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K. Conrad, MD, FRCS, FRCSC; Jerry S. Chapnik, MD, FRCSC; Ella Reifen, MD

Arch Otolaryngol Head Neck Surg. 1993;119(6):694-698.

Abstract
• Restoration of a well-defined, youthful-looking, cervicomental angle is not easily achieved. The classic rhytidectomy is now often supplemented by lipectomy and platysmamodifying procedures. Still, irregularities of neck contour are bothersome, and for the short, stocky neck, results at times fall short of a patient's and surgeon's expectation. Insertion of an E-PTFE (expanded polytetrafluroethylene [E-PTFE]; tradename, Gore-Tex, W. L. Gore Associates Inc, Flagstaff, Ariz) soft-tissue patch as a sling to support the floor of the mouth and redefine the cervicomental angle for a smoother neck contour is described. This method was used in seven patients presenting with problematic aging neck. The first three patients needed readjustment of the E-PTFE membrane. This evolving method seems to offer a superior, more lasting result for the correction of an obtuse cervicomental angle.

(Arch Otolaryngol Head Neck Surg. 1993;119:694-698)

Author Affiliations
From the Nasal and Facial Plastic Cosmetic Surgery Institute, Cosmetic Facial Surgery Service, Department of Otolaryngology, Mount Sinai Hospital, University of Toronto, Ontario.

Footnotes
Accepted for publication October 22, 1992.

Read before the Fall Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Kansas City, Mo, September 27, 1991.

Reprint requests to Nasal and Facial Plastic Cosmetic Surgery Institute, 131 Hazelton Ave, Toronto, Ontario M5R 2E4, Canada (Dr Conrad).

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