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 Showing 1-20 of 29 Articles
Original Investigation 
Amit Kochhar, MD; Monirah Albathi, MBBS; Jeffrey D. Sharon, MD; Lisa E. Ishii, MD, MHS; Patrick Byrne, MD, MBA; Kofi D. Boahene, MD

Importance  The hypoglossal nerve has long been an axonal source for reinnervation of the paralyzed face. In this study, we report our experience with transposition of the intratemporal facial nerve to the hypoglossal nerve for facial reanimation.

Objectives  To determine the feasibility and outcomes of the ...

Surgical Pearls 
Julie A. Woodward, MD; Nicole Langelier, MD

This Surgery Pearl reports that detailed knowledge of anatomy and careful placement of hyaluronic acid filler can be used to restore volume to the eyebrow, forehead, and superior sulcus to improve appearance and patient satisfaction.

Original Investigation 
Kunal R. Sinha, BS; Daniel B. Rootman, MD, MS; Babak Azizzadeh, MD; Robert A. Goldberg, MD

Importance  Understanding the prevalence and clinical features of eyelid malpositions in facial nerve palsy (FNP) may inform proper management of patients with FNP and supplement our knowledge of eyelid physiology.

Objective  To describe eyelid malposition in FNP.

Design, Setting, and Participants  In this retrospective cohort ...

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

Importance  Estimates of the 30-day hospital revisit rate following septorhinoplasty and the risk factors associated with revisits are unknown in the current literature. Surgical 30-day readmission rates are important to establish, as they are increasingly used as a quality care metric and can incur future financial penalties ...

Original Investigation 
Barclay T. Stewart, MD, MScPH; Lucas Carlson, MD, MPH; Kristin Ward Hatcher, MPH; Abhishek Sengupta, MSc; Richard Vander Burg, RN

Importance  The unmet need for cleft lip and/or palate (CL/P) care in India is significant. However, estimates required for CL/P care program planning are lacking.

Objective  To estimate the unmet need for CL/P surgery in India at the state level.

Design, Setting, and Participants  To ...

Invited Commentary 
Travis T. Tollefson, MD, MPH; David Shaye, MD

Global surgery is an emerging field within the widely known umbrella term of global health. A lack of data on surgically treatable disease states has been the biggest barrier to the necessary support and investments in global surgery. Most public health priorities address specific diseases (eg, malaria, ...

Original Investigation 
Jennifer B. Goines, BS; Lisa E. Ishii, MD, MHS; Jacob K. Dey, BS; Maria Phillis, JD; Patrick J. Byrne, MD; Kofi D. O. Boahene, MD; Masaru Ishii, MD, PhD

Importance  The interaction between patient- and observer-perceived quality of life (QOL) and facial paralysis–related disability and the resulting effect of these interactions on social perception are incompletely understood.

Objective  To measure the associations between observer-perceived disability and QOL and patient-perceived disability and QOL in patients with ...

Surgical Pearls 
Berke Özücer, MD; Denizhan Dizdar, MD

This Surgical Pearl video illustrates a simple and affordable way to provide intraoperative photography and video recording.

Original Investigation 
Sapna A. Patel, MD; Jack J. Liu, MD; Craig S. Murakami, MD; Daniel Berg, MD; Sarah R. Akkina, MD, MS; Amit D. Bhrany, MD

Importance  Same-day Mohs reconstructive surgery is not always possible owing to patient factors, scheduling, and complexity of defect, but there is hesitancy in delaying closure of such defects.

Objective  To describe the frequency of and predictors of complications in patients undergoing delayed facial reconstruction after Mohs ...

Original Investigation 
Jonathan P. Massie, BS; Christopher M. Runyan, MD, PhD; Marleigh J. Stern, BA; Michael Alperovich, MD; Scott M. Rickert, MD; Pradip R. Shetye, DDS; David A. Staffenberg, MD; Roberto L. Flores, MD
Includes: Supplemental Content

Importance  Septal deviation commonly occurs in patients with cleft lip and palate (CLP); however, the contribution of the cartilaginous and bony septum to airway obstruction in skeletally mature patients is poorly understood.

Objectives  To describe the internal nasal airway anatomy of skeletally mature patients with CLP ...

Original Investigation 
James A. Owusu, MD; Leni Truong, BS; Jennifer C. Kim, MD

Importance  Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.

Objective  To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.

Design, Setting, and ...

Surgical Pearls 
Benjamin D. Bradford, MD; Scott A. Asher, MD; Farhad Ardeshirpour, MD

This Surgical Pearl presents a description and video of the technique of securing spreader grafts using barbed suture in endonasal rhinoplasty.

Original Investigation 
Yeon Hee Joo, MD; Yong Ju Jang, MD, PhD
Includes: Supplemental Content

Importance  Dorsal augmentation material includes alloplastic implants and autologous tissues. However, there has been no comparison to date of dorsal augmentation using different materials performed by the same surgeon.

Objective  To compare the aesthetic outcomes and complications of dorsal augmentation using expanded polytetrafluoroethylene (ePTFE) and autologous ...

Invited Commentary 
Dane M. Barrett, MD, MBA; Tom D. Wang, MD

Dorsal augmentation is an important rhinoplasty technique, particularly in Asian patients. Several options are available for augmentation, including the use of autologous, homologous, and synthetic materials. Currently, no consensus exists regarding the ideal material for nasal augmentation. The available evidence consists mainly of retrospective reviews without direct comparison ...

Original Investigation 
Thomas J. Walker, MD; Dean M. Toriumi, MD

Importance  Alloplastic implants are widely used in facial plastic surgery, both in rhinoplasty and nonrhinoplasty procedures. Implant infection and extrusion are significant concerns of such implants after placement. Bacterial biofilms have been previously implicated in chronic wound infections, particularly in the presence of foreign bodies, such as ...

Invited Commentary 
Wayne Fox Larrabee Jr, MD

Rodman and Kridel1 have addressed a truly important problem in facial plastic surgery—the lack of objective ways to evaluate its outcomes. Rhinoplasty is among the most difficult plastic surgical procedure to perform, and it has a relatively high revision rate. I congratulate the authors on their thoughtful ...

Regina Rodman, MD; Russell Kridel, MD

Importance  Rhinoplasty is known to be one of the more technically challenging cosmetic procedures, with a revision rate of 5% to 15%. Reasons for revisions may range from minor deformities that can be treated in the office to major cosmetic and functional defects that require multiple surgical ...

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 ...

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