| SGNScoops | Southern Gospel Sweethearts: Kari Gooch of Karen Peck and New River SGNScoops followers, Karen Peck said, "Thank the Lord," as they were relieved to find out the cancer was "confined to Rickey's left tonsil area and had not spread anywhere else within his body." In that same letter, Karen explained the difficulty of watching her ... |
| Ha 98 lesioni al cervello e gli danno 6 settimane di vita, dopo 5 anni è ancora vivo Il Gazzettino Incredibile in Colorado. Gli avevano dato 6 settimane di vita al massimo, ma Leland Fay, 46 anni, papà di due bimbi, dopo 5 anni è ancora in vita e ha anche aperto un blog (http://ift.tt/2h9aSxm). Sopravvissuto ad una forma aggressiva di cancro con ... and more » |
Facial plast Surg 2017; 33: 428-433
DOI: 10.1055/s-0037-1603782
Health care providers should be aware of information available on the Internet to ensure proper patient care. The current analysis assesses the reliability, quality, and readability of internet information describing rhytidectomy. Previously validated survey instruments to assess the reliability, quality, and readability of online websites describing rhytidectomy were used. An internet search using Google with the search term "facelift" was conducted. The first 50 search results were reviewed, and 36 were deemed appropriate to be included in this analysis. Websites were divided based on type of authorship into professional organization, academic, physician based, and unidentified. The validated DISCERN instrument was used to determine reliability, quality, and overall rating of each site. The Flesch Reading Ease Score (FRES) and Flesch–Kincaid Grade Level (FKGL) were used to measure readability. A 1 to 3 point scale was used to rate websites, with a higher number indicating a website that possessed either greater reliability or greater quality. Mean scores for reliability ranged from 1.7 (±0.99) in the academic group to 2.0 (±0.12) in the unidentified group. Mean scores for quality ranged from 1.5 (±0.13) in the unidentified group to 1.7 (±0.38) in the physician-based group. The highest overall rating was 1.4 (±0.22 and ± 0.31, respectively) in the unidentified and physician-based groups. The lowest overall rating was 1 (±0.58) in the academic group. FRESs ranged from 21.6 to 74.6. FKGLs ranged from 6.9 to 13.9. Information available online regarding rhytidectomy may be significantly deficient in reliability, quality, and readability. These deficiencies are present in articles with all types of author affiliations. This underscores the clinicians' duty to provide patients with high-quality information at an adequate level of comprehension.
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 367-371
DOI: 10.1055/s-0037-1603787
This article explores the significance of the nose in daily human life. It presents examples of how a person's nose may dominate his/her life, how it is used as a nickname, considered an expression of his/her character, and may be a symbol of pride and wisdom. Also, examples from the literature and the arts are discussed. Cutting off the nose is the most severe humiliation as it deprives a person from his/her identity. In some cases in history the nose has been a means of identification.
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 355-364
DOI: 10.1055/s-0037-1603981
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 437-443
DOI: 10.1055/s-0037-1604240
Platelet-rich plasma (PRP) is an autogenously harvested blood plasma containing concentrated levels of platelets and growth factors. PRP has been identified as a promising treatment for enhancing wound healing and has been used for decades in multiple medical specialties including cardiac surgery, oral surgery, ophthalmology, and orthopedic surgery. Growing evidence for multiple aesthetic surgery applications has recently been developed, particularly for hair restoration and skin rejuvenation. The goal of this article is to review the current medical literature on PRP and identify promising applications that may be integrated into a modern aesthetic surgery practice. The evidence for the use of PRP technology is rapidly expanding as a powerful therapy for select cosmetic surgery patients.
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Facial plast Surg 2017; 33: 378-387
DOI: 10.1055/s-0037-1604356
The aim to objectify nasal airflow and patency is ongoing—many methods have been suggested, often lacking clinical relevance or showing weak correlations with patients' symptoms. It is crucial to thoroughly consult our patients presenting with nasal obstruction—and to inform them about realistic possible surgical outcomes. Often, a perfect-looking internal nose with a straight septum and normal-appearing turbinates does not guarantee a happy, symptom-free "owner." A review of the literature and the current technical market is presented here to facilitate the rhinosurgeon's decision to perform pre- and postoperative objective measurements of nasal airflow. Recommendations by the societies have been included.
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Facial plast Surg 2017; 33: 454-454
DOI: 10.1055/s-0037-1603785
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 388-395
DOI: 10.1055/s-0037-1603789
Currently, there is no fully sufficient way to differentiate between symptomatic and normal nasal breathing. Using the nose's total resistance is disputed as a valid means to objectify nasal airflow, and the need for a more comprehensive diagnostic method is increasing. This work's aim was to test a novel approach considering intranasal wall shear stress (WSS) as well as static pressure maps obtained by computational fluid dynamics (CFD). X-ray computed tomography (CT) scan data of six symptom-free subjects and seven symptomatic patients were used. Patient-specific geometries of the nasal cavity were segmented from these datasets. Inspiratory and expiratory steady airflow simulations were performed using CFD. Calculated static pressures and WSSs were mapped onto a common template of the nasal septum, allowing for comparison of these parameters between the two patient groups. Significant differences in WSS distributions during the inspiratory phase could be identified between the two groups, whereas no differences were found for the expiratory phase. It is assumed that one essential feature of normal nasal breathing probably consists of distinctively different intranasal flow fields for inspiration and expiration. This is in accordance with previous investigations. The proposed method seems to be a promising tool for developing a new kind of patient-specific assessment of nasal breathing. However, more studies and a greater case number of data with an expanded focus would be ideal.
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Facial plast Surg 2017; 33: 396-404
DOI: 10.1055/s-0037-1603828
The sense of olfaction is important not only for the detection of potential dangers such as fire or spoilt food, but also for the quality of life of human beings. In this article, we review the characteristics of the sense of smell and give a short overview about possible olfactory dysfunctions and their therapy.
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Facial plast Surg 2017; 33: 434-436
DOI: 10.1055/s-0037-1603948
In 2007, the senior author (G.S.K.) published a commentary on the importance of incorporating minimally invasive aesthetic procedures into facial plastic surgery practices and training programs. The now decade-old prediction suggested that failing to perform minimally invasive aesthetic procedures placed facial plastic surgeons at risk of practice "phase out." By not providing the most current options that patients' desire, we may lose patients to outside providers willing to perform those procedures. The aim of this article is to provide an update on this perspective by putting forth the results of the most up-to-date data on practice patterns with regard to minimally invasive aesthetic procedures.
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Facial plast Surg 2017; 33: 405-410
DOI: 10.1055/s-0037-1604107
Surgical correction of defects of the internal nasal valve, ala, vestibule, and sill is widely regarded as a challenge due to concerns of poor outcomes of facial aesthetics and nasal function. Auricular composite grafting is a reliable method of reconstruction of deformities of the nasal vestibule and sill. A classification system of types of defects may help surgeons in understanding the indications for composite grafting. Furthermore, we have developed surgical techniques that enhance survival of composite grafts of larger size. Composite grafting is an effective technique to repair a wide range of defects of the internal nasal valve, nasal sill/ala, and vestibule with excellent functional and aesthetic results.
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Facial plast Surg 2017; 33: 444-450
DOI: 10.1055/s-0037-1604290
We have used a simple geometric model to examine forces affecting the nasal valve after dorsal reduction and spreader graft placement. The study was designed on the geometric modeling of the internal nasal valve (INV). Published measurements of the leptorrhine nose were used to construct a geometric model of the INV. The changes in the cross-sectional area (CSA) occurring after reduction rhinoplasty were calculated algebraically, as was the effect of these changes on the tendency of the lateral wall of the INV to collapse. The effect of spreader grafting on the CSA was determined, and the total change in CSA of the INV in various scenarios was determined and compared with the reported normal CSA. Relative to published norms, the gain in CSA from spreader grafting can be significant if thick grafts are used. When the lateral wall of the INV is conceptualized as a cantilevered beam fixed medially, the reduction of length reduction of the lateral segment of the INV can significantly reduce the tendency for the inward collapse of the lateral wall. The reduction in CSA of the INV associated with dorsal nasal reduction can be ameliorated through the placement of spreader grafts. Moreover, the reduction in length of the INV sidewall also limits inward collapse, assuming it is firmly reattached to the dorsal septum. An enhanced appreciation of the physical properties of the INV anticipated through a simplified geometric analysis will be invaluable to the rhinological surgeon interested in enhancing nasal function.
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Facial plast Surg 2017; 33: 411-418
DOI: 10.1055/s-0037-1603791
Cocaine is the most commonly used stimulant in the Western world, and its use is increasing not only in young people but also in people older than 40 years. Intranasal use is associated with several pathologies, ranging from crusting and blockage, to fibrosis and scarring, to destruction of the osteocartilaginous structures of the midface. As its use becomes more prevalent in society, the reconstructive surgeon can accordingly expect to be faced with an increasing number of patients with cocaine-related nasal deformity. However, the use of cocaine adds a significant layer of complexity to the perioperative and operative care that requires careful consideration by the whole health care team. We present a practical evidence-based guide to management of reconstruction of the cocaine nose, taking in all aspects of periprocedural care. Finally, we present a model for surgical approach based on best evidence and the experience of the senior author. A search was performed of the Medline, Embase, and Cochrane Collection database using both MeSH keywords and free text words, identifying key articles on the epidemiology, pathophysiology, and medical and psychiatric comorbidities of cocaine users. Both case series and case reports reporting cocaine-associated defects and their reconstruction were reviewed together with the senior authors (A.D.S., A.J.), and a series of recommendations synthesized based on these recommendations. The nasal deformities associated with cocaine use represent only the tip of the iceberg of underlying associated pathology. The surgeon who embarks upon reconstruction of the cocaine nose should be aware of possible coexisting medical and psychiatric comorbidities that may complicate both the patient's motivations for surgery and their fitness to undergo anesthesia. Ultimately, successful reconstructive outcomes are critically dependent on holistic perioperative care and the surgeon's ability to be flexible in their surgical approach.
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Facial plast Surg 2017; 33: 453-453
DOI: 10.1055/s-0037-1604175
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 419-422
DOI: 10.1055/s-0037-1603783
The objective of this study is to demonstrate the benefits of scalp-based split-thickness skin grafts as a reconstructive modality for facial skin defects, noting advantages relative to traditional harvest sites. The study is presented as a case series with chart review set in a tertiary referral center. We reviewed the charts of patients with facial skin defects whose reconstruction required more skin than could be harvested with standard full-thickness skin grafting techniques and, accordingly, included a split-thickness skin graft from the adjacent scalp. Preoperative and postoperative photographs, along with operative and postoperative records, were used to evaluate final cosmetic results and complications. We reviewed 15 patients, with ages ranging from 6 to 90 years. Common indications were skin cancer resection, avulsive skin trauma, and ear reconstruction. While patients generally had good cosmetic outcomes, with excellent color matching relative to traditional distant donor sites, a major advantage of the scalp donor site was low donor-site morbidity. Scalp donor sites were commonly reepithelialized at 7 to 10 days postoperatively and had low reported pain scores. There were no major complications. Reconstruction of facial skin defects that require skin coverage with split-thickness skin grafts can optimally be harvested from adjacent scalp skin, providing adequate cosmesis but, perhaps most importantly, much lower donor-site morbidity than with traditional nonhair-bearing donor sites.
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Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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Facial plast Surg 2017; 33: 455-456
DOI: 10.1055/s-0037-1603784
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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| Austin American-Statesman | John Kelso, longtime Austin humor columnist, dead at 73 KFDA AUSTIN, Texas (AP) - John Kelso, longtime humor columnist for the Austin American-Statesman, has died in Austin at the age of 73. Kelso, who since 2015 had been battling a cancer that cost him his larynx, died Friday of complications from a recent fall ... John Kelso, longtime columnist who kept Austin chuckling, has diedMyStatesman.com all 6 news articles » |
