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In This Issue of JAMA Facial Plastic Surgery
Nov/Dec 2019

Highlights

JAMA Facial Plast Surg. 2019;21(6):473. doi:10.1001/jamafacial.2018.1349
Research

In this prospective case series study of 104 patients who underwent cosmetic and/or functional rhinoplasty, Gadkaree and colleagues examined the association between patient-reported pain outcomes, objective opioid use, and perception of surgical success. They found a negative association between perception of pain and perception of outcome in purely functional rhinoplasty, but among patients who underwent rhinoplasty with cosmetic changes, no association between pain and perception of surgical success was found.

Govas et al conducted a randomized clinical trial including 87 patients to assess the efficacy of vibration during cutaneous anesthetic injection for dermatologic surgery for patients who catastrophize pain. They found that those who catastrophized pain reported significantly higher Numeric Rating Scale scores during local anesthetic injection than patients who did not. The addition of vibration resulted in a 25.5% reduction of Numeric Rating Scale scores during local anesthetic injection in patients who catastrophized pain and a 79.4% reduction in patients who did not catastrophize pain.

In this population-based cohort study of 294 039 adult patients, Olds and colleagues examine how frequently antibiotics are prescribed after nasal and oculoplastic procedures, and if antibiotic use was associated with reduced postoperative infection rates. Overall, 45.2% of patients filled antibiotic prescriptions after nasal and oculoplastic procedures; these patients were at significantly decreased risk of postoperative infections compared with those who did not fill antibiotic prescriptions.

Vincent and coinvestigators conducted a case series review of 7 patients who underwent masseter-to-facial nerve transfer with selective neurectomy for synkinesis. They found that these patients experienced a statistically significant improvement in multiple eFACE domains including smile, dynamic function, synkinesis, midface and smile function, and lower face and neck function at 1-year mean follow-up. Their findings suggest that masseteric-to-facial nerve transfer with selective neurectomy may provide significant smile improvement.

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