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Department of Otolaryngology - Service Chief Reports

Division of Facial Plastic and Reconstructive Surgery

Sydney C. Butts, MD, Director at UHB/KCHC

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 and New York Methodist  Hospital.  There was an even distribution of facial plastic surgery cases including trauma surgery, post-ablative reconstruction, congenital deformity repair, functional nasal correction and cosmetic facial procedures.  Active facial plastic surgery services and on-call coverage were maintained at all of the affiliate hospitals and several satellite office sites. 

 

Academic activity from the division included presentations at national meetings, along with publications and chapter submissions to otolaryngology and facial plastic surgery textbooks. Areas of research included congenital anomalies associated with cleft palate and mandibular distraction osteogenesis. Current research projects on perioperative pain management for mandibular trauma and epidemiological factors associated with orofacial clefting are currently underway. During the past year, faculty in the division presented invited lectures at the annual meetings of the American Academy of Facial Plastic and Reconstructive Surgery and the 11th Annual International Symposium of Facial Plastic Surgery.

 

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. Over the last 12 months, over 35 facial fractures repaired. 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. 

 

Drs. Westreich, Butts, and Parhiscar have worked together to develop a comprehensive facial plastic surgery resident curriculum, which is scheduled on a two year cycle. Resident lectures, attending lectures, and case presentations are incorporated into the didactics. Guest lectures from individuals with areas of specific expertise are also included.

 

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.