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TTUHSC Lubbock Otolaryngology Faculty Demke


Joshua C. Demke, M.D.

Associate Professor, Department of Otolaryngology
Associate Professor, Facial Plastic and Reconstructive Surgery
Co-Director West Texas Craniofacial Center of Excellence
Co-Director Texas Tech Health Sciences Center Cleft Palate Team

 Patient Appointments:
ENT Clinic : 806-743-4115
Clinic Location:
ENT Clinic: Pavillion 4th Floor
Cosmetic Surgery: Pavillion 4th Floor
West Texas Craniofacial Center of Excellence
Web Page:
TX Facial Plastic and Reconstructive Surgeon


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Associate Professor of Surgery, joined Texas Tech Physicians in 2009. Dr. Demke completed his medical school education at Texas Tech University Health Sciences Center in 2003, and went on to complete his Surgical Residency in Otolaryngology/Head and Neck Surgery at UNC Chapel Hill, North Carolina in 2008. He is a Fellowship-trained surgeon in facial plastic and craniomaxillofacial surgery through the American Academy of Facial Plastic and Reconstructive Surgery from SUNY Upstate Medical University in Syracuse, New York. Dr. Demke, specializing in pediatric and adult congenital deformities, has specialized interest in cleft and craniofacial surgery, ear surgery, nasal surgery, eyelid surgery, jaw surgery, and in reconstruction of facial defects from traumatic injury. In addition to these special interests, Dr. Demke provides multiple facial cosmetic procedures to improve the effect of aging, including Botox treatment.

  Clinical Interests

Reconstruction of pediatric and adult congenital deformities including:

Cleft and Craniofacial Surgery: (Click here to view some before and after photos) cleft lip, cleft palate, Tessier clefts (rare clefts of the face and skull, cranial vault remodeling for craniosynostosis (abnormal head shape from prematurely fused skull sutures {done in conjunction with pediatric neurosurgery}, Lefort I, II, III advancements for facial deformities, monobloc advancement (fronto-facial advancement for syndromic brachycephaly and facial retrusion).  Surgical reconstruction of orbital hypertelorism (box osteotomies or bipartition procedures).  Repair of nasofrontal, nasoorbital, nasofacial encephaloceles (done in conjunction with pediatric neurosurgery).

Ear Surgery: otoplasty (ear pinning for prominent ears), reconstruction of microtia (missing or deformed ears).

Nasal Surgery: traumatic, cosmetic, and functional septoplasty, rhinoplasty, septo-rhinoplasty (nose surgery), complex nasal reconstruction of nasal defects including traumatic, burn, or cancer related.

Occuloplastic Surgery: cosmetic and functional blepharoplasty (eyelid surgery); repair of entropion, ectropion, eyelid cancers, dacryocystorhinostomy and Jones tube placement (endoscopic and open approaches to blocked tear ducts); standard and endoscopic brow lifting; orbital exenteration (removal of eye for advanced sinus, nasal, or orbital tumors); orbital decompression for thyroid orbitopathy (Grave’s disease with exophthalmos); reconstruction of naso-orbito-ethmoid fractures with medial canthal resuspension; reconstruction of orbital trauma including orbital blow-out fractures.

Jaw Surgery: Surgery to lengthen the mandible +/- the maxilla using conventional bone and/or rib grafts in adults, and mandibular distraction osteogenesis in babies and children with hemifacial microsomia (Facial-Oculo-Auricula-Vertebral Spectrum, Goldenhaar’s syndrome), Pierre Robin (small jaw, cleft palate, and airway distress).

Local Flap Reconstruction : Local flaps to repair traumatic or ablative defects of the face often after excision of skin cancers using Mohs excision.

Anterior Skull Base Surgery: endoscopic sinus surgery for chronic sinus infections, anterior skull base lesions, defects including endoscopic approaches to the pituitary gland as well as anterior skull base CSF leaks.

Cosmetic Interests: Aging face procedures including Botox for wrinkles, and injection of fillers to fill deep lines, ablative and nonablative skin resurfacing using lasers to improve facial skin tone, decrease wrinkles, and improve the tone of the skin; rhytidectomy (face and or neck tightening); brow lifting; and eyelid surgery.

  Educational Interests

Member of the American Academy of Facial Plastic and Reconstructive Surgery, American Cleft Palate Craniofacial Association, American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Otolaryngic Allergy, Triological Society; American Laryngological Rhinological Otological Society.

Interested in cleft-related clinical outcomes studies, humanitarian and medical mission trips, medical student and resident teaching.


    • Fellowship:
      Facial Plastic and Craniomaxillofacial Surgery through the American Academy of Facial Plastic and Reconstructive Surgery SUNY Upstate Medical University Syracuse, NY 2008-2009
    • Residency:
      Otolaryngology/Head and Neck Surgery UNC Chapel Hill, NC 2004-2008

  • Medical School:
    Texas Tech School of Medicine 1999-2003



Advanced Cardiac Life Support
American Board of Facial Plastic and Reconstructive Surgery
American Board of Otolaryngology Head and Neck Surgery
New York and Texas Medical/Surgical licenses
ACLS 2007, ATLS 2004
93% on Oral/Written Boards for Facial Plastic and Reconstructive Surgery 2009

Research Interests:

  • Clinical outcomes studies evaluating cleft care
  • Algorithms for management of Pierre Robin Sequence/Syndrome
  • pediatric subglottic stenosis management

Current Research Projects:

Parental Perceptions and infant head shape: What is aesthetically pleasing? Collaborative project with IML to design 3D contructs of different head shapes and then design survey to test parental perceptions. 2015-2016

Retrospective analysis of mandibular trauma between 2009-2014 looking at early vs late surgery and complications and outcomes in each group

Measuring Sound intensities of craniofacial bone cutting devices: A cadaveric study 2015

Teaching Monobloc: LeforteIII osteotomies with and without Image-Guided Navigation: a cadaveruc study 2014-2015

Retrospective analysis of unilateral cleft lip patients comparing length of surgery with NAM (nasoalveolar molding) vs without in effort to objectively look at whether NAM makes cleft lip repair easier. 2014-2015

AAFPRS Core Grant - submitted to analyze porous polyethylene vs. absorbable polymers with and without cartilage seeding in terms of tensile strength and risks of infection and exposure in in-vitro and animal model to assess possible alternatives for auricular reconstruction. 2013

Retrospective series of association between unilateral coronal synostosis and occipital deformity (multi-center), SUNY Upstate and TTUHSC. 2012

The role of teaching: comparing practice patterns in pediatricians before and after an educational symposium on differentiating positional plagiocephaly from Craniosynostosis (multi-disciplinary between TTUHSC pediatricians and surgeons participating in West Texas Craniofacial Center of Excellence).

A Comparison of hand-held audiometric testing available as IPhone application vs. conventional audiometry. 2009-2011

Recent Funding:


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Click here to view some before and after photos of Dr. Demke's procedures.

Demke, Joshua. "My baby’s head looks flat?" By Suzanna Cisneros.  Metro Leaders Newspaper. Web.’s-head-looks-flat/June 6, 2017

Demke, Joshua. "Medical Minute: Ears" Texas Tech Physicians Medical Minute. October 6, 2014

Prominent ears: A facial plastic surgeon's perspective. Lubbock Avalanche Journal. Web. 5, 2014

Demke, Joshua. "for a healthy life...craniosynostosis". KAMC News Heartbeat. November 3, 2013.

Funny-shaped head: When is it normal to be abnormal? Lubbock Avalanche Journal. Web. February 17, 2012.

Birth Defects Prevention Month: Cleft Lip and Palate. TTUHSC Daily Dose. Suzanna Cisneros. January 13, 2012

Demke, Joshua. "Tech Doc: Looking and feeling your best: A facial plastic surgeon's perspective." [Online]. Lubbock Online Lubbock Avalanche Journal. January 29, 2011. February 3, 2011.

Peer Reviewed Publications

Wang JC, Nagy L, Demke JC,. Image-Guided Surgery and Craniofacial Applications: Mastering the Unseen. MaxillofacPlastReconstr Surg 2015Nov21:37(1):43 eCollection 2015 Dec.

Banerjee D, Wang JC, Demke JC,. Novel use of tissue expander for dilation of oropharyngeal stenosis. Int J Pediatr Otorhinolaryngol. 2014 Nov;78(11):2018-20. Epub 2014 Sep 8.

James C. Wang; Steven Zupancic; Coby Ray; Joehassin Cordero; Joshua C. Demke. “Personal Electronic Device Based Hearing Application versus Traditional Audiometry.” Hearing Journal: October 2014- Volulme 67-Issue 10- pp32,34,35.

Latest Trends in Craniomaxillofacial Surgical Instrumentation Curr Opin Otolaryngol Head Neck Surg. 2012 August; 20(4):325-32.

Demke JC, Tatum SA. Analysis and evolution of rotation principles in unilateral cleft lip repair. J Plast Reconstr Aesthet Surg. 2011 Mar;64(3):313-8. Epub 2010 May 24.

Book Chapters

Facial Plast Surg Clin “Syndromic Craniosynostosis” Joshua Demke, James Wang, Laszlo Nagy in submission

Facial Plast Surg Clin North Am 2014 Nov:22(4):523-48. Epub 2014 Nov 8 “Craniofacial Anomalies”Nagy L, Demke JC.

Cummings Textbook of Otolaryngology and Head and Neck Surgery 6th Edition volume III – Chapter 186 "Craniofacial Surgery for Congenital and Acquired Deformities". -Joshua Demke and Sherard A. Tatum III. Pp 2891-2914

Demke, Joshua C; Shockley, William. Advanced Therapy in Facial Plastic Reconstructive Surgery Chapter 18. "Treatment of Naso-orbital ethmoid Fractures" pp 181-193.

Demke, J.C; Ardeshirpour, F; Senior, B.A. Rhinology and Facial Plastic Surgery. Stucker et al. Springer-Verlag Chapter 47: "Powered Instrumentation and Image Guidance Technology: State of the Art" pp 519-526.

Book Reviews

Scientific Presentations

Terrell Bibb, Miles Grant, Phillip Watkins and Joshua C. Demke. “PNAM Decreases Operative Time In Patients Undergoing Primary Unilateral Complete Cleft Lip Repair With Tip Rhinoplasty” AAFPRS Dallas Texas Sept 29-Oct 3rd 2015

James C. Wang, PhD, Terrell Bibb, MS, Debdeep Banerjee, AB, Joehassin Cordero, Joshua C. Demke, Jane A. Colmer-Hamood, Abdul N. Hamood. “Predominance of Anaerobes in Polymicrobial Ear Fluid and PE Tubes” American Academy of Otolaryngology-Head and Neck Surgery, Dallas, TX, September 27-30, 2015

Covenant Children’s Pediatric Perspectives: Best Practices in Pediatric Midland Memorial Hospital: The Diagnosis and Management of Congenital and Acquired Head Shape Deformities May 2, 2015

Terrell Bibb; Chase Hansen; James C. Wang; Suzanne Graham; Joshua C. Demke; Tam Nguyen. “Rare Spindle Cell Carcinoma of the Nasal Cavity Initially Presenting as Leiomyosarcoma.” American Rhinologic Society COSM Boston, MA April 22-26, 2015

Mark Thompson, Charles Saadeh, Joshua C. Demke,. “Reducing Blood Loss and Transfusion with Epsilon-Aminocaproic Acid During Craniofacial Reconstruction Surgery in Infants and Children” Society of Pediatric Anesthesia Phoenix, AZ March 14, 2015

Debdeep Banerjee, AB; Charles Saadeh; Laszlo Nagy; Joshua C. Demke. The Various Presentations of Sagittal Craniosynostosis and Scaphocephaly: A Case Series. September 18,2014 Orlando,FL

Joshua C. Demke, Banerjee D. “Novel of Use of Tissue Expander for Dilation of Oropharyngeal Stenosis" American Society of Pediatric Otolaryngology Meeting. Las Vegas, Nevada May 2014

Joshua C. Demke, Natalie Gaines. "Trismus: an uncommon complication of Buccal mucosal grafting." Society for Urodynamics and Female Urology, Miami, Florida March 1, 2014

Joshua C. Demke, James C. Wang, Laszlo Nagy, Joehassin Cordero. Image Guided Surgery and Craniofacial Applications: Mastering the Unseen American Academy of Facial Plastic and Reconstructive Surgery Meeting Washington DC September 5-8, 2012.

Timing and Management of Cleft Lip and Palate: A Primary Care Perspective. 36th Annual Pediatric Postgraduate Conference, Lubbock, Texas, August 18, 2012.

The Funny Shaped Head: Craniosynostosis vs. Plagiocephaly. 35th Annual Pediatric Postgraduate Conference Allumni Meeting, August 20, 2011.

Unilateral Cleft Lip Repair: University of North Carolina Chapel Hill Fisher Society Alumni meeting. June 4, 2011.

The Aging Face: Looking Your Best at Any Age, Symposium of Women’s Health TTUHSC, May 25, 2011.

Cleft Lip Repair: Closing the Skin, Does it Matter How? 113th Annual Meeting at COSM May 1, 2010, Las Vegas, Nevada