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In This Issue of JAMA Facial Plastic Surgery
May/Jun 2014


JAMA Facial Plast Surg. 2014;16(3):161. doi:10.1001/jamafacial.2013.1715

Ji Yun Cho, MD, PhD, and colleagues retrospectively review 44 consecutive Asian patients who underwent nasal tip–plasty with septal extension grafts to provide support and aid in positioning. Outcomes measurements include patient preoperative and postoperative questionnaires, photographs, and anthropometric analysis. Eighty-six percent of the patients were satisfied with the cosmetic appearance of their nasal tip. Nearly half of the patients complained of nasal tip stiffness and decreased projection, and 9% underwent revision surgery. Septal extension grafts in Asian nasal tip–plasty can provide solid support, projection, and length. However, care needs to be taken to prevent complications such as hardness, loss of projection, nasal tip deviation, and infection.

Liqun Li, MD, PhD, and colleagues introduce a technique combining a continuous buried suture and a mini-incision to create double eyelids in patients with puffy eyes. The authors provide a retrospective review of 221 patients who underwent the technique by the same surgeon, with an average follow-up of 16 months. The outcomes show natural-appearing double eyelids, short operative time and recovery, with long-standing supratarsal creases. The technique has been demonstrated to be safe, reliable, durable, and less invasive for patients with puffy eyelids.

Percy Rossell-Perry, PhD, and colleagues present a retrospective review of palatoplasty outcomes in 152 consecutive nonsyndromic infants with unilateral cleft lip and palate. The authors measure preoperative palatal index scores prior to 2-flap palatoplasty with intravelar veloplasty performed by a single surgeon. Palatal fistula and velopharyngeal insufficiency outcomes were examined 1 to 5 years postoperatively. Palatal fistulas rates correlate directly with the cleft severity; however, there is no association between postoperative velopharyngeal insufficiency and palatal index.

Clinical Review & Education

John S. Rhee, MD, MPH, and colleagues provide a systematic review of studies on the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS) in patients with chronic of nasal airway obstruction. The authors compile and standardize the data defining the symptomatic and normative values for patients with nasal airway obstruction before and after surgery, asymptomatic individuals, and the general population. Normative and abnormal value ranges for NOSE and VAS scores can provide clinically meaningful outcomes measures for surgical success.

Journal Club

Continuing Medical Education