INTRODUCTION Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions ar...

Oral and oropharyngeal squamous cell carcinoma (Scc) occur most commonly in middle-aged and elderly individuals. Free flaps are commonly used for reconstruction of extensive tumor resection defects in the oral cavity. Age alone is not an independent variable for increased risk in microvascular reconstruction; however operative time and ASA risk score correlated with medical complications but no...

Lipomas may be located in all parts of the body and may be confused clinically with other soft tissue masses. They infrequently occur in the head and neck. A large neck mass (greater than 10 cm) with a rapid growth rate should raise concerns about a possible malignancy. Failure to distinguish a liposarcoma from a lipoma may represent a medicolegal pitfall. Surgical excision of a lipoma is often...

The search for aesthetic procedures aimed at the loss of submental definition is increasing. A correct diagnosis imperative successful treatment and reduction complications. Localized adiposity, skin flaccidity, bone structure are main findings. algorithm was discussed in this review, remembering, course, possibility combined sequential treatments better results.

BACKGROUND Based on our experience of trans-areola single-site endoscopic thyroidectomy and a preclinical study in the porcine model, we attempted to develop a new approach called trans-submental single-port endoscopic thyroidectomy (TSSPET). METHODS Two female patients (43 and 27 years old, respectively) were selected for TSSPET. Both were preoperatively diagnosed with benign thyroid nodule ...

OBJECTIVE To objectively record sleep patterns in intensive care unit patients using the Bispectral Index as an electroencephalographic measure of sleep and to determine if the sleep pattern is correlated with various clinical factors. METHODS Adult intensive care patients were recruited who were in the recovery phase of their illness and on minimal sedation. The sleep pattern was examined us...

OBJECTIVE To develop a minimally invasive intraoral technique to transfer the submandibular gland into the submental space. STUDY DESIGN Experimental cadaver study. METHODS Five cephalus specimen, a total of 10 submandibular glands, underwent this intraoral approach. Primary outcome measures included operative time, length of gland transfer, adequate ligation of facial vessels, and preserva...

INTRODUCTION Ectopic thyroid tissue may appear in any location along the trajectory of the thyroglossal duct from the foramen cecum to the mediastinum. Rarely, there is incomplete descent of the gland where the final resting point may be high resulting in sublingual ectopic thyroid tissue. Ectopic thyroid tissue carries a low risk of malignancy. Most recently reported neoplasms in ectopic thyro...

Epidermoid and dermoid cysts are rare in oral cavity. We are presenting here three such cases of sublingual dermoid cyst with submental extension (plunging dermoid) who presented in outpatient department with complaints of a slow growing painless swelling in the oral cavity and difficulty in chewing and swallowing solid foods. On clinical examination cystic swelling was seen in floor of mouth d...

Sharing the airway is a major concern for both anaesthetist and surgeon because the security of the airway may be jeopardized and the tracheal tube might impede the surgical field. This is seen typically in maxillofacial and ENTsurgeries. Nasal intubation is widely exercised by anaesthetists in maxillofacial surgery but difficulties arise with panfacial fractures when an unobstructed surgical f...