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Highlights of Archives of Facial Plastic Surgery
July 2000

Highlights of Archives of Facial Plastic Surgery

Arch Facial Plast Surg. 2000;2(3):165. doi:
Anatomic Considerations in the Management of the Hanging Columella

Eric M. Joseph, MD and Alvin I. Glasgold, MD Article describe a consecutive series of 10 patients with a hanging columella. The authors' individual technique includes dividing the lower lateral cartilages at the angle of the medial and lateral crura. They propose that the primary cause of the hanging columella is the C-shaped curvature of the medial crura in relationship to the lateral crura. Peter A. Adamson, MD discusses their approach and places it in perspective.

Superior Cantholysis for Zygomatic Fracture Repair

Robert W. Dolan, MD and Daniel K. Smith, MD Article describe a series of 14 patients with zygomatic fractures in which exposure of the zygomatic frontal suture line through a superior cantholysis is obtained. This approach avoids external incisions and diminishes the edema and trauma sometimes seen with an isolated lateral canthotomy incision. Exposure is excellent.

Management of Aggressive Midface and Orbital Fibrous Dysplasia

John L. Frodel, MD, et al Article discuss the evaluation and management of aggressive midfacial fibrous dysplasias in a series of 8 patients. The more invasive of these lesions were treated with aggressive resection and various degrees of reconstruction. The authors present algorithms for management of these relatively uncommon lesions.

The Subgaleal Endoscopic Browlift

Mimi S. Kokoska, MD and J. Regan Thomas, MD Article present their experience with the subgaleal endoscopic browlift. Currently, most endoscopic browlifts are performed in the subperiosteal plane, but the authors' technique uses the subgaleal plane without periosteal release and adds suture fixation at the brow level. The advantages of this approach are discussed.

Experiences With Transconjunctival Upper Blepharoplasty

Frank M. Kamer, MD and Matthew Mingrone, MD Article present their technique of treating excessive medial fat of the upper lid through a transconjunctival approach. Anatomy and surgical indications are discussed. This approach offers significant advantages, particularly in revision cases, to allow fat removal without external incisions.

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