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Facial Plastic/Reconstructive Surgery

Reverse omega technique for single-stage ear lobule reconstruction

September 19, 2016  |  Mofiyinfolu Sokoya, MD; Andrew A. Winkler, MD

The design of the reverse omega flaps leads to a lack of visible scars, and no major complications have been encountered.

The Antia-Buch chondrocutaneous advancement flap for auricular reconstruction

June 14, 2016  |  Rohan Joshi, MD; Anthony P. Sclafani, MD, FACS

Helical defects pose a particular reconstructive dilemma because even small alterations in the helical contour can become very visible after healing.

Medial orbital wall reconstruction with a porous polyethylene titan barrier implant

March 16, 2016  |  Alexander Ovchinsky, MD; Jeffrey P. Cranford, MD

When selecting an alloplastic implant for orbital reconstruction, it is important to consider the material properties of the implant.

The immediate use of a silicone sheet wound closure device in scar reduction and prevention

February 24, 2016  |  James R. Parry, DO; Howard D. Stupak, MD; Calvin M. Johnson, MD


Silicone has been used successfully postoperatively in the prevention of hypertrophic and other types of adverse scars. The Silicone Suture Plate (SSP) is a new, minimally invasive, sterile wound closure device that is applied intraoperatively to prevent adverse scarring. The...

A twin-center study of nasal tip numbness following septorhinoplasty or rhinoplasty

February 24, 2016  |  Marie-Claire Jaberoo, MRCS; Neil De Zoysa, MRCS; Nishchay Mehta, MRCS; Vyas Prasad, FRCS(ORL-HNS); Rebecca Heywood, MRCS; Hesham Saleh, FRCS(ORL-HNS); Joe Marais, FRCS(ORL-HNS)


Nasal tip numbness is a recognized postoperative complication after septorhinoplasty and rhinoplasty. We performed a twin-center retrospective study to determine the incidence of short- and long-term (>6 mo) nasal tip numbness after these procedures, and we studied several...

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


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


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


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.


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