Eugene Alford

Weill Cornell Medicine, Plastic Surgery, Faculty Member

Weill Cornell Medicine, Otolaryngology-Head and Neck Surgery, Faculty Member

Texas A&M Health Science Center, Otolaryngology Head and Neck Surgery, Faculty Member

Followers

Following

Co-authors

Public Views

Internationally recognized Facial Plastic Surgeon practicing at Houston METHODIST Hospital

less

Muzzo (Muzaffer) Uysal

University of Massachusetts Amherst

Ashiru Hamza Mohammad

University of Malaya, Malaysia

Sandro Sublimi Saponetti

Università degli Studi di Bari

Bijan Khademi

Shiraz University Of Medical Sciences

Vijay Langer

Army Hospital Research and Referral, New Delhi, India

Nima M.NEJAT (moharamnejad)

Istanbul Aydin University

Mohsen Naraghi

Tehran University of Medical Sciences

Kristina Scheelen

Georg-August-Universität Göttingen

Sampath Chandra Prasad Rao

Manipal Academy of Higher Education

Richard Wein

Tufts Medical Center

InterestsView All (10)

Uploads

Papers by Eugene Alford

Generic vs. proprietary otic drops

PubMed, 1989

Endoscopic Browlift Is the Superior Method for Rejuvenation of the Forehead and Brow

Archives of Otolaryngology-head & Neck Surgery, 2001

Combined Transconjunctival/Intranasal Endoscopic Approach to the Optic Canal in Traumatic Optic Neuropathy

Laryngoscope, Mar 1, 1997

Surgical decompression of the optic canal is indicated in patients with traumatic optic neuropath... more Surgical decompression of the optic canal is indicated in patients with traumatic optic neuropathy who fail to respond to corticosteroids. Traditional surgical approaches to the orbital apex have been effective in achieving optic nerve decompression but require either a craniotomy, provide limited exposure with late identification and protection of the optic nerve, or require external incisions. The combined transconjunctivalhntranasal endoscopic approach to the optic canal offers sufficient exposure, allows early identification and protection of the o p tic nerve, provides space for the use of multiple surgical instruments, obviates a craniotomy and external incisions, and can be performed quickly with minimal morbidity. The technique of combined transconjunctivalhntranasal endoscopic optic nerve decompression will be described and the experience with nine cases will be presented.

Download

Reconstructive rhinoplasty using cadaver cartilage in relapsing polychondritis

Baylor University Medical Center Proceedings, Aug 25, 2022

Relapsing polychondritis is a rare autoimmune disorder of unknown cause characterized by recurren... more Relapsing polychondritis is a rare autoimmune disorder of unknown cause characterized by recurrent inflammation of cartilage predominantly affecting the ears, nose, and upper airway. The bridge of the nose and surrounding tissue can collapse, producing a saddle nose deformity. Nasal reconstruction is often challenging in these patients due to impaired wound healing and graft take caused by autoimmune inflammatory disease and prolonged immunosuppressant treatment. Many different reconstruction techniques like autologous rib, fascia lata, and calvarial bone grafts have been used. Herein we report the use of a cadaver cartilage graft in a 55-year-old woman with relapsing polychondritis and saddle nose deformity. Because of the characteristic chondritis of her autoimmune condition, cadaver cartilage was selected because it is antigenically different from the patient’s own cartilage, offering significant structural integrity for nasal reconstruction compared to other techniques.

Download

Baseline and post-treatment assessment of the general health status of head and neck cancer patients compared with United States population norms

Head & neck, Dec 1, 1997

It is a common perception that the overall health of patients with head and neck cancer (HNC) is ... more It is a common perception that the overall health of patients with head and neck cancer (HNC) is likely to be poor compared with the general population. This project was undertaken to investigate the pre- and post-treatment, global health status of HNC patients in comparison with age-matched, U.S. population norms using a self-administered general health status survey. Between July 1, 1993, and May 1, 1996, 180 patients underwent pretreatment and 6 month follow-up evaluation with the standard version of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). The SF-36 scale scores, means, standard deviations, and 95% confidence intervals were calculated for each SF-36 scale as well as for physical-health-component summary scores (PCS) and mental-health-component summary scores (MCS). Comparisons of these scores were made to U.S. population normative data. Pretreatment and 6-month follow-up SF-36 scores were compared. In the 45-54-year age group, all 8 SF-36 scale scores, the PCS, and MCS scores were significantly worse for the HNC patients in comparison with age-matched norms (p &amp;amp;amp;amp;lt; .05). In the 55-64-year age group, the HNC patients were worse in 5 of the 8 SF-36 scale scores and the MCS score in comparison with age-matched norms (p &amp;amp;amp;amp;lt; .05). In the 65-74-year age group, the HNC patients scored significantly worse in the mental health scale. In the comparison of pretreatment and 6-month follow-up scores, the HNC patients had significant decreases in the physical functioning scale (p = .003) and the PCS score (p = .047). The HNC patients showed significant improvement in the mental health scale (p = .049) and improvement in the bodily-pain scale, which approached significance (p = .053) at 6-month follow-up. The HNC patients showed a marked decrease in general health status with increasing stage of HNC. This work provides objective support for the perception that many HNC patients are initially seen for treatment with baseline health status functioning significantly below their age-matched contemporaries in the general population. An educated evaluation of global health outcomes following treatment in the HNC patient population must begin with an accurate pretreatment assessment of these parameters. Self-reported health-status assessment (HSA) is a useful means of evaluating global health status in this patient population.

Life-Threatening Presentations of Fibrovascular Esophageal and Hypopharyngeal Polyps

Annals of Otology, Rhinology, and Laryngology, Nov 1, 1994

Giant fibrovascular polyps of the esophagus and hypopharynx are benign tumors of the upper digest... more Giant fibrovascular polyps of the esophagus and hypopharynx are benign tumors of the upper digestive tract. Although a rare cause of asphyxiation, laryngeal impaction by a regurgitated polyp of the esophagus may be the initial symptom that brings the patient to request medical attention. Two new cases of giant fibrovascular polyps with dramatic and potentially life-threatening presentations illustrate the unpredictable behavior of these unusual tumors. Both patients presented to the emergency center with a history of coughing and eructation followed by temporary airway obstruction that was relieved by clenching a regurgitated fleshy mass between the teeth. Diagnostic and therapeutic intervention requires aggressive airway management, radiographic and endoscopic evaluation, and definitive surgical treatment. Tracheotomy was required in one patient, and successful endotracheal intubation provided satisfactory airway control in the second. Esophagoscopy revealed the origin of both tumors to be near the cricopharyngeal muscle. Complete surgical excision was curative in both cases.

Orbital Involvement in Allergic Fungal Sinusitis

Ophthalmology, Dec 1, 1997

Although allergic fungal sinusitis is a relatively common, noninvasive form of paranasal sinus my... more Although allergic fungal sinusitis is a relatively common, noninvasive form of paranasal sinus mycosis, and despite frequent orbital involvement, there have been few reports of this condition in the ophthalmic literature. Two cases of allergic fungal sinusitis having orbital symptoms are described. The current classification, typical presentation, and ideal management of fungal sinusitis are reviewed. Distinguishing radiologic and pathologic features were present in both patients. Aspergillus flavus was cultured in one case, and Bipolaris spicifera was cultured in the other. Allergic fungal sinusitis is a unique subset of sino-orbital disease with highly characteristic clinical, radiologic, and pathologic features. Unlike invasive forms of mycotic disease, allergic fungal sinusitis may be managed adequately with surgical debridement, aeration of the involved sinuses, and systemic and topical corticosteroids.

Intracranial Complications of Sinusitis

Laryngoscope, Jul 1, 1997

ABSTRACT Intracranial suppurative complications of sinusitis remain a challenging and contemporar... more ABSTRACT Intracranial suppurative complications of sinusitis remain a challenging and contemporary topic. To determine the prevalence of sinogenic sources in intracranial infectious complications, we reviewed the records at a large public hospital between 1985 and 1995. There were 203 patients with 212 suppurative intracranial infections. Sinogenic sources were identified in 12 patients with 19 infections. Most patients had ethmoid or frontal sinusitis. We discuss the presentation, microbiology, diagnosis, treatment, and clinical course of these 12 cases. The diagnosis of intracranial complications of sinusitis requires a high index of suspicion and radiographic imaging of the head and paranasal sinuses. The mean hospital stay was 31.4 days and all 12 patients survived, although three patients had significant neurologic sequelae.

An algorithm for management of residual posttraumatic calvarial defects in adults

PubMed, 1997

For the discussion of options in late reconstruction of residual posttraumatic calvarial defects ... more For the discussion of options in late reconstruction of residual posttraumatic calvarial defects in adults, the calvaria is divided into three reconstructive zones. Zone 1 comprises the frontal sinus region and the contour of the supraorbital brow; Zone 2 comprises the smooth, cosmetically visible prehairline forehead; Zone 3 comprises the posthairline area and the calvaria. The particular reconstructive requirements (autogenous bone versus alloplastic material) of each zone are described and illustrated with clinical cases. The merits of bone from various donor sites and those of alloplastic material are discussed. The authors present an algorithm of reconstructive choices for residual posttraumatic calvarial defects in adults based on the nature of the defect and the aesthetic reconstructive zone.

Endoscopic Management of a Giant Cholesterol Cyst of the Petrous Apex

Skull Base Surgery, 1994

Giant cholesterol cyst (GCC) is a rare lesion of the temporal bone. Graham et all reported GCC to... more Giant cholesterol cyst (GCC) is a rare lesion of the temporal bone. Graham et all reported GCC to be a distinct clinical entity with unique histologic and radiographic findings. These lesions must be differentiated from other lesions of the temporal bone such as congenital cholesteatoma, cholesterol granuloma, petrous apex abscess, meningioma, carotid artery aneurysm, and glomus tumor.

Download

Alternatives to Packing in Septorhinoplasty

Archives of Otolaryngology-head & Neck Surgery, Oct 1, 1989

Nasal packing is considered routine by most physicians and patients at the completion of nasal an... more Nasal packing is considered routine by most physicians and patients at the completion of nasal and septal surgery. Yet the rationale for this maneuver is not clearly defined by reported investigation or logical analysis. We discuss 75 consecutive nasal surgical procedures completed without packing. There were two postoperative episodes of bleeding, both from pyriform aperture incisions for lateral osteotomy and both managed in the recovery room with an absorbable gelatin sponge. Technical refinements such as scrupulous preoperative history taking, through-and-through suturing of the entire septal flaps, small-caliber osteotomy, meticulous closure of all intranasal incisions, and proper application of a conforming dressing are essential for hemostasis. We offer specific procedural guidance to minimize the risk of postoperative nasal bleeding.

Atlas of Head and Neck Surgery‐Otolaryngology, by Byron J. Bailey, Karen H. Calhoun, Amy R. Coffey, and J. Gall Neely, 934 pages with illustrations. Lippincott‐Raven, Philadelphia, 1996. $231.00

Otolaryngology-Head and Neck Surgery, Mar 1, 1998

Editor's Note: The reviewers have rated the books on a scale of one to five stars. The highes... more Editor's Note: The reviewers have rated the books on a scale of one to five stars. The highest ratings are given to books that fulfill their objectives and skillfully convey information to the chosen audience. Books are judged on appropriateness and completeness of detail for the targeted audience, quality of writing, editorial skill (especially multiauthored books), illustrations, and photography. It is hoped this code will aid the reader in selecting books for his or her permanent library. The rating scale is as follows: ∗∗∗∗∗ Outstanding, a classic, should be on the shelf of anyone interested in the subject; ∗∗∗∗ Strong, well-written book with major contributions in some areas; ∗∗∗ Informative book that should be read, if not owned, by individuals with interest in the field; ∗∗ Some worthwhile information, but with deficiencies in writing style or completeness; ∗ Major shortcomings, not recommended.

Primary and Revision Rhinoplasty: A Single Surgeon Experience and Patient Satisfaction

Plastic and reconstructive surgery. Global open, Sep 1, 2021

Background: There is minimal information describing the common characteristics among patients see... more Background: There is minimal information describing the common characteristics among patients seeking primary/revision rhinoplasty. Success is traditionally interpreted from the surgeon's viewpoint, without considering the patient's perspective. The study's aims were to (1) identify/compare anatomic and functional characteristics commonly found in patients seeking primary and revision rhinoplasties; (2) assess patient satisfaction using a survey; and (3) explore whether graft choice (auricular cartilage versus rib cartilage) affects patient satisfaction and outcome in revision rhinoplasty. Methods: A retrospective review of all rhinoplasties by a single surgeon from June 2016 to January 2020 was performed, focusing on preoperative anatomic/functional characteristics and operative interventions performed. A survey was then used to assess patient satisfaction. Finally, survey outcomes were compared between patients who received auricular and rib cartilage grafts in revision rhinoplasty. Results: A total of 102 rhinoplasties (53 primary and 49 revisions) were included. Primary rhinoplasties were noted to have more patients with "big" noses (P = 0.015) or humps (P < 0.010). Patients undergoing revision rhinoplasties more commonly exhibited middle vault collapse (P = 0.022). The survey response rate was 60%. Revision rhinoplasty patients had a higher incidence of dissatisfaction with their outcome Conclusions: Several features among patients seeking revision rhinoplasties could have been created in the primary operation. The rhinoplasty surgeon should be careful to not introduce new issues or create worse deformities than those seen following the initial operation. Survey-based outcome analysis demonstrated that revision rhinoplasty patients are more likely to have a greater rate of dissatisfaction following their operation.

Download

Torn Earlobe: A New Approach to Management with a Review of 68 Cases

Annals of Otology, Rhinology, and Laryngology, Nov 1, 1994

The torn earlobe is a common problem, yet no objective analysis of causation or management is fou... more The torn earlobe is a common problem, yet no objective analysis of causation or management is found in the literature. We present a series of 68 patients with statistical data on earlobe characteristics and cleft-related historical factors. We describe three new methods of repair: two for full clefts and one for partial clefting (ie, elongation of the piercing site without penetration of the inferior rim). We report follow-up from 4 to 10 years, with a 91% success rate for lobe appearance and a 1.2% recurrence of clefting. We offer guidelines for repair and repiercing based on lobe thickness and shape. We make recommendations for earring use based on lobe characteristics and historical development of the defect.

Reconstruction of the tongue

Current Opinion in Otolaryngology & Head and Neck Surgery, 1995

ABSTRACT This paper outlines in detail the functional aspects of the tongue and the goals to be a... more ABSTRACT This paper outlines in detail the functional aspects of the tongue and the goals to be achieved in reconstruction. It also presents a historical review of tongue reconstruction methods. A classification scheme of tongue deficits and an approach to reconstruction of the tongue based on the size of the defect and associated tissue losses are presented. A review of the most recent literature regarding this topic has been broken down and clearly defined into the essentials of modern tongue reconstruction. (C) Lippincott-Raven Publishers.

Subcutaneous Implantation of Microparticulate PTFE (Gore-Tex)

Archives of Otolaryngology-head & Neck Surgery, Mar 1, 1994

At the fall meeting of the American Academy ofFacial Plastic and Reconstructive Surgery, DavidA. ... more

Download

A Graduated Method of Tip Graft Fixation in Rhinoplasty

Archives of Otolaryngology-head & Neck Surgery, Mar 1, 1994

Projection of the nasal tip has gained increased recognition as a measurable and visual character... more Projection of the nasal tip has gained increased recognition as a measurable and visual characteristic that has an impact on the results of aesthetic rhinoplasty. Autologous cartilage tip grafts have been used in many techniques to increase tip projection and contour the tip during rhinoplasty. This article introduces a graduated method of tip graft fixation correlated with specific clinical measurements related to tip projection. After careful analysis of tip projection and contour, a predictable graft fixation technique can be selected to obtain the desired degree of nasal tip projection and sculpting.

Facial reanimation for chronic facial paralysis

Current Opinion in Otolaryngology & Head and Neck Surgery, Aug 1, 1998

Download

Mid-forehead flaps

Operative Techniques in Otolaryngology-head and Neck Surgery, Mar 1, 1993

... Any distal redundant skin of the' flap is trimmed. (Reprinted with perrnission.P) . BAKE... more

Free composite myo-osseous flap with serratus anterior and rib: Indications in head and neck reconstruction

Head & neck, Mar 1, 1998

Although the microvascular transfer of the serratus/rib myo-osseous composite flap has been previ... more Although the microvascular transfer of the serratus/rib myo-osseous composite flap has been previously described, the indications for its use in head and neck reconstruction have not been fully explored. Slender and easily contoured, rib bone offers reconstructive advantages over other bone sources under certain circumstances. The serratus/rib myo-osseous flap can provide vascularized muscle, bone, and cartilage; in combination with the latissimus dorsi muscle, the serratus/rib flap provides additional soft-tissue bulk on a single thoracodorsal vascular pedicle unrestricted by orientation requirements of the bone. Many orientations of bone and soft tissue are possible. We describe, through three illustrative cases, the indications for this flap, which might include bony, cartilaginous, and soft-tissue requirements in the retromolar trigone region, large calvarial defects, and large composite full-thickness cheek and mandibular defects. The serratus/rib composite myo-osseous flap reliably provides vascularized bone of relatively delicate composition which offers advantages in certain reconstructive circumstances. In addition, when combined with latissimus dorsi muscle on a single vascular pedicle, it supplies additional soft-tissue bulk which can be positioned without being constrained by the bone placement. Finally, this is a useful &quot;backup&quot; supply of vascularized bone when other sources cannot be used due to, for example, inability to use fibula in the face of severe peripheral vascular disease and inability to use iliac crest if this has been previously used as a donor site for nonvascularized free grafts (as in secondary reconstructions).

Generic vs. proprietary otic drops

PubMed, 1989

Endoscopic Browlift Is the Superior Method for Rejuvenation of the Forehead and Brow

Archives of Otolaryngology-head & Neck Surgery, 2001

Combined Transconjunctival/Intranasal Endoscopic Approach to the Optic Canal in Traumatic Optic Neuropathy

Laryngoscope, Mar 1, 1997

Download

Reconstructive rhinoplasty using cadaver cartilage in relapsing polychondritis

Baylor University Medical Center Proceedings, Aug 25, 2022

Download

Baseline and post-treatment assessment of the general health status of head and neck cancer patients compared with United States population norms

Head & neck, Dec 1, 1997