Local flaps are widely known as the best option for partial nasal reconstructions depending on donor tissue laxity,vascularization,and defect shape and size.The nasolabial flap is used more often in the nasal sill.For...Local flaps are widely known as the best option for partial nasal reconstructions depending on donor tissue laxity,vascularization,and defect shape and size.The nasolabial flap is used more often in the nasal sill.For larger defects,greater tissue mobilization with larger scars or free flaps is required.Historically,the Abbe flap has been used for lip reconstruction in patients with cleft lip deformities.It allows less retraction than other local flaps or skin grafts in patients with large defect sizes and great defect depths.This study reported on the application of the Abbe flap for nasal sill reconstruction on a 71-year-old female patient with nasal sill basal cell carcinoma who had undergone resection surgery with a posterior lip switch operation with satisfactory results.The application of the Abbe flap could be considered in patients with multiple previous surgeries and at risk for necrosis.展开更多
The sense of smell is largely taken for granted by laypersons and medical professionals alike.Indeed, its role in determining the flavor of foods and beverages, as well as in warning of, or protecting against, environ...The sense of smell is largely taken for granted by laypersons and medical professionals alike.Indeed, its role in determining the flavor of foods and beverages, as well as in warning of, or protecting against, environmental hazards, often goes unrecognized.This is exemplified, in part, by the fact that most patients presenting to medical clinics with 'taste' problems are typically subjected to complex brain imaging and gastroenterological tests without the sense of smell even being tested or considered as a basis of the problem.Aside from frank deficiencies in sweet, sour, bitter, salty and savory (umami) sensations, 'taste' disorders most commonly reflect inadequate stimulation of the olfactory receptors via the retronasal route;i.e., from volatiles passing to the receptors from the oral cavity through the nasal pharynx.This article describes the two most common procedures for measuring the sense of smell in the clinic and provides examples of the application of these tests to diseases and other disorders frequently associated with smell loss.Basic issues related to olfactory testing and evaluation are addressed.It is pointed out that smell loss, particularly in later life, can be a harbinger for not only a range of neurodegenerative diseases, but can be a prognostic indicator of early mortality.展开更多
文摘Local flaps are widely known as the best option for partial nasal reconstructions depending on donor tissue laxity,vascularization,and defect shape and size.The nasolabial flap is used more often in the nasal sill.For larger defects,greater tissue mobilization with larger scars or free flaps is required.Historically,the Abbe flap has been used for lip reconstruction in patients with cleft lip deformities.It allows less retraction than other local flaps or skin grafts in patients with large defect sizes and great defect depths.This study reported on the application of the Abbe flap for nasal sill reconstruction on a 71-year-old female patient with nasal sill basal cell carcinoma who had undergone resection surgery with a posterior lip switch operation with satisfactory results.The application of the Abbe flap could be considered in patients with multiple previous surgeries and at risk for necrosis.
文摘The sense of smell is largely taken for granted by laypersons and medical professionals alike.Indeed, its role in determining the flavor of foods and beverages, as well as in warning of, or protecting against, environmental hazards, often goes unrecognized.This is exemplified, in part, by the fact that most patients presenting to medical clinics with 'taste' problems are typically subjected to complex brain imaging and gastroenterological tests without the sense of smell even being tested or considered as a basis of the problem.Aside from frank deficiencies in sweet, sour, bitter, salty and savory (umami) sensations, 'taste' disorders most commonly reflect inadequate stimulation of the olfactory receptors via the retronasal route;i.e., from volatiles passing to the receptors from the oral cavity through the nasal pharynx.This article describes the two most common procedures for measuring the sense of smell in the clinic and provides examples of the application of these tests to diseases and other disorders frequently associated with smell loss.Basic issues related to olfactory testing and evaluation are addressed.It is pointed out that smell loss, particularly in later life, can be a harbinger for not only a range of neurodegenerative diseases, but can be a prognostic indicator of early mortality.
