Postoperative pain management with ketorolac in facial plastic surgery patients.

Objective: To evaluate the benefit of intraoperative locally or intramuscularly injected ketorolac in combination with local anesthetic versus local anesthetic alone on postoperative pain in patients undergoing facial plastic surgery.

Methods: Prospective randomized trial of 140 consecutive patients undergoing facelift, and/or forehead lift at a private facial cosmetic surgery practice by one surgeon. Outcome measurement included the requirement for pain medication (none, morphine, acetaminophen with codeine, or plain acetaminophen) at 1, 12, and 24 hours postoperatively.

The 'bikini lip reduction': A detailed approach to hypertrophic lips.

Excessively large lips represent an occasional but significant challenge in aesthetic surgery. Previously described techniques focus largely on the simple excision of a strip of tissue to reduce the lips, without specific attention to the resultant lip contour or to the volume relationship between the lips. The present paper describes a new technique for lip reduction, called the 'bikini lip reduction'.

Adenoidectomy: selection criteria for surgical cases of otitis media.

Objective: Nasopharyngeal adenoids may serve as a mechanical obstruction to the eustachian tube and contribute to the pathophysiology of otitis media (OM). The purpose of this study was to determine whether abutment of adenoids laterally against the torus tubaris affects the outcome of patients requiring pressure equalization tubes (PET) for OM.

Study Design: Randomized, controlled, prospective clinical trial.

The use of fibrin glue in the correction of pollybeak deformity: a preliminary report.

Background: Supratip fullness, also known as pollybeak deformity, is one of the most common postoperative complications of rhinoplasty. The deformity can result from many different causes, some of which are related to the surgical technique and can be prevented. Poor redraping of thick, inelastic skin and thick subcutaneous tissues over the reduced cartilaginous framework may result in the creation of a subcutaneous "dead space," leading to the formation of excessive subcutaneous scar and a soft tissue pollybeak in some cases.

Estimating implant size in chin augmentation: A simplified approach.

A receding chin, colloquially known as a weak chin, is a significant aesthetic impediment to a pleasing face. Multiple techniques exist to evaluate the poorly projecting chin, but most are imprecise when it comes to choosing the proper implant size. This choice is further complicated by the impracticality of commercially available chin implants.

Endoscopically facilitated reduction laryngochondroplasty.

Endoscopic verification of the level of excision of the thyroid cartilage in reduction laryngochondroplasty maximizes the aesthetic result of the operation and prevents possible injury to the vocal cords. A prominent thyroid cartilage is identified with male sex. Reduction of the thyroid cartilage prominence (Adam's apple), also known as laryngochondroplasty, is often requested by patients undergoing male-to-female transsexual surgery.

Endoscopic repair of a nasal septal perforation.

The repair of septal perforations represents a challenging problem, with numerous techniques existing to address the defect. The use of sinonasal endoscopy represents a novel approach to solving this problem. By using the endoscope, excellent visualization and exposure can be achieved without excessive dissection.

Dacron implants in rhinoplasty: a review of 136 cases of tip and dorsum implants.

The achievement of successful results in rhinoplasty may require the use of autografts, homografts, or alloplastic materials. Among the alloplasts, Dacron is an easily handled and manipulated synthetic material, readily applicable to nasal augmentation. The following represents the indications, surgical technique, outcome results, and analysis of our experience with Dacron mesh implants to the nasal tip, dorsum, and lateral walls in 136 patients.