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Department of Otolaryngology - Service Chief Reports

Division of Facial Plastic and Reconstructive Surgery

Sydney C. Butts, MD

The Division of Facial Plastic and Reconstructive Surgery is based at several clinical sites, with services provided at University Hospital Brooklyn, the Brooklyn Heights office site, Kings County Hospital Center,  New York Methodist  Hospital and the Veteran’s Administration Hospital.  There was an even distribution of facial plastic surgery cases including trauma surgery, congenital deformity repair, functional nasal reconstruction, Mohs defect reconstruction and cosmetic facial procedures. Under the leadership of Dr. Eli Gordin, post-ablative head and neck reconstruction including microvascular free flaps are performed at most of the clinical sites.  A dedicated cosmetic surgery rotation under the supervision of Dr. Richard Westreich allows senior residents to operate with him at Manhattan Eye and Ear Infirmary.


Academic activity from the division included presentations at national meetings, along with publications and chapter submissions to otolaryngology textbooks. Areas of research include the epidemiological factors impacting rates of cleft lip and palate among New York City residents, research in mandibular trauma management, management of facial nerve trauma and the use of microvascular reconstruction patients after multiple courses of radiation


The otolaryngology service has become actively involved in the management of congenital craniofacial anomalies, becoming the primary referral service for the cleft lip and palate patients born at the neonatal intensive care units at SUNY Downstate and Kings County Hospital. Through collaboration with the NICU, general pediatrics and the pediatric subspecialties, as well as local speech/language pathologists and geneticists, comprehensive and multidisciplinary care is brought to these patients.  Formal meetings of the Greater Brooklyn Cleft and Craniofacial Team began in June 2012. This is a multidisciplinary team of clinicians who meet at SUNY Downstate to discuss and coordinate the care of patients referred to the team.  

During the Downstate/Kings County rotation, the otolaryngology service provides coverage of facial trauma in a rotation schedule with the oral surgery and ophthalmology services. Residents participate in formalized didactic activities relating to maxillofacial trauma during this rotation. Residents are sent to participate in maxillofacial trauma courses sponsored by the AO. Dr. Butts has been involved with maxillofacial trauma education on a national level as a faculty member of the AO.  

In summary, the Division of facial plastic surgery continues to provide residents and medical students with significant exposure to cosmetic and reconstructive procedures of the face. Our recent staff additions have provided continuity and helped to preserve the volume of cases critical to resident training. We expect further growth over the next few years in all aspects of the subspecialty.