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In This Issue of JAMA Facial Plastic Surgery
Jul/Aug 2015


JAMA Facial Plast Surg. 2015;17(4):235. doi:10.1001/jamafacial.2014.949

Kim and colleagues describe a novel method of quantifying the stiffness of nasal cartilage based on the experience and expertise of surgeons. Anatomically correct phantom models were created, and then surgeons were asked to arrange the phantoms in order of increasing stiffness based on their sense of touch and to select a single phantom out of the set that they believed to have the minimum acceptable mechanical stability for lower lateral cartilage to maintain proper form and function.

S. J. Trimas and M. D. Trimas determine whether a single dose of aprepitant administered preoperatively can decrease the incidence of immediate postoperative nausea and vomiting (PONV) in patients undergoing facial plastic surgery compared with patients who are administered ondansetron hydrochloride alone and whether patient-related factors pose a greater risk of developing immediate PONV after surgery.

Bonaparte and Ellis sought to further understand the effect of onabotulinum toxin A on the skin by studying its effect on 48 women treated at a private cosmetic surgery clinic for mild wrinkles of the forehead and periorbital region. The authors observed that onabotulinum A injections in the facial skin resulted in increased pliability and elastic recoil. These biomechanical changes mimic those of more youthful skin.

Invited Commentary

Sapthavee and coauthors conducted a retrospective medical record review for 103 patients who underwent nasal reconstruction with either skin graft (n = 39) or local flap (n = 64). They found that skin grafts can provide aesthetic outcomes comparable with those of local flap procedures and with less need for additional postoperative interventions in properly selected nasal defects.

Guide to Statistics and Methods