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In This Issue of JAMA Facial Plastic Surgery
Nov/Dec 2018


JAMA Facial Plast Surg. 2018;20(6):439. doi:10.1001/jamafacial.2017.1549

Liu and colleagues sought to determine the association of autologous fat filling with ophthalmic function complications. Using a rabbit model, harvested fat was retrogradely injected into the facial artery as either minced fat, fat granules, or fat lipid and compared with saline. Electroretinography and ophthalmic fundoscopy were performed to measure the retina and fundus artery occlusions 2 weeks after surgery. Results showed that minced fat was associated with more ophthalmic function complications and mortality than fat granules or fat lipid. Hom and Harmon provide the Invited Commentary.

Invited Commentary

In this population-based retrospective analysis performed over 8 years, Rudy and colleagues examined patient insurance claims from the Truven MarketScan Commercial and Medicare Supplemental Databases to investigate whether keratinocyte carcinoma (KC) was an independent risk factor for venous thromboembolism (VTE). In their analysis of 740 246 individuals, the authors found no evidence supporting increased risk of VTE in the KC cohort compared with the control cohort. These findings demonstrated the need for careful consideration when surgery is planned for a patient with KC and no other risk factors for VTE to limit unnecessary exposure to VTE chemoprophylaxis.

Bonaparte and Campbell conducted a prospective, investigator-blinded, case-control cohort study of 27 patients with unilateral nasal valve collapse to test the hypothesis that the side of the nose with the collapse would have lower elasticity and increased pliability compared with the side without collapse. Patients were assessed by a blinded assessor using the Cutometer MPA 580. Results showed there was increased external skin pliability on the side of the nose with the nasal valve collapse compared with the side without collapse, but there was no difference in elasticity between the sides.

Clinical Review & Education

Revenaugh and colleagues performed a systematic review to determine what objective instruments of midface movement are used in outcome measurements for patients treated with dynamic methods for facial paralysis. Of 241 articles describing dynamic facial reanimation techniques, 49 (20.3%) reported objective outcome measures for 1898 patients. Of those articles reporting objective measures, there were 29 different instruments, only 3 of which reported all outcome measures. In addition, of the reported objective facial reanimation instruments, few were reproducible and able to measure symmetry and multiple data points.