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SUNY Downstate Health Sciences University

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, Kings County Hospital Center and New York Methodist Hospital.  There was an even distribution of facial plastic surgery cases including trauma surgery, congenital craniofacial reconstruction and pediatric facial reconstruction, functional nasal reconstruction, Mohs defect reconstruction and cosmetic facial procedures. A dedicated cosmetic surgery rotation under the supervision of Dr. Richard Westreich allows senior residents to operate at Manhattan Eye, Ear and Throat Hospital (MEETH)


Academic activity from the division included presentations at national meetings, publications in peer reviewed journals and textbook chapter submissions.


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. 


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.