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JAMA Facial Plastic Surgery

Philip Young
Importance: A theory on facial beauty might allow clinicians to achieve better results. Objectives: To find the ideal vertical position of the ears, total lip length, lip pucker length, distance between the irises, and starting point for the nasal radix. Design, Setting, and Participants: In this subjective survey, 11 sets of 43 total digitally adjusted pictures (DAPs) and line drawings of actual faces were ranked based on attractiveness by 419 clients at a facial plastic surgery clinic...
February 14, 2019: JAMA Facial Plastic Surgery
Mohamed Abdelwahab, Emily A Spataro, Cherian K Kandathil, Sam P Most
Importance: Assessment of melolabial flap perfusion using indocyanine green (ICG) angiography for nasal reconstruction has not been previously described. Objective: To assess melolabial flap relative perfusion using ICG angiography in nasal reconstruction and highlight its clinical relevance. Design, Setting, and Participants: In this retrospective case series at a tertiary referral center, 10 patients undergoing melolabial flap reconstruction of nasal defects between January 2015 to April 2018 with flap perfusion were assessed by ICG angiography...
February 7, 2019: JAMA Facial Plastic Surgery
Rajeev C Saxena, Seth Friedman, Randall A Bly, Jeffrey Otjen, Adam M Alessio, Yangming Li, Blake Hannaford, Mark Whipple, Kris S Moe
Importance: There is no imaging standard to model nasal cartilage for the planning of rhinoplasty procedures. Preoperative visualization of cartilage may improve objective evaluation of nasal deformities, surgical planning, and surgical reconstruction. Objectives: To evaluate the feasibility of visualizing nasal cartilage using high resolution micro-computed tomography (CT) compared with the criterion standard of pathologic findings in a cadaveric specimen and to evaluate its accuracy compared with various clinical CT protocols...
February 7, 2019: JAMA Facial Plastic Surgery
Justin R Shinn, Nkechi N Nwabueze, Liping Du, Priyesh N Patel, Kevin K Motamedi, Cathey Norton, William R Ries, Scott J Stephan
Importance: In the last decade, there has been a significant increase in the number of practitioners administering botulinum toxin for facial synkinesis. However, there are few resources available to guide treatment patterns, and little is known about how these patterns are associated with functional outcomes and quality of life. Objective: To evaluate botulinum treatment patterns, including the dosing and frequency of muscle targeting, for treatment of facial synkinesis and to quantify patient outcomes...
January 31, 2019: JAMA Facial Plastic Surgery
Mohamed Abdelwahab, Cherian K Kandathil, Sam P Most, Emily A Spataro
Importance: Identifying factors affecting forehead flap neovascularization during nasal reconstruction surgical procedures using quantitative dynamics of fluorescence from indocyanine green angiography may be associated with reduced vascular complications. Objectives: To identify quantifiable forehead flap perfusion measures using indocyanine green angiography during nasal reconstruction procedures and to evaluate clinical factors associated with neovascularization...
January 31, 2019: JAMA Facial Plastic Surgery
Jennifer L Greenberg, Hilary Weingarden, Sabine Wilhelm
No abstract text is available yet for this article.
January 24, 2019: JAMA Facial Plastic Surgery
Ahsen Hussain
No abstract text is available yet for this article.
January 24, 2019: JAMA Facial Plastic Surgery
Tsung-Yen Hsieh, Jamie L Funamura, Raj Dedhia, Blythe Durbin-Johnson, Chance Dunbar, Travis T Tollefson
Importance: Complications that arise after treatment of mandible fractures can result in significant morbidity. Identifying modifiable risk factors associated with these complications is valuable in guiding clinical practice for improved patient outcomes. Objective: To describe the risk factors associated with complications in patients undergoing treatment for mandible fracture. Design, Setting, and Participants: A retrospective review was conducted of 137 patients presenting to a tertiary care, level 1 trauma center with mandible fractures between January 1, 2014, and January 1, 2017...
January 24, 2019: JAMA Facial Plastic Surgery
Jia Qiao, Jia Xu, Xi Fu, Feng Niu, Lai Gui, Sabine Girod, Chung-Kwan Yen, Jianfeng Liu, Ying Chen, Jeffrey W Kwong, Cai Wang, Huijun Zhang, Shixing Xu, Hamzah Alkofahi, Xiaoyan Mao
Importance: Mandibular contour surgeries (MCS) involving reduction gonioplasty and genioplasty are rewarding for patients with square faces; however, the procedure has inherently difficult clinician learning curves and unpredictable skill acquisitions. To our knowledge, there has been no effective, validated training model that might improve training and surgical outcomes for MCS. Objective: To establish and evaluate a standardized intraoral MCS training system...
January 17, 2019: JAMA Facial Plastic Surgery
Elizabeth M Floyd, Daniel C Sukato, Stephen W Perkins
Importance: Rhytidectomy, or face-lift surgery, is the mainstay of facial rejuvenation and is constantly evolving. There is continuous research to improve outcomes and minimize complications of this surgery. Objective: To synthesize the updated techniques in rhytidectomy published during the past 5 years, including surgical technique, advances in anesthetic technique, minimally invasive techniques, and adjunctive procedures performed at the time of rhytidectomy...
January 10, 2019: JAMA Facial Plastic Surgery
Halley Darrach, Lisa E Ishii, David Liao, Jason C Nellis, Kristin Bater, Roxana Cobo, Patrick J Byrne, Kofi D O Boahene, Ira D Papel, Theda C Kontis, Masaru Ishii
Importance: The "other-race effect" describes the phenomenon in which individuals demonstrate greatest recognition ability among faces of their own race. Thus, in our multicultural world, it follows that race influences social interactions. However, the association of race with perception of plastic surgery outcomes has not been studied. Objective: To objectively measure how the other-race effect influences perception of white and Latin American patients undergoing rhinoplasty by using eye-tracking technology and survey methodology...
January 10, 2019: JAMA Facial Plastic Surgery
Jason E Cohn, Oneida A Arosarena
No abstract text is available yet for this article.
January 10, 2019: JAMA Facial Plastic Surgery
Alisa Timashpolsky, Sydney C Butts
No abstract text is available yet for this article.
January 3, 2019: JAMA Facial Plastic Surgery
Connor McGuire, Sean Nurmsoo, Osama A Samargandi, Michael Bezuhly
Importance: Blood loss from surgical procedures is a major issue worldwide as the demand for blood products is increasing. Tranexamic acid is an antifibrinolytic agent commonly used to reduce intraoperative blood loss. Objective: To systematically examine the role of tranexamic acid in reducing intraoperative blood loss and postoperative edema and ecchymosis among patients undergoing primary elective rhinoplasty. Data Sources: A systematic review and meta-analysis was undertaken in an academic medical setting using Medline, Embase, and Google Scholar from inception to June 30, 2018...
January 3, 2019: JAMA Facial Plastic Surgery
Floris V W J van Zijl, L B Mokkink, J A Haagsma, Frank R Datema
Importance: The number of available rhinoplasty outcome measurement instruments has increased rapidly over the past years. A large heterogeneity of instruments of different quality now exists, causing difficulty in pooling and comparing outcome data. Objective: To critically appraise, summarize, and compare the measurement properties of all patient-reported outcome measures (PROMs) that measure functional or aesthetic symptoms of patients undergoing rhinoplasty, using consensus-based methodology and guidelines...
January 3, 2019: JAMA Facial Plastic Surgery
David S Chan, Michael Roskies, Alex Alborz Jooya, Mark Samaha
Importance: Periorbital ecchymosis and edema are commonly associated with rhinoplasty and are the principal limiting factors for return to daily activities after rhinoplasty. Several methods have been evaluated to minimize these sequelae including creation of subperiosteal tunnels, which involves elevating the vascular periosteal layer, preserving it from trauma when creating osteotomies. Objective: To assess the efficacy of the creation of subperiosteal tunnels prior to lateral osteotomies during rhinoplasty for reducing postoperative ecchymosis and edema...
December 27, 2018: JAMA Facial Plastic Surgery
Gitanjali M Fleischman, Brian D Thorp, William W Shockley, J Madison Clark
No abstract text is available yet for this article.
December 20, 2018: JAMA Facial Plastic Surgery
Andrea Sisti, Daniel Boczar, Antonio Jorge Forte
No abstract text is available yet for this article.
December 20, 2018: JAMA Facial Plastic Surgery
David Chen, Masaru Ishii, Jason Nellis, Kristin Bater, Halley Darrach, David Liao, Andrew Joseph, Patrick Byrne, Kofi Boahene, Ira Papel, Theda Kontis, Lisa Ishii
Importance: Contingent valuation, or willingness to pay, is an established economic concept that has been applied in other areas of medicine and may be useful for understanding the economic forces that determine the cost of cosmetic procedures. Objective: To determine the monetary value of changes in attractiveness achieved through rhinoplasty, as perceived by society. Design, Setting, and Participants: Cross-sectional survey administered via public online forums to 228 casual observers...
December 13, 2018: JAMA Facial Plastic Surgery
Matthew Q Miller, Logan McColl, Michael R Arul, Jonathan Nip, Vedavathi Madhu, Gina Beck, Kishan Mathur, Vashaana Sahadeo, Jason R Kerrigan, Stephen S Park, J Jared Christophel, Abhijit S Dighe, Sangamesh G Kumbar, Quanjun Cui
Importance: Osseous craniofacial defects are currently reconstructed with bone grafting, rigid fixation, free tissue transfer, and/or recombinant human bone morphogenetic protein 2. Although these treatment options often have good outcomes, they are associated with substantial morbidity, and many patients are not candidates for free tissue transfer. Objective: To assess whether polysaccharide-based scaffold (PS) constructs that are cross-linked with smoothened agonist (SAG), vascular endothelial growth factor (VEGF), and bone morphogenetic protein 6 (BMP-6) would substantially increase bone regeneration...
December 6, 2018: JAMA Facial Plastic Surgery
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