Archives of Facial Plastic Surgery最新文献_第3页

Leonardo da Vinci's aesthetic analysis of nasal tip prominence. 达芬奇对鼻尖突出的美学分析。

Archives of Facial Plastic Surgery Pub Date : 2012-11-01 DOI: 10.1001/archfacial.2012.855

Farhad B Naini

引用次数: 3

The "inverted V" technique for rib cartilage L-shaped struts in rhinoplasty. 鼻整形术中肋软骨l型支的“倒V”技术。

Archives of Facial Plastic Surgery Pub Date : 2012-11-01 DOI: 10.1001/jamafacial.2013.301

Paolo Persichetti, Vito Toto, Francesco Segreto, Daniele Tosi, Stefano Campa, Giovanni Francesco Marangi

引用次数: 0

Rhinoplasty: cases and techniques. 鼻整形术:病例与技术。

Archives of Facial Plastic Surgery Pub Date : 2012-11-01 DOI: 10.1001/archfacial.2012.909

James Ridgway

引用次数: 0

Inability of speculation to explain dose effect differences between botulinum toxin products. 推测无法解释肉毒杆菌毒素产品之间的剂量效应差异。

Archives of Facial Plastic Surgery Pub Date : 2012-11-01 DOI: 10.1001/jamafacial.2013.366

Andy Pickett

引用次数: 3

Ethical considerations in aesthetic rhinoplasty: a survey, critical analysis, and review. 美学鼻整形术的伦理考虑:调查，批判性分析和回顾。

Archives of Facial Plastic Surgery Pub Date : 2012-11-01 DOI: 10.1001/archfacial.2012.132

Kian Karimi, Martin F McKneally, Peter A Adamson

{"title":"Ethical considerations in aesthetic rhinoplasty: a survey, critical analysis, and review.","authors":"Kian Karimi, Martin F McKneally, Peter A Adamson","doi":"10.1001/archfacial.2012.132","DOIUrl":"https://doi.org/10.1001/archfacial.2012.132","url":null,"abstract":"Although the practice of medicine is built on a foundation of ethics, science, and common sense, the increasing complexity of medical interventions, social interactions, and societal norms of behavior challenges the ethical practice of aesthetic surgeons. We report a survey of the opinions, practices, and attitudes of experienced and novice facial plastic surgeons. The survey consisted of 15 clinical vignettes addressing ethical quandaries in aesthetic rhinoplasty. The vignettes are based on the experience and observations of the senior author (P.A.A.) over nearly 30 years of practice and teaching. Fellowship directors and facial plastic surgery fellows of the American Academy of Facial Plastic and Reconstructive Surgery were surveyed anonymously. Five of the 15 vignettes demonstrated significant differences between the responses of the fellowship directors and the fellows. No single vignette had a unanimous consensus in either group. Aesthetic rhinoplasty surgeons encounter ethical issues that should be reflected on by both experienced and inexperienced facial plastic surgeons, preferably before being faced with them in practice. We present a practical approach to ethical issues in clinical practice. Our survey can also be used as a stimulus for further discussion and teaching.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 6","pages":"442-50"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30700183","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: 5

Facial aesthetics: concepts & clinical diagnosis. 面部美学:概念与临床诊断。

Archives of Facial Plastic Surgery Pub Date : 2012-09-01 DOI: 10.1001/archfacial.2012.708

Jessica J Lee, James M Ridgway

引用次数: 25

Error in Signature Block in: The JAMA Network Journals: New Names for the Archives Journals. 签名块错误:JAMA网络期刊:档案期刊的新名称。

Archives of Facial Plastic Surgery Pub Date : 2012-09-01 DOI: 10.1001/archfacial.2012.1023

引用次数: 0

Reformatted computed tomography to assess the internal nasal valve and association with physical examination. 重新格式化计算机断层扫描以评估内鼻阀及其与体格检查的关联。

Archives of Facial Plastic Surgery Pub Date : 2012-09-01 DOI: 10.1001/archfacial.2012.50

Jason D Bloom, Shaum Sridharan, Mari Hagiwara, James S Babb, W Matthew White, Minas Constantinides

{"title":"Reformatted computed tomography to assess the internal nasal valve and association with physical examination.","authors":"Jason D Bloom, Shaum Sridharan, Mari Hagiwara, James S Babb, W Matthew White, Minas Constantinides","doi":"10.1001/archfacial.2012.50","DOIUrl":"https://doi.org/10.1001/archfacial.2012.50","url":null,"abstract":"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 (0.75-mm section) CT scans ordered for nasal airway obstruction or nasal valve compromise at the same institution. These patients were evaluated from January 1, 2000, through December 31, 2010. The previously acquired CT scans were reformatted to obtain sections through the internal nasal valve at a more appropriate orientation. The internal nasal valve cross-sectional area and valve angle were measured through a standardized section (1 cut immediately anterior to the head of the inferior turbinate) from the reformatted scans. The cross-sectional area was also measured through the same point on the traditionally oriented CT scan, and the values were compared. The results from each patient's scan were compared with data from the patient's medical record and analyzed against the patient's preoperative modified Cottle examination findings.Results: The CT scans oriented in the reformatted plane through the internal nasal valve provided a narrower valve angle than the traditionally oriented CT scans and more closely approximated the hypothesized true value of the internal nasal valve of 10° to 15° (P < .001). In a comparison of the same-side internal nasal valve angle and cross-sectional nasal valve area between the 2 different CT scan orientations, a statistically significant difference in the internal nasal valve angles between the 2 scan orientations was discovered, but this finding did not reach significance when distinguishing the nasal valve cross-sectional area. Finally, no correlation was found with regard to the preoperative modified Cottle maneuver scores for the internal nasal valve angle and cross-sectional valve area values in either scan orientation.Conclusions: Precise preoperative evaluation of the internal nasal valve is critical to the workup for reconstruction or repair of problems that involve this area. Although tools such as acoustic rhinometry exist to evaluate the cross-sectional area of the nasal valve, many rhinoplasty surgeons do not have access to this expensive equipment. A CT scan with reformatting in the proper plane of the internal nasal valve can provide the surgeon with improved anatomical information to assess that region. With this in mind, however, the surgeon should always perform a thorough preoperative physical examination and","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 5","pages":"331-5"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.50","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30913647","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: 37

Double-opposing rotation-advancement flaps for closure of forehead defects. 双反旋转推进皮瓣关闭额头缺陷。

Archives of Facial Plastic Surgery Pub Date : 2012-09-01 DOI: 10.1001/archfacial.2012.7

Evan R Ransom, Andrew A Jacono

{"title":"Double-opposing rotation-advancement flaps for closure of forehead defects.","authors":"Evan R Ransom, Andrew A Jacono","doi":"10.1001/archfacial.2012.7","DOIUrl":"https://doi.org/10.1001/archfacial.2012.7","url":null,"abstract":"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.Results: All 16 patients underwent single-stage closure of forehead defects using our design. Six patients were men, 8 were women (mean age, 71 years). Preoperative defect sizes ranged from 3 to 30 cm2 (mean, 18 cm2). All wounds resulted from Mohs surgery for cutaneous malignant neoplasms; 2 were adjacent to previous reconstructions. No recurrence of tumor was seen during the study period. No permanent frontal branch injuries occurred. One patient developed a moderate cellulitis. Photographic analysis showed that brow position and hairline contour were maintained in all cases.Conclusions: The double-opposing rotation-advancement flap closure is a versatile reconstructive option for small, medium, and large forehead defects. The technique involves elevation of opposing, asymmetric flaps, with subsequent rotation of one side and advancement of the contralateral side. Single-stage closure may be accomplished without unappealing changes to the brow position or hairline.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 5","pages":"342-5"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30913649","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: 15

Impact of cleft width in clefts of secondary palate on the risk of velopharyngeal insufficiency. 腭裂裂宽度对腭咽功能不全风险的影响。

Archives of Facial Plastic Surgery Pub Date : 2012-09-01 DOI: 10.1001/archfacial.2012.169

Derek J Lam, Lynn L Chiu, Kathleen C Y Sie, Jonathan A Perkins

{"title":"Impact of cleft width in clefts of secondary palate on the risk of velopharyngeal insufficiency.","authors":"Derek J Lam, Lynn L Chiu, Kathleen C Y Sie, Jonathan A Perkins","doi":"10.1001/archfacial.2012.169","DOIUrl":"https://doi.org/10.1001/archfacial.2012.169","url":null,"abstract":"Objective To investigate the association between velopharyngeal insufficiency (VPI), a common finding after cleft palate repair, and various risk factors, including cleft width.Methods We performed a retrospective cohort study of patients with isolated cleft palates repaired from 2003 to 2008 at a tertiary children's hospital. Patients were observed postoperatively for development of VPI and palatal fistula. The primary risk factor was cleft width. Covariates included cleft length, age at surgery, and presence of associated syndrome. Logistic regression analysis was used to calculate adjusted and unadjusted odds ratios (ORs).Results The cohort comprised 61 patients. Mean (SD) patient age at the time of cleft repair was 13 (3) months. Fistula rate was 3%. Overall rate of postoperative VPI was 32%. We found significant associations between VPI diagnosis and increasing age in months at the time of palate repair (OR, 1.4 [95% CI, 1.2-1.7]) and between VPI and cleft width greater than 10 mm (OR, 5.3 [95% CI, 1.8-15.6]). The association between VPI and cleft width was similar after adjustment for cleft length, patient age, and syndrome presence (OR, 4.5 [95% CI, 1.1-18.7]).Conclusions Our results suggest that increased palatal cleft width is associated with a greater risk of postoperative VPI. Clinicians should consider this when counseling patient families for cleft palate repair.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 5","pages":"360-4"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30579156","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: 34