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  1. Article ; Online: Minimization of facial synkinesis.

    Tikhtman, Raisa / Hsieh, Tsung-Yen

    Current opinion in otolaryngology & head and neck surgery

    2023  Volume 31, Issue 5, Page(s) 293–299

    Abstract: Purpose of review: To summarize the treatment options available for the management of postparalytic facial synkinesis which include facial rehabilitation, chemodenervation, and a spectrum of surgical interventions.: Recent findings: Facial ... ...

    Abstract Purpose of review: To summarize the treatment options available for the management of postparalytic facial synkinesis which include facial rehabilitation, chemodenervation, and a spectrum of surgical interventions.
    Recent findings: Facial rehabilitation and botulinum toxin chemodenervation represent the foundation of facial synkinesis management, with specific treatment paradigms directed by individual patient needs. Evolving surgical approaches range from isolated selective myectomies or neurectomies to combination approaches which may incorporate various types of nerve transfer with gracilis free muscle transplantation.
    Summary: Postparalytic facial synkinesis bears significant patient morbidity due to aesthetic and functional implications. Management strategies must balance patient goals with treatment risks and typically progress stepwise from the least to most invasive interventions. Emerging techniques reveal a convergence in approaches to facial reanimation and synkinesis mitigation.
    MeSH term(s) Humans ; Synkinesis/etiology ; Synkinesis/therapy ; Botulinum Toxins ; Esthetics ; Face ; Nerve Transfer
    Chemical Substances Botulinum Toxins (EC 3.4.24.69)
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1232518-1
    ISSN 1531-6998 ; 1068-9508
    ISSN (online) 1531-6998
    ISSN 1068-9508
    DOI 10.1097/MOO.0000000000000920
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Recalcitrant Pyoderma Gangrenosum of the Face: A Case Report.

    Jiang, Megan / Zhang, Grace / Hsieh, Tsung-Yen

    Cureus

    2024  Volume 16, Issue 3, Page(s) e57136

    Abstract: Pyoderma gangrenosum (PG) is a rare autoinflammatory neutrophilic dermatosis. The ulcerative subtype presents with a tender nodule or pustule that progresses into a painful, necrotic ulcer.New lesions arise after minor trauma in one-third of patients, a ... ...

    Abstract Pyoderma gangrenosum (PG) is a rare autoinflammatory neutrophilic dermatosis. The ulcerative subtype presents with a tender nodule or pustule that progresses into a painful, necrotic ulcer.New lesions arise after minor trauma in one-third of patients, a phenomenon termed "pathergy." We present a 62-year-old Caucasian female with primary sclerosing cholangitis, hepatic cirrhosis, chronic hepatitis B, and severe PG. At the initial presentation, she had lesions on her face and four extremities. She had severe full-thickness ulcerations on the bilateral cheeks and underwent incision and drainage with washout of bilateral maxillary abscesses, left sinus curettage, and wound debridement. She has required multiple hospitalizations for severe flares. Treatment with steroids was complicated by spinal compression fractures. Steroid-sparring agents were ineffective. Her lesions involved bilateral cheeks, temples, temporal scalp, and eyelids with oroantral fistulae. Her facial ulcerations included a large septal perforation causing saddle nose deformity and eradication of a branch of the left facial nerve causing incomplete eye closure. She underwent bilateral facial wound irrigation with antibiotic irrigation and wound debridement. Due to social factors, she has been lost to follow-up and a definitive etiology of her PG has not yet been elucidated. Although rare, PG should remain a consideration in patients with ulcerative lesions on the head and neck. Wound debridement is typically discouraged given the risk of pathergy, but there may be a role for surgical intervention in adequately immunosuppressed patients.
    Language English
    Publishing date 2024-03-28
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.57136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Management of Posttraumatic Enophthalmos Including Complex Secondary Deficits.

    Gengler, Isabelle / Hsieh, Tsung-Yen

    Facial plastic surgery : FPS

    2022  Volume 38, Issue 4, Page(s) 364–374

    Abstract: Posttraumatic enophthalmos (PE) arises when the ocular globe is displaced posteriorly and inferiorly in the orbital cavity due to a mismatch in orbital volume and orbital content. This most commonly happens after orbital fractures. The resulting ... ...

    Abstract Posttraumatic enophthalmos (PE) arises when the ocular globe is displaced posteriorly and inferiorly in the orbital cavity due to a mismatch in orbital volume and orbital content. This most commonly happens after orbital fractures. The resulting disruptions to aesthetic form and ocular functions often necessitate surgical correction for reconstruction and restoration. The purpose of surgical management of PE is to reconstruct orbital shape and volume as well as to restore any herniated orbital content. This can be particularly challenging in cases involving large defects that require complex orbital reconstruction. Recent advancements in computer-aided surgery have introduced innovative and important tools to assist surgeons with these difficult cases. The ability to create customized, patient-specific implants can facilitate reconstruction involving complicated anatomy. Additionally, intraoperative imaging and intraoperative navigation can serve as useful guides for surgeons to more accurately place implants, especially in cases with limited visualization, in order to achieve optimal outcomes.
    MeSH term(s) Humans ; Enophthalmos/etiology ; Enophthalmos/surgery ; Reconstructive Surgical Procedures/methods ; Dental Implants ; Esthetics, Dental ; Orbital Fractures/complications ; Orbital Fractures/surgery ; Orbit/surgery
    Chemical Substances Dental Implants
    Language English
    Publishing date 2022-05-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 630090-x
    ISSN 1098-8793 ; 0736-6825
    ISSN (online) 1098-8793
    ISSN 0736-6825
    DOI 10.1055/a-1849-5491
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Impact of the Post-Traumatic Facial Reconstruction on Postoperative Weight Loss.

    Gengler, Isabelle / Min, Susie / Jiang, Megan / Zhang, Grace / Altaye, Mekibib / Radulesco, Thomas / Lechien, Jerome R / Hsieh, Tsung-Yen

    Ear, nose, & throat journal

    2024  , Page(s) 1455613241241114

    Abstract: Objectives: ...

    Abstract Objectives:
    Language English
    Publishing date 2024-03-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/01455613241241114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Effectiveness of Facial Neuromuscular Retraining on Patients with Facial Nerve Dysfunction: A Mental Health and Quality of Life Analysis.

    Rostami, Sara / Min, Susie / McCann, Adam / Sayers, Colton / Samy, Ravi / Collar, Ryan / Hsieh, Tsung-Yen

    Facial plastic surgery & aesthetic medicine

    2024  

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3006458-2
    ISSN 2689-3622 ; 2689-3614
    ISSN (online) 2689-3622
    ISSN 2689-3614
    DOI 10.1089/fpsam.2023.0119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5869: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  6. Article: Management of Posttraumatic Enophthalmos Including Complex Secondary Deficits

    Gengler, Isabelle / Hsieh, Tsung-yen

    Facial Plastic Surgery

    (Functional Facial Plastic Surgery)

    2022  Volume 38, Issue 04, Page(s) 364–374

    Abstract: Posttraumatic enophthalmos (PE) arises when the ocular globe is displaced posteriorly and inferiorly in the orbital cavity due to a mismatch in orbital volume and orbital content. This most commonly happens after orbital fractures. The resulting ... ...

    Series title Functional Facial Plastic Surgery
    Abstract Posttraumatic enophthalmos (PE) arises when the ocular globe is displaced posteriorly and inferiorly in the orbital cavity due to a mismatch in orbital volume and orbital content. This most commonly happens after orbital fractures. The resulting disruptions to aesthetic form and ocular functions often necessitate surgical correction for reconstruction and restoration. The purpose of surgical management of PE is to reconstruct orbital shape and volume as well as to restore any herniated orbital content. This can be particularly challenging in cases involving large defects that require complex orbital reconstruction. Recent advancements in computer-aided surgery have introduced innovative and important tools to assist surgeons with these difficult cases. The ability to create customized, patient-specific implants can facilitate reconstruction involving complicated anatomy. Additionally, intraoperative imaging and intraoperative navigation can serve as useful guides for surgeons to more accurately place implants, especially in cases with limited visualization, in order to achieve optimal outcomes.
    Keywords enophthalmos ; computer-aided surgery ; intraoperative navigation ; intraoperative imaging ; orbital fractures
    Language English
    Publishing date 2022-05-11
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 630090-x
    ISSN 1098-8793 ; 0736-6825
    ISSN (online) 1098-8793
    ISSN 0736-6825
    DOI 10.1055/a-1849-5491
    Database Thieme publisher's database

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  7. Article ; Online: Commentary on "The Impact of Treatment Delay on Malunion and Nonunion After Open Reduction of Mandible Fractures" by Lander et al: Sooner than Later.

    Hsieh, Tsung-Yen / Funamura, Jamie L / Tollefson, Travis T

    Facial plastic surgery & aesthetic medicine

    2021  Volume 23, Issue 6, Page(s) 467–468

    MeSH term(s) Fractures, Bone ; Fractures, Ununited ; Humans ; Mandible ; Time-to-Treatment
    Language English
    Publishing date 2021-07-26
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 3006458-2
    ISSN 2689-3622 ; 2689-3614
    ISSN (online) 2689-3622
    ISSN 2689-3614
    DOI 10.1089/fpsam.2021.0180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5869: Show issues Location:
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  8. Article ; Online: Ergonomics in Otolaryngologic Surgery: A State of the Art Review.

    Walters, Zoe A / Chang, Katie Y / Cervenka, Brian / Collar, Ryan / Hsieh, Tsung-Yen

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2023  Volume 168, Issue 3, Page(s) 330–338

    Abstract: Objective: Otolaryngology is a surgical field with a high degree of ergonomic risk. The use of head-mounted lighting, loupe magnification, endoscopes, and microscopes is inherent to the field, coupled with repetitive fine motor movements in a ... ...

    Abstract Objective: Otolaryngology is a surgical field with a high degree of ergonomic risk. The use of head-mounted lighting, loupe magnification, endoscopes, and microscopes is inherent to the field, coupled with repetitive fine motor movements in a constrained anatomic field as well as static, ergonomically unfavorable postures. We seek to review the otolaryngologic literature on ergonomics, including prevalence, severity, and interventions in decreasing work-related musculoskeletal pain.
    Data sources: Data were derived from clinical peer-reviewed primary literature as well as information provided by residency programs and presented at national and international meetings.
    Review methods: A comprehensive review was performed by 3 independent reviewers utilizing an electronic database literature search through PubMed, Embase, and Cochrane Library. Search terms included combinations and variations of the following concepts: ergonomics, surgery, otolaryngology, work related musculoskeletal disorders, chronic cervical pain, musculoskeletal, posture, surveys, microsurgery, endoscopic surgery. Strict objective criteria for inclusion were not used due to the inherent heterogeneity in articles and lack of rigorous empirical evidence.
    Conclusions: Chronic musculoskeletal pain is prevalent among otolaryngologic surgeons, with many procedures producing high ergonomic risk. Most studies evaluating interventions to decrease ergonomic risks demonstrate promising results, but standardization in methods and outcome reporting is needed.
    Implications for practice: Literature shows that musculoskeletal pain begins in training, and there is a paucity of information related to ergonomic risk in otolaryngology residency curriculums. Work-related musculoskeletal disorders related to poor workplace ergonomics have the potential to limit career longevity and lead to physician burnout. Interventions to mitigate this risk are effective and tend to be well received by physicians.
    MeSH term(s) Humans ; Musculoskeletal Pain ; Occupational Diseases/prevention & control ; Ergonomics/methods ; Musculoskeletal Diseases/prevention & control ; Surveys and Questionnaires ; Otorhinolaryngologic Surgical Procedures
    Language English
    Publishing date 2023-01-28
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/01945998221117095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Use of multiple free flaps in head and neck reconstruction.

    Hsieh, Tsung-Yen / Bewley, Arnaud

    Current opinion in otolaryngology & head and neck surgery

    2019  Volume 27, Issue 5, Page(s) 392–400

    Abstract: Purpose of review: To review the recent literature on the use of multiple flaps in head and neck reconstruction with attention to form, function, outcomes, and complications.: Recent findings: Multiple free flap reconstructions are technically ... ...

    Abstract Purpose of review: To review the recent literature on the use of multiple flaps in head and neck reconstruction with attention to form, function, outcomes, and complications.
    Recent findings: Multiple free flap reconstructions are technically feasible with high flap survival rates, tolerable complication rates, and overall adequate functional and aesthetic outcomes, given the large extent of the defects and the high surgical complexity of these cases.
    Summary: Multiple free flap reconstructions should be considered in cases of large defects involving multiple functional regions and tissue types, which most often arises following resection of advanced malignancies. As there is mortality benefit with clear surgical margins and eradication of malignant lymph nodes, larger resections should be pursued if necessary, followed by a multiple flap reconstruction.
    MeSH term(s) Free Tissue Flaps ; Head/surgery ; Humans ; Microsurgery ; Neck/surgery ; Postoperative Complications ; Reconstructive Surgical Procedures
    Language English
    Publishing date 2019-08-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1232518-1
    ISSN 1531-6998 ; 1068-9508
    ISSN (online) 1531-6998
    ISSN 1068-9508
    DOI 10.1097/MOO.0000000000000574
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4814: Show issues Location:
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  10. Article ; Online: Assessment of Virtual AAFPRS Fellowship Interviews During the COVID-19 Pandemic: A Pandemic Response or the Wave of the Future?

    McCann, Adam / Chang, Katie / Gengler, Isabelle / Cervenka, Brian / Nellis, Jason C / Hsieh, Tsung-Yen

    Facial plastic surgery & aesthetic medicine

    2022  Volume 24, Issue 5, Page(s) 410–412

    MeSH term(s) COVID-19 ; Education, Medical, Graduate ; Fellowships and Scholarships ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2022-06-21
    Publishing country United States
    Document type Letter
    ZDB-ID 3006458-2
    ISSN 2689-3622 ; 2689-3614
    ISSN (online) 2689-3622
    ISSN 2689-3614
    DOI 10.1089/fpsam.2022.0038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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