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 Showing 1-18 of 18 Articles
Original Investigation 
Justin M. Wudel, MD; Sarah Novis, MD; Shan R. Baker, MD; Jennifer C. Kim, MD; Jeffrey S. Moyer, MD

Importance  Whether undergoing cervicofacial rhytidectomy after radiotherapy for tumors of the head and neck is associated with increased complication rates and therefore should be avoided remains unknown.

Objective  To evaluate complication rates in patients who have undergone cervicofacial rhytidectomy after radiotherapy for head and neck tumors ...

Original Investigation  FREE
Lindsay Sobin, MD; Robert Kopp, MD; Ronald Walsh, NP; Robert M. Kellman, MD; Tucker Harris, MD

Importance  This study examines the association between isolated mandible fractures and mild traumatic brain injury (mTBI).

Objective  To determine the rates of mTBI in patients who have sustained isolated mandible fractures.

Design, Setting, and Participants  A prospective study was conducted among patients who sustained isolated ...

Invited Commentary 
Robert Chun, MD

“How is your occlusion?” “Where is your jaw pain?” These are the common questions we ask when evaluating a patient with mandibular trauma. But maybe what we should also be asking is “Do you have a headache?” “Have you been dizzy?” “How is your mentation?”

Surgical Pearls 
Scott Shadfar, MD; Stephen W. Perkins, MD

This Surgical Pearl with video details the procedure for transcutaneous lower-eyelid blepharoplasty with skin-muscle flap suspension for lower eyelid rejuvenation.

Surgical Pearls 
David W. Kim, MD; Natalie H. Attenello, MD

This Surgical Pearl with video details the technique for reconstruction of the nasoseptal L-strut in rhinoplasty.

Original Investigation 
Ryan P. Leary, MD; Cyrus T. Manuel, BS; David Shamouelian, MD; Dmitriy E. Protsenko, PhD; Brian J.F. Wong, MD, PhD
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  Alar rim retraction is the most common unintended consequence of tissue remodeling that results from overresection of the cephalic lateral crural cartilage; however, the complex tissue remodeling process that produces this shape change is not well understood.

Objectives  To simulate how resection of cephalic trim ...

Invited Commentary 
Sachin S. Pawar, MD; John S. Rhee, MD, MPH

As facial plastic and reconstructive surgeons, our work demands not only a keen sense of aesthetics but also a solid understanding of soft- and hard-tissue dynamics and the delicate interplay between form and function. Adding to the complexity are individual patient factors, including variable anatomy and medical comorbidities, ...

Steven H. Dayan, MD; Nazanin Ashourian, PhD

This Viewpoint questions the definition of natural beauty and asserts that if plastic surgeons would examine kinetic models instead of static images, the outcomes of popular procedures would be closer to natural beauty ideal.

Original Investigation 
Maryam Sharafi, MD; Maryam Jalessi, MD; Peter A. Adamson, MD, FRCSC, FACS

Importance  Because large dorsal reduction may weaken the keystone area, later notching of this area should be prevented while reducing large humps during septorhinoplasty.

Objective  To determine whether a triangular-shaped flap of upper lateral cartilages (ULCs) that we designed can prevent secondary deformity of the nasal ...

Research Letter 
Ivan Rasic, MD; Alan Pegan, MD; Andro Kosec, MD; Boris Ivkic, MD; Vladimir Bedekovic, MD, PhD

This study of patients undergoing surgical correction of nasal valve stenosis reports favorable results with the intranasal flaring suture technique.

Original Investigation 
Dong Hak Jung, MD, PhD; Gaurav S. Medikeri, MS(ENT); Guen-Uck Chang, MD; Sang Min Hyun, MD

Importance  Augmentation rhinoplasty is common in the Asian population and the lack of suitable autologous material for augmentation has led to the use of alloplastic materials. Many of these patients develop complications, including a depressed dimple-like scar of the nasal tip. Causes of such dimpling include the ...

Original Investigation 
Thomas J. Willson, MD; Tyler Swiss, DO; Jose E. Barrera, MD

Importance  Imparting surgical change to the nasal tip remains one the most challenging aspects of rhinoplasty. The surgeon must assess the tip preoperatively and execute the necessary maneuvers to impart the desired change.

Objective  To assess nasal tip resistance to compression in a cadaveric model before ...

Original Investigation 
Ozcan Cakmak, MD; Ismet Emrah Emre, MD; Fazil Emre Ozkurt, MD

Importance  The saddle nose deformity is one of the most challenging problems in nasal surgery with a less predictable and reproducible result than other nasal procedures. The main feature of this deformity is loss of septal support with both functional and aesthetic implications. Most reports on saddle ...

Clinical Challenge 
Andrew Rosko, MD; Nicholas Herrman, BS; Jeffrey S. Moyer, MD

A man in his 70s with a history of multiple nonmelanoma skin cancers presents with a recurrent lesion on the anterior scalp that has been slowly growing for 18 months. What would you do next?

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 ...

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 ...

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