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 Showing 1-20 of 21 Articles
Original Investigation 
Lucas G. Patrocínio, MD, PhD; Tomas G. Patrocínio, MD; Daniel M. Barreto, MD; Yasin S. Subhan, MD; José A. Patrocínio, MD, PhD

Importance  Many techniques to increase nasal tip projection and rotation have been described. Some patients complain about aesthetic loss during the postoperative period. The lateral crural steal technique has been used to improve nasal tip rotation, definition, and projection.

Objective  To evaluate the lateral crural steal ...

Original Investigation 
Peter C. Revenaugh, MD; Timothy M. Haffey, MD; Rahul Seth, MD; Michael A. Fritz, MD

Importance  This study describes a reliable technique for mucosal reconstruction of large defects using components of a common free flap technique.

Objective  To review the harvest technique and the varied scenarios in which the anterolateral thigh adipofascial flap (ALTAF) can be used for mucosal restoration in ...

Original Investigation 
Amit Kochhar, MD; Iwen Wu, PhD; Raja Mohan, MD; Alexandra Condé-Green, MD; Alexander T. Hillel, MD; Patrick J. Byrne, MD; Jennifer H. Elisseeff, PhD

Importance  Acquired soft-tissue injury with resultant volume loss may cause significant deformity in size, shape, and body or facial contour. Current autologous fat transfer techniques have several limitations, including availability, donor site morbidity, and unpredictable rates of resorption. We present an extracellular matrix (ECM) biomaterial derived from ...

Case Report/Case Series 
Nicola A. Quatrano, MD; Faramarz H. Samie, MD, PhD

Importance  Burow’s advancement flap is a frequently used and versatile flap in cutaneous surgery because it provides an excellent method for repair of large defects in proximity to free margins. Its execution typically requires excision of 2 standing cones, which increases scarring and flap size. We describe ...

Topics: surgical flaps
Original Investigation 
Sung Bu Lee, MD; Yong Ju Jang, MD, PhD

Importance  Extracorporeal septoplasty (ECS) in rhinoplasty is a useful surgical procedure that can achieve considerable functional and aesthetic improvements in the treatment of a deviated nose. However, to our knowledge, no study has compared the treatment outcomes of ECS with those of in situ septal correction (ISSC) ...

Original Investigation 
Scott Shadfar, MD; William W. Shockley, MD; Gita M. Fleischman, MD; Anand R. Dugar, MD; Kibwei A. McKinney, MD; Dennis O. Frank-Ito, PhD; Julia S. Kimbell, PhD

Importance  Collapse or compromise of the internal nasal valve (INV) results in symptomatic nasal obstruction; thus, various surgical maneuvers are designed to support the INV.

Objective  To determine the effect on nasal airflow after various surgical techniques focused at the level of the INV and lateral ...

Original Investigation 
Alice Frigerio, MD, PhD; Paolo Cavallari, MD, PhD; Marta Frigeni, MD; Alessandra Pedrocchi, MSc, PhD; Andrea Sarasola, MSc; Simona Ferrante, MSc, PhD

Importance  Facial paralysis is a life-altering condition that significantly impairs function, appearance, and communication. Facial rehabilitation via closed-loop pacing represents a potential but as yet theoretical approach to reanimation. A first critical step toward closed-loop facial pacing in cases of unilateral paralysis is the detection of healthy ...

Original Investigation 
Behrad B. Aynehchi, MD; Eric W. Cerrati, MD; David B. Rosenberg, MD

Importance  Exploring methods of potentially improving patient comfort and pain control in cosmetic facial surgery.

Objective  To examine the effects of celecoxib in reducing pain and possible opioid consumption following face-lift surgery.

Design, Setting, and Participants  We reviewed the medical records of 100 patients: 50 ...

Surgical Pearls 
Dennis Y. Chua, MBBS; Stephen S. Park, MD
The alar batten graft is the workhorse for functional rhinoplasty and used when there is collapse at the sidewall.1 This graft is used to support the lateral nasal wall and/or lower lateral cartilage and prevent collapse during inspiration. It is not intended to create a major change in resting anatomy, ...
Case Report/Case Series 
Steffen U. Eisenhardt, MD; Nils A. Eisenhardt, MD; Jan R. Thiele, MD; G. Björn Stark, MD; Holger Bannasch, MD

Importance  Free muscle transfer innervated by a cross-facial nerve graft represents the criterion standard for smile reconstruction in facial paralysis. If primary reconstruction fails, a second muscle transfer is usually needed. Herein, we investigated the possibility of avoiding a second free muscle transfer by in situ coaptation ...

Steven B. Cannady, MD; Eben L. Rosenthal, MD; P. Daniel Knott, MD; Michael Fritz, MD; Mark K. Wax, MD
Includes: Supplemental Content, Multimedia: (powerpoint)

Microvascular free tissue transfer is used for complex composite tissue defects in previously treated fields, in particular after treatment of malignant disease. The increasing incidence of skin cancer in the general population has increased the number of patients with massive tumors that require the expertise of the free ...

Original Investigation 
Omar Ahmed, MD; Amrita Dhinsa; Natalie Popenko, BS; Kathryn Osann, PhD, MPH; Roger L. Crumley, MD, MBA; Brian J. Wong, MD, PhD

Importance  There is no universally accepted quantitative metric that defines the ideal nasal tip rotation and projection.

Objective  To identify the ideal nasal tip projection (NTP) and rotation by using 3 classic NTP methods (Crumley 1, Crumley 2, and Goode).

Design, Setting, and Participants  Lateral ...

Surgical Pearls 
David J. Archibald, MD; Edward H. Farrior, MD
Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty because surgeons recognize the failure of fat removal to address the tear trough deformity.1- 4 Analogous to addressing brow ptosis when considering upper eyelid blepharoplasty, patients who present with requests for lower eyelid rejuvenation most often have accompanying ...
Original Investigation 
Haneen Sadick, MD; Michael Huber, MD; Stephen W. Perkins, MD; Heather H. Waters, MD; Grant S. Hamilton III; Ashley G. O’Reilly; Holger G. Gassner, MD

Importance  Direct transcutaneous resection has been a widely accepted standard for the removal of benign forehead lesions. In recent years, the endoscopic approach has become more prevalent because of its noninvasiveness. To date, only a few studies with limited case numbers have reported on this technique. We ...

Surgical Pearls 
Sarju S. Vasani, FRCS(ORL-HNS); Rajesh Anmolsingh, MBBS; Ivor Kwame, MRCS; Charles East, FRCS
Rhinoplasty surgery using diced cartilage grafts has been modified several times since its inception. The “Turkish delight” technique developed by Erol1 includes the insertion of diced cartilage wrapped in Surgicel (Ethicon Inc). However Calvert et al2 reported that graft absorption frequently ensued. Daniel3 therefore recommended the use of a deep ...
Original Investigation 
Timothy M. Haffey, MD; Jennifer M. McBride, PhD; Michael A. Fritz, MD

Importance  The angular artery, its perforating branches, and their zones of tissue perfusion have been described extensively for facial reconstruction. Various cutaneous and mucosal flaps with either anterograde or retrograde perfusion play an important role in facial and oral reconstruction. However, these flaps share the limitations of ...

Research Letter 
William G. Young, MD; Maria J. Worsham, PhD; Christine L. M. Joseph, PhD; George W. Divine, PhD; Lamont R. D. Jones, MD
Keloids are benign tumors of unknown pathogenesis. They extend beyond the boundaries of injury, rarely regress, and are often painful, pruritic, and erythematous.1 Keloid incidences have been reported as high as 16%, especially in patients of African descent.2 The risk of keloid development following head and neck surgery is not ...
Original Investigation 
Linda N. Lee, MD; David F. Smith, MD, PhD; Kofi D. Boahene, MD; Patrick J. Byrne, MD

Importance  Reconstruction of oncologic or traumatic head and neck defects often requires complex planning of locoregional, pedicled, or interpolated flaps. In cases with a higher risk of flap failure, vascular delay with staged reconstruction can help improve tissue perfusion and increase chances of flap survival. An objective ...

Original Article  FREE
Judy W. Lee, MD; Shan R. Baker, MD

Objectives To describe our technique of using septal bone grafts for correction and stabilization of caudal septal deviation and to evaluate the effectiveness of this technique in the treatment of the deviated caudal septum.

Methods A retrospective review of 81 patients who underwent open septorhinoplasty using septal bone ...

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