer. We analyze ultrasound in delineating depth of forehead lipomas. METHODS: A retrospective review was performed for all patients who underwent excision of forehead lipomas between January 2008 and March 2013 and for whom preoperative ultrasound study was available. Sensitivity and specificity of ultrasound imaging was evalauted against depth finding at the time of surgical excision. RESULTS: The review identified 42 patients who met the inclusion criteria. Preoperative ultrasound reading was 18 as deep lipomas and 24 as superficial. However, intraoperative finding revealed 2 of the 18 deep lipomas to be superficial and 13 of the 24 superficial lipomas to be deep lipomas. Overall, ultrasonography turned out to be 69% (29/42) accurate in correctly delineating superficial versus deep lipomas. CONCLUSION: Lipomas of the forehead tend to be located in deeper tissue plane compared to lipomas found elsewhere in the body. Preoperative ultrasonography of lipomas can be helpful, but was not accurate in identifying the depth of forehead lipomas in our patient population. Even if a forehead lipoma is found to be superficial on ultrasound, operative planning should include the possibility of deep lipomas.
Forehead* ; Humans ; Lipoma* ; Retrospective Studies ; Sensitivity and Specificity ; Ultrasonography
Forehead* ; Humans ; Lipoma* ; Retrospective Studies ; Sensitivity and Specificity ; Ultrasonography
Archives of Craniofacial Surgery.2014;15(3):109-116. doi:10.7181/acfs.2014.15.3.109
BACKGROUND: Infants with deformational plagiocephaly (DP) usually present with cranial vault deformities as well as facial asymmetry. The purpose of this study was to use three-dimensional anthropometric data to evaluate the influence of cranial deformities on facial asymmetry. METHODS: We analyzed three-dimensional computed tomography data for infants with DP (n=48) and without DP (n=30, control). Using 16 landmarks and 3 reference planes, 22 distance parameters and 2 angular parameters were compared. This cephalometric assessment focused on asymmetry of the orbits, nose, ears, maxilla, and mandible. We then assessed the correlation between 23 of the measurements and cranial vault asymmetry (CVA) for statistical significance using relative differences and correlation analysis. RESULTS: With the exception of few orbital asymmetry variables, most measurements indicated that the facial asymmetry was greater in infants with DP. Mandibular and nasal asymmetry was correlated highly with severity of CVA. Shortening of the ipsilateral mandibular body was particularly significant. There was no significant deformity in the maxilla or ear. CONCLUSION: This study demonstrated that the cranial vault deformity in DP is associated with facial asymmetry. Compared with the control group, the infants with DP were found to have prominent asymmetry of the nose and mandible.
Congenital Abnormalities ; Ear ; Facial Asymmetry* ; Humans ; Infant ; Mandible ; Maxilla ; Nose ; Orbit ; Plagiocephaly, Nonsynostotic*
Congenital Abnormalities ; Ear ; Facial Asymmetry* ; Humans ; Infant ; Mandible ; Maxilla ; Nose ; Orbit ; Plagiocephaly, Nonsynostotic*
Surgical Methods of Zygomaticomaxillary Complex Fracture.
Archives of Craniofacial Surgery.2016;17(4):206-210. doi:10.7181/acfs.2016.17.4.206
BACKGROUND: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. We reviewed various approaches for the treatment of ZMC fractures and discussed about incisions and fixation methods. METHODS: A retrospective review was conducted of patients with ZMC fracture at a single institution from January 2005 to December 2014. Patients with single zygomatic arch fracture were excluded. RESULTS: The identified 694 patients who were admitted for zygomatic fractures from which 192 patients with simple arch fractures were excluded. The remaining 502 patients consisted of 439 males and 63 females, and total 532 zygomatic bone was operated. Orbital fracture was the most common associated fracture. According to the Knight and North classification the most frequent fracture was Group IV. Most fractures were fixated at two points (73%). CONCLUSION: We reviewed our cases over 10 years according to fracture type and fixation methods. In conclusion, minimal incision, familiar approach and fixation methods of the surgeon are recommended.
Blepharoplasty ; Classification ; Eyebrows ; Female ; Humans ; Male ; Maxillary Fractures ; Maxillofacial Injuries ; Methods* ; Orbital Fractures ; Retrospective Studies ; Skeleton ; Zygoma ; Zygomatic Fractures
Blepharoplasty ; Classification ; Eyebrows ; Female ; Humans ; Male ; Maxillary Fractures ; Maxillofacial Injuries ; Methods* ; Orbital Fractures ; Retrospective Studies ; Skeleton ; Zygoma ; Zygomatic Fractures
Country
Republic of Korea
Publisher
Korean Cleft Palate-Craniofacial Association
ElectronicLinks
http://e-acfs.org/Editor-in-chief
Kwang Seog Kim
kpseo@hitel.net
Abbreviation
Arch Craniofac Surg
Vernacular Journal Title
ISSN
2287-1152
EISSN
2287-5603
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
2000
Description
Archives of Craniofacial Surgery (Arch Craniofac Surg, ACFS: pISSN 2287-1152 . eISSN 2287-5603) is the official journal of the Korean Cleft Palate-Craniofacial Association. ACFS is a peer reviewed, open access journal that publishes articles in any aspect of craniofacial plastic and reconstructive surgery, operative procedures, clinical and laboratory research, case reports. Special topics as well as ideas, innovations, correspondence are invited for publications.
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