Early Division of the Paramedian Forehead Flap: A Systematic Review and Retrospective Analysis.

Objective: To determine whether and when early division of the paramedian forehead flap may be safely performed.

Data Sources: PubMed (NLM), Scopus (Elsevier), and Embase (Elsevier).

Methods: A systematic search of PubMed, Scopus, and Embase was conducted according to PRISMA guidelines.

Novel Machine-Learning Modeling of Facial Trauma Volume With Regional Event and Weather Data.

Objective: Facial trauma volume is difficult to predict accurately. We aim to understand the capacity of climate and regional events to predict daily facial trauma volume. This can provide epidemiologic understanding and subsequently tailor workforce distribution and scheduling.

Social network analysis as a new tool to measure academic impact of physicians.

Introduction: H-index is a widely used metric quantifying a researcher's productivity and impact based on an author's publications and citations. Though convenient to calculate, h-index fails to incorporate collaborations and interrelationships between physicians into its assessment of academic impact, leading to limited insight into grouped networks. We present social network analysis as a tool to measure relationships between physicians and quantify their academic impact.

Restoration of Oral Competence With Local Advancement Flap After Free-Flap Reconstruction.

Objective: Surgical management of head and neck cancer (HNC) can result in significant functional deficits. Large tumors of the oral cavity may require extensive resection and the need for microvascular free-flap reconstruction involving the use of adynamic tissue. This may result in oral incompetence, drooling, and unsatisfactory esthetic outcomes.

The Incidence of Underlying Mental Health Disorders in a Facial Synkinesis Population.

Objective: Synkinesis is estimated to impact 10% to 50% of those with facial palsy. We aim to identify the incidence and factors associated with anxiety and depression in the facial synkinesis population.

Study Design: Prospective cohort study.

You Can't Be What You Can't See: The Progression of Women in Otolaryngology-Head and Neck Surgery.

To examine trends in the gender composition of residents and faculty in Otolaryngology-Head and Neck Surgery residency programs in the United States and to investigate the correlation between women's representation in leadership positions and the proportion of women faculty and residents. A literature review was first performed to analyze trends in the gender composition of residents and faculty in Otolaryngology-Head and Neck Surgery (OHNS) residency programs. Current residency programs were then identified using the Electronic Residency Application Service 2023 Participating Specialties and Programs website.

The Association of Mental Health Disorders with the Effectiveness of Treating Facial Synkinesis with Chemodenervation Using Botulinum Toxin A.

Studies suggest that mood disorders may affect perception of facial synkinesis, though none have analyzed effects on perceived benefit from chemodenervation. To measure the effect of depression, appearance anxiety, and other variables on chemodenervation benefit among patients with post-paralytic facial synkinesis. Prospective cohort.

Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty.

Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be equivalent to as-needed opioids for postsurgical pain management. Preoperative pain counseling is important to set post-rhinoplasty pain expectations and reduce opioid use.

Enhancing Surgical Vision: Augmented Reality in Otolaryngology-Head and Neck Surgery.

Augmented reality (AR) technology has become widely established in otolaryngology-head and neck surgery. Over the past 20 years, numerous AR systems have been investigated and validated across the subspecialties, both in cadaveric and in live surgical studies. AR displays projected through head-mounted devices, microscopes, and endoscopes, most commonly, have demonstrated utility in preoperative planning, intraoperative guidance, and improvement of surgical decision-making.

Prophylactic Antibiotic Use in Reconstruction of Nasal Mohs Defects.

Objective: To evaluate the effect of prophylactic antibiotics on outcomes and complications following surgical reconstructions of nasal Mohs defects in the outpatient setting.

Study Design: Retrospective cohort study.

Setting: Single tertiary care center, July 2021 to June 2023.

Postoperative Cosmetic Scores and Revision Rates After Nasal Mohs Reconstructive Surgery.

Objective: Few studies have examined the impact of preoperative and surgical factors on the change in cosmetic survey scores after nasal Mohs reconstruction using a subset of the 10-item Standardized Cosmesis and Health Nasal Outcomes Survey-Cosmesis (SCHNOS-C). We aim to determine preoperative and surgical factors that impact cosmetic outcomes following Mohs nasal reconstruction.

Study Design: Retrospective analysis.

Effect of Underlying Mental Health Disorders on the Correlation Between Patient- and Surgeon-Graded Synkinesis Scores.

Little is known about how depression and appearance anxiety affect patient reporting of synkinesis severity. Measure prevalence of depression and appearance anxiety in facial synkinesis and correlations between subjective and surgeon-graded synkinesis severity. Prospective cohort.

Forehead Flap Practices: A Cross-Sectional Survey of Facial Plastic and Reconstructive Surgeons.

The paramedian forehead flap (PMFF) is a well-established technique utilized for reconstruction of complex nasal defects. To identify the different techniques and management of patients undergoing PMFF reconstruction and compare these with current literature. Members of the American Academy of Facial Plastic and Reconstructive Surgery were sent a practice survey highlighting various nuances in PMFF reconstruction.

Characterizing gender trends in head and neck fellowship graduates from 2008 to 2018.

Objectives: Evaluation of potential gender gaps among Head and Neck (H&N) surgeons can highlight areas for increased support of female H&N surgeons and improve gender diversity within the subspecialty. To evaluate gender trends in representation and career trajectory among recent H&N surgery fellowship graduates.

Methods: This cross-sectional analysis included graduates from Head and Neck Surgery fellowships accredited by the American Head and Neck Society (AHNS) from 2008 to 2018.

Early Postoperative Complications in Microtia Reconstruction: An Analysis of the NSQIP-P Database.

Objectives: Microtia and anotia repair require techniques that consider both aesthetics and function. The outcomes of different reconstructive frameworks such as costal cartilage or a porous polyethylene implant have not been evaluated on a national scale. We aim to understand differences in outcomes/complication rates and operative times between different reconstructive frameworks used in microtia/anotia reconstruction.

National Trends of Otolaryngology Involvement in Cleft Surgical Management over 10-Years.

Objective: Surgical management of cleft lip/palate and cleft rhinoplasty have historically been performed by plastic surgeons. No study has addressed temporal trends in cleft-associated surgeries. This study assesses trends in cleft surgical management and complications in a national database.

State of the Evidence for Facial Skin Cancer Reconstruction.

This review provides a comprehensive presentation of the evidence available in facial reconstruction post-Mohs micrographic surgery. Given the large diversity in post-Mohs reconstruction, there are limited guidelines in the management of defects. The aim of the present work is to provide a review of the best evidence as it pertains to several considerations in facial reconstruction.

Professional Social Media in Facial Plastic and Reconstructive Surgery: Usage, Resources, and Barriers.

Background: Social media is an important tool for networking, recruitment, and promoting clinical practice. No study has specifically assessed which FPRS practitioners have professional social media accounts, how they utilize them, and what barriers or resources exist to their use.

Objectives: This study aims to examine differences in social media use based on provider demographics and practice setting, and identify resources and barriers to professional social media use.

Chemodenervation of the Posterior Belly of the Digastric Muscle in Facial Synkinesis.

Patients with facial synkinesis may have jaw tightness and swallow discomfort despite chemodenervation of facial mimetic musculature, and the posterior belly of the digastric (PBD) muscle is a logical target to treat these symptoms. To compare patient-reported outcomes of botulinum toxin (BT) chemodenervation of the posterior belly of digastric muscle in patients with postparalytic facial synkinesis. Retrospective review.

Normative Values of the Nasal Obstruction Symptom Evaluation Scale.

The Nasal Obstruction Symptom Evaluation (NOSE) scale is widely used by clinicians in evaluation of nasal airway obstruction (NAO). To determine normative values for the NOSE scale among both symptomatic and asymptomatic members of the general U.S.