Craniomaxillofac Trauma Reconstr
September 2024
Study Design: Survey.
Objective: Subcondylar fractures stand out as a particular challenge when treating maxillofacial trauma. The fracture site is often difficult to access and adjacent to critical structures like the facial nerve.
Zygomaticomaxillary complex (ZMC) fractures are repaired using a variety of surgical approaches. Utilization of intraoperative computed tomography (CT) may reduce the number of surgical approaches. To compare the use of intraoperative CT for the operative repair of ZMC fractures, as measured by the number of surgical approaches.
View Article and Find Full Text PDFFacial Plast Surg Aesthet Med
July 2024
Cross-Facial Nerve Grafting (CFNG) for facial palsy offers potential to restore spontaneous facial expression, but specific indications and associated outcomes are limited. Updates to this technique have aided in its successful employment in select cases. This review aims to explore the context in which CFNG has been successfully utilized as a primary modality.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
June 2024
Study Design: Retrospective chart review.
Objective: Restoration of premorbid occlusion is a key goal in the treatment of mandibular fractures. Placement of the patient in maxillomandibular fixation (MMF) is performed during mandibular fracture repair to help establish occlusion.
Filler complications have a wide array of presentations including early and late manifestations. A rare late complication is the foreign body granuloma or granulomatous foreign body reaction. We present a case of giant foreign body granulomas developing 7 years after polymethylmethacrylate (PMMA) filler injection.
View Article and Find Full Text PDFFacial Plast Surg
December 2023
Obesity is a growing global health concern, leading to various health issues, including diabetes. Semaglutide-based medications, such as Ozempic, Wegovy, and Rybelsus, have emerged as potential treatments. These medications, belonging to the glucagon-like peptide-1 (GLP-1) receptor agonist class, mimic the action of GLP-1, regulating appetite and promoting weight loss.
View Article and Find Full Text PDFNasal septal deviation is a frequent problem treated by otolaryngologists and facial plastic surgeons. Complete correction of the septal deformity is often essential both for straightening a crooked nose and for restoration of the nasal airway. While standard septoplasty techniques provide excellent outcomes in most patients, severe septal deformities may require treatment with more advanced maneuvers including adjacent grafting, caudal septal replacement, and even extracorporeal septoplasty.
View Article and Find Full Text PDFBrow ptosis is an abnormal descent of the eyebrow resulting in a displeased appearance and/or functional deficit. While most cases of brow ptosis do not result in a functional impairment, functional brow surgery is generally reserved for individuals with severe brow asymmetry or visual field deficit related to excess soft tissue pushing downward on the eyelid. A combination of both intrinsic and extrinsic anatomic factors contributes to an unfavorable brow shape, contour, and position.
View Article and Find Full Text PDFAnn Otol Rhinol Laryngol
November 2022
Objective: To validate the modified Rhinoplasty Assessment Scale (Photographic) (mRASP).
Study Design: Retrospective cohort study.
Methods: Photographs for 100 rhinoplasty patients from 2 facial plastic surgeons were compiled.
Mindfulness meditation has been shown to alleviate pain and may be an appealing adjunctive pain management option. To compare measures of pain, mindfulness, and opioid usage, and collect evaluative feedback among patients undergoing septorhinoplasty with and without guided meditation. Patients undergoing septorhinoplasty were randomized to online-guided meditation postoperative days 0-3 versus standard care; all received the same pain medications.
View Article and Find Full Text PDFFacial Plast Surg Aesthet Med
September 2022
During online search queries, Google uses machine learning algorithms to provide frequently associated ("People Also Ask" [PAA]) questions with corresponding websites answering the question. We aimed to identify the most frequent questions about rhinoplasty asked online and the sources used to answer them. PAA questions were extracted for the terms "rhinoplasty," "nose surgery," and "nose job.
View Article and Find Full Text PDFObjective: To assess the efficacy of a novel systematic approach aimed at improving a resident physician's ability to perform analysis of the aging face.
Study Design: Prospective randomized case-control study.
Setting: Accreditation Council for Graduate Medical Education accredited Otolaryngology-Head and Neck Surgery residency program.
Facial Plast Surg Aesthet Med
September 2021
A centralized repository of clinically applicable facial images with unrestricted use would facilitate facial aesthetic research. Using a machine learning neural network, we aim to (1) create a repository of synthetic faces that can be used for facial aesthetic research and (2) analyze synthetic faces according to contemporary aesthetic principles. Synthetic facial images were generated using an open source generative adversarial network.
View Article and Find Full Text PDFFacial Plast Surg Aesthet Med
December 2021
Having a noninvasive tool that quantifies the amount of remaining septal cartilage in the setting of prior septoplasty would be useful for surgical planning and patient counseling. The objective of this pilot study is to determine if endocavitary ultrasound can be used to evaluate the presence and thickness of septal cartilage in vivo. A small prospective observational study was designed to assess the feasibility of using intranasal ultrasound to verify the presence and measure the thickness of septal cartilage.
View Article and Find Full Text PDFJAMA Facial Plast Surg
July 2019
This retrospective cohort study examines the rates and outcomes of concomitant orbital floor fracture repair during zygomaticomaxillary complex fracture reduction.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
December 2018
Although surgical techniques for rhinoplasty and nasal reconstruction are well established, prospective research on postoperative morbidity remains limited. The aim of this pilot study was to assess costal and auricular cartilage donor site pain and morbidity in patients undergoing rhinoplasty and nasal reconstruction. In this prospective cohort study, we enrolled 55 patients undergoing nasal surgery that required costal or auricular cartilage harvest from February 2015 through May 2016.
View Article and Find Full Text PDFImportance: Facial reanimation procedures share the same surgical field as a parotidectomy and are most easily accomplished at the time of facial nerve sacrifice. Early reanimation would also reduce the duration of paralysis and may lead to better functional outcomes.
Objective: To assess the incidence and types of facial nerve reanimation performed concurrently with total parotidectomy and facial nerve sacrifice using the American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database.
Importance: Composite grafting in nasal reconstruction involves transplanting auricular chondrocutaneous grafts, but the optimal design of these grafts is unknown.
Objectives: To investigate the ideal ratio of skin to cartilage as well as study the importance of the perichondrial attachment for graft survival.
Design, Setting, And Participants: A New England white rabbit model was used in this study, performed at the Laboratory for Animal Research at University of Kansas Medical Center from January 25 to March 18, 2016.