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    1052 results match your criteria Archives of Facial Plastic Surgery [Journal]

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    Update in wound healing in facial plastic surgery.
    Arch Facial Plast Surg 2012 Nov;14(6):387-93
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
    Many advances in wound healing have relevance to facial plastic surgery. We briefly highlight some of these advances, including new biological and synthetic products and other potential technologies to improve wound healing, as well as the literature describing them. Read More

    Split hump technique for reduction of the overprojected nasal dorsum: a statistical analysis on subjective body image in relation to nasal appearance and nasal patency in 97 patients undergoing aesthetic rhinoplasty.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):346-53
    Department of Otolaryngology/Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, Diakonessen Hospital Zeist, Zeist, the Netherlands.
    Objectives: To describe the split hump technique (SHT) and to examine its effectiveness for correction of an overprojected nasal dorsum in patients undergoing aesthetic rhinoplasty.

    Methods: This prospective study included 97 patients. Objective assessment was performed using a short, practical questionnaire. Read More

    Double-opposing rotation-advancement flaps for closure of forehead defects.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):342-5
    Divisions of Facial Plastic and Reconstructive Surgery, Departments of Otolaryngology–Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, New York 11021, USA.
    Objective: To describe a local flap for closure of forehead defects of all sizes that does not alter the brow position or hairline.

    Methods: Retrospective review of 16 cases in which the double-opposing rotation-advancement flaps were used for closure of small (<10 cm2), medium (10-20 cm2), and large (>20 cm2) forehead defects. This technique was developed from Orticochea's method for closure of large scalp wounds. Read More

    A review of 13 years of experience with endoscopic forehead-lift.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):336-41
    Department of Plastic Surgery and Hand Surgery, University Hospital rechts der Isar, Munich Technical University, Munich, Germany.
    Objective: To conduct objective quantitative and qualitative evaluations of the long-term result in endoscopic forehead-lift.

    Methods: Medical charts of 143 patients who underwent endoscopic forehead-lift between 1994 and 2007 were reviewed for postoperative complications and the duration of complaints. Patients received a questionnaire to evaluate satisfaction and social restriction after surgery. Read More

    Reformatted computed tomography to assess the internal nasal valve and association with physical examination.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):331-5
    Main Line Center for Laser Surgery, Ardmore, Pennsylvania 19003, USA.
    Objectives: To assess the cross-sectional area and angle of the internal nasal valve more accurately by reformatting computed tomography (CT) scans of the nasal airway according to a more appropriate orientation than scans traditionally sectioned in the coronal plane and then to compare the results with clinical data on the nasal valve obtained from physical examination.

    Methods: We performed a retrospective review of the medical records of 24 rhinoplasty patients treated at a private practice facial plastic surgery office affiliated with a tertiary care university hospital. The patients had fine-cut (0. Read More

    Versatile applications of the polydioxanone plate in rhinoplasty and septal surgery.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):323-30
    Department of Otorhinolaryngology, Charing Cross Hospital, Imperial College Healthcare National Health Service Trust, London, United Kingdom.
    Background: Rhinoplasty and septal surgery often require the use of cartilage grafts. Autologous cartilage may be thin or deviated, and the use of an absorbable scaffold material to support the reimplanted cartilage during healing can improve technique and outcomes.

    Objective: To describe the use of a polydioxanone plate not only as a template in extracorporeal septoplasty but also for various other grafts commonly used in rhinoplasty and for the repair of septal perforations. Read More

    Endonasal placement of spreader grafts: experience in 41 consecutive patients.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):318-22
    Albert Einstein College of Medicine, New York, New York, USA.
    OBJECTIVES To evaluate the efficacy of placing spreader grafts via an endonasal approach and to examine the immediate and long-term functional results. METHODS A retrospective review was performed of 41 consecutive cases involving adult patients who underwent nasal valve reconstruction. Medical history and clinical examination established the cause of nasal obstruction, with internal valve dysfunction confirmed through endoscopic evaluation and the modified Cottle maneuver. Read More

    Reconstruction of nasal alar defects in asian patients.
    Arch Facial Plast Surg 2012 Sep-Oct;14(5):312-7
    Department of Otorhinolaryngology, Seoul National University College of Medicine and Seoul National University Boramae Medical Center, Seoul, Korea.
    Objectives: To present the aesthetic and functional outcomes of nasal alar reconstruction in Asian patients and to propose a working surgical algorithm.

    Methods: Seventeen patients underwent nasal alar reconstruction at a university-based facial plastic surgery practice from March 1, 1998, through February 28, 2010. The male-female ratio was 10:7, with a median age of 59 years (range, 34-78 years), and the mean follow-up duration was 64 months. Read More

    Artificial muscle for reanimation of the paralyzed face: durability and biocompatibility in a gerbil model.
    Arch Facial Plast Surg 2012 Nov;14(6):413-8
    Department of Otolaryngology–Head and Neck Surgery, University of California-Davis Medical Center, Sacramento, CA 95817, USA.
    Background: Current management of permanent facial paralysis centers on nerve grafting and muscle transfer; however, limitations of those procedures call for other options.

    Objectives: To determine the durability and biocompatibility of implanted artificial muscle in a gerbil model and the degree of inflammation and fibrosis at the host tissue-artificial muscle interface.

    Methods: Electroactive polymer artificial muscle (EPAM) devices engineered in medical-grade silicone were implanted subcutaneously in 13 gerbils. Read More

    Subjective and objective improvement in breathing after rhinoplasty.
    Arch Facial Plast Surg 2012 Nov;14(6):423-8
    Department of Otolaryngology–Head and Neck Surgery, Cedars Sinai Medical Center, 9401 Wilshire Blvd, Beverly Hills, CA 90212, USA.
    Objective: To determine whether rhinoplasty improves subjective and objective nasal patency.

    Design: Retrospective study including subjective breathing scores and acoustic rhinometry before and 6 to 9 months after septorhinoplasty among a cohort of 31 patients. We used a paired t test to analyze the difference between preoperative and postoperative values. Read More

    Closure of scalp and forehead defects using external tissue expander.
    Arch Facial Plast Surg 2012 Nov;14(6):419-22
    Division of Otorhinolaryngology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
    Objective: To describe the novel use of an external tissue expander in the reconstruction of scalp and forehead defects.

    Methods: A prospective review was performed on 7 patients who underwent extirpation of head and neck malignant neoplasms resulting in scalp and forehead defects. Reconstruction was performed using an external tissue expander device. Read More

    Complications associated with alloplastic implants in rhinoplasty.
    Arch Facial Plast Surg 2012 Nov;14(6):437-41
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Colorado-Denver, Aurora, CO 80045, USA.
    Objective: To evaluate the incidence of infection and extrusion of porous high-density polyethylene (pHDPE) and expanded polytetrafluoroethylene (ePTFE) implants used in rhinoplasty at a high-volume, academic facial plastic surgery practice.

    Methods: A total of 662 rhinoplasty procedures performed by 3 faculty surgeons from 1999 to 2008 were retrospectively reviewed. Patient demographics, medical comorbidities, operative details, and postoperative course findings were collected from patient records. Read More

    A novel technique for malar eminence evaluation using 3-dimensional computed tomography.
    Arch Facial Plast Surg 2012 Nov;14(6):403-7
    Otolaryngology–Head and Neck Surgery Service, Department of Surgery, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada.
    Objective: To describe a novel method to locate the malar eminence using 3-dimensional computed tomography (3D-CT), and a new axis system for evaluation of malar eminence symmetry.

    Methods: A retrospective case series was carried out in 42 disease-free white adult patients. The 3D-CT reconstructions of the face were obtained, and the soft-tissue maxillozygion was used to locate the malar eminence. Read More

    Standardized suture placement for mini-invasive ptosis surgery.
    Arch Facial Plast Surg 2012 Nov;14(6):408-12
    Allure Facial Laser Center and Medispa, Kirkland, Washington, USA.
    Objective: To report a refinement of small-incision external levator advancement with a standardized method for suture placement for correction of acquired blepharoptosis and 1 surgeon's results with this technique.

    Methods: Retrospective medical record review of data from all patients with unilateral or bilateral acquired blepharoptosis who underwent small-incision external levator advancement from October 1, 2007, through January 31, 2011.

    Results: Ninety-two eyelids from 66 patients with acquired blepharoptosis were treated with small-incision external levator advancement with uniform suture placement. Read More

    Radix grafts in cosmetic rhinoplasty: lessons from an 8-year review.
    Arch Facial Plast Surg 2012 Nov;14(6):456-61
    Department of Otolaryngology–Head and Neck Surgery, Columbia University Medical Center, 180 Fort Washington Ave, New York, NY 10032, USA.
    We describe our experience with radix augmentation during cosmetic rhinoplasty over an 8-year period using both autologous and synthetic grafts and provide insight into maximizing success. We discuss various surgical considerations, including patient selection, graft materials, and dealing with complications. We focus on our operative technique and provide patient examples. Read More

    Alar-columellar disharmony using the tongue-in-groove maneuver in primary endonasal rhinoplasty.
    Arch Facial Plast Surg 2012 Jul-Aug;14(4):283-8
    Department of Surgery, Albany Medical College, Albany, NY, USA.
    The correction of alar columellar disharmony can be very challenging and is often neglected during rhinoplasty. Failure to address alar columellar disharmony may adversely affect an otherwise satisfactory outcome. The tongue-in-groove suture technique has been described in the literature using an open approach as an effective surgical maneuver to assist in correcting this deformity. Read More

    Antidepressants and bleeding risk after face-lift surgery.
    Arch Facial Plast Surg 2012 Jul-Aug;14(4):248-52
    Department of Otolaryngology–Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.
    Objective: To determine the rate of post-face-lift hematoma among users of serotonin reuptake inhibitors (SSRIs) vs non-SSRI users. Selective serotonin reuptake inhibitors have come under recent scrutiny because of possible bleeding risks. However, cessation of SSRIs carries inherent risks. Read More

    Contemporary review of rhinoplasty.
    Arch Facial Plast Surg 2012 Jul-Aug;14(4):238-47
    Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, IL 60612, USA.
    We conducted a contemporary review covering advances and trends in primary and functional rhinoplasty as published during the past decade. Specifically, we reviewed studies supporting the evidence for functional rhinoplasty, nasal valve surgery, and septal reconstruction. In addition, key articles discussing cephalic malpositioning of the lower lateral cartilages and tip contouring are reviewed. Read More

    Vascularized scapular tip flap in the reconstruction of the mandibular joint following ablative surgery.
    Arch Facial Plast Surg 2012 May-Jun;14(3):211-4
    Department of Otolaryngology–Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21878, USA.
    We describe a novel design and application of the vascularized scapular tip flap in the reconstruction of a temporomandibular joint and mandibular defect. Read More

    Revision otoplasty: how to manage the disastrous result.
    Arch Facial Plast Surg 2012 May-Jun;14(3):205-10
    Department of Otolaryngology–Head and Neck Surgery, Ludwig Maximilian University, Munich, Germany.
    Objective: To describe how severe ear deformities after otoplasty can be corrected.

    Methods: The correction of creases is possible through readaptation of the cartilage edges followed by revision otoplasty using suture techniques in the reconstructed cartilage. In the case of defect formation or extreme thinning of the cartilage, an appealing auricular shape is achieved by the use of porous polyethylene implants. Read More

    Outcomes following V-Y advancement flap reconstruction of large upper lip defects.
    Arch Facial Plast Surg 2012 May-Jun;14(3):193-7
    Department of Otolaryngology–Head and Neck Surgery, University of Michigan Health System, Ann Arbor, 48109, USA.
    Objective: To characterize revision surgery following V-Y subcutaneous tissue pedicle advancement flap repair of large upper lip skin defects.

    Methods: Retrospective review of upper lip skin defects at least 3.0 cm(2) in area that were reconstructed with a V-Y subcutaneous tissue pedicle advancement flap at an academic tertiary care center. Read More

    Anatomical comparison of minimally invasive nasal valve procedures.
    Arch Facial Plast Surg 2012 May-Jun;14(3):189-92
    Department of Otolaryngology–Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois 60612, USA.
    Objective: To determine the quantitative effects of Z-plasty vs spreader grafts on nasal valve surface area.

    Methods: Eight fresh cadaver heads were used that provided 16 total nasal valve procedures. Surgical sides were randomized, and Z-plasty was performed on 8 valves and endonasal spreader grafts were performed on 8 valves. Read More

    Nasal measurements in Asians and high-density porous polyethylene implants in rhinoplasty.
    Arch Facial Plast Surg 2012 May-Jun;14(3):181-7
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, China.
    Objectives: To understand Asian noses, set goals for rhinoplasty, and find the best alternative columellar strut.

    Methods: Six values were used to evaluate the morphology of the nose: tip projection, alar-tip-columellar base angle, alar-columellar base-philtrum angle, nasolabial angle, nasofacial angle, and tip angle. One hundred average Chinese people (50 males and 50 females) were compared with 36 preoperative Chinese patients (13 males and 23 females). Read More

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