Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Τρίτη 10 Μαΐου 2016

OtoRhinoLaryngology & Medicine,New Articles,May 10th,2016



OtoRhinoLaryngology - Alexandros G. Sfakianakis
Intravenous Alteplase in Acute Ischemic Stroke
 
Low-Dose versus Standard-Dose Intravenous Alteplase in Acute Ischemic Stroke: Thrombolytic therapy with intravenous alteplase (recombinant tissue-type plasminogen activator) at a dose of 0.9 mg per kilogram of body weight is an effective treatment for acute ischemic stroke, despite increasing the risk...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Extracranial Contamination of Near-Infrared Spectroscopy Devices.
 
Extracranial Contamination of Near-Infrared Spectroscopy Devices
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Exposure to selective serotonin reuptake inhibitors (SSRIs)
 
Association of Selective Serotonin Reuptake Inhibitors with Transfusion in Surgical Patients.: BACKGROUND: The clinical relevance of chronic exposure to selective serotonin reuptake inhibitors (SSRIs) to transfusion in surgical patients is unclear.METHODS: We conducted a prospective cohort study involving...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The CNAP(TM) Finger Cuff for Noninvasive Beat-To-Beat Monitoring of Arterial Blood Pressure
 
An Evaluation in Intensive Care Unit Patients and a Comparison with 2 Intermittent Devices.: BACKGROUND: Continuous and intermittent noninvasive measurements of arterial blood pressure (BP) have not been compared in the same population. In a large panel of intensive care unit patients, we assessed the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Continuous Sleep Monitoring Using a Portable Electroencephalography Monitor.
 
The Feasibility and Utility of Continuous Sleep Monitoring in Critically Ill Patients Using a Portable Electroencephalography Monitor.: BACKGROUND: Sleep disruption in critically ill adults can result in acute decrements in cognitive function, including delirium, but it is underdiagnosed in the setting...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Total Face, Eyelids, Ears, Scalp, and Skeletal Subunit Transplant
 
 Research Procurement: A Translational Simulation Model:  Background: Cadaveric face transplant models are routinely used for technical allograft design, perfusion assessment, and transplant simulation but are associated with substantial limitations. The purpose of this study was to describe the experience...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Total Face, Eyelids, Ears, Scalp, and Skeletal Subunit Transplant
 
Total Face, Eyelids, Ears, Scalp, and Skeletal Subunit Transplant Cadaver Simulation: The Culmination of Aesthetic, Craniofacial, and Microsurgery Principles:  Background: The application of aesthetic, craniofacial, and microsurgical principles in the execution of face transplantation may improve outcomes....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Surgery and Maintenance of Head Size in Nonsyndromic Sagittal Craniosynostosis
 
Age at the Time of Surgery and Maintenance of Head Size in Nonsyndromic Sagittal Craniosynostosis: AbstractBackground: Repair of nonsyndromic sagittal craniosynostosis should durably improve intracranial volume and cranial index. The optimal timing of surgery is not known. The authors previously reported...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Managing Syndromic Craniosynostosis Using Posterior Vault Distraction Osteogenesis
 
An Algorithm for Managing Syndromic Craniosynostosis Using Posterior Vault Distraction Osteogenesis: Background: The authors hypothesize that early posterior vault distraction osteogenesis safely confers considerable cranial vault remodeling, sufficient to enable fronto-orbital advancement to be delayed...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Interfrontal Angle for Severity Grading and Operative Decision-Making in Metopic Synostosis
 
Objective Assessment of the Interfrontal Angle for Severity Grading and Operative Decision-Making in Metopic Synostosis: AbstractBackground: The purpose of this study was to evaluate the utility of a previously validated interfrontal angle for classification of severity of metopic synostosis and as...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Fronto-Orbital Advancement for Metopic Synostosis
 
Anthropometric Outcomes following Fronto-Orbital Advancement for Metopic Synostosis: Background: The authors’ purpose is to present changes in anthropometric fronto-orbital dimensions after surgical correction of metopic synostosis.Methods: The authors retrospectively analyzed craniometric dimensions...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Classification and Algorithmic Management of Constricted Ears
 
A 22-Year Experience: Background: The classification and corrective methods for the constricted ears continue to be controversial. To clarify them, the authors have reviewed and analyzed cases operated on at their Center from January of 1992 to January of 2014.Methods: A total of 164 ear cases (involving...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Teaching Surgical Judgment
 
Making Master Surgeons Out of Trainees: Part I. :  Summary: The training of competent and ethical plastic surgery residents has become more difficult, as surgeons face increasing clinical and research demands, concern for medicolegal liability, and pressure to increase efficiency to decrease health...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Quality in Surgery
 
Defining Quality in Health Care and Measuring Quality in Surgery: Summary: Quality in health care has been sluggish to adapt to the changing landscape, leading to lapses in the successful delivery of care. Consequently, quality of care has come under intense scrutiny in the past decade, resulting in...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Collagen and Fractionated Platelet-Rich Plasma Scaffold for Dermal Regeneration
 
Collagen and Fractionated Platelet-Rich Plasma Scaffold for Dermal Regeneration: Background: Current options for in vivo regeneration of dermal tissue remain limited. The purpose of this study was to engineer a unique scaffold capable of recruiting dermal stem cells from adjacent tissue, thus circumventing...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Resorbable osteosynthesis systems are used to treat craniofacial fractures
 
Increased Osteoid Formation in BMP-2–Loaded Silk-Based Screws: Background: Resorbable osteosynthesis systems are used to treat craniofacial fractures. However, conventional synthetic polyester materials are potentially associated with inflammatory reaction and negative host response and may result in...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A Novel Approach to Surgical Markings Based on a Topographic Map and a Projected Three-Dimensional Image
 
A Novel Approach to Surgical Markings Based on a Topographic Map and a Projected Three-Dimensional Image: Summary: Surgical markings play a crucial role in the planning of plastic surgery procedures.1–4 However, despite their importance, they are often imprecise. For instance, when assessing patients...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Promotion of Osteogenesis and Angiogenesis in Vascularized Tissue-Engineered Bone Using Osteogenic Matrix Cell Sheets
 
Promotion of Osteogenesis and Angiogenesis in Vascularized Tissue-Engineered Bone Using Osteogenic Matrix Cell Sheets: Background: The regeneration of large, poorly vascularized bone defects remains a significant challenge. Although vascularized bone grafts promote osteogenesis, the required tissue harvesting...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
External Volume Expansion in Irradiated Tissue
 
 Effects on the Recipient Site:  AbstractBackground: External volume expansion prepares recipient sites to improve outcomes of fat grafting. For patients receiving radiotherapy after mastectomy, results with external volume expansion vary, and the relationship between radiotherapy and expansion remains...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Rib and Ear Cartilage Grafts in Autologous and Allogenic Fascia Lata
 
Long-Term Comparison of Rib and Ear Cartilage Grafts in Autologous and Allogenic Fascia Lata: An Experimental Study in a White Rabbit Model: Background: Diced cartilage in fascia has become the graft material of choice for dorsal grafts in rhinoplasty. Allogenic fascia lata has not yet been investigated...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Postoperative Edema and Ecchymosis after Rhinoplasty
 
Interventions to Decrease Postoperative Edema and Ecchymosis after Rhinoplasty: A Systematic Review of the Literature: Background: Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
OnabotulinumtoxinA, AbobotulinumtoxinA, and IncobotulinumtoxinA
 
A Quantitative Analysis of OnabotulinumtoxinA, AbobotulinumtoxinA, and IncobotulinumtoxinA: A Randomized, Double-Blind, Prospective Clinical Trial of Comparative Dynamic Strain Reduction: Background: U.S. Food and Drug Administration–approved formulations of botulinum toxin include onabotulinumtoxinA...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Surgical Innovation
 
Big Data and Machine Learning in Plastic Surgery: A New Frontier in Surgical Innovation:  Summary: Medical decision-making is increasingly based on quantifiable data. From the moment patients come into contact with the health care system, their entire medical history is recorded electronically. Whether...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Hyaluronic Acid Fillers and Botulinum Toxin Type A
 
Global Aesthetics Consensus: Hyaluronic Acid Fillers and Botulinum Toxin Type A—Recommendations for Combined Treatment and Optimizing Outcomes in Diverse Patient Populations: Background: Combination of fillers and botulinum toxin for aesthetic applications is increasingly popular. Patient demographics...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Efficacy of Intense Pulsed Light Therapy in Postoperative Recovery from Eyelid Surgery
 
The Efficacy of Intense Pulsed Light Therapy in Postoperative Recovery from Eyelid Surgery: Background: The purpose of this study was to evaluate the efficacy of postoperative intense pulsed light therapy on patients who undergo bilateral eyelid surgery.Methods: Patients presenting over a 3-month period...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A Novel Surgical Approach to Chronic Temporal Headaches
 
A Novel Surgical Approach to Chronic Temporal Headaches:  AbstractSummary: The targets for the surgical treatment of temporal headaches are the zygomaticotemporal branch of the trigeminal nerve and the auriculotemporal nerve. The former is often accessed by means of an endoscopic brow approach or potentially...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Malar Augmentation Zone
 
Three-Dimensional Topographic Surface Changes in Response to Compartmental Volumization of the Medial Cheek: Defining a Malar Augmentation Zone: Background: Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of three-dimensional...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Compartmental Volumization of the Medial Cheek
 
Three-Dimensional Topographic Surface Changes in Response to Compartmental Volumization of the Medial Cheek: Defining a Malar Augmentation Zone: Background: Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of three-dimensional...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Facial Volumization with Fillers
 
Current Applications of Facial Volumization with Fillers: Learning Objectives: After reading this article and watching the accompanying videos, the participant should be able to: 1. Assess patients seeking facial volumization and correlate volume deficiencies anatomically. 2. Identify appropriate fillers...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Single and Double Venous Anastomoses in Head and Neck Oncologic Reconstruction
 
Comparison of Single and Double Venous Anastomoses in Head and Neck Oncologic Reconstruction Using Free Flaps: A Meta-Analysis: Background: Venous insufficiency is the main cause of failure and surgical revision in free flap surgery. Achieving a double venous anastomosis is frequently proposed to improve...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Diagnosis of Autoimmune and Inflammatory Periocular Disease
 
Laboratory Investigations for Diagnosis of Autoimmune and Inflammatory Periocular Disease: Part II.: Purpose: To review the important laboratory serological investigations routinely performed for the diagnosis of autoimmune and inflammatory diseases of the orbit and ocular adnexa.Methods: Review of...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Rigenera protocol in the treatment of surgical wound dehiscence
 
Rigenera protocol in the treatment of surgical wound dehiscence: AbstractThe effective management of post-operative wounds is important to prevent potential complications such as surgical-site infections and wound dehiscence. The purpose of this study was to treat wound dehiscence in elderly patients...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Subepidermal moisture (SEM) and bioimpedance early detection of pressure-induced tissue damage (pressure ulcers
 
Subepidermal moisture (SEM) and bioimpedance: a literature review of a novel method for early detection of pressure-induced tissue damage (pressure ulcers): AbstractCurrent detection of pressure ulcers relies on visual and tactile changes at the skin surface, but physiological changes below the skin...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Early detection of pressure-induced tissue damage (pressure ulcers
 
Subepidermal moisture (SEM) and bioimpedance: a literature review of a novel method for early detection of pressure-induced tissue damage (pressure ulcers): AbstractCurrent detection of pressure ulcers relies on visual and tactile changes at the skin surface, but physiological changes below the skin...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Harvesting thoracodorsal artery perforator flaps
 
A modified method for harvesting thoracodorsal artery perforator flaps in a simple and time-saving approach: BackgroundWith the increasing popularity of perforator flaps in several fields of reconstructive surgery, there have been many attempts to develop safer and more efficient harvesting methods....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Complex Facial Resurfacing
 
Bipedicled Preexpanded Forehead Flaps for Simultaneous Reconstruction of Total Nasal and Upper Lip Subunits: A Novel Approach to Complex Facial Resurfacing: J reconstr MicrosurgDOI: 10.1055/s-0036-1583933Background Reconstruction of the central facial subunits is a complex and challenging task. In cases...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Bipedicled Preexpanded Forehead Flaps for Simultaneous Reconstruction of Total Nasal and Upper Lip Subunits
 
A Novel Approach to Complex Facial Resurfacing: J reconstr MicrosurgDOI: 10.1055/s-0036-1583933Background Reconstruction of the central facial subunits is a complex and challenging task. In cases in which both the nasal and upper lip subunits are involved, a technique that can reconstruct both aesthetic...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Distraction osteogenesis for surgical treatment of craniosynostosis
 
: a systematic review.: Background: Distraction osteogenesis (DO) has been proposed as an alternative to cranial remodeling surgery (CRS) for craniosynostosis, but technique descriptions and outcome analyses are limited to small case series. This review summarizes operative characteristics and outcomes...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Treatment of Peripheral Neuropathy in Leprosy for Nerve Decompression
 
Treatment of Peripheral Neuropathy in Leprosy: The Case for Nerve Decompression: Summary: Plastic surgery has a tradition of caring for patients with facial deformity and hand deformity related to leprosy. The approach, however, to the progressive deformity and disability related to chronic nerve compression...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Voice reconstruction after pharyngolaryngectomy using the ileocolon free flap
 
Pearls and pitfalls of voice reconstruction after pharyngolaryngectomy using the ileocolon free flap:
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Primary reconstruction of facial traumatic events
 
Retrospective study of primary reconstruction of facial traumatic events: AbstractFacial traumatic events are commonly encountered in plastic and reconstructive surgery. Primary reconstruction is a reliable procedure with function and aesthetic considerations. We conduct a retrospective study of the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Reconstruction of high-risk fascia, tendon, or ligament defects
 
Distally Based Iliotibial Band Flap: Anatomic Study with Surgical Considerations: J reconstr MicrosurgDOI: 10.1055/s-0036-1583278Background Reconstruction of high-risk fascia, tendon, or ligament defects may benefit from vascularized tissue. The iliotibial band (ITB), a thick fibrous tract of connective...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A Novel Free Flap Monitoring System Using Tissue Oximetry with Text Message Alerts
 
A Novel Free Flap Monitoring System Using Tissue Oximetry with Text Message Alerts: J reconstr MicrosurgDOI: 10.1055/s-0036-1582264Background The time to detection of vascular compromise is a significant predictor of free flap salvage outcomes as early reexploration improves salvage rates. Continuous...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Inorganic UV filters,Hybrid organic/inorganic materials
 
Preparation of alpha-bisabolol and phenylethyl resorcinol/TiO2 hybrid composites for potential applications in cosmetics: AbstractObjectiveBifunctional alpha-bisabolol and phenylethyl resorcinol/TiO2 hybrids were prepared to apply in cosmetic fields, particularly in anti-aging and hyperpigmentation treatment....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Microbiological Risk Assessment for Personal Care Products
 
Microbiological Risk Assessment for Personal Care Products: AbstractRegulatory decisions regarding microbiological safety of cosmetics and personal care products are primarily hazard-based, where the presence of a potential pathogen determines decision making. This contrasts with the Food industry where...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The potential of MnP purified from Geotrichum sp. as a skin-lightening agent
 
Purification and characterization of a melanin biodegradation enzyme from Geotrichum sp: AbstractObjectiveMelanin is a black or brown phenolic polymer present mainly in skin and hair. Although melanin can be degraded by some microbial species, the melanin degradation capacity of Geotrichum sp. is unknown....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Die akute und chronische Mediastinitis
 
Die akute und chronische Mediastinitis: ZusammenfassungHintergrundEine Systematik in der Genese und dem möglichen Verlauf der akuten Mediastinitis ist die Voraussetzung für eine adäquate Diagnostik und Therapie. Die chronische Mediastinitis stellt im klinischen Alltag eine Rarität dar.Material und MethodenEs...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Resektion beim fortgeschrittenen Adenokarzinom des Magens und des Ösophagus
 
Resektion beim fortgeschrittenen Adenokarzinom des Magens und des Ösophagus: ZusammenfassungIn den aktuell gültigen deutschen S3-Leitlinien wird bei metastasierten Magenkarzinomen und metastasierten Adenokarzinomen des ösophagogastralen Übergangs eine chirurgische Therapie in der Regel nicht empfohlen....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Long-term follow-up of early cleft maxillary distraction
 
Long-term follow-up of early cleft maxillary distraction: AbstractBackgroundMost of cleft lip and palate patients have the esthetic and functional problems of midfacial deficiencies due to innate developmental tendency and scar tissues from repeated operations. In these cases, maxillary protraction is...

OtoRhinoLaryngology - Alexandros G. Sfakianakis
Correction of Severely Contracted Nose.
 
Correction of Severely Contracted Nose.: Background: Severely contracted nose is manifested with a tight and hardened nasal envelope. Expan-sion of the contracted skin is an important first step in correcting these revision cases. The underlying weak lower lateral cartilage makes the tip projection structurally...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Surgical correction of septal deviation after Le Fort I osteotomy
 
Surgical correction of septal deviation after Le Fort I osteotomy: AbstractBackgroundThe Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Donor-Site Morbidity Following Free Tissue Harvest from the Thigh
 
 A Systematic Review and Pooled Analysis of Complications: J reconstr MicrosurgDOI: 10.1055/s-0036-1583301Background Donor-site morbidity significantly influences patient satisfaction and quality of life following reconstructive surgery. The relevant donor-site morbidities associated with more commonly...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The management of temporomandibular joint ankylosis : Matthews device arthroplasty,Interpositional arthroplasty
 
Matthews device arthroplasty presents superior long-term mouth opening than interpositional arthroplasty in the management of temporomandibular joint ankylosis: To describe the surgical outcomes of a single-institution experience in the surgical management of temporomandibular joint ankylosis, comparing...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Free tarsomarginal graft for large congenital coloboma repair in patients with Tessier number 10 clefts
 
Free tarsomarginal graft for large congenital coloboma repair in patients with Tessier number 10 clefts: The aim of this study is to evaluate long-term outcomes of free tarsomarginal graft for large congenital coloboma repair in Tessier Number 10 Clefts.AimThe aim of this study is to evaluate long-term...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The PAVE (peeling-assisted volume enhancing) lift
 
 – a retrospective 6-year clinical analysis of a combined approach for facial rejuvenationAbstractThe peeling-assisted volume enhancing (PAVE) lift is a single-stage approach that combines SMAS-plication techniques with fat grafting and different peeling agents. To evaluate the safety of this approach,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Complex Soft Tissue Defects, Perforator Flap, Free Gracilis Flap
 
A prospective randomized cost billing comparison of local fasciocutaneous perforator vs free Gracilis flap reconstruction for lower limb in a developing economy: Distal half leg complex wounds are usually a formidable problem that necessitate either local or free flap coverage. The aim of this study...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Periorbital Autologous Fat Grafting in Facial Nerve Palsy.
 
Periorbital Autologous Fat Grafting in Facial Nerve Palsy.: AbstractPurpose: To report outcomes and complications of periorbital autologous fat grafting (AFG) in improving volume loss-related symmetry and function in facial nerve palsy patients and to assess patient satisfaction.Methods: A retrospective,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Embryologic and Fetal Development of the Human Eyelid.
 
Embryologic and Fetal Development of the Human Eyelid.: Purpose: To review the recent data about eyelid morphogenesis, and outline a timeline for eyelid development from the very early stages during embryonic life till final maturation of the eyelid late in fetal life.Methods: The authors extensively...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Virtual Fitting, Selection, and Cutting of Preformed Anatomic Orbital Implants.
 
Virtual Fitting, Selection, and Cutting of Preformed Anatomic Orbital Implants.: Purpose: To evaluate the usage of preoperative digital anatomic implant evaluation in internal orbital fractures.Methods: An IRB-approved review of cases of orbital fracture repair was conducted and cases where digital implant...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Tea tree oil and silver
 
Essential oils and metal ions as alternative antimicrobial agents: a focus on tea tree oil and silver: AbstractThe increasing occurrence of hospital-acquired infections and the emerging problems posed by antibiotic-resistant microbial strains have both contributed to the escalating cost of treatment....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Craniofacial Reconstruction
 
Retrospective study of experience of craniofacial reconstruction: AbstractReconstruction is a basic task in craniofacial plastic surgery. Different methods must be used to meet the aspirations of surgeons and patients with different defects and deformities. We make a retrospective study of our experience...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Primary necrotising fasciitis : combined use of hyperbaric oxygen and negative pressure wound therapy
 
A rare case of primary necrotising fasciitis of the breast: combined use of hyperbaric oxygen and negative pressure wound therapy to conserve the breast. Review of literature: AbstractNecrotising fasciitis is a rare but potentially fatal disease. It is even more unusual as a primary disease of the breast....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A Staging System for Revision Rhinoplasty
 
A Staging System for Revision Rhinoplasty: This narrative review discusses a standardized evaluation system that will allow meaningful comparisons of surgical techniques and evaluation of outcomes for revision rhinoplasty.Importance  Rhinoplasty is known to be one of the more technically challenging...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Analysis of Facial Implants for Bacterial Biofilm Formation
 
Analysis of Facial Implants for Bacterial Biofilm Formation: This case series evaluates 7 explanted alloplastic facial implants for the presence or absence of bacterial biofilm using scanning electron microscopy, with nonexplanted fresh silicone and porous polyethylene implants each used as a control.Importance  Alloplastic...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Rhinoplasty
 
The Impossible Dream?: Rodman and Kridel have addressed a truly important problem in facial plastic surgery—the lack of objective ways to evaluate its outcomes. Rhinoplasty is among the most difficult plastic surgical procedure to perform, and it has a relatively high revision rate. I congratulate the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Clinics in Plastic Surgery
 
Intense Pulsed Light Therapy for Skin Rejuvenationvia Plastic SurgerySource:Clinics in Plastic SurgeryAuthor(s): Barry E. DiBernardo, Jason N. PoznerTeaserIntense pulsed light (IPL), also known as pulsed light and broad band light, is a nonlaser light source used to treat a variety of vascular and pigmented...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Suprafascial Anterolateral Thigh Flap Harvest in Head and Neck Reconstruction.
 
Suprafascial Anterolateral Thigh Flap Harvest: A Better Way to Minimize Donor-site Morbidity in Head and Neck Reconstruction.: Background: The purpose of this study was to compare the clinical outcomes and donor site morbidity between the suprafascial and subfascial harvesting of anterolateral thigh...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
UK guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in adults 2016
 
UK guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in adults 2016: JKGD (1) grant/research support - Dompe pharmaceuticals, SiFi Pharmaceuticals (non-specific); MA-J (1) commissioned work – Genus Pharmaceuticals (non-specific); (2) sponsorship to conferences – Abbvie,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Orbital Extension of Untreated Lacrimal Sac Melanoma
 
 Following Dacryocystorhinostomy:  An 81-year-old man complained of tearing in the left eye. An outside oculoplastics specialist performed a dacryocystorhinostomy for a presumed diagnosis of dacryocystitis. During the procedure, a large amount of abnormal necrotic tissue was noted in the lacrimal sac...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Significant,asymptomatic,unilateral eyelash poliosis,not associated with any ophthalmic or systemic conditions
 
Unilateral Poliosis of Eyelashes:  A 68-year-old man presented with significant, asymptomatic, unilateral eyelash poliosis, not associated with any ophthalmic or systemic conditions. He reported that this started about 40 years ago with a few lashes in the central portion of his eyelid and that adjacent...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Intraconal Orbital Apex
 
Endoscopic Medial Rectus Sling: A Window Into the Intraconal Orbital Apex:  Purpose: Surgical approaches to the medial orbit especially within the cone of orbital muscles necessitate great precision and care to avoid damage to surrounding structures—most importantly the optic nerve. The authors present...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Active Graves Orbitopathy : Using Nonechoplanar Diffusion-weighted MRI to Assess Treatment Response
 
A Novel Approach with 2 Case Reports:Two patients (68 and 71 years, both female) with sight threatening, active Graves orbitopathy but low clinical activity score underwent MRI scans before and after intravenous corticosteroid treatment. Two MRI techniques, short-term inversion recovery and nonechoplanar...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Lower Eyelid Reconstruction with Combined Sliding Tarsal and Rhomboid Skin Flaps
 
Lower Eyelid Reconstruction with Combined Sliding Tarsal and Rhomboid Skin Flaps: Purpose: To report results in patients undergoing lower eyelid reconstruction following Mohs surgery using a combination of surgical techniques, the rhomboid skin flap and a sliding tarsal flap.Methods: An IRB approved,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Proptosis Caused by Rhabdomyomatous Mesenchymal Hamartomata Occurring in the Orbit
 
Proptosis Caused by Rhabdomyomatous Mesenchymal Hamartomata Occurring in the Orbit: Two infants were referred for progressive orbital proptosis. MRI in both cases demonstrated a homogenous mass in the orbit adherent to and isointense with a rectus muscle. Histopathology in both cases demonstrated a bland...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Total or Near-Total Lower Eyelid Defect Reconstruction Using Malar Myocutaneous Bridge and Nasojugal Flaps and Septal Chondromucosal Graft
 
Total or Near-Total Lower Eyelid Defect Reconstruction Using Malar Myocutaneous Bridge and Nasojugal Flaps and Septal Chondromucosal Graft: Purpose: The purpose of this study is to repair total or near-total lower eyelid defects by single-staged operative technique.Methods: The procedure was performed...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Intramuscular Lipoma of Superior Rectus Muscle
 
Intramuscular Lipoma of Superior Rectus Muscle:The authors describe a case of a 27-year-old man with progressive diplopia and proptosis in whom imaging studies revealed the presence of a mass in the superior rectus muscle. Biopsy showed an infiltrative tumor of mature adipocytes with striated muscle...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Dermis-Fat Graft in Children as Primary and Secondary Orbital Implant
 
Dermis-Fat Graft in Children as Primary and Secondary Orbital Implant: Purpose: To report the experience with the use of dermis-fat graft in the pediatric population and to evaluate the outcome of this procedure as a primary or secondary orbital implant.Methods: Case series. Analysis of the clinical...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Intravenous Acetaminophen in Orbital Surgery
 
Intravenous Acetaminophen in Orbital Surgery:Purpose: To assess the role of intravenous acetaminophen (IVA) in orbital surgery.Methods: Fifty control patients underwent orbital surgery without IVA. Fifty patients received 1 g of IVA within 30 minutes of surgery, and 50 patients received 1 g of IVA immediately...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Evaluation of the Retro-Orbital Fatty Tissue Volume in Delayed Orbital Blow-Out Fractures
 
Evaluation of the Retro-Orbital Fatty Tissue Volume in Delayed Orbital Blow-Out Fractures: Purpose: In patients where diplopia and enophthalmia are manifest, surgical intervention is usually necessary. The pathogenesis of these symptoms usually includes the prolapse of orbital tissues into the sinus...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Upper Blepharoplasty
 
The Quantitated Internal Suture Browpexy: Comparison of Two Brow-Lifting Techniques in Patients Undergoing Upper Blepharoplasty:  Purpose: To describe and evaluate 1) the quantitated internal suture browpexy (ISB), which combines the advantages of a browpexy and “brassiere suture,” 2) the endoscopic...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Margin Reflex Distance: Differences Based on Camera and Flash Positions
 
Margin Reflex Distance: Differences Based on Camera and Flash Positions: Purpose: To evaluate the effect of camera flash position on the measurement of photographic margin reflex distances (MRD).Methods: Subjects without any ophthalmic disease were prospectively enrolled after institutional review board...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Orbital Lipomatosis: A Complication of Steroid Therapy in the Sweet Syndrome
 
Orbital Lipomatosis: A Complication of Steroid Therapy in the Sweet Syndrome: The description of a Sweet syndrome steroid dependant-induced orbital lipomatosis is reported. A 76-year-old-man with history of Sweet syndrome presented with severe bilateral proptosis (Hertel value, 25 mm) with decreased...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Effect of Ptosis Surgery on Brow Position and the Utility of Preoperative Phenylephrine Testing
 
The Effect of Ptosis Surgery on Brow Position and the Utility of Preoperative Phenylephrine Testing: Introduction: Many reports have suggested that upper eyelid position and brow height can be interdependent; however, the relation is not universally observed. This study aims to understand the prevalence...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Tick Infestation of the Eyelid With Histopathologic Characterization
 
Tick Infestation of the Eyelid With Histopathologic Characterization: Ocular tick infestation is a rare occurrence. The authors report a case that is unique for being the first published example from New England, for its chronic presentation, and for the inclusion of histopathologic analysis in its diagnostic...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Transconjunctival Blepharoplasty
 
Quantified Incision Placement for Postseptal Approach Transconjunctival Blepharoplasty: Purpose: This study quantifies the incision location in transconjunctival lower eyelid blepharoplasty to optimize postspetal (direct) access to the eyelid/orbital fat.Methods: A retrospective chart review of patients...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Orbital Compartment Syndrome
 
Efficacy of Intravenous Mannitol in the Management of Orbital Compartment Syndrome: A Nonhuman Primate Model: Purpose: To report the efficacy of intravenous mannitol in the treatment of orbital compartment syndrome.Methods: An experimental study was conducted on 4 nonhuman primates (8 orbits). Orbital...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Graves Lower Eyelid Retraction
 
Graves Lower Eyelid Retraction: Purpose: Graves lower eyelid retraction (GLLR) is a common and controversial sign of Graves orbitopathy. The authors reviewed the mechanisms and surgical techniques currently used to correct this Graves orbitopathy-related eyelid malposition.Methods: A literature search...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Diode Laser-Assisted Endocanalicular Dacryocystorhinostomy
 
A Prospective Study: Purpose: To evaluate the efficacy of the diode laser in endocanalicular dacryocystorhinostomy.Methods: A prospective, noncomparative, interventional case series using the diode laser for endocanalicular dacryocystorhinostomy in patients with tearing and nasolacrimal duct obstruction....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Severe Oculofacial Sequelae of Cutaneous Blastomyces dermatitidis
 
Severe Oculofacial Sequelae of Cutaneous Blastomyces dermatitidis: This study reports a case of Blastomyces dermatitidis soft tissue infection resulting in a disfiguring lower eyelid ectropion from cicatricial and postinflammatory cutaneous changes. Primary treatment included intravenous amphotericin...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Donor Site for Mucous Membrane Grafts
 
Nasal Floor Mucosa: New Donor Site for Mucous Membrane Grafts: Purpose: Mucous membrane grafts are used for various indications in oculoplastics. The authors report the use of nasal floor mucosa as a new donor site for mucous membrane grafts.Methods: Following adequate anesthesia and vasoconstriction,...

OtoRhinoLaryngology - Alexandros G. Sfakianakis
Orbital Metastasis of Uterine Leiomyosarcoma
 
A Case of Orbital Metastasis of Uterine Leiomyosarcoma With Intracranial Extension Presenting With Proptosis: A 57-year-old woman presented with protrusion of the OS 2 months in duration and decreased vision 1 month in duration. The patient was diagnosed with uterine leiomyosarcoma approximately 3 years...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
3D and En Face Imaging of the Punctum and Vertical Canaliculus
 
Fourier Domain Optical Coherence Tomography With 3D and En Face Imaging of the Punctum and Vertical Canaliculus: A Step Toward Establishing a Normative Database: Purpose: To report the features of Fourier domain optical coherence tomography imaging of the normal punctum and vertical canaliculus.Methods:...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Orbital Histoplasmosis
 
A Case of Orbital Histoplasmosis:  Histoplasma capsulatum var capsulatum is a dimorphic fungus endemic to the Ohio and Mississippi River Valleys of the United States. In this case report, a 33-year-old woman who presented with a right orbital mass causing progressive vision loss, diplopia, and facial...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Humanitarian Cleft Mission
 
A Model Humanitarian Cleft Mission: 312 Cleft Surgeries in 7 Days: Background: There are many countries in the world where patients with cleft lip and palate cannot get access to specialized cleft care units. Cleft missions play an important role in providing surgical care to the areas of the world...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Free temporal artery posterior auricular skin (TAPAS) flap
 
A new option in facial and intra-oral reconstruction: BackgroundThere is a limited availability of suitable microvascular free flap options for the reconstruction of small to medium-sized facial and intraoral defects. The purpose of this report is to present a new free temporal artery based posterior...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Craniofacial Wound Healing with Photobiomodulation Therapy
 
New Insights and Current Challenges: The fundamental pathophysiologic response for the survival of all organisms is the process of wound healing. Inadequate or lack of healing constitutes the etiopathologic basis of many oral and systemic diseases. Among the numerous efforts to promote wound healing,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Otology & Neurotology - Current Issue
 
American Neurotology Society Preliminary ProgramNo abstract availableAmerican Otological Society Preliminary ProgramNo abstract availableLack of Evidence for Nonotosclerotic Stapes Fixation in Human Temporal Bone HistopathologyHypothesis: Nonotosclerotic stapes fixation does not represent a significant...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Otology & Neurotology - Published Ahead-of-Print
 
Recovery of Vestibulo-Ocular Reflex Symmetry After an Acute Unilateral Peripheral Vestibular Deficit: Time Course and Correlation With Canal Paresis.Background: We investigated how response asymmetries and deficit side response amplitudes for head accelerations used clinically to test the vestibular...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Jansen type metaphyseal chondrodysplasia
 
Characterization of a PTH1R missense mutation responsible for AbstractParathyroid hormone and parathyroid hormone-related peptide (PTHrP), and its receptor (PTH1R) play an important role in differentiation of bone and cartilage in the developing stages. Constitutive dimers of PTH1R are believed to be...

OtoRhinoLaryngology - Alexandros G. Sfakianakis
Recovery of Vestibulo-Ocular Reflex Symmetry
 
 After an Acute Unilateral Peripheral Vestibular Deficit: Time Course and Correlation With Canal ParesisAbstractBackground: We investigated how response asymmetries and deficit side response amplitudes for head accelerations used clinically to test the vestibular ocular reflex (VOR) are correlated with...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Components of Metabolic Syndrome as Risk Factors for Hearing Threshold Shifts.
 
Authors: Sun YS, Fang WH, Kao TW, Yang HF, Peng TC, Wu LW, Chang YW, Chou CY, Chen WLAbstract BACKGROUND: Hearing loss was a common, chronically disabling condition in the general population and had been associated with several inflammatory diseases. Metabolic syndrome, which was associated...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The redox protein p66(shc) mediates cochlear vascular dysfunction and transient noise-induced hearing loss.
 
Cochlear vascular dysfunction and transient noise-induced hearing lossSci Rep. 2016;6:25450Authors: Fetoni AR, Eramo SL, Paciello F, Rolesi R, Samengo D, Paludetti G, Troiani D, Pani GAbstractp66(shc), a member of the ShcA protein family, is essential for cellular response to oxidative stress, and elicits...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Three-dimensional tissue-engineered cartilage
 
Production of three-dimensional tissue-engineered cartilage through mutual fusion of chondrocyte pelletsvia Oral and Maxillofacial SurgeryPublication date: Available online 9 May 2016Source:International Journal of Oral and Maxillofacial SurgeryAuthor(s): K. Hoshi, Y. Fujihara, Y. Mori, Y. Asawa, S....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Resection and microvascular reconstruction of bisphosphonate-related osteonecrosis of the jaw: The role of microvascular reconstruction
 
The role of microvascular reconstruction: AbstractBackgroundCurrent treatment guidelines caution against osseous reconstruction using free flap tissue to treat bisphosphonate-related osteonecrosis of the jaw (BRONJ). The primary rationale for this stance is the theoretical risk of nonunion and recurrence...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Schwellungen der Glandulae submandibularis und parotis
 
Schwellungen der Glandulae submandibularis und parotis: ZusammenfassungEine Vielzahl von lokalen oder systemischen Erkrankungen kann zu Schwellungen einer oder mehrerer Kopfspeicheldrüsen führen. Neben kongenitalen zystischen oder vaskulären Fehlbildungen können sowohl entzündliche als auch tumoröse...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Classification, diagnostic criteria and management of benign paroxysmal positional vertigo
 
Classification, diagnostic criteria and management of benign paroxysmal positional vertigo: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo and the posterior and/or lateral semicircular canals are usually affected. BPPV is characterized by brief attacks of rotatory vertigo...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Pre-operative Indicators of Ossicular Necrosis in Tubotympanic CSOM
 
Pre-operative Indicators of Ossicular Necrosis in Tubotympanic CSOM: AbstractOssicular necrosis and erosion is commonly seen in CSOM with cholesteatoma but can also occur in tubotympanic CSOM. This usually comes as a surprise during surgery. Preoperative knowledge of ossicular necrosis helps the surgeon...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Fine Needle Aspiration Cytology Utility in Salivary Gland Tumor Diagnosis
 
Fine Needle Aspiration Cytology Utility in Salivary Gland Tumor Diagnosis: AbstractWe aimed to improve the diagnostic accuracy of tumors by using immunocytochemistry (IHC) on destained smears to correlate the cytological findings with histopathology and/or IHC for final evaluation of results. We have...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Type 1 Tympanoplasty
 
Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients: AbstractChronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Possible alternative therapies for oral lichen planus cases refractory to steroid therapies.
 
Related Articles Possible alternative therapies for oral lichen planus cases refractory to steroid therapies. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):496-509 Authors: Yang H, Wu Y, Ma H, Jiang L, Zeng X, Dan H, Zhou Y, Chen Q Abstract Oral lichen planus (OLP) is a chronic inflammatory...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Oral surgery in liver transplant candidates: a retrospective study on delayed bleeding and other complications.
 
Related Articles Oral surgery in liver transplant candidates: a retrospective study on delayed bleeding and other complications. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):490-5 Authors: Helenius-Hietala J, Åberg F, Meurman JH, Nordin A, Isoniemi H Abstract OBJECTIVE: Untreated...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Risk factors of distant metastasis in patients with squamous cell carcinoma of the oral cavity.
 
Related Articles Risk factors of distant metastasis in patients with squamous cell carcinoma of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):474-80 Authors: Sakamoto Y, Matsushita Y, Yamada S, Yanamoto S, Shiraishi T, Asahina I, Umeda M Abstract OBJECTIVE: Although...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Infinite cornucopia: The future of education and training in oral and maxillofacial surgery.
 
Related Articles Infinite cornucopia: The future of education and training in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):447-9 Authors: Bell RB PMID: 27068307 [PubMed - in process] from #ORL via xlomafota13 on Inoreader http://ift.tt/1S98pK0 ...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Submucosal nodule in buccal mucosa.
 
Related Articles Submucosal nodule in buccal mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Feb 17; Authors: Daroit NB, Maraschin BJ, Carrard VC, Rados PV, Visioli F PMID: 27055736 [PubMed - as supplied by publisher] from #ORL via xlomafota13 on Inoreader http://ift.tt/1UPA5t3 via...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Synchronous presentation of trigeminal, glossopharyngeal and geniculate neuralgias in a single patient.
 
Related Articles Synchronous presentation of trigeminal, glossopharyngeal and geniculate neuralgias in a single patient. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Feb 23; Authors: Homeida L, Elmuradi S, Sollecito TP, Stoopler ET Abstract Orofacial pain disorders can present as a diagnostic...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The management of upper facial trauma : The repair of anterior frontal sinus fractures
 
An aesthetic approach in the repair of anterior frontal sinus fracturesby T. Fattahi, S. Salman via Oral & Maxillofacial SurgeryThe management of upper facial trauma is a common responsibility of surgeons taking care of maxillofacial injuries. Historically, the most commonly used surgical approach...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Primary ectopic meningioma of tongue
 
: case report and review of the literaturevia Oral and Maxillofacial Surgery  Source:Journal of Oral and Maxillofacial SurgeryAuthor(s): Chunyue Ma, Xiaoguang Li, Youpeng Li, Xingzhou QuPrimary ectopic (extracranial) meningiomas (PEM) are very rare and have only been reported sporadically. Histologically...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Recurrent Carcinoma in Osteoradionecrosis Resection Specimens
 
The Incidental Finding of : A Consecutive Case Seriesvia Oral and Maxillofacial SurgeryPublication date: Available online 3 May 2016Source:Journal of Oral and Maxillofacial SurgeryAuthor(s): Hisham Marwan, J Marshall Green, Ramzey Tursun, Robert E. MarxPurposeOsteoradionecrosis (ORN) is a well-known...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Osteochondroma of the condyle
 
: case report with 15 years of follow-upvia Oral and Maxillofacial SurgeryPublication date: Available online 2 May 2016Source:International Journal of Oral and Maxillofacial SurgeryAuthor(s): I. PerozOsteochondromas (OC) in the craniofacial region are very rare. Following on from a literature review...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Osteochondrosis dissecans of the temporomandibular joint
 
: a case report and a review of literature: AbstractA case of a 71-year-old female patient with osteochondrosis dissecans of the right temporomandibular joint is presented. Osteochondrosis dissecans usually occurs at the weight-bearing convex cartilage in all larger joints. It is rarely found in the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Oral and Maxillofacial Surgery
 
Temporomandibular joint ankylosis contributing to coronoid process hyperplasiaThe purpose of this study was to investigate the association between coronoid process hyperplasia and temporomandibular joint (TMJ) ankylosis and to analyze the pathological mechanism and clinical significance of coronoid process...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Prevention of post-operative bleeding in hemostatic compromised patients using native porcine collagen fleeces
 
—retrospective study of a consecutive case seriesvia Oral and Maxillofacial SurgeryAbstractIntroductionVarious anticoagulant therapy regimes bear the risk of postsurgical bleeding events after dental extractions. Local hemostyptic measures, e.g., collagen fleeces, are applied by surgeons to prevent such...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Infant with Periorbital Hemangiomas Treated with Oral Propranolol
 
Clinical Outcomes of via Oral and Maxillofacial SurgeryPublication date: Available online 2 May 2016Source:Journal of Oral and Maxillofacial SurgeryAuthor(s): Lei Xue, Chao Sun, Da-peng Xu, Zi-mei Liu, Xu-Kai WangPurposePeriorbital infantile hemangiomas require early intervention as they have the potential...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Salivary gland malignancies-an update on current management for oral health care practitioners
 
Salivary gland malignancies-an update on current management for oral health care practitioners: AbstractSalivary gland tumours represent a diverse range of tumours with many histological subtypes which occur in major and minor salivary glands. The management of these tumours is complex owing to their...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Embryonic stem cells markers Oct4 and Nanog correlate with perineural invasion in human salivary gland mucoepidermoid carcinoma
 
Embryonic stem cells markers Oct4 and Nanog correlate with perineural invasion in human salivary gland mucoepidermoid carcinoma: BackgroundMucoepidermoid carcinoma (MEC) is the most common salivary gland malignancy and is successfully treated by surgery and radiation. However, some patients have recurrent...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The prevalence of celiac disease in patients with geographic tongue
 
The prevalence of celiac disease in patients with geographic tongue: BackgroundGeographic tongue (GT) is a benign inflammatory condition usually involving the dorsal surface and lateral borders of the tongue. Numerous etiological factors of GT have been suggested, including immunological factors; genetic;...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Lactate dehydrogenase as a biomarker in oral cancer and oral submucous fibrosis
 
Lactate dehydrogenase as a biomarker in oral cancer and oral submucous fibrosis: BackgroundOral cancer is the commonest cause of death in the Indian population, with a mortality rate of 0.3 million deaths per year. Oral submucous fibrosis (OSMF) is a potentially malignant disorder that has a high prevalence...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Synchronous presentation of trigeminal, glossopharyngeal and geniculate neuralgias in a single patient.
 
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 ;Authors: Homeida L, Elmuradi S, Sollecito TP, Stoopler ETAbstract Orofacial pain disorders can present as a diagnostic and therapeutic challenge for oral health care providers. Odontogenic and nonodontogenic sources of orofacial pain should be...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients
 
Abstract Chronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities and emotional problems due to CSOM cause a significant impact...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Fine Needle Aspiration Cytology Utility in Salivary Gland Tumor Diagnosis
 
Abstract We aimed to improve the diagnostic accuracy of tumors by using immunocytochemistry (IHC) on destained smears to correlate the cytological findings with histopathology and/or IHC for final evaluation of results. We have done a randomized and prospective double-blind study. Forty-six clinically...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Pre-operative Indicators of Ossicular Necrosis in Tubotympanic CSOM
 
Abstract Ossicular necrosis and erosion is commonly seen in CSOM with cholesteatoma but can also occur in tubotympanic CSOM. This usually comes as a surprise during surgery. Preoperative knowledge of ossicular necrosis helps the surgeon to be better prepared for the surgery and ossicular construction...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Risk factors of distant metastasis in patients with squamous cell carcinoma of the oral cavity.
 
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):474-80Authors: Sakamoto Y, Matsushita Y, Yamada S, Yanamoto S, Shiraishi T, Asahina I, Umeda MAbstract OBJECTIVE: Although the locoregional control rate of oral cancer has improved recently, the number of patients developing distant...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Oral surgery in liver transplant candidates: a retrospective study on delayed bleeding and other complications.
 
 Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):490-5Authors: Helenius-Hietala J, Åberg F, Meurman JH, Nordin A, Isoniemi HAbstract OBJECTIVE: Untreated dental infections pose a threat for immunocompromised liver transplant (LT) recipients. Therefore, pretransplant dental evaluations...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Possible alternative therapies for oral lichen planus cases refractory to steroid therapies.
 
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):496-509Authors: Yang H, Wu Y, Ma H, Jiang L, Zeng X, Dan H, Zhou Y, Chen QAbstract Oral lichen planus (OLP) is a chronic inflammatory disorder with a multifactorial etiopathogenesis. Immune dysregulation plays a critical role in the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Diagnostic and prognostic utility of Mastermind-like 2 (MAML2) gene rearrangement detection by fluorescent in situ hybridization (FISH) in mucoepidermoid carcinoma of the salivary glands.
 
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 May;121(5):530-41Authors: Luk PP, Wykes J, Selinger CI, Ekmejian R, Tay J, Gao K, Eviston TJ, Lum T, O'Toole SA, Clark JR, Gupta RAbstract OBJECTIVE: Mucoepidermoid carcinoma (MEC) is the most common salivary gland malignancy, with a proportion...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Gnathodiaphyseal dysplasia: report of a family with a novel mutation of the ANO5 gene.
 
Authors: Duong HA, Le KT, Soulema AL, Yueh RH, Scheuner MT, Holick MF, Christensen R, Tajima TL, Leung AM, Mallya SMAbstract Gnathodiaphyseal dysplasia (GDD) is a rare autosomal dominant disorder characterized by florid osseous dysplasia of the jaws, bone fragility, and diaphyseal cortical thickening...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Microvascular stent anastomosis using N-fibroin stents: feasibility, ischemia time, and complications.
 
Authors: Smeets R, Vorwig O, Wöltje M, Gaudin R, Luebke AM, Beck-Broichsitter B, Rheinnecker M, Heiland M, Grupp K, Gröbe A, Hanken HAbstract OBJECTIVE: To evaluate a novel microvascular anastomosis technique using N-fibroin stents. STUDY DESIGN: Cylinder stents of 1 mm diameter and 5 mm...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Establishing a targeted plan for prophylactic dental extractions in patients with laryngeal cancer receiving adjuvant radiotherapy.
 
Authors: Hentz C, Diaz AZ, Borrowdale RW, Emami B, Kase M, Choi MAbstract OBJECTIVE: The purpose of this study was to determine dose delivered to individual mandibular tooth-bearing regions during adjuvant intensity-modulated radiotherapy for laryngeal cancers. STUDY DESIGN: Twenty patients...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The use of immunohistochemistry in detection of perineural invasion in mucoepidermoid carcinoma.
 
Authors: Lanzel E, Robinson RA, Zimmerman MB, Pourian A, Hellstein JWAbstract OBJECTIVES: To retrospectively study the prevalence of perineural invasion (PNI) in cases of mucoepidermoid carcinoma (MEC). The study evaluated if previously assessed PNI would be increased by re-review of the original...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Image-based DNA ploidy analysis aids prediction of malignant transformation in oral lichen planus.
 
Authors: Sperandio M, Klinikowski MF, Brown AL, Shirlaw PJ, Challacombe SJ, Morgan PR, Warnakulasuriya S, Odell EWAbstract OBJECTIVES: To investigate the potential of image-based DNA ploidy analysis to predict malignant transformation in patients with oral lichen planus (OLP). STUDY DESIGN:...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
CD1a+ dendritic cells in oral lichen planus and amalgam lichenoid reaction.
 
Authors: Souto GR, Nunes LF, Tanure BB, Gomez RS, Mesquita RAAbstract OBJECTIVE: To evaluate and compare the number of CD1a+ dendritic cells (DCs) in oral lichen planus (OLP), amalgam lichenoid reaction (ALR), and normal oral mucosa (NOM). STUDY DESIGN: Fourteen cases of OLP and ALR,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Should we test for high-risk human papilloma virus in patients with oral dysplasia?
 
Oral Surg Oral Med Oral Pathol Oral Radiol.  doi: 10.1016/j.oooo.2013.01.020.Association of high-risk human papillomavirus infection with oral epithelial dysplasia.McCord C1, Xu J, Xu W, Qiu X, McComb RJ, Perez-Ordonez B, Bradley G.Author information1Faculty of Dentistry, University of Toronto, Toronto,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Use of Fibrin Glue as an adjunct in the repair of Lingual Nerve Injury
 
: Case Reportvia Oral and Maxillofacial Surgery  Source:Journal of Oral and Maxillofacial SurgeryAuthor(s): Nicholas P. Theberge, Vincent B. ZiccardiWe present a case of lingual nerve injury repair utilizing a novel technique where Tisseel® fibrin glue was used to stabilize an Axoguard® nerve conduit...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Ethanolamine Oleate Sclerotherapy in Treatment of Peripheral Giant Cell Granuloma
 
Efficacy of via Oral and Maxillofacial SurgeryPublication date: Available online 30 April 2016Source:Journal of Oral and Maxillofacial SurgeryAuthor(s): Wael M. SaidAhmedPurposeThe aim of this study was to evaluate the efficacy of ethanolamine oleate (EO) sclerotherapy in the treatment of peripheral...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Oral myiasis in a patient with neurological signs
 
Oral myiasis in a patient with neurological signs: A patient presented with oral myiasis, which is an infestation of mammalian tissue by flies of the Diptera order1 that is often related to bad oral hygiene, and is common in the tropics. He was admitted to hospital and 30 larvae were removed.
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Occlusal force characteristics of masseteric muscles
 
 after intramuscular injection of botulinum toxin A(BTX – A)for treatment of temporomandibular disorder: Our aim was to evaluate the occlusal force and therapeutic efficacy of the masseteric muscles after intramuscular injection of botulinum toxin A (BTX-A) for the treatment of patients with concurrent...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Segmental mandibular resection : Spontaneous bone regeneration
 
 after segmental mandibular resection: a retrospective study of 13 casesvia Oral and Maxillofacial SurgeryPublication date: Available online 29 April 2016Source:International Journal of Oral and Maxillofacial SurgeryAuthor(s): C.E. Anyanechi, B.D. Saheeb, G.O. BasseyThe aim of this study was to evaluate...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Subclinical atherosclerosis in patients with recurrent apthous stomatitis
 
Subclinical atherosclerosis in patients with recurrent apthous stomatitis: AbstractObjectiveRecurrent aphtous stomatitis (RAS) is an inflammatory oral mucosal disease. It has been known that inflammatory cascade plays important role in the atherosclerotic process. The aim of the study was to investigate...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Simplified Technique to Change the Endotracheal Tube from Nasal to Oral Cavity
 
Simplified Technique to Change the Endotracheal Tube from Nasal to Oral Cavity: AbstractWe introduce modified nasal to oral tube switch technique for modified alar cinching to prevent alar flare after orthognathic and nasal corrective surgeries. The technique is beneficial to prevent alar flare. Modified...

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