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Highlights of Archives of Facial Plastic Surgery
October 2000

Highlights of Archives of Facial Plastic Surgery

Arch Facial Plast Surg. 2000;2(4):236. doi:
Hematoma Formation in Deep Plane Rhytidectomy

Hematoma formation is a relatively common and potentially devastating complication of face-lift surgery. No previous report has specifically addressed this problem in deep plane face-lifts.

Frank M. Kamer, MD, and Angie U. Song, MD Article , analyzed 451 consecutive deep plane face-lifts and found an incidence of major and minor hematomas within the reported range, if not lower. All were in the subcutaneous areas of the flap and none were in the face.

Early Perioperative Use of Polytef Suspension for the Management of Facial Paralysis After Extirpative Skull Base Surgery

There is no consensus on the rehabilitation technique or surgical timing for patients with facial paralysis after lateral skull base surgery. Kevin A. Shumrick, MD, and Myles L. Pensak, MD Article , analyzed 32 such patients who underwent early repair with Gore-Tex facial suspension. All patients reported improved facial function and appearance.

Intranasal Endoscopy-Assisted Repair of Medial Orbital Wall Fractures

Surgical repair of medial blowout fractures remains challenging. John S. Rhee, MD, and colleagues Article performed a cadaver study that demonstrated the utility of the endoscope to reduce orbital contents and help restore orbital volume. A clinical case confirms the study conclusions.

Minimal-Incision Endoscopic Face-lift

Ptosis of the midface can be addressed with multiple procedures. Twenty patients with this problem were treated by Brian P. Maloney, MD, and John Schiebelhoffer, MD Article , with an endoscopic subperiosteal midface-lift combined with other face-lift and forehead-lift techniques. The authors describe their approach and report good long-term results in elevation of the cheek soft tissues, but less satisfactory results in improvement of the melolabila fold. Complications encountered are discussed.