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Facial Plastic/Reconstructive Surgery

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

Abstract

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...

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

Abstract

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...

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

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...

Simplified approach to auricular cartilage grafts

June 4, 2012  |  Ivan Wayne, MD

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...

New treatment regimen for hypertrophic scars

December 15, 2011  |  Steven H. Dayan, MD, FACS, John P. Arkins, BS, and Divya Vaswani, BMedSci

Submental intubation to facilitate the management of maxillofacial trauma

September 21, 2011  |  Robert T. Adelson, MD

A simple method of earlobe lesion excision and repair

June 14, 2011  |  Samuel J.C. Fishpool, BSc, MRCS(Med), Mohamed M. Abo-Khatwa, FRCS(ORL), and Jonathan E. Osborne, FRCS(ORL)

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