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 Showing 1-20 of 30 Articles
Original Investigation 
Eric Gray, BS; Marlon Maducdoc, MD, MBA; Cyrus Manuel, BS; Brian J. F. Wong, MD, PhD
Includes: Supplemental Content

Importance  Palpation of the nasal tip is an essential component of the preoperative rhinoplasty examination. Measuring tip support is challenging, and the forces that correspond to ideal tip support are unknown.

Objective  To identify the integrated reaction force and the minimum and ideal mechanical properties associated ...

Original Investigation 
Caroline A. Banks, MD; Nate Jowett, MD; Charles R. Hadlock, PhD; Tessa A. Hadlock, MD

Importance  A universal, health care professional–graded scale for facial assessment would be a useful tool for reporting, comparing, and assessing facial function among patients with facial paralysis.

Objectives  To correlate scores of an assessment tool, the eFACE scale, with expert-rated facial disfigurement and to determine the ...

Original Investigation 
Robert A. Gaudin, MD; Mara Robinson, PT; Caroline A. Banks, MD; Jennifer Baiungo, PT; Nate Jowett, MD; Tessa A. Hadlock, MD

Importance  Most rehabilitation specialists and many facial reanimation surgeons use the Sunnybrook Facial Grading System (FGS) to measure and detect changes in facial function. The eFACE, an electronic and digitally graded facial measurement scale, was recently created to provide similar information to the Sunnybrook FGS, but with ...

Original Investigation 
Cyrus T. Manuel, BS; Tjoson Tjoa, MD; Tony Nguyen, BS; Erica Su, BS; Brian J. F. Wong, MD, PhD

Importance  The prominent ear is a common external ear anomaly that is usually corrected through surgery. Electromechanical reshaping (EMR) may provide the means to reshape cartilage through the use of direct current (in milliamperes) applied percutaneously with needle electrodes and thus to reduce reliance on open surgery....

Research Letter 
Phillip R. Langsdon, MD; Jared J. Tompkins, MD; Ralph C. Goodman, MD

This review examines whether patients with hypothyroidism are at increased risk for prolonged edema after face-lift surgery.

Original Investigation 
Nicholas Paul, BS; Kelton Messinger, BS; Yuan F. Liu, MD; Daniel I. Kwon, MD; Cherine H. Kim, MD, PhD; Jared C. Inman, MD

Importance  To perform and teach septorhinoplasty, one must have a principled understanding of the mechanics of the nasal septum. The thickness of the L-strut and how it changes septal strength have not been adequately quantified, yet calculating septal strength based on changes to thickness and size is ...

Surgical Pearls 
Jeremiah P. Tao, MD; Roberto Murillo Limongi, MD

An external short-incision technique for surgical midface aesthetic rejuvenation is evaluated and described.

Original Investigation 
Mondhipa Ratnarathorn, MD; Tatyana A. Petukhova, MD, MS; April W. Armstrong, MD, MPH; Audrey S. Wang, MD; Thomas H. King, MD; Daniel B. Eisen, MD

Importance  The process of Z-plasty scar revision breaks up a linear scar into multiple parts with the purpose of camouflage and improvement of the cosmetic appearance of surgical scars. Although this postulation guides the practices of many reconstructive surgeons, few studies support improved aesthetic outcomes.

Objective  ...

Invited Commentary 
Samuel M. Lam, MD

Perception of a cosmetic result by a lay bystander should be the endgame of any aesthetic surgical endeavor. Too often, we judge aesthetic results by our own academic, esteemed criteria without regard to how that person is perceived by the public at large. Simply put, does the individual ...

Original Investigation 
Emmanuel J. Jáuregui, BA; Neelima Tummala, MD; Rahul Seth, MD; Sarah Arron, MD; Isaac Neuhaus, MD; Siegrid Yu, MD; Roy Grekin, MD; P. Daniel Knott, MD

Importance  The paramedian forehead flap (PMFF) donor site scar is hard to disguise and may be a source of patient dissatisfaction.

Objective  To evaluate the aesthetic outcome of W-plasty vs traditional straight-line (SL) closure techniques of the PMFF donor site.

Design, Setting, and Participants  A ...

Comment & Response 
J. Regan Thomas, MD

To the Editor In a recent issue of JAMA Facial Plastic Surgery, Rosko et al1 provided an excellent patient presentation of their treatment of a large scalp defect measuring 8 × 7.5 cm, which they treated with a double-rotation flap described as an O-Z repair. An excellent result ...

Comment & Response 
Jeffrey S. Moyer, MD

In Reply We would like to thank Dr Thomas1 for illustrating the excellent results that can be obtained with conservative treatment of scalp defects secondary to Mohs dermatographic surgery. We agree, that in the appropriately selected and counseled patient, that granulation can produce an excellent result in ...

Original Investigation 
Jacob K. Dey, BS; Lisa E. Ishii, MD, MHS; Andrew W. Joseph, MD, MPH; Jennifer Goines, BS; Patrick J. Byrne, MD, MBA; Kofi D. O. Boahene, MD; Masaru Ishii, MD, PhD

Importance  The impact of facial defects on quality of life as perceived by society and the value society places on facial reconstruction are important outcomes measures.

Objective  To measure the health state utility and dollar value of surgically reconstructing facial defects as perceived by society.

Design, ...

In the past 5 years, health care cost containment strategies have proliferated at an unprecedented rate in an effort to limit health care's gross domestic product footprint.1 The Medicare Authorization and CHIP Reauthorization Act (MACRA), which repealed the Sustainable Growth Rate Formula, includes far-reaching provisions to improve ...

Research Letter 
Dane J. Genther, MD; Leslie R. Kim, MD, MPH; Myriam D. Loyo, MD; Kofi D. Boahene, MD

This cadaver study assesses the feasibility of a transposed flap consisting of the corrugator supercilii muscle–tendon unit to repair a paralyzed medial ectropion.

Original Investigation 
Emily Spataro, MD; Jay F. Piccirillo, MD; Dorina Kallogjeri, MD, MPH; Gregory H. Branham, MD; Shaun C. Desai, MD

Importance  Estimates of the rate of revision septorhinoplasty and the risk factors associated with revision are unknown because the current published literature is limited to small, retrospective, single-surgeon studies with limited follow-up time.

Objectives  To determine the rate of revision for septorhinoplasty surgery and to determine ...

In this issue of JAMA Facial Plastic Surgery, Spataro et al1 discuss several limitations of the current literature on revision septal and rhinoplasty surgery. Although these studies have been informative in many ways, the body of research is, for the most part, retrospective in nature, representing ...

Research Letter 
Robert S. Schmidt, MD; Lucy L. Shi, BA; Anita Sethna, MD

This Research Letter examines the extent to which the AAFPRS members use online streaming media and their opinions on this novel tool for continuing postgraduate education.

Original Investigation 
Berke Ozucer, MD; Yavuz Selim Yıldırım, MD; Bayram Veyseller, MD; Selahattin Tugrul, MD; Sabri Baki Eren, MD; Fadullah Aksoy, MD; Omer Uysal, MD; Orhan Ozturan, MD
Includes: Supplemental Content

Background  Edema persists for months after rhinoplasty. Numerous modalities have been described to counteract postoperative edema.

Objective  To evaluate the effect of postrhinoplasty taping (PRT) on nasal edema and nasal draping.

Design, Setting, and Participants  In this randomized clinical trial, 57 patients undergoing rhinoplasty at ...

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