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Transcalvarial suture fixation for endoscopic brow and forehead lifts.
OBJECTIVE: To evaluate the safety and effectiveness of transcalvarial suture fixation during endoscopic repair of brow ptosis. DESIGN: Case series. SETTINGS: A private ambulatory surgicenter and a Veterans Affairs Hospital. PARTICIPANTS: Fifty patients with brow ptosis with minimum follow-up of 12 months. RESULTS: Patients had improvement in brow position in all cases. There were no adverse effects of performing cortical tunnels and suture fixation. CONCLUSION: Transcalvarial suture fixation can be performed safely with good to excellent results and avoids the need for screw or plate fixation.
Liquid crystal forehead temperature strips.
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Complete orbit and forehead reconstruction using a free latissimus dorsi flap and MEDPOR implants.
BACKGROUND: Reconstruction of enormous composite defects of the face in the presence of meningitis is a difficult problem. We present a case of a 29-year-old man with a huge, posttraumatic bone and soft tissue defect of the upper half of the left side of the face (orbit-zygoma-frontal-partial temporal bones), frontal lobe of the brain, and enucleated eye with intact facial skin. METHODS: An initial reconstruction using cement was complicated by multiple episodes of meningitis. In a multiple-stage procedure, we used a free latissimus dorsi muscle flap to re-construct the soft tissue defect and control the infection, a complete left orbit and frontal MEDPOR implant for the bone defect, and also an orbital sphere MEDPOR implant for the eyeball. RESULTS: In a 2-year follow-up, no infection was observed, and the cosmetic result is satisfactory. CONCLUSION: The combination of free flap and MEDPOR implants demonstrates an alternative method for reconstruction of complicated facial defects.
Prenatal forehead edema in 4p- deletion: the 'Greek warrior helmet' profile revisited.
OBJECTIVES: Deletion of short arm of chromosome 4 is difficult to ascertain prenatally, and can be missed. METHODS: A prenatal suspicion of 4p- syndrome was thoroughly investigated by using two-dimensional and three-dimensional sonography, with a description of the fetal face dysmorphological pattern. The cytogenetic confirmation, obtained by karyotype and FISH technique, allowed a precise description of the prenatal abnormalities. Post-termination tridimensional helicoidal scanner of the fetal face was performed. RESULTS: The main anomaly discovered using two-dimensional sonography was the presence of a strikingly thick prefrontal edema (8 mm, twice the normal values, at 22 weeks: 3.81 +/- 0.62 mm). Three-dimensional sonography showed the classical postnatal profile, with the phenotypic aspect of a 'Greek warrior helmet'. Nasal bones were normal in size and placement, confirmed by helicoidal scanner. CONCLUSION: Prenatal diagnosis of 4p deletion syndrome can be difficult, and it is the presence of prefrontal edema, associated with more subtle facial anomalies (short philtrum, microretrognathia) which should trigger cytogenetic investigation for 4p- deletion, even with only borderline growth retardation.
Detection and characterization of cholinergic oscillatory control in the forehead microvasculature in response to systemic alpha-agonist infusion in healthy volunteers.
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Endoscopic subperiosteal forehead lift.
The author evaluates the new endoscopic treatment of the upper part of the face. The application of the endoscopic method for treating the effects of aging introduces great expectation for aesthetic plastic surgery. The procedure is performed under the periosteum, through tiny incisions near the hairline. The technique consists of releasing the periosteum from the orbital rim and the resection of the muscles: corrugators, procerus, orbicularis, and eventually the frontal muscle. The author reviews 61 cases over a period of ten months.
Subcutaneous anterior hairline forehead rhytidectomy.
An anterior hairline incision with subcutaneous (superficial to the frontalis muscle) dissection is recommended for certain categories of rhytidectomy patients. Patient selection is a very important preoperative procedure. The technique and results are described and illustrated. Advantages and disadvantages are discussed.
Reconstructive forehead cranioplasty using Refobacin-Palacos (RP): a case report.
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[Band-like alopecia of the forehead-hair zone. Postmenopausal frontal fibrosing alopecia].
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Endoscopic forehead-scalp flap fixation with K-wire.
A new technique of direct fixation of the endoscopically elevated scalp-periosteal flap to the underlying skeleton using transcutaneous K-wires is described. The technique is very simple to perform. It is expedient. The instrument requirement is minimal. The level of elevation of the brow can be determined and fixed reliably. Postoperative care is simple and is accepted well by the patients. A couple of instrumentation options are described.
Meningothelial hamartoma located in the forehead.
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FOREHEAD FLAP IN IMMEDIATE REPAIR OF HEAD, FACE AND JAW.
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The secondary deformity of forehead flaps: improved appearance with meshed skin grafts.
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Orbital prosthesis following temporal muscle or forehead flap reconstruction: use of optics and illusions.
Temporalis myocutaneous flap reconstruction of orbital defects may cause difficulty with fabrication of esthetic orbital prostheses because of limited space. Two patient treatments are presented to show the wide variation in defect size that may be encountered after surgical reconstruction. Methods for using optics and illusions to enhance the esthetic result are also presented.
EFFECTS OF PULSED LASER IRRADIATION OF THE FOREHEAD IN MICE.
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Primary lipogranuloma of the forehead.
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