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Facial Plastic/Reconstructive Surgery

A useful technique for adjusting nasal tip projection in Asian rhinoplasty: Trapezoidal caudal extension cartilage grafting

January 22, 2016  |  Shao-Cheng Liu, MD; Deng-Shan Lin, MD; Hsing-Won Wang, MD; Chuan-Hsiang Kao, MD

Abstract

The purpose of this article is to present our experience with Asian patients in (1) using a trapezoidal caudal extension cartilage graft to adjust the tip projection in tip refinement for augmentation rhinoplasty, especially for the correction of short nose, and (2) avoiding...

The Potter technique for cleft lip rhinoplasty

December 14, 2015  |  Joseph J. Rousso, MD, FACS

The Potter technique is a simpler method than the Dibbell technique to achieve nasal symmetry when the alar base width is harmonious.

Facial nerve paralysis: Smile reconstruction using the masseteric nerve

September 21, 2015  |  Moustafa Mourad, MD; Christopher Linstrom, MD; Grigoriy Mashkevich, MD

Reanimation methods range from static slings and nerve transfers to dynamic muscle techniques, such as regional temporalis and free gracilis transfer.

A novel method for reconstruction of severe caudal nasal septal deviation: Marionette septoplasty

June 5, 2015  |  Gurkan Kayabasoglu, MD; Alpen Nacar, MS; Mahmut Sinan Yilmaz, MD; Aytug Altundag, MD; Mehmet Guven, MD

Abstract

We conducted a retrospective study to compare open and endonasal (closed) approaches to extracorporeal reconstruction of severe caudal septal deviations. From January 1, 2010, through December 31, 2013, 78 patients with severe caudal septal deviation underwent corrective...

Neuropathic pain from a nasal valve suspension suture

June 5, 2015  |  Tyler P. Swiss, DO; Douglas S. Ruhl, MD, MSPH; Scott B. Roofe, MD, FACS

Surgeons should maintain a high index of suspicion when a patient who has undergone nasal valve suspension complains of postoperative neuropathic pain.

Use of tragal cartilage grafts in rhinoplasty: An anatomic study and review of the literature

April 28, 2015  |  Amr N. Rabie, MD; Jerry Chang, MD; Ahmed M.S. Ibrahim, MD; Bernard T. Lee, MD; Samuel J. Lin, MD

Abstract

We conducted a cadaveric study to determine the size of cartilage grafts that can be taken from the tragus without distorting tragal anatomy. Our subjects included 7 fresh cadavers-3 male and 4 female (age at death: 61 to 87 yr). Tragal cartilage grafts were harvested while...

The paramedian forehead flap for nasal lining reconstruction

March 2, 2015  |  Joshua D. Rosenberg, MD; Nikita Gupta, MD

The importance of reconstructing nasal lining defects cannot be overstated, especially for composite defects also involving the framework and skin soft-tissue envelope.

Reinnervation of facial muscles with only a cross-facial nerve graft in a 25-year-old patient with congenital facial palsy

July 14, 2014  |  Kamal Seyed-Forootan, MD; Hamid Karimi, MD; Esmaiil Hasani, MD

Abstract

The standard method for managing chronic facial palsy is the two-stage free-muscle flap. We report a case involving a 25-year-old patient who had facial palsy from her birth. Twelve months after the first stage of a cross-facial nerve graft, we found that the voluntary...

Survival characteristics of injected human cartilage slurry in a nude mouse model: A preliminary study

July 14, 2014  |  Bounmany Kyle Keojampa, MD; Jacob Pieter Noordzij, MD; Bohdana Burke, MD; Joseph Alroy, DVM; Vartan Mardirossian, MD; Alphi Elackttu, MD; Zhi Wang, MD

Abstract

We conducted a study to examine the viability, host response, and volume retention characteristics of drilled human septal cartilage slurry when injected into an athymic nude mouse model. We injected 0.2 ml of the slurry into the hind limbs of 6 mice. The mice were sequentially...

Harmonic Scalpel versus electrocautery and surgical clips in head and neck free-flap harvesting

June 9, 2014  |  Nichole R. Dean, DO; Eben L. Rosenthal, MD; Bruce A. Morgan, MD; J. Scott Magnuson, MD; William R. Carroll, MD

Abstract

We sought to determine the safety and utility of Harmonic Scalpel-assisted free-flap harvesting as an alternative to a combined electrocautery and surgical clip technique. The medical records of 103 patients undergoing radial forearm free-flap reconstruction (105 free flaps)...

Postauricular fascia in augmentation rhinoplasty

June 9, 2014  |  Aldo Benjamin Guerra, MD, FACS

Abstract

Ten rhinoplasty operations performed using postauricular fascia for the purpose of augmenting the radix and dorsum of the nose were analyzed retrospectively. All the operations were performed over a 1-year period, between 2005 and 2006. The fascia of the postauricular area has...

Mitek bone-anchored static suture suspension of the oral commissure

June 9, 2014  |  Candace Hrelec, MD; Stephen Smith Jr., MD

Static facial suspension plays an important role in long-standing facial nerve paralysis, and techniques continue to evolve. Although other procedures are less morbid and invasive than our dynamic facial technique, they also have their complications and limitations.

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