Faculty Bibliography

Significant surgical advances in face-lift surgery have evolved over the years, including wider flap undermining, the development of the superficial musculoaponeurotic system as a separate layer, and appropriate platysmal and coronal procedures. These more radical concepts offer improved results, but they may be associated with more complications, the most frequent being hematoma formation. A retrospective study of 386 patients was undertaken over a period of 5 years. Patients were separated into two groups: those that were sedated with a drug combination of diazepam, meperidine hydrochloride, and methohexital sodium; and those sedated with propofol. Patients sedated with propofol were more than twice as likely to develop a hematoma than those sedated with the other drug regimen. Although the hematoma rate with propofol is similar to that reported with other drugs, this increased risk must be carefully considered when one is choosing an anesthetic for rhytidectomy

Complete nasal aplasia is an extremely rare clinical entity and most infants are stillborn when this is associated with holoprosencephaly. A viable 3-year-old infant born with frontonasal arrest without holoprosencephaly is presented. The child's main complaint was lack of a nasal airway, which made eating extremely difficult. A method for craniofacial reconstruction of the nasopharynx is presented

The development of new processing strategies has allowed for the improvement of auditory skills in cochlear implant recipients. This study examines the effects of a change in processing strategy on the individual recipients of the Nucleus cochlear prosthesis. Twenty-five subjects who had used the F0F1F2 processing strategy (WSP III) for 2 years were switched to the MPeak strategy (MSP) and retested immediately and after 3 months. Results revealed an improvement in speech recognition ability with the MPeak strategy in those subjects who were able to perceive speech with the F0F1F2 processing strategy

Cochlear implant surgery by a group of experienced surgeons proceeded without major complications. Computed tomography scans tended to underestimate cochlear obstruction, but a drill-out was infrequently required if the scan was apparently nounal

A 61-year-old woman was examined because of unilateral nonpulsatile tinnitus involving the right ear. CT scanning showed a soft-tissue mass in the hypotypanum. Angiographically, the mass was identified as a fenestrated or duplicated internal carotid artery associated with persistence of the stapedial artery. Embryologic considerations are discussed.