Fold Reconstruction Research Articles

VOCAL FOLD SCAR: Evaluation and Treatment

This article provides the framework for the comprehensive evaluation and treatment of patients with vocal fold scar. Nonsurgical and surgical treatment methods are discussed including the use of voice therapy, singing voice therapy, phonosurgical collagen injection, and fat graft vocal fold reconstruction.

Focus on the Breast Fascial System: A New Approach for Inframammary Fold Reconstruction

Focus on the Breast Fascial System: A New Approach for Inframammary Fold Reconstruction

Focus on the breast fascial system: a new approach for inframammary fold reconstruction.

Anatomists and surgeons have underestimated the importance of understanding the anatomic connective frame of the inframammary region. The submammary fold does not originate as a self-governing unit but depends on breast mould and on a fine superficial fascial system suspension. The authors investigated the inframammary fold anatomy and subcutaneous breast territory in cadaver and live dissection with histologic analyses, without sharing the theories about superficial fascia splitting and inframammary ligament existence. The authors have understood that a reliable and fine correction of inframammary fold contour in breast reconstruction may only be achieved by an empirical surgical procedure that exclusively concerns the restoration of the superficial fascial system. The literature on this subject is reviewed. Fascial anchoring surgery, after capsulotomy and superficial fasciotomy, without lower thoracic advancement flap or deep subcutaneous undermining, was performed for 100 breast reconstructions after biodimensional device programming. Technique and results are also discussed.

A method of reconstructing a pendulous breast utilizing the tissue expander.

It is possible to reconstruct a breast mound of almost any size by utilizing tissue expansion. In order to produce a pendulous breast which is also ptotic, the tissue-expansion technique has been combined with two other procedures. A new technique is being introduced. It is that of elevating the lower third of the mature breast capsule surrounding the tissue expander at the time the permanent prosthesis is to be exchanged for the expander. The established techniques of inframammary fold reconstruction of Pennisi and Ryan are used to provide pedicle skin coverage for the undersurface of the breast and the bed of the elevated capsule. Internal and external surgical approaches are described, and two examples of each are illustrated. Breasts reconstructed in this manner have remained pendulous structures. Some loss of the initial degree of ptosis has been noted in some cases.