Clinton Humphrey

University of Kansas | KU · Department of Otolaryngology and Head and Neck Surgery

Correction of a crooked nose after primary rhinoplasty is a not uncommon and often complex problem encountered by facial plastic surgeons. Adequate and lasting correction of the deformity requires a thorough assessment of the anatomy contributing to the deviation, as well as the application of robust techniques to correct the problem at each subsit...

Obesity is a growing global health concern, leading to various health issues, including diabetes. Semaglutide-based medications, such as Ozempic, Wegovy, and Rybelsus, have emerged as potential treatments. These medications, belonging to the GLP-1 receptor agonist class, mimic the action of GLP-1, regulating appetite and promoting weight loss. C...

Study Design Survey. Objective Subcondylar fractures stand out as a particular challenge when treating maxillofacial trauma. The fracture site is often difficult to access and adjacent to critical structures like the facial nerve. Current treatment paradigms vary widely and we endeavored to elucidate these approaches from surgeons across the full...

Nasal septal deviation is a frequent problem treated by otolaryngologists and facial plastic surgeons. Complete correction of the septal deformity is often essential both for straightening a crooked nose and for restoration of the nasal airway. While standard septoplasty techniques provide excellent outcomes in most patients, severe septal deformit...

Filler complications have a wide array of presentations including early and late manifestations. A rare late complication is the foreign body granuloma or granulomatous foreign body reaction. We present a case of giant foreign body granulomas developing 7 years after polymethylmethacrylate (PMMA) filler injection. The patient had an excellent respo...

Study Design Retrospective chart review. Objective Restoration of premorbid occlusion is a key goal in the treatment of mandibular fractures. Placement of the patient in maxillomandibular fixation (MMF) is performed during mandibular fracture repair to help establish occlusion. A number of techniques are available to achieve MMF. We sought to exam...

Local advancement flaps are a key tool in the armamentarium of the reconstructive surgeon. They can be used to repair small and large defects on all areas of the face with excellent skin color and texture match, limited donor site morbidity, and flexibility to hide scars. In this review, we outline common categories of advancement flaps and discuss...

Objective To validate the modified Rhinoplasty Assessment Scale (Photographic) (mRASP). Study Design Retrospective cohort study. Methods Study design—Photographs for 100 rhinoplasty patients from 2 facial plastic surgeons were compiled. Photos included 6 views. Each facial plastic surgeon reviewed all views. Nasal appearance was evaluated using t...

Background: Mindfulness meditation has been shown to alleviate pain and may be an appealing adjunctive pain management option. Objective: To compare measures of pain, mindfulness, and opioid usage, and collect evaluative feedback among patients undergoing septorhinoplasty with and without guided meditation. Methods: Patients undergoing septorhinopl...

Background: During online search queries, Google uses machine learning algorithms to provide frequently associated ("People Also Ask" [PAA]) questions with corresponding websites answering the question. We aimed to identify the most frequent questions about rhinoplasty asked online and the sources used to answer them. Materials and Methods: PAA que...

Objective To assess the efficacy of a novel systematic approach aimed at improving a resident physician’s ability to perform analysis of the aging face. Study Design Prospective randomized case-control study. Setting Accreditation Council for Graduate Medical Education accredited Otolaryngology–Head and Neck Surgery residency program. Methods Tw...

Importance: A centralized repository of clinically applicable facial images with unrestricted use would facilitate facial aesthetic research. Objective: Using a machine learning neural network, we aim to (1) create a repository of synthetic faces that can be used for facial aesthetic research and (2) analyze synthetic faces according to contemporar...

Importance: Having a noninvasive tool that quantifies the amount of remaining septal cartilage in the setting of prior septoplasty would be useful for surgical planning and patient counseling. Objective: The objective of this pilot study is to determine if endocavitary ultrasound can be used to evaluate the presence and thickness of septal cartilag...

Repairing mandible fractures is difficult. Contemporary treatment of a displaced or symptomatic fracture often includes open reduction of the fracture and internal fixation with plates and screws. Rigid or semirigid internal fixation typically eliminates the need for prolonged maxillomandibular fixation, which makes postoperative recovery easier fo...

Orbital floor (OF) fractures are, by definition, a component of zygomaticomaxillary complex (ZMC) fractures. The need for concurrent OF repair during ZMC repair remains a topic of discussion. Current evidence in the literature favors a more selective approach to exploring and repairing the OF during repair of ZMC fractures.¹⁻⁴ Proponents of selecti...

The periorbital region is a focal point on the face. Dermatochalasis, fat herniation, blepharoptosis, brow ptosis, deep tear troughs, and malar fat pad descent are all age-related changes that occur around the eyes, and successful rejuvenation involves addressing all of these changes. Restoring a youthful, vibrant appearance to the eyes and periorb...

Importance Composite grafting in nasal reconstruction involves transplanting auricular chondrocutaneous grafts, but the optimal design of these grafts is unknown. Objectives To investigate the ideal ratio of skin to cartilage as well as study the importance of the perichondrial attachment for graft survival. Design, Setting, and Participants A Ne...

Importance: Facial reanimation procedures share the same surgical field as a parotidectomy and are most easily accomplished at the time of facial nerve sacrifice. Early reanimation would also reduce the duration of paralysis and may lead to better functional outcomes. Objective: To assess the incidence and types of facial nerve reanimation perfo...

Paramedian forehead flaps (PMFFs) are often used for reconstructing nasal defects.1 However, we have found that some patients have concerns about postoperative brow position. The aesthetic importance of the upper third of the face has been studied extensively, and small changes to the eyebrow are easily appreciated.2,3 To our knowledge, no previous...

Nasal fractures are the most frequently fractured facial bone from blunt facial trauma resulting in a significant number of patients seeking treatment. Proper evaluation and treatment in the acute setting can minimize secondary surgeries, lower overall health care costs, and increase patient satisfaction. Nasal fracture management, however, varies...

Although surgical techniques for rhinoplasty and nasal reconstruction are well established, prospective research on postoperative morbidity remains limited. The aim of this pilot study was to assess costal and auricular cartilage donor site pain and morbidity in patients undergoing rhinoplasty and nasal reconstruction. In this prospective cohort st...

Developing effective methods to evaluate surgical outcomes is more important than ever. Peers, patients, and payers increasingly judge the quality of surgical procedures based on measurable outcomes. The government, health care review websites, and others are actively seeking benchmarks to compare our individual surgical results with those of other...

Objectives: The aim of this study was to measure the length, width, and surface area of costal and auricular cartilage harvested for grafting in rhinoplasty and nasal reconstruction. We also compared the sizes of ear cartilage grafts harvested from the anterior and posterior approaches. Methods: Fifty-eight nasal reconstructive surgeries requiri...

A mastery of advancement flap design, selection, and execution greatly aids the surgeon in solving reconstructive dilemmas. Advancement flaps involve carefully planned incisions to most efficiently close a primary defect in a linear vector. Advancement flaps are subcategorized as unipedicle, bipedicle, V-to-Y, and Y-to-V flaps, each with their own...

Eyelid defects disrupt the complex natural form and function of the eyelids and present a surgical challenge. Detailed knowledge of eyelid anatomy is essential in evaluating a defect and composing a reconstructive plan. Numerous reconstructive techniques have been described, including primary closure, grafting, and a variety of local flaps. This ar...

Purpose of review: To review recent literature pertaining to the use of masseteric-facial nerve neurorrhaphy (MFNN) for facial reanimation in patients with facial paralysis. Recent findings: First, MFNN effectively restores some midface tone and function, including the ability to smile. Second, use of the masseteric nerve minimizes synkinesis, d...

Facial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for smal...

Facial plastic surgeons use a variety of reconstruction techniques to overcome challenges in restoring the function, structural integrity, and intricate nasal contour in nasal reconstruction. Local cutaneous flaps provide excellent skin texture, thickness, and color match in nasal reconstruction. They offer an excellent cosmetic appearance for smal...

Orbital fractures are a common result of facial trauma. Sequelae and indications for repair include enophthalmos and/or diplopia from extraocular muscle entrapment. Alloplastic implant placement with careful release of periorbital fat and extraocular muscles can effectively restore extraocular movements, orbital integrity, and anatomic volume. Howe...

Rhinoplasty is arguably one of the most challenging procedures a facial plastic surgeon performs. Numerous techniques have been developed since the inception of rhinoplasty to aid in correction of aesthetic and functional issues. Congenital, iatrogenic, and traumatic etiologies can all lead to a crooked nose. Autologous rib or costal cartilage graf...

Program Description Four experienced rhinoplasty surgeons divulge their 3 techniques that prove useful in almost every case. Every component of rhinoplasty will be covered systematically with tips being offered on the straight dorsum, functional middle vault, and the refined tip. Videos or step-by-step photographs will enable attendees to quickly g...

Purpose of review: The management of nasoethmoid or naso-orbito-ethmoid (NOE) fractures requires a thorough knowledge of the central facial anatomy, surgical techniques, available tools and patient factors to obtain optimal restoration of aesthetic form and function. This review article describes the current methods of NOE fracture diagnosis, clas...

Auricular composite grafting is a useful technique for the reconstruction of select nasal defects. However, unpredictable graft survival has been the primary limitation of this technique. The literature was reviewed to evaluate the effectiveness of various surgical, pharmacologic, hyperbaric, and hypothermic interventions to improve composite graft...

To define the intrinsic (hypoplasia) and extrinsic (deformational) contributions to congenital nasal deformities and the potential of a carrier state for orofacial clefting. Retrospective case series. The factors affecting 4 congenital nasal deformities are postulated after contrasting the patient's characteristics. The spectrum of congenital nasal...

Suboptimal facial scarring can be a stigma, leading many affected patients to seek treatment. An increasing array of minimally invasive techniques and topical treatments can improve many scars either as standalone interventions or as an adjunct to surgical scar revision. Familiarity with the science of normal wound healing, competence in minimally...

Consistency of photographic documentation is essential for facial plastic surgery, a visual surgical subspecialty. Photographs are often used to validate surgical outcomes but have many other uses including education, publication, and marketing. Utilization of a properly equipped medical portrait studio will dramatically increase the quality of pho...

Intraoperative photographs are a necessity when sharing unusual pathology or details of a procedure with peers in presentations or publications. Obtaining the proper equipment and taking time to refine settings for the operative suite will typically yield excellent images. Regularly taking time out of procedures to shoot photographs can yield a for...

Facial plastic surgeons are accumulating massive digital image databases with the evolution of photodocumentation and widespread adoption of digital photography. Managing and maximizing the utility of these vast data repositories, or digital asset management (DAM), is a persistent challenge. Developing a DAM workflow that incorporates a file naming...

Using soft tissue fillers to correct postrhinoplasty deformities in the nose is appealing. Fillers are minimally invasive and can potentially help patients who are concerned with the financial expense, anesthetic risk, or downtime generally associated with a surgical intervention. A variety of filler materials are currently available and have been...

Orbital injuries can only be treated most effectively, aesthetically, and safely when the surgeon's armamentarium includes all contemporary orbital approaches. The lateral orbit, orbital floor, and medial orbit are useful anatomic divisions that are each exposed best through distinct approaches. Lateral brow, upper blepharoplasty, and coronal appro...

Facial nerve injury and facial paralysis are devastating for patients. Although imperfect, primary repair is currently the best option to restore facial nerve function. Cable, or interposition, nerve grafting is an acceptable alternative when primary repair is not possible. Several donor nerves are at the surgeon's disposal. Great auricular, sural,...

Static facial suspension (SFS) continues to play a role for rehabilitation in patients with facial paralysis. We perform SFS almost exclusively with a suture technique in our practice. Monofilament polypropylene suture (Prolene) is commonly used for SFS, but we have witnessed occasional failure and some stretching with this material. The purpose of...