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In This Issue of JAMA Facial Plastic Surgery
Sept/Oct 2019

Highlights

JAMA Facial Plast Surg. 2019;21(5):349. doi:10.1001/jamafacial.2018.1344
Research

Butler and colleagues sought to develop a standardized outcome measurement set for pediatric patients with facial palsy. An international working group of health care experts and patient representatives (n = 21), along with external reviewers, participated in the study. Participants engaged in 7 teleconferences under the guidance of the International Consortium for Health Outcomes Measurement, each followed with a 2-round Delphi process to develop consensus. Upon completion, a standard set of outcome measurements was established, including patient-, clinician-, and patient proxy–reported clinimetric and psychometric tools deemed essential to determining the outcomes most important to children with facial palsy. Allori and Marcus provide the Invited Commentary.

Invited Commentary

Chen and colleagues conducted a population-based survey study to assess whether self-esteem and the use of social media and photo editing applications are associated with cosmetic surgery attitudes. In this study of 252 participants, increased investment in the use of social media platforms was associated with increased consideration of cosmetic surgery. Participants who reported using specific applications, such as YouTube, Tinder, and Snapchat photograph filters, had an increased acceptance of cosmetic surgery; the use of other applications, including WhatsApp and Photoshop, was associated with significantly lower self-esteem scores. Reilly et al provide the Invited Commentary.

Invited Commentary

Wang and colleagues conducted a retrospective case-control study at a single tertiary referral center among 1008 patients who underwent Mohs reconstruction repaired by flap or graft to study the outcomes with respect to smoking status and patient-specific and surgery-specific variables. Acute complications included postsurgical infection, dehiscence, hematoma, uncontrolled bleeding, and tissue necrosis. Long-term complications included functional or cosmetic outcomes that prompted the patient to request or the surgeon to offer additional intervention. They found that both current and former smokers were at increased risk for acute postsurgical complications but that smoking status is not associated with long-term complications.

Author Audio Interview

Kao and colleagues sought to analyze management methods, outcomes, and complications of pediatric mandible fractures at an urban academic tertiary care center. In this cohort study with 150 patients, one-fourth of pediatric mandible fractures were treated without surgery. Most operative pediatric mandible fractures were treated with maxillomandibular fixation (MMF) alone and a soft diet. The most common mechanisms of injury were assault and battery, motor vehicle collisions, falls or play, and sports-related mechanisms. Conservative management, using MMF and a soft diet, was favored for most operative pediatric mandible fractures. Open reduction internal fixation with titanium plating was less commonly used. Outcomes were favorable despite a lack of consistent follow-up.

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