Critical Degree of Orbital Floor Displacement Drives Operative Repair of Zygomaticomaxillary Complex Fractures: Findings from a 10-Year Retrospective Study
Facial Plast Surg DOI: 10.1055/a-2047-66406Among zygomaticomaxillary complex (ZMC) fractures presenting to a tertiary urban academic center, the authors hypothesized the presence of both clinical and radiographic predictors of operative management. The investigators conducted a retrospective cohort study of 1,914 patients with facial fractures managed at an academic medical center in New York City between 2008 and 2017. The predictor variables were based on both clinical data and features of pertinent imaging studies, and the outcome variable was an operative intervention. Descriptive and bivariate statistics were computed...
Source: Facial Plastic Surgery - April 6, 2023 Category: Cosmetic Surgery Authors: Obayemi, Adetokunbo Arunkumar, Amit Long, Sallie Spielman, Daniel Pereira, Nicola Liu, Katie Sclafani, Matthew S. Kacker, Ashutosh Reeve, Gwendolyn Stewart, Michael G. Sclafani, Anthony P. Tags: Original Research Source Type: research
Optimizing Wound Care after Surgery of the Head and Neck: A Review of Dressing Materials
The objective of the present article is to review the most commonly used wound dressings, their benefits, indications, and disadvantages, and to provide a systematic approach for wound care within the head and neck. The Woundcare Consultant Society distinguishes wounds into three groups: black, yellow, and red. Each type of wound represents distinctive underlying pathophysiological processes with unique needs. Utilizing this classification along with the TIME model allows a proper characterization of wounds and the identification of potential healing barriers. This evidence-based and systematic approach can facilitate and ...
Source: Facial Plastic Surgery - April 6, 2023 Category: Cosmetic Surgery Authors: Lohuis, Peter J.F.M. Maldonado-Chapa, Felix Santos-Santillana, Karla M. Filipovi ć, Boris Dirven, Richard Karakullukcku, M. Baris Karssemakers, Luc Schreuder, Willem H. Zuur, Charlotte L. Timmermans, Jacqueline Tags: Original Research Source Type: research
The Limits of Evidence in Rhinoplasty
This article intends to analyze which factors are involved in this and related developments in rhinoplasty.Evidence-based methodology sets the standards for scientific analysis. For rhinoplasty, however, limitations of established scientific methodology are identified. These include the relative lack of objective outcome measures and the impact of various systematic biases on reported results. These biases include operator dependence, interdependence of techniques, biased selection of outcome parameters, and orthodox treatment bias. Upon critical review, the importance of systematic biases may outweigh the impact of eviden...
Source: Facial Plastic Surgery - April 6, 2023 Category: Cosmetic Surgery Authors: Gassner, Holger G. Ordonez, Francisco Nunes, Rita Tags: Original Article Source Type: research
The Efficacy of Magnesium Sulfate (MgSO4) Wet Dressing in Reducing Eyelid Swelling and Bruising after Blepharoplasty: A Randomized, Controlled, and Observer-Blinded Assessment Study
Facial Plast Surg DOI: 10.1055/s-0043-1767768The purpose of this study was to evaluate the effects of wet dressing with 50% magnesium sulfate (MgSO4) solution on decreasing eyelid swelling and bruising after blepharoplasty. Fifty-eight patients (23 male and 35 female) who underwent bilateral blepharoplasty were enrolled in our randomized clinical trial. One side of the periorbital area (upper and lower eyelids) per patient received a wet dressing with 50% MgSO4 solution randomly, and the other side was cooled with an ice pack from the first postoperative day for two consecutive days (30 minutes per time and twice a day)....
Source: Facial Plastic Surgery - April 3, 2023 Category: Cosmetic Surgery Authors: Zou, Pei Zhang, Kaili Jin, Yi Liu, Guangpeng Tags: Original Research Source Type: research
Pressure Masks for Facial Scar Treatment after Oncological Reconstruction: Long-Term Patient Satisfaction and Quality of Life
Conclusion Pressure mask treatment for facial flaps and scars following MMS results in good long-term patient satisfaction and QoL. Multiple local flaps, reflecting a larger skin defect postexcision, is a predictor for worse outcomes in social function, scar appearance, and symptoms. Increasing time is associated with increasing satisfaction, which reflects satisfactory and stable long-term effects of treatment, possibly combined with more acceptance of the result over time. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | ...
Source: Facial Plastic Surgery - April 3, 2023 Category: Cosmetic Surgery Authors: De Henau, Melissa van Kuijk, Sander M.J. Colla, Carlo Van den Kerckhove, Eric Van der Hulst, Rene R.W.J. Piatkowski, Andrzej Tags: Original Research Source Type: research
Evidence-Based Medicine: Rhinoplasty Surgical Outcomes
Facial Plast Surg DOI: 10.1055/a-2034-8162Evidence-based medicine has become increasingly important in healthcare today by providing a process to examine the highest levels of research and apply them to clinical practice. Integrating the best available evidence to clinical decision making ensures that patients receive the highest level of care based on thoroughly reviewed and validated research. These concepts can also be applied to rhinoplasty, both aesthetic and functional, emphasizing the importance of data-driven decisions to improve clinical care. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, N...
Source: Facial Plastic Surgery - April 3, 2023 Category: Cosmetic Surgery Authors: Kimura, Kyle S. Most, Sam P. Tags: Original Article Source Type: research
Evidence-Based Medicine for Lower Facial Rejuvenation
Facial Plast Surg DOI: 10.1055/s-0043-1766102Lower facial rejuvenation is an expanding area in facial plastic surgery with both surgical and nonsurgical treatment options. Evidence-based medicine is essential to providing high-quality care and creating long-lasting results. A systematic approach and understanding of the layers of the aging lower face is important to develop an individualized treatment plan. This review will focus on surgical and nonsurgical treatments for the aging lower face with an emphasis on evidence-based medicine. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 1000...
Source: Facial Plastic Surgery - April 3, 2023 Category: Cosmetic Surgery Authors: Cristel, Robert T. Branham, Gregory H. Tags: Original Article Source Type: research
An Overview of Rhinoplasty Practices: European Academy of Facial Plastic Surgery, Collaborative Cross-Sectional Study
This study provides an overview of rhinoplasty practices that can be used for benchmarking and to guide clinician and patient decision making. Psychological assessment of prerhinoplasty appears insufficient with higher levels recommended to minimize unsuccessful outcomes. This study showcases the power of collaborative research and may serve as a catalyst for future collaborative facial plastic surgery research. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - March 29, 2023 Category: Cosmetic Surgery Authors: Mandavia, R Parmar, D Ahmed, MN Berber, V Sanz, D Paulucci, B D'Souza, AR Tags: Original Research Source Type: research
Modified Dorsal Split Preservation Hybrid Rhinoplasty for Cartilaginous Pushdown and Full Letdown Applications: A PROM-Based Review of 100 Consecutive Cases
Facial Plast Surg DOI: 10.1055/a-2034-8272Splitting the middle vault on an anatomical plane along the “Septal T” allows a new hybrid perspective on the many modifications of “surface” preservation techniques. The “dorsal split preservation” concept can be applied both to cartilaginous pushdown as well as to full letdown techniques. The dorsal keystone area is maintained, while the middle vault is reshaped. The septum is addressed by conventional L strut septoplasty. Precise direct suture fixation of the high-middle strip is easily accomplished after flexing the osseous-chondral junction at the K area. Specific ...
Source: Facial Plastic Surgery - March 27, 2023 Category: Cosmetic Surgery Authors: Robotti, Enrico Cottone, Giuseppe Leone, Francesco Tags: Original Article Source Type: research
The Barn Doors Greenstick Fracture —A New 3D Geometry for Common Osteotomies in Rhinoplasty: The First 50 Patients with 1-Year Follow-up
Facial Plast Surg DOI: 10.1055/s-0043-1766101The “barn doors greenstick fracture” is a new concept that includes three contiguous greenstick fractures: one in the central compartment of the nasal dorsum (nasal bones) and two on the lateral walls of the bony nasal pyramid. The present study aimed to describe this new concept and to report the first esthetical and functional outcomes. This prospective, interventional, and longitudinal study was performed on 50 consecutive patients undergoing primary rhinoplasty by spare roof technique B. The validated Portuguese version of the Utrecht questionnaire (UQ) for outcome asses...
Source: Facial Plastic Surgery - March 27, 2023 Category: Cosmetic Surgery Authors: Ferreira, Miguel Gon çalves Santos, Mariline Tags: Original Article Source Type: research
Drawbacks and Limitations of Thread Rhinoplasty
Facial Plast Surg 2023; 39: 210-211 DOI: 10.1055/s-0042-1760412 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Facial Plastic Surgery)
Source: Facial Plastic Surgery - March 24, 2023 Category: Cosmetic Surgery Authors: Kim, Su Jin Jang, Yong Ju Tags: Letter to the Editor Source Type: research
Cable and Mirror Sutures and the Nasal Septum Sublaminar Dissection
Facial Plast Surg DOI: 10.1055/a-2021-0280Managing the nasal septum (NS) position is crucial in septorhinoplasty. The analysis and the preparation of the anterior nasal spine and the quadrangular cartilage as well as the strategy defined to efficiently stabilize the septum will dictate considerably the success of the result. Moreover, what we see in the surgical table can suffer modifications during the healing process because of poor fixation or the cheese-wire effect of the cartilage. We will present a logical sequence and tools to achieve a proper and stable position of the NS and the nasal pyramid. The sublaminar (supr...
Source: Facial Plastic Surgery - March 20, 2023 Category: Cosmetic Surgery Authors: Neves, Jose Carlos Martin, Patricia Regalado Tags: Original Article Source Type: research
Evidence-Based Medicine for Nonsurgical Facial Rejuvenation
Facial Plast Surg DOI: 10.1055/a-2005-0701Options for nonsurgical facial rejuvenation treatment have increased significantly in both availability and popularity over the past two decades. However, there remains a paucity of clinical practice guidelines and evidence-based recommendations for these procedures. The purpose of this article is to assess the presence of current high-level research for various methods of nonsurgical facial rejuvenation using the Oxford Centre for Evidence-Based Medicine. Botulinum toxin injections remain the best-studied method, with several randomized controlled trials guiding recommendations fo...
Source: Facial Plastic Surgery - March 20, 2023 Category: Cosmetic Surgery Authors: Hari-Raj, Amrita Spataro, Emily A. Tags: Original Article Source Type: research
Aesthetic Surgical Pathway in Permanent Facial Filler Removal
We present a pathway of facial surgical accesses to be performed achieving two goals: permanent filler removal and restore facial aesthetic balance. The proposed surgical accesses are already standardized in aesthetic surgical practice in order to avoid direct excision and unpleasant facial scar. A total of 231 patients underwent surgery for permanent filler removal and aesthetic restoration of the involved facial area, represented by forehead, glabella, nose, cheeks, eyelids, chin, jawline, and lips. Magnetic resonance evaluation was performed with the exception of lip patients who were evaluated with ultrasound. Postoper...
Source: Facial Plastic Surgery - March 16, 2023 Category: Cosmetic Surgery Authors: Pascali, Michele Chirico, Fabrizio Rugge, Luigi Rauso, Raffaele Tags: Original Research Source Type: research
Evidence-Based Medicine for Ballistic Maxillofacial Trauma
Facial Plast Surg DOI: 10.1055/s-0043-1764347Ballistic trauma is a serious health issue with significant costs to physical, psychosocial, economic, and societal well-being. It may be caused from firearms, explosive devices, or any other projectile forces, and is characterized by severe tissue loss and evolving tissue devitalization. This review covers mechanism, diagnosis, and management of ballistic maxillofacial trauma, specifically. Initial evaluation includes stabilization of airway, bleeding, and circulation, followed by assessment of other injuries. The overall degree of tissue damage is determined by intrinsic patie...
Source: Facial Plastic Surgery - March 16, 2023 Category: Cosmetic Surgery Authors: Wamkpah, Nneoma S Kimball, Abby Pipkorn, Patrik Tags: Original Article Source Type: research
