Dr. Ascough volunteers as an Assistant Clinical Professor of Plastic Surgery at the University of California at San Diego. INTERFACE is a group of plastic surgeons, nurses, anesthesiologists, dentists, speech therapists, and translators that donate their time to needy children. INTERFACE travels to Mexico about 6 times per year. Dr. Ascough typically goes on these trips three times per year for the past 16 years. On each trip, the INTERFACE group will perform anywhere from 20 to 90 operations on children and on some adults. The majority of these operations involve cleft lips, cleft palates, hand deformities and burn scars, but some unusual tumors and other conditions are also encountered.

Below are some examples of surgery done by Dr. Ascough and INTERFACE. All pictures can be enlarged by clicking on them.
BURN SCAR:  This young girl suffered a severe burn resulting in a massive contracture of scar between her face and shoulder as shown. We removed the contracted scar and applied skin grafts to her neck. The second photo shows her appearance one year later. She now has full range of motion of her head and neck.

CUP EAR: This young boy was born with an ear deformity known as a “cup ear”. Surgery on such ears is quite complex. We did an otoplasty (reshaping of the ear), resulting in a more normal appearance.

ABBE FLAP: This young man was born with a double cleft lip, which was repaired years ago. His upper lip was thin, tight, and badly scarred. We performed an operation called an “Abbe flap”, which transfers a segment of the lower lip to the upper. This adds more bulk to the upper lip and produces a better balance between upper and lower lips. His lips now have normal function for speech, eating, etc.

DOUBLE CLEFT LIP:  This 3 month old infant was born with double cleft lip and cleft palate. We did a double cleft lip repair. When he is about one year old, we will repair his cleft palate.

SINGLE CLEFT LIP:  This 3 month old was born with one-sided cleft lip and cleft palate. We did a cleft lip repair. The repaired side is, by design, slightly shorter than the normal side. This is done because the repaired side will grow a little faster over the next two years to match the normal side. When he is about one year old, we will repair his cleft palate. The deformity of the nose has been partially corrected during the lip repair. When he is older, we will do a rhinoplasty to make the two sides of the nose more symmetrical.

EAR DEFORMITY: This young boy was born with an ear deformity that does not have a clinical name. We did an otoplasty to reshape the ear to give it a more natural appearance.

MACROSTOMIA: This young girl was born with a wide mouth – a condition called “macrostomia”, in which the corner of the mouth does not develop properly. We joined the muscles of the lip to reconstruct the corner of the mouth, and closed the gap in her cheek. Her mouth and lips now function normally.

POLYDACTYLY:  This youngster was born with two extra fingers. We removed the extra bones and fingers and reshaped the remaining fingers. The hand and fingers now have normal function.

DOUBLE THUMB:  This young boy was born with a double thumb. We removed the extra bone, fingernail, etc., then reconstructed the joint for the remaining thumb. The thumb now has normal function.

All content 2001-2007 Internet Medical Group  &  Bruce M. Ascough, M.D. All artwork 2002 by John Eastman  Send your E-mail to Dr. Ascough HERE