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 Showing 1-19 of 19 Articles
Original Investigation  FREE
Peter F. Svider, MD; Michael A. Carron, MD; Giancarlo F. Zuliani, MD; Jean Anderson Eloy, MD; Michael Setzen, MD; Adam J. Folbe, MD

Importance  Although some have noted that malpractice litigation may be “plateauing,” defensive medical practices are pervasive and make up a considerable proportion of the “indirect” costs medicolegal issues contribute toward our health care system. Accordingly, these trends have spurred considerable interest in characterizing factors that play a ...

Original Investigation 
Anthony Bared, MD; Ali Rashan, MD; Benjamin P. Caughlin, MD; Dean M. Toriumi, MD

Importance  In recent years, with the advent of 3-dimensional (3D) imaging techniques, it has become possible to objectively measure rhinoplasty results. However, few studies have used 3D imaging software to assess postoperative rhinoplasty results of the nasal tip.

Objective  To analyze nasal tip volumes of patients ...

Original Investigation 
Eli A. Gordin, MD; Adam L. Luginbuhl, MD; Timothy Ortlip, MD; Ryan N. Heffelfinger, MD; Howard Krein, MD, PhD

Importance  Much has been published regarding rejuvenation of the upper face with botulinum toxin A injection; however, the optimal target tissue layer has not been specifically examined.

Objective  To seek a difference between subcutaneous (SC) and intramuscular (IM) administration.

Design, Setting, and Participants  Prospective, randomized ...

Original Investigation 
Alice Frigerio, MD, PhD; Tessa A. Hadlock, MD; Elizabeth H. Murray, MS; James T. Heaton, PhD

Importance  Facial paralysis remains one of the most challenging conditions to effectively manage, often causing life-altering deficits in both function and appearance. Facial rehabilitation via pacing and robotic technology has great yet unmet potential. A critical first step toward reanimating symmetrical facial movement in cases of unilateral ...

Original Investigation 
Patrick C. Angelos, MD; Tara E. Brennan, MD; Dean M. Toriumi, MD
Includes: Supplemental Content

Importance  It is unknown whether poly-4-hydroxybutyric acid (P4HB)–reinforced superficial musculoaponeurotic system tissue (SMAS) plication techniques will support SMAS imbrication and plication and potentially improve outcomes in rhytidectomy.

Objectives  To evaluate the biomechanical properties (tissue breaking strength, suture tearing force, and stress relaxation) of the SMAS with ...

Original Investigation 
Percy Rossell-Perry, PhD; Evelyn Caceres Nano, SLP; Arquímedes M. Gavino-Gutierrez, MD, MSc

Importance  This study evaluates a technique to estimate cleft severity and tissue hypoplasia in patients with cleft palate. Current classifications are limited to the morphologic characterstics of the clefts. A new classification is proposed in relation to the palatal index, which allows more individualized surgical attention for ...

Ryan S. Jackson, MD; David J. Archibald, MD; Elizabeth Farrior, BS; Edward H. Farrior, MD
The number of ambulatory surgery centers continues to increase, and they are increasingly used by facial plastic surgeons. With their increasing use, it is essential that surgeons are aware of malignant hyperthermia (MH) in order to perform surgery safely.
Original Investigation 
Liqun Li, MD, PhD; Binting Ni, MD; Shengsheng Pan, MD; Yuanshao Lin, MD, PhD
Includes: Supplemental Content

Importance  Incision and buried suture are 2 primary techniques for creating double eyelids. The incision method is suitable for all kinds of eyelids, but operational trauma and prolonged recovery time limit its application. The nonincision approach can shape a natural and vivid crease with a relatively short ...

John S. Rhee, MD, MPH; Corbin D. Sullivan, MD; Dennis O. Frank, PhD; Julia S. Kimbell, PhD; Guilherme J. M. Garcia, PhD
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  A gold standard objective measure of nasal airway obstruction (NAO) does not currently exist, so patient-reported measures are commonly used, particularly the Nasal Obstruction Symptom Evaluation (NOSE) scale and the visual analog scale (VAS). However, questions remain regarding how best to use these instruments.

Objectives  ...

Research Letter 
Xuan Jiang, MD; Da-lie Liu, PhD; Bing Chen, PhD
Because facial aesthetics procedures are trending away from open surgery toward injection surgery, the use of autologous fat has been developed and approved for the correction of facial contour as the newest and most popular dermal filler. Common complications (eg, infections, absorption, asymmetry) are either avoidable or reversible. However, the ...
Original Investigation 
Jonathan K. Lin, BSc; Francis C. Wheatley; Jason Handwerker, MD; Norman J. Harris, MD; Brian J. F. Wong, MD, PhD

Importance  Accurately characterizing nasal septal deviations is valuable for surgical planning, classifying nasal septal deviations, providing a means to accurately perform outcomes research, and understanding the causes of chronic conditions.

Objective  To determine and quantify regions of septal deformity that can be used to develop a ...

Original Investigation 
Ji Yun Choi, MD, PhD; Il Gyu Kang, MD, PhD; Hedyeh Javidnia, MD; Jonathan M. Sykes, MD

Importance  Nasal tip-plasty is one of the most important and difficult parts of rhinoplasty. Three-dimensional positioning of the nasal tip is a vital component in the overall appearance of the tip. The use of a septal extension graft (SEG) is a versatile technique that can supply nasal ...

Surgical Pearls 
Dennis Y. Chua, MBBS; Stephen S. Park, MD
Two-layered, composite grafts from the ear are versatile grafts for full-thickness defects of the lower third of the nose. The 2-layered composite grafts can be tenuous because of their marginal blood supply and the reduced contact surface between graft skin and recipient site. Rees1 first described the use of composite ...
Original Investigation 
Eelam Adil, MD, MBA; Neerav Goyal, MD, MPH; Fred G. Fedok, MD

Importance  To describe clinical parameters for the management of the pediatric patient with nasal anatomical deformity or functional impairment.

Objectives  To review the authors’ experience with corrective nasal surgery in pediatric patients and make recommendations regarding indications for surgery and surgical techniques.

Design, Setting, and Participants...

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 ...

Original Article  FREE
David A. Zopf, MD; Wade Iams, MD; Jennifer C. Kim, MD; Shan R. Baker, MD; Jeffrey S. Moyer, MD

Objective To evaluate the aesthetic and functional outcomes of a full-thickness skin graft and a separately harvested auricular cartilage graft for nasal alar defects created by Mohs micrographic surgery.

Design Twenty patients with deep Mohs micrographic surgery defects of the nasal ala who underwent reconstruction with a full-thickness ...

Original Article  FREE
Jess Prischmann, MD; Ahmed Sufyan, MD; Jonathan Y. Ting, MD; Chad Ruffin, MD; Stephen W. Perkins, MD

Objectives To determine the incidence of and risk factors associated with dry eye symptoms (DES) and chemosis following upper or lower blepharoplasty. To examine the outcomes among long-term blepharoplasty data to better understand the incidence of and risk factors associated with dry eye symptoms (DES) and chemosis, to ...

Original Article  FREE
Amit D. Bhrany, MD; Colleen A. Irvin, BS; Kenji Fujitani; Zada Liu; Buddy D. Ratner, PhD

Objective To evaluate the performance of a sphere-templated poly(2-hydroxyethyl methacrylate) (poly[HEMA]) tissue scaffold as a subcutaneous implant by comparing it with widely used high-density porous polyethylene (HDPPE) implant material.

Design We implanted sphere-templated porous poly-(HEMA) and HDPPE disks into the dorsal subcutis of C57BL/6 mice for 4 and ...

Original Article  FREE
Timothy S. Lian, MD; Andrew Compton, MD; Rebecca Bowen, MD

Objectives To study a cutaneous flap in an animal model for platelet and leukocyte dynamics after ischemia-reperfusion injury and to explain how such a model is relevant to the understanding of reconstructive flaps in a clinical setting.

Methods Cutaneous flaps based on the inferior epigastric artery were raised ...

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