Twin Alar Rims: A Rare Type of Alar Rim Deformity and Its Correction Using "SAIL" Technique.

The beauty and golden proportions of a face are largely determined by the shape and size of the nose one inherits. When the subunits of the nasal structure are considered, the width and structure of Ala and Alar rims determine to a large extent the beauty of the nose itself. Various classifications exist to evaluate the alar rim deformities that are inherited as well as iatrogenic, but occurrence of twin alar rims as a deformity has rarely been reported.

The Utility of Screening for Coccidioidomycosis in Recipients of Inhibitors of Tumor Necrosis Factor α.

Background: Tumor necrosis factor α inhibitors (TNFi) are commonly used to treat immune-mediated disorders, but they are associated with an increased risk of mycobacterial and fungal infections. We compared the outcomes of TNFi recipients screened for asymptomatic coccidioidomycosis with those of unscreened patients to compare the development of symptomatic coccidioidomycosis and to describe its outcomes for patients with abnormal coccidioidal screenings.

Methods: We searched electronic health records from 4 September 2010 through 26 September 2016 for all patients receiving a TNFi for dermatologic, rheumatologic, or gastroenterologic diagnoses, then categorized patients by whether or not they had undergone coccidioidal serologic testing for screening or diagnostic purposes.

Coronal/Hemicoronal Approach - A Gateway to Craniomaxillofacial Region.

Aims: The coronal incision with its various modifications provides the most versatile approach to various areas in the craniomaxillofacial region coupled with excellent exposure. The aesthetic advantage of a hidden scar in the hairline, accounts for its continued popularity. The aim of this study was to review the surgical anatomy, technique and problems of post-operative morbidity pertinent to coronal approach in various clinical situations such as craniofacial trauma, tumour resections and reconstructive craniofacial procedures.