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Facial Plastic/Reconstructive Surgery

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


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


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...

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.

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


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


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...

Saddle-nose deformities in the rheumatology clinic

May 8, 2014  |  Benjamin E. Schreiber, MA, MD, MRCP; Sarah Twigg, MRCP; Joe Marais, FRCS(ORL); Andrew C.S. Keat, MD, FRCP


Saddle-nose deformity can occur as a result of trauma to the nose, but it has also been well described in the setting of infections such as leprosy and syphilis and idiopathic inflammatory conditions such as granulomatosis with polyangiitis (formerly known as Wegener...

The cosmetic Z-plasty: Restoring and refining an old technique for neck rejuvenation

May 8, 2014  |  Nicholas Vendemia, MD; David E. Rosow, MD; Anthony N. LaBruna, MD


Direct excision of the “turkey neck” skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effectively improve the aesthetic contour...

Y-V alar base reduction

March 19, 2014  |  Grant S. Hamilton III

For alar modification, removing tissue from inside the nostril to decrease width or from the lateral aspect of the ala to decrease flare works well in many patients, but these techniques may produce an unnatural result.

Correction of the severely deviated septum: Extracorporeal septoplasty

September 19, 2013  |  Toby Steele, MD; Jamie L. Funamura, MD; Benjamin C. Marcus, MD; Travis T. Tollefson, MD, MPH

Extracorporeal septoplasty represents a novel and evolving technique for the surgical correction of the severely deviated septum.

Local anesthesia for nasal and sinus surgery

March 25, 2013  |  Jennifer R. Decker, MD; Jay M. Dutton, MD, FACS

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.

The extended dorsal-shield graft in augmentation rhinoplasty

December 31, 2012  |  Giancarlo F. Zuliani, MD; Kailash Narasimhan, MD

Rhinoplasty in ethnic populations often warrants a graft versatile enough to correct dorsal deficiency, underprojection, malrotation, and cartilage deficiency.

Intraorbital erosion of a malar implant resulting in mastication-induced vision changes

November 1, 2012  |  Kyle Hatten, MD; Robert E. Morales, MD; Jeffrey S. Wolf, MD, FACS


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...


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