Barry M. Zide, M.D., D.M.D.

Deep-plane angle rotation flap for reconstruction of perioral lesions
Haddock, Nicholas T; Zide, Barry M
2011 Dec;67(6):594-596, Annals of plastic surgery
INTRODUCTION: : A cervicofacial flap remains the principal method to close defects of the posterior cheek. Schrudde described a variant of this technique, termed the angle-rotation flap, which allowed primary closure of the donor site. This flap has been elevated in the deep plane for the more medial defects. We extend this technique for upper lip reconstruction. METHODS: : Two cases were reviewed that underwent upper lip reconstruction with the deep-plane Schrudde flap. RESULTS: : Two cases are presented to describe the use of the deep-plane angle-rotation flap. The first patient sustained a burn to his upper lip and the second patient had a partially grafted defect following a Mohs excision. DISCUSSION: : In patients with insignificant nasolabial folds, the deep-plane Schrudde flap is a good option to reconstruct perioral defects. The utilization of the deep plane improves the blood supply and allows improved contour for reconstruction of deeper defects
— id: 141966, year: 2011, vol: 67, page: 594, stat: Journal Article,

Suspension of the brow in facial paralysis and frontalis loss
Bastidas, Nicholas; Zide, Barry
2010 Aug;126(2):486-488, Plastic & reconstructive surgery
— id: 111547, year: 2010, vol: 126, page: 486, stat: Journal Article,

The treachery of mandibular angle augmentation
Bastidas, Nicholas; Zide, Barry M
2010 Jan;64(1):4-6, Annals of plastic surgery
Patients who present for alloplastic jaw angle augmentation have 2 potentially troublesome choices. The use of a silicone implant can mean unpredictable motion, and if the lower pterygomasseteric sling is breached during implant placement, the masseter insertion will ride up without anything to which to adhere. When the patient bites down, a bulge will be present.The porous alternative even has a ledge made to go under the gonial angle, which if not removed, guarantees violation of the pterygomasseteric sling and an implant that is longer than the muscle can cover. The inferior muscle insertion is disrupted and is left to ride up serendipitously.This article presents 5 instances of these issues in which one case required a revision via a modified Risdon approach to access the uncovered material which stuck out beyond the high riding masseter.The basic aim of this article is to advocate the need to maintain the pterygomasseteric sling, and describe the consequences of the failure to do so
— id: 105984, year: 2010, vol: 64, page: 4, stat: Journal Article,

Reconstruction of temporal and suprabrow defects
Warren, Stephen M; Zide, Barry M
2010 Mar;64(3):298-301, Annals of plastic surgery
Large temple and suprabrow lesions can pose a reconstructive challenge. When the lesion extends anterior to the hairline, esthetically acceptable local flaps may be difficult to design. We describe a modified scalp flap (ie, part Converse scalping flap and part scalp rotation flap) that can be tailored to reconstruct a variety of difficult temple and suprabrow lesions while simultaneously maintaining eyebrow position.The modified scalp flap is raised in a subgaleal plane until approximately 2.5 cm above the brow. At this level, dissection proceeds in the subcutaneous plane to protect the frontal branch of the facial nerve and to keep the flap thin. (The key to the modified scalp flap is the dissection plane change that protects the frontal branch of the facial nerve.) The extent of posterior subgaleal dissection is dictated by the amount of anterior rotation necessary. A temporal dog-ear is removed subfollicularly to permit modified flap rotation and preserve the superficial temporal artery.The modified scalp flap has been used to reconstruct temple and suprabrow lesions in 10 patients ranging in age from 4 months to 22 years. There were no complications. Four typical cases are presented.Temple and suprabrow lesions can be excised and successfully reconstructed in one stage using a modified scalp flap that is extended from the hair-bearing scalp onto the glabrous skin of the forehead. This novel modified scalp flap prevents eyebrow/hairline distortion and avoids facial nerve injury
— id: 107389, year: 2010, vol: 64, page: 298, stat: Journal Article,

Chin IX: Unusual Soft Tissue Problems of the Lower Face
Flores, Roberto L; Zide, Barry M
2009 Oct;2(3):141-150, Craniomaxillofacial trauma & reconstruction
When the editor asked me to write something related to the chin, I (B.M.Z.) told him I would like to concentrate on the soft tissue of the perioral and chin region, something previously not presented before in this Journal specifically or anywhere. Dr. Flores and I have chosen certain soft tissue cases of the lower face, each of which presents certain dilemmas. The reconstructive methods in each case are unique, previously not shown, and represent salvage from prior failures. Case 1 shows how an interior Abbe flap can be used for ipsilateral lip reconstruction. Case 2 shows how a large upper lateral lip elemental loss can be regained from cheek and not the lower lip. Cases 3 and 4 show how to regain proper white roll bulge and symmetry by overcorrection, then exact adjustment in a second stage. Case 5 shows how a failed chin/lip reconstruction can be salvaged to regain sulcus height and aesthetic unit reconstruction. Each case depicts unique reconstructive designs to produce an aesthetic final result
— id: 146255, year: 2009, vol: 2, page: 141, stat: Journal Article,

The Sabattini-Abbe Flap: A Historical Note Reply
Zide, BM
2009 FEB ;123(2):767-768, Plastic & reconstructive surgery
— id: 98840, year: 2009, vol: 123, page: 767, stat: Journal Article,

Some More Technical Points in the Use of the Abbe Flap Reply
Zide, BM; Culliford, A
2009 MAR ;123(3):1127-1127, Plastic & reconstructive surgery
— id: 97552, year: 2009, vol: 123, page: 1127, stat: Journal Article,

Technical tips in reconstruction of the upper lip with the Abbe flap
Culliford, Alfred 4th; Zide, Barry
2008 Jul;122(1):240-243, Plastic & reconstructive surgery
— id: 80315, year: 2008, vol: 122, page: 240, stat: Journal Article,

Chin ptosis: classification, anatomy, and correction
Garfein, Evan S; Zide, Barry M
2008 Nov;1(1):1-14, Craniomaxillofacial trauma & reconstruction
For years, the notion of chin ptosis was somehow integrated with the concept of witch's chin. That was a mistake on many levels because chin droop has four major causes, all different and with some overlap. With this article, the surgeon can quickly diagnose which type and which therapeutic modality would work best. In some cases the problem is a simple fix, in others the droop can only be stabilized, and in the final two, definite corrective procedures are available. Of note, in certain situations two types of chin ptosis may overlap because both the patient and the surgeon may each contribute to the problems. For example, in dynamic ptosis, a droop that occurs with smile in the unoperated patient can be exacerbated and further produced by certain surgical methods also. This paper classifies the variations of the problems and explains the anatomy with the final emphasis on long-term surgical correction, well described herein. This article is the ninth on this subject and a review of them all would be helpful (greatly) for understanding the enigmas of the lower face
— id: 146254, year: 2008, vol: 1, page: 1, stat: Journal Article,

Early surgical intervention for proliferating hemangiomas of the scalp: indications and outcomes
Spector, Jason A; Blei, Francine; Zide, Barry M
2008 Aug;122(2):457-462, Plastic & reconstructive surgery
BACKGROUND:: Large hemangiomas of the scalp, though uncommon, present unique challenges to the reconstructive surgeon. If not treated early, these lesions can result in large areas of alopecia, distortion of the hairline, or deformation of the ear. Given these potential complications and the relative pliability and redundancy of the infant scalp before 4 months of age, the authors propose early surgical excision. METHODS:: A retrospective review of the senior author's (B.M.Z.) patient records was performed; over a period of 4 years, six infants were identified who underwent resection of a large scalp hemangioma. The surgical planning and execution of each case and follow-up are detailed. RESULTS:: All six hemangiomas were excised completely. In five cases, the excisions were performed in one stage at or before 4 months of age. In a sixth case, a tissue expander was placed before excision and closure in an 18-month-old infant. In three cases, significant ear malposition was corrected by removal of the deforming mass. There were no complications. CONCLUSIONS:: The authors have demonstrated that by taking advantage of the greater elasticity of the infant scalp, large hemangiomas of the scalp can be aggressively and successfully treated with surgical intervention, often in one operation. Beyond the usual indications, early surgical excision of scalp hemangiomas may be advantageous and warranted to prevent the development of large alopecic areas or the permanent distortion of the hairline and aural anatomy
— id: 94119, year: 2008, vol: 122, page: 457, stat: Journal Article,

Chin surgery VI: Treatment of an unusual deformity, the tethered microgenic chin
Spector, Jason A; Warren, Stephen M; Zide, Barry M
2007 Sep 15;120(4):1053-1059, Plastic & reconstructive surgery
BACKGROUND: Although the condition is rare, some children are born with cervical clefts or masses that require repair during infancy. The scarring in the submental region can tether the developing mandible at the menton, producing a developmental microgenia or 'tethered chin.' METHODS: A retrospective review of the senior author's (B.M.Z.) patient records was performed; three cases of tethered chin were identified. In each case, a staged surgical approach was used. RESULTS: In two cases, previous unsuccessful surgery complicated the initial presentation. In all cases, the underlying soft-tissue anomalies were addressed and the microgenia was corrected. Satisfactory aesthetic and functional results were obtained. CONCLUSIONS: The tethered chin represents a rare entity. Correction of the tethered chin requires a comprehensive understanding of the underlying abnormality and an appreciation of the multiple factors that contribute to chin function and aesthetics
— id: 94120, year: 2007, vol: 120, page: 1053, stat: Journal Article,

Chin surgery V: treatment of the long, nonprojecting chin
Warren, Stephen M; Spector, Jason A; Zide, Barry M
2007 Sep;120(3):760-768, Plastic & reconstructive surgery
BACKGROUND: Correction of the long, nonprojecting chin requires both vertical reduction and sagittal augmentation. Wedge excision-based therapy reduces chin height and allows for advancement of the distal segment, but it is associated with at least a 10 percent incidence of mental nerve injury. The authors propose two innovative ways to correct the long, nonprojecting chin. METHODS: There are two approaches, intraoral and extraoral. With the intraoral approach, following a gingivobuccal incision, a single horizontally oblique osteotomy is made at least 6 mm beneath the mental nerve foramina. The vertically long genial segment is freed and the posterior edge is contoured with a side-cutting burr. The contoured jumping genial segment is secured to the mandible with countersunk screws and contoured in situ to preserve the lower 8 to 10 mm. With the extraoral approach, following a submental incision, the anterior and posterior surfaces of the symphysis are cleared (a double-armed suture is placed through the posterior musculature). A reciprocating saw is used to remove the lower border of the symphysis to reduce the vertical excess. The tagged musculature is resuspended, and a tapered, textured implant is secured to the new symphysis. RESULTS: Aesthetic outcomes using these two techniques were good and there were no complications. Representative patients, operated on by the senior author, illustrate these techniques. CONCLUSIONS: Both the intraoral one-cut in situ contoured jumping genioplasty and the extraoral vertical reduction/sagittal augmentation genioplasty reduce excess chin height, control sagittal advancement, provide pogonion projection, and avoid the risks of a standard wedge. Both techniques provide custom projection at the lower pole of the new symphysis
— id: 73814, year: 2007, vol: 120, page: 760, stat: Journal Article,

Chin surgery VII: the textured secured implant--a recipe for success
Warren, Stephen M; Spector, Jason A; Zide, Barry M
2007 Oct;120(5):1378-1385, Plastic & reconstructive surgery
BACKGROUND: Silicone chin augmentation remains a popular treatment for microgenia because its placement appears deceptively simple. However, when extrusion, displacement, capsular contracture following implant removal, overaugmentation, or malposition occurs, a revision operation may be required. Secondary chin surgery is challenging because (1) implant removal alone may produce a disfigured chin; and (2) placement of a new implant in an oversized misshapen pocket demands precision, control, and reliability. METHODS: The textured implant may be placed by means of an intraoral or extraoral route. The extraoral route is usually chosen except when transoral procedures (e.g., mentalis suspension) are required. The superior 30 to 50 percent of a standard textured implant is always removed and then tapered anteriorly at a 45-degree angle to reduce its sharp front edge. The lateral wings are also reduced and tapered. Two pilot holes are drilled in each half of the implant and then it is divided in the midline. Each half is inserted and secured individually. The medial screw is placed first and nearly fully tightened. Then, holding the implant exactly along the inferior border of the mandible, the distal screw is placed and both screws are tightened completely. The lower border of the implant should be exactly along the lower border of the mandible. The soft tissues are closed in three layers over a drain. RESULTS: This technique has been used to treat more than 100 patients. Selected photographs illustrate this technique. CONCLUSION: This article explains how to place a textured implant efficiently and effectively under light premedication and local anesthesia
— id: 74464, year: 2007, vol: 120, page: 1378, stat: Journal Article,

The obsessive patient by proxy
Zide, Barry M
2007 Apr 1;119(4):1395-1396, Plastic & reconstructive surgery
— id: 72712, year: 2007, vol: 119, page: 1395, stat: Journal Article,

Chin surgery IV: the large chin--key parameters for successful chin reduction
Zide, Barry M; Warren, Stephen M; Spector, Jason A
2007 Aug;120(2):530-537, Plastic & reconstructive surgery
BACKGROUND: Treatment of macrogenia can be a challenging problem. In this article, the authors provide novel insights for treatment of a previously poorly treated problem. The authors have developed anatomical insights that facilitate the subtly difficult preoperative evaluation of the large chin and, when applied appropriately, will provide uniformly pleasing results. METHODS: A retrospective review of the senior author's (B.M.Z.) patient records was performed. More than 50 cases of macrogenia were identified. As previously described, almost all of the cases were performed under local anesthesia with oral premedication only. RESULTS: This article demonstrates why prior modalities such as intraoral burring and lower border setback failed to treat the variety of large chins properly. The nine critical factors the surgeon must consider in developing a successful surgical plan are outlined. The surgical plan is not primarily based on radiographs as much as on direct tactile and visual analysis of the sublabial structures both in repose and while smiling. Crucial aspects of the operative technique are highlighted. CONCLUSIONS: The large chin can be approached with confidence if nine parameters are appreciated. The authors have outlined these key variables that facilitate proper preoperative topographic analysis of the large chin. Once these variables are appreciated, an appropriate surgical plan can be formulated
— id: 73239, year: 2007, vol: 120, page: 530, stat: Journal Article,

Carbon dioxide laser ablation for treatment of lymphangioma of the conjunctiva
Spector, Jason A; Zide, Barry M
2006 Feb;117(2):609-612, Plastic & reconstructive surgery
— id: 62751, year: 2006, vol: 117, page: 609, stat: Journal Article,

Cheek and eyelid reconstruction: the resurrection of the angle rotation flap
Boutros, Sean; Zide, Barry
2005 Oct;116(5):1425-1430, Plastic & reconstructive surgery
BACKGROUND: Reconstruction of larger cheek and eyelid defects may pose a dilemma for surgeons, since flaps used in reconstruction may be difficult to design, be unreliable, require extensive dissection, and result in neck scarring. Consequently, the authors wish to simplify and expand an overlooked flap, the angle rotation flap, which moves tissue in both a medial and upward direction. METHODS: Twenty patients with cheek and eyelid defects were treated by the angle rotation flap. In this flap design, the angle designed below the ear was closed primarily and the neck tissue previously there was rotated upward and forward to lie in front of the ear. The portion of the flap that was in front of the ear was transposed to the lower lid/cheek area. This flap was modified in several patients by elevation in the deep plane and first-stage tissue expansion. RESULTS: In all cases, good coverage was provided for medial cheek and lower eyelid defects with minimal scarring on the neck. There were no flap losses of any kind. There were no major complications, and all minor incidences were treated by minimal procedures without long-term sequelae. CONCLUSION: The modified angle rotation flap is a useful tool for cheek and eyelid defects
— id: 62602, year: 2005, vol: 116, page: 1425, stat: Journal Article,

Lipoblastoma of infancy mimicking hemangioma of infancy
Steckman, David; Zide, Barry; Greco, M Alba; Rivera, Rafael; Blei, Francine
2005 Sep-Oct;7(5):326-330, Archives of facial plastic surgery
Lipoblastomas are rare benign tumors of infancy that usually affect children younger than 3 years. Most lipoblastomas (70%) occur on the extremities. Lipoblastomas may mimic other infantile tumors, including hemangiomas, hibernomas, lipomas, and liposarcomas, and correct diagnosis is necessary to ensure appropriate treatment. Lipoblastomas fall under 2 discrete subtypes: well-circumscribed lipoblastomas and diffuse lipoblastomatosis. Both types present with firm, nontender masses of lobulated, well-circumscribed soft tissue. Histologically they can be highly vascularized with plexiform capillaries, often with an individual feeder artery to each lobule. Complete surgical removal is the recommended treatment. Only 2 cases of lipoblastomas of the cheek have been reported in the English-language literature. We present the case of a young child with a cheek lipoblastoma, emphasizing the importance of correct diagnosis and highlighting techniques used to provide suitable treatment
— id: 61366, year: 2005, vol: 7, page: 326, stat: Journal Article,

How to find a foreign body: wire grid technique
Zide, Barry M
2005 May;115(6):1787-1788, Plastic & reconstructive surgery
— id: 94121, year: 2005, vol: 115, page: 1787, stat: Journal Article,

Seven more tips for the operating room
Zide, Barry M
2005 Mar;115(3):973-975, Plastic & reconstructive surgery
— id: 50276, year: 2005, vol: 115, page: 973, stat: Journal Article,

Chin augmentation
Wolfe, S Anthony; Posnick, Jeffery C; Yaremchuk, Michael J; Zide, Barry M
2004 May-Jun;24(3):247-256, Aesthetic surgery journal
— id: 106164, year: 2004, vol: 24, page: 247, stat: Journal Article,

Tales of greed
Zide, Barry
2004 Sep 15;114(4):998-999, Plastic & reconstructive surgery
— id: 63363, year: 2004, vol: 114, page: 998, stat: Journal Article,

I am an expert for anything you want
Zide, Barry M
2003 Jul;112(1):323-324, Plastic & reconstructive surgery
— id: 94122, year: 2003, vol: 112, page: 323, stat: Journal Article,

Radiance Short-term experience
Zide, Barry M
2003 Nov-Dec;23(6):495-499, Aesthetic surgery journal
Over a 9-month period, the author has injected Radiance (BioForm, Inc., Franksville, WI), a soft tissue filler, into lips, nasolabial folds, glabellar creases, labiomental folds, tear troughs, and lateral jawlines in 130 patients. Here he presents his clinical findings. (Aesthestic Surg J 2003;23:495-499)
— id: 106165, year: 2003, vol: 23, page: 495, stat: Journal Article,

What you can do is not what they want
Zide, Barry M
2003 Apr 15;111(5):1753-1755, Plastic & reconstructive surgery
— id: 94123, year: 2003, vol: 111, page: 1753, stat: Journal Article,

Improving aesthetic outcomes after alloplastic chin augmentation - Discussion by Barry M. Zide, MD, DMD
Zide, BM
2003 OCT ;112(5):1433-1434, Plastic & reconstructive surgery
— id: 42556, year: 2003, vol: 112, page: 1433, stat: Journal Article,

Labial incompetence: A marker for progressive bone resorption in silastic chin augmentation: An update
Zide, BM
2003 AUG ;112(2):679-680, Plastic & reconstructive surgery
— id: 37141, year: 2003, vol: 112, page: 679, stat: Journal Article,

The subunit approach to nasal tip hemangiomas
Warren, Stephen M; Longaker, Michael T; Zide, Barry M
2002 Jan;109(1):25-30, Plastic & reconstructive surgery
Many surgeons who operate on nasal tip hemangiomas find a central vertical scar frustrating. Alternatives such as open rhinoplasty provide great exposure, but the redraping leaves unsightly scars along the alar rim and columella. Therefore, a new aesthetic incision was needed to allow hemangioma reduction in both the horizontal and vertical dimensions while providing adequate access to the lower lateral cartilage for soft-tissue reduction and/or suturing. The subunit incision, based on the pioneering work of Burget and Menick, was developed to provide both excellent exposure and cosmesis. By designing the incision to lie along the contour lines of the nasal subunits, the senior author (B.M.Z.) believed that the border scars would reflect lines of light and cast linear shadows that would mimic the normal ridges and valleys that separate the topographic subunits of the nose. Based on the results of nine recent cases, the authors believe the subunit incision is currently the best approach to correcting nasal tip hemangiomas
— id: 26511, year: 2002, vol: 109, page: 25, stat: Journal Article,

I am not alone
Zide BM
2001 Nov;108(6):1815-1816, Plastic & reconstructive surgery
— id: 63402, year: 2001, vol: 108, page: 1815, stat: Journal Article,

Dog-ears: a review
Weisberg NK; Nehal KS; Zide BM
2000 Apr;26(4):363-370, Dermatologic surgery
BACKGROUND: The closure of any circular or asymmetric wound results in puckering or excess of tissue known as dog-ears. OBJECTIVE: Facility in managing dog-ears is an invaluable tool in cutaneous surgery due to its common presentation. METHODS: Methods for correcting dog-ears are extensively detailed in both the plastic and dermatologic surgery literature. This review provides a practical outline of nine methods of dog-ear correction along with pertinent schematic and clinical illustration. RESULTS: A comprehensive approach to dog-ears requires knowledge of tissue dynamics, adherence to proper surgical technique, and strategies for the management of dog-ears. CONCLUSIONS: A thorough understanding of dog-ear formation and correction allows the surgeon to choose the most appropriate management for dog-ears in any clinical setting
— id: 18173, year: 2000, vol: 26, page: 363, stat: Journal Article,

The mentalis muscle: an essential component of chin and lower lip position
Zide BM
2000 Mar;105(3):1213-1215, Plastic & reconstructive surgery
— id: 11797, year: 2000, vol: 105, page: 1213, stat: Journal Article,

Lip service for the stiff upper lip
Zide BM; Bradley JP; Longaker MT
2000 Mar;105(3):1154-1158, Plastic & reconstructive surgery
Lip augmentation procedures can restore volume and shape to the aging, thin upper lip, but some patients may develop problematic lip tightness. This stiff upper lip is manifested by a restricted smile and an adynamic central upper lip. We have had success in treating postreconstruction and postaugmentation stiff upper lip with a therapeutic device and treatment regimen. This therapy alleviated tightness and inability to smile. Also, the change in lip commissure-to-commissure distance in repose and when smiling improved after treatment
— id: 8524, year: 2000, vol: 105, page: 1154, stat: Journal Article,

Surgical anatomy of the ligamentous attachments in the temple and periorbital regions - Discussion
Zide, BM
2000 APR ;105(4):1495-1496, Plastic & reconstructive surgery
— id: 54729, year: 2000, vol: 105, page: 1495, stat: Journal Article,

Witch's chin: A progressive three-step technique - Reply
Zide, BM
2000 MAY ;105(6):2272-2272, Plastic & reconstructive surgery
— id: 54695, year: 2000, vol: 105, page: 2272, stat: Journal Article,

Large arteriovenous malformations of the face: aesthetic results with recurrence control
Bradley JP; Zide BM; Berenstein A; Longaker MT
1999 Feb;103(2):351-361, Plastic & reconstructive surgery
Large facial arteriovenous malformations are problematic for patients because of grotesque disfigurement, risk of rapid enlargement, and life-threatening rupture. Successful treatment of these relentless complex lesions is one of the most difficult challenges facing plastic surgeons. From a series of 300 large facial arteriovenous malformations, 85 patients were treated with embolization and excision; six of these cases (representing six separate anatomic regions: labial, auricular, eyelid, cheek, chin, and occipitoparietal) were selected for review. The purpose of this article was to look critically at the management of these six facial arteriovenous malformations, including patient presentation, angiographic procedures, surgical planning and technique, and postoperative long-term follow-up care. Lessons learned from the six representative cases provide clues for the management of large facial arteriovenous malformations and demonstrate the possibilities of recurrence and their occasionally relentless behavior. The cases show that long-term control of these lesions with acceptable aesthetic results can be achieved. The mainstay of treatment includes the following: (1) selective intra-arterial embolization with fine catheters and direct lesional embolization; (2) judicious resection and reconstruction with local or expanded tissue flaps; and (3) careful follow-up with serial examinations, duplex, and arteriography
— id: 7304, year: 1999, vol: 103, page: 351, stat: Journal Article,

Reconstruction of the posttraumatic short upper lip
Stelnicki EJ; Zide B
1999 Dec;43(6):592-597, Annals of plastic surgery
Treatment of the posttraumatic, vertically shortened upper lip is a difficult surgical problem. It requires careful evaluation of the underlying injury followed by staged therapeutic interventions. Both surgical and nonsurgical treatments need to be employed to optimize results. The authors present three distinct cases of posttraumatic upper lip reconstruction that utilize a variety of treatment modalities. All patients were treated by the senior author
— id: 11905, year: 1999, vol: 43, page: 592, stat: Journal Article,

To reduce your seroma rate
Zide BM
1999 Mar;103(3):1098-1099, Plastic & reconstructive surgery
— id: 7474, year: 1999, vol: 103, page: 1098, stat: Journal Article,

Chin surgery: II. Submental ostectomy and soft-tissue excision
Zide BM; Longaker MT
1999 Nov;104(6):1854-1860, Plastic & reconstructive surgery
At the present time, surgical reduction of an isolated large chin is not a simple procedure. Essentially, two surgical procedures exist for chin reduction: osteotomy with setback or prominence reduction by burring. Both of these procedures have potential negative aesthetic sequelae, including mental nerve injuries, bony contour irregularities, increasing submental soft-tissue fullness, and chin pad ptosis. In this report, the authors present a new approach to chin reduction: submental ostectomy with soft-tissue excision. This technique reduces the prominent chin and avoids ptosis by soft-tissue adjustment
— id: 11919, year: 1999, vol: 104, page: 1854, stat: Journal Article,

Chin surgery: I. Augmentation--the allures and the alerts
Zide BM; Pfeifer TM; Longaker MT
1999 Nov;104(6):1843-1853, Plastic & reconstructive surgery
The correction of sagittal deformities of the chin presents a seemingly simple surgical challenge. However, several authors have reported negative sequelae from such chin surgery, During the past 11 years, the senior author (B.M.Z.) has evaluated more than 100 such cases of adverse results after chin augmentation. Many surgeons, it seems, use chin implants unnecessarily and, thus, get into trouble. Because alloplastic chin augmentation is deceptively easy, it tends to be overused in certain situations. Either the surgeon's evaluation is too narrowly focused or his/her abilities to perform other types of surgery (e.g., osseous genioplasty) are limited. Herein, the authors present a diagnostic evaluation protocol, QUAC (Quick Analysis of the Chin), to assist in avoiding simple mistakes in alloplastic chin augmentation. This protocol will alert the surgeon to situations that, if unrecognized, will cause problems and create an unhappy patient. This article will specifically focus on (1) lower lip analysis; (2) the effect of the labiomental fold; (3) chin pad evaluation, both static and dynamic; (4) the anatomy of the cleft chin; (5) special situations; and (6) how to troubleshoot three common problems. The accompanying article, Chin Surgery II, will present a new operation that treats a chin problem that was previously difficult to correct
— id: 11920, year: 1999, vol: 104, page: 1843, stat: Journal Article,

Witch's chin: A progressive, three-step technique - Discussion
Zide, BM
1999 AUG ;104(2):557-558, Plastic & reconstructive surgery
— id: 53987, year: 1999, vol: 104, page: 557, stat: Journal Article,

Periorbital melanocytic lesions: excision and reconstruction in 40 patients [see comments]
Glat PM; Longaker MT; Jelks EB; Spector JA; Roses DF; Shapiro RA; Zide BM; Jelks GW
1998 Jul;102(1):19-27, Plastic & reconstructive surgery
The treatment of melanoma arising in the periorbital region is a difficult reconstructive problem. The abundance of vital structures in close proximity to one another makes the resection and subsequent reconstructive procedures extremely challenging. Reported here is experience with periorbital melanocytic lesions in 40 patients with the emphasis on the types of reconstruction performed. Forty patients with periorbital melanocytic lesions were treated between 1984 and 1995. The periorbital region was subdivided into five zones. These zones are the following: zone I, upper eyelid; zone II, lower eyelid; zone III, medial canthus; zone IV, lateral canthus; and zone V, contiguous structures. Ocular melanomas were not included in this study. The distribution of the lesions in our 40 patients was zone I (n = 1), zone II (n = 14), zone III (n = 1), zone IV (n = 9), and zone V (n = 31). The ages of the patients ranged from 3 to 84 years at the time of reconstruction, with an average age of 57 years. Resection and reconstruction were performed simultaneously in all patients. Thirty-six of the patients were reconstructed with one procedure, three patients required two procedures, and one patient required five procedures. The tumor type was superficial spreading melanoma in 15 patients, melanoma in situ in 17 patients, malignant spindle cell neoplasm in 2 patients, desmoplastic melanoma in 2 patients, amelanocytic melanoma in 1 patient, epithelioid melanoma in 1 patient, and atypical melanocytic nevus in 2 patients in which an early, evolving melanoma could not be excluded. Elective lymph node dissection was performed in four patients for intermediate thickness lesions (1.5 to 4.0 mm). The types of reconstructions performed included full-thickness skin grafts, upper lid myocutaneous flaps, cheek advancement flaps, cervicofacial flaps, inferiorly based nasolabial flaps, tarsoconjunctival flaps, frontalis muscle flaps, medial transposition Z-plasty, and primary closure. The resection of periorbital melanomas can be difficult because of the number of important anatomic structures in the region. The challenge to the surgeon in handling head and neck melanomas in general lies in the need to provide the best functional and aesthetic result while still resecting the primary lesion with the intent of effecting a cure. We present our series to demonstrate that the adequacy of margins of resection need not be compromised to facilitate reconstruction and that excellent results are obtainable with reconstructive procedures performed after adequate resections. Several different types of flaps and grafts can be used, with the indications varying depending on the location of the lesion and the extent of resection. The major reconstructive options will be reviewed in detail
— id: 7578, year: 1998, vol: 102, page: 19, stat: Journal Article,

Four patients you love to hate
Zide BM
1998 Oct;102(5):1729-1732, Plastic & reconstructive surgery
— id: 18174, year: 1998, vol: 102, page: 1729, stat: Journal Article,

Addendum to "How to block and tackle the face"
Zide BM; Swift R
1998 Jun;101(7):2018-2018, Plastic & reconstructive surgery
— id: 18175, year: 1998, vol: 101, page: 2018, stat: Journal Article,

How to block and tackle the face [published erratum appears in Plast Reconstr Surg 1998 Jun;101(7):2018] [see comments]
Zide BM; Swift R
1998 Mar;101(3):840-851, Plastic & reconstructive surgery
Regional blocking techniques as noted in dentistry, anesthesia, and anatomy texts may result in inconsistent and imperfect analgesia when needed for facial aesthetic surgery. The advent of laser facial surgery and more complicated aesthetic facial procedures has thus increased the demand for anesthesia support. Surgeons should know a fail-safe method of nerve blocks. Fresh cadaver dissections are used to demonstrate a series of eight regional nerve-blocking routes. This sequence of bilateral blocks will routinely provide profound full facial anesthesia. Certain groupings of blocks are effective for perioral or periorbital laser surgery
— id: 8086, year: 1998, vol: 101, page: 840, stat: Journal Article,

How to use a gel template for an exact facial flap transfer
Langstein HN; Zide BM
1997 Feb;99(2):556-558, Plastic & reconstructive surgery
A variety of materials have been used as template materials to aid in the design of local facial flaps. The biggest criticism of these materials is that they do not conform sufficiently to complex defects. This report describes the use of a hydrogel sheet wound dressing (ClearSite, NDM, Akron, Ohio) as a template material. ClearSite appears to make an ideal template material because it is thin, pliable, transparent, and inexpensive. This gel template adequately conforms to irregular three-dimensional shapes. It has the added beneficial ability to 'lift' marking pen lines, which can then be transferred as an exact replica of the defect size. A case is presented in which a ClearSite template directed the transfer of the exact amount of forehead tissue following excision of a complex congenital nevus of the nose. Use of the ClearSite template seems well suited to help in local facial flaps and is likely to simplify the design of many distant flaps as well
— id: 12390, year: 1997, vol: 99, page: 556, stat: Journal Article,

Deep-plane cervicofacial "hike": anatomic basis with dog-ear blepharoplasty
Longaker MT; Glat PM; Zide BM
1997 Jan;99(1):16-21, Plastic & reconstructive surgery
The temporal and cheek areas are particularly vulnerable to sun damage and therefore to skin cancers. Rotation-advancement flaps are used commonly in the reconstruction of these regions following resection of skin cancers. Such flaps usually are modifications of the Mustarde, cervicofacial, and Juri flaps. The drawbacks to these flaps relate to a random, unpredictable perfusion with skin loss at the distal flap tip, a vertically oriented dog-ear that predictably is located on the cheek, and the risk of gravitational and cicatricial forces acting on the lower eyelid causing ectropion. The deep-plane technique for raising cheek flaps, as has been described recently for use in rhytidectomy, allows the plastic surgeon to address both drawbacks of the standard cervicofacial flaps. The vertical 'hike' deep-plane approach addresses both drawbacks of the rotation-advancement flaps by including better perfusion and superior mobility after release of restraining ligaments. We describe the anatomic rationale for the deep-plane dissection of the cheek in cadaver studies and present our clinical technique with a vertical 'hike' cheek advancement with removal of the horizontally oriented dog-ear as in a blepharoplasty. This single-stage technique will be called the deep-plane 'hike' flap. The vertically advanced flap must be slightly overcorrected by anchoring the flap to the periosteum just above the recipient defect. This deep fixation removes all tension from the skin and prevents ectropion. This single-stage reconstruction affords excellent cosmetic results without compromising any future reconstructive efforts
— id: 12439, year: 1997, vol: 99, page: 16, stat: Journal Article,

Vascular lip enlargement: Part I. Hemangiomas--tenets of therapy
Zide BM; Glat PM; Stile FL; Longaker MT
1997 Dec;100(7):1664-1673, Plastic & reconstructive surgery
Vascular lesions involving the lips pose a difficult problem for both the surgeon and patient. Their removal by surgery may result in greater disfigurement and impairment than the original lesion. When nonsurgical modalities fail, using a well-planned strategy of sequential procedures can provide excellent results. Many hemangioma patients require judicious serial debulking of excess tissue mass, whereas enlargement from port-wine lesions may require direct aggressive surgery. Over a 10-year period, 38 patients underwent surgery for treatment of vascular lip enlargement. In 27 patients, the lip deformities were caused by hemangiomas. The remaining 11 patients had macrocheilia associated with port-wine vascular malformations. This paper specifically addresses hemangiomas of the lips, tenets for their removal, and reduction strategies. Of the 27 patients with hemangiomas involving the lips, 12 had had some form of previous treatment including corticosteroids (4 patients), embolization (3 patients), laser (3 patients), and interferon (2 patients). All 12 of these patients had unsatisfactory results. Specific tenets for the surgical management of these patients are presented. The distribution of the facial hemangiomas was as follows: 15 patients had isolated involvement of the upper lip, 7 lesions involved the lower lip alone and 5 involved both upper and lower lips. Additionally, 10 of these lesions involved the cheek(s), nose, or chin to some degree. Six patients experienced some form of functional impairment before our evaluation including difficulty with eating or drinking, visual obstruction, and psychosocial problems. All operations were performed following several principles established by the senior surgeon (B.M.Z.). By following the tenets presented in this report, he has achieved near-normal lip form, giving the patient marked improvement in appearance and function
— id: 12214, year: 1997, vol: 100, page: 1664, stat: Journal Article,

Vascular lip enlargement: Part II. Port-wine macrocheilia--tenets of therapy based on normative values
Zide BM; Glat PM; Stile FL; Longaker MT
1997 Dec;100(7):1674-1681, Plastic & reconstructive surgery
Port-wine (capillary) vascular malformations that enlarge the lips (port-wine macrocheilia) are challenging reconstructive problems which, as a result, often go untreated. The surgical management of these lesions is not straightforward. Scarification by laser to diminish the discoloration has been performed with good results in some cases. However, laser treatment does little to correct three-dimensional tissue deformities such as macrocheilia, which must be addressed surgically. We present our experience with the treatment of port-wine macrocheilia in 11 patients over the 10-year period between 1983 and 1994. Basic principles for surgical and nonsurgical treatment of these patients are also discussed. Normative data about lip dimensions are important to surgical planning. We used 40 male and female volunteers, all less than 30 years of age, as a source for measuring normal lip dimensions, thereby creating a normative database. Preestablished points in the labial and perioral region were marked. Measurements were taken and then averaged. This information was used as a guide for surgical excision of large defects in some patients. In addition, in both the lower and the upper lip, if the opposite side is uninvolved, this database could serve as a template for reconstruction of the affected side. Between 1983 and 1994, 11 patients underwent surgery for port-wine macrocheilia. Of the 11 patients, 1 had previous treatment consisting of laser scarification. Four patients had port-wine vascular malformations involving the upper lip alone, four involved the lower lip alone, and three involved both lips. In six patients, other areas of the face and body were also involved. Our experience has led us to perform earlier surgical intervention than has previously been described for these patients. Basic reconstructive surgical principles and planning based on normative data and templates can lead to excellent results
— id: 12213, year: 1997, vol: 100, page: 1674, stat: Journal Article,

Use of tissue expanders for wound closure of spinal infections or dehiscence
Paonessa KJ; Hostnik WJ; Zide BM
1996 Jan;27(1):155-170, Orthopedic clinics of North America
Posterior spinal incisions that are made through skin and have been compromised by radiation or prior incisions can be difficult to obtain stable closure. In addition, if a wound has developed a postoperative infection or wound dehiscence caused by poor wound healing, severe complications can develop. The technique of expanding adjacent normal skin with implantable tissue expanders has been used in select cases with success. The techniques and indications for tissue expansion in posterior lumbar wounds is reviewed and several case reports presented
— id: 18177, year: 1996, vol: 27, page: 155, stat: Journal Article,

Why my practice is so relaxing!
Zide BM
1996 Oct;98(5):912-913, Plastic & reconstructive surgery
— id: 18176, year: 1996, vol: 98, page: 912, stat: Journal Article,

Twenty-year experience with early surgery for craniosynostosis: I. Isolated craniofacial synostosis--results and unsolved problems
McCarthy JG; Glasberg SB; Cutting CB; Epstein FJ; Grayson BH; Ruff G; Thorne CH; Wisoff J; Zide BM
1995 Aug;96(2):272-283, Plastic & reconstructive surgery
Early surgery for isolated craniosynostosis is designed to improve morphology, to prevent functional disturbances, and equally important, to enhance the psychosocial development of the child. As the first of a two-part series, 104 patients with isolated craniofacial synostosis were retrospectively analyzed. Diagnoses included bilateral coronal (10), unilateral coronal (57), metopic (29), and sagittal synostosis (8). All patients underwent primary fronto-orbital advancement-calvarial vault remodeling procedures at less than 18 months of age (mean 8.1 months). Thirteen percent of patients (14) required a secondary cranial vault operation (mean age 22.6 months) to address residual deficits in craniofacial form. Perioperative complications were minimal (5.0 percent), and there was no mortality. Average length of postoperative follow-up was 46.0 months. By the classification of Whitaker et al., which assesses surgical results, 87.5 percent of patients were considered to have at least satisfactory craniofacial form (category I-II) at latest evaluation. Overall rates of hydrocephalus, shunt placement, and seizures (3.8, 1.0, and 2.9 percent, respectively) were low. Among the isolated craniosynostoses, unilateral coronal synostosis/plagiocephaly poses the most complex problems, including vertical orbital dystopia, nasal tip deviation, and residual craniofacial asymmetry; there is also a wide spectrum of findings and growth patterns in this subgroup
— id: 12744, year: 1995, vol: 96, page: 272, stat: Journal Article,

Twenty-year experience with early surgery for craniosynostosis: II. The craniofacial synostosis syndromes and pansynostosis--results and unsolved problems
McCarthy JG; Glasberg SB; Cutting CB; Epstein FJ; Grayson BH; Ruff G; Thorne CH; Wisoff J; Zide BM
1995 Aug;96(2):284-295, Plastic & reconstructive surgery
As the second of a two-part series, 76 patients with pansynostosis and craniofacial synostosis syndromes were retrospectively analyzed. Diagnoses included pansynostosis (7), craniofrontonasal dysplasia (8), and Apert (24), Crouzon (15), and Pfeiffer (15) syndromes. All patients underwent primary fronto-orbital advancement-calvarial vault remodeling procedures at less than 18 months of age (mean 6.1 months). Twenty-eight patients (36.8 percent) required a secondary cranial vault operation (mean age 28.4 months). Additionally, a major tertiary procedure was necessary in 5 patients to deal with persistent unacceptable craniofacial form. To address the associated finding of midface hypoplasia, 64.8 percent (n = 35) of patients underwent Le Fort III midface advancement or had that procedure recommended for them. The remainder were awaiting appropriate age for this reconstruction. The more extensive pathologic involvement of the pansynostosis and craniofacial syndrome group is illustrated. As compared with the isolated craniofacial synostosis group previously reported, the incidence of major secondary procedures (36.8 versus 13.5 percent), perioperative complications (11.3 versus 5.0 percent), follow-up complications (44.7 versus 7.7 percent), hydrocephalus (42.1 versus 3.9 percent), shunt placement (22.4 versus 1.0 percent), and seizures (11.8 versus 2.9 percent) was significantly increased. Complex problems including those of increased intracranial pressure, airway obstruction, and recurrent turricephaly or cranial vault maldevelopment are repeatedly encountered. In addition, that early fronto-orbital advancement-cranial vault remodeling failed to promote midface development and hypoplasia of this region is almost a consistent finding in the craniofacial syndromic group. The average length of postoperative follow-up was 6 years. According to the classification of Whitaker et al., which assesses surgical results, 73.7 percent of patients were considered to have at least satisfactory craniofacial form (category I-II) at latest evaluation. An algorithmic approach to the treatment of all patients with craniosynostosis is presented utilizing early surgical intervention as the key element
— id: 12743, year: 1995, vol: 96, page: 284, stat: Journal Article,

Prevention of recurrent tethered spinal cord
Zide B; Constantini S; Epstein FJ
1995 ;22(2):111-114, Pediatric neurosurgery
One of the most problematic technical considerations in surgery for the release of tethered spinal cord is how to prevent recurrent tethering. Recurrent tethering is common because the spinal canal in the baby is shallow and, therefore, postoperatively, the neural contents are in direct contact with the posterior dura. The only way to prevent a recurrent tethered cord is to be certain that the neural elements remain free within circumferentially patent cerebrospinal fluid. We hereby describe a method where a curved 1.5 mm oval piece of Medpor is used to create a posterior space for the neural elements. The spinal canal is expanded posteriorly, therefore, creating an abnormally wide canal to accommodate the neural elements within subarachnoid space. This methodology was used in 18 neonate patients, and in late tethering cases after myelomeningocele. Technical and theoretical considerations are discussed
— id: 6797, year: 1995, vol: 22, page: 111, stat: Journal Article,

ANATOMIC CONSIDERATIONS IN TRANSCONJUNCTIVAL BLEPHAROPLASTY - DISCUSSION
ZIDE, BM
1995 NOV ;96(6):1277-1278, Plastic & reconstructive surgery
— id: 86673, year: 1995, vol: 96, page: 1277, stat: Journal Article,

The combined role of embolization and tissue expanders in the management of arteriovenous malformations of the scalp
Marotta TR; Berenstein A; Zide B
1994 Aug;15(7):1240-1246, AJNR. American journal of neuroradiology
Successful results of a multidisciplinary (interventional neuroradiology and plastic surgery) approach of aggressive preoperative embolization followed by complete en bloc excision of scalp arteriovenous malformations are presented in five cases. To cover the defect, we used adjacent tissue-expanded scalp
— id: 12934, year: 1994, vol: 15, page: 1240, stat: Journal Article,

How to reduce the morbidity of wound closure following extensive and complicated laminectomy and tethered cord surgery
Zide BM
1992 ;18(3):157-166, Pediatric neurosurgery
Prior irradiation and surgery predispose laminectomy wounds to a higher than usual incidence of wound problems. Likewise the tightness or absence of local fascia in the tethered cord patient make wound closure more complicated. To reduce morbidity, i.e., CSF leak or pseudomeningocele formation, specific techniques are required. These methods are outlined below
— id: 18178, year: 1992, vol: 18, page: 157, stat: Journal Article,

Maximizing gain from rectangular tissue expanders
Zide BM; Karp NS
1992 Sep;90(3):500-504, Plastic & reconstructive surgery
Three different options are proposed to cut the flap after expansion of rectangular tissue expanders. Each method, when used effectively, allows the expander to deliver the full punch of the expansion process
— id: 13448, year: 1992, vol: 90, page: 500, stat: Journal Article,

A surgical system for the correction of bony chin deformity
McCarthy JG; Ruff GL; Zide BM
1991 Jan;18(1):139-152, Clinics in plastic surgery
Because the chin, like the nose, occupies a prominent position in the face, it must also be assessed in planning any changes in the facial profile. For example, a large nose associated with a microgenia does not appear as large when the chin is augmented. A chin increased in the vertical dimension confers an excessively long appearance to the face. Finally, a microgenia is associated with the stereotype of a sluggish personality, and a large chin in women connotes a masculine personality. The authors provide guidelines for assessing these variables and including them in surgical plan
— id: 14166, year: 1991, vol: 18, page: 139, stat: Journal Article,

Optimal wound closure after tethered cord correction. Technical note
Zide BM; Epstein FJ; Wisoff J
1991 Apr;74(4):673-676, Journal of neurosurgery
A technique of wound closure following tethered cord correction is presented that significantly reduces the incidence of cerebrospinal fluid collections in the subcutaneous space. In over 60 cases, the described method of fascia and skin closure has lessened wound problems to a minimal level. Patient hospitalization time has also been greatly diminished
— id: 14080, year: 1991, vol: 74, page: 673, stat: Journal Article,

Computerized tomographic analysis of orbital hypertelorism repair: spatial relationship of the globe and the bony orbit
Hoffman WY; McCarthy JG; Cutting CB; Zide BM
1990 Aug;25(2):124-131, Annals of plastic surgery
Computerized tomographic scans provide a new means of evaluating the spatial and geometric relationships between the movement of the bony orbit and its soft tissue contents (the globe and extraocular muscles) [1, 12]. Preoperative and postoperative computerized tomographic scans were analyzed in four patients to explore these relationships. Measurement of the changes in distance between the globes correlated most closely with the change in the distance between the lateral orbital walls; resection of medial (inter-orbital) bone provides space into which the globe is translocated. The medial rectus muscle may be bowed across the medial wall osteotomy line, creating a functional shortening of the muscle; this finding may explain the esotropia that is commonly seen after this procedure [2, 3]. These observations should have a direct impact on the understanding and planning of orbital hypertelorism correction
— id: 18180, year: 1990, vol: 25, page: 124, stat: Journal Article,

Hypertelorism correction in the young child
McCarthy JG; La Trenta GS; Breitbart AS; Zide BM; Cutting CB
1990 Aug;86(2):214-225, Plastic & reconstructive surgery
This series reports on 20 patients who underwent orbital hypertelorism correction under 5.3 years of age (average age 3.9 years). The patients were followed an average of 5 years, and six patients were followed in excess of 7 years with clinical and cephalometric parameters. The study demonstrated that the procedure could be safely performed at this age and was aesthetically desirable. There was minimal clinical or cephalometric evidence of skeletal orbital relapse except in three patients, for whom individual explanations are given. During the period of postoperative study, nasomaxillary growth and development proceeded as expected, except in those patients with associated clefting. All patients demonstrated increased cranial width measurements preoperatively and postoperatively, but bigonial and bimastoid measurements were generally within normal range. Excessive resection of nasoglabellar skin at the time of hypertelorism correction appeared to adversely affect nasal development
— id: 18179, year: 1990, vol: 86, page: 214, stat: Journal Article,

Frontal bone reconstruction with split calvarial and cancellous iliac bone
Kohan D; Plasse HM; Zide BM
1989 Nov;68(11):845-6, 848, Ear, nose & throat journal
An autogenous split-thickness calvarial bone graft that was used to correct a marked depression in the frontal region of the forehead resulted in excellent cosmesis. Cancellous bone from the iliac crest, which was applied between the posterior wall of the frontal sinus and the anterior calvarial bone graft, eliminated the dead space and made infection less likely in an area prone to such infections
— id: 18181, year: 1989, vol: 68, page: 845, stat: Journal Article,

Bending but not breaking the supraorbital bar
Zide BM
1989 Jul;84(1):140-142, Plastic & reconstructive surgery
Surgical bending or contouring of the supraorbital bar may cause inadvertent fractures during craniofacial surgery. Wires may be placed in the bony segments themselves to facilitate reshaping with the Tessier rib bender. The wires are especially helpful in stabilizing the more acute curve at the lateral orbital rim
— id: 10559, year: 1989, vol: 84, page: 140, stat: Journal Article,

The mentalis muscle: an essential component of chin and lower lip position
Zide BM; McCarthy J
1989 Mar;83(3):413-420, Plastic & reconstructive surgery
The soft-tissue chin may become ptotic following surgery in this area. The mentalis muscles which are responsible for proper central lip motion and chin point position may be affected. The mentalis muscle origin may require resuspension at a proper level. This reattachment may be performed by means of an intraoral approach. Non-absorbable sutures are used to hold the soft-tissue chin upward. The exact method involves placing drill holes through the alveolar bone, into which sutures are passed. These sutures are then placed through the lower mentalis muscles and tightened. Chin and lip position may be corrected in certain cases. Ancillary procedures are required to correct vestibular scarring and submental scars
— id: 10709, year: 1989, vol: 83, page: 413, stat: Journal Article,

Reconstruction of the medial canthus
Rodriquez RL; Zide BM
1988 Apr;15(2):255-262, Clinics in plastic surgery
The keystone for successful reconstruction of the medial canthal area is adequate positioning of the medial canthal complex to maintain proper intercanthal distance and apposition of the lids to the globe. This requires an understanding of the dynamics of the tripartite insertion of the MCT and its relationship to the medial orbital wall. We have previously described a technique for transnasal wiring based on anatomic studies that is anatomically and physiologically precise and that is applicable to a variety of clinical situations. Soft-tissue problems need to be dealt with on an individual basis with grafts, flaps, or a combination of these modalities
— id: 18182, year: 1988, vol: 15, page: 255, stat: Journal Article,

Closure of extensive and complicated laminectomy wounds. Operative technique
Zide BM; Wisoff JH; Epstein FJ
1987 Jul;67(1):59-64, Journal of neurosurgery
Fifty-eight patients with previously irradiated intramedullary spinal cord astrocytomas underwent laminectomy for radical excision of their tumors. A high incidence of postoperative cutaneous cerebrospinal fluid fistulas and large pseudomeningoceles following routine closure prompted the development of an alternative method of wound closure using mobilized musculofascial flaps. The authors describe the surgical techniques and pitfalls to be avoided during the closure of complicated laminectomy wounds
— id: 18183, year: 1987, vol: 67, page: 59, stat: Journal Article,

DEATH OF A DENTIST - RESPONSE
Zide, BM
1987 Oct;87(10):574-574, New York state journal of medicine
— id: 31122, year: 1987, vol: 87, page: 574, stat: Journal Article,

Nasal anatomy: the muscles and tip sensation
Zide BM
1985 ;9(3):193-196, Aesthetic plastic surgery
The author stresses the importance of columellar sensation, nasal tip sensation, and the role of the nasalis muscles in determining the postoperative results of corrective rhinoplasty, especially as these have an influence on the 'drooping tip' and the columellar base. Specific anatomic details of this area are emphasized in order to help the plastic surgeon understand better the 'normal' anatomy of this region and the effects that operative procedures have on successful results if the surgeon understands especially the role of the nasalis muscles
— id: 18184, year: 1985, vol: 9, page: 193, stat: Journal Article,

Surgical anatomy of the orbit
Zide, Barry M.; Luce, Craig; Jelks, Glenn W
New York : Raven Press, c1985,
— id: 40, year: 1985, vol: , page: , stat: ,

Alternative techniques in the treatment of unilateral coronal synostosis
Jane JA; Park TS; Zide BM; Lambruschi P; Persing JA; Edgerton MT
1984 Sep;61(3):550-556, Journal of neurosurgery
Premature closure of one coronal suture results in bilateral abnormalities. There is always ipsilateral flatness of the orbital rim, and contralateral frontal bossing is often found. The authors have employed three operative techniques for correction of unilateral coronal synostosis: frontal bone overlay, lateral canthal advancement, and the tongue-in-groove procedure. The choice of operative technique depends upon the exact deformity to be corrected. The authors believe that altering the relations between the bone and dura by techniques such as radical remodeling and dural plication may improve the results of surgical correction of craniosynostosis
— id: 18185, year: 1984, vol: 61, page: 550, stat: Journal Article,

Early surgery for craniofacial synostosis: an 8-year experience
McCarthy JG; Epstein F; Sadove M; Grayson B; Zide B
1984 Apr;73(4):521-533, Plastic & reconstructive surgery
A prospective review is presented of 50 patients with one of the craniofacial synostosis syndromes who underwent early interventive craniofacial surgical correction (average age 7.6 months at time of surgery). The study has demonstrated the efficacy and safety of the techniques when employed in the infant. Satisfactory cranio-orbital form was achieved in the majority of the patients, although 10 patients required secondary surgery because of sutural refusion or the development of turricephaly or calvarial contour irregularities. Despite earlier hopes, this surgery did not result in the development of satisfactory occlusal relationships and midfacial form in the craniofacial dysostosis group (Crouzon's, Apert's, etc.). Based on this clinical experience, a surgical treatment plan is presented for the newborn with craniofacial synostosis
— id: 50608, year: 1984, vol: 73, page: 521, stat: Journal Article,

Le Fort III advancement osteotomy in the growing child
McCarthy JG; Grayson B; Bookstein F; Vickery C; Zide B
1984 Sep;74(3):343-354, Plastic & reconstructive surgery
A prospective clinical and cephalometric study was conducted on 12 patients under the age of 12 years undergoing Le Fort III advancement with the following findings: 1. There was a remarkable degree of postoperative skeletal stability of the midfacial segment. 2. Disharmony in jaw relationship (anterior crossbite) observed during the period of longitudinal postoperative study could be attributed to expected mandibular development. 3. In some patients, growth and development of the maxilla in a forward and downward direction were documented after Le Fort III advancement. The authors recommend that a Le Fort III advancement can be safely performed at approximately age 4 without a deleterious effect on midfacial development in the patient with craniofacial dysostosis
— id: 50607, year: 1984, vol: 74, page: 343, stat: Journal Article,

The spectrum of calvarial bone grafting: introduction of the vascularized calvarial bone flap
McCarthy JG; Zide BM
1984 Jul;74(1):10-18, Plastic & reconstructive surgery
Two techniques of calvarial bone grafting (split-thickness and single-table) are reviewed. A new vascularized bone flap based on the temporal vasculature is presented. The indications and relative advantages of each are discussed. The calvarial bone flap is emphasized and strongly recommended. Since the flap is vascularized and contains membranous bone, it is particularly suited for bone grafting in clinically unfavorable recipient sites, such as scarred or irradiated beds or the hypoplastic zygomatic-maxillary complex in the Treacher Collins syndrome
— id: 18187, year: 1984, vol: 74, page: 10, stat: Journal Article,

Surgical anatomy of the orbit
Zide BM; Jelks GW
1984 Aug;74(2):301-305, Plastic & reconstructive surgery
— id: 18186, year: 1984, vol: 74, page: 301, stat: Journal Article,

The medial canthus revisited--an anatomical basis for canthopexy
Zide BM; McCarthy JG
1983 Jul;11(1):1-9, Annals of plastic surgery
Cadaver anatomical studies have demonstrated a superior component to the medial canthal tendon. The anatomical basis for the angular and dystopic deformities following nasoethmoidal trauma or surgical dissection is discussed. Based on these studies a more refined technique for medial canthopexy is presented. The three cardinal tenets of medial canthopexy are also emphasized
— id: 18188, year: 1983, vol: 11, page: 1, stat: Journal Article,

A no-contact splint for skin grafting of the ankle
Apesos J; Zide BM
1982 Oct;9(4):348-349, Annals of plastic surgery
— id: 18189, year: 1982, vol: 9, page: 348, stat: Journal Article,

The relationship between the surgeon and the orthodontist in orthognathic surgery
McCarthy JG; Grayson B; Zide B
1982 Oct;9(4):423-442, Clinics in plastic surgery
— id: 50609, year: 1982, vol: 9, page: 423, stat: Journal Article,

Cephalometric analysis for mandibular surgery: Part III
Zide B; Grayson B; McCarthy JG
1982 Jan;69(1):155-164, Plastic & reconstructive surgery
— id: 50610, year: 1982, vol: 69, page: 155, stat: Journal Article,

Cephalometric analysis: part I
Zide B; Grayson B; McCarthy JG
1981 Nov;68(5):816-823, Plastic & reconstructive surgery
A protocol for cephalometric analysis is presented to enable the clinician to evaluate the bony face by subdividing it into four components: 1. Vertical facial measurements 2. Horizontal midface measurements 3. Horizontal lower face measurements 4. Dental measurements. The clinician is encouraged to view the components alone and together. Caution is advised in deriving the treatment plans solely from the cephalometric analysis. Emphasis is placed on integrating the data derived from the cephalometric analysis with the clinical picture, history, dental model analysis, soft-tissue analysis, and patient desires
— id: 50612, year: 1981, vol: 68, page: 816, stat: Journal Article,

Anatomy of the eyelids
Zide BM
1981 Oct;8(4):623-634, Clinics in plastic surgery
— id: 18190, year: 1981, vol: 8, page: 623, stat: Journal Article,

Complications of closed capsulotomy after augmentation
Zide BM
1981 May;67(5):697-697, Plastic & reconstructive surgery
— id: 18191, year: 1981, vol: 67, page: 697, stat: Journal Article,

Examples of simply fabricated, custom-made splints for the hand
Zide BM; Bevin AG; Hollis LI
1981 Jan;6(1):35-39, Journal of hand surgery (American volume)
Many splints can be made simply and inexpensively from readily available materials, some of which are often discarded. This article presents pictorially some of the custom-made splints which can be fabricated with minimal effort
— id: 18192, year: 1981, vol: 6, page: 35, stat: Journal Article,

Treatment of shallow soft tissue ulcers with an infrequent dressing technique
Zide BM; Bevin AG
1980 Jan;4(1):79-83, Annals of plastic surgery
The usual topical therapy for shallow ulcers involves frequent dressing changes, which are especially difficult in the paraplegic. A special karaya-Stomahesive dressing is presented which may, in certain cases, be changed only once or twice a week with good results
— id: 18193, year: 1980, vol: 4, page: 79, stat: Journal Article,

Colloquium: digital replantation
Buncke HJ; Zide BM
1979 Nov;3(5):443-444, Annals of plastic surgery
— id: 18194, year: 1979, vol: 3, page: 443, stat: Journal Article,

Variations of technique in the face-lift operation
Zide BM; Laub DR
1979 Feb;2(2):114-120, Annals of plastic surgery
Observed variations in face-life technique prompted an analysis of these techniques to determine whether experience correlated with certain aspects of the surgery. A questionnaire was returned by 565 of 1,750 plastic surgeons, quantifying varying techniques in over 121,000 face lifts. The respondents were placed into three groups according to the number of rhytidectomies performed, and correlations were determined
— id: 7995, year: 1979, vol: 2, page: 114, stat: Journal Article,

Skin care around the tracheostomy tube
Zide BM; Bevin AG
1978 May;135(5):729-729, American journal of surgery
— id: 18195, year: 1978, vol: 135, page: 729, stat: Journal Article,

Time--a case for quality versus quantity
Zide, B M
1971 Dec;50(3):22-23, Dental student
— id: 18196, year: 1971, vol: 50, page: 22, stat: Journal Article,