JAMA facial plastic surgery
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JAMA Facial Plast Surg · Sep 2014
Use of angular vessels in head and neck free-tissue transfer: a comprehensive preclinical evaluation.
The angular artery, its perforating branches, and their zones of tissue perfusion have been described extensively for facial reconstruction. Various cutaneous and mucosal flaps with either anterograde or retrograde perfusion play an important role in facial and oral reconstruction. However, these flaps share the limitations of pedicled nature and donor-site intolerance. Free-tissue transfer (FTT) has transformed capabilities and outcomes in head and neck reconstruction. While less constrained by tissue volume and subtype, FTT has its own limitations, including pedicle reach for anastomosis to inflow and outflow vasculature in upper face reconstruction. The angular vessels, owing to their relatively high central location and accessibility via a camouflaged nasolabial fold incision, may have value in midface and nasal reconstruction. ⋯ NA.
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JAMA Facial Plast Surg · Sep 2014
The efficacy of oral celecoxib for acute postoperative pain in face-lift surgery.
Exploring methods of potentially improving patient comfort and pain control in cosmetic facial surgery. ⋯ 3.
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JAMA Facial Plast Surg · Jul 2014
Lasers and losers in the eyes of the law: liability for head and neck procedures.
Although some have noted that malpractice litigation may be "plateauing," defensive medical practices are pervasive and make up a considerable proportion of the "indirect" costs medicolegal issues contribute toward our health care system. Accordingly, these trends have spurred considerable interest in characterizing factors that play a role in alleged medical negligence, along with outcomes and awards. ⋯ 4.
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JAMA Facial Plast Surg · Mar 2014
Comparative StudyPractice patterns in the perioperative treatment of patients undergoing septorhinoplasty: a survey of facial plastic surgeons.
IMPORTANCE The common practices used in the perioperative care of patients undergoing septorhinoplasty are diverse and controversial. A consensus statement on the preferred clinical pathway in the perioperative treatment of patients undergoing septorhinoplasty has yet to be approached formally. OBJECTIVES To investigate the perioperative treatment of patients undergoing septorhinoplasty and to identify common practice patterns based on the preferences of leading facial plastic surgeons. ⋯ No published communication or consensus on perioperative practices has been disseminated in this setting. Given the results from those surgeons performing the most rhinoplasties in our field, some surgeons may choose to vary their practices to coincide with those of experienced surgeons. These guidelines could facilitate future studies of patient outcomes.