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 Showing 1-19 of 19 Articles
Original Investigation 
James A. Owusu, MD; Leni Truong, BS; Jennifer C. Kim, MD

Importance  Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.

Objective  To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.

Design, Setting, and ...

Surgical Pearls 
Benjamin D. Bradford, MD; Scott A. Asher, MD; Farhad Ardeshirpour, MD

This Surgical Pearl presents a description and video of the technique of securing spreader grafts using barbed suture in endonasal rhinoplasty.

Original Investigation 
Yeon Hee Joo, MD; Yong Ju Jang, MD, PhD
Includes: Supplemental Content

Importance  Dorsal augmentation material includes alloplastic implants and autologous tissues. However, there has been no comparison to date of dorsal augmentation using different materials performed by the same surgeon.

Objective  To compare the aesthetic outcomes and complications of dorsal augmentation using expanded polytetrafluoroethylene (ePTFE) and autologous ...

Invited Commentary 
Dane M. Barrett, MD, MBA; Tom D. Wang, MD

Dorsal augmentation is an important rhinoplasty technique, particularly in Asian patients. Several options are available for augmentation, including the use of autologous, homologous, and synthetic materials. Currently, no consensus exists regarding the ideal material for nasal augmentation. The available evidence consists mainly of retrospective reviews without direct comparison ...

Original Investigation 
Thomas J. Walker, MD; Dean M. Toriumi, MD

Importance  Alloplastic implants are widely used in facial plastic surgery, both in rhinoplasty and nonrhinoplasty procedures. Implant infection and extrusion are significant concerns of such implants after placement. Bacterial biofilms have been previously implicated in chronic wound infections, particularly in the presence of foreign bodies, such as ...

Invited Commentary 
Wayne Fox Larrabee Jr, MD

Rodman and Kridel1 have addressed a truly important problem in facial plastic surgery—the lack of objective ways to evaluate its outcomes. Rhinoplasty is among the most difficult plastic surgical procedure to perform, and it has a relatively high revision rate. I congratulate the authors on their thoughtful ...

Review 
Regina Rodman, MD; Russell Kridel, MD

Importance  Rhinoplasty is known to be one of the more technically challenging cosmetic procedures, with a revision rate of 5% to 15%. Reasons for revisions may range from minor deformities that can be treated in the office to major cosmetic and functional defects that require multiple surgical ...

Original Investigation 
Eric Gray, BS; Marlon Maducdoc, MD, MBA; Cyrus Manuel, BS; Brian J. F. Wong, MD, PhD
Includes: Supplemental Content

Importance  Palpation of the nasal tip is an essential component of the preoperative rhinoplasty examination. Measuring tip support is challenging, and the forces that correspond to ideal tip support are unknown.

Objective  To identify the integrated reaction force and the minimum and ideal mechanical properties associated ...

Original Investigation 
Caroline A. Banks, MD; Nate Jowett, MD; Charles R. Hadlock, PhD; Tessa A. Hadlock, MD

Importance  A universal, health care professional–graded scale for facial assessment would be a useful tool for reporting, comparing, and assessing facial function among patients with facial paralysis.

Objectives  To correlate scores of an assessment tool, the eFACE scale, with expert-rated facial disfigurement and to determine the ...

Original Investigation 
Robert A. Gaudin, MD; Mara Robinson, PT; Caroline A. Banks, MD; Jennifer Baiungo, PT; Nate Jowett, MD; Tessa A. Hadlock, MD

Importance  Most rehabilitation specialists and many facial reanimation surgeons use the Sunnybrook Facial Grading System (FGS) to measure and detect changes in facial function. The eFACE, an electronic and digitally graded facial measurement scale, was recently created to provide similar information to the Sunnybrook FGS, but with ...

Original Investigation 
Cyrus T. Manuel, BS; Tjoson Tjoa, MD; Tony Nguyen, BS; Erica Su, BS; Brian J. F. Wong, MD, PhD

Importance  The prominent ear is a common external ear anomaly that is usually corrected through surgery. Electromechanical reshaping (EMR) may provide the means to reshape cartilage through the use of direct current (in milliamperes) applied percutaneously with needle electrodes and thus to reduce reliance on open surgery....

Research Letter 
Phillip R. Langsdon, MD; Jared J. Tompkins, MD; Ralph C. Goodman, MD

This review examines whether patients with hypothyroidism are at increased risk for prolonged edema after face-lift surgery.

Original Investigation 
Nicholas Paul, BS; Kelton Messinger, BS; Yuan F. Liu, MD; Daniel I. Kwon, MD; Cherine H. Kim, MD, PhD; Jared C. Inman, MD

Importance  To perform and teach septorhinoplasty, one must have a principled understanding of the mechanics of the nasal septum. The thickness of the L-strut and how it changes septal strength have not been adequately quantified, yet calculating septal strength based on changes to thickness and size is ...

Surgical Pearls 
Jeremiah P. Tao, MD; Roberto Murillo Limongi, MD

An external short-incision technique for surgical midface aesthetic rejuvenation is evaluated and described.

Original Investigation 
Mondhipa Ratnarathorn, MD; Tatyana A. Petukhova, MD, MS; April W. Armstrong, MD, MPH; Audrey S. Wang, MD; Thomas H. King, MD; Daniel B. Eisen, MD

Importance  The process of Z-plasty scar revision breaks up a linear scar into multiple parts with the purpose of camouflage and improvement of the cosmetic appearance of surgical scars. Although this postulation guides the practices of many reconstructive surgeons, few studies support improved aesthetic outcomes.

Objective  ...

Invited Commentary 
Samuel M. Lam, MD

Perception of a cosmetic result by a lay bystander should be the endgame of any aesthetic surgical endeavor. Too often, we judge aesthetic results by our own academic, esteemed criteria without regard to how that person is perceived by the public at large. Simply put, does the individual ...

Original Investigation 
Emmanuel J. Jáuregui, BA; Neelima Tummala, MD; Rahul Seth, MD; Sarah Arron, MD; Isaac Neuhaus, MD; Siegrid Yu, MD; Roy Grekin, MD; P. Daniel Knott, MD

Importance  The paramedian forehead flap (PMFF) donor site scar is hard to disguise and may be a source of patient dissatisfaction.

Objective  To evaluate the aesthetic outcome of W-plasty vs traditional straight-line (SL) closure techniques of the PMFF donor site.

Design, Setting, and Participants  A ...

Original Investigation 
Jacob K. Dey, BS; Lisa E. Ishii, MD, MHS; Andrew W. Joseph, MD, MPH; Jennifer Goines, BS; Patrick J. Byrne, MD, MBA; Kofi D. O. Boahene, MD; Masaru Ishii, MD, PhD

Importance  The impact of facial defects on quality of life as perceived by society and the value society places on facial reconstruction are important outcomes measures.

Objective  To measure the health state utility and dollar value of surgically reconstructing facial defects as perceived by society.

Design, ...

In the past 5 years, health care cost containment strategies have proliferated at an unprecedented rate in an effort to limit health care's gross domestic product footprint.1 The Medicare Authorization and CHIP Reauthorization Act (MACRA), which repealed the Sustainable Growth Rate Formula, includes far-reaching provisions to improve ...

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