Stephan SJ

[BACKGROUND] Chemodenervation is a mainstay in the treatment of nonflaccid facial paralysis (NFFP). This study investigates how electromyography (EMG) guidance during chemodenervation may allow for more accurate needle placement. [STUDY OB…

[BACKGROUND] Existing data on tranexamic acid (TXA) in rhinoplasty are mixed. [OBJECTIVE] Compare blood loss, edema, and bruising in patients undergoing septorhinoplasty with or without intravenous (IV) TXA, measured by estimated blood los…

Studies suggest that mood disorders may affect perception of facial synkinesis, though none have analyzed effects on perceived benefit from chemodenervation. To measure the effect of depression, appearance anxiety, and other variables on c…

Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be …

Functional rhinoplasty often relies on repurposed cartilage for nasal framework grafting. To compare complications in functional rhinoplasty associated with use of autologous versus fresh frozen cadaveric rib cartilage (FFCR). This retros…

[OBJECTIVE] To systematically compare functional outcomes and postoperative cosmetic satisfaction following alar batten graft (ABG) versus lateral crural strut graft (LCSG) placement for patients with nasal valve incompetence. [DATA SOURCE…

Artificial intelligence (AI) has made invaluable contributions to the technologic advancements across many fields. It is transforming health care and may have a role in improving patient outcomes in facial plastic and reconstructive surgery…

[OBJECTIVE] Surgical management of cleft lip/palate and cleft rhinoplasty have historically been performed by plastic surgeons. No study has addressed temporal trends in cleft-associated surgeries. This study assesses trends in cleft surgic…

The paramedian forehead flap (PMFF) is a well-established technique utilized for reconstruction of complex nasal defects. To identify the different techniques and management of patients undergoing PMFF reconstruction and compare these with…

Patients with facial synkinesis may have jaw tightness and swallow discomfort despite chemodenervation of facial mimetic musculature, and the posterior belly of the digastric (PBD) muscle is a logical target to treat these symptoms. To com…

[BACKGROUND] Social media is an important tool for networking, recruitment, and promoting clinical practice. No study has specifically assessed which FPRS practitioners have professional social media accounts, how they utilize them, and wha…

This article outlines current methods in the evaluation and management of nasal fractures including clinical workup, imaging, and treatment.…

Porous high-density polyethylene (pHDPE) has successfully been used as an alternative to cartilage for grafting in rhinoplasty; however, concerns exist surrounding its potential for infection and/or extrusion. To analyze the relationship b…

[PURPOSE OF REVIEW] Multiple successful techniques and approaches for nasal septal perforation repair have been described, yet consistency in perforation and outcome metrics is required to identify the optimal approach to repair. The presen…

[IMPORTANCE] In the last decade, there has been a significant increase in the number of practitioners administering botulinum toxin for facial synkinesis. However, there are few resources available to guide treatment patterns, and little is…

[OBJECTIVE] The objective of this case series was to describe botulinum toxin therapy as a novel treatment of intractable head pain following lateral skull base surgery. [BACKGROUND] Intractable headaches following lateral skull base surge…

[IMPORTANCE] The buccinator, despite being a prominent midface muscle, has been previously overlooked as a target in the treatment of facial synkinesis with botulinum toxin. [OBJECTIVE] To evaluate outcomes of patients treated with botulin…