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In This Issue of JAMA Facial Plastic Surgery
Mar/Apr 2016


JAMA Facial Plast Surg. 2016;18(2):83. doi:10.1001/jamafacial.2015.1218

Mingo and coauthors evaluated external distractor use and the need for preoperative computed tomographic (CT) imaging in infants with isolated Pierre Robin sequence or Stickler syndrome who underwent mandibular distraction osteogenesis. In their retrospective review, they report no significant differences between those who had preoperative CT vs those that did not have a CT in the outcome metrics of tracheostomy avoidance or achieving decannulation, avoidance or removal of a gastrostomy tube, intraoperative or postoperative complications, open-bite deformity, malocclusion, or facial asymmetry.

With the increasing prevalence and importance of systematic reviews in the literature, Lee and colleagues comment on the reporting quality of recent systematic reviews and meta-analyses in plastic surgery using criteria noted in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Their search revealed 79 articles from 5 plastic surgery journals, with none of the articles meeting all 27 criteria in the PRISMA 2009 statement. Overall, there was a relatively low median score of 16 of 27 items (59%).

Invited Commentary

In a single surgeon’s retrospective review, Miller uses a 3-D quantitative analysis to determine the volumetric effects of lower blepharoplasty with fat repositioning provides to the tear trough and deep fat compartments of the upper cheek. The current study used a standardized 3-D camera system and a cohort of patients exclusively having fat repositioning lower blepharoplasty. Ten patients who had undergone a lower blepharoplasty using the fat repositioning technique had an average volume gain of 0.64 mL with a mean (range) follow-up time of 12 (10-16) months.

Journal Club and Continuing Medical Education

Yeung and coauthors conduct a prospective multicenter cohort study in which 12 participating surgeons enrolled 79 consecutive patients diagnosed as having nasal valve insufficiency as the primary cause of nasal obstruction. Patients underwent functional or aesthetic-functional rhinoplasty. Nasal symptoms were evaluated using a validated, disease-specific, quality-of-life instrument. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered to participants at baseline and 3, 6, and 12 months postoperatively. Of the 79 patients, 31 underwent functional and 48 underwent aesthetic-functional rhinoplasty. Overall, an improvement was found in nasal breathing, with a mean decrease of 48.6 points at the 3-month assessment compared with the preoperative baseline NOSE scale score. The improvement in nasal breathing was similar whether patients underwent functional or aesthetic-functional rhinoplasty.

Invited Commentary