Rhinoplasty with Concurrent Repair of Septal Perforation.

Concurrently performing septal perforation repair and rhinoplasty is challenging. Successful management of patients who require or desire these procedures performed simultaneously can be achieved with appropriate preoperative workup and optimization, thoughtful surgical planning, masterful execution, and diligent postoperative care. Consideration of perforation etiology and status of the perforation along with overall nasal health are the foundation upon which surgery may be planned.

Characteristics of Orbital Injuries Associated with Maxillofacial Trauma.

Introduction: The incidence of ocular injury associated with maxillofacial trauma remains poorly defined, with reported rates ranging from 0.8% to 92%. Our study aims to more accurately characterize ocular injuries associated with midface fractures.

Repairing angle of the mandible fractures with a strut plate.

Importance: Despite multiple fixation techniques, the optimal method of repairing mandibular angle fractures remains controversial.

Objective: To evaluate the outcomes when using a 3-dimensional, curved strut plate in repair of angle of the mandible fractures.

Design: Retrospective cohort study.

Nasal gout presenting as nasal obstruction.

Importance: We describe a case of nasal gout presenting as nasal obstruction, a rare etiology for a common presentation.

Observations: We report a single case of a 56-year-old man with history of multiple nasal traumas, obstructive sleep apnea, referred for nasal obstruction and congestion, having failed attempts at medical management. He had severe septal deviation, elements of external and internal nasal valve collapse, and a nasal dorsal mass suspicious for gouty tophus.

Novel use of a delayed chondrofascial flap in microtia reconstruction.

Objective: To describe the novel use of a delayed chondrofascial flap to increase auricular projection in microtia reconstruction.

Methods: Retrospective survey analysis. Ten consecutive children with unilateral microtia without other craniofacial abnormalities were followed up for a period ranging from 6 months to 5 years after microtia reconstruction was performed with the newly described delayed flap.

Analysis of the African American female nose.

The African American nose has been broadly classified as ethnic yet it differs significantly in morphology from that of other ethnic groups with which it is categorized. The objectives of this study were to (1) establish an objective protocol for analysis of the African American female nose using anthropometric measurements, and (2) determine whether subjective subcategorization schemes are a reliable replacement for anthropometry. African American women (n = 107) between the ages of 18 and 30 years consented to participate in this study.

The pedicled superficial temporalis fascial flap: a new method for reconstruction in otologic surgery.

Objectives: Our goal was to describe a novel fascial flap of the temporal region and its use for reconstruction in otologic and neurotologic surgery.

Methods: The superficial temporalis fascia has an axial blood supply derived from the middle temporal artery and can be raised independently from the overlying temporoparietal fascia or the underlying deep temporalis fascia. This flap was used on 15 consecutive patients to solve a wide variety of reconstructive problems after otologic procedures.