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Thirty-two scientific papers and three panel discussions were presented at the Academy's spring meeting in Palm Beach, Fla, on May 12 and 13, 1994, under the direction of Dr Craig Murakami. A special American Medical Association managed-care workshop and public affairs update also highlighted the well-attended event. Dr Michael Stewart began the scientific session with an analysis of "Proptosis: An Unusual Late Complication of Orbital Fracture Repair." Abscess, traumatic neuroma, and carotid-cavernous fistula were found to be the most common reasons for the proptosis, and computed tomographic scanning was suggested as a helpful adjunct in treatment planning. Implant removal was carried out in the complicated cases without significant morbidity. Nasal reconstruction with the epithelial "turn-in flap" was discussed by Dr Stephen Park and suggested as a reliable tool that utilizes otherwise discarded skin with minimal obstructive sequelae. Thirteen of 15 flaps survived completely with only one case of nasal obstruction.
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