ByoungJae Moon, MD, and colleagues provide a retrospective study of autologous costal cartilage used for grafting purposes in rhinoplasty. The authors evaluate 108 patients who underwent either primary or revision surgery by a single surgeon using a standardized technique for the harvesting of costal cartilage. Aesthetic outcomes and complications are presented. The study demonstrated a relatively high complication rate and relatively poor aesthetic outcomes. Autologous costal cartilage should be used with these potential results in mind.
A lexander Berghaus, MD, and colleagues describe their experience with revision otoplasty. The authors present an approach to analyzing the unsatisfactory results of previous otoplasty and describe an algorithm for managing specific complications. Their technique involves the use of porous polyethylene implants when necessary. The results of 12 revision otoplasty cases are retrospectively reviewed.
Kofi D. Boahene, MD, and colleagues describe the use of a vascularized scapular tip flap for mandibular and temporomandibular joint reconstruction. The surgical anatomy, flap design, harvest, and method of flap inset for this novel reconstructive technique are highlighted. The authors present the results of 2 cases in which this technique was used.
Authors J. Regan Thomas, MD, and Michael Somenek, MD, perform a comprehensive review on the revision of facial scars. Commonly used techniques for both surgical and nonsurgical management are described and critically analyzed. The authors also discuss several novel and emerging strategies for the management of scars of the face such as angiotensin-converting enzyme inhibitors, nonsteroidal anti-inflammatory drugs and cyclooxygenase-2 (COX-2) inhibitors, and various members of the transforming growth factor–β family.
Mrs Richard Skinner (Dorothy Wendell) by John Singleton Copley (1738-1815).
This issue's Highlights were written by Richard J. Wright, MD.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2012;14(3):155. doi:10.1001/archfacial.2012.372