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Facial Plastic/Reconstructive Surgery

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

Abstract

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.

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

Abstract

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...

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

Abstract

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...

Postauricular fascia in augmentation rhinoplasty

June 9, 2014  |  Aldo Benjamin Guerra, MD, FACS

Abstract

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...

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

Abstract

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)...

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.

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.

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