SP113 – Advanced tip plasty technique

machine; the remaining three rats served as controls. On the day following irradiation (or sham), all three left mandibular molars were atraumatically extracted. Nine (n ⫽ 6) and 28 (n ⫽ 4) days after irradiation, mandibles were examined using non-decalcified histology. RESULTS: On clinical examination, irradiated rats demonstrated exposed bone at the sites of tooth extraction, whereas the control animals had pristine mucosalization over these areas. Alopecia overlying the area of catheter placement was also seen in the irradiated group. Both histologic and radiologic analysis of the mandible specimens demonstrated a reduction in bone growth of the dental sockets. CONCLUSIONS: To date, a suitable animal model for the study of osteoradionecrosis has yet to be created. This novel animal model attempts to simulate this debilitating condition with the future goal of discovering effective therapeutics to avoid this known complication of head and neck cancer. SP113 – Advanced tip plasty technique Bashar Bizrah, FRCS, Ed (presenter) OBJECTIVES: Modified vertical dome division without delivery of lateral crus. METHODS: Ten years’ experience and review of modified vertical dome division without delivery of lateral crus tip plasty technique in 6,000 cases. RESULTS: Modified vertical dome division without delivery of lateral crus has the least post-operative tip problems, such as notching, alar retraction, collapse, dimpling, and asymmetry. CONCLUSIONS: Modified vertical dome division without delivery of lateral crus has the best long-term result because it involves less surgery on the alar sidewalls. SP114 – Comparison of the subjective impression about facial harmony Geraldo Augusto Gomes, MD (presenter); Shiro Tomita, MD, PhD; Manuela Mosciaro; Carla Freire; Fernanda Porphirio, MD; Tiago Simas, MD OBJECTIVES: To study the preferences of a group of health professionals that work with facial esthetics, a group of plastic artists, and other lay public about their esthetic impression of three nasal root height variations, which were produced with computer imaging from the profiles of six women between the ages of 18 and 30. METHODS: The images of the right profile of six women that had very close proportions to the Caucasian canons were modified with computer imaging software to produce three different heights of radix position: one at the level of the upper eyelid crease (regular); one higher than this point (high); and one lower than the upper eyelid level (low). Twenty health professionals, 20 artists, and 120 lay people evaluated the

P127 photos. They were asked what was the best and the worst look for each profile, and their answers were analyzed. RESULTS: The low position of the nasal root, between the upper eye-lid crease and the pupil level, was considered the most beautiful by the Brazilian health professionals, artists, and lay public (53%), followed by the regular position (36%). When asked about the worst profile the high level was chosen (73%). CONCLUSIONS: The low position, between the upper eyelid crease and the pupil level, was considered the most beautiful by the Brazilian health professionals, artists and lay public (53%), followed by the regular position (36%). When asked about the worst profile the high level was chosen (73%). SP116 – Does cosmetic blepheroplasty impact patients’ quality of life? Mrinal Supriya, DO-HNS, MBBS, MS(ENT), MRCS (presenter); Muhammad Shakeel, DO-HNS, MBBS, B.Sc, MRCSEd; Neil McCluney, MB Bch BAO, FRCSEd (DRL-HNS) OBJECTIVES: 1) To understand patients QOL after cosmetic blepheroplasty using the Glasgow Benefit Inventory questionnaire (GBIQ). 2) To learn other factors influencing QOL. METHODS: This is a retrospective questionnaire survey of adult patients undergoing bilateral upper and lower lid cosmetic blepheroplasty at a private hospital affiliated to Aberdeen Royal Infirmary (Scotland) from January 2007 to September 2008. Patients undergoing surgery for non-cosmetic indications, or those who had additional cosmetic procedures performed were excluded. All operations were done by a single surgeon. Patients satisfying the inclusion criteria were sent the GBIQ for evaluation of QOL post-operatively. Data retrieved from the returned questionnaire were statistically evaluated through Statistical Package for the Social Sciences Software (version 14; SPSS, Chicago, IL, USA). RESULTS: For the study period, 26 consecutive adult patients satisfied the inclusion criteria, and 23 (88.4%) returned a completed questionnaire. The mean postoperative period at the time of study was 6 months. None of the study subjects reported any serious complications. Preliminary statistical analysis showed that blepheroplasty has a positive impact on social and total score on GBIQ while the impact was minimal for general and physical scores. Two patients (7.6%) reported negative QOL postoperatively. Age, sex, or duration of follow-up had no association with QOL. CONCLUSIONS: Cosmetic blepheroplasty has an overall positive impact on the patients’ quality of life. SP120 – Endoscopic vein graft harvest in head and neck reconstruction Maxwell Furr, MD (presenter); Steven Cannad, MD; Mark Wax, MD OBJECTIVES: 1) Understand the use of interposition vein

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