0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
In This Issue of JAMA Facial Plastic Surgery |

Highlights FREE

JAMA Facial Plast Surg. 2013;15(4):245. doi:10.1001/jamafacial.2013.1550.
Text Size: A A A
Published online

RESEARCH

Alar retraction can result in an unfavorable appearance, as well as leading to collapse of the external nasal valve and accompanying nasal obstruction. Alexander and colleagues conducted a retrospective review of 520 rhinoplasty patients from 2002 through 2005 to further clarify the etiology and treatment of alar retraction. The authors identified 45 patients with alar retraction and report that composite grafting is the most successful treatment for alar retraction (95% correction rate). An algorithm for the treatment of alar retraction is presented at the end of the article.

Correction of the saddle nose deformity presents a challenge to rhinoplasty surgeons, and considerable debate still remains regarding the best techniques to correct it. Hyun and Jang conducted a retrospective review of 91 patients treated for a saddle nose deformity to elucidate the best treatment and characterize treatment outcomes. The authors report that the majority of patients studied achieved an excellent or good appearance postoperatively; however, 22% of patients still had fair to poor outcomes, with a 9% revision rate. A new classification scheme for the varieties of saddle nose deformity is presented.

Infantile hemangiomas are the most common tumor of infancy and most commonly occur in the head and neck. O and colleagues performed a retrospective review of 342 patients diagnosed with infantile hemangiomas of the lips over a 7-year period (2004-2011). The authors report that focal lesions at the lower lip were most commonly encountered. Segmental lesions most commonly involved the mandibular segment (V3). Varying approaches to surgical management are discussed.

Facial reanimation presents significant challenges to the reconstructive surgeon. The workhorse of dynamic facial reanimation has traditionally been the gracilis free flap; however, the gracilis flap is not without disadvantages such as bulk. Alam and colleagues present a preclinical feasibility study of the sternohyoid muscle and its potential use in facial reanimation. The authors report predictable and reliable arterial and venous pedicles, as well as a long motor nerve length that may allow for single-stage cross-facial neurorrhaphies.

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

684 Views
0 Citations
×

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs