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 Showing 1-20 of 20 Articles
Original Investigation 
Andrew D. Beckler, MD; Waleed H. Ezzat, MD; Rahul Seth, MD; Vishad Nabili, MD; Keith E. Blackwell, MD

Importance  Complications of partial flap necrosis contribute substantially to morbidity in patients who undergo head and neck reconstructive surgery.

Objective  To assess the usefulness of clinical findings, intraoperative fluorescein angiography, and intraoperative indocyanine green angiography (ICGA) for evaluation of flap skin paddle perfusion in patients undergoing ...

Invited Commentary 
Yadranko Ducic, MD

As experience and widespread use of free tissue transfer has increased for head and neck reconstruction over the past 20 years, success rates have generally stabilized at well over 95% in most experienced surgeons’ hands. Free tissue transfer has clearly been shown to be the standard of care ...

Sydney C. Butts, MD; Elizabeth Floyd, MD; Erica Lai, MD; Richard M. Rosenfeld, MD, MPH; Timothy Doerr, MD

Importance  The control of pain associated with mandibular fractures is an important treatment outcome that affects function, adherence to treatment regimens, and patient comfort and satisfaction.

Objective  To explore the pain management protocols reported in studies of mandibular fractures, including the reporting of quality-of-life measures.

Evidence ...

Case Report/Case Series 
Monte O. Harris, MD; Hema A. Sundaram, MD
Includes: Supplemental Content

Importance  A microfocused ultrasound (MFU) system is a safe and effective aesthetic treatment for tightening and lifting skin in the facial and neck areas. This open-label, nonrandomized trial was performed to further demonstrate the safety of MFU for improving laxity of the skin of the face and ...

People of color comprise approximately 47% of the US population; more than half of the population growth is owing to people who identify as Hispanic, and the Asian population grew faster than any other ethnic group between 2000 and 2010. The white population of the United States is ...

Special Communication 
Tanuj Nakra, MD

Importance  Cosmetic rejuvenation of the lower eyelid-midface complex has evolved as our understanding of 3-dimensional midfacial aging and anatomy has become more sophisticated. Treating the lower eyelid and the midface as a single aesthetic unit leads to a more effective and natural-appearing rejuvenation.

Observations  This is ...

Original Investigation 
Kyle J. Chambers, MD; Kate A. Horstkotte, BS; Kerry Shanley, MMSc; Robin W. Lindsay, MD

Importance  Patients with a septal deviation and concerns about nasal obstruction often undergo septoplasty to improve nasal airflow. Following primary septoplasty, however, some patients have persistent symptoms due to nasal valve dysfunction and may require nasal valve surgery.

Objectives  To evaluate the change in disease-specific quality ...

Comment & Response 
Samad E. J. Golzari, MD; Ata Mahmoodpoor, MD, FCCM

To the Editor Anesthesia- and surgery-related independent predictors of postoperative nausea and vomiting (PONV) have been well highlighted by Jones and LaFerriere.1 Nevertheless, some major patient-related independent predictors seem to have been overlooked in their study. Factors contributing to the PONV include, but are not limited to, ...

In Reply We would like to thank Drs Golzari and Mahmoodpoor for their comments regarding our recently conducted study comparing the administration of propofol and ketamine with the use of bispectral index monitoring (PKA-BIS) to inhalational anesthesia (IA) in rhytidoplasty.1 Although major predictors of postoperative nausea and ...

Original Investigation 
Ute Walliczek, MD; Stephan Engel, MD; Christel Weiss, Dipl Math; Christoph Aderhold, MD; Christiane Lippert, MD; Angela Wenzel, MD; Karl Hörmann, MD; Johannes David Schultz, MD

Importance  Keloids are fibroproliferative scars that can cause a huge psychological burden and severe problems for patients, such as depression. Many treatment options exist; however, recurrence rates, especially with monotherapy, remain high.

Objective  To investigate the recurrence rate and changes in quality of life after multimodal ...

Original Investigation 
Henry P. Barham, MD; Anna Knisely, MD; Jenna Christensen, PhD; Raymond Sacks, MD; George N. Marcells, MD; Richard J. Harvey, MD

Importance  External nasal valve dysfunction (EVD) is a common cause of nasal obstruction.

Objective  To evaluate costal cartilage lateral crural strut grafts vs cephalic crural turn-in to support the weak lateral crus in patients with EVD.

Design, Setting, and Participants  In this prospective cohort study, ...

In the current issue, Barham and colleagues1 present data comparing 2 techniques for repair of external valve dysfunction (EVD). These data represent the latest in a line of new studies designed to examine treatments for EVD using various quality-of-life (QOL) instruments, objective measurements of the nasal airway, ...

John S. Rhee, MD, MPH

As the editor, I have the honor and pleasure of reading and reviewing the best manuscripts in the discipline of facial plastic surgery. I am often asked the questions by potential authors: “What is JAMA Facial Plastic Surgery looking for in an article? What are the factors in ...

Yelizaveta Shnayder, MD; Derrick Lin, MD; Shaun C. Desai, MD; Brian Nussenbaum, MD; Jordan P. Sand, MD; Mark K. Wax, MD
Includes: Supplemental Content, Multimedia: (powerpoint)

Reconstruction of the lateral mandibular defect presents a complex challenge to the reconstructive surgeon, often involving interconnected soft-tissue and bone requirements. This review examines the current literature on functional outcomes of lateral mandibular reconstruction and presents an algorithm on selecting an optimal reconstructive choice for patients with lateral ...

Case Report/Case Series 
Ralf Siegert, MD, DDS, PhD; Saad Mohamed Saad Ibrahiem, PhD, MRCS, EBOPRAS; Ralph Magritz, MD

Importance  For optimal aesthetic construction of the auricle in patients with severe microtia, it is important to construct an exquisite framework and place it in the correct natural position. In addition to its accurate vertical and sagittal positioning, normal elevation is of utmost importance because this determines ...

Sachin S. Pawar, MD; Cody A. Koch, MD, PhD; Craig Murakami, MD

Prominent ears affect approximately 5% of the population and can have a significant psychological impact on patients. A wide variety of otoplasty techniques have been described, all sharing the goal of re-creating the normal appearance of the ear and achieving symmetry between the 2 sides. Recent trends in ...

Paul J. Carniol, MD; Mark M. Hamilton, MD; Eric T. Carniol, MD

Fractional lasers were first developed based on observations of lasers designed for hair transplantation. In 2007, ablative fractional laser resurfacing was introduced. The fractionation allowed deeper tissue penetration, leading to greater tissue contraction, collagen production and tissue remodeling. Since then, fractional erbium:YAG resurfacing lasers have also been introduced. ...

Original Investigation 
Ming Ying Lan, MD, PhD; Yong Ju Jang, MD, PhD
Includes: Supplemental Content

Importance  Short nose, especially postoperative short nose in Asian patients, remains a challenging problem for plastic surgeons.

Objective  To determine the outcomes of revision rhinoplasty of postoperative short noses in Asian patients.

Design, Setting, and Participants  We performed a retrospective medical record review of 41 ...

Surgical Pearls 
Fazil Apaydin, MD

The author testifies that a general utility surgical “chef’s knife” should be part of the surgical set when the use of costal cartilage is an option for the patient.

Research Letter 
Jeffrey S. Jumaily, MD; Jeffrey H. Spiegel, MD

The field of facial plastic and reconstructive surgery (FPRS) is an important part of otolaryngology–head and neck surgery and a certification board–mandated component of resident training. Creating a successful FPRS practice in an academic environment can be challenging, especially if the surgeon desires to provide cosmetic surgical services, ...

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