Archives of Facial Plastic Surgery最新文献

{"title":"Update on the effect of botulinum toxin pretreatment on laser resurfacing results.","authors":"Marc Zimbler, Satyen Undavia","doi":"10.1001/archfacial.2011.1650","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1650","url":null,"abstract":"Background: Facial laser resurfacing and chemodenervation with botulinum toxin type A are used independently as means of nonsurgical facial rejuvenation. Recent reports in the literature have described combining these 2 therapies, claiming improved and longer-lasting laser resurfacing results. To date, no scientific investigation has been undertaken to prove or disprove this theory. Design: Institutional review board–approved, prospective, randomized, blinded study at university-affiliated outpatient cosmetic surgery offices. Intervention: Patients had one side of their face injected, at specific anatomic subsites (crow’s feet, horizontal forehead furrows, and glabellar frown lines), with botulinum toxin 1 week before laser resurfacing. After receiving an injection, patients underwent cutaneous laser exfoliation on both sides of the face with either a carbon dioxide or an erbium dual-mode laser. Main Outcome Measures: Patients’ injected (experimental) and noninjected (control) sides were compared after laser resurfacing. Follow-up was documented at 6 weeks, 3 months, and 6 months after laser resurfacing. Subjective evaluation, based on a visual analog scale, was performed in person by a blinded observer. Furthermore, a blinded panel of 3 expert judges (1 facial plastic surgeon, 1 oculoplastic surgeon, and 1 cosmetic dermatologist) graded 35-mm photographs taken during postoperative follow-up visits. Results: Ten female patients were enrolled in the study. A 2-tailed t test showed that all sites that were pretreated with botulinum toxin showed statistically significant improvement (P .05) over the nontreated side, with the crow’s feet region showing the greatest improvement. Comparing results between the carbon dioxide and erbium lasers did not result in any statistically significant differences. Conclusions: Hyperdynamic facial lines, pretreated with botulinum toxin before laser resurfacing, heal in a smoother rhytid-diminished fashion. These results were clinically most significant in the crow’s feet region. We recommend pretreatment of movement-associated rhytids with botulinum toxin before laser resurfacing. For optimum results, we further recommend continued maintenance therapy with botulinum toxin postoperatively.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765951","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":"Outcomes following rhinoplasty using autologous costal cartilage.","authors":"Byoung Jae Moon,&nbsp;Ho Jun Lee,&nbsp;Yong Ju Jang","doi":"10.1001/archfacial.2012.138","DOIUrl":"https://doi.org/10.1001/archfacial.2012.138","url":null,"abstract":"<p><strong>Objective: </strong>To describe the aesthetic and clinical outcomes following rhinoplasty using autologous costal cartilage, which is considered the best graft material for rhinoplasty requiring major reconstruction. Few studies have examined outcomes following rhinoplasty using autologous costal cartilage.</p><p><strong>Methods: </strong>A retrospective review of the data from 108 patients who underwent rhinoplasty using autologous costal cartilage between April 2006 to May 2011. The study population consisted of 81 male and 27 female patients (mean age, 33.0 years). Each patient self-assessed their aesthetic outcomes for subjective satisfaction, and 2 independent surgeons assessed aesthetic outcomes from photographs. Associated complications were also analyzed.</p><p><strong>Results: </strong>The patient self-assessment showed that 73 patients were satisfied; 16 patients stated that they felt better than they did preoperatively; and 19 patients were dissatisfied. The independent surgeons judged that 43 patients had excellent outcomes, 37 patients had good outcomes, 24 patients had fair outcomes, and 4 patients had poor outcomes. There were 13 donor site complications: 9 seromas, 1 pneumothorax, 2 keloid formations, and 1 persistent pain. There were 19 recipient site complications: 9 infections, 5 resorptions, 2 visible graft contours, 2 graft fractures, and 1 warping.</p><p><strong>Conclusions: </strong>The use of autologous costal cartilage in rhinoplasty was found to be associated with a relatively high complication rate and relatively poor aesthetic outcomes. Considering our results, autologous costal cartilage should be used with the possibility of complications in mind.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765953","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":"Error in Byline in: Effects of Botulinum Toxin A on Cytokine Synthesis in a Cell Culture Model of Cutaneous Scarring.","authors":"","doi":"10.1001/archfacial.2012.461","DOIUrl":"https://doi.org/10.1001/archfacial.2012.461","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31588397","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":"Nasal measurements in Asians and high-density porous polyethylene implants in rhinoplasty.","authors":"Dongwoo Jang,&nbsp;Li Yu,&nbsp;Yimin Wang,&nbsp;Dejun Cao,&nbsp;Zheyuan Yu,&nbsp;Xiongzheng Mu","doi":"10.1001/archfacial.2011.1580","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1580","url":null,"abstract":"<p><strong>Objectives: </strong>To understand Asian noses, set goals for rhinoplasty, and find the best alternative columellar strut.</p><p><strong>Methods: </strong>Six values were used to evaluate the morphology of the nose: tip projection, alar-tip-columellar base angle, alar-columellar base-philtrum angle, nasolabial angle, nasofacial angle, and tip angle. One hundred average Chinese people (50 males and 50 females) were compared with 36 preoperative Chinese patients (13 males and 23 females). We presented an application of high-density porous polyethylene (Medpor) implant as a columellar strut for use in lengthening. We performed 3 surgical techniques: a single-plate strut, a double-plate strut, and a butterfly-shaped strut. Open rhinoplasty (transcolumella incision) was performed on 21 patients; closed rhinoplasty (marginal incision) was performed on 15 patients.</p><p><strong>Results: </strong>Prominent changes in the 6 values were found in both male and female patients after rhinoplasty.</p><p><strong>Conclusions: </strong>An analysis of the Asian nose will help surgeons achieve better results. High-density porous polyethylene columellar strut grafts provide adequate support for refined tip definition and the shaping of the columellar-lobular angle.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765876","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":"Revision otoplasty: how to manage the disastrous result.","authors":"Alexander Berghaus,&nbsp;Thomas Braun,&nbsp;John Martin Hempel","doi":"10.1001/archfacial.2012.61","DOIUrl":"https://doi.org/10.1001/archfacial.2012.61","url":null,"abstract":"<p><strong>Objective: </strong>To describe how severe ear deformities after otoplasty can be corrected.</p><p><strong>Methods: </strong>The correction of creases is possible through readaptation of the cartilage edges followed by revision otoplasty using suture techniques in the reconstructed cartilage. In the case of defect formation or extreme thinning of the cartilage, an appealing auricular shape is achieved by the use of porous polyethylene implants.</p><p><strong>Results: </strong>We have treated 12 severe ear deformities in the past 2 years with the procedures described herein. In 11 cases, there were no complications, nor was it necessary to make further corrections for cosmetic reasons.</p><p><strong>Conclusions: </strong>Reconstructing the cartilaginous skeleton and redoing otoplasty is a recommendable procedure with a longer lasting effect than just covering creases with fascia or preserved materials. In the case of a missing ear cartilage skeleton, the use of porous polyethylene implants instead of autogenous cartilage should be considered for reconstruction.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.61","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765878","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":"Split-face double-blind study comparing the onset of action of onabotulinumtoxinA and abobotulinumtoxinA.","authors":"Kenneth C Y Yu,&nbsp;Kartik D Nettar,&nbsp;Sumit Bapna,&nbsp;W John Boscardin,&nbsp;Corey S Maas","doi":"10.1001/archfacial.2011.1142","DOIUrl":"https://doi.org/10.1001/archfacial.2011.1142","url":null,"abstract":"<p><strong>Objective: </strong>To report and discuss the outcome of a prospective, internally controlled, randomized, double-blind, split-face study comparing the onset of action of 2 commercially available botulinum neuromodulators.</p><p><strong>Methods: </strong>Ninety individuals with moderate-to-severe lateral orbital rhytids were treated with onabotulinumtoxinA, 10 U, and abobotulinumtoxinA, 30 U, for the treatment of lateral orbital rhytids. Participants were assessed live with a validated 5-point photographic scale before treatment and on days 2, 4, and 6 after treatment. Photographs were taken at each encounter. Statistical analysis was applied to evaluate for any significant difference in onset of action between the 2 products.</p><p><strong>Results: </strong>AbobotulinumtoxinA and onabotulinumtoxinA demonstrated statistically significant change from baseline at day 2 in the treatment of lateral orbital rhytids at maximal contraction and rest when evaluated independently by investigator and participant (P.001). Also at day 2, the improvement with abobotulinumtoxinA was better than that with onabotulinumtoxinA for the primary end point of maximal contraction graded by the investigator, although this did not reach statistical significance (P=.21); by day 4, the greater improvement achieved with abobotulinumtoxinA reached statistical significance (P=.02) and remained superior at day 6 (P=.02). The primary findings were strengthened by similar results in the secondary end points of patient self-grade at maximal contraction and at rest and of investigator grade at rest.</p><p><strong>Conclusions: </strong>In conclusion, both abobotulinumtoxinA and onabotulinumtoxinA achieved statistically significant onset of action at day 2. This improvement was seen in all end points, with abobotulinumtoxinA demonstrating a trend toward greater improvement than onabotulinumtoxinA at day 2 and a statistically significant greater improvement at days 4 and 6 when looking at maximal contraction.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2011.1142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30336841","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":"Evolution of US military humanitarian assistance.","authors":"Thomas G Crabtree","doi":"10.1001/archfacial.2012.397","DOIUrl":"https://doi.org/10.1001/archfacial.2012.397","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30625205","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":"US military medical missions in Iraq and Southeast Asia.","authors":"G Richard Holt","doi":"10.1001/archfacial.2012.394","DOIUrl":"https://doi.org/10.1001/archfacial.2012.394","url":null,"abstract":"","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30627321","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":"Outcomes following V-Y advancement flap reconstruction of large upper lip defects.","authors":"Garrett R Griffin,&nbsp;Stephen Weber,&nbsp;Shan R Baker","doi":"10.1001/archfacial.2012.35","DOIUrl":"https://doi.org/10.1001/archfacial.2012.35","url":null,"abstract":"<p><strong>Objective: </strong>To characterize revision surgery following V-Y subcutaneous tissue pedicle advancement flap repair of large upper lip skin defects.</p><p><strong>Methods: </strong>Retrospective review of upper lip skin defects at least 3.0 cm(2) in area that were reconstructed with a V-Y subcutaneous tissue pedicle advancement flap at an academic tertiary care center. Depth and area of the defect, as well as involvement of the vermilion and nasal ala, were recorded as independent variables. Revision techniques were analyzed to identify patterns.</p><p><strong>Results: </strong>Thirty patients were identified as having upper lip skin defects with a mean (range) area of 7.0 (3.0-14.0) cm(2) (median, 6.25 cm(2)). The defect involved the nasal ala in 4 cases and the vermilion in 3 cases. At least 1 revision surgery was performed in 14 patients (47%). Alar or vermilion involvement was a significant factor in revision by χ(2) analysis (P = .03). Larger defect size did not predict a need for revision, even among cases where the defect did not involve the ala or vermilion (P = .68).</p><p><strong>Conclusions: </strong>Reconstruction of large upper lip skin defects with a V-Y subcutaneous tissue pedicle advancement flap is associated with a 47% revision rate, and when the defect involves the ala or vermilion, the revision rate is increased. Defect size alone cannot be used to predict the need for revision surgery. Revision techniques are demonstrated.</p>","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/archfacial.2012.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30765955","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}

{"title":"About this journal.","authors":"","doi":"10.1001/archfaci.14.3.153","DOIUrl":"https://doi.org/10.1001/archfaci.14.3.153","url":null,"abstract":"In this article, we contend that publically available, mass digitization projects, such as Google Books, present faculty, regardless of their specific institutional context, with an exciting opportunity to promote meaningful undergraduate research in the humanities. By providing a classroom case study and by proposing an institutional model, we suggest that the Google Books archive can be a powerful tool in helping to establish research in the humanities as a regular and expected component of the undergraduate experience.","PeriodicalId":55470,"journal":{"name":"Archives of Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31494987","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}