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Top five craniofacial techniques for training in plastic surgery residency.
[BACKGROUND] Despite increasing specialization of craniofacial surgery, certain craniofacial techniques are widely applicable. The authors identified five such craniofacial techniques and queried American Society of Plastic Surgeons members…
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Experiential learning in aesthetic surgery training: a quantitative comparison among surgical subspecialties.
[BACKGROUND] The specialty of plastic surgery has evolved to encompass a wide breadth of both reconstructive and aesthetic surgery. Practitioners in other specialties have increasingly advanced on procedures and areas that have traditionall…
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Predictive factors in identifying subspecialty fellowship applicants who will have academic practices.
[BACKGROUND] The challenge of subspecialty fellowship directors is to recruit surgeons who are motivated to continue the tradition of teaching by entering academic medicine. The authors looked for predictive factors to help with more accura…
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Genioplasty distraction osteogenesis and hyoid advancement for correction of upper airway obstruction in patients with Treacher Collins and Nager syndromes.
[BACKGROUND] Treacher Collins and Nager syndromes may present with mandibular hypoplasia that causes posterior collapse of the tongue base and a decreased oropharyngeal airway. Mandibular distraction and orthognathic advancement are effecti…
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Factors determining the ultimate fate of a plastic surgery applicant.
Plastic surgery residency program directors are frequently interested in predictors of future career direction in their applicants. Many programs strive to train leaders in academic plastic surgery. To determine what factors may predict the…
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Aesthetic male facial skeletal surgery.
Craniofacial surgery concepts developed originally for reconstruction may also be applied to aesthetic surgery. The facial skeleton is an important component of appearance and may be modified using common craniofacial surgery techniques. Th…
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Reconstruction of Tessier no. 4 clefts revisited.
Atypical craniofacial clefts present a surgical challenge. Little is published about their treatment because of their rarity. Such is the nature of Tessier no. 4 clefts and others with shortened oculoalar and oculo-oral distances requiring …
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Enophthalmos revisited.
As an alternative to the conventional craniofacial approach with its coronal incision, a limited access technique has evolved. Its advantages and disadvantages are discussed. The method should not be used unless one is well versed in the co…
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Management of parotid leakage following rhytidectomy.
Six patients with parotid pseudocysts following face lifts are reported. Insertion of a suction drain in three patients provided earlier resolution than repeated aspiration in the other three.…
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Infection of proplast malar implants following dental injections.
Two cases of late infections of malar implants are reported following dental work. Inadvertent inoculation of the implants by mouth organisms during injections for local dental anesthesia is implicated as the causative factor. Patients shou…
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Care of maxillofacial injuries: survey of plastic surgeons.
The purpose of this survey was to evaluate the current trends in the care of facial trauma. Data were obtained through the responses of a survey mailed to all those members and candidates listed in the 1989 American Society of Plastic and R…
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Analysis and results of treatment of established posttraumatic facial deformities.
The clinical records of 125 patients undergoing treatment for posttraumatic facial deformities (PTFD) from 1979 to 1990 were retrospectively reviewed. Patients with complex fractures had a combination of at least three of the major fracture…
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Chin disfigurement following removal of alloplastic chin implants.
Insertion and subsequent removal of alloplastic chin implants is not an innocuous procedure, as commonly believed. Ten women, aged 23 to 62 years of age (mean 45 years) are reported in whom severe soft-tissue deformities were observed 6 mon…
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The anatomy and clinical applications of the buccal fat pad.
The buccal fat pad is an anatomically complex structure that has great importance in facial contour. In properly selected individuals, judicious harvesting of buccal fat can produce dramatic changes in facial appearance by reducing the full…
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Rare craniofacial clefts: Tessier no. 4 clefts.
A major difficulty in understanding rare craniofacial clefts arises from the fact that previous reports have focused on a single case or have grouped together different types of rare clefts. Less than 50 Tessier no. 4 clefts have been repor…
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Sliding genioplasty as a local anesthetic outpatient procedure: a prospective two-center trial.
A two-center (U.C.L.A. and Georgetown) prospective trial was planned to examine sliding genioplasty as an outpatient local anesthetic procedure. Thirty-nine patients, 14 male and 25 female, underwent the procedure. Average operating time wa…
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Inappropriate antidiuretic hormone syndrome in craniofacial surgery.
Three instances of inappropriate ADH syndrome following craniofacial operations are reported. The cornerstone to diagnosis is careful fluid and electrolyte monitoring. Treatment consists of fluid restrictions in the acute phase and demecloc…
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Late posttraumatic enophthalmos: a correctable deformity?
Long-established posttraumatic enophthalmos with a seeing eye is a correctable deformity. A method utilizing principles of craniofacial surgery is described that provides the advantages of (1) wide exposure, (2) free mobilization of the dis…
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Correction of major defects of the vermilion with a cross-lip vermilion flap.
A method is described to correct major vermilion defects by using a transverse, cross-lip, vermilion flap. Sizable defects can be easily filled in to obtain an upper lip with better contour and simultaneously reduce the unpleasant fullness …