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In This Issue of JAMA Facial Plastic Surgery |

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JAMA Facial Plast Surg. 2013;15(5):329. doi:10.1001/jamafacial.2013.1265.
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Schell and colleagues provide a retrospective review of 495 facial, nonmelanoma, cutaneous malignancies treated with Mohs micrographic surgery. A review of preoperative lesion size and final Mohs defect were used to calculate the surgical margins. The malignant lesions were categorized as either low risk or high risk. The authors suggest guidelines for margins in cases of primary cutaneous basal cell and squamous cell carcinoma excision.

Lee and Boahene introduce the use of disposable skin punch biopsy instruments for sculpting costal cartilage. The authors report success using these sharp and inexpensive instruments, which have potential to decrease costs and improve cartilage contouring.

Lin and colleagues present their asymmetric, bilateral extension graft technique and evaluate its use in 143 primary and secondary Asian rhinoplasties. The technique is well illustrated, and preoperative and postoperative photographs are provided. Outcomes and complications from an average follow-up of 23 months are presented. The authors advocate use of their technique for support and symmetry and prevention of nasal tip deviation and when less grafting cartilage is available.

Rousseau and colleagues evaluate the effects of cleft lip repair, as described by Dr Jean Delaire, on early maxillary growth. Plaster molds were made of 22 patients with unilateral cleft lip and palate during lip repair (median age, 5 months) and then again during palate repair (median age, 10 months). Digital analysis of maxillary landmarks by 2 examiners demonstrated good reproducibility. The authors discuss their findings that unilateral cleft lip surgery may lead to narrowing of transverse maxillary dimensions while preserving sagittal growth.




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