Month: December 2016

Injury to the frontal branch of the facial nerve is also an adverse event that can occur during the procedure. This usually happens when dissecting the TPF flap and including the anterior branch of the superficial temporal artery. In some cases, that anterior branch can be quite anterior and its course is very similar to…

Implant fracture in SUPOR™ ear reconstruction can occur at any time. It can be very subtle and would present with a change in shape and definition. One would be able to detect an implant facture by being able to mobilize the two segments together. Appropriate sleeping position as well as contact sports/activities restrictions in the…

Most implant exposures occur within 4 months of the ear reconstruction. An impeding exposure or an early exposure are early complications that require immediate attention to salvage the SUPOR™ ear reconstruction without needing to redo the entire procedure. An impeding exposure is noticed when one observes a discoloration of a small portion of a skin…

There is a large misconception that all patients with Pierre Robin Sequence have a Cleft Palate. They don’t. Pierre Robin sequence was described in the late 1920s by a french stomatologist living in Paris, Dr. Pierre Robin. The original triad described by Dr. Robin was: Retrognathia, Glossoptosis and Airway Compromise. A large majority of patients have…

Craniosynostosis refers to a premature closure of cranial suture(s). Its incidence ranges from 1/1,800 to 1/2,500 live births. I can either be isolated or involve multiple suture. It is also classified as Non-syndromic vs. Syndromic. Sagittal synostosis is most common, metopic comes 2nd with increasing incidence: 1:10000 live births vs. 1:15000 live births for unicoronal synotosis. There…