UNLABELLED OBJECTIVES/HYPOTHOSES: TORS (Trans Oral Robotic Surgery) has been demonstrated to be an acceptable alternative to chemoradiation for the treatment of early stage malignant lesions of the oropharynx, with equivalent tumor control and enhanced functional outcomes. Surgical ablation of tumors of the oropharynx under conditions of limited access, however, creates the need to adapt the ro...

In unilateral cleft lip repair, the vermilion triangular flap technique reported by Noordhoff1 and its modification are widely accepted for the augmentation of the vermilion height on the medial side of the cleft; however, these techniques do not focus on the deformity of the labial tubercle. In this article, we herein report a modified technique for vermilion repair that is focused on the labi...

BACKGROUND Repair of the rare median cleft lip occurring with agenesis of the columella is a challenge as there is a major deficiency of skin and underlying structures. MATERIAL AND METHODS Over a 23- year period, five children underwent construction of a columella. A new surgical technique was designed for this: an internal dorsal nasal flap was used to create a cutaneous-cartilaginous flap ...

In 1955, Millard developed the concept of rotation-advancement flap to treat cleft lip. Almost 6 decades later, it remains the most popular technique worldwide. Since the technique evolved and Millard published many technical variations, we decided to ask 10 experienced cleft surgeons how they would mark Millard's 7 points in two unilateral cleft lip patient photos and compared the results. In ...

OBJECTIVE To compare Z-plasty and the Noordhoff flap for reducing notching in the vermilion during primary repair. STUDY DESIGN Comparative study. PLACE AND DURATION OF STUDY Plastic Surgery Department, Mayo Hospital, Lahore, from March 2008 to August 2010. METHODOLOGY Patients presenting for primary unilateral cleft lip repair were included. The modified Millard's technique was used for ...

background mainstay of post-burn reconstruction is release and split skin grafting. pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. free flaps are technically demanding and facilities are not universally available. here we evaluated the local perforator flaps for post-burn reconstruction. methods we have used sixteen perforator propellar flaps for p...

BACKGROUND Airway obstruction and feeding difficulty can occur in patients born with Pierre Robin sequence. In select patients with pronounced micrognathia, surgical intervention to relieve the airway obstruction is necessary. The surgical indications and appropriate surgical procedure continue to have a great deal of controversy. The purpose of this study was to evaluate our experience of tong...

Almost half a century ago, Tennison (1) proposed a triangular flap cleft lip repair that for the first time preserved the existing lip elements and permitted the creation of a normal Cupid’s bow. Brauer (2) and Randall (3) are better known for improving this original concept, but Millard (4) credits Marcks for popularizing Tennison’s method while developing his own Z-plasty modification. Trevas...

BACKGROUND This article presents a real-time surgical simulator for teaching three- dimensional local flap concepts. Mass-spring based simulators are interactive, but they compromise accuracy and realism. Accurate finite element approaches have traditionally been too slow to permit development of a real-time simulator. METHODS A new computational formulation of the finite element method has b...