Faculty Bibliography

Four patients with clinical features of Goldenhar-Gorlin syndrome who showed facial paralysis on clinical examination are presented. The fourth case died following surgery for cleft lip. Autopsy revealed hypoplasia of the right facial nerve in its intracranial segment, with small right facial nucleus in the brain stem. Nosological aspects of the Goldenhar-Gorlin syndrome are discussed. Peripheral facial paralysis, as a part of this syndrome, is reviewed in the light of clinical and pathological findings and in its relationship to cardiac anomalies. It is suggested that Goldenhar-Gorlin syndrome is a part of a so-called cardiofacial syndrome

We describe a repair that preserves the vermilion border of the upper lip, after a full-thickness excision of a tumor of the upper lip which did not require excision of this structure. A bridge flap technique was employed, similar to the Cutler-Beard technique of eyelid reconstruction

Significant mammary asymmetry is not uncommon although accurate statistics are not available. Modern techniques of mammary augmentation and breast reduction have resulted in effective methods of treatment of most such deformities. The management of this problem was discussed.

A method of reconstructing a missing areola with a pre-tattooed full-thickness skin graft from the contralateral breast is presented

Variations expressed clinically and radiographically in hemifacial microsomia preclude classifying all the abnormalities as coming from the first and second branchial arches. Anatomic structures arising from the branchial arches are directly involved but the final expression results from the combined impact of the primary anatomic defect and the secondary effects on contiguous structures. The deformities resulting from the latter are probably due to abnormal neuromuscular function