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Transl Pediatr 2022 Apr;11(4):487-494

Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Congenital microtia is a common congenital disease in children, the cause of which is still unclear. At present, the main treatment for congenital microtia is ear reconstruction. Accurately locating of the reconstructed ear on the affected side before ear reconstruction surgery is difficult, while it is the key of successful operation. Read More

Ophthalmic Plast Reconstr Surg 2022 May 13. Epub 2022 May 13.

Oculofacial Plastic Surgery, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, U.S.A.

Purpose: To determine the safety and effectiveness of a biplanar-pivoted V-Y flap design in reconstructing medial canthal defects of all sizes.

Methods: Retrospective review of patients who underwent repair of medial canthal region defects with the biplanar-pivoted V-Y flap from January 2016 to May 2021. Variables collected included age, gender, surgical indication, defect sizes and location, flap(s) and/or graft(s) used, and follow-up time. Read More

Plast Reconstr Surg Glob Open 2022 May 6;10(5):e4316. Epub 2022 May 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. Read More

J Plast Reconstr Aesthet Surg 2022 Apr 28. Epub 2022 Apr 28.

Otorhinolaryngology Research Center, Department of Otolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Dr. Gharib Avenue, Keshavarz, Building, Tehran, Iran.

Background: Isolated ala nasi cleft is a very rare anomaly that causes significant esthetic deformity. This anomaly is usually managed in pediatric patients, and the residual deformity is corrected as much as possible in additional stages. Adult patients typically seek management of concomitant nasal deformities that require standard septorhinoplasty. Read More

Proc (Bayl Univ Med Cent) 2022 10;35(3):389-390. Epub 2022 Feb 10.

Plastic and Reconstructive Surgery Department, Hospital Melaka, Ministry of Health Malaysia.

The reconstruction of a nasal ala defect is challenging for the reconstructive surgeon. A myriad of options are available for the ala defect. We present a case of a large ala defect that was reconstructed with a modified dorsal nasal flap. Read More

Plast Reconstr Surg 2022 May 6. Epub 2022 May 6.

From the Dallas Plastic Surgery Institute; Baylor College of Medicine; Division of Plastic Surgery, Baylor Scott & White, Texas A&M Health Science Center; and private practice.

Background: Revision rhinoplasty is undoubtedly one of the most challenging procedures in facial plastic surgery. The complexity is compounded when there is a paucity of native septal cartilage to perform the required framework reconstruction. Harvest of autologous costal cartilage can result in increased operative times and possible secondary-site complications such as contour irregularity, poor scarring, and even pneumothorax. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):271-276

Department for Hand, Plastic and Aesthetic Surgery, Ludwig - Maximilian University Munich, Munich, Germany. Electronic address:

This study investigated eye movement patterns using eye tracking technology when looking at preoperative and postoperative images of patients that underwent bilateral periorbital cosmetic surgery. The sequence of facial recognition before surgery was periorbital-nose-perioral, whereas following surgery it was nose-periorbital-perioral. This study revealed that the sequence of facial feature recognition is influenced by the aesthetic liking of the observer and that alteration to facial features influences the sequence of facial feature recognition. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):193-203

Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, 200 1st St SW, Rochester, MN 55905, USA.

Injecting soft-tissue fillers in the nose requires a very specific approach, as vascular-related adverse events are a pivotal concern. This study describes a novel standardized 4-step treatment algorithm for safe, reproducible, and effective liquid rhinoplasty procedures using a "deep columellar approach." Medical records of n = 511 treatments were retrospectively analyzed with respect to the occurrence and severity of adverse events. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):183-191

Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Mayo Clinic, Stabile Building 9-38, 200 First Street, Rochester, MN, 55905, USA. Electronic address:

Nasal enhancement is one of the most challenging and intriguing of aesthetic procedures. Although the nose is the most central and prominent facial feature, it should not be dominant while maintaining both a harmonious relationship with the face and its own intrinsic beauty. In this article, the first author shares his experience on how to specifically apply intradermal soft-tissue fillers (for particular indications) in nasal enhancement and incorporates patient assessment, anatomy of the nose, and injection techniques to provide guidance. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):175-181

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Munich 80336, Germany. Electronic address:

Because of its central location in the face, the nose plays an important role in the aesthetic perception of the face. To improve the appearance of the nose, surgical and nonsurgical rhinoplasty techniques have been described, although it still remains elusive if both options show comparable results in their aesthetic perception. This study assesses the fixation pattern and duration when looking at postinterventional images compared with baseline images for surgical and nonsurgical rhinoplasty procedures. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):167-173

Department for Hand, Plastic and Aesthetic Surgery, Ludwig - Maximilian University Munich, Germany. Electronic address:

The demand for surgical and nonsurgical esthetic procedures in the nasal region has increased sharply in the past. Anatomic differences of the nose between different ethnicities need to be investigated thoroughly. The objective of this article is to analyze and compare morphometric features of the nose in a mixed Asian-Caucasian study population. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):143-148

Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand. Electronic address:

The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Read More

Facial Plast Surg Clin North Am 2022 May;30(2):135-141

Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, MN, USA. Electronic address:

Nonsurgical rhinoplasty procedures using soft tissue fillers have gained popularity. With the increasing frequency of such procedures, the incidence of intra-arterial injection of soft tissue filler material and subsequent ischemia has also risen. This article analyzes the topographic anatomy of the dorsal nasal artery in the nasal soft tissue to potentially enhance patient safety in nonsurgical rhinoplasty procedures. Read More

Cureus 2022 Mar 28;14(3):e23576. Epub 2022 Mar 28.

Otolaryngology - Head and Neck Surgery, Western Reserve Hospital, Cuyahoga Falls, USA.

Squamous cell carcinoma of the nasal cavity is a relatively rare cancer. Five-year recurrence-free survival rates have a large range, which may be due to the small patient population available to study. Recurrence rates vary based on the treatment regimen and aggressiveness of the surgical approach. Read More

J Contemp Brachytherapy 2022 Apr 25;14(2):205-214. Epub 2022 Mar 25.

Electroradiology Department, Poznan University of Medical Sciences, Poznan', Poland.

Purpose: One of the main challenges in facial region brachytherapy is fixation of vendor-delivered standard applicators. Reproducibility can be maintained; however, there are frequent problems with applicator fitting to the skin surface in pleated regions. Manually prepared individual moulds require technological facilities and highly-trained staff. Read More

Br J Oral Maxillofac Surg 2022 Mar 12. Epub 2022 Mar 12.

Royal Surrey County Hospital, Egerton Rd, Guildford GU2 7XX, United Kingdom. Electronic address:

Skin grafts are commonly used for reconstruction of defects following excision of facial skin cancers. Tie-over bolster dressings are routinely placed to secure these grafts, but are they necessary for healing or graft success?A total of 96 patients was treated from 2013-2019 who underwent full thickness skin graft (FTSG) reconstruction following facial skin cancer excision were retrospectively analysed. All patients were treated by one consultant with non-fenestrated FTSG's placed on defects varying from 10 to 55mm in maximum diameter. Read More

Ulus Travma Acil Cerrahi Derg 2022 Apr;28(4):549-553

Department of Plastic, Reconstructive and Aesthetic Surgery, Health and Science University, Adana City Training and Research Hospital, Adana-Turkey.

Soft tissue injuries from animal bites are encountered occasionally in rural areas, resulting from attacks by, for example, dogs, wolves, horses, donkeys, and cats. The commonly affected body parts include the face, head and neck, nose, ears, hands, arms, and legs. The traumatic exposure of the external genital organs following an animal bite is a highly rare condition. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 May;36(5):335-337;342

Department of Otorhinolaryngology Head and Neck Surgery，Lanzhou University Second Hospital，Lanzhou，730000，China.

Explore the significance of ultrastructural differences in tissue engineering, 3D printing, and rhinoplasty. 32 specimens （8 vomers, 8 perpendicular plates of ethmoid bone, 8 maxillary nasal crests, and 8 septal cartilage） of the nasal septum from patients with a nasal deviated septum and chronic sinusitis undergoing septoplasty were selected and examined using scanning electron microscopy. The nasal septum of patients of different ages behaves similarly under the scanning electron microscope, and the bones of different parts of the nasal septum have similarities and differences. Read More

Plast Reconstr Surg Glob Open 2022 Apr 22;10(4):e4223. Epub 2022 Apr 22.

Eyeplastx, Oculofacial Plastic and Reconstructive Surgery, San Antonio, Tex.

Purpose: The paramedian forehead flap, while initially used for reconstruction of nasal defects, has been adapted for repair of anatomical subunits in the medial canthal and eyelid area. A significant obstacle for utilizing the flap has been the bulky, unsightly vascular pedicle that is maintained between surgical stages. We describe our surgical experience using the tunneled variation in a single stage procedure. Read More

Plast Reconstr Surg Glob Open 2022 Apr 22;10(4):e4284. Epub 2022 Apr 22.

Faculty of Medicine & Health Sciences, University of Antwerp, Antwerp, Belgium.

Reconstruction of full-thickness alar defects is delicate. Small asymmetries are visible because of the central position of the nose. Different alar reconstruction techniques such as the nasolabial, bilobed, and composite grafts provide an excellent option to reconstruct alar skin and texture. Read More

Cureus 2022 Mar 23;14(3):e23430. Epub 2022 Mar 23.

Epidemiology and Public Health, Thai Moogambigai Dental College and Hospital, Chennai, IND.

Background: Forensic craniofacial reconstruction is a combination of both scientific technique and artistic skill that assist facial soft tissue approximation on the skull to obtain an image of an individual that varies in the different ethnic groups depending on genetic and environmental factors such as soft tissue norms.

Objectives: The present study was aimed to evaluate the soft tissue norms for Lambani Indian tribes spread across the state of Karnataka in India and compare them with the local inherent ethnolinguistic Kannadiga population.

Material And Methods: Forty healthy individuals encompassing 20 Lambanis and 20 Kannadigas were selected using demographic information. Read More

Cleft Palate Craniofac J 2022 Apr 27:10556656221096323. Epub 2022 Apr 27.

Department of Surgery, Faculty of Medicine, 37686Chiang Mai University, Chiang Mai, Thailand.

Proboscis lateralis is a rare craniofacial anomaly in which a rudimentary nasal appendage arises at the medial canthal area. The severity depends on organ involvement, including eyes, nose, cleft lip/palate, and/or concomitant intracranial anomalies. Here, we present a child with proboscis lateralis and associated trans-ethmoidal encephalocele. Read More

Plast Reconstr Surg 2022 May 26;149(5):901e-904e. Epub 2022 Apr 26.

From the Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédias Abel Salazar, Universidade do Porto, Hospital da Luz Arrábida; and Plastic Surgery Division, Faculty of Medicine, University of São Paulo.

Summary: For V-shaped nasal bones, the authors consider that ostectomy of the dorsal keystone area can be avoided, and this has led to the development of a new preservation technique: the spare roof technique B (or Ferreira-Ishida technique), where the bony cap is preserved. It includes six main steps, as follows. Step 1, draw on the surface of the skin the desired dorsal brow-tip aesthetic lines, the pyriform aperture, the rhinion, and the amount of triangular bone that has to be taken out to allow pushing-down the bony cap, and the transversal line in the beginning of the nasal hump. Read More

Ophthalmic Plast Reconstr Surg 2022 Apr 25. Epub 2022 Apr 25.

Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India.

Iatrogenic lacrimal drainage trauma during surgery is not common. It has been reported during orbital surgeries, medial maxillectomies, post-trauma repairs, excision of adherent lesions in the vicinity, and facial reconstructive procedures. The present case reports a focal loss of the lacrimal sac wall during the excision of an intricate dermoid cyst. Read More

Ear Nose Throat J 2022 Apr 20:1455613221088727. Epub 2022 Apr 20.

Department of Otolaryngology-Head and Neck Surgery, 37128College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Objective: To propose a modified technique of ossiculoplasty using an ossicle-cartilage composite graft (OCCG) and compare its hearing outcome and protrusion rate with those of a synthetic prosthesis.

Methods: Autologous tragal or homologous septal cartilage was combined with an ossicle to create an umbrella shape OCCG. A total of 302 ossiculoplasty surgeries performed in a single university hospital between 1997 and 2006 were retrospectively reviewed based on the prosthesis type-OCCG or polymaleinate ionomeric prosthesis (IONOS). Read More

Ann Plast Surg 2022 05 18;88(5):480-484. Epub 2022 Feb 18.

From the Department of Plastic and Reconstructive Surgery.

Introduction: Nasal osteotomy is a powerful cornerstone step in almost all rhinoplasty procedures and is a major cause of postoperative periorbital ecchymosis and edema after rhinoplasty. Different accesses for osteotomy have been described, the most popular of which is the external perforating and the internal continuous methods. These accesses are blind maneuvers and have some drawbacks such as possible visible scar formation in the percutaneous access or high rate of mucosal tear in the endonasal access. Read More

Aesthet Surg J 2022 Apr 20. Epub 2022 Apr 20.

Department of Plastic Surgery, University of California, Irvine, Irvine, CA.

Background: Preservation rhinoplasty (PR) is an evolving philosophy.

Objectives: The open approach was used initially, but the author felt a closed approach might be of benefit in certain patients.

Methods: One hundred sixty-two primary rhinoplasty cases were studied retrospectively between January and July 2020. Read More

Niger J Clin Pract 2022 Apr;25(4):531-540

Department of Technique, Vocational School of Technical Sciences, Dicle University, Diyarbakir, Turkey.

Background: Despite successful septoplasty surgery, some patients still complain of nasal obstruction (NO).

Aim: Our aim in the present study is to determine whether preoperative computed tomographic (CT) parameters have prognostic significance for the success of septoplasty.

Material And Methods: Retrospective data from 61 patients in a secondary care hospital who had undergone septoplasty met the inclusion and exclusion criteria. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2022 Apr;54(2):356-362

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Objective: To evaluate the effect and summarize the characteristics of different treatment methods in repairing zygomatic defect.

Methods: A total of 37 patients with zygomatic defect were reviewed in the Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology from August 2012 to August 2019. According to the anatomical scope of defect, the zygomatic defects were divided into four categories: Class 0, the defect did not involve changes in zygomatic structure or continuity, only deficiency in thickness or projection; Class Ⅰ, defect was located in the zygomatic body or involved only one process; Class Ⅱ, a single defect involved two processes; Class Ⅲa, referred to a single defect involving three processes and above; Class Ⅲb, referred to zygomatic defects associated with large maxillary defects. Read More

Laryngoscope Investig Otolaryngol 2022 Apr 28;7(2):342-348. Epub 2022 Feb 28.

Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou Taiwan.

Objectives: Patients with empty nose syndrome (ENS) experience paradoxical nasal obstruction and various psychological burdens. This study aimed to compare ENS-specific questionnaires of sino-nasal outcome test-25 (SNOT-25) and empty nose syndrome 6-item questionnaire (ENS6Q) in the peri-operative evaluation of ENS.

Methods: This was a prospective case series study. Read More