Atypical Presentation of Mammary Analogue Secretory Carcinoma of the Lip.

Mammary analogue secretory carcinoma (MASC) of the salivary gland is a rare tumor that was first described by Skalova et al in 2010, and since then, only a few hundred cases have been reported in the literature. Prior to Skalova's report, MASC was histologically misclassified as acinic cell carcinoma (ACC), pleomorphic adenoma, mucoepidermoid carcinoma, or adenocarcinoma, not otherwise specified. Mammary analogue secretory carcinoma has a low incidence rate overall, accounting for less than 0.

Key principles in running a successful business in facial plastics.

The ultimate goal for most facial plastic surgeons is to develop a successful practice. For those currently owning a practice and those planning on developing a practice, the skills and training necessary to establish and manage a facial plastic practice are not taught in medical school, residency, or most fellowships. The goal of this article is to underline the key principles of running a successful business.

Posterior conjunctival plication to correct secondary ptosis after eyelid retraction repair in Graves disease.

Purpose: To describe the results of posterior conjunctival plication for the treatment of secondary eyelid ptosis after eyelid retraction repair in Graves disease.

Methods: Case series. All patients were evaluated preoperatively by routine eye examination and eyelid measurements including Margin Reflex Distance 1 and levator function.

Use of fracture size and soft tissue herniation on computed tomography to predict diplopia in isolated orbital floor fractures.

Purpose: To determine the role of fracture size and soft tissue herniation as measured by computed tomography in predicting the development of persistent diplopia in patients with isolated orbital floor fractures.

Methods: A retrospective chart review identified patients presenting between March 2009 and 2012 with isolated orbital floor fractures. Computed tomographic scans were assessed for transverse fracture size and absence or presence of soft tissue herniation and rectus involvement.

The effects of alar batten grafts on nasal airway obstruction and nasal steroid use in patients with nasal valve collapse and nasal allergic symptoms: a prospective study.

Importance: Clinical management of nasal airway obstruction (NAO) in patients with and without nasal allergic symptoms and nasal valve collapse (NVC).

Objective: To examine the impact that autologous alar batten grafts have on patients with NAO owing to NVC and their affect on nasal steroid use and allergic symptoms.

Design: A prospective study.

The interarytenoid spatial relationship: accuracy and interrater reliability for determining sidedness in cases of unilateral adductor paresis.

Background/objective: When adductor vocal fold paresis manifests without obvious motion impairment, identifying the paretic side can be challenging. Although increased vocal fold waveform amplitude ("floppiness") on videostroboscopy may be helpful, it has been shown to have low interrater reliability. We have found that the interarytenoid spatial relationship (IASR) can often accurately be used to predict the sidedness of electromyography (EMG)-determined unilateral adductor (thyroarytenoid/lateral cricoarytenoid [TA/LCA]) paresis.

The alar-spanning suture: a useful tool in rhinoplasty to refine the nasal tip.

The alar-spanning suture is a surgical technique used by an experienced rhinoplastic surgeon to address certain nasal tip deformities. Wide nasal tip deformities with strong, convex lower lateral cartilages are best indicated for treatment with this technique. The alar-spanning suture can improve lateral crural position and eliminate dead space by refining and narrowing the supratip, often without requiring extensive dissection or additional strut grafting.

Long-term analysis of surgical correction of the senile upper lip.

Objective: A quantitative comparison of immediate and long-term results of surgical correction of the senile upper lip using lip advancement and lip lift.

Methods: Retrospective review of 30 patients who underwent senile upper lip repair, including lip advancement or lip lift. Digital image analysis was used to standardize each patient's preoperative and postoperative photographs for accurate, objective comparison.

Optimization of autologous muscle stem cell survival in the denervated hemilarynx.

Objective: Current treatments for vocal fold paralysis are suboptimal in that they fail to restore dynamic function. Autologous muscle stem cell (MSC) therapy is a promising potential therapy for vocal fold paralysis in that it can attenuate denervation-induced muscle atrophy and provide a vehicle for delivery of neurotrophic factors, thereby potentially selectively guiding reinnervation. The goal of this project was to characterize optimal conditions for injected autologous MSC survival in the thyroarytenoid (TA) muscle following recurrent laryngeal nerve (RLN) injury by local administration of adjuvant factors.