Archives of Facial Plastic Surgery最新文献_第10页

Nasal batten grafts: are patients satisfied? 鼻板条移植:患者满意吗?

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1187

Ahmed Sufyan, Michelle Ziebarth, Nancy Crousore, Tonya Berguson, Mimi S Kokoska

{"title":"Nasal batten grafts: are patients satisfied?","authors":"Ahmed Sufyan, Michelle Ziebarth, Nancy Crousore, Tonya Berguson, Mimi S Kokoska","doi":"10.1001/archfacial.2011.1187","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1187","url":null,"abstract":"Objectives: To learn how nasal batten grafts affect patients' assessment of their nasal airway patency and to determine the extent to which patients believe batten grafts altered their appearance.Methods: A prospective survey study of 18 patients in a tertiary veterans hospital who had nasal airway obstruction (NAO) due to nasal valve collapse was completed. Patients had placement of bilateral polyethylene batten grafts during a 36-month study period. The Nasal Obstruction Symptom Evaluation (NOSE) validated survey was used to measure a patient's subjective postoperative change in nasal airway obstruction. In addition, the patients were asked to rate the extent their appearance had changed.Results: All patients presented with complaints of NAO due to nasal valve collapse either in isolation or in combination with another anatomical source of obstruction. The nasal valve collapse was identified by clinical examination. All patients had preoperative photographs. Most patients had a trial with an intranasal stent before opting for surgical implantation of the batten grafts. The results of the NOSE survey demonstrate significant improvement in nasal obstruction. Patients also reported only a minimal change in appearance. There was 1 patient with implant extrusions and only a few implants were removed.Conclusions: Nasal airway obstruction due to nasal valve collapse can be effectively treated with polyethylene batten grafts. The implants are well tolerated, and patients report a significant improvement in NAO. There is little risk of implant extrusion, exposure, or intolerance. In addition, patients did not note a significant change to their appearance.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30391399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability. 头侧修剪对下外侧软骨稳定性影响的力学分析。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1354

Sepehr Oliaei, Cyrus Manuel, Dmitriy Protsenko, Ashley Hamamoto, Davin Chark, Brian Wong

{"title":"Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability.","authors":"Sepehr Oliaei, Cyrus Manuel, Dmitriy Protsenko, Ashley Hamamoto, Davin Chark, Brian Wong","doi":"10.1001/archfacial.2011.1354","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1354","url":null,"abstract":"Objective: To determine how mechanical stability changes in the lower lateral cartilage (LLC) after varying degrees of cephalic resection in a porcine cartilage nasal tip model.Methods: Alar cartilage was harvested from fresh porcine crania (n = 14) and sectioned to precisely emulate a human LLC in size and dimension. Flexural mechanical analysis was performed both before and after cephalic trims of 0 (control), 4, and 6 mm. Cantilever deformation tests were performed on the LLC models at 3 locations (4, 6, and 8 mm from the midline), and the integrated reaction force was measured. An equivalent elastic modulus of the crura was calculated assuming that the geometry of the LLC model approximated a modified single cantilever beam. A 3-dimensional finite element model was used to model the stress distribution of the prescribed loading conditions for each of the 3 types of LLC widths.Results: A statistically significant decrease (P = .02) in the equivalent elastic modulus of the LLC model was noted at the most lateral point at 8 mm and only when 4 mm of the strut remained (P = .05). The finite element model revealed that the greatest internal stresses was at the tip of the nose when tissue was flexed 8 mm from the midline.Conclusion: Our results provide the mechanical basis for suggested clinical guidelines stating that a residual strut of less than 6 mm can lead to suboptimal cosmetic results owing to poor structural support of the overlying skin soft-tissue envelope by an overly resected LLC.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30391400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Retrospective review of resorbable plate fixation in pediatric craniofacial surgery: long-term outcome. 儿童颅面外科可吸收钢板固定的回顾性研究:长期结果。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1280

Sherard A Tatum

{"title":"Retrospective review of resorbable plate fixation in pediatric craniofacial surgery: long-term outcome.","authors":"Sherard A Tatum","doi":"10.1001/archfacial.2011.1280","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1280","url":null,"abstract":"Objective: To determine the long-term efficacy of resorbable plate fixation in pediatric patients undergoing craniofacial surgery for congenital anomalies, traumatic deformities, or skull base tumors. Design: Retrospective case review. Materials and Methods: Medical records of 57 consecutive cases using resorbable plates and screws for craniofacialfixationinpatientsyoungerthan18yearswereanalyzed. MainOutcomeMeasures:Thestatusofbonehealingpostoperatively(anatomicalunion,malunion,delayedunion, or nonunion) and any complications or adverse effects (hardware visibility or palpability, plate extrusion, or infection) were noted. Results: In midfacial and upper face procedures (54 patients) anatomical union and uncomplicated bone healing occurred in 52 (96%) of the patients. In this same group, complications (plate extrusion) occurred in 2 patients(3.7%)andwereresolvedusingconservativetreatment without untoward sequelae. These outcomes are comparabletoresultsusingmetalosteosynthesisinsimilar situations. Costs of resorbable hardware are similar to existing metal fixation systems. Conclusions: Our data support the use of bioresorbable platefixationinpediatriccraniofacialsurgeryasameans of avoiding the potential and well-documented problems with rigid metal fixation. Indications include fractures and segmental repositioning in low-stress nonload-bearing areas of the middle and upper craniofacial skeleton. Although there is an initial learning curve in using this technology, we believe the benefits are well worth the effort and represent a major advance in pediatric craniofacial surgery.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30391398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Zygomaticomaxillary complex fractures. 颧颌复合体骨折。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1415

Danny Meslemani, Robert M Kellman

引用次数: 46

Orthodromic temporalis tendon transfer: anatomical considerations. 颞直肌肌腱转移:解剖学上的考虑。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1277

Noah P Parker, Lindsay S Eisler, Harley S Dresner, William E Walsh

{"title":"Orthodromic temporalis tendon transfer: anatomical considerations.","authors":"Noah P Parker, Lindsay S Eisler, Harley S Dresner, William E Walsh","doi":"10.1001/archfacial.2011.1277","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1277","url":null,"abstract":"Objectives: To define (1) at-risk structures during the orthodromic temporalis tendon transfer and (2) achievable tendon length without temporal releasing incisions or perioral lengthening materials.Methods: Ten fresh cadavers provided 20 hemifaces for dissection. Measurements and photographic documentation were used to examine the parotid duct, masseteric artery, inferior alveolar nerve, internal maxillary artery, and mobilized tendon relative to adjacent landmarks.Results: The parotid duct was found in a reproducible region posterior to the melolabial crease and inferior to a parotid duct reference line. The masseteric artery was found posterior to the posterior-most attachment of the tendon at its exit from the sigmoid notch (mean, 14.5 mm). The inferior alveolar nerve was found posterior to the anterior edge of the ascending ramus (mean, 18.3 mm). The internal maxillary artery coursed superiorly from posterior to anterior along the medial mandible near the coronoidectomy site. The tendon reached beyond the melolabial crease in 17 of 20 hemifaces (85%).Conclusions: The parotid duct reference line and the melolabial crease allow estimation of the parotid duct location. Anatomical relationships between the tendon, parotid duct, neurovasculature, and anatomical landmarks underscore the importance of deliberate soft-tissue retraction and subperiostial elevation to minimize injury. The tendon alone usually provides adequate length for orthodromic suspension.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1277","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30391403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

The nasal valve dilemma: the narrow straw vs the weak wall. 鼻阀困境:狭窄的吸管vs薄弱的鼻壁。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1450

John S Rhee, Julia S Kimbell

引用次数: 14

Physician confidence in fillers and neurotoxins: a national survey. 医生对填充物和神经毒素的信心:一项全国性调查。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1200

Steven J Pearlman, Benjamin A Talei, Heidi A Waldorf, Michael A C Kane, Roger A Dailey

{"title":"Physician confidence in fillers and neurotoxins: a national survey.","authors":"Steven J Pearlman, Benjamin A Talei, Heidi A Waldorf, Michael A C Kane, Roger A Dailey","doi":"10.1001/archfacial.2011.1200","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1200","url":null,"abstract":"R eservations regarding the use of neurotoxins and facial fillers inevitably arise for both patients and physicians. Patients look to their physicians for reassurance and guidance regarding the safety and efficacy of various materials. Nothing speaks louder than trusting a procedure performed on ourselves. We decided to explore and probe further into the use and ultimately the trust we have in these products. Pursuing the most transparent method possible, we distributed an anonymous survey to reveal whether aesthetic surgeons as a group take our own advice by using these products. Specifically, which injectable products do we prefer and have enough confidence in enough to use on ourselves? This information would likely provide some insight into our clinical practices and further convey our industry’s confidence in and commitment to these types of products. To gather the necessary information we developed an anonymous survey that was sent to members of the 4 core aesthetic specialties: facial plastic surgery, dermatology, plastic surgery, and oculoplastic surgery. The survey was specifically aimed at the use of botulinum toxin and the most commonly used fillers. Fillers included hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, and polymethylmethacrylate. Surgeon demographics were collected along with history of self-injection and administration by colleagues.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30391409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The four seasons: winter, by Francois Boucher. 四季:弗朗索瓦·布歇的《冬天》。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfaci.14.1.76

Emily B Collins

引用次数: 1

Auricular keloids: combined therapy with a new pressure device. 耳穴瘢痕疙瘩:联合加压装置治疗。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 Epub Date: 2011-08-15 DOI: 10.1001/archfacial.2011.57

Gregor M Bran, Jörn Brom, Karl Hörmann, Boris A Stuck

引用次数: 42

New technique for medial canthoplasty that incorporates modified v-w epicanthoplasty. 内眦成形术的新技术:改良v-w眦成形术。

Archives of Facial Plastic Surgery Pub Date : 2012-01-01 DOI: 10.1001/archfacial.2011.1125

Yoshiaki Sakamoto, Hideo Nakajima, Ikkei Tamada, Kazuo Kishi

引用次数: 8