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Facial Reconstruction Controversies, An Issue of Facial Plastic Surgery Clinics, E-Book

Facial Reconstruction Controversies, An Issue of Facial Plastic Surgery Clinics, E-Book

Mark Wax

(2016)

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Book Details

Abstract

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Mark Wax, is devoted to Facial Reconstruction Controversies. Articles in this timely issue include: Management of the Nasal Valve; Reconstruction of the Parotid Defect; Pediatric Rhinoplasty; Cleft Lip and Cleft Palate; Evidence-Based Medicine; Facial Re-animation; Management of the Trauma Patient; Post-operative Management of Free Tissue Transfer; Measuring Nasal Obstruction; Primary Rhinoplasty; Revision Rhinoplasty; The Role of Antibiotic Prophylaxis in Facial Plastic Surgery; Aging Face; Facial Transplantation; and Fillers and Resurfacing.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Facial Reconstructive\rControversies i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface: Facial Reconstructive Controversies vii
Management of the Nasal Valve vii
Controversies in Parotid Defect Reconstruction vii
Septorhinoplasty in the Pediatric Patient vii
Controversies in the Management of Patients with Cleft Lip and Palate vii
Evidence-based Medicine in Facial Plastic Surgery: Current State and Future Directions viii
Controversies in Contemporary Facial Reanimation viii
Controversies in the Management of the Trauma Patient viii
Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck viii
Measuring Nasal Obstruction ix
Primary Rhinoplasty ix
Controversies in Revision Rhinoplasty ix
Antibiotic Use in Facial Plastic Surgery ix
Facelift Controversies x
Facial Transplantation x
Injectables in the Nose: Facts and Controversies x
FACIAL PLASTIC SURGERY CLINICS\rOF NORTH AMERICA xi
FORTHCOMING ISSUES xi
November 2016 xi
February 2017 xi
May 2017 xi
RECENT ISSUES xi
May 2016 xi
February 2016 xi
November 2015 xi
Preface:\rFacial Reconstructive Controversies xiii
Management of the Nasal Valve 219
Key points 219
INTRODUCTION 219
ANATOMY 220
PHYSIOLOGY 221
TERMINOLOGY 222
HISTORICAL PERSPECTIVE 223
DIAGNOSIS 224
OBJECTIVE OUTCOME MEASURES 224
SUBJECTIVE OUTCOME MEASURES 225
CONTROVERSY IN TECHNIQUE SELECTION 225
SPREADER GRAFTS 227
AUTOSPREADER GRAFTS 227
FLARING SUTURES 228
ALAR BATTEN GRAFTS 229
LATERAL CRURAL STRUT GRAFTS 229
LATERAL CRURAL TURN-IN GRAFTS 229
ALAR RIM GRAFTS 230
LATERAL NASAL SIDEWALL SUSPENSION 230
BUTTERFLY GRAFT 230
SUMMARY 232
REFERENCES 232
Controversies in Parotid Defect Reconstruction 235
Key points 235
INTRODUCTION 235
SUPERFICIAL PAROTIDECTOMY 235
Abdominal Fat Grafting 236
Injectable Fillers 236
Acellular Dermal Matrix Placement 237
Local Muscle or Facial Rotational Flaps 237
Sternocleidomastoid rotational flap 237
Temporoparietal fascia rotational flap 238
Superficial muscular aponeurotic system advancement flap 238
TOTAL PAROTIDECTOMY WITH OR WITHOUT NEED FOR SKIN COVERAGE 239
Free Tissue Transfer 239
Anterolateral thigh free flap 239
Radial forearm free flap 239
RADICAL PAROTIDECTOMY DEFECTS 240
Cable Grafting 240
Nerve to Masseter 241
Static Midface Suspension and Temporalis Tendon Transfer 241
Free Tissue Transfer for Facial Nerve Reanimation 242
SUMMARY 242
REFERENCES 242
Septorhinoplasty in the Pediatric Patient 245
Key points 245
INTRODUCTION: NATURE OF THE PROBLEM 245
CONTROVERSIES 245
ANATOMY AND GROWTH 245
ANIMAL STUDIES 246
CLINICAL STUDIES 247
Detrimental Effects on Growth of the Nose 247
Anthropometric Studies 247
INDICATIONS AND TIMING FOR PEDIATRIC RHINOPLASTY 248
Trauma 248
Cleft Lip Deformity 248
Congenital Nasal Defects 248
Hemangioma 249
Functional Septorhinoplasty 250
SUMMARY 252
REFERENCES 252
Controversies in the Management of Patients with Cleft Lip and Palate 255
Key points 255
INTRODUCTION 255
PRESURGICAL INFANT ORTHOPEDICS 255
NASOALVEOLAR MOLDING 255
BENEFITS OF NASOALVEOLAR MOLDING 256
Psychosocial Benefit to Caregivers 256
Clinical Benefits of Nasoalveolar Molding 256
Effect of Nasoalveolar Molding on Nasal Appearance in Unilateral Cleft Lip-Palate 257
Effect of Nasoalveolar Molding on Nasal Appearance in Bilateral Cleft Lip-Palate 257
Effect of Nasoalveolar Molding on Speech Development 259
Possible Reduced Overall Costs with Nasoalveolar Molding 259
IN OPPOSITION TO NASOALVEOLAR MOLDING 259
Poor Caregiver Compliance with Nasoalveolar Molding 259
Increased Short-Term Costs with Nasoalveolar Molding 260
Effect of Nasoalveolar Molding on Facial Growth 260
No Clinical Benefit with Nasoalveolar Molding 260
ISSUES WITH REVIEW ARTICLES AND META-ANALYSIS 261
SUMMARY 262
REFERENCES 262
Evidence-based Medicine in Facial Plastic Surgery 265
Key points 265
INTRODUCTION 265
LEVELS OF EVIDENCE 266
STRENGTH OF RECOMMENDATION AND CLINICAL PRACTICE GUIDELINES 267
OUTCOMES MEASURES 268
OUTCOME MEASURES IN FACIAL REANIMATION 269
CHALLENGES OF EVIDENCE-BASED MEDICINE IN FACIAL PLASTIC SURGERY 272
REFERENCES 273
Controversies in Contemporary Facial Reanimation 275
Key points 275
INTRODUCTION 275
OVERVIEW OF FACIAL REANIMATION 275
Classification of Facial Palsy 276
Reversible Versus Irreversible Facial Palsy 276
Key Principles in Dynamic Facial Reanimation 276
CONTROVERSIES IN CONTEMPORARY FACIAL REANIMATION 276
CONTROVERSIES IN PATIENT EVALUATION 277
Facial Palsy Grading Scales 277
CONTROVERSIES IN TIMING OF DYNAMIC REANIMATION 277
CONTROVERSIES IN DYNAMIC SMILE REANIMATION 283
Selection of a Donor Nerve for Direct Reinnervation 283
Contralateral facial nerve (cross-facial nerve graft) 283
Masseteric nerve (cranial nerve V to VII) transfer 283
Hypoglossal nerve (CN XII–VII) transfer 285
Dual innervation/babysitter procedures 285
Selection of Reanimation Procedure in Cases of Long-Standing Paralysis 286
Regional muscle transfer techniques 286
Regional muscle transfer versus free muscle transfer 287
Free Muscle Transfer: Selection of a Donor Nerve for Reinnervation 289
Free muscle transfer: masseteric innervation 289
Free muscle transfer: cross-facial nerve graft innervation, 1- versus 2-stage 289
Free muscle transfer: masseteric versus cross-facial nerve graft innervation 291
Free muscle transfer: dual innervation 292
Dynamic Reinnervation in Incomplete Facial Palsy 294
SUMMARY 294
SUPPLEMENTARY DATA 294
REFERENCES 294
Controversies in the Management of the Trauma Patient 299
Key points 299
INTRODUCTION 299
REPAIR OF ORBITAL FRACTURES 299
Timing 299
Materials 300
Intraoperative Computed Tomographic Scans 301
Use of Navigation Technology 302
REPAIR OF MANDIBLE FRACTURES 302
Open Versus Closed Treatment of Subcondylar Fractures 302
Endoscopic-Assisted Repair of Subcondylar Fractures 304
Use of Maxillomandibular Fixation 304
Postoperative maxillomandibular fixation 304
Intraoperative maxillomandibular fixation 304
Screw maxillomandibular fixation 304
Hybrid maxillomandibular fixation 305
SUMMARY 305
REFERENCES 305
Postoperative Controversies in the Management of Free Flap Surgery in the Head and Neck 309
Key points 309
INTRODUCTION 309
ANTICOAGULATION FOR THE PREVENTION OF VENOUS THROMBOEMBOLISM 310
FLAP PROPHYLAXIS REGIMEN 312
POSTOPERATIVE FLUID MANAGEMENT AND VASOPRESSOR USE 312
POSTOPERATIVE FLAP MONITORING 313
REFERENCES 314
Measuring Nasal Obstruction 315
Key points 315
THE NOSE IS A COMPLEX STRUCTURE 315
FUNCTION AND PHYSIOLOGY 315
NASAL OBSTRUCTION POORLY CHARACTERIZED 316
MEASURING NASAL OBSTRUCTION 316
PATIENT-DERIVED MEASUREMENTS 316
PHYSICIAN-DERIVED MEASUREMENTS 318
OBJECTIVE MEASURES 318
CONTROVERSIES IN MEASUREMENT TECHNIQUES 319
REFERENCES 320
Primary Rhinoplasty 323
Key points 323
INTRODUCTION 323
THE OPEN APPROACH AND THE ENDONASAL APPROACH IN RHINOPLASTY 323
THE USE OF SPREADER GRAFTS AND THE MANAGEMENT OF THE MIDDLE VAULT 324
CORRECTIVE NASAL SURGERY AND THE YOUNGER PATIENT 330
THE USE OF RIB CARTILAGE GRAFTS IN RHINOPLASTY 332
THE USE OF FILLERS IN RHINOPLASTY OR THE NONSURGICAL RHINOPLASTY 333
SUMMARY 333
REFERENCES 333
Controversies in Revision Rhinoplasty 337
Key points 337
INTRODUCTION 337
CONTROVERSIES IN RHINOPLASTY 337
Alloplastic Material versus Autologous Grafts in Dorsal Augmentation 337
Autologous Rib Versus Irradiated Rib for Nasal Reconstruction 339
Diced Cartilage Versus Solid Cartilage Grafting 340
Injectable Cartilage Grafting 340
Injectables in the Nose 340
Spreader Flap Versus Spreader Grafts 341
Onlay Grafting to Existing Structure Versus Complete Reconstruction 342
Infection Prevention 342
SUMMARY 344
REFERENCES 344
Antibiotic Use in Facial Plastic Surgery 347
Key points 347
INTRODUCTION 347
SEPTOPLASTY/RHINOPLASTY 347
BLEPHAROPLASTY 350
RHYTIDECTOMY 351
ALLOPLASTIC IMPLANTATION 351
RESURFACING 352
MAXILLOFACIAL TRAUMA 352
SUMMARY 355
REFERENCES 355
Facelift Controversies 357
Key points 357
INTRODUCTION 357
HISTORICAL PERSPECTIVE 357
PATIENT CANDIDACY 358
INCISIONS 359
FULL FACELIFT TECHNIQUES 359
LESS-INVASIVE TECHNIQUES 361
IS THERE A GOLD-STANDARD TECHNIQUE? 362
Management of the Midface and Volume Augmentation 363
Rhytidectomy 363
Implants 363
Autologous Fat Transfer 363
Management of the Neck 364
SUMMARY 364
REFERENCES 365
Facial Transplantation 367
Key points 367
INTRODUCTION 367
TECHNICAL ISSUES 367
FACIAL TRANSPLANTATION IMMUNOLOGY 369
ETHICAL ISSUES 374
SUMMARY 376
REFERENCES 376
Injectables in the Nose 379
Key points 379
INTRODUCTION 379
THE NEW RECONSTRUCTIVE LADDER 379
OVERVIEW OF NASAL INJECTABLES 380
INJECTABLE FILLERS 380
Hyaluronic Acids: Restylane, Juvaderm, Belotero 380
Calcium Hydroxyapatite: Radiesse 382
AUTOLOGOUS FAT 383
Other Injectables Used in Nasal Reconstruction 384
Complications of Nasal Injections 384
STEROID INJECTIONS 384
DERMABRASION AND OTHER RESURFACING TECHNIQUES 387
SUMMARY 388
REFERENCES 388
Index 391