The management of the neck often presents the most challenging aspect of the facelift procedure. The aesthetic neck has a well-defined jaw line, a pleasing and adequate cervicomental angle, and visible definitions of the deeper lateral and midline structures, such as the sternocleidomastoid muscles and trachea. Several unfavorable anatomic characteristics will present that will compound the cha...

T is a recommended algorithm of the Western Trauma Association for the management of penetrating neck trauma that has penetrated the platysma muscle of the neck. Because of the paucity of recent prospective randomized trials on the evaluation and management of penetrating neck injury, the current algorithm and recommendations are based on available published prospective cohort, observational, a...

BACKGROUND Minimally invasive spine surgery limits surgical trauma and avoids traditional open surgery so in the majority of cases, recovery is much quicker and patients have less pain after surgery. AIM The authors describe an endoscopic approach to anterior cervical foraminotomy (ACF) by Destandau's method. MATERIAL AND METHODS Anterior cervical foraminotomy by Destandau's method is carri...

Regional differences in the integument of the body are explained, at least in part, by differences in fascial arrangements. In the face, where the skin is more mobile due to the action of the underlying facial muscles, fascial organisation is important for support and separation of muscle groups. This study used bequeathed cadaver material to investigate a current model of the SMAS proposed by ...

BACKGROUND Many techniques have been presented over recent decades to address the neck contour in facial rejuvenation surgery. Despite advances, limitations remain when dealing with the obtuse cervical angle. OBJECTIVE The authors describe a technique for improving the obtuse cervicomental angle. METHODS The authors reviewed the charts of 295 patients who underwent the authors' submental mu...

SURGERY FOR MOTOR TICS OF THE FACE AND NECK W. B. SCOVILLE (Hartford) described a series of cases of various forms of facial tic, including hemifacial spasm, bilateral blepharospasm, and platysma spasm, with the appropriate surgical measures for their correction. It was pointed out that these motor tics could be totally disabling and that psychiatric and drug treatment was often of no avail. Se...

INTRODUCTION Noma, aptly named the 'face of poverty', is a scourge with a mortality rate of up to 90% that affects some 140,000 people each year, predominantly children in the sub-Saharan 'noma belt'. Survivors of the acute attack suffer severe facial disfigurement from loss of facial tissue and scarring. Surgical reconstruction of noma defects is a major challenge, especially in Africa, where ...

A retrospective review was made of 139 clinically stable patients who had sustained penetrating trauma to the face and neck. The study was done to learn more about the indications for angiography and the impact of angiography upon patient management. Some relationship between the physical examination and the angiographic findings was found. In the presence of any one of four physical signs or s...

The contour of the neck is a very important determinant of facial aesthetics. Precise knowledge of neck anatomy is essential for adequate planning and execution of this procedure. There are three anatomic and surgical planes involved in the management of the aging neck; the superficial plane (subcutaneous fat), the intermediate plane (platysma muscles and the fat between the two muscles), and t...

Exposing a child to a potentially toxic substance is an uncommon cause of consultation in childhood. Poisoning by drugs in this age group is commonly due to improper administration by parents or error in dosage by the doctor; also ingestion at own initiative, i.e. self-poisoning. CASE REPORT A 11 years-old male, drowsy, unresponsive, with bradypsychia, assisted ambulation without increased su...