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 Showing 1-20 of 20 Articles
Original Investigation 
Denis S. Valente, MD; Niveo Steffen, MD; Lauro A. Carvalho, MD; Giuliano B. Borille, MD; Rafaela K. Zanella, MD; Alexandre V. Padoin, PhD

Importance  Postoperative edema and ecchymosis following rhinoplasty are a cause of anxiety for both patients and physicians and can affect the cosmetic results. Corticosteroids have been used to reduce these events.

Objective  To determine whether preoperative use of dexamethasone sodium phosphate alters the occurrence of edema ...

Case Report/Case Series 
David A. Gudis, MD; Krishna G. Patel, MD, PhD

Importance  To describe a novel technique for repair of the whistle deformity in secondary cleft lip surgery.

Observations  Three patients who presented with a whistle deformity as a sequela of cleft lip surgery and underwent a novel myomucosal vertical Z-plasty tissue transposition at a tertiary academic ...

Original Investigation 
Tom Palesy, BSc(Med)Hons; Eleanor Pratt, BA, BSc; Nadine Mrad, MAppSc(MBT); George N. Marcells, MD; Richard J. Harvey, MD

Importance  External nasal valve dysfunction (ENVD) is a common cause of nasal obstruction. Although many techniques are described to help correct ENVD, evidence of the objective changes in the airway achieved by these interventions is mainly unknown.

Objective  To document the airway changes in patients with ...

Book and Media Review 
Scott E. Bevans, MD
Our colleague from the Netherlands, Peter J. F. M. Lohuis, has authored his second book in the field of facial plastic surgery, this one tackling the complex field of rhinoplasty. Despite his broad training and research in several aspects of otorhinolaryngology, his experience and knowledge base in rhinoplasty specifically provide ...
Original Investigation 
Jacob K. Dey, BS; Masaru Ishii, MD, PhD; Maria Phillis, JD; Patrick J. Byrne, MD; Kofi D. O. Boahene, MD; Lisa E. Ishii, MD, MHS

Importance  Body dysmorphic disorder (BDD) is underrecognized and underdetected among patients undergoing facial plastic and reconstructive surgery. Patients with BDD require psychiatric care, not cosmetic surgery.

Objectives  To measure the prevalence of BDD in a facial plastic and reconstructive surgery clinic, to validate the Body Dysmorphic ...

Editorial 
John S. Rhee, MD, MPH
In May 2013, JAMA Facial Plastic Surgery launched the Levels of Evidence (LOE) initiative for original investigation manuscripts.1 From that time through December 2014, we published 45 ratable original investigations with an LOE designation (Table)—recall that the only category of articles that were rated were clinical, therapeutic (disease treatment) investigations. ...
Original Investigation 
Joshua D. Weissman, MD; Sam P. Most, MD
Includes: Supplemental Content, Multimedia: (powerpoint)

Importance  Lateral nasal wall insufficiency is a common problem with little consensus on optimal treatment.

Objective  To assess the efficacy of radiofrequency (RF) thermotherapy for the treatment of lateral nasal wall collapse.

Design, Setting, and Participants  A prospective randomized trial comparing RF thermotherapy with bone-anchored ...

Editorial: Evidence and Quality Initiative; John S. Rhee, MD, MPH
Research Letter 
Dong-Hak Jung, MD, PhD; Anil Joshi, MS, DOHNS, FRCS(ORL-HNS); Guen-Uck Chang, MD; Ravi Ramachandra, MS, MCh(Plastic Surgery); Sang Min Hyun, MD
Rhinoplasty is an art of not only achieving structural integrity of nasal form but also maintaining functional aspects of breathing. To achieve this, autograft, allograft, and synthetic materials are used as various components of nasal structure for augmentation or correction.1,2 Despite various synthetic materials giving promising results and compatibility, cartilage ...
Original Investigation 
Mairaj K. Ahmed, DDS, MS; Anthony L. Maganzini, DDS, MSD; Paul R. Marantz, MD, MPH; Joseph J. Rousso, MD

Importance  Many individuals with a cleft palate also have an associated craniofacial syndrome or anomaly.

Objective  To investigate the predictive associations of persistent palatal fistulas in patients with previously repaired cleft palate.

Design, Setting, and Participants  We performed a case-control study of patients with cleft ...

Book and Media Review 
Scott E. Bevans, MD; Wayne F. Larrabee Jr, MD
Shan R. Baker’s Local Flaps in Facial Reconstruction has been the standard reference for closing defects on faces, scalps, and necks since shortly after its initial publication in 1995. Residents in programs across the country are often instructed to “review the Baker chapter” to prepare for an upcoming reconstructive surgery. ...
Original Investigation 
Benjamin P. Caughlin, MD; Mark J. Been, MD; Ali Raad Rashan, MD, MS; Dean M. Toriumi, MD
Includes: Supplemental Content

Importance  Caudal septal extension grafts (CSEGs) can be used to alter and secure nasal projection and length. Graft position and thickness play an important role in terms of both function and aesthetics. The limitations of harvesting cartilage from additional sites necessitate development of a more efficient method ...

Surgical Pearls 
Daniel R. Butz, MD; Jeremy Warner, MD
Viewpoint 
William Carroll, MD; Krishna Patel, MD, PhD
This Viewpoint discusses the treatment of keloids and hypertrophic scars, reviewing the evidence that multimodality therapy that includes fluorouracil seems to be most effective.
Original Investigation 
David A. Shaye, MD; Travis T. Tollefson, MD, MPH; E. Bradley Strong, MD

Importance  Intraoperative computed tomography (CT) provides surgeons with real-time feedback during maxillofacial trauma and reconstructive surgery, which can affect intraoperative decision making.

Objectives  To evaluate the time needed to perform intraoperative CT scans during maxillofacial surgery, determine any trend toward shorter total scan times as experience ...

Obituary  FREE
Wayne F. Larrabee Jr, MD
Joseph Ka Hoi Wong was born in Guangzhou, China, to 2 loving parents, Hsi Huang and Ching Lam. He came to Canada at age 17 years. He completed his medical degree at the University of Toronto, his residency in otolaryngology at the University of West Ontario, and spent a year ...
Original Investigation 
Robin W. Lindsay, MD; Prabhat Bhama, MD, MPH; Marc Hohman, MD; Tessa A. Hadlock, MD

Importance  Nasal valve collapse caused by facial palsy is an often overlooked but disturbing sequela of flaccid facial paralysis.

Objective  To prospectively study the effect of fascia lata sling placement for correction of external nasal valve compromise in patients with flaccid facial paralysis, using a validated ...

Original Investigation 
Casey T. Kraft, BS; Emily Bellile, MS; Shan R. Baker, MD; Jennifer C. Kim, MD; Jeffrey S. Moyer, MD

Importance  The decision whether to discontinue antiplatelet and/or anticoagulant medications before a facial plastic surgical procedure is a complicated and multifactorial process that involves weighing the risk of perioperative thromboembolic complications with bleeding-related complications.

Objective  To determine the complication rates in patients who undergo a range ...

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 
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 
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 ...

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