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Department of Surgery


Joshua C. Demke, M.D.

Associate Professor, Department of Otolaryngology
Associate Professor, Facial Plastic and Reconstructive Surgery


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-Auricul0-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 tone of the skin. Rhytidectomy (face and or neck tightening); Brow lifting, 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



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:


Recent Funding:


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

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

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

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

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

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

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