March 24, 2013 Jennifer R. Decker, MD; Jay M. Dutton, MD, FACS
article
Knowledge of nasal anatomy, use of decongestants, a combination of topical and injectable medications, and adequate time for anesthesia effect allow the otolaryngologist to comfortably perform a wide variety of nasal procedures using local anesthesia.
December 31, 2012 Giancarlo F. Zuliani, MD; Kailash Narasimhan, MD
article
Rhinoplasty in ethnic populations often warrants a graft versatile enough to correct dorsal deficiency, underprojection, malrotation, and cartilage deficiency.
October 31, 2012 Kyle Hatten, MD; Robert E. Morales, MD; Jeffrey S. Wolf, MD, FACS
article
Abstract
Complications of cosmetic malar augmentation are uncommon. We describe the unusual case of a 60-year-old woman who experienced vision disturbances (flashing lights and diplopia) while masticating. Ten years earlier, she had undergone bilateral malar enhancement with silicone implants. Imaging studies revealed that the implant on the right side had become displaced. The prosthesis had entered the orbit in the retrobulbar area and eroded the lateral zygomaticomaxillary buttress and the orbital floor. Both implants were removed, and the patient's symptoms immediately resolved. To the best of our knowledge, no case of vision changes secondary to erosion of the posterior orbit by a silicone malar implant has been previously described in the literature.
June 4, 2012 Ivan Wayne, MD
article
A posterior approach to harvesting auricular cartilage--used to correct both functional and aesthetic problems in facial plastic surgery--minimizes visible scars and postoperative contour deformities. This method also permits the simultaneous harvesting of perichondrium and soft-tissue for use as a thin onlay graft.
December 15, 2011 Steven H. Dayan, MD, FACS, John P. Arkins, BS, and Divya Vaswani, BMedSci
September 20, 2011 Robert T. Adelson, MD
June 13, 2011 Samuel J.C. Fishpool, BSc, MRCS(Med), Mohamed M. Abo-Khatwa, FRCS(ORL), and Jonathan E. Osborne, FRCS(ORL)
March 1, 2011 Harpreet Singh Kochar, MS
December 17, 2010 Brian K. Reilly, MD and Douglas M. Sidle, MD, FACS
July 31, 2010 Michelle Levian, BS, Hootan Zandifar, MD, Ryan F. Osborne, MD, and Jason S. Hamilton, MD
May 31, 2010 Kevin H. Wang, MD, Ekai Kyle Hsu, MD, MBA, and Larry J. Shemen, MD
article
Abstract
A retrospective study was conducted to assess outcomes of reconstruction of the oral cavity with the platysma myocutaneous flap, in terms of flap survival, complications, and quality of life. Included were 10 patients with squamous cell carcinoma (stage T1 to T4; nodal status N0 to N2) of the oral cavity who were treated between 2002 and 2006. Each patient underwent tumor resection, modified radical neck dissection, and primary reconstruction with a platysma myocutaneous flap. Operating time, length of stay, time to swallow, and complications were assessed, and the University of Washington Quality of Life questionnaire was administered. Mean operating time was <4 hours, mean length of stay was 11 days, and mean time to swallow was 9 days. One patient had distal flap necrosis and one had wound dehiscence. No total flap failures or fistulas occurred. The authors conclude that the platysma myocutaneous flap provides thin, pliable, reliable tissue for use in the oral cavity. The additional operating room time is negligible, the surgical complications minimal, and the overall quality of life very good. This flap should be used more frequently in the reconstruction of oral cavity defects.
March 1, 2010 Jagdeep S. Thakur, MS, Vijay K. Diwana, MS, MCh, Narinder K. Mohindroo, MS, DORL, Dev Raj Sharma, MS, and Anamika Thakur, MD
