We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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. 2014;16(6):387. doi:10.1001/jamafacial.2014.1256.
Text Size: A A A
Published online

Patrocínio and colleagues evaluated the short- and long-term results of the lateral crural steal (LCS) maneuver to increase nasal tip rotation and projection in 22 patients. To accurately compare before and after results, they measured nasal tip projection, length, and rotation and base projection with a digital caliper preoperatively, intraoperatively, and at the 1-, 3-, 6-, and 12-month postoperative periods. They performed the LCS maneuver through a tip delivery approach and after LCS placed a columellar strut. Their measurements indicated that every 1 mm of LCS resulted in a 5° increase in nasolabial angle and a slight but statistically insignificant increase in nasal tip projection.

Saman and colleagues provide the results of a retrospective review of 311 dentate patients who underwent open reduction–internal fixation (ORIF) of 413 total noncomminuted mandible fractures to assess for outcome differences based on whether patients were placed in postoperative maxillomandibular fixation (MMF) (224 patients) or not (189). These patients were retrospectively reviewed and analyzed according to fracture site and complication rate. This comparison demonstrated no statistically significant difference in rates of wound dehiscence, infection, plate removal, nonunion, malunion, and malocclusion between the groups, suggesting that MMF may be unnecessary following mandibular ORIF to achieve excellent occlusion. Application of this technique has the potential to avoid additional surgical risk without decreasing surgical success rates.

Mehta and Gantous retrospectively reviewed incisionless otoplasty performed in 60 children and 12 adults to correct absence of antihelical folds and, in several cases, conchal excess. Most patients (>13 years old) were treated under local anesthesia without skin or soft-tissue excision, using 2 to 4 transcutaneous horizontal mattress sutures placed from the postauricular side to recreate the antihelical fold (consistent with a Mustarde technique). Some patients also had percutaneous conchal mastoid sutures or cauda helicis repositioning sutures. Postoperative dressings were minimal. Complication rates over a mean 30-month follow-up period were comparable with those of open procedures and most commonly related to suture failure, exposure, or granuloma. The overall revision rate was 13%, most commonly for placement of an additional unilateral suture under local anesthesia. Photographs reinforce the authors’ assertion that incisionless otoplasty is a simple and effective option for correction of prominauris.

Lindsay and colleagues share their data from prospective quality-of-life (QOL) surveys documenting preoperative and postoperative scores of 66 patients who underwent successful free gracilis muscle transfer at Massachusetts Eye and Ear Infirmary for smile recreation in cases of flaccid or nonflaccid facial paralysis (NFFP). Preoperative and postoperative Facial Clinimetric Evaluation Scale (FaCE) surveys administered to assess QOL impact showed statistically significant improvements in all groups who underwent successful free gracilis muscle transfers in all groups (flaccid, nonflaccid, masseter nerve, and cross-face anastomosis). The authors comment on the lack of statistically significant difference in scores between masseter nerve and cross-face nerve-grafting patient-perceived QOL outcomes. Despite maintenance of tone, patients with NFFP achieved nearly as high rates of QOL improvement as those with flaccid paralysis, reinforcing the significant morbidity (and potential for improvement) associated with lack of meaningful smile.





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.


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

0 Citations

Related Content

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