Steven M. Daines, MD, and Edwin F. Williams III, MD, report a comprehensive retrospective review of complications associated with injectable soft-tissue fillers in more than 2000 patients over a 5-year period. The complications of various injectable soft-tissue fillers are described, as well as approaches to their management. The authors discuss the most common complications and their etiology, as well as contraindications to the use of soft-tissue injectable fillers in certain population groups.
Shaun C. Desai, MD, and colleagues performed a retrospective review of their experience with the use of recombinant bone morphogenetic protein 2 (rBMP-2) in mandibular reconstruction. The authors reviewed the cases of 6 patients treated with rBMP-2 at their center, including their postoperative course and long-term follow-up. The indications and contraindications for the use of rBMP-2 are discussed, as well as the potential of the treatment in management of defects of the mandible.
A hmed S. Sufyan, MD, and colleagues performed a prospective study to investigate the success of alar batten grafts in alleviating nasal obstruction in patients with nasal valve collapse. The study includes 126 patients undergoing placement of alar batten grafts with preoperative and postoperative scoring of nasal airway obstruction using a validated survey. In addition to nasal airway obstruction, the authors emphasize the effect of placement of alar batten grafts on nasal allergic symptoms and the need for intranasal steroids postoperatively. The reasons for improvement of nasal allergies and nasal obstruction following alar batten graft placement are discussed.
Masoud Saman, MD, and colleagues present a comprehensive review of the history of both mandibular distraction osteogenesis and mandibular osteotomies. In addition, specific treatments are described, along with their advantages and disadvantages. Areas requiring further research are identified, and the future of mandibular distraction osteogenesis and osteotomies to treat occlusal and aesthetic abnormalities is discussed.
Portrait of a Lady by El Greco (1547-1614).
This issue's Highlights were written by Cody Alan Koch, MD, PhD.
In This Issue of JAMA Facial Plastic Surgery. JAMA Facial Plast Surg. 2013;15(3):161. doi:10.1001/jamafacial.2013.1310