External ear- development
•Download as PPTX, PDF•
0 likes•102 views
External ear development occurs between weeks 5-8 of gestation. Congenital ear deformities can include malformations of the outer and middle ear, which make up 70-90% of cases. Ear pits and cysts are the most common type of malformation and are often bilateral or multiple. Pinna malformations are classified using the Weerda system. Cup ear deformities involve underdevelopment of the helix, antihelix, or entire upper pinna. Surgical techniques to correct prominent ears include scoring or reshaping cartilage and setting back the concha. Cryptotia involves loss of the upper auricular sulcus and is treated by creating a new sulcus. Secondary procedures may be needed to prevent over
Report
Share
Report
Share
Recommended
Gastrocnemius and Forehead flap
This document describes two types of flaps: the gastrocnemius flap and the forehead flap. The gastrocnemius flap uses the medial or lateral head of the gastrocnemius muscle and surrounding tissue to cover defects of the proximal or anterior leg. The forehead flap uses skin and tissue from the forehead, supplied by the supratrochlear artery, to reconstruct nasal or periorbital defects. Key details about the vascular anatomy, dimensions, and applications of each flap are provided.
Unilateral cleft lip
Unilateral cleft lip is the most common type of isolated cleft lip, occurring in 21% of cases. It occurs more frequently on the left side and is associated with cleft palate in 68% of cases. The goal of cleft lip repair is to reconstruct a symmetric lip with a balanced Cupid's bow and philtral column. The Millard rotation-advancement technique has gained popularity due to its natural results and camouflaged scar line. Postoperative scar massage is important to prevent contracture and maintain lip symmetry. Complications can include wound dehiscence, infection, and secondary deformities, but most are avoidable with proper surgical technique and postoperative care.
Eyelid reconstruction
The document discusses eyelid reconstruction, including:
1. It describes the anatomy of the eyelid, including the palpebral fissure size, positions of the canthi and eyelid margins, and layers of the eyelid.
2. Common reasons for eyelid reconstruction include congenital anomalies, tumors, and trauma. Principles of reconstruction include thorough evaluation, debridement of nonviable tissue, and aligning all tissue layers.
3. Various flap techniques are described for reconstructing different areas of the eyelid, including tarsoconjunctival flaps, cheek flaps, forehead flaps, and V-Y flaps. Complications of reconstruction include issues like corneal abrasion
Microtia- diagnosis and management
Microtia is a congenital deformity where the external ear is underdeveloped, ranging from small ears to complete absence of the auricular tissues. Treatment options include autologous costal cartilage grafts and prosthetic reconstruction. The Tanzer, Brent, and Nagata techniques use harvested rib cartilage to construct an ear framework, with differences in staging and sculpting of features. Complications can include chest wall deformities, skin necrosis, infection, and resorption of the cartilage graft over time.
Extraoral mandibular approaches
This document describes various extraoral approaches to the mandible, including the submandibular approach. The submandibular approach involves making an incision 1-2 cm below the mandible. Key anatomical structures like the facial artery and vein and marginal mandibular nerve are discussed. The technique involves incising skin and platysma muscle before dissecting through layers to expose the mandible. Care must be taken to protect important nerves and vessels during the dissection.
Microtia
This document discusses the anatomy, embryology, surgical techniques, and reconstructive options for microtia. It provides detailed descriptions of the Brent and Nagata autogenous cartilage reconstruction techniques, which are multi-staged procedures using costal cartilage grafts. Alternative options discussed include single-stage reconstruction, tissue expanders, osseointegrated prostheses, silicone prostheses, and alloplastic reconstruction with porous polyethylene implants. Complications of each approach are also reviewed.
Facial bone fractures
This document discusses various types of facial bone fractures including the nasal bones, maxilla, zygomatic bones, and mandible. It describes the common causes of facial fractures such as road traffic accidents, falls, assaults, and sports injuries. The key aspects of managing facial trauma are controlling airway, hemorrhage, and treating associated injuries. Examination involves checking specific areas of the face. Treatment options depend on the type and severity of the fracture and may include closed or open reduction as well as splinting or internal fixation with plates or screws.
Antomy of orbit 25 4-19
The document discusses the anatomy and development of the orbit and its contents. It provides details on:
1) The bones that form the walls of the orbit - the frontal, ethmoid, maxillary, lacrimal, zygomatic, sphenoid and palatine bones.
2) The contents of the orbit which include the eyeball, extraocular muscles, nerves, vessels, lacrimal gland and orbital fat.
3) The development of the orbit which begins as a ring around the eyeball derived from cranial neural crest cells and expands during the third month to form the orbital walls.
Recommended
Gastrocnemius and Forehead flap
This document describes two types of flaps: the gastrocnemius flap and the forehead flap. The gastrocnemius flap uses the medial or lateral head of the gastrocnemius muscle and surrounding tissue to cover defects of the proximal or anterior leg. The forehead flap uses skin and tissue from the forehead, supplied by the supratrochlear artery, to reconstruct nasal or periorbital defects. Key details about the vascular anatomy, dimensions, and applications of each flap are provided.
Unilateral cleft lip
Unilateral cleft lip is the most common type of isolated cleft lip, occurring in 21% of cases. It occurs more frequently on the left side and is associated with cleft palate in 68% of cases. The goal of cleft lip repair is to reconstruct a symmetric lip with a balanced Cupid's bow and philtral column. The Millard rotation-advancement technique has gained popularity due to its natural results and camouflaged scar line. Postoperative scar massage is important to prevent contracture and maintain lip symmetry. Complications can include wound dehiscence, infection, and secondary deformities, but most are avoidable with proper surgical technique and postoperative care.
Eyelid reconstruction
The document discusses eyelid reconstruction, including:
1. It describes the anatomy of the eyelid, including the palpebral fissure size, positions of the canthi and eyelid margins, and layers of the eyelid.
2. Common reasons for eyelid reconstruction include congenital anomalies, tumors, and trauma. Principles of reconstruction include thorough evaluation, debridement of nonviable tissue, and aligning all tissue layers.
3. Various flap techniques are described for reconstructing different areas of the eyelid, including tarsoconjunctival flaps, cheek flaps, forehead flaps, and V-Y flaps. Complications of reconstruction include issues like corneal abrasion
Microtia- diagnosis and management
Microtia is a congenital deformity where the external ear is underdeveloped, ranging from small ears to complete absence of the auricular tissues. Treatment options include autologous costal cartilage grafts and prosthetic reconstruction. The Tanzer, Brent, and Nagata techniques use harvested rib cartilage to construct an ear framework, with differences in staging and sculpting of features. Complications can include chest wall deformities, skin necrosis, infection, and resorption of the cartilage graft over time.
Extraoral mandibular approaches
This document describes various extraoral approaches to the mandible, including the submandibular approach. The submandibular approach involves making an incision 1-2 cm below the mandible. Key anatomical structures like the facial artery and vein and marginal mandibular nerve are discussed. The technique involves incising skin and platysma muscle before dissecting through layers to expose the mandible. Care must be taken to protect important nerves and vessels during the dissection.
Microtia
This document discusses the anatomy, embryology, surgical techniques, and reconstructive options for microtia. It provides detailed descriptions of the Brent and Nagata autogenous cartilage reconstruction techniques, which are multi-staged procedures using costal cartilage grafts. Alternative options discussed include single-stage reconstruction, tissue expanders, osseointegrated prostheses, silicone prostheses, and alloplastic reconstruction with porous polyethylene implants. Complications of each approach are also reviewed.
Facial bone fractures
This document discusses various types of facial bone fractures including the nasal bones, maxilla, zygomatic bones, and mandible. It describes the common causes of facial fractures such as road traffic accidents, falls, assaults, and sports injuries. The key aspects of managing facial trauma are controlling airway, hemorrhage, and treating associated injuries. Examination involves checking specific areas of the face. Treatment options depend on the type and severity of the fracture and may include closed or open reduction as well as splinting or internal fixation with plates or screws.
Antomy of orbit 25 4-19
The document discusses the anatomy and development of the orbit and its contents. It provides details on:
1) The bones that form the walls of the orbit - the frontal, ethmoid, maxillary, lacrimal, zygomatic, sphenoid and palatine bones.
2) The contents of the orbit which include the eyeball, extraocular muscles, nerves, vessels, lacrimal gland and orbital fat.
3) The development of the orbit which begins as a ring around the eyeball derived from cranial neural crest cells and expands during the third month to form the orbital walls.
Submandibular and retromandibular approach
The document describes the submandibular and retromandibular surgical approaches. The submandibular approach involves making a 1.5-2 cm incision inferior to the mandible and dissecting through the layers of the skin, subcutaneous tissue, platysma muscle, and pterygomasseteric sling. The retromandibular approach uses a vertical incision 2 cm posterior to the mandibular ramus and dissects through the same layers to the pterygomasseteric sling. Both approaches give access below the mandible for surgical procedures.
Buccal Fat pad Axial flap
The buccal fat pad is a mass of fatty tissue located in the cheek. It has an excellent blood supply from the facial, transverse facial, and internal maxillary arteries. The buccal fat pad flap can be used to repair small to medium sized defects in the palate, alveoli, and buccal mucosa. It is a simple and reliable flap that causes minimal donor site morbidity and has an excellent blood supply. The flap is delivered into the oral cavity by incising its capsule and gently retracting it. It is then sutured into the defect site and will epithelialize within a month.
Closed rhinoplasty
This document provides an outline of the anatomy, examination, and surgical procedures involved in rhinoplasty. It begins with a description of the skin, muscles, blood supply, innervation, and bony and cartilaginous structures of the nose. Assessment of the nasal valves, septum, and turbinates is described. Basic aesthetic parameters and common anatomic variants are discussed. The document concludes with descriptions of routine surgical steps like incision, skin dissection, grafting techniques, and areas commonly augmented like the radix, spreader grafts, and tip grafting.
Aural atresia
Aural atresia is a birth defect affecting 1 in 10,000 births where the external ear canal is malformed or absent. It can occur unilaterally or bilaterally. Various surgical techniques have been developed over 70 years to reconstruct the ear canal and restore hearing. Modern techniques involve drilling away atretic bone, freeing the ossicles, placing grafts, and skin grafting without opening the mastoid bone to reduce complications. Outcomes are better for unilateral cases, while bilateral cases may use hearing aids until at least one ear can be reconstructed surgically. Careful patient selection and meticulous surgery can successfully restore hearing in many cases of aural atresia.
Lip splitting incisions
The document discusses different incision techniques for lip splitting surgeries. It describes various incisions used for lower and upper lip splitting, including the Roux-Trotter, McGregor, Robson, Bhatt, Hayter, Rassekh, Weber-Ferguson, and Altemir incisions. It emphasizes that incisions should follow relaxed skin tension lines to minimize scarring, protect important structures like nerves and vessels, and allow for adequate exposure while achieving good functional and cosmetic outcomes. The Hayter incision, which incorporates a chevron shape into the vermilion border, is highlighted as one of the best techniques.
CONGENITAL MALFORATION OF EAR AND ITS MANAGEMENT
CONGENITAL MALFORMATION OF MIDDLE AND EXTERNAL EAR AND SURGICAL MANAGEMENT OF MICROTIA AND CONGENITAL AURAL ATRESIA PRESENTED AS A SEMINAR IN DEPARTMENT OF ENT PGIMER CHANDIGARH
Free fibula flap technique
The free fibula flap technique involves harvesting a skin paddle and segment of the fibula bone based on a vascular pedicle from the peroneal artery. Key steps include:
1. Identifying perforators from the peroneal artery to the skin and outlining a skin paddle.
2. Elevating muscles from the fibula bone and performing osteotomies to harvest the fibula segment.
3. Dissecting the peroneal artery and its branches to isolate the vascular pedicle.
4. Verifying adequate blood flow to the foot before transecting the pedicle to the desired length.
Maxilla anatomy, development & surgical anatomy
This document provides an overview of the anatomy of the maxilla bone. It discusses the key features and structures of the maxilla, including its processes, surfaces, foramina, and articulations. It also covers the development, age-related changes, and surgical anatomy of the maxilla. Common types of maxillary fractures are also listed. In summary, the maxilla is described as the second largest facial bone that forms the upper jaw and contributes to other structures. Its main processes, surfaces, and articulations are defined along with relevant anatomical landmarks.
The nasal tip & nasolabial angle
This document discusses the anatomy and surgical techniques related to rhinoplasty of the nasal tip. It begins with the anatomy of the nasal tip and supporting structures. It then covers surgical approaches like external rhinoplasty and tip delivery. Tip modification techniques are outlined such as suture contouring, cartilage resection, and grafting. Both overprojected and underprojected tip deformities are addressed along with techniques to adjust tip projection and rotation.
Rhinoplasty (2) /certified fixed orthodontic courses by Indian dental academy
This document provides information about rhinoplasty surgery, including patient evaluation, surgical anatomy of the nose, osteotomy techniques, augmentation techniques, and a case example. It describes how the nose and surrounding structures should be examined to determine aesthetic goals and surgical plans. The nasal skeletal framework of bone and cartilage is outlined, along with nasal vasculature and innervation. Osteotomy techniques like lateral osteotomies are explained. Various graft materials and harvesting techniques for nasal augmentation are also summarized.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...CLOVE Dental OMNI Hospitals Andhra Hospital
This document discusses rhinoplasty, including patient evaluation, surgical anatomy of the nose, and osteotomies. Key points covered include:
1) A full facial examination is required to properly evaluate the nose and set goals for rhinoplasty.
2) The nasal skeleton is made of paired nasal bones and maxilla, while cartilage includes the septum and upper lateral and alar cartilages.
3) Lateral osteotomies are sometimes needed to narrow the nose and are performed percutaneously below the medial canthus to avoid injury.Rhinoplasty by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Surgical anatomy of Noe complex in context of trauma
1) The document discusses the surgical anatomy of the naso-orbito-ethmoidal complex and fractures in this region.
2) It describes the bones, cavities, blood supply, soft tissues like the medial canthal tendon and lacrimal apparatus.
3) Signs of NOE fractures include facial edema, eye pain, telecanthus, and nasal injuries like saddle nose deformity.
4) NOE fractures are classified based on the status of the central bone fragment and involvement of surrounding structures.
Le fort fracture by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Fractures of middle third of face
This document discusses fractures of the middle third of the face, including naso-orbital fractures, fractures of the zygoma (tripod fracture), fractures of the zygomatic arch, and fractures of the orbital floor (blowout fractures). It describes the causes, clinical features, diagnosis, and treatment options for each type of fracture through open or closed reduction and internal fixation.
. nasoethmoid complex fractures
This document discusses nasoethmoidal fractures, which involve the nasal and ethmoid bones. It describes the anatomy of the nasoethmoid complex and classifies fractures. Clinical features include nasal deformity, frontal bone depression, cerebrospinal fluid leakage, hemorrhage, and diplopia. Diagnosis involves radiography and CT scans. Treatment involves reducing fractures, repairing dural tears causing CSF leakage, managing hemorrhage through cauterization or packing, and ensuring airway protection.
Nose reconstruction
This document provides information on nose anatomy, blood supply, nerve supply, history of nose reconstruction, principles of aesthetic nasal reconstruction, approaches to reconstruction, aesthetic subunits of the nose, analysis of defects, goals of reconstruction, options for surface defect repair including skin grafts and local flaps, intranasal lining reconstruction using mucosal flaps, sources of nasal support grafts including cartilage, and skin grafting techniques for nasal cover reconstruction.
Surgical approaches to the facial skeleton
This document discusses surgical approaches to different areas of the face and skull. It begins by outlining general principles for facial incisions, including considerations like scar visibility and proximity to vital structures. It then describes specific approaches for different regions, such as the periorbital area (coronal, subciliary incisions), mandible (transoral, transfacial, TMJ approaches), nasal skeleton, and others. For each approach, it discusses preparation, incision placement, planes of dissection, and closure. Throughout, it emphasizes the importance of adequate exposure while avoiding injury to nerves, vessels and ensuring good cosmetic outcomes due to the face's aesthetic significance.
3 approaches to the tmj
This document discusses various surgical approaches to the temporomandibular joint (TMJ). It begins by outlining important anatomical structures in the region, including nerves, arteries and layers of fascia. It then describes several common approaches - preauricular, endaural, postauricular, submandibular, retromandibular and intraoral. For each approach, it provides details on the surgical technique, indications, advantages and disadvantages. References are also provided at the end for further reading on the surgical anatomy of the cervical and mandibular distributions of the facial nerve.
Bone grafting Options and Substitutes
Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
Congenital malformation of external ear and it’s management
This document discusses congenital malformations of the external ear. It begins with applied anatomy of the normal ear and embryology of ear development. It then describes various congenital deformities that can occur, including pre-auricular tags, prominent ears, cryptotia, microtia, and congenital aural atresia. For treatment, options include observation, prosthetics, reconstruction with rib cartilage grafts, and surgical correction of atresia. Reconstruction is often done in multiple stages to form the shape of the pinna.
AURICULAR Reconstruction 1.pptx
This document provides information on auricular reconstruction including anatomy, embryology, congenital anomalies, microtia classification and stages of reconstruction. It discusses in detail Nagata's technique for microtia reconstruction including 4 stages: framework placement, elevation, refinement and tattooing/contouring. Key aspects include skin/cartilage evaluation, template usage, framework fabrication from costal cartilage, bolster dressings and use of temporoparietal fascia flaps to cover and augment the reconstructed ear. Total ear reconstruction aims to restore facial symmetry and hearing while creating a natural appearing auricle.
More Related Content
What's hot
Submandibular and retromandibular approach
The document describes the submandibular and retromandibular surgical approaches. The submandibular approach involves making a 1.5-2 cm incision inferior to the mandible and dissecting through the layers of the skin, subcutaneous tissue, platysma muscle, and pterygomasseteric sling. The retromandibular approach uses a vertical incision 2 cm posterior to the mandibular ramus and dissects through the same layers to the pterygomasseteric sling. Both approaches give access below the mandible for surgical procedures.
Buccal Fat pad Axial flap
The buccal fat pad is a mass of fatty tissue located in the cheek. It has an excellent blood supply from the facial, transverse facial, and internal maxillary arteries. The buccal fat pad flap can be used to repair small to medium sized defects in the palate, alveoli, and buccal mucosa. It is a simple and reliable flap that causes minimal donor site morbidity and has an excellent blood supply. The flap is delivered into the oral cavity by incising its capsule and gently retracting it. It is then sutured into the defect site and will epithelialize within a month.
Closed rhinoplasty
This document provides an outline of the anatomy, examination, and surgical procedures involved in rhinoplasty. It begins with a description of the skin, muscles, blood supply, innervation, and bony and cartilaginous structures of the nose. Assessment of the nasal valves, septum, and turbinates is described. Basic aesthetic parameters and common anatomic variants are discussed. The document concludes with descriptions of routine surgical steps like incision, skin dissection, grafting techniques, and areas commonly augmented like the radix, spreader grafts, and tip grafting.
Aural atresia
Aural atresia is a birth defect affecting 1 in 10,000 births where the external ear canal is malformed or absent. It can occur unilaterally or bilaterally. Various surgical techniques have been developed over 70 years to reconstruct the ear canal and restore hearing. Modern techniques involve drilling away atretic bone, freeing the ossicles, placing grafts, and skin grafting without opening the mastoid bone to reduce complications. Outcomes are better for unilateral cases, while bilateral cases may use hearing aids until at least one ear can be reconstructed surgically. Careful patient selection and meticulous surgery can successfully restore hearing in many cases of aural atresia.
Lip splitting incisions
The document discusses different incision techniques for lip splitting surgeries. It describes various incisions used for lower and upper lip splitting, including the Roux-Trotter, McGregor, Robson, Bhatt, Hayter, Rassekh, Weber-Ferguson, and Altemir incisions. It emphasizes that incisions should follow relaxed skin tension lines to minimize scarring, protect important structures like nerves and vessels, and allow for adequate exposure while achieving good functional and cosmetic outcomes. The Hayter incision, which incorporates a chevron shape into the vermilion border, is highlighted as one of the best techniques.
CONGENITAL MALFORATION OF EAR AND ITS MANAGEMENT
CONGENITAL MALFORMATION OF MIDDLE AND EXTERNAL EAR AND SURGICAL MANAGEMENT OF MICROTIA AND CONGENITAL AURAL ATRESIA PRESENTED AS A SEMINAR IN DEPARTMENT OF ENT PGIMER CHANDIGARH
Free fibula flap technique
The free fibula flap technique involves harvesting a skin paddle and segment of the fibula bone based on a vascular pedicle from the peroneal artery. Key steps include:
1. Identifying perforators from the peroneal artery to the skin and outlining a skin paddle.
2. Elevating muscles from the fibula bone and performing osteotomies to harvest the fibula segment.
3. Dissecting the peroneal artery and its branches to isolate the vascular pedicle.
4. Verifying adequate blood flow to the foot before transecting the pedicle to the desired length.
Maxilla anatomy, development & surgical anatomy
This document provides an overview of the anatomy of the maxilla bone. It discusses the key features and structures of the maxilla, including its processes, surfaces, foramina, and articulations. It also covers the development, age-related changes, and surgical anatomy of the maxilla. Common types of maxillary fractures are also listed. In summary, the maxilla is described as the second largest facial bone that forms the upper jaw and contributes to other structures. Its main processes, surfaces, and articulations are defined along with relevant anatomical landmarks.
The nasal tip & nasolabial angle
This document discusses the anatomy and surgical techniques related to rhinoplasty of the nasal tip. It begins with the anatomy of the nasal tip and supporting structures. It then covers surgical approaches like external rhinoplasty and tip delivery. Tip modification techniques are outlined such as suture contouring, cartilage resection, and grafting. Both overprojected and underprojected tip deformities are addressed along with techniques to adjust tip projection and rotation.
Rhinoplasty (2) /certified fixed orthodontic courses by Indian dental academy
This document provides information about rhinoplasty surgery, including patient evaluation, surgical anatomy of the nose, osteotomy techniques, augmentation techniques, and a case example. It describes how the nose and surrounding structures should be examined to determine aesthetic goals and surgical plans. The nasal skeletal framework of bone and cartilage is outlined, along with nasal vasculature and innervation. Osteotomy techniques like lateral osteotomies are explained. Various graft materials and harvesting techniques for nasal augmentation are also summarized.
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...CLOVE Dental OMNI Hospitals Andhra Hospital
This document discusses rhinoplasty, including patient evaluation, surgical anatomy of the nose, and osteotomies. Key points covered include:
1) A full facial examination is required to properly evaluate the nose and set goals for rhinoplasty.
2) The nasal skeleton is made of paired nasal bones and maxilla, while cartilage includes the septum and upper lateral and alar cartilages.
3) Lateral osteotomies are sometimes needed to narrow the nose and are performed percutaneously below the medial canthus to avoid injury.Rhinoplasty by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Surgical anatomy of Noe complex in context of trauma
1) The document discusses the surgical anatomy of the naso-orbito-ethmoidal complex and fractures in this region.
2) It describes the bones, cavities, blood supply, soft tissues like the medial canthal tendon and lacrimal apparatus.
3) Signs of NOE fractures include facial edema, eye pain, telecanthus, and nasal injuries like saddle nose deformity.
4) NOE fractures are classified based on the status of the central bone fragment and involvement of surrounding structures.
Le fort fracture by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best.
Fractures of middle third of face
This document discusses fractures of the middle third of the face, including naso-orbital fractures, fractures of the zygoma (tripod fracture), fractures of the zygomatic arch, and fractures of the orbital floor (blowout fractures). It describes the causes, clinical features, diagnosis, and treatment options for each type of fracture through open or closed reduction and internal fixation.
. nasoethmoid complex fractures
This document discusses nasoethmoidal fractures, which involve the nasal and ethmoid bones. It describes the anatomy of the nasoethmoid complex and classifies fractures. Clinical features include nasal deformity, frontal bone depression, cerebrospinal fluid leakage, hemorrhage, and diplopia. Diagnosis involves radiography and CT scans. Treatment involves reducing fractures, repairing dural tears causing CSF leakage, managing hemorrhage through cauterization or packing, and ensuring airway protection.
Nose reconstruction
This document provides information on nose anatomy, blood supply, nerve supply, history of nose reconstruction, principles of aesthetic nasal reconstruction, approaches to reconstruction, aesthetic subunits of the nose, analysis of defects, goals of reconstruction, options for surface defect repair including skin grafts and local flaps, intranasal lining reconstruction using mucosal flaps, sources of nasal support grafts including cartilage, and skin grafting techniques for nasal cover reconstruction.
Surgical approaches to the facial skeleton
This document discusses surgical approaches to different areas of the face and skull. It begins by outlining general principles for facial incisions, including considerations like scar visibility and proximity to vital structures. It then describes specific approaches for different regions, such as the periorbital area (coronal, subciliary incisions), mandible (transoral, transfacial, TMJ approaches), nasal skeleton, and others. For each approach, it discusses preparation, incision placement, planes of dissection, and closure. Throughout, it emphasizes the importance of adequate exposure while avoiding injury to nerves, vessels and ensuring good cosmetic outcomes due to the face's aesthetic significance.
3 approaches to the tmj
This document discusses various surgical approaches to the temporomandibular joint (TMJ). It begins by outlining important anatomical structures in the region, including nerves, arteries and layers of fascia. It then describes several common approaches - preauricular, endaural, postauricular, submandibular, retromandibular and intraoral. For each approach, it provides details on the surgical technique, indications, advantages and disadvantages. References are also provided at the end for further reading on the surgical anatomy of the cervical and mandibular distributions of the facial nerve.
Bone grafting Options and Substitutes
Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
What's hot (20)
Rhinoplasty (2) /certified fixed orthodontic courses by Indian dental academy
Rhinoplasty (2) /certified fixed orthodontic courses by Indian dental academy
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Me...
Rhinoplasty by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Rhinoplasty by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Surgical anatomy of Noe complex in context of trauma
Surgical anatomy of Noe complex in context of trauma
Le fort fracture by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Le fort fracture by Dr. Amit T. Suryawanshi, Oral Surgeon, Pune
Similar to External ear- development
Congenital malformation of external ear and it’s management
This document discusses congenital malformations of the external ear. It begins with applied anatomy of the normal ear and embryology of ear development. It then describes various congenital deformities that can occur, including pre-auricular tags, prominent ears, cryptotia, microtia, and congenital aural atresia. For treatment, options include observation, prosthetics, reconstruction with rib cartilage grafts, and surgical correction of atresia. Reconstruction is often done in multiple stages to form the shape of the pinna.
AURICULAR Reconstruction 1.pptx
This document provides information on auricular reconstruction including anatomy, embryology, congenital anomalies, microtia classification and stages of reconstruction. It discusses in detail Nagata's technique for microtia reconstruction including 4 stages: framework placement, elevation, refinement and tattooing/contouring. Key aspects include skin/cartilage evaluation, template usage, framework fabrication from costal cartilage, bolster dressings and use of temporoparietal fascia flaps to cover and augment the reconstructed ear. Total ear reconstruction aims to restore facial symmetry and hearing while creating a natural appearing auricle.
Prominent ears otoplasty
1) Prominent ears, also called protruding ears, refer to ears that stick out more than 2cm from the head or form an angle greater than 25 degrees. 2) The three main anatomic causes are underdeveloped antihelical fold, prominent concha, and protruding earlobe. 3) The goals of otoplasty are for the helical rim to be visible from the front and straight from the back with natural contours from the side.
identification of Race in Forensic medicine
This document discusses the forensic importance of the skull in determining characteristics such as race, sex, age and injuries. Key points:
- Race can be generally determined by characteristics of the skull such as cheekbone width and nasal aperture shape. Caucasian skulls tend to be rounded while Mongoloid skulls are wider with square shapes.
- Sex can be accurately determined from certain bones, with the pelvis being 95% accurate and skull alone being 90% accurate in determining male or female. Males tend to have more prominent brow ridges and squared jaws.
- Age can be estimated by examining skull sutures, teeth, and other bone features. Sutures begin fusing in the 20s and are fully fused
identification of Race- forensic medicine
This document discusses the forensic importance of the skull in determining characteristics such as race, sex, age and injuries. Key points:
- Race can be generally determined by characteristics of the skull such as cheekbone width and nasal aperture shape. Caucasian skulls tend to be rounded while Mongoloid skulls are wider with square shapes.
- Sex can be accurately determined from certain bones, with the pelvis and skull being most reliable at 95-90% accuracy respectively. Males tend to have more prominent brow ridges and squared chins.
- Age can be estimated by examining skull sutures, teeth, and other bone features. Sutures begin fusing in the 20s and are fully fused by the 60
Microtia
This document discusses the anatomy, development, classification and diagnosis of microtia, as well as approaches to total auricular reconstruction for microtia. It covers the nerve supply and embryological development of normal ears. It also describes classifications of microtia, associated deformities, timing of surgery, and factors to consider in patient assessment for ear reconstruction, including facial symmetry, skin envelope, vestige skin and hair.
Anatomy and Embryology of External Ear.pptx
The document discusses the embryology and anatomy of the external ear. It notes that the external ear develops from the first and second pharyngeal arches and their associated clefts. The pinna forms from six hillocks around the first pharyngeal cleft, while the external auditory canal develops from the first pharyngeal cleft. The tympanic membrane separates the external ear from the middle ear. The document describes the parts of the pinna, external auditory canal, and tympanic membrane in detail. It also discusses some common congenital anomalies and deformities of the external ear.
microtia
1. Reconstruction of ear deformities has evolved over time, starting with flap techniques in the 16th century to use of rib and silicone implants today.
2. Microtia is a congenital deformity of the external ear that occurs in 1 in 500 to 1 in 5000 births and is often associated with other anomalies.
3. Reconstruction of microtia typically uses rib cartilage to form an auricular framework, with the goal of matching the normal ear, and is usually done in stages after age 6.
Scalp reconstruction
1. The scalp and forehead have a complex anatomy consisting of layers of skin, subcutaneous tissue, fascia, and muscle overlying the skull. The scalp receives its blood supply from branches of the external carotid artery and drains venously into a network that connects to the internal jugular vein.
2. Injuries or defects of the scalp and forehead can often be reconstructed using local flaps such as rotation, transposition, or advancement flaps. For larger defects, regional flaps from the temporal region, glabella, or forehead can be mobilized.
3. Microsurgical reconstruction with free flaps or face transplantation are options for very large scalp or forehead defects that cannot
Oculoplastics review /certified fixed orthodontic courses by Indian dental ac...
Oculoplastics review /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Oculoplastics review
This document provides an overview of oculoplastics, focusing on the anatomy and pathologies of the orbit, eyelid, and lacrimal system. Key points include a detailed review of orbital anatomy and the bones that make up its walls. Common orbital pathologies are discussed such as inflammation from cellulitis or Graves' disease. Pediatric and adult orbital tumors are also summarized. Eyelid anatomy is reviewed including the layers, muscles, fat pads, and vascular supply. Common eyelid conditions like ectropion and its causes are defined.
Larynx and upper airway.pptx
The document discusses the anatomy and physiology of the larynx. It describes the cartilages that make up the larynx including the thyroid, cricoid, epiglottis, arytenoid, corniculate and cuneiform cartilages. It outlines the intrinsic and extrinsic muscles of the larynx as well as its nerve supply. It also discusses the cavity of the larynx, structure of vocal cords, pediatric larynx, physiology, symptomatology, clinical examination and various inflammatory, congenital, benign and malignant conditions that can affect the larynx.
Anatomy of eyelid
The three sentences are:
The eyelids are multilamellar structures that cover and protect the eyeball. They assist in distributing tears and providing protection from excessive light, dryness, and particles. The anatomy of the eyelid includes skin, muscles like the orbicularis oculi and levator palpebrae superioris, glands, blood vessels, and nerves that allow it to perform functions like blinking and maintaining the tear film.
Anatomy of orbit by pushkar dhir
The document describes an eye injury and subsequent operation. Key details include:
1. The narrator awoke in the hospital and was told they needed emergency eye surgery after a splinter from a windscreen entered their eye.
2. During the operation, the surgeon Mr. David removed the injured lens and stitched the pupil, leaving the narrator nearly blind in that eye.
3. After recovering, the narrator learned they had lost the lens and most vision in the eye, though a contact lens provided about 90% vision with double vision.
4. The document does not provide many other details about what structures were damaged or the full effects of the injury.
Disorders of Special Senses (Eye & Ear.pptx
1) The document provides an overview of disorders of the eye and ear, including anatomy, common conditions like glaucoma and tinnitus, and types of hearing loss.
2) It describes the anatomy of the eye and ear in detail. For the eye, it outlines the three layers and optical components. For the ear, it outlines the external, middle, and inner ear.
3) It discusses two main types of glaucoma - open angle and closed angle glaucoma. It provides details on symptoms, risk factors, pathophysiology, and differences between the two types.
Surgery of the head
This document provides information on surgical procedures related to the head and neck of animals. It discusses disbudding and dehorning calves, including appropriate ages, techniques such as cauterization and surgical excision. It also covers congenital abnormalities like cleft palate and their classification and surgical correction. Other sections discuss conditions affecting teeth such as sharp teeth and wave mouth, and their treatment via rasping or extraction. The final section covers ear hematomas and their conservative or surgical treatment through drainage or incision and suturing.
Microtia
This document discusses microtia reconstruction using Medpor implants. It describes the grades of microtia from mild (Grade 1) to complete absence of the ear (Grade 4). The procedure involves marking positions, identifying arteries, elevating skin flaps, harvesting grafts, implant construction, placement and fixation, and closure. Key steps include harvesting contralateral and abdominal skin grafts, shaping the implant, securing the implant and transposing the earlobe. The results show initial swelling resolving over a month. Complications can include skin graft loss or exposure requiring further procedures.
Microtia and ear abnormalities final
This document discusses microtia and abnormalities of the external ear. It begins with an introduction defining microtia and abnormal ear development. It then describes the anatomy of the external ear and some common developmental anomalies like preauricular sinuses and appendages. The document discusses indications for surgery for these anomalies. It also discusses grading of microtia, clinical assessment, audiological assessment, and management options for significant microtia including autologous ear reconstruction and bone-anchored auricular prostheses.
Auricular reconstruction
1. The document describes techniques for auricular reconstruction, including the Brent and Nagata techniques.
2. The Brent technique is a four stage process using autogenous rib cartilage grafts to reconstruct the ear framework.
3. The Nagata technique is a two stage process using costal cartilage blocks to fabricate a three-dimensional ear framework, which is then used to reconstruct the ear and project it outward.
Similar to External ear- development (20)
Congenital malformation of external ear and it’s management
Congenital malformation of external ear and it’s management
Oculoplastics review /certified fixed orthodontic courses by Indian dental ac...
Oculoplastics review /certified fixed orthodontic courses by Indian dental ac...
More from Dr Sourabh Shankar Chakraborty
Vascular anomalies
This document discusses vascular anomalies including infantile hemangioma and various types of vascular malformations such as capillary, venous, arteriovenous, and lymphatic malformations. It covers the classification, clinical features, investigations, management, and complications of these conditions. Key points include that infantile hemangiomas have a distinct growth cycle of proliferation, involution, and involuted phases while vascular malformations are present at birth and grow proportionally with the child. Management involves observation, medications like corticosteroids and propranolol, laser therapy, surgery, and embolization depending on the specific anomaly and risk of complications.
Tissue expansion- principles and techniques
Tissue expansion is a surgical technique used to generate additional skin and soft tissue for reconstructive purposes. It involves inserting a temporary implant called a tissue expander under the skin and gradually inflating it with saline over 6-12 weeks to stretch the overlying tissue. This causes mechanical and biological tissue growth. The expander is then removed and the expanded skin is advanced to reconstruct areas of skin loss or defects. Complications can include hematoma, seroma, expander deflation or migration, and skin thinning or necrosis but tissue expansion provides a good source of autologous tissue for reconstruction when other options are limited.
Principles of tendon transfer
Tendon transfers involve rerouting a functioning muscle tendon unit to restore lost function according to established principles. The key principles are having supple joints at the donor and recipient sites, maintaining soft tissue equilibrium, ensuring the donor has adequate excursion and strength, choosing an expendable donor, maintaining a straight line of pull, selecting donors and recipients with synergistic functions, and performing single tendon transfers for single functions. Tendon transfers can restore grasp, pinch and upper extremity motions according to these principles.
Tenosynovitis
This document discusses tenosynovitis, including its definition, etiology, prognosis, pathophysiology, history, physical examination findings, workup, treatment, and postoperative care. Tenosynovitis is inflammation of the tendon sheath that can be caused by overuse, infection, or inflammatory conditions like rheumatoid arthritis. Physical exam may reveal tenderness, swelling, or limited range of motion. Treatment depends on the cause but may include rest, splinting, anti-inflammatories, corticosteroid injections, or surgery. Prognosis is generally good if treated early without comorbidities, while complications can include adhesion formation or tendon rupture if left untreated.
Tendon transfer- principles and techniques
1. Tendon transfers involve rerouting a functioning muscle tendon unit to restore a function lost due to nerve injury or other conditions. Common indications include nerve injuries or trauma.
2. Key principles of tendon transfer include having supple joints, adequate excursion of the donor muscle, and maintaining a straight line of pull. Common procedures restore functions like finger extension, thumb opposition, and wrist extension.
3. Rehabilitation after tendon transfer focuses on immobilization followed by gentle range of motion and strengthening exercises over 8-12 weeks before returning to full activity.
Temporomandibular joint
- The temporomandibular joint (TMJ) is located between the condylar process of the mandible and the mandibular fossa and articular eminence of the temporal bone. It is a bi-arthroidal hinge joint containing synovial fluid that allows for translational and rotational movements.
- Temporomandibular disorders (TMD) is a collective term used for clinical problems involving the masticatory muscles, TMJ, and associated structures. Common signs and symptoms include pain and limited opening of the mouth.
- Disc displacement is the most common TMJ articular disorder and can involve reduction or lack of reduction of the articular disc. Conservative treatments include
Suture techniques, Z-plasty
The document describes various suture techniques including simple interrupted sutures, which are the gold standard, subcuticular sutures which avoid external knots, half-buried horizontal mattress sutures which keep knots on one side, continuous over-and-over sutures which can be placed rapidly but are less precise than interrupted sutures, skin staples which are a timesaving alternative to sutures, skin tapes and adhesives which can be used in low tension areas, and Z-plasties which help prevent or limit scarring and contractures. It also outlines indications, contraindications and potential complications of Z-plasty techniques.
Replantation of the hand and Upper extremity
1. Replantation involves reattaching a completely amputated body part to restore blood flow, while revascularization reattaches incompletely amputated parts.
2. Factors that determine replantation success include patient health, injury details, and surgical team skill.
3. The operative technique prioritizes veins, arteries, bones, tendons, and nerves with the goal of minimizing warm ischemia time.
Skin donation, skin banking, skin culture
1. Skin banking involves procuring skin from donors after death, processing it which may include cryopreservation or lyophilization, and storing it to be used for burn patients or other wounds.
2. The first skin bank was established in 1971 and they continue to improve techniques like reducing immunogenicity and potential for disease transmission.
3. Skin culture techniques also allow creating skin substitutes using fibroblasts, keratinocytes and endothelial cells grown on collagen gels or cadaver dermis in organotypic culture.
Nerves of hand
The document summarizes the anatomy and branches of the ulnar, radial, and median nerves in the upper limb. It describes the course and branches of each nerve in the axilla, arm, and forearm. It also discusses the separation of motor and sensory components within the nerves and provides diagrams of fascicular patterns. Key points include that the ulnar nerve supplies medial forearm muscles and skin of the little and half of the ring finger, the radial nerve innervates posterior forearm muscles and skin of the dorsal hand, and the median nerve gives branches in the forearm and palm.
Neck lift, forehead and thread lift
This document discusses various surgical approaches for forehead and brow lifting as well as neck lifting. For forehead lifts, it describes techniques like the coronal approach and its disadvantages like scalp numbness. It also covers other approaches like the temple approach and endoscopic approach. For neck lifts, it discusses factors to consider like skin elasticity and platysma muscle treatment. It provides details on the surgical process for different grades of neck laxity and describes techniques like subcutaneous lipectomy and platysma plication. Post-operative care is also outlined for both forehead and neck procedures.
Mandibular fracture- diagnosis
This document discusses the classification, diagnosis, and treatment of mandibular fractures. Key points include:
- Mandibular fractures are classified based on location and examined clinically and radiographically.
- Treatment options include closed or open reduction, with closed reduction used for minimally displaced fractures and open reduction for more complex cases.
- Internal fixation methods like miniplates are used to achieve rigid stabilization during open reduction, while intermaxillary fixation can be used short-term for closed reduction.
- Potential complications include hemorrhage, infection, nonunion, and neurosensory changes. Proper treatment aims to restore occlusion and minimize complications.
Skin healing and repair
This document discusses the stages of skin graft take, including plasmatic imbibition, inosculation and capillary ingrowth, and revascularization. It describes graft fixation, contraction, reinnervation, pigmentation, and factors that can lead to graft failure. The stages of graft take typically involve serum imbibition for 24-48 hours, development of fine vasculature in a fibrin layer, and eventual blood flow as the graft becomes pink. Revascularization may occur through direct vessel anastomoses, new vascular channel formation, or a combination. Proper fixation and aftercare are important for successful graft take.
Liposuction- techniques and indications
Liposuction is a surgical procedure to remove unwanted fat deposits from beneath the skin. It was originally introduced in the 1980s and involves using suction to aspirate fat through small incisions. There are several techniques including traditional suction-assisted liposuction, ultrasound-assisted, power-assisted, vaser-assisted, and laser-assisted liposuction. Patient selection, pre-operative evaluation and planning, anesthesia technique, and post-operative care are important considerations to achieve optimal results and avoid complications from liposuction.
Local flaps classifications
This document describes different types of local flaps that can be used in skin grafting and reconstructive procedures. It outlines pivotal flaps, advancement flaps, and hinge flaps. Pivotal flaps involve rotation, transposition, or interpolation of skin and come in various shapes. Advancement flaps can be unipedicled, bipedicled, or in a V-Y or Y-V configuration. They take advantage of skin elasticity or use Burrow triangles to advance the skin. Pantographic expansion is another advancement technique but carries more risk.
Flexor tendon repair
Flexor tendon repair requires protecting the tendon repair while allowing early controlled motion to minimize adhesions. This involves splinting the fingers in flexion after primary repair or tendon grafting, followed by progressive range of motion exercises. Complications can include infection, scarring and joint contractures, but good outcomes are achieved with protocols emphasizing early motion like Duran or Kleinert methods.
Parascapular and free fibula flaps
The parascapular flap uses skin and bone from the back to reconstruct large cheek defects. It provides reliable reconstruction with appropriate bulk and contour for the cheek. The flap has the disadvantages of a tedious dissection due to numerous branches that must be divided and no possibility for a sensate flap.
The free fibula osteocutaneous flap uses the fibula and overlying skin to reconstruct mandibular, maxillary and other bone defects. It has advantages of large vessels, long vascular pedicle, well-vascularized bone that can be shaped. Disadvantages include donor site morbidity such as delayed wound healing and nerve injury. Preoperative vascular problems and poor skin quality can also be issues.
Gracilis and Latissimus Dorsi flap
The gracilis muscle is a thin muscle in the thigh that can be used as a free flap for reconstruction. It is 25-30 cm in length with a 10-12 cm tendon. The muscle is innervated by the obturator nerve and receives its blood supply from the gracilis vessels of the medial femoral circumflex artery system. It is commonly used in head and neck reconstruction or to repair soft tissue defects. The latissimus dorsi muscle is one of the largest muscles in the body and can be harvested as a pedicled or free flap, often with a skin paddle. It is innervated by the thoracodorsal nerve and receives its blood supply from the thoracod
Electric burn injury- diagnosis and management
Electrical injuries can cause damage through direct tissue damage, thermal energy, and mechanical injury. They result in around 1000 deaths and 3000 burns center admissions per year in the US. The main mechanisms of injury are electrical energy altering cell membranes, massive tissue destruction from heat, and physical trauma. Management involves following ATLS protocols, monitoring for cardiac issues, treating potential myoglobinuria, aggressive wound care, and surgery as needed. Prevention focuses on electrical safety practices and seeking shelter during storms.
Speech assessment in cleft patients
This document discusses speech assessment and management of speech disorders in patients with cleft lip and palate. It outlines common speech issues seen such as velopharyngeal inadequacy (VPI), glottal stop substitutions, and nasal emissions. Assessment involves perceptual speech evaluation as well as instrumental tests like nasometry. Management of VPI may include surgical procedures like pharyngeal flaps or prosthetic treatment. Behavioral speech therapy is used to address articulation errors and specific sound substitutions. The document provides details on diagnostic tests, classifications of speech problems, and treatment approaches for various disorders seen in cleft patients.
More from Dr Sourabh Shankar Chakraborty (20)
Recently uploaded
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Identifying Major Symptoms of Slip Disc.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Recently uploaded (20)
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
External ear- development
- 4. Week 5 -> Week 8
- 13. • Malformations of ENT - 50% is Ear. • Malformations of the outer and middle ear - 70-90% • Right side - 58-61% • Incidence of ear malformations is - 1:3800 • Incidence of outer ear malformations - 1:6000 to 1:6830 newborns • Prevalence of microtia - 3:10,000
- 14. Ear pits and ear cysts • lined by squamous or respiratory epithelium • in preauricular location • often bilateral or multiple
- 15. • Type I – “duplication” of EAC normally lined by skin – postauricular > preauricular – run parallel to EAC and usually end blindly lateral or superior to facial nerve. • Type II – true EAC doublings, lined by skin + cartilage – Open in EAC and in front of SCM muscle. – can cross over or under the facial nerve. – can also open behind the ear
- 26. • Type I: only the helix. longitudinal axis of pinna is slightly shortened • Type IIa: hood-like overhang of helix accompanied by flattening or absence of superior crus and pronounced inferior crus of antihelix • Type IIb: antihelix flattened • Type III: underdevelopment of upper pinna with extreme overhanging
- 27. Surgeries: 1. Cartilage incised in zig-zag fashion to expand it once the skin has been peeled off the rim. 2. Series of radial incisions and to splint them open with a cartilage graft. 3. V-Y plasty at root of helix combined with undermining of adjacent skin. 4. Formal reconstruction (carved costal cartilage framework)
- 28. Tags • lesion involves only skin • long tail of cartilage • Preauricular • excision of the skin tag and cartilage spindle • apply a Liga clip
- 30. Mirror ear or polyotia skin is peeled off the extra-auricular tissue and protruding cartilage remnants are trimmed. The trimmed cartilage fragments are packed into the anterior conchal hollow and then the skin of the extra ear is redraped
- 31. Abnormal folds (Stahl's bar)
- 32. 1. direct wedge excision of the Stahl‘s bar (skin and cartilage) 2. splint
- 34. Prominent ('bat') ears • Due to – an absent antihelical fold – conchal bowl is excessively deep – Prominent lobe or antitragus
- 36. • Surgical techniques to remould cartilage: – anterior scoring – reshaping of curves by use of posterior sutures (to emphasize the antihelical fold or to setback concha) – Excision techniques to set back the concha • Age of five years
- 41. thin indented rim cartilage is re inforced with a cartilage graft and rim is splinted
- 42. Cryptotia (the hidden ear) • Only lower two-thirds of an ear is visible • Upper auricular sulcus seems lost • a small Ear Buddies (to create the upper sulcus) • revision procedure
- 44. Secondary procedures 1. Over-correction 2. Visible cartilage irregularities or unnatural contours 3. Unpleasing shape of the ear (e.g., telephone ear, protruding lobules) 4. Under-correction, usually of the upper pole of the ear.
- 45. References • Plastic surgery. Neligen. Vol II • Scott Brown’s otorhinology, head & neck surgery. Vol I • Development of the Human External Ear. C. Gary Wright. J Am Acad Audiol (1997) • Classification and diagnosis of ear malformations. Friedrich, Wolke. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007