Metal plates and screws have been the method of choice to achieve stable internal fixation of the craniofacial skeleton in the pediatric population. While metal fixation has distinct advantages, there are some concerns with using it in growing patients. Bioresorbable plate fixation provides an alternative. Mario J. Imola, MD, and colleagues present a retrospective case review of 57 consecutive cases using resorbable plates and screws in pediatric patients. Their excellent results represent a major advance in pediatric craniofacial surgery.
Fernando Botero (1932- ), Mademoiselle Riviere #2, 1979. Oil on canvas. 191×161.5 cm. Courtesy of Susan Aberbach Fine Art, New York, NY.Article
The use of herbal medicines is widespread and increasing. These drugs possess significant pharmacologic activity, and consequently there are potential adverse effects and drug reactions. It is important that the surgeon question patients regarding their use of these herbal remedies and understand the risks of specific drugs. Surgeons who recommend herbal medicines for patients should counsel them that these supplements have not been evaluated by the Food and Drug Administration and that no guarantee of product quality can be made. Edmund deAzevedo Pribitkin, MD, and Gregory Boger, MD, review widely used herbal medicines and discuss their risks and interactions.
Deficiency in the radix is a commonly overlooked abnormality in both primary and revision rhinoplasty patients. Emphasis on a strong natural profile has focused attention on techniques to augment the radix region. In this review, Daniel G. Becker, MD, and Norman J. Pastorek, MD, discuss their approach to precise cartilage grafting in this area. In their commentary, Calvin Johnson, Jr, MD, and Ramsey Alsarraf, MD, MPH, compare the approach of Becker and Pastorek with augmentation of the nasofrontal angle, including the use of expanded polytetrafluoroethylene (Gore-Tex).
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Müller's muscle-conjunctival resection technique allows precise correction of blepharoptosis. In a retrospective analysis of 77 patients, Michael Mercandetti, MD, and associates discuss their experience with this technique, which was popularized by Allen M. Putterman, MD. This transconjunctival approach results in a predictable correction of 2 to 3 mm of ptosis and provides an excellent alternative to external approaches for levator advancement. Their statistical data demonstrate that a 1-mm resection results in a 0.32-mm correction of blepharoptosis.
Highlights of Archives of Facial Plastic Surgery. Arch Facial Plast Surg. 2001;3(2):77. doi: