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 Showing 1-16 of 16 Articles
Case Report/Case Series 
Jessica Collins, MD, FRCSC; Joshua Harvey, BS; John M. Hilinski, MD

Importance  The use of gauge earrings causes earlobe defects and, at times, significant contour distortion. Simple closure leads to inadequate results in most cases. We describe a stratified approach to assessing the earlobe deformity as well as specific reconstructive techniques tailored to each type of deformity to ...

Original Investigation 
Donald B. Yoo, MD; Grace Lee Peng, MD; Babak Azizzadeh, MD; Paul S. Nassif, MD

Importance  A practical technique for reducing infectious complications from rhinoplasty would represent an important surgical advance.

Objectives  To describe the microbial flora of patients undergoing septorhinoplasty and to evaluate the role of preoperative and postoperative antibiotic prophylaxis.

Design, Setting, and Participants  We performed a retrospective ...

Original Investigation 
Jacob K. Dey, BS; Lisa E. Ishii, MD, MHS; Patrick J. Byrne, MD; Kofi D. O. Boahene, MD; Masaru Ishii, MD, PhD

Importance  To date, there have been no studies attempting to measure the multidimensional impact of facial lesions, before and after reconstruction, on social conversation.

Objective  To measure the direct social impact of facial lesions before and after surgical reconstruction.

Design, Setting, and Participants  Prospective randomized ...

Original Investigation 
Jee Hye Wee, MD; Min-Hyun Park, MD, PhD; Sohee Oh, PhD; Hong-Ryul Jin, MD, PhD

Importance  Although autologous rib cartilage is a preferred source of graft material in rhinoplasty, rib cartilage for dorsal augmentation has been continuously criticized for its tendency to warp and for high donor-site morbidities. However, no meta-analysis or systemic review on complications associated with autologous rib cartilage use ...

Original Investigation 
Haena Kim, MD; Julio Gallo, MD

Importance  Despite the advantages and reduced recovery time of ablative fractional photothermolysis, patients still seek adjuvant treatments to reduce healing time and facilitate their return to normal social and work activity. Platelet-rich plasma (PRP) has been used for many applications in various surgical fields for its ability ...

David B. Hom, MD
This Viewpoint discusses the importance of helping patients feel comfortable during awake procedures and offers several suggestions to enhance care in these situations.
Original Investigation 
Susan L. Tan, BHSc, MD; Michael G. Brandt, BSc, MD; Jeffrey C. Yeung, BHSc, MD; Philip C. Doyle, PhD; Corey C. Moore, MD, MSc

Importance  In youth, facial aesthetic units flow together without perceptible division. The face appears as a single dynamic structure with a smooth contour and very little if any shadowing between different anatomical regions. As one ages, facial aesthetic units slowly become distinct. This process may be a ...

Original Investigation 
Peter C. Revenaugh, MD; Michael A. Fritz, MD; Timothy M. Haffey, MD; Rahul Seth, MD; Jeff Markey, MD; P. Daniel Knott, MD

Importance  Minimizing morbidity when performing free flap reconstruction of the head and neck is important in the overall reconstructive paradigm.

Objective  To examine the indications and success rates of free tissue transfer using small-caliber facial recipient vessels and minimal access incisions.

Design, Setting, and Participants  ...

Shaun C. Desai, MD; Jordan P. Sand, MD; Jeffrey D. Sharon, MD; Gregory Branham, MD; Brian Nussenbaum, MD
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  Reconstruction of the scalp after acquired defects remains a common challenge for the reconstructive surgeon, especially in a patient with a history of radiation to the area.

Objective  To review the current literature and describe a novel algorithm to help guide the reconstructive surgeon in ...

Original Investigation 
Dane Michael Barrett, MD; Travis W. Halbert, BS; Caitlin E. Fiorillo, MD; Stephen S. Park, MD; J. Jared Christophel, MD, MPH

Importance  Immediate postreduction imaging is a standard practice in the management of mandibular fractures at many hospitals. However, the literature suggests that postreduction imaging in maxillofacial fractures fails to influence clinical decision making significantly.

Objectives  To determine the cost-effectiveness of different clinical decision pathways regarding postreduction ...

Original Investigation 
Henry H. Chen, MD, MBA; Pardis Javadi, MD; Steven M. Daines, MD; Edwin F. Williams III, MD

Objective  To demonstrate the efficacy and longevity of injectable poly-L-lactic acid as a volumizing injectable in the midface region quantitatively using 3-dimensional (3-D) imaging.

Design, Setting, and Participants  Prospective study assessing changes in midfacial volume in 15 women aged between 40 and 60 years using a ...

Original Investigation 
Callum Faris, FRCS; Paul van der Eerden, PhD; Hade Vuyk, PhD

Importance  This study clarifies the pedicle geometry and vascular supply of a midline forehead flap for nasal reconstruction. It reports on the vascular reliability of this flap and its ability to reduce hair transposition to the nose, a major complicating factor of previous forehead flap designs.


Research Letter 
Jungirl Seok, MD; Jee Hye Wee, MD; Hong Ryul Jin, MD, PhD
Rhinoplasty necessitates use of a varied spectrum of techniques tailored to each patient’s anatomic characteristics. To understand and describe surgical techniques better, rhinoplasty surgeons have been using pictorial records instead of text descriptions. However, because paper records are commonly filed or scanned to a personal computer and uploaded to an ...
Original Investigation 
Eva Placheta, MD; Matthew D. Wood, PhD; Christine Lafontaine, MSc; Manfred Frey, MD; Tessa Gordon, PhD; Gregory H. Borschel, MD

Importance  Facial nerve injury leads to severe functional and aesthetic deficits. The transgenic Thy1-GFP rat is a new model for facial nerve injury and reconstruction research that will help improve clinical outcomes through translational facial nerve injury research.

Objective  To determine whether serial in vivo imaging ...

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 ...

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