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In This Issue of JAMA Facial Plastic Surgery
Mar/Apr 2015


Author Affiliations

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Facial Plast Surg. 2015;17(2):75. doi:10.1001/jamafacial.2014.939

Dey and colleagues sought to measure the direct social impact of facial lesions before and after surgical reconstruction. Observers rated faces using a battery of metrics, including how comfortable they would be having a conversation with the participant in each facial image. Analysis showed that facial lesions had a negative effect (or a social penalty) on conversation, with large and central lesions generating the greatest penalty. Reconstructive surgery increased observers’ comfort and willingness to converse with individuals with a facial lesion, an impact that varied with lesion size and location.

Kim and Gallo conducted a prospective blinded study of adult patients who received fractional carbon dioxide laser treatment on a 1-cm2 test area on each forearm. Immediately afterward, patients were randomized to receive platelet-rich plasma (PRP) on the right or left forearm vs saline. Daily photographs of each forearm were analyzed for erythema and edema until reepithelialization (eschar formation) occurred. Results suggest that PRP can objectively reduce erythema and edema following carbon dioxide fractional laser treatment vs saline.

Lindsay and coauthors highlight the significance of nasal valve dysfunction in patients with flaccid facial paralysis, demonstrate a quantitative benefit in disease-specific quality of life after fascia late sling placement for external nasal valve compromise, and suggest an updated treatment algorithm.

Shaye and colleagues conducted a retrospective review to investigate whether intraoperative computed tomography (CT) would be practical and useful to surgeons for real-time feedback during maxillofacial trauma and reconstructive surgery to aid in intraoperative decision making. They found that current intraoperative CT scanning added on average 14.5 minutes per case. They recommend that surgeons consider the use of intraoperative CT imaging for maxillofacial reconstruction.