Facial Plastic/Reconstructive Surgery

Correction of the severely deviated septum: Extracorporeal septoplasty

September 18, 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 24, 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

October 31, 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 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.

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 use as a thin onlay graft.

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 20, 2011     Robert T. Adelson, MD

A simple method of earlobe lesion excision and repair

June 13, 2011     Samuel J.C. Fishpool, BSc, MRCS(Med), Mohamed M. Abo-Khatwa, FRCS(ORL), and Jonathan E. Osborne, FRCS(ORL)

Correction of delayed enophthalmos using a custom-fashioned silicone sheeting implant

December 17, 2010     Brian K. Reilly, MD and Douglas M. Sidle, MD, FACS

Three-dimensional CT-guided custom implant for the repair of facial defects

July 31, 2010     Michelle Levian, BS, Hootan Zandifar, MD, Ryan F. Osborne, MD, and Jason S. Hamilton, MD

Platysma myocutaneous flap for oral cavity reconstruction

May 31, 2010     Kevin H. Wang, MD, Ekai Kyle Hsu, MD, MBA, and Larry J. Shemen, MD


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.

of 5Next