Our study demonstrates that SS NAR is a safe procedure with reproducible, excellent clinical results and very low complication rates or need for revisions. This method is cost-effective, convenient for the patient, and shortens patient recovery time with high patient satisfaction.
Summary:Despite falling out of favor in the 1970s, prepectoral breast reconstruction has resurfaced in the recent years as a safe and effective alternative to subpectoral/partial subpectoral breast reconstruction in carefully selected patients. This article outlines an algorithmic technical approach to prepectoral breast reconstruction for new patients and revision patients.
With technologic progress in imaging for patients with trauma, isolated medial orbital wall fractures have become an increasingly appreciated injury. Given that these injuries may cause deformity and functional deficit, reconstruction is warranted in some cases. Surgical approaches to the medial orbit have evolved, and there are particular benefits of the transcaruncular approach. This approach was used to reconstruct isolated medial orbital wall fractures for 9 patients over a 33-month period. A cadaver dissection demonstrating the approach combined with skull images is presented to illustrate anatomic details and technical points of the dissection.
We present a unique case of orbital floor and wall reconstruction after complete destruction by a self-inflicted gunshot wound. The complex comminuted fracture was repaired using a composite construct design (the mantle design) that was fixed in place using mini plates and screws. The designed composite graft was shaped exactly to fit the area of the orbital floor and maxilla to create stability and support for the globe.The orbital floor and maxilla were repaired using this special design, which was created based on the basic physical principles of mantle constructs that have been known for many years to be strong, durable, and stable. After surgery, radiologic evaluation revealed excellent placement of our construct. This particular reconstruction method may be used in patients with severe orbital bony destruction with no surrounding stable bony support elements, which are required to reconstruct the orbital floor in patients with trauma using either an autologous or a biologic implant.
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