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Pediatric Microsurgery Part I.
Indications and approaches for pediatric free tissue transfer have expanded in recent years, and most flaps historically described in the adult population are now routinely used in children. Those embarking on pediatric microsurgical operat…
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Pediatric Microsurgery Part II.
Indications and approaches for pediatric free tissue transfer have expanded in recent years, and most flaps historically described in the adult population are now routinely used in children. Those embarking on pediatric microsurgical operat…
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Definitive Cleft Rhinoplasty: A 15-Year Single-Institution Review of Surgical Techniques and Outcomes.
Definitive cleft rhinoplasty is performed at or near skeletal maturity to improve nasal breathing, symmetry, and shape, with surgeons performing a variety of techniques depending on patient goals. This study explores the relationship betwee…
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Primary Rhinoplasty for Unilateral Cleft Lip: A Long-Term Cohort Assessment of Aesthetic and Anthropometric Outcomes.
The decision to undertake rhinoplasty maneuvers during cleft lip repair remains controversial. Little data compare long-term outcomes with and without primary rhinoplasty (PR). This study compared nasolabial outcomes in cohorts with unilate…
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Bilateral Cleft Lip Repair With and Without Primary Rhinoplasty: Comparing Two-Year Aesthetic and Anthropometric Outcomes.
ObjectiveTo compare aesthetic outcomes in patients with bilateral cleft lip treated with concurrent primary rhinoplasty (PR) versus non-primary rhinoplasty (NPR), using layperson and anthropometric assessments.DesignRetrospective review of …
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Long-Term Outcome of Secondary Cleft Rhinoplasty in Patients with Secondary Nasal Deformity: Optimal Indications for Tajima Technique.
[BACKGROUND] The authors investigated the timing of and indications for the Tajima reverse-U incision for correcting secondary unilateral cleft nasal deformities. [METHODS] Nonsyndromic patients with secondary cleft lip and nasal deformity…
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From Hip to Tip: Harvesting Iliac Crest Cartilage for Delayed Cleft Rhinoplasty.
ObjectiveThis study evaluates nasal symmetry outcomes in patients with unilateral cleft lip (UCL) who underwent delayed rhinoplasty during iliac bone grafting (IBG), allowing concurrent bone grafting and cartilage harvesting to reduce donor…
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Patient-Reported Outcomes of Primary Cleft Rhinoplasty: A Long-Term Assessment Using CLEFT-Q.
ObjectiveRhinoplasty maneuvers at the time of cleft lip (CL) repair remain controversial. Particularly, the impact of primary rhinoplasty (PR) on patient-reported outcomes (PROs) and quality of life (QoL) is largely unknown. This study aims…
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Patient Reported Outcomes Pre- and Post-Surgery in Patients With Cleft Lip/Palate: An Assessment of Post-Operative Change Utilizing CLEFT-Q.
ObjectiveTo evaluate how patient-reported outcomes change from pre- to post-operation after common procedures in patients with cleft lip and/or palate (CL/P), as well as compared to patients who did not undergo surgery.DesignRetrospective c…
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Long-Term Surgical Outcomes of Intermediate Cleft Rhinoplasty.
[BACKGROUND] The risk-to-benefit ratio of operating on the cleft nasal deformity in the period of mixed dentition remains debated. This study characterizes the authors' 18-year experience with intermediate cleft rhinoplasties to add data an…
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Long-Term Surgical Outcomes of Primary Rhinoplasty.
ObjectiveTo examine the impact of primary rhinoplasty on subsequent rhinoplasties for patients with cleft lip nasal deformity.DesignRetrospective cohort study.SettingTertiary care pediatric hospital.Patients/ParticipantsIndividuals who unde…
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Photomorphometric Analysis-based Surgical Outcomes in Intermediate Cleft Rhinoplasties: An 18-Year Experience.
[BACKGROUND] Intermediate cleft rhinoplasty (ICR) addresses nasal deformities in children with cleft lip and/or palate (CL/P), yet the influence of surgical planning and outcomes remains underdefined. This study evaluates decision-making an…
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Crowdsourcing the Impact of Illustration in Cleft Surgery Education.
ObjectiveThis study aimed to (1) assess layperson preferences for how surgical information is presented; (2) evaluate how the format of visual information relates to layperson comfort with undergoing surgery, perceptions of surgeon characte…
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A Longitudinal Study of Improvement in Nasal Airway Obstruction after Secondary Cleft Rhinoplasty.
[BACKGROUND] Nasal airway obstruction is an increasingly recognized phenomenon in patients with cleft lip and/or palate and has the potential to significantly affect quality of life in this patient population. To date, the effect of seconda…
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Radiologic Evaluation of the Influence of Cleft Treatment on Nasal Dorsum Growth.
[OBJECTIVE] The study addresses whether the growth of the nasal dorsum is disturbed by cleft treatments, for cleft lip only (CL) and cleft lip with cleft palate (CLP). [DESIGN] A total of 576 patients with cleft (278 CL, 298 CLP) and 333 i…
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Nasal Obstruction in Children With Cleft Lip and Palate: Results of a Cross-Sectional Study Utilizing the NOSE Scale.
[OBJECTIVE] To characterize the epidemiology and risk factors for nasal obstruction among subjects with cleft lip and/or cleft palate (CL/P) utilizing the well-validated Nasal Obstruction Symptom Evaluation (NOSE) survey. [DESIGN] Retrospe…
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Complex Truncal Masses in the Setting of CLOVES Syndrome: Aesthetic and Functional Implications.
[BACKGROUND] Congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and skeletal abnormalities (CLOVES) is a complex overgrowth syndrome with dramatic aesthetic and functional implications. The truncal masses characterist…
- Peter Randall, M.D., 1923 to 2014.
- Don LaRossa, M.D., 1941 to 2014.
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From surgery to pharmacology to gene therapy: the past, present, and future of hair restoration.
The hair follicle is a complex structure containing many cell types that produce highly specialized proteins. These proteins govern the continuous cycling of the follicle through its stages of anagen, catagen, telogen, and exogen. Most comm…
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Body image concerns of breast augmentation patients.
This study investigated the body image concerns of women who sought cosmetic breast augmentation. Thirty breast augmentation candidates completed several measures of body image before their initial surgical consultation. Thirty physically s…
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Bigger is not always better: body image dissatisfaction in breast reduction and breast augmentation patients.
This study investigated body image dissatisfaction in breast reduction and breast augmentation patients. Thirty breast reduction and 30 breast augmentation patients completed two body image measures preoperatively. Breast reduction patients…