Computed tomography scan does not correlate with patient experience of nasal obstruction.

Objectives/hypothesis: Third-party payors have begun to demand imaging studies to document septal deviation prior to authorizing septoplasties. This study aims to determine whether septal deviation findings on computed tomography (CT) correlate with symptoms of nasal obstruction as determined by the Nasal Obstruction Symptom Evaluation (NOSE) scale.

Study Design: Prospective and retrospective chart review.

Venous thromboembolism in patients with head and neck cancer after surgery.

Background: The purpose of this study was to report the incidence of venous thromboembolism (VTE) in patients with head and neck cancer after surgery.

Methods: This was a single-institution, retrospective cohort: 134 patients underwent resection and simultaneous microvascular reconstruction. The primary endpoint was identification of confirmed or suspicious VTE within 30 days of surgery.

3D analysis of tissue expanders.

This article reviews some of the phenomena associated with tissue expansion that are amenable to study with 3D imaging and presents selected cases from the literature where the technology has been used to answer clinical questions and plan procedures. The authors discuss implant selection, remodeling, contraction, and 3D analysis. Future directions and limitations of the use of this technology in the head and neck are also described.

Ultrasonography for rapid detection of pneumothorax after costal cartilage harvest.

The rib is a generous source of donor cartilage. Thus, costal cartilage harvest is a frequently performed adjunctive procedure in facial plastic and reconstructive surgery. Pneumothorax is an uncommon complication of rib graft harvest but is potentially highly morbid.

Development of an irradiated rodent model to study flap revascularization.

Objective: To develop a reproducible free-flap animal model to study the effects of irradiation on flap revascularization.

Design: After institutional animal care and use committee review and approval, 16 Sprague-Dawley rats were subjected to either 23- or 40-Gy electron beam irradiation to their ventral abdominal wall. After a recovery period, the animals then underwent a ventral fasciocutaneous flap pedicled on the inferior epigastric vessels with subsequent pedicle ligation at 10 days.

Second free tissue transfers in head and neck reconstruction.

Objective: As the era of free tissue transfer for head and neck reconstruction matures, more patients are requiring second resections and reconstructions. Our objective was to evaluate: patient characteristics, reconstructive options, flap survival, perioperative morbidity, and mortality.

Study Design: Retrospective chart review.

Lip reconstruction.

The lip presents a unique challenge to the facial plastic surgeon because of its prominent location, elegant form, and important functions. The anatomy and pathology relevant to the lip are considered, along with general concepts to guide lip surgery. The more common approaches to reconstructing lip defects are outlined, illustrated, and discussed.

Lip reconstruction.

The lip presents a unique challenge to the facial plastic surgeon because of its prominent location, elegant form, and important functions. The anatomy and pathology relevant to the lip are considered herein, along with general concepts to guide lip surgery. The more common approaches to reconstructing lip defects are outlined, illustrated, and discussed.

Peri-epithelial origin of prostanoids in the human colon.

The biology of prostanoids in the normal human colon is only beginning to be understood. We used in situ and in vitro techniques to define the lineage, number, per cell enzyme content, and epithelial functional effect of prostaglandin-generating cells, identified by the presence of cyclooxygenase 1 (COX 1). Immunohistochemical results were quantitated densitometrically, and cell surface staining in situ was verified by flow cytometry of isolated cells and by Western blotting.