Facial Plastic/Reconstructive Surgery

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.

Reverse radial artery forearm flap in a case of giant hairy nevus of the face

March 1, 2010     Jagdeep S. Thakur, MS, Vijay K. Diwana, MS, MCh, Narinder K. Mohindroo, MS, DORL, Dev Raj Sharma, MS, and Anamika Thakur, MD

Subcutaneous carboxytherapy injection for aesthetic improvement of scars

February 1, 2010     Raphael Nach, MD, FACS, Hootan Zandifar, MD, Reena Gupta, MD, and Jason S. Hamilton, MD, FACS

The postauricular island flap (flip-flop flap)

December 1, 2009     Samuel C. Leong, MRCS(Edin), DOHNS, Petros D. Karkos, AFRCSI, MPhil, and Sucha Hampal, FRCS(ORL)

Ophthalmology microscalpel for super-sharp skin edges

August 31, 2009     C.W. David Chang, MD

Correction of sagittally malpositioned lateral crura

May 31, 2009     Grant S. Hamilton III, MD, FACS

Long-term outcomes of a rhinolift procedure for obstructive symptoms in the aging nose in 2 patients

March 31, 2009     LTC Scott B. Roofe, MD and Sam P. Most, MD


Age-related changes in the structure of the nose can obstruct the nasal airway and adversely affect quality of life. Several procedures are available to restore the patency of the airway, but not all are appropriate for all patients. Also, long-term outcomes data on such procedures are lacking. We describe our use of a rhinolift procedure with local anesthesia to correct nasal obstruction caused by nasal tip ptosis in 2 elderly men. In both cases, the procedure resulted in a complete or near-complete resolution of obstructive symptoms. We also conducted long-term follow-up of these 2 patients. Both experienced a recurrence of symptoms 1 to 2 years postoperatively. We conclude that the rhinolift procedure we describe is safe and effective for the short-term relief of age-related nasal obstruction in selected patients.

Trigeminal trophic syndrome

March 1, 2009     Mark W. Willis, MD and Steven Ross Mobley, MD

Temporoparietal fascia flap reconstruction of a Mohs defect of the ear

December 1, 2008     Sydney C. Butts, MD and Christopher Schmidt, MD

Rhombic flap for cheek reconstruction

May 31, 2008     Eugene A. Chu, MD and Patrick J. Byrne, MD

Pharmacologic reversal of Horner's syndrome-related ptosis with apraclonidine

April 30, 2007     Eugene A. Chu, MD; Patrick J. Byrne, MD
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