Asian rhinoplasty.

Asian rhinoplasty is one of the most challenging ethnic rhinoplasties that plastic surgeons perform because of the thick skin and soft-tissue envelope. There are three goals: pleasing the patient, achieving an aesthetically appealing result, and preserving a natural look. Of these goals, the most arduous is to satisfy the patient, as many patients have unrealistic goals and may desire an extremely narrow Western nose.

Determination of perineural invasion preoperatively on radiographic images.

Objective: Perineural invasion in head and neck cancers has important prognostic implications, and even if clinically silent, can be radiographically evident. This study analyzed the frequency of preoperative diagnosis, radiographic features, and importance of the preoperative diagnosis in treatment planning.

Study Design: Radiographic studies of 38 patients with histopathologically proven perineural spread from head and neck cancer were retrospectively reviewed and compared with preoperative reports.

Long-term results of 100 consecutive comprehensive neck dissections: implications for selective neck dissections.

Objective: The optimal surgical procedure for the neck in patients with squamous head and neck cancers is controversial. Selective neck dissections have replaced modified radical neck dissections as the procedure of choice for the clinically negative (N0) neck and are now being considered for patients with early-stage neck disease. We report the long-term local recurrence rates in 100 consecutive patients undergoing a radical or modified radical neck dissection for clinically positive (N+) and N0 neck disease and review comprehensively the literature reporting and comparing regional control rates for both neck dissection types.

The efficacy of corticosteroids in postparotidectomy facial nerve paresis.

Objective: To determine whether the administration of perioperative corticosteroids is effective in ameliorating facial nerve paresis after parotidectomy.

Study Design: Prospective, randomized, double-blinded, placebo-controlled clinical trial at a university medical center.

Methods: Patients scheduled for parotidectomy and who met inclusion criteria were invited to enroll in the protocol.