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 Showing 1-20 of 24 Articles
Original Investigation 
Maria Phillis, JD; Masaru Ishii, MD, PhD; Jacob Dey, BS; Jennifer Goines, BS; Patrick J. Byrne, MD, MBA; Kofi D. O. Boahene, MD; Lisa E. Ishii, MD, MHS

Importance  The impact of facial reconstructive surgery on improving affect display for patients with facial lesions is incompletely understood.

Objectives  To measure the impact of surgically reconstructing facial lesions on observer graded affect display.

Design, Setting, and Participants  This was a prospective randomized controlled experiment ...

Invited Commentary 
William W. Shockley, MD

Taking care of faces: it’s what we do. We see patients with facial abnormalities and deformities and try to make them better. We treat conditions related to the aging face, trauma, congenital anomalies, skin cancer, and head and neck cancers. Each of these patients offers a unique opportunity ...

Original Investigation 
David A. Hyman, MD; Sandeep Saha, MS; Harry S. Nayar, MD; John F. Doyle, DDS; Suresh K. Agarwal, MD; Scott R. Chaiet, MD, MBA

Importance  Facial fractures after motor vehicle collisions are a significant source of facial trauma in patients seen at trauma centers. With recent changes in use of seat belts and advances in airbag technology, new patterns in the incidence of facial fractures after motor vehicle collisions have yet ...

Original Investigation 
Ji Heui Kim, MD, PhD; Joon Pyo Park, MD; Yong Ju Jang, MD, PhD

Importance  Combined sill and alar excision is a useful procedure for correcting a wide nasal base and flared alar lobules. However, the aesthetic outcomes of this technique remain poorly reported.

Objective  To evaluate the aesthetic outcomes of combined sill and alar excision in Asian patients undergoing ...

Original Investigation 
Curtis Hanba, BS; Peter F. Svider, MD; Frank S. Chen, MD, PhD; Michael A. Carron, MD; Adam J. Folbe, MD; Jean Anderson Eloy, MD; Giancarlo F. Zuliani, MD

Importance  There are well-described racial, sex, and age differences related to osteoporosis and hip and/or extremity fractures. Nonetheless, there has been virtually no inquiry evaluating whether these findings carry over to facial fracture.

Objective  To characterize the incidence of facial fractures by patient demographics and injury ...

Original Investigation 
Robin W. Lindsay, MD; Ryan George, MD; Matthew E. Herberg, MD; Paula Jackson, MD; Scott Brietzke, MD, MPH

Importance  Nasal obstruction is a common chief concern; however, a comprehensive standardized worksheet for evaluating nasal obstruction has not been developed.

Objective  To evaluate the interrater reliability between staff surgeons and otolaryngology residents using a worksheet-based standardized nasal examination and to identify specific examination findings correlated ...

Original Investigation 
Babar Sultan, MD; Dane J. Genther, MD; Stephen W. Perkins, MD

Importance  Transcutaneous lower eyelid blepharoplasty is a commonly performed procedure with a postoperative risk of eyelid malposition.

Objective  To quantify the change in lower eyelid position after transcutaneous lower eyelid blepharoplasty.

Design, Setting, and Participants  This retrospective medical record review describes patients who underwent transcutaneous ...

Original Investigation 
Myriam Loyo, MD; Deniz Gerecci, MD; Jess C. Mace, MPH, CCRP; Melynda Barnes, MD; Selena Liao, MD; Tom D. Wang, MD
Includes: Supplemental Content

Importance  Graft visibility in the supratip region has been the main criticism of the butterfly graft. Because of the graft location, slightly unfavorable supratip fullness can occur, resulting in patient dissatisfaction with the cosmetic result.

Objective  To describe the clinical outcomes and visibility of the butterfly ...

Invited Commentary 
Julia S. Kimbell, PhD; Dennis O. Frank-Ito, PhD

In this issue of JAMA Facial Plastic Surgery, Kiyohara and colleagues1 present a systematic review comparing currently available over-the-counter mechanical nasal dilators. Most of these devices are designed to temporarily facilitate inspiratory breathing by reducing transnasal resistance and improving inspiratory airflow in healthy individuals and in ...

Review 
Nicole Kiyohara, BA; Christopher Badger, BS; Tjoson Tjoa, MD; Brian Wong, MD, PhD

Importance  The internal nasal valve is the narrowest part of the nasal airway and a common site of inspiratory collapse and obstruction of nasal airflow. Over-the-counter mechanical nasal dilators are an alternative to surgical intervention that attempts to improve airflow through the internal nasal valve.

Objective  ...

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 ...

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