Malar augmentation using autogenous materials.

A variety of methods are available for malar augmentation using autogenous material, and the choice of procedure will depend on the indications presented by each particular case. The ability to produce a smooth natural contour without the need for concern of late problems is a decided advantage to the use of autogenous tissue. We have presented a compendium of available methods, demonstrated clinical examples and described a new technique, which, because of its simplicity, will certainly find further applications.

Obstructive jaundice caused by hepatoma fragments in the common hepatic duct.

A 67-year-old black male diabetic who had never consumed alcohol presented with anorexia, weakness, weight loss, and jaundice. Ultrasound demonstrated common bile duct obstruction; computed tomography scanning revealed multiple liver masses; endoscopic retrograde cholangiopancreatography showed a filling defect; aortogram confirmed the neovascularity of tumor proliferation; and percutaneous transhepatic cholangiography confirmed high-grade common duct obstruction. Operative intervention demonstrated hepatocellular emboli to the common bile duct causing obstruction.