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We prospectively and randomly compared triangular and rotation-advancement unilateral cleft lip repairs in 35 patients. The most significant difference between the two repairs noted in this series was a greater frequency of hypertrophic scars following rotation-advancement repairs. The overall appearance of the lip and nose postoperatively was the same in both groups.

We present a case in which infiltration of the flexor tendons and the fibrous sheaths of the digital flexors with amyloid caused triggering at both the entrance to the fibrous sheaths and at the decussation of the sublimis tendons.

We previously compared conjunctival and subciliary incisions for exposure of orbital floor and infraorbital rim fractures. A prospective randomized comparison of lower eyelid and orbital rim incisions was then undertaken and results compared with our previous study. Lower eyelid and orbital rim incisions provided more rapid access to fracture sites. Fracture exposure was adequate with all but conjunctival incisions; lateral canthotomy was added in 56 percent of cases to improve exposure. There were minimal or no intraoperative and postoperative complications except for a 42 percent incidence of ectropion following subciliary incisions. Scar appearance was similar in the four groups, except when an isolated conjunctival incision was used, which produced an invisible scar.

The incidence of epistaxis in 312 patients with facial fractures over a 5-year period is reviewed, finding the incidence of epistaxis to be 4 percent in all facial fractures and 11 percent (12 of 108) in midface fractures. Six of these required treatment with packing or transfusion, and two required surgery to control the epistaxis. The only other series reviewing epistaxis in facial fractures reported a similar incidence.