{"title":"Versatile applications of the polydioxanone plate in rhinoplasty and septal surgery.","authors":"Joanne Rimmer, Louisa M Ferguson, Hesham A Saleh","doi":"10.1001/archfacial.2012.147","DOIUrl":"https://doi.org/10.1001/archfacial.2012.147","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>A retrospective case note review was performed between November 1, 2007, and February 28, 2011, for all patients treated using a polydioxanone plate. Surgical outcomes are discussed.</p><p><strong>Results: </strong>A polydioxanone plate was used in septal and/or rhinoplasty surgery in 102 patients treated during a 40-month period. Follow-up was 9 to 18 months (mean, 12 months), with 96 patients reporting a good cosmetic or functional result. Up to 15% of patients experienced temporary septal swelling, but there were only 2 postoperative infections and no other significant complications.</p><p><strong>Conclusions: </strong>The polydioxanone plate is a safe and reliable absorbable implant that has many different applications in rhinoplasty and septal surgery. It not only acts as a scaffold but also stimulates and guides cartilage regeneration.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 5","pages":"323-30"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30912141","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}
{"title":"Toward a universal, automated facial measurement tool in facial reanimation.","authors":"Tessa A Hadlock, Luke S Urban","doi":"10.1001/archfacial.2012.111","DOIUrl":"https://doi.org/10.1001/archfacial.2012.111","url":null,"abstract":"<p><strong>Objective: </strong>To describe a highly quantitative facial function-measuring tool that yields accurate, objective measures of facial position in significantly less time than existing methods.</p><p><strong>Methods: </strong>Facial Assessment by Computer Evaluation (FACE) software was designed for facial analysis. Outputs report the static facial landmark positions and dynamic facial movements relevant in facial reanimation. Fifty individuals underwent facial movement analysis using Photoshop-based measurements and the new software; comparisons of agreement and efficiency were made. Comparisons were made between individuals with normal facial animation and patients with paralysis to gauge sensitivity to abnormal movements.</p><p><strong>Results: </strong>Facial measurements were matched using FACE software and Photoshop-based measures at rest and during expressions. The automated assessments required significantly less time than Photoshop-based assessments.FACE measurements easily revealed differences between individuals with normal facial animation and patients with facial paralysis.</p><p><strong>Conclusions: </strong>FACE software produces accurate measurements of facial landmarks and facial movements and is sensitive to paralysis. Given its efficiency, it serves as a useful tool in the clinical setting for zonal facial movement analysis in comprehensive facial nerve rehabilitation programs.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"277-82"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30580291","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}
{"title":"Contemporary review of rhinoplasty.","authors":"Patrick C Angelos, Mark J Been, Dean M Toriumi","doi":"10.1001/archfacial.2012.577","DOIUrl":"https://doi.org/10.1001/archfacial.2012.577","url":null,"abstract":"<p><p>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. We also report studies involving lateral osteotomy techniques, computer imaging, and the use of homologous, alloplastic, and absorbable implants. When appropriate, we review outcomes data from key studies because these data are becoming increasingly important for evidence-based medicine, physician grading, and procedure reimbursement. Using evidence-based approaches whenever possible will help to ensure predictable patient outcomes.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"238-47"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766814","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}
{"title":"Highlights of archives of facial plastic surgery.","authors":"","doi":"10.1001/archfacial.2012.668","DOIUrl":"https://doi.org/10.1001/archfacial.2012.668","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"235"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31587843","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}
Howard Bauchner, Daniel M Albert, Joseph T Coyle, Julie Ann Freischlag, Wayne F Larrabee, Paul A Levine, Rita F Redberg, Rita A Redberg, Frederick P Rivara, June K Robinson, Roger N Rosenberg
{"title":"The JAMA Network journals: new names for the archives journals.","authors":"Howard Bauchner, Daniel M Albert, Joseph T Coyle, Julie Ann Freischlag, Wayne F Larrabee, Paul A Levine, Rita F Redberg, Rita A Redberg, Frederick P Rivara, June K Robinson, Roger N Rosenberg","doi":"10.1001/archfacial.2012.775","DOIUrl":"https://doi.org/10.1001/archfacial.2012.775","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"236"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.775","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30732378","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}
{"title":"About this journal.","authors":"","doi":"10.1001/archfaci.14.4.231","DOIUrl":"https://doi.org/10.1001/archfaci.14.4.231","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"231"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31587853","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}
{"title":"Intraoperative angiography using laser-assisted indocyanine green imaging to map perfusion of forehead flaps.","authors":"Charles R Woodard, Sam P Most","doi":"10.1001/archfacial.2011.1540","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1540","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the perfusion of forehead flaps and compare blood flow from the supratrochlear artery with vascular in-growth at the recipient bed.</p><p><strong>Methods: </strong>Patients with nasal defects necessitating forehead flap closure were prospectively enrolled to study flap perfusion dynamics. Laser-assisted indocyanine green angiography was used to obtain the measurements. When possible, patients returned for weekly recording of flap perfusion from the recipient bed with the pedicle clamped. Analysis of the data was performed using SPY-Q software.</p><p><strong>Results: </strong>Six patients were prospectively enrolled. All patients had intraoperative angiography at flap transfer, pedicle division, and at least 1 postoperative visit between these surgical procedures. Flow was measured as a percentage of perfusion of normal surrounding tissue. A higher percentage of perfusion was seen at the distal end of the flap when compared with the pedicle when the pedicle was clamped. This phenomenon was seen as early as the 1-week postoperative visit.</p><p><strong>Conclusions: </strong>This is the first study attempting to quantify forehead flap perfusion from the supratrochlear artery and recipient bed. Data obtained suggest evidence of vascular in-growth 1 week following flap transfer.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"263-9"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1540","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30474197","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}
Alpaslan Topcu, Osman E Aydin, Mehtat Ünlü, Ali Barutcu, Atay Atabey
{"title":"Increasing the viability of fat grafts by vascular endothelial growth factor.","authors":"Alpaslan Topcu, Osman E Aydin, Mehtat Ünlü, Ali Barutcu, Atay Atabey","doi":"10.1001/archfacial.2011.1633","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1633","url":null,"abstract":"<p><strong>Objective: </strong>To increase the viability of fat grafts using vascular endothelial growth factor (VEGF) in a calcium alginate microsphere controlled release system.</p><p><strong>Design: </strong>Twenty-four rats were divided into 4 groups of 6 rats each. Group 1 was the preconditioning group in which VEGF was applied prior to the fat grafting. In group 2,VEGF was given at the time of the grafting. In group 3, an empty microsphere was added to the grafting material. The fourth group, which received the fat graft only, was the control group. At the 90th day, samples of the fat grafts were weighed and compared with preimplantation weights.</p><p><strong>Results: </strong>The graft viability ratios of the first 3 groups were significantly higher than those of the control group. The relative adipocyte index was significantly higher in the first and second groups compared with the control group and group 3. Consistent with the literature, VEGF used both in the preconditioning procedure and simultaneously with the grafting procedure increased the graft viability ratio and relative adipocyte index.</p><p><strong>Conclusion: </strong>This study suggests that VEGF-induced preconditioning of the recipient bed improves fat graft viability via increased revascularization.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"270-6"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30474844","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}
{"title":"New pressure device, \"Magsil,\" as an adjuvant pressure therapy for ear keloids.","authors":"Tae-Hwan Park","doi":"10.1001/archfacial.2012.296","DOIUrl":"https://doi.org/10.1001/archfacial.2012.296","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"298-9"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30766137","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}
Michael G Brandt, Agnieszka Hassa, Kathryn Roth, Bret Wehrli, Corey C Moore
{"title":"Biomechanical properties of the facial retaining ligaments.","authors":"Michael G Brandt, Agnieszka Hassa, Kathryn Roth, Bret Wehrli, Corey C Moore","doi":"10.1001/archfacial.2011.1533","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1533","url":null,"abstract":"<p><strong>Objective: </strong>Osteocutaneous facial retaining ligaments play an important role in the aging face. We sought to better characterize the biophysical properties of these ligaments and, in doing so, provide an empirical basis for the natural descent seen in facial aging.</p><p><strong>Methods: </strong>Five fresh frozen cadaver heads yielding 10 hemifaces were dissected to expose the orbital, zygomatic, buccomaxillary, and mandibular osteocutaneous ligaments. Each ligament was assessed and subjected to biomechanical testing. The main outcome measures included ligament dimensions, stiffness, percentage of elongation, and force to initial and ultimate failure.</p><p><strong>Results: </strong>Initial and ultimate failure testing revealed the zygomatic ligament to be strongest, followed by the orbital, mandibular, and maxillary ligaments. The zygomatic ligament was also stiffest, followed by the orbital, maxillary, and mandibular ligaments. The percentage of elongation acted as a surrogate marker of elasticity, with the greatest elasticity maintained by the mandibular ligament, followed by the orbital, zygomatic, and buccomaxillary ligaments. Ligament dimensions and biophysical properties did not vary relative to cadaveric hemiface, age, or sex.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first investigation to quantify the biomechanical properties of the facial retaining ligaments. Inherent ligament properties seem to be related to the changes observed in facial aging, although further study is required.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":"14 4","pages":"289-94"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30474842","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}