text:
MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01CB6E15.74509DC0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Windows® Internet Explorer®. ------=_NextPart_01CB6E15.74509DC0 Content-Location: file:///C:/A518EA90/auricular-recon-100930.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
SOURCE: Grand Rounds Presentation, University of Texas Medical Branch,
Dept. of Otolaryngology
DATE: September 30, 2010
RESIDENT PHYSICIAN: Susan Edionwe, M.D
FACULTY PHYSICIAN: Vicente Resto, M.D.
SERIES EDITOR: Francis B. Quinn, Jr., MD
ARCHIVIST: Melinda Stoner Qui=
"This material was prepared by reside= nt physicians in partial fulfillment of educational requirements established f= or the Postgraduate Training Program of the UTMB Department of Otolaryngology/= Head and Neck Surgery and was not intended for clinical use in its present form.= It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to= its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and sho= uld not be used for purposes of diagnosis or treatment without consulting appro= priate literature sources and informed professional opinion." <= /p>
Auricular surgery encompasses various kinds of surgical techniques given the initial defect. These defects can be congenital or = acquired in nature. Further, acquired defects tend to either be secondary to trauma or malignancy. It is important for head and neck surgeons to have some knowledge of these techniques as these kinds of patie= nts can be encountered in an otolaryngology practice. To this regard, knowledge= of the anatomy, embryology, and aesthetic evaluation is paramount for an accurate diagnosis and appropriate surgical intervention of auricular deformities.= p>
Anatomy and Embryology of the Auricle
Ear development begins during weeks 5 to 6 of gestation with the formation of six mesenchymal swellings or hillocks. The anterior three hillocks and the posterior three hillocks originate from the first and second branchial arches, respectively. These hillocks are situated on either side of the first branchial groove an= d, with tissue growth and development, they fuse to form the auricle and its characteristic shape. The sec= ond arch gives rise to most of the anatomic landmarks of the ear including the helix, scapha, antihelix, antitragus, and the l= obule. The first arch primarily gives rise to the tragus and the helical crus. Complete formation of the auricle = occurs by week 8 of gestation.
Anatomy of the Ear
An understanding of the topographic landmarks and structures of the normal ear= and an assessment of what has been compromised will guide preoperative planning= as to clear identification of the defect and what surgical techniques will be necessary for correction of it. The auricle is a composite of skin and cartilage which, together, form folds and involutions that vary amongst all ears but still hold similar basic propert= ies. The auricle contains el= astic fibrocartilage which is essentially uniform throughou= t the ear in thickness. It is cover= ed by skin on both surfaces. In is important to note that the anterior skin of the auricle is fine, thin, and closely adherent to the underlying cartilaginous framework. There is only a scant amount of subcutaneous fat anteriorly; however, a diffuse subder= mal vascular plane is present and capable of supporting flap viability. The posterior surface is covered w= ith less adherent skin that has two layers of fat as well as a larger subdermal plexus of nerves, arteries, and veins.
As mentioned, there are various convolutions of =
auricle that can be identified in the normal ear. The helix is often descri=
as the prominent rim of the auricle that terminates anteriorly in a helical
crus that lies superior to the meatus of the external auditory canal. The antihelix runs interior to the=
and parallels it in course. It
crowns the posterior conchal wall and also terminates in a crus that separa=
anteriorly into superior and inferior crura.
Vascular Supply
The arterial blood supply of the ear originates = from the superficial temporal and posterior auricular arteries with some contributions from the occipital arteries.= The superficial temporal artery arises anterior to the ear and gives= off a superior, medial, and inferior branch that supplies the anterior and anterolateral aspect of the auricle. The posterior auricular artery tra= vels parallel to the post-auricular sulcus and predominantly supplies the posterior auricular surface. The end branches of these arteries extensively anastamose to form a tremendous blood supply that allows for several surgical approaches to the ear. The venous drainage is complementary to the arterial supply and empties into the external jugular vein.
Neurologic Supply
The sensory supply to the auricle consists of fo=
nerves. The primary nerve sup=
ply is
greater auricular nerve of C2 - C3 which supplies the inferior surfaces of =
auricle. It is an important
surgical landmark as it travels 8mm posterior to the post-auricular sulcus and can cause significant anesthesia to the ea=
r if
damaged. Conversely, regional
anesthesia to the auricle can be readily accomplished by instilling anesthe=
along its base anteriorly and posteriorly.=
The lesser occipital nerve from the ventral ram=
of C2 and C3 supplies the cranial surface or posterior superior surface of
auricle. The auriculotemporal
nerve of the mandibular branch of CN V supplies=
anterior surface of the auricle.
Lastly, the conchal bowl and the tragus are supplied by
The auricle has 6 clinically insignificant intri= nsic muscles that are supplied motor innervations by the facial nerve. These muscles are the major and mi= nor helices, tragus, antitragus, transverse, and oblique muscles. Additionally, there are three extr= insic muscles also supplied by CN7 which are the anterior, superior, and posterio= r auricularis muscles.
Aesthetic Evaluation of the Ear
Aesthetic evaluation of the ear is important for preoperative planning and should be documented with standard preoperative photography. This photography includes a frontal view, right and left later= al views, and right and left oblique views along with close up left lateral and right lateral views.
Auricular Measurements
About 85- 90% of ear growth is achieved by 5-6 y=
of age. Although ear height growth continues into adulthood, the width and
distance of the ear from the scalp rarely change after the age of 10. The average ear is 65mm long and 3=
wide. The ear width is 50-60%=
the height. On the lateral view, the superior aspect of the helix lies at t=
level of the lateral eyebrow (superior orbital rim). The inferior aspect li=
es at
the level of the base of the nasal alae (nasal
spine). The ear is situated r=
6 cm from the lateral orbital rim and slopes 15-20o posteriorly =
the vertical axis to approximate the nasal dorsum within 15o. Th=
e auriculocephalic angle, the angle between the auricle=
the scalp, is most important in the posterior view of the auricle. It is se=
t by
a combination of the angle of the posterior wall of the conchal bowl (90
Cultural differences
There are variations to these measurements espec= ially amongst sex and races. The av= erage Caucasian female ear is 59mm and 32.5mm for height and width, respectively. In persons of A= frican descent, the auricle length tends to be shorter versus persons of Asian des= cent who tend to have slightly longer ears.
Congenital Auricular defects
Congenital malformations to the external ear ran=
from deformities of the pinna, including auricular atr=
to stenosis of the external auditory canal. These abnormalities include
Prominauris is one o=
f the
most common congenital defects that occur in 5% of the population. It is autosom=
dominant in inheritance and is described as a protrusion of the auricle gre=
than the normal auriculocephalic angle (> 30=
-40o). It is known to be a function of on=
e or a
combination of the following defects: a poorly developed antihelical fold (=
common) or formation of excessive conchal cartilage (next common). Poor development of the antihelix =
to no definition between the conchal cavity and the sc=
fossa resulting in lateral projection of the upper portion of the helix.
Prominauris has a we= ll documented psychological influence. Studies comparing data before and after corrective surgery for promi= nent ears reveal improved QOL, improvements of self esteem, decreased psychosoci= al anxiety, and decreased anxiety states, specifically in children. As school-aged children are more l= ikely to suffer the psychological consequences of peer ridicule, it is recommended that the ideal age for surgical correction, or otoplas= ty, should occur between the ages of 5-6 years. Further, at this age, children are= about to or have recently started attending school and are able to participate in their own postoperative care.
Acquired Auri= cular defects
Acquired defects of the auricle include those th= at result from trauma and iatrogenic defects resulting from surgical excision specifi= cally with cutaneous malignancies and the resulting d= efect after Moh's surgery.
Given the superficial location of the auricle, i= t is vulnerable to traumatic injury. These include varying degrees of lacerations and injuries from falls, animal bites, car accidents, and sports. In one case series from 1983, human bites were found to be the most common cause of traumatic auricular injury = [1]. A more recent case series found car accidents to be the most common cause of injury [13]. Trauma from burn inju= ry offers a unique challenge. Successful reconstruction of the ear after burn injury depends on the extent of the burn injury and availability of unscarr= ed, healthy tissue to achieve an appropriate construct. However, often times, given the ex= tent of burn injury, this reconstruction is limited by a scarcity of supple, ela= stic skin and fascia. Soft tissue = lost post injury should be classified into the number of tissue layers lost and = the area the ear affected as this will guide surgical repair options.
Moh's microsurgery
Of the non-melanoma skin malignancies, basal cell carcinoma accounts for 21% of neoplasms of the external ear and temporal bone. In the auricle, BCC accounts for 45-90% of malignancies and SCC for 10% of malignancies. The recurrence rates of BCC and SCC are 1 and 5%, respectivel= y. Indications for Moh's surgery include: recurrent or incompletely excised basal ce= ll carcinoma (BCC), squamous cell carcinoma (SCC), lesions located in high-risk areas or embryonic fusion planes such as the eyelids, nose, ear, nasolabial folds, upper lip, vermillion border, columella, periorbital, t= emples, preauricular and post-auricular areas. Other indications are: clinically = and histologically aggressive tumors, tumors in cosmetica= lly or functionally important areas, tumors arising in sites of previous radiation, and tumors in patients with basal cell nevus syndrome. Moh's is particularly useful for recurrent BCC greater than 2cm. Moh's surgery involves gross curettage of tissue followed by excision of the thin tissue planes with identification of residual tumor using light microscopy. This is done until clear margins a= re obtained. Processing of the t= umor in this manner leaves a fresh tissue defect enabling immediate reconstructi= on after complete removal of disease.<= o:p>
Otoplasty is the ter= m used to describe surgical techniques for correction of prominauris. Diffenbach first described a technique for surgical correction of prominauris in 1845 = and since its origin, several techniques have developed but the goals of otoplasty, as described by McDowell in 1968 remain the same; protrusion in the upper third of the ear should be eliminated, the he= lix of both ears should be seen lateral to the antihelix from the front view (failure to do so results in "hidden helix"), the helix should = have a smooth and regular contour, the post-auricular sulcu= s should not be markedly decreased or disturbed, the ear should not be placed= too close to the head (esspecially in males), and t= he contours and positions of the two ears should match closely but not be symmetrical.
Today, surgical techniques are divided into cart= ilage sparing versus cartilage manipulating techniques and those that correct the= absent antihelical fold or reduce the excessive conchal bowl. In 1963, Must= arde first described a cartilage-manipulating technique that restored the antihelical fold using permanent conchoscaphal horizontal mattress suture; in 1968, Furnas described a conchal setback technique using permanent conchomastoidal sutures. Today, these techniq= ues, with some variability based on surgeon, are most commonly used in correctio= n of prominauris secondary to an absent antihelix, excessive conchal cartilage, = or a combination thereof.
Technique of Mustarde
This technique was first described in 1959 by Mustarde as a form of correction of prominauris secon=
to a poorly formed antihelical fold.
This cartilage manipulating technique uses strategically placed
permanent sutures to reform an antihelical fold. This procedure is done under general
anesthesia and perioperative broad spectrum
antibiotics are administered. Antihelical fold markings are created on the
anterior helix. This is done =
exerting gentle pressure on the auricle to fold the sc=
back against the underlying scalp to create a projected antihelical fold. The crest of this fold is marked w=
ith a
surgical marker. With the Mustarde technique, t=
markings with a hypodermic needle and methylene=
(one source reports using India ink) roughly 7mm on either side of the mark=
ed antihelical
fold are made. The purpose is=
this is to guide suture placement on the posterior aspect of the auricle. T=
projected antihelix is then injected with 1% lidocaine=
with 1/100,000 epinephrine to assist with hydrodissect=
freeing the skin from the underlying cartilage.
A fusiform post-auri= cular skin incision is created. Per= Lalwani, it is best to excise more skin from the post= -auricular surface than the mastoid surface in attempts to better conceal the scar in = the post-auricular sulcus. The purpose of excising this ellipse of= skin is to remove the predicted skin excess that results once the ear is retropositioned. Once this fusiform of skin is excised, the posterior skin = is elevated from the perichondrium over the helix, antihelix, and conchal cartilage.
Once the posterior aspect has been addressed, the anterior aspect should be addressed before suture placement. As the anterior skin is tightly ad= herent and hydrodissection from infiltration with local injection is not fully adequate to release the anterior skin, an instrument needs to be introduced into the anterior surface of the ear to release the = skin and allow for access to the anterior cartilage for scoring through the perichondrium. Access to the = ear is done by creating an access point or "slot" at the tail of the h= elix posteriorly. Once this is don= e, access to the anterior surface of the ear is possible and a tunnel over the projec= ted antihelical fold is created (can be done with fine scissors or a Freer elevator). With the Mustarde technique, the car= tilage in this area needs to be weakened to allow for pliability as the fold is created. An abrading tool (otoabrader, nasal ra= sp, Adson-Brown forceps, dermabrader= with a small diamond fraise, etc) is passed into this tunnel and several ge= ntle pass with the tool is used to weaken the cartilage. Care should be taken no= t to over-abrade the cartilage (ie: full thickness cartilage scoring) as this can lead to a sharp-edged antihelix.
Securing of the antihelical fold is done with permanent suture (4-0 Mersilene). Horizontal mattress sutures are pl= aced in the posterior surface from medial perichondrium through cartilage and lateral perichondrium. Extrem= e care should be taken not to pierce the anterior skin. The sutures should be plac= ed perpendicular to the demarcated antihelical fold so when they are tightened= a well-rounded antihelical fold is created.&= nbsp; Further, they should be parallel to the helix at the lateral extent = of the antihelical fold, as the helix and antihelix run parallel in fashion.= p>
Once complete, the wound should be irrigated and= the post-auricular incision should be closed with absorbable suture. Of note, a tension free closure is paramount in this location as it is highly prone to keloid formation. The dressing is important to prevent hematoma formation and it must provide adequate pressure to obliterate any dead space. Pressure facial dressing or mastoid dressings have been suggested with petroleum gauze or antibiotic ointment gauze/cotton applied directly to the ear.
Technique of Furnas
This technique was first described in 1969 by Fu=
as a solution to excessive conchal cartilage seen with prominauris and is o=
done in adjunct with the Mustarde technique.
Three to four permanent horizontal mattress sutu= res (3 or 4-0 Mersilene) are then placed from the late= ral third of the concha cavum and cymba (parallel with the natural auricular curvature) through the cartilage and lateral perichondrium to the mastoid <= span class=3DSpellE>periosteum. Extreme care is taken to not pierce the anterior conchal skin in the process. When these sut= ures are tightened, what was once the wall of the concha will be converted into a longer conchal floor. Again, tension-free closure of the post-auricular incision is important to prevent keloid formation.
Principles of Auricular Reconstruction
Secondary Intention
This is an ideal option for patients who have had previous radiation therapy, are smokers, diabetics, have coagulation disord= ers, or some other form of microvascular compromise = and are poor candidates for grafting to this area as compromise of flap circula= tion is a concern. Patients who have medical conditions that prohibit surg= ery and have absolute contraindications to primary repair are also prime candid= ates for this technique. Defects i= n the concavities of the ear (ie: conchal bowl and triangular fossa) are ideal as these defects heal well and leave a nearly imperceptible scar. Defects o= n the antihelix, a flat area of the ear, can also be amendable to secondary inten= tion with fair result as long as there is underlying cartilage support. Secondary intention is not ideal for defects of the convex areas of the ear, specific= ally the helix, as these result in permanent and obvious notching.
Assessing wound size, skin color, and depth help= to determine cosmetic outcome of secondary intention healing. Smaller defects (1cm or less) heal better than larger ones and form smaller scars when they contract that blend with other skin imperfections. Size of the defect is especially important in darker or tel= angiectatic skin as scar tends to be hypopigmented, thus ma= king a larger scar more noticeable. Likewise, more superficial wounds heal better than deeper wounds in = the same area.
One concern of healing by secondary intention is= a protracted course of healing. This can take several weeks depending on the size = of the defect and can be challenged by a lack of tissue laxity and, given the = poor vascularity of cartilage, presence of exposed cartilage (lacking overlying perichondrium) in the defect. In the case of cartilage exposure, heal= ing can be aided by fenestrating the exposed cartil= age thereby exposing it to the vascular-rich dermis of the posterior auricular skin.
Daily wound care is important and can be viewed,= by some, as a down-fall to this method. The goal is to prevent crusting and drying of the wound that can del= ay healing, worsens scar formation, and de-epithelize areas of new epithelization with debridement of crusting or removal of dry or adherent dressing. Daily dressing changes with an antibacterial ointment applied to the surface is recommended.
Full thickness skin grafts (FTSG)/ Split
Skin grafting is, to some, a preferred option for defects of the conchal bowl and antihelix that are generally < 2.0cm in size. A FTSG is often preferred over a STSG as it tends to be a better color match for defects in the auricle and has a lower potential for contracture. FTSG can be harvested from the contralateral pre or post-auricular skin or = the supraclavicular area. FTSG is a better match than STS= G not just for color, but texture and thickness. Of concern is grafting over area= s of exposed cartilage. It is recommended that areas of conchal cartilage should be excised to allow for well-vascularized area for the graft. Excising this cartilage should not compromise the overall integrity of the structural support of the auricle.<= /p>
This technique was first described by Masson in = 1972 in plastic surgery literature. It has been traditionally used for defects of the anterior conchal cartilage b= ut has been performed by some for defects of the scaphoid= fossa and antihelix. It is a = fasciocutaneous flap vs <= span class=3DSpellE>myocutaneous transpositional flap that involves pedicled post-auricular skin as a= cover for anterior auricular defects. It is believed that the post-auricular muscle and fascia are incorporated into this flap and perforators from the post-auricular artery supply this area. = Defects corrected with this method are usually 2cm or less in size.
To execute this flap, a template is made of the = defect and the auricle is reflected anteriorly to mark the donor site (post-auricu= lar skin including the post-auricular sulcus). This= post-auricular flap is incised, forming an island of skin with a subcutaneous pedicle. A slit incision is begun at that posterior aspect of the defect and carried to the post-auricular sulcus creating a through-and-through defect for pass= age of the flap from posterior to anterior. This incision is extended to the base of the flap and undermining is then carried out in the plane of the mastoid periosteu= m. Once this is complete, the flap and its pedicle are pulled through the inci= sion and laid on the anterior defect and this is closed with fine nonabsorbable sutures. The secondary post-auricular defect is closed primarily.
Antia Buch= condrocutaneous advancement flap
This flap, first described in 1967 by Antia and Buch, is used f= or reconstruction of helical defects of 3 cm diameter or less. In this method,= the anterior skin and cartilage are incised at the base of the helical rim form= ing chondrocutaneous flaps. The posterior skin is not incised; rather the post auricular skin is elevated from the perichondrium and serve= s as a vascular pedicle and preserves the blood supply to the helical rim. The <= span class=3DSpellE>chondrocuntaneous flaps are raised unilaterally or bilaterally (depending on the defect).&nbs= p; Once raised, the ends of these helical margins are re-approximated (directly brought together). Posterior standing cone deformities formed are corrected with Burrow's triangles. Aur= icular height will undoubtedly be decreased with this technique as the length of t= he repaired defect will have been transferred to the pulled-up lobule. If the discrepancy between both ea= rs is marked, then the contralateral ear may need to be augmented with a wedge excision and closure.
Bipedicled "tubed" flap
This flap is used for longer helical rim defects >2.5cm in size. It can be = based in the pre, post, or retro-auricular skin, depending on the location of the helical defect. It is traditionally a three-staged process and begins with raising a bipedicled, tube shaped flap. This fl= ap is adhered over the defect with its pedicles intact. The underlying secondary defect at= the donor site is close primarily. Stage two and three involve separation of one pedicle and insetting = it into the defect and each is done 3 weeks apart.
Banner transpositional flap
This is a supra- or pre-auricular based flap tha=
t can
be used to cover the helical root (proximal helix) or superior helical
rim. Defects of the helical r=
can be covered in a single staged fashion.=
Essentially, a flap is raised in the pre-auricular skin with its base
contiguous with the defect. I=
t is
then secured to the defect and the secondary defect is closed primarily.
Mladik Pocket Principle
This staged principle was first described by
Double lobed flap
An absent lobule can be reconstructed using this
anteriorly-based auriculomastoid flap. A bilobed shaped flap is delineated on the auriculomastoid skin and raised with its base functio=
as the anterior attachment of the neo-lobule. The neo-lobule is formed when=
raised flap is folded in on itself and attached the superior auricle. The
secondary defect is closed primarily.
Complications for auricular surgery can be divid= ed into early (occurs 24-96 hours) and late complications including aesthetic complications based on procedure. = span>Hematoma is one feared early complication as it can lead to skin and/or cartilage necrosis with ear disfigurement. A compliant of ear tightness or pain should prompt inspection of the ear. This complication can be prevented= establishing adequate hemostasis intrao= peratively and using pressure dressings postoperatively.
Infection, evidenced by pain/tenderness and sign= s of inflammation, usually occurs by day three or four. Treatment should be prom= pt to avoid supparative chond= ritis and consists of systemic antibiotics with coverage for staphylococci, streptococci, and Pseudomonas aeruginosa. Chondritis is heralded by signs of obvious infection including severe edema and pain. Treatment will require empiric IV antibiotics, drainage, debridement, and a wound culture to target therapy.
Other early complications include suture extrusi= on, which is of particular concern with otoplasty (= can also be a late complication along with suture granulom= a). Skin necrosis is another complicat= ion resulting from vascular compromise due to pressure necrosis (excessively tightened sutures or tight ear dressings) or inappropriately undermined skin flaps (too superficial). Over-tightened sutures and ear dressings should be avoided. Skin necrosis can be treated reduc= ing pressure over the skin and applying antibiotic topical cream. Similarly, venous congestion of fl= aps arises because the venous outflow is compromise by clot formation or venous= compression. Treatment includes hyperbaric oxyg= en, removal of obstructive sources, or medicinal leeches.
Examples of late complications include hypertrop= hic scar or keloid scar formation. These develop when the wound has healed and are a direct result from wound closure under tension. They are less common than other complications, however. Management of hypertrophic or keloid scars typically involves intralesional steroid injections. Management with exc= ision alone has been shown to yield 45-100% recurrence rate. The best form of prevention is a t= ension free closure.
Aesthetic complications are also late complicati= ons that vary depending on the surgical technique employed. With otoplast= y, some aesthetic complications include a sharp-edged antihelical fold (due to over-scoring of the cartilage) and hidden helix (the helix is position medi= al to the antihelix on a frontal view of the face). With otoplast= y, telephone ear deformity (the upper and lower ear projecting more prominently than the middle ear) results from overcorrection of the middle third of the prominent ear. Reverse teleph= one ear deformity occurs when the mid-auricle protrudes after overcorrection of= the upper and lower ear. Asymmetry between the left and right ear is a general complication of any technique as well as malpositionin= g, a close-fitting auricle, or a collapsed ear. Aesthetic complications are corrected with revision surgery.
Auricular reconstructive surgery encompasses a v= ariety of techniques for congenital and acquired defects. It is important for the surgeon to understand some of the prevalent techniques of surgical repair and have the= m in their arsenal of surgical repair options.&= nbsp; Furthermore, it is my recommendation that the aforementioned techniq= ues along with others be reviewed in conjunction with pictures/diagrams to obta= in a complete understanding of the procedures.
2. Davidson S, et al. Ear, reconstruction and salvage. Retrieved September 20, 2010 fro= m http://emed= icine.medscape.com/article/1288828-overview
3. Fader D, Johnson T. Ear reconstruction utilizing the subcutaneous island pedicle = graft (flip-flop) flap. Dermatol Surg 1999; 25:2-4
4. Gasques J, Godoy J. Psychosocial effects of Otoplasty= in children with prominent ears. Aesth Plast Surg 2008; 32:910-914
5. Hoehn J, Ashruf S. Otopla= sty: sequencing the operation for improved results. Plastic and Reconstructive Surgery 2005; 115: 5e-16e
6. Lalwani, Anil., ed. Current Diagnosis & Treatment=
: Otolaryn Head and Neck Surg. Lange.
7. Mandal A et al. Comparison of cartilage scoring and cartilage sparing otoplasty - A study of 203 ca= ses. Journal of Plastic, Reconstructive & Aesthetic Surgery 2006; 59: 1170-1= 176
8. Nguyen D, et al. Pull-through subcutaneous pedicle flap for an anterior auricular defect. Dermatol Surg 2010 ;36:945–949
9. Owsley, T. Otoplastic surgery for the protruding ear. A= tlas Oral Maxillofacial Surg Clin N Am 2004; 12: 131–139
10. Ray E, et al. Review of options for burned ear reconstruction. The Journal of Craniofacial Surgery 2010; 21: 1165-1169
11. Sclafani A, Mashkevich G. Aesthetic reconstruction of the auricle. Facial Plast<= /span> Surg Clin N Am 2006; 14:103–116
12. Sclafani A, Ranaudo J. Ot= oplasty. Emedicine. Retrieved September 21, 2010, from http://emedi= cine.medscape.com/article/839886-overview
13. Sharma K et al. Auricular trauma and its management. Indian Journal of Otolaryngol= ogy and Head and Neck Surgery 2006; 58:3:232-234
15. Zitelli, J. Secondary intention healing: an alternati= ve to surgical repair. Clinics in Dermatology 1984; 2:92-106


text:
Extreme Wrestler Gets Spikes Pulled Out of His Head Extreme wrestler Abdullah Kobayashi gets spikes pried from his head after a crazy wrestling match. BLOOD WARNING... 11/24/2013 1:12:52 PM 12,925
Insane Body Piercing Bungee Jump After jumping he yells "get me down". Did you really think that wasn't going to hurt? 11/13/2013 11:47:03 AM 5,012
Extreme Japanese Dinosaur Prank How would you react if a giant raptor started chasing you? 8/28/2013 9:44:10 AM 26,605
New Extreme Sport: Trampoline Wall Ok, I found a new hobby. This looks amazingly fun! 12/8/2012 12:00:00 AM 33,108
WTF: Extreme Bass vs Russian Passengers These Russian dudes love blasting some loud bass on their way to the camp site. Holy Sh*t!!!! 10/17/2012 12:00:00 AM 32,086
747 Lifting Off In Place From Extreme Wind I think that plane might be tail heavy. 5/29/2012 12:00:00 AM 24,445

subset: commoncrawl


text:
Garcia signed a Homegrown contract with FC Dallas on June 18, 2013.
2012: Garcia earned ACC Freshman of the Year honors finishing second on the Tar Heels with four goals in 23 games while leading UNC in assists with six. In his lone season at UNC, Garcia was named to the Soccer America All-Freshman First Team, Top Drawer Soccer Freshman Team of the Season and College Soccer News All-Freshman First Team as the Tar Heels advanced all the way to the NCAA Quarterfinals.
2012: Garcia was the leading scorer on the FC Dallas Under-18 squad that won the US Soccer Development Academy National Championship. Danny scored 20 goals in 29 games including a goal in the championship game win over Vancouver. In 2012, Garcia also played three official MLS Reserve League games for FC Dallas tallying one assist.
2011: Garcia finished as the leading scorer on the FC Dallas Under-18 squad that lost to Pateadores in the national championship game. Garcia scored 15 goals in 29 games for the season. Danny also played six official MLS Reserve League games for FC Dallas scoring two goals.
2013: Garcia was a member of Tab Ramos' 2013 FIFA Under-20 World Cup squad. He started the first game of the tournament against Spain and also appeared in the third game against Ghana. Garcia was a huge part of the United States Under-20 squad that advanced all the way to the final of the CONCACAF Under-20 Championships playing four matches including 120 minutes in the 3-1 final loss to Mexico.


text:
Chase H.Q.
The fastest, most thrilling, 3D driving game yet! Take the wheel of your turbo-charged Porsche as you and your partner go in pursuit of dangerous criminals all driving an evil array of souped-up roadsters. TURBO BOOST! Need to catch up in a hurry? Well, just one press of your Turbo Button will leave your eyes in the back of your head! Barrelling through the city streets, along the roughest of dirt tracks and through busy tunnels - if you can hold the line! The low-life can run, but they can't hide...
FAQs, Guides, Cheats, and Secrets
If you're stuck and need help getting through the game, our FAQs and Guides page is sure to help. We have 1 complete FAQ for this game, and 1 total.
If you just want to cheat or find out how to unlock something, our Cheats and Codes page has everything you need. We have 3 cheats for this game.
The Chase H.Q. message board has 2 topics and 2 messages. GameFAQs Answers currently has 0 open questions and 0 answered questions.
And More...
For this game, we also have a page with release details and information, 1 box shot, 4 GameFAQs screenshots. You can track this game and add it to your collection using My Games, and you can find out how to contribute to GameFAQs at Contributor Central.


text:
I'm in Indianapolis on a typical summer business trip, but instead of sitting hunched over my laptop trying to finish a writing assignment, I'm sitting in the bathtub of my hotel room, arms tightly folded, in a frigid mix of ice and water. I glance at my stopwatch perched on the edge of the tub: six minutes and counting. Unfortunately, I'm only halfway through the 12 minutes my coach, Pete Rea, has recommended for my ice bath. It's a Walter Mitty moment: I'm an Olympic athlete and this is nothing for me. But the truth is that the stinging in my legs, which comes before the numbness, is almost unbearable.
"Immerse yourself in it from the waist down for 10-12 minutes," Rea had written in one of his emails. "It is an exercise in pain tolerance."
Indeed, particularly the below-the-waist part.
But, like so many other techniques Rea has been sharing with me, the ice bath delivers a big benefit in a very short time. Rea, the coach-in-residence at ZAP Fitness in Blowing Rock, N. C., says that ice baths speed recovery, help small muscle tears heal faster, and significantly reduce inflammation. With just three weeks to go before the 5K race he's readying me for, the extra recovery is vital.
"They help a ton," says Rea, whose folksy delivery always makes everything seem so simple.
Back in March, Rea, who coaches Olympic trials athletes like Thomas Morgan and Kyle King, agreed to coach me, a runner of no consequence. Although I had some minor injuries over the last few years, my biggest problem was that my training was aimless. At 47, I had become a run-as-you-please athlete, with no set program and no performance goals. When I contacted Rea I was running 15 to 20 miles a week, a mixed bag of easy jogging and a few harder efforts thrown in every once in a while. My personal bests -- 35:34 for 10K and 17:27 for 5K -- had come 20 years earlier. I needed a change. I needed a training makeover.
Phase I: Establishing the Base
In the first two weeks of Rea's program, I ran 20.75 and 26.8 miles on pavement, dirt, grass and even the treadmill. One day each week I did some faster pick-ups on the road, which Rea said were designed to awaken my slumbering fast-twitch muscle fibers.
"David, these pick-ups are not hard," Rea said. "Just moderate gear changes to engage some fast-twitch fiber. Take about 1 minute between each pick-up. Again, not hard. Just a tad quicker."
The key run in this "training-to-train" period was a 5-miler where I had to cut down the pace for each of the last 3 miles, a gauge Rea would use to assess my fitness. The last mile was to be at what he called "ST," or subthreshold: 30 seconds slower than my presumed 10K fitness. He guessed 8:15 or 8:20 per mile was about right, but I ran 7:29, 7:17, then 7:08 and felt pretty good. Rea was encouraged.
"Nice work, David," he told me. "What is particularly interesting to me is that you just did a 3-mile cut-down run at roughly the same tempo that you ran your 10K race last fall. [I had run a 49-minute 10K on Thanksgiving.] I realize we are talking twice the distance, but it says to me that you aren't all that far from fairly good aerobic shape."
Over the next three weeks things got a lot more technical. I read, and reread, the workout plans so I wouldn't forget them when I was out running. Sometimes I brought the printed sheets with me, crumpled in my fist. Over the next three weeks, the longest run moved up from 55 minutes to 70 minutes, and total mileage to the high 20s. But there was more speed training. One session was 5 x 2: 30 with 90-second recoveries; another consisted of 1-minute pick-ups with 4-minute recoveries for the last 25 minutes of a 1-hour run; and the last was a 5-mile test race.


text:
Members visit free all year! Purchase and visit today.
Avoid the line! Print your tickets at home.
Climb aboard the Channel 6 Zooballoon and embark on a soaring-safari. Rise high above the treetops of the Zoo and overlook giraffes and zebras. Elevate to heights of 400 feet and enjoy spectacular views of Fairmount Park and the Philadelphia skyline. Voyages last approximately 10 minutes.
The Channel 6 Zooballoon flies when wind and weather conditions permit. Test flights are conducted each morning with status determined prior to 9:00a.m. Tickets must be purchased on the day of your flight and are available right at the Zooballoon entrance.
Standard size, non-powered, wheelchairs can fit inside the gondola.
Riders under 9 years of age must ride with an adult.
April - November *Weather Dependent; subject to change.*
$15.00 per person or $50.00 for a family of four, when purchased together. Family Deluxe members ride free.


text:
All-area boys cross-country: LaLuzerne rises to the occasion
Daniel LaLuzerne heard the names, years, places and times throughout the cross-country season.
- Nov. 26, 2013
You will be redirected to the page you want to view in seconds.
Daniel LaLuzerne heard the names, years, places and times throughout the cross-country season.
Nobody worked harder than Lisa Baeten for this moment.
Green Bay Preble junior Daniel LaLuzerne earned first-team all-state honors from the Wisconsin Cross Country Coaches Association this week.
Standing under the medical tent is not where the Green Bay Notre Dame girls cross-country team wanted to be on Saturday.
Daniel LaLuzerne couldn't remember much of anything about the second half of the WIAA Division 1 boys state cross-country race on Saturday at the Ridges Golf Course.
Lisa Baeten was one place short of qualifying for the state cross-country meet last year.
After crossing the finish line last Saturday, Oconto Falls junior Mike Friedman watched his teammates follow and knew they had accomplished their goal of qualifying for the WIAA state cross-country meet as a team.
Join Our Team!
If you are interested in working for an innovative media company, you can learn more by visiting:
Gannett CareersMost Popular
View the last seven days
See our paid archives for news older than a week.
Things To Do
See all Events
Customer Service
Buy and sell
Special Sections


text:
Tweet |
Follow Us on Facebook Get updates from FaveCrafts.com posted directly to your News Feed. |
How To Create 14 Sparkly Craft Projects Using Krylon Glitter BlastBonus: Get our newsletter & special offers for free. We will not share or sell your email address. View our Privacy Policy |
Party Hat TutorialBy: Cecilia for So Tei-Tei For a child's birthday party, these hats will be a huge hit. They're easy to make with the Party Hat Tutorial. Learn how to make a hat with this easy craft idea from Cecilia Jorcin. Materials: Instructions:
Related Products to Buy from CutRateCrafts.com - save 15-30%Your Recently Viewed ProjectsLove these projects? Get MORE delivered to your Inbox – FREE Click Here! |
What's HotTop Party Time ProjectsSomething worth saving?
Free eBooks


text:
Parental Guidance Recommended for Younger viewers.
Director: | Alfred Hitchcock |
Actors: | Grace Kelly, Ray Milland, John Williams, Anthony Dawson, Patrick Allen, Robert Cummings, Robin Hughes, Leo Britt, George Leigh, George Alderson |
When American writer Mark Halliday visits the very married Margot Wendice in London, he unknowingly sets off a chain of blackmail and murder. After sensing Margot's affections for Halliday, her husband, Tony Wendice, fears divorce and disinheritance, and plots her death. Knowing former school chum Captain Lesgate is involved in illegal activities, Tony blackmails him into conspiring to kill Margot. When she kills Lesgate in self-defense, Tony implicates her as being guilty of premeditated murder. Halliday must out-stratagize Tony to save Margot's live.


text:
We took our 3-yr and 1-yr old daughters and had a wonderful late summer break, staying in Villa 9 for five nights. The garden was relaxing - beautiful flowers, dappled light under ancient olive trees, pretty birds and wonderful pink light in late afternoon. The pool was very nice too, offering shade and direct sun most of the day. And... More
- Official Description (provided by the hotel):
- Located in a very pleasant area, only few minutes from the two most beautiful Golf of Marrakesh, the Akhdar's Villas (Private Domain/Estate). Private swimming pool, TV LCD-DVD, Air conditioning, Clubhouse, Tennis court, … Everything is ready for great holidays. Free shuttle for Marrakesh city. ... more less


text:
Dean is a dating advice expert. And as an expert, we all know that it's important to stay current with all of the hottest dating trends. So this is why I have enlisted myself in some of today's top dating sites around the world. It's not because I am looking for love, of course. And it's not because I am trying to get myself into some serious relationship. I am on these dating sites strictly for the purpose of conducting research. After all, I am Dean and dating is what I do.
As I am sure that you can imagine, as an expert in my field (and someone who also happens to have a great smile and hair) I get lots and lots of emails each day from boys who are asking me out. Some of these emails are fairly normal; some are even witty. But I am sad to report that most of the emails and messages that I receive are quite frightening.
Today's post is a small glimpse into a day in the life of Dean's top dating contenders. Below are some responses that I have thoughtfully composed in my head but never took the time to actually send out.
Dear man with the Mullet who won't stop contacting me,
You have a mullet. Dean doesn't date men with mullets. Please stop contacting me. I find you especially weird.
Dear Wealthy Foreign Painter,
Although I find it impressive that you have found a way to retire at the ripe age of 36 (and drive a Porsche), there is still something about you that I find odd. Perhaps it's that you spend the majority your days painting naked women. But more importantly, I think it's the fact that you stated in one of your emails to me that you couldn't paint one particular woman quite yet because you were waiting for her pubic hair to grow in. This is an especially weird thing for you to admit to me in an email. I now think that you are a freak and I don't ever want to date you.
Dear Guy who uses especially big words and who wants to be my pen pal,
I appreciate that you think that you and I "might be able to shed light upon the other's dating perspective, for the purposes of personal edification". And I understand that you have no interest in dating me but would rather share with me a, "robust, no-holds-barred pen pal relationship". But I am not looking for a pen pal. This is a dating site. You are supposed to want to date me. I think that you should ask some other girl to be your pen pal.
Dear Masturbator,
I think it's gross that you just masturbated to one of my online profile photos. I don't want to date you and I would now like to report you to the police. You should be arrested.
Dear Guy who used a photo of Hugh Grant as your profile picture,
Something tells me that you are not really Hugh Grant's identical twin. Although I do find you VERY attractive in "your" photo, I am guessing that in real life you are probably some personal identify thief and this scares me greatly. Please don't contact me again….unless in real life you really do look and sound like Hugh Grant.
Dear Guy with no Photo who can't speak English well,
Although I appreciate that you added me to your favorites list and "sended me many massages", you have no online photo and you do not speak English well. I haven't responded to your "massages" because I am not interested. Trust me. I have received all your "massages" to date but I do not want to "talk to you" as you are insisting that we do. Please offer your "massages" to someone else.
Online dating can be a wonderful thing if at the end of the day it brings two fairly normal people together for the purpose of finding love. But in a lot of ways, I find that online dating is more a collection of weirdos than anything else. If you're looking for real love, hit up any of the places that I recommend in my post "Dean's Best Places to Meet a Guy". If you're looking for entertainment (or a freak show), online dating might be the better bet.
Either way, Dean wishes all of her readers the best of luck in finding love. Even you, Mr. Mullet! And you, too, Mr. Wannabe Pen Pal! Because at the end of the day, everyone deserves to have a little love in their lives. Even if you are some crazy freak, just remember, there's most likely some perfect little freak out there who's waiting especially for you to contact her. So in the mean time, stop writing to me (please) and start focusing your attention on her. Because at the end of the day, it'll bring us all just a little bit closer to finding love.


text:
Take the college student survey to share your opinions about your school and be entered into a $1,000 scholarship!
Currently Viewing: All Majors • Business • Finance and Accounting • Taxation
Taxation students are taught to provide tax advice and management services to individuals and corporations. This involves courses in tax law and regulations, tax record systems, individual and corporate income taxation, tax planning, partnerships and fiduciary relationships, estates and trusts, property depreciation, capital gains and losses, dispositions, transfers, liquidity, valuation, and applications to specific tax problems.


text:
As pretty as it is comfortable! Hipster panty offers full back coverage and a low rise fit. Features wide waistband, a lovely yarn-dye striped print and satin bow.
You May Also Like
- 95% cotton, 5% spandex
- Imported
- Machine wash in cold water, gentle cycle.
- Do not use chlorine bleach.
- Tumble dry at low temperature.
- Iron at low setting.
- Can be dry cleaned.


text:
All Content | RSS | |
View all podcasts & RSS feeds |
OpinionMore 'dark money' will influence politics in Michigan if Snyder doesn't veto
The Environment ReportGo lake trout! Native fish overcome seemingly 'insurmountable' challenges in Lake Huron
Politics & GovernmentIn his farewell speech Bing says, 'I will remain involved in Detroit's transformation'
Ongoing Coverage:
Podcasts & RSS Feeds
Connect with Us
Most Active Stories
- Former Detroit broadcaster was inspiration for 'Ron Burgundy'
- Muskegon is home to America's tallest, singing Christmas tree
- Pressure builds on Michigan Football as Athletic Department's budget grows
- Why this 20 year old is getting a mastectomy, and why she's not alone
- Michigan Republican party fails to address Dave Agema's bigotry and hatred
Now Playing
Loading stream...
Michigan Voices
Public Insight Journalist
Essay/Analysis: Sports Commentator
Host, Stateside with Cynthia Canty
Mid Michigan Reporter/Producer
Sarah Cwiek - Detroit Reporter/Producer
News Director
Morning Edition Producer
Investigative Reporter
Assistant News Director
Essay/Analysis: Political Commentator
MPRN Capitol Reporter
Host - Middays
Reporter / Producer - Michigan Public Radio Network
Auto Reporter/Producer
Host - Morning Edition
West Michigan Reporter/Producer
Arts & Culture Reporter/Producer
Host - All Things Considered
Reporter/Producer - The Environment Report
The Two-Way
9:19 am
Fri March 23, 2012
Michigan State is first no. 1 seed to be bounced
By Mark Memmott
Originally published on Fri March 23, 2012 7:55 am
Tough defense by Louisville led to the defeat Thursday night of Michigan State in the NCAA men's basketball tournament, NPR's Mike Pesca said earlier on Morning Edition.
The Spartans, who lost to Louisville 57-44, are the first of the four No. 1 regional seeds to be sent home.
Syracuse, another No. 1 seed, managed to hang on with a 64-63 win over Wisconsin. In Thursday's other two games, Florida beat Marquette 68-58 and Ohio State thumped Cincinnati, 81-66.
Play resumes tonight to see which other teams make it into the "Elite Eight."
Among the many places to see the bracket: CBSSports.com.
Copyright 2012 National Public Radio. To see more, visit http://www.npr.org/.


text:
Multiple sources told MSG Varsity that St. Patrick, the oldest parochial high school in New Jersey which housed one of the most storied basketball programs in the United States over the last two decades, will close at the end of the year.
This shocking news comes during a turbulent time in which the financial backing of Catholic education in the tri-state area has grown increasingly unstable.
"This is a sad day for the St. Patrick community," school principal Joe Picaro said. "It's sad for the alumni, parents, students and faculty."
St. Patrick, located in Elizabeth, is the third big-time basketball school in the last three years to announce its folding. Paterson Catholic closed in 2010, and Rice of New York City closed last summer due to a mountain of financial issues.
"The basketball landscape has changed dramatically over the last three years. Basketball as we knew it for the last 20 years has changed," MSG Varsity's Mike Quick said. "St. Patrick had the ability to make this time of year very special. It's a big hit."
For the last few years, it had been rumored the school would close its doors or merge with St. Mary. According to one source, the school and the archdiocese met in the fall about the pending issues. The two parties also met Friday, when the final verdict was confirmed.
"It's heart-wrenching. It hurts," St. Patrick athletic director Red Migliore said. "I've been through a lot in my life, and I'll be 76 in July, so I've been around, but this tests your faith."
The Celtics' boys basketball program had risen to the top of the high school landscape over the last 23 years under the direction of former coach Kevin Boyle, the reigning National Coach of the Year.
Boyle had developed several future NBA players, including former Knick Al Harrington, Samuel Dalembert, Derrick Caracter and, most recently, Kyrie Irving, who was selected No. 1 overall by the Cleveland Cavaliers in the 2011 NBA Draft.
He also produced over 100 Division I student-athletes, such as Shaheen Holloway (Seton Hall), Mike Nardi (Villanova), Grant Billmeier (Seton Hall), Corey Fisher (Villanova) and Dexter Strickland (North Carolina). Kentucky's Michael Kidd-Gilchrist and Western Kentucky's Derrick Gordon – also St. Patrick alumni -- are two current freshmen making waves at the NCAA level.
"It's definitely a real blow to the athletic community," MSG Varsity veteran reporter Mike Kinney said. "St. Patrick has been a staple in high school basketball for the last 20 years, but unfortunately it's a reflection of the times. Unfortunately, it's not as surprising as it should be. It's the way things are for small parochial schools.
"St. Patrick served the community well, not just athletically."
In 2010-11, St. Patrick spent most of the winter atop the USA Today Super 25 rankings, but fell to rival St. Anthony in the national championship game last March at the Rutgers Athletic Center.
The highly magnified season was documented in an HBO documentary "Prayer for a Perfect Season", which aired in October 2011, and a recently published book, Celtic Pride: How Coach Kevin Boyle Took St. Patrick to the Top of High School Basketball.
Following the conclusion of the campaign, Boyle left St. Patrick after 23 years to take the head coaching job at Montverde Academy, a boarding school located just outside Orlando, Fla. The 48-year-old won five Tournament of Champions titles with the Celtics and was named the USA Today Coach of the Year in 2007.
Before the Montverde Academy offer was on the table, Boyle once spoke about his fear that St. Patrick might possibly be closing.
"You have concerns. Our school, like a lot of Catholic schools, has had to do a lot of fundraising and different types of things to survive [financially]... It's an issue everybody thinks about," Boyle told MSG Varsity last February.
Chris Chavannes took over as head coach for this season and helped the Celtics maintain their position as one of the Garden State's top teams despite losing all but one player from last year's talent-laden roster.
The first St. Patrick school was established in 1868 by Fr. Martin Gessner and a staff of Sisters of Charity. Twenty years later, an even larger school was erected, but as the parish continued to grow, more construction took place. By 1907, the current three-story building at 221 Court Street was constructed and the institution began a prolonged period of providing education to students from across New Jersey and New York.
"We're a very small school," Picaro said in the HBO documentary, produced by Blowback Productions. "We have a lot of students that come in from inner-city atmospheres and their backgrounds may be that they're below grade level, and we get them up to grade level and beyond."
Picaro also once said, "We have kids who come in as underachievers and leave as overachievers. The success of the people here is amazing."
Contact Brian Fitzsimmons at firstname.lastname@example.com. Follow him on Twitter: @FitzWriter


text:
Existing Customers
Welcome to Barclaycard Commercial and Payment Acceptance. In this section, you'll find everything you need to get the most out of your Barclaycard product or solution.
If you make payments with us, you can download forms to help with managing your account, requesting upgrades and making claims. We've also put together several guides for accepting payments customers, such as troubleshooting tips for PDQ terminals, ePDQ advice and step-by-step help for customers who've recently applied for one of our services.
Barclaycard Commercial
Find out how to manage your business account, update details and deal with unforeseen circumstances like lost or stolen cards.
Our card range
Add a cardholder
- Visa Credit card holder app form
- MasterCard credit card application form
- Corporate charge cardholder application form - where companies settle the bill with us for all cardholders
- Corporate charge card application form - where cardholders settle their bill directly with us with their own funds
- Purchasing card holder application form
- Government procurement form
Change authorised signatories
Our online form allows you to add a director, partner or employee as an authorised signatory.
Insurance policies and making a claim
Customers with Visa and MasterCard credit cards, corporate cards and purchasing cards can make a claim, according to their insurance policies.
If you're unsure about what you can claim for, here are the full policy documents.
Platinum Corporate and Platinum Credit Card Insurance
Business to Business Payment Solutions Insurance
Credit Card and Corporate Card Insurance (former MBNA customers)
Gold Corporate Card Insurance (Irish legal entity only)
Platinum Corporate Card Insurance (Irish legal entity only)
Gold and Platinum Corporate cards for US, Russian and Swiss domiciled subsidiaries
Management information and reporting
Report a lost or stolen card
If you've misplaced your card or been a victim of crime call one of the numbers below according to your card type, 24 hours a day, 7 days a week.
MasterCard and Visa credit card
0844 822 2111
International: +44 (0)1604 269 452
Corporate charge card
0844 822 2111
International: +44 (0)1604 269 452
Purchasing card
0844 822 2125
International: +44 (0)1604 269 452
Government procurement card (GPC Visa)
0844 822 2160
International: +44 (0)1604 269 452
Once you have spoken to our Lost and Stolen team you will need to complete this
disclaimer form.
Upgrade to platinum
If you or your cardholders currently hold a Barclaycard Business Standard Credit Card, we will issue you with a Barclaycard Commercial Gold Credit Card when it expires.
If they/you currently hold a Barclaycard Business Gold Credit Card, we will issue you with a Barclaycard Commercial Platinum Credit Card when it expires.
If you would like to upgrade your Gold Credit Card to our Platinum Product, please call
0844 822 2140 to speak to one of our advisors.
If you or your cardholders currently hold a Barclaycard Business Silver Corporate Card, we will issue you with a Barclaycard Commercial Gold Corporate Card when it expires.
If they/you currently hold a Barclaycard Business Gold Corporate Card, we will issue you with a Barclaycard Commercial Platinum Corporate Card when it expires.
If you would like to upgrade your Gold Corporate Card to our Platinum Product , please call
0844 822 2111 to speak to one of our advisors.
Barclaycard Secure
Security advice for cardholders
More about making payments
Have you considered accepting payments with Barclaycard?
Our products are great for…
- Accepting credit and debit cards, wherever your business and customers are
- Offering customers cash back
- Generating additional revenue with add-on services, such as mobile phone top ups and gift cards
- Taking payments in multiple currencies
- Accepting contactless cards
- Integrating with online shopping carts and other e-commerce solutions
- Every size of business, from market traders to conglomerates
Payment Acceptance
Get more from your terminal or account, with support materials and additional services to offer customers, and protect your business from fraud.
My PDQ; user hints & tips
Bespoke offers
Support Materials
Latest BIN range for point of sale equipment
If you use point of sale equipment, you need to be aware of changes to BIN ranges and rules, so that transactions processed electronically meet Card Scheme regulations. Without up to date information, you may not be able to:
- Identify the acquirer
- Apply the appropriate point of sale rules
- Correctly group transactions for reconciliation.
View the latest UK BIN range rules
View the latest EIRE BIN range rules
Please be aware no Solo transaction should be accepted after 31st March 2011.
Understanding PCI DSS
Read about the Payment Card Industry Data Security Standard, discover how it affects your business and what steps you need to take to comply.
Barclaycard PayTag
Chargebacks and retrievals
Find out how to prevent chargebacks, respond to retrieval requests and minimise financial losses.
Read about internet authentication
Fraud & Security advice for accepting payments
Discover how you could protect your business and customers when accepting payments in person, over the phone, online or via mail order.
More about accepting payments
- Using Authorisations IVR system
- Prepaid gift cards for PDQ terminals
- Mobile phone E-Top Ups for PDQ terminals
- Next steps if you've signed up for authentication
- APACs suppliers
- Bureau services
- Payment services
Have you considered making payments with Barclaycard?
Our products are ideal for…
You need Adobe Reader to view the PDFs. If it's not installed on your computer,
you can download it here for free.
Get Adobe Reader


text:
The construction progress section lets you track the progress of various construction and rehab projects at the Disneyland Resort. Each trip I make to the park I add pictures to the section and over the months/years of the construction you can literally watch the project come to life.
The first section below contains the current projects I am following. Below that are archived projects guests have requested to see and the final section on the page shows our offline archive (you may request any section from there by dropping us an email).
If you have some images to share or a comment drop us an email at email@example.com
I am not actively tracking any new/big projects at the Disneyland Resort... below are some recent projects from DCA that have finishing touches still going on and below that completed projects.
Completed Projects:


text:
Introduction to Logarithms
Concept (1)
To solve rate word problems, knowledge of solving systems of equations is necessary. Rate word problems include problems dealing with rates, distances, time and wind or water current. Other types of word problems using systems of equations include money word problems and age word problems.


text:
We were planning a romantic getaway to Sedona (we got engaged!) but ended up staying at this little cottage instead. It's the perfect location if you are planning on doing wine tasting in Page Springs and Cottonwood and taking the Verde Canyon Railroad or heading up to Jerome. Tom was exceptionally nice and helpful during the reservation process and even... More
- Official Description (provided by the hotel):
- The Blue Heron Guest House is a renovated work shop built at the turn of the twentieth century when Arizona's copper boom was still in its heyday. The owners of the main house on the property maintained the workshop's rustic exterior while fully renovating the interior to provide a charming, cozy hideaway in historic Clarkdale, Arizona, nestled between Mingus Mountain's Jerome and the red rocks of Sedona. ... more less


text:
Article XX-B MLB Free-Agency
Per Article XX-B of the CBA, any player on an MLB Reserve List who has accrued at least six years of MLB Service Time and who is not signed for the following season automatically becomes a free-agent at 9 AM (Eastern) on the first day after the conclusion of the World Series. The player's former club retains exclusive negotiating rights with the player up until midnight (Eastern) on the 5th day after the after the conclusion of the World Series, after-which the player is free to sign a Major League contract (or minor league contract) with any club, including with the player's former club.
Scott Baker, RHP
Kevin Gregg, RHP
Matt Guerrier, RHP
Dioner Navarro, C
An Article XX-B MLB free-agent who signs a Major League contract after 11:59 PM (Eastern) on the 5th day following the conclusion of the World Series receives automatic "no trade" rights that extend through June 15th of the following season, even if the player re-signs with his former club. An Article XX-B MLB Free-Agent who receives "no trade" rights this way can waive the right, but if he does, his club can trade the player only for player contracts and/or cash with a maximum aggregate value of $50,000. Note that a player who signs a Major League contract after becoming a free-agent by any other means (Outright Release, Non-Tendered, or Article XX-D or MLB Rule 55 minor league free-agent) does NOT receive automatic "no trade" rights through June 15th.
If an Article XX-B MLB free-agent signs a minor league contract at least ten days prior to MLB Opening Day, and then is either not released by 12 PM (Eastern) on the 5th day prior to MLB Opening Day or added to an MLB Active List (25-man roster) or MLB Disabled List by 3 PM (Eastern) on MLB Opening Day, the player automatically receives a $100,000 retention bonus, and the player can unilaterally opt-out of the minor league contract on June 1st if he has not been added to an MLB Active List (25-man roster) or an MLB Disabled List by that date.


text:
Here are some screens and a video of my skin titled 'lightbox' currently in development.
It is inspired by the metro design philosophy and uses the foundation skin as a base (many thanks to hitcher!).
This started as a personal project but I've found i have limited abilities in skinning and could really do with some help from the talented coder here!
Team-XBMC Member Posts: 50 Joined: Apr 2009 Reputation: 17 |
2012-02-19 02:45
Post: #1
find |
Team-XBMC Member Posts: 50 Joined: Apr 2009 Reputation: 17 |
2012-02-19 02:45
Post: #2
some more screens
find |
Team-XBMC Member Posts: 8,745 Joined: Jan 2009 Reputation: 133 |
2012-02-19 03:33
Post: #3
very nice!
tree_jammer Wrote:I've found i have limited abilities in skinning you gotta be kidding right? :-) judging by what you've put up here, you're well on your way. Always read the XBMC online-manual, FAQ and search the forum before posting. Do not PM or e-mail Team-XBMC members directly asking for support. Read/follow the forum rules. For troubleshooting and bug reporting please make sure you read this first. |
find |
Donor Posts: 402 Joined: Dec 2008 Reputation: 5 |
2012-02-19 03:50
Post: #4
i love it - i'm really looking forward to seeing this!
find |
Skilled Skinner Posts: 2,408 Joined: Nov 2008 Reputation: 31 Location: Florida |
2012-02-19 03:54
Post: #5
ronie Wrote:very nice! +1 with Ronnie. The animations and transitions look great. Keep on going and just ask for help when you get stumped. Great work! |
find |
Fan Posts: 582 Joined: May 2010 Reputation: 6 |
2012-02-19 04:16
Post: #6
this looks great! very pro. consider adding live tv support, maybe? hehe
love it |
find |
Fan Posts: 430 Joined: Sep 2010 Reputation: 3 Location: Portland, Oregon |
2012-02-19 06:44
Post: #7
Looks great! Keep up the good work. Some pseudoTV support would be cool too.
find |
Dr Gonzo
Junior Member Posts: 44 Joined: Jul 2009 Reputation: 0 |
2012-02-19 06:58
Post: #8
Dear sweet lordy lordy this looks amazing. I'm a huge fan of metro and this is the perfect blend of it and a media center. I hope this comes out soon, definitely my most anticipated skin and one that may be able to pull me away from Fusion .
find |
Member Posts: 87 Joined: Apr 2009 Reputation: 0 |
2012-02-19 09:58
Post: #9
I'm personally not a Metro fan, but this is one freakin' beautiful skin. Don't sell yourself short, you're doing an amazing job.
find |
Skilled Skinner Posts: 10,058 Joined: Aug 2007 Reputation: 73 Location: Eastleigh, UK |
2012-02-19 11:00
Post: #10
Agree with the other guys - for your first skin it's looking really great.
Get stuck, just ask. Retired skinner. |
find |


text:
I've never hidden the fact that I don't think very much of social media or social networks (the social web is another matter) and that for the most part it is nothing more than just another way for marketers to get all slimey and make you believe that social media is the great social changer.
Ya, okay.
With this in mind I came across a book by Ryan Holiday titled "Trust Me, I'm Lying: Confessions of a Media Manipulator" and if there ever was an insider book to read this is it, especially when it comes to social media and blogging. It's an honest look at just how easily the whole blogging industry can be manipulated and a thoroughly enjoyable book to read; even if you do feel like taking a shower afterwards.
You can pick it up on Amazon in print, Kindle, or audio book format; and I don't very often recommend books but if you are a blogger, or even someone interested in social media, you should maybe give this a good read.
Hey, like this post? Why not share it with a buddy?


text:
This is the United Kingdom website
0845 291 4541Find a tour
Our latest brochures are available now, with over 600 adventures for you to choose from.
Gift Vouchers
Send gift vouchers and create fantastic memories with over 600 tours & experiences to choose from. The perfect gift idea for Christmas.
Be the first to hear about great new tours, competitions, special offers and unique departures.
Customer Reviews
Average Rating:
Cycling Coast To Coast C2C
United Kingdom
Tour Duration
Cycling Across Northern England | Cycling Coast To Coast
On this cycling trip we cross the breadth of England on two wheels from Whitehaven on the Irish Sea to Tynemouth on the North Sea. This classic coast to coast challenge cycles through some of the wildest and most spectacular landscapes in the north of England; discovering the dramatic beauty of the Lake District, Eden Valley and the rugged North Pennines.
Tour Highlights
- Coast to Coast - Cycling from the Irish Sea to the North Sea
- Sense of achievement - Cross England by pedal power
- Natural beauty - ever changing scenery from the Lake District across the
- North Pennines
- On your doorstep - A superb and classic cycle route relatively close to
- home
1Join tour Whitehaven
2Cycle through the Lake District
3Cycle across the Pennines
4Cycle to Tynemouth, tour ends Tynemouth
Tour notes
Each departure date has it's own dedicated tour note, detailing all you need to know about that tour. Whether you've already booked, or weighing up your options, please choose carefully the relevant itinerary for you.
We have the following different versions of the Cycling Coast To Coast tour available at present.
Please select a date:
Customer rating
Read reviewsIncluded meals | 3 | 0 | 0 |
Breakfast | Lunch | Dinner |
Tour Staff
Explore Tour Leader / DriverCycling Information
On this tour we cycle 218 km over three days (an average of 73 km per day). Our route follows bike trails along disused railway lines and quiet back roads with some short sections on main roads. Maps are provided to cycle individually or in groups while the tour leader drives the support vehicle. We have graded the route as challenging.


text:
World's Tallest Man To Get Surgery at UVA to Stop Uncontrolled Growth
The world's tallest man comes to Charlottesville today for an operation that doctors believe will stop his uncontrolled growth and prolong his life. Charles Fishburne has more in this Science Matters report.
The world's tallest man is coming to one of the world's finest facilities today, for an operation that could eventually save his life.
27-year old Sultan Kosen has a problem with his pituitary gland, and a sense of humor about it. He says he can see everyone from a long distance, and he's handy for hanging drapes and changing light bulbs.
It was a benign tumor in his pituitary gland that has caused uncontrolled growth and swept him from his small Turkish village to international fame as the tallest living man, according to Guinness World Records, at just over eight feet.
Sheehan: Previously, particularly in his native country and living in a more rural village, his life was a difficult one because of the challenges of his excessive growth and he has gotten some of the best care that has been able to be delivered with standard treatment paradigms.
But it has not been enough. Tomorrow, Dr. Jason Sheehan will perform gamma knife surgery on him in what could be his last, best hope.
Sheehan: His prognosis of achieving a cure after gamma knife radiation surgery is about 60 to 70 percent and then an additional 20 to 30 percent will go on to achieve improvement but not a complete cure, but slowing down the overproduction. That slowing down of the overproduction of the pituitary, excess pituitary hormone, may allow for medical management to control the rest.
Sultan has already had two conventional operations and extensive drug therapy, but gamma knife surgery is something altogether different.
Sheehan: Yes, it delivers radiation into the brain in a way that overcomes the resistance of tumors to radiation, like conventional radiation, yet it does so with the precision that is down to a quarter of a millimeter.
The University has been a world leader in gamma knife surgery.
Sheehan: The gamma knife itself, we've had one of the longest track records; we were the fifth center in the world to adopt this technology 22 years ago. Since then, we've upgraded the technology of the unit itself many times. We currently have the most state-of-the-art device, but I would say that it's not just the device, but the expertise of the team that has led to our ability to shape current treatment paradigms.
It uses radiation, not a scalpel, for precision surgery that reduces the length of hospital stays and rehabilitation, reduces damage to healthy brain tissues and surgical complications.
Sheehan: Not that we're gonna be able to reverse his height, we are not, but we are gonna hopefully be able to stop his growth from progressing any further.
It is ironic that the malady that has caused Sultan Kosen so much suffering has also brought him worldwide recognition and support that has made his medical journey possible.
Sheehan: He's really come to our attention because of the contact and support that he's gotten through the Guinness Book of World Records manager, Kelly Garrett. Kelly Garrett is fluent in a number of languages, Turkish being one of them, and she's become very close to Sultan; a friendship has developed and Kelly has gone to great lengths to make sure that Sultan has the best opportunity to lead a normal life. He'd like to return to Turkey and he has all of his family living in Turkey; he would like to resume a job that he has in Turkey, as well as to begin a family.
Dr. Jason Sheenan performs the operation tomorrow at UVA that he hopes will make that happen for the world's tallest living man, Sultan Kosen.
Charles Fishburne, WCVE News


text:
June 30, 2010
Anthony Terrell Brown, 32, died Saturday, June 19, 2010.
Funeral services were Saturday at Pilgrim Rest Church with Rev. Anthony Brown officiating. Burial followed at Robertson Cemetery under the direction of Century Funeral Home.
Mr. Brown was born Jan. 14, 1978 in Hinds County to Chet Matthews and Clementine Brown. He was employed by W.S. Red Hancock.
Survivors include his wife, Rhonda Tubbs-Brown; three sons, Ron'drikous, Anthony Jr., and A'marion, all of Yazoo City; five daughters, Antaniya, Daisher, Ashley, Starr and Angel Brown of Jackson; mother, Clementine Brown; father, Chet Matthews, two brothers, Kim Brown and Corey Brown of Yazoo City; and a host of other relatives and friends.
Serving as pallbearers were Ronnie Tubbs, Lamont Johnson, Mario Posey, Larry Beasly, Jermaine Jones and Edward Thompson.
Honorary pallbearers were Kim Brown, Corey Brown, Andrew Wyatt, Dustin Wadford, Marquell Rance and James Rance.
Doris Jean Dorman, 78, died Friday, June 25, 2010 at King's Daughters Hospital.
Funeral services were Sunday at the Stricklin King Funeral Home Chapel with Rev. Ken Lynch officiating. Burial followed at Vaiden City Cemetery.
Mrs. Dorman was born May 28, 1932 in Isola to Drewery and Maudie Jackson Taylor. She was a retired cosmetologist and a Baptist.
Survivors include her husband, Lamar Dorman of Yazoo City; two sons, Randy Dorman of Yazoo City and Darrell Wood of Jersey City, N.J.; granddaughter, Laura Leigh Dorman of Vicksburg ; and a sister, Ruby Foster of Isola.
Serving as pallbearers were Thomas Stricklin, Harry Simmons, Dan Ables, Rick McGowan, John Overby and Steve Vandevere.
Phyllis Ann "Billie Ann" Eldridge, 68, died Friday June 25, 2010 at Winona Manor.
Funeral services were Sunday at Kilmichael Baptist Church in Kilmichael with Rev. Gary Jackson officiating. Burial followed at Friendship Cemetery under the direction of Oliver Funeral Home of Winona.
Miss Eldridge was born March 17, 1942 in Yazoo County to George and Maybelle Guthrie Eldridge. She was a member of Kilmichael Baptist Church.
She was preceded in death by her brothers, Alton J. Eldridge Sr. and George Eldridge.
Survivors include a host of nieces and nephews.
Memorials may be made to the Kilmichael Baptist Church Youth Fund or to the Kilmichael Group Home.
Emmett P. Jones Jr., 86, of Germantown, Tenn. died Sunday, June 27, 2010.
Visitation is Thursday from 9-10 a.m. at High Point Funeral Chapel, 3788 Summer Avenue. Funeral services are Thursday at 11 a.m. in the chapel at the West Tennessee Veterans Cemetery, 4000 Forest Hill-Irene Road.
Mr. Jones was born in Memphis and was a veteran of the U.S. Army, having served in WWII and of the U.S. Air Force Reserve, having served in the Korean War.
He graduated from Mississippi State University, where he was a member of Alpha Tau Omega fraternity, and was the executive vice-president and comptroller of National Trust Life Insurance Company.
He was preceded in death by his sister, Johnnie Channel Murphy.
Survivors include his wife of 55 years, Virginia Cherry Jones; three children, Emmett Paul Jones III (Sue), of Alpharetta, Ga., Ginger Beanblossom (Mark), of Memphis, and Frank Jones, of New York City, NY; grandson, Mark Beanblossom, Jr.; sister, Pauline Jones Ladshaw, of Tupelo; and a host of family and friends.
Memorials may be made to the charity of the donor's choice.
Mary Ella Rodgers, 76, died Sunday, June 27, 2010 at Hospice Ministries in Ridgeland.
Funeral services were Tuesday at Light House Pentecostal Church with Rev. Doug Humphreys officiating. Stricklin-King Funeral Home was in charge of arrangements.
Mrs. Rodgers was born Dec. 28, 1923 in Vicksburg to Jacob C. Dose Sr. and Frances Mozelltintol Dose. She was a waitress and a member of Lighthouse Pentecostal Church.
She was preceded in death by her husband, Robert Lee Rodgers; a son, Otto Wayne Rodgers and two daughters, Virginia Taylor and Lona Mae Herron.
Survivors include a son, Jesse Lee Rodgers of Bentonia; three daughters, Mozell Barnes of Prescott, Ariz., Grace Irene Gallagher of Eden and Christine Cousins of Redwood; a sister, Vivian Evans of Georgia; 15 grandchildren and nine great-grandchildren.
Ruby E. Whisenton, 57, died Thursday, June 17, 2010.
Funeral services were Thursday at Bethel A.M.E. Church with Rev. Ken Jones officiating. Burial followed at Glenwood Cemetery under the direction of Century Funeral Home.
Mrs. Whisenton was born July 1, 1952 to Elmer and Doris Whisenton. She attended St. Francis High School until it closed and graduated from Yazoo City High School in 1970. She then graduated from Alcorn State University with honors.
She retired after teaching in the Yazoo City Municipal School District for 30 years, where where she taught at Annie Ellis Elementary and Webster Elementary.
Survivors include her mother, Doris Triplett; a brother, Dexter Triplett Sr. (Donna) of Copperas Cove, Texas; and a host of other relatives and friends.
Serving as pallbearers were James Patrick Woolfolk, Howard Fox Sr., Howard Fox Jr., Devie Freeman, Isaiah Collins, Joe Blackmon, Larry Gordon, Claude Collum and Dwayne Jones.


text:
Instructions to change your password should arrive in your inbox in a few moments.
Enter your email address below and we'll send you an email with instructions to create a new password.
Send Password
According to his owner, "Mikey is a rescue dog, he's well-behaved, gentle, social and cuddly! She just can't get enough of him and his adorable-ness."


text:
I recently stayed at this property. I won't again. The initial interaction with the reservation desk was not good - - certainly no desire to be helpful. The breakfast area was dirty - - tables not wiped and no one else in the eating area. The chairs are quite disgusting. It would be a simple matter of steam cleaning them... More
- Also Known As:
- Holiday Inn Express Rapid City Hotel Rapid City
- Holiday Inn Express Rapid City Hotel
- Holiday Inn Rapid City
- Rapid City Holiday Inn
- Official Description (provided by the hotel):
- The Holiday Inn Express Hotel Rapid City is centrally located in the heart of Rapid City's regional medical hub. Many facilities including the Rapid City Regional Hospital, Black Hills Regional Eye Institute and Cancer Care Center are within walking distance. For your convenience, the hotel offers shuttle service from the regional airport to the hotel. Pets under 30 lbs. are welcomed. Pet rooms are located on the 3rd floor. Pets are not to be left unattended in the guest rooms at any time. The hotel features include the Express Start complimentary deluxe continental breakfast, HBO, an in-room safe, coffee pots, free local phone calls and high-speed wireless Internet access. Visit Rapid City, SD and stay smart at the Holiday Inn Express Hotel. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Expedia, IHG, Travelocity, Orbitz, BookIt.com, Cheap Tickets, Priceline, Hotels.com and Venere so you can book your Holiday Inn Express Rapid City reservations with confidence. We help millions of travellers each month to find the perfect hotel for both holiday and business trips, always with the best discounts and special offers.


text:
12/18/2009: Sudan on brink of new war, diplomat warns - Baptist Press |
http://www.bpnews.net/BPnews.asp?ID=31911 Earlier this month, members of Congress and a bipartisan commission called on the Obama administration to take decisive action regarding what they described as an emboldened dictatorship in Sudan. The House of Representatives members, as well as commissioners of the U.S. Commission on International Religious Freedom, called for more engagement with Sudan after Khartoum's Islamic regime cracked down on peaceful protesters and members of the opposition party in the National Assembly. Tags: |


text:
FROM THE ROXWORTHY COLLECTION. BEAUTUFUL GROUND UP RESTORED VICTORIA. SOLID, CLEAN UNDERSIDE. FANTASTIC BODY WITH A HIGH QUALITY PAINT THROUGHOUT. NEW CHROME, RESTORED TRIM.... More
1955 Ford Fairlane glasstop Crown Victoria,a correct 64B car from Arizona,finished in Tropical Rose and Raven Black,with a matching interior.It features the original power... More
- Very solid and straight Colorado car- Original colors of Buckskin and Snowshoe White- Rebuilt mechanicals with many receipts- Original radio- Original sheet metalTo... More
FORD: 1955 Fairlane 2-door club sedan, 292 wide block engine, 3-speed on the column shift, red/white exterior, new red/white interior, $18,000. Ralph, 801-368-9125, UT.... More


text:
Hotels.com에서 제공하는 해당 호텔 사진이 아직 준비되지 않았습니다.
2013년01월11일, Hotels.com 고객 이용 후기
이 고객님은 의견을 남기지 않았습니다.
2012년08월10일, Hotels.com 고객 이용 후기
이 고객님은 의견을 남기지 않았습니다.
"리조트이용요금이뭡니까?"2012년01월02일, Hotels.com 고객 이용 후기
잠만자고 유료 해양스포츠를 갔다왔는데요 또 숙박비 외에 리조트 이용요금이 붙네요 무료주타 무료인터넷 명시해놓고 물어보니까 와이피이나 주차비가 붙는다는데 똑바로 명시하지않고 에매하게해서 비싼 숙박비에 또 이런것까지 받아야합니까?
2011년10월09일, Hotels.com 고객 이용 후기
이 고객님은 의견을 남기지 않았습니다.
이 호텔에는 장애인 편의 시설이 제공되지 않습니다. 이 시설이 지원되는 객실을 예약하시려면 다른 호텔을 선택해 주세요.
표시된 요금은 요청하신 성인의 수를 객실당 성인 1명 또는 2명 기준으로 산출한 것입니다. 성인, 어린이, 간이침대 및 부대 물품을 추가할 경우 체크인 시 추가 요금이 발생할 수 있습니다.
표시된 요금은 객실 예약 가능 여부에 따라 변경될 수 있으며 호텔 측이 부과하는 추가 세금이나 요금이 포함되지 않았을 수 있습니다. 일부 요금의 경우, 별도의 확인이 필요합니다.
"nice quaint b&b"
had a great time at the westwinds. had a problem with the bed first night but was resolved next day. will stay there again.검증된 Hotels.com 숙박객 이용 후기
This is a lovely little haven away from the (great) craziness of Key West. . . and oasis in the midst! The pools were inviting, the breakfast just great and to be in such a great location was wonderful! You can walk to everything from here. . . and while we did have a car, it remained parked on the street, very secure, but walking is the way to go! […] We will return to Key West and we will return to the Westwinds! Don't miss this plae! 더 보기검증된 Hotels.com 숙박객 이용 후기
"Nice location. Clean facility."
Very pleased with location, cleanliness, price. Tried to book for next year at same time but need to wait until closer to time to get a good price.검증된 Hotels.com 숙박객 이용 후기
"Cute, quaint, close to bars!"
The office staff was very nice. Room was small, but just right for what we needed, a place to sleep and shower. Would definitely stay here again.검증된 Hotels.com 숙박객 이용 후기
We had a great weekend in Key West and the Westwinds Inn was a beautiful place to stay. The surrounding gardens are so serene and it was perfect distance to Duval and Downtown Key West. Would definitely stay there again.검증된 Hotels.com 숙박객 이용 후기
GREAT PLACE. 10 MINUTE WALK TO DUVAL.검증된 Hotels.com 숙박객 이용 후기
"Very pleased"
I totally enjoyed this place..very clean..very nice.검증된 Hotels.com 숙박객 이용 후기
"Relax and enjoyable moment."
A really nice site, close to downtown, easy walk. Site was perfect, price affordable, feel you're like at home. Service, decor, staff kindness, what else to ask! Excellent breakfast, next to the pool in the backyard nature. Will suggest to m'y friends.검증된 Hotels.com 숙박객 이용 후기
Great location, super clean and really cute!검증된 Hotels.com 숙박객 이용 후기
"I would stay there again"
Friendly staff; close to Duval Street; close to the bike shop; great 2 pools; breakfast: ; Overall a great experience!검증된 Hotels.com 숙박객 이용 후기
The hotel is very well located, a short walking distance from the all the point of interest of the city (the Pier and Duvall street mostly). Nice little breakfast by the pool which is very interesting. Great quality/price ratio and we were really pleased by our stay. On the down side, the person at the reception was not really friendly, bordering rudeness, […] made us feel like we were disturbing him and was answering in a monotone voice. But that's the only down side, which once you get over it, you can enjoy your stay, cause the real fun is enjoying the city and what is has to offer. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Close to Public Shuttles $2 or $.50 Senior Fare"
Very Accommodating and informed about events and eateries around town. Walking distance to Old Town or take shuttle to arts District and To/ From Airport $2.50 /$.50 Senior검증된 Hotels.com 숙박객 이용 후기
"Quaint hotel in good location"
Ideally situated for Duvall Street. Near enough to walk but far enough away to miss any partygoer noise. Our room was tiny, but we did go for the cheapest option. It was clean and tidy and the bed was comfy. There were no tea or coffee facilities other than at breakfast. The bathroom was separated from the bedroom by a louvered door, so I would only […] recommend this room for people who were in a long term relationship, because you can hear ( and smell) everything that goes on in there !good choice of breakfast, pools were lovely and it was very peaceful. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Easy In---Easy Out"
Took the Key West Express and was pleasantly suprised to find the Westwinds very close to the terminal. It was also just a short walk to the downtown region of Key West. Everything was close at hand. The room was adequate and comfortable. The constant vibration of the a/c wall unit could either be a distraction or sleep aid depending on your level of […] annoyance. The staff was very friendly and helpful. All in all a wonderful place to stay. I would highly recommend. 더 보기검증된 Hotels.com 숙박객 이용 후기
"close to all must-see sights"
Westwinds is a very nice place to stay in KW.I love the place and would stay there again no questions about it. The only thing I was very let down with was the Continental Breakfast, you would think after spending as much money as we did for the place the breakfast would have been better.The coffee was so bad I poured it out, The Honeydew melon they […] had have no sweetness or favor what so ever, the hard boil egg was raw in the middle and the egg white was so stuck to the shell I coundn't peel the shell off without wasteing half of the egg. All employees there were great. Just fix the CB and you've got a winner! 더 보기검증된 Hotels.com 숙박객 이용 후기
mattress needs to be replaced - it is sagging already. reception and breakfast service is excellent검증된 Hotels.com 숙박객 이용 후기
our stay was wonderful, wish we would have more time in Key West검증된 Hotels.com 숙박객 이용 후기
"Not great"
Sadly we were disappointed from the moment we entered the lobby. We've stayed at b and b's so expected warmth and charm. Not here. Greeting was less than enthusiastic and room was average at best. We did not get room serviced one day which was a surprise. Breakfast is a cold buffet but get there before they run out of juice and fresh fruit. No yogurt […] offered at all. Bus the table yourself. Same pastries and breads everday. Pool nice. Quiet. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Clean and well maintained"
We were very pleasantly surprised to find the room very clean and well stocked and maintained. Although small, there was plenty of room for my 6'8" husband and I. The location is ideal as it is away from the noiser parts of Duval Street. The walk to Duval Street was pleasant and interesting and not too taxing. The staff was very nice. We will return […] when we are in Key West again. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Nice room but tiny"
Room was quaint but tiny- ok since our stay was only one night but would want something with more room for longer stays. Bed was comfortable. Make sure to check room size before booking. Also man who checked us in was less than friendly, as if our being there was a bother. We will try a different place next time.검증된 Hotels.com 숙박객 이용 후기
"We'll be back"
Perfect location for a visit to Key West. Reasonably priced as Key West inns go. Clean and well maintained. Friendly attentive staff. Beautiful gardens surrounding 2 pools. Lounge area including a small library and kitchen. Coin operatored laundry. Towels were kind of thin and worn, but adequate. Window AC unit is a bit loud, but does the job. A little […] off the beaten path so it's quiet but within walking distance to all the sites of Old Town Key West. 더 보기검증된 Hotels.com 숙박객 이용 후기
Wonderfully tranquil setting with the complement of being within walking distance to Duval Street and Mallory Square. Hope to return for a longer stay in the future.검증된 Hotels.com 숙박객 이용 후기
"Good location, nice room and pool in Key West"
Booked Westwinds last minute, a short walk to the marina, 5 blocks to Duval St, nice secluded pool. Bed was comfy.검증된 Hotels.com 숙박객 이용 후기
"good location"
good hotel for short stay. short easy walk from express ferry and central location. Room clean and adequate for our stay.검증된 Hotels.com 숙박객 이용 후기
The staff were friendly and helpful. They made it better.검증된 Hotels.com 숙박객 이용 후기
We stayed for 3 nights and its a great, quiet place to just relax. Its a little bit of a walk to Duval so we rented bicycles at Eaton bikes which is about a minute walk from the hotel. They also provide a free breakfast and it was great. Everything is fresh. They have bagels, toast, cereal, fresh fruit and amazing pastries!. We will definately stay […] here again!! 더 보기검증된 Hotels.com 숙박객 이용 후기
"Solid choice for a Key West visit"
My husband and I enjoyed staying at the Westwinds during our first visit to Key West. We had a great upstairs room that was in a building almost all to ourselves (the inn is made up of several buildings). There were many interesting looking rooms there, and two little pools that are nice escapes from the heat. It was enough away from Duval St that it […] was quiet, but within about a 10 minute walk to the main action. The breakfast was fine and the service helpful. I loved the bed we had too. Overall, I would recommend this hotel and would likely stay there again on a future visit. 더 보기검증된 Hotels.com 숙박객 이용 후기
"The Westwinds"
Perfect location, near the Fort Myers ferry and the main action of Key West. Would definitely stay here again.검증된 Hotels.com 숙박객 이용 후기
"Key West - Spring break!"
I wanted to take a childhood friend of mine to Key West for a short visit. I had visited Key West several times but this was her first visit. I travel frequently both in US and internationally so I am an experienced traveler. I was primarily looking for a small B&B near Duval but would be far enough away that the Spring Breakers wouldn't keep us up […] all night. The hotel is really just a 5 minute walk from Duval & very near Mallory Square and so it suited us very well. (We ladies are both in our mid-fifties and felt very safe walking by ourselves at night back to our hotel since there are many people out and about in the side streets.) The hotel was very charming and had a small but nice private pool. Breakfast is lovely in the morning by the pool with the local newspaper available for free. If you are looking for a hotel with all the amenities, this is not the hotel for you. It is not near any public beaches but if you know anything about Key West, the beaches are not really why you go there (very, very small beaches). But if you are looking for a friendly hotel that reflects the charm of Key West than this is the ideal place. We had a first floor room with two twin beds, flat screen TV, dresser, small fridge and a updated, clean bathroom (the rooms are small so don't expect much else). The overall hotel is very well kept and has a friendly staff. There is a laundry room (needs coins), vending machines (soda and water), a small lounge, changing area/shower with towels near pools and even a small but well stocked library. It was very well worth the trip. I would certainly go back again. 더 보기검증된 Hotels.com 숙박객 이용 후기
"booked for two nights - only stayed one"
refer to check-in details. if one were to stay at the westwinds it would have to be good weather and the room should be as far from the front door as possible. Thebuffet breakfast is outside apart from a small area covered by a awning. The food is somewhat limited; most other guests I met on that drizzly morning treated the facilities as a bit of a […] joke. Because of the noise in my room and because of the manner of the reception staff - pretty uncaring about my plight - I felt I had no alternative but to pack up and find another hotel. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Weekend at Westwinds"
Nice quaint hotel close to the ferry dock and the harbor walk. Very good service received from the office staff. Room was small, but all that we needed! Very nice pool areas(one heated) and breakfast was light and plenty. We would stay there again.검증된 Hotels.com 숙박객 이용 후기
"Key West til meget rimelig pris"
Perfekt udgangspunkt for på gå-ben at udforske det centrale Key West - bilen parkeres til rimelige penge i nærliggende p-hus검증된 Hotels.com 숙박객 이용 후기
keskeinen sijainti, hyvä. Suihku ei toiminut kunnolla, suihkutila pieni, suihkun ovi ei pysynyt kiinni. Ilmastointi laite piti kovaa meteliä. Henkilökunnan palvelua töykeää, vieraileimme aikaisemmin Napleksessa ja siellä aivan eri palveluasenne, ihmiset ystävällisempiä. Aamupala henkilökunta hyvää. vain yhdet pyyhkeet hotellihuoneessa, missä ne saa […] kuivaksi? 더 보기검증된 Hotels.com 숙박객 이용 후기
"bien placé"
trés bonne impressions, nous avons été reçus très professionnellement, l'hôtel est très bien placé juste un peu éloigné du centre ce qui vous empêche d'avoir le tumulte de Duval Street et de ses alentours.les chambres sont propres du moins la notre et le petit déjeuner servi autour de la piscine est vraiment sympa.검증된 Hotels.com 숙박객 이용 후기
"nice but pricy and small room"
Nice hotel quiet but central location good breakfast. Small room with very small bed. Next to library and kitchen with a locked door between it, so you woke up in the morning hearing breakfast beiing prepared. Nice pools and staff but a pitty we could not get breakfast earlier then 08.00 am. So we had to leave without it the second day. Pricy for what […] you get but that is in all of Key West. 더 보기검증된 Hotels.com 숙박객 이용 후기
"Wunderschöne Anlage"
Alles wunderbar.검증된 Hotels.com 숙박객 이용 후기
"trés correct"
Hotel trés correct au centre d'une zone commerciale. Parfait pour une étape.검증된 Hotels.com 숙박객 이용 후기
"Un nid douillet au prix Key West"
Accueil très sympathique. Chambre devant l'hôtel, à côté de la réception, bruyant le matin (voitures sur la route et clients au check-out). Petit déjeuner satisfaisant avec des fruits! Chambre très bien décorée mais assez étroite, sdb très petite. Lit 190x140cm.검증된 Hotels.com 숙박객 이용 후기
Standard Zimmer ist sehr klein, bei Regen ist Frühstücken nicht möglich.검증된 Hotels.com 숙박객 이용 후기
"Tranquillité et dépaysement total à westwind"
Hôtel plein de charme et soigné Leger effort à faire pour l'accueil : le sourire검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
이 고객님은 의견을 남기지 않았습니다.검증된 Hotels.com 숙박객 이용 후기
본 사이트에 포함된 이용 후기 및 평가는 고객 및 공급업체의 주관적인 의견이며 Hotels.com의 입장을 표현하거나 반영하지 않습니다. Hotels.com 또는 이용 후기 컨텐츠를 제공한 개인 또는 업체는 이용 후기 사용으로 인해 발생하는 모든 종류의 손해에 대해 책임을 지지 않습니다.