Masoud Saman, MD, and Sherard A. Tatum III, MD, provide a review of the surgical repair of velopharyngeal insufficiency. The authors discuss the indications, advantages, and disadvantages of frequently used pharyngeal modification techniques. Several new techniques in pharyngoplasty recently described in the literature are highlighted.
Peter C. Revenaugh, MD, and colleagues describe their surgical approach for the immediate reconstruction and reanimation of the face following radical parotidectomy with sacrifice of the facial nerve. This technique includes the use of anterolateral thigh free flap, orthodromic temporalis tendon transfer, cable grafting of the facial nerve, and fascia lata lower lip suspension. The authors perform a retrospective review of 5 patients treated with this technique following the extirpation of malignant tumors with facial nerve sacrifice.
Anthony P. Sclafani, MD, and Steven A. McCormick, MD, report on the histologic changes in human skin following the injection of autologous platelet-rich fibrin matrix into the deep dermis and immediate subdermis of 4 adult volunteers. Skin biopsies at injection sites were performed at various intervals following treatment and demonstrated activiated fibroblasts, new collagen deposition, angiogenesis, and stimulation of adipocytes. The authors discuss the potential applications of this treatment modality in the field of facial plastic surgery.
Fazil Apaydin, MD, reports his experience with the lateral crural turn-in flap technique to augment the nasal airway during functional rhinoplasty. This study presents the results of a retrospective review of 24 patients in whom this technique was performed. The author discusses how this technique can be combined with other methods to achieve maximal functional result.
Portrait of a Young Woman in Profile by Leonardo da Vinci (1452-1519).
This issue's Highlights were written by Richard Wright, MD.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2012;14(2):81. doi:10.1001/archfacial.2012.127