Pediatric Facial Reanimation
Facial Plast Surg Clin North Am. 2024 Feb;32(1):169-180. doi: 10.1016/j.fsc.2023.07.003. Epub 2023 Aug 21.ABSTRACTPediatric facial palsy is rare but severely debilitating and results in profound functional, developmental, psychosocial, and esthetic consequences. Identifying the specific cause of the palsy is important in directing the treatment course. The most common etiologies of pediatric facial palsy are distinct from those of adults. Facial reanimation interventions are targeted to address the zones of the face, with oral/smile rehabilitation the most common region requiring intervention in pediatric patients. Gracili...
Source: The Surgical Clinics of North America - November 19, 2023 Category: Surgery Authors: Stephen P Hadford Dane J Genther Patrick J Byrne Source Type: research

Enhanced Recovery After Surgery Protocols in Craniofacial Surgery
Facial Plast Surg Clin North Am. 2024 Feb;32(1):181-187. doi: 10.1016/j.fsc.2023.07.004. Epub 2023 Aug 23.ABSTRACTEnhanced Recovery after Surgery (ERAS) refers to a patient centered, multidisciplinary team developed pathway aimed at reducing the surgical stress response and facilitating expedited patient postoperative recovery. These protocols have been largely developed in the general surgery literature and have led to vast improvements in the patient experience. ERAS protocols are generally substantiated on 3 phases along the continuum of surgical care: preadmission optimization, intraoperative treatment, and postoperati...
Source: The Surgical Clinics of North America - November 19, 2023 Category: Surgery Authors: Tazheh Kavoosi Anjali Pillai Anindita Rajasekaran Adetokunbo Obayemi Source Type: research

Cleft Lip Repair and Primary and Intermediate Cleft Rhinoplasties
Facial Plast Surg Clin North Am. 2024 Feb;32(1):27-41. doi: 10.1016/j.fsc.2023.08.001. Epub 2023 Sep 27.ABSTRACTThe cleft lip is one of the most common craniofacial abnormalities seen worldwide. The lip and primary rhinoplasty repairs are performed together in a single surgery for patients aged 3 to 6 months. The intermediate rhinoplasty has fallen out of favor due to more advanced approaches at primary rhinoplasty. However, it still plays a role in addressing severe nasal airway obstruction or correcting anatomic differences causing emotional distress from social ridicule. The article reviews the incidence of cleft lip, d...
Source: The Surgical Clinics of North America - November 19, 2023 Category: Surgery Authors: Christine Matthews Lisa Morris Cassidy Woolie Laura T Hetzler Source Type: research

Secondary Cleft Rhinoplasty
Facial Plast Surg Clin North Am. 2024 Feb;32(1):43-54. doi: 10.1016/j.fsc.2023.06.003. Epub 2023 Jul 26.ABSTRACTSecondary cleft rhinoplasty remains a challenging operation that requires an understanding of the aberrant anatomy in cleft lip nasal deformity as well as the ability to adapt various techniques suited to the needs of each patient. In this article, we review some of the classically described approaches in cleft rhinoplasty and different strategies to address the nasal subunits. Presurgical adjuncts, surgical interventions before facial skeletal maturity, and patient reported outcome measures are also discussed.PM...
Source: The Surgical Clinics of North America - November 19, 2023 Category: Surgery Authors: David Liao Nicola Pereira Adetokunbo Obayemi Anthony P Sclafani Source Type: research

Primary Cleft Palate Repair
Facial Plast Surg Clin North Am. 2024 Feb;32(1):55-62. doi: 10.1016/j.fsc.2023.07.001. Epub 2023 Aug 12.ABSTRACTThere are several factors to consider when planning cleft palate repair. It is important to review the patient's associated comorbidities, as they impact decisions on perioperative management and family counseling. Many comorbidities change the risk of postoperative airway obstruction, velopharyngeal insufficiency, or fistula formation. It is also critical to determine the type of cleft palate to be addressed, as this influences the decision on which technique is most appropriate for optimal patient outcome. Comm...
Source: The Surgical Clinics of North America - November 19, 2023 Category: Surgery Authors: Barry Daniel Long Rajanya Shah Petersson Source Type: research