Pub Date : 2024-02-01DOI: 10.1089/fpsamv.2023.0025
Michael Hall, Hudson Frey, Edward D. Buckingham
{"title":"Utilizing a Z-Plasty Platysmaplasty for Management of Platysmal Banding","authors":"Michael Hall, Hudson Frey, Edward D. Buckingham","doi":"10.1089/fpsamv.2023.0025","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0025","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139876075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1089/fpsamv.2023.0025
Michael Hall, Hudson Frey, Edward D. Buckingham
{"title":"Utilizing a Z-Plasty Platysmaplasty for Management of Platysmal Banding","authors":"Michael Hall, Hudson Frey, Edward D. Buckingham","doi":"10.1089/fpsamv.2023.0025","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0025","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1089/fpsamv.2023.0003
R. M. Limongi, Marisa Novaes de Figueiredo, Jeremiah P. Tao
{"title":"Video Demonstration Three-Dimensional Analysis of Tear Trough Volume After Lower Blepharoplasty with Midface Lift","authors":"R. M. Limongi, Marisa Novaes de Figueiredo, Jeremiah P. Tao","doi":"10.1089/fpsamv.2023.0003","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0003","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1089/fpsamv.2023.0016
Tara E. Brennan, Robert G. Nicholas, Antoinette R. Esce
Introduction: Large composite nasal defects are difficult to reconstruct. Among the many concerns in reconstruction, restoration of nasal respiratory function is paramount. Ideally, reconstructed nasal lining is thin and not overly prone to dryness. When radiation treatment is anticipated, vascularized nasal lining is particularly important to resist contracture. Materials and Methods: Here we describe a method of nasal lining reconstruction using a frontal pericranial flap when a contralateral paramedian forehead flap is being elevated for reconstruction of the nasal skin defect. Results: The pericranial flap is thin and minimally reduces the airway diameter while being wide enough to cover the undersurface of any structural grafting that will be used in the reconstruction. Conclusion: The pericranial flap is an excellent reconstruction option when pedicled septal flaps are not an option. It is accessed through the same incision as the forehead skin flap and adds little additional time and no additional surgical sites. This flap may also be a better fit for the nose than free tissue transfer options that reline the nasal cavity with skin, and does not require microvascular expertise to perform. Tara E. Brennan, MD, the senior and corresponding author, conceptualized the study. Also worked on data curation, formal analysis, investigation, methodology, project administration, supervision, validation, and writing of the original and subsequent drafts. Robert G. Nicholas, MD, worked on data curation, formal analysis, investigation, methodology, and writing review. Antoinette R. Esce, MD, worked on methodology, particularly with respect to editing and composition of the video, project administration, and critical editing of the video. No competing financial interests exist. No funding was received for this article. Runtime of video: 4 mins 53 secs
简介:大的复合鼻缺损是难以重建的。在鼻部重建的诸多问题中，鼻呼吸功能的恢复是最重要的。理想的情况是，重建的鼻粘膜薄，不太容易干燥。当预期进行放射治疗时，带血管的鼻内膜对于抵抗挛缩尤为重要。材料和方法:在此，我们描述了一种使用额部颅周皮瓣重建鼻粘膜的方法，同时将对侧旁正中额部皮瓣提升以重建鼻皮肤缺损。结果:颅周皮瓣薄，最小限度地减小了气道直径，同时足够宽，覆盖任何结构移植的下表面，将用于重建。结论:当带蒂鼻中隔瓣不能重建时，颅周瓣是一种很好的重建选择。它通过与前额皮瓣相同的切口进入，增加了很少的额外时间和没有额外的手术部位。这种皮瓣也可能比用皮肤固定鼻腔的自由组织移植更适合鼻子，而且不需要微血管专家来操作。资深通讯作者塔拉·布伦南博士对这项研究进行了概念化。还参与了数据管理、正式分析、调查、方法论、项目管理、监督、验证以及原始和后续草稿的撰写。罗伯特·g·尼古拉斯，医学博士，从事数据管理、正式分析、调查、方法论和写作审查。Antoinette R. Esce，医学博士，研究方法论，特别是关于视频的编辑和组成、项目管理和视频的关键编辑。不存在相互竞争的经济利益。本文未收到任何资助。影片时长:4分53秒
{"title":"Reconstruction of Large Composite Nasal Defects When Pedicled Septal Flaps are Not an Option: The Low-Impact Addition of a Vascularized Contralateral Paramedian Pericranial Flap to Forehead Flap Reconstruction","authors":"Tara E. Brennan, Robert G. Nicholas, Antoinette R. Esce","doi":"10.1089/fpsamv.2023.0016","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0016","url":null,"abstract":"Introduction: Large composite nasal defects are difficult to reconstruct. Among the many concerns in reconstruction, restoration of nasal respiratory function is paramount. Ideally, reconstructed nasal lining is thin and not overly prone to dryness. When radiation treatment is anticipated, vascularized nasal lining is particularly important to resist contracture. Materials and Methods: Here we describe a method of nasal lining reconstruction using a frontal pericranial flap when a contralateral paramedian forehead flap is being elevated for reconstruction of the nasal skin defect. Results: The pericranial flap is thin and minimally reduces the airway diameter while being wide enough to cover the undersurface of any structural grafting that will be used in the reconstruction. Conclusion: The pericranial flap is an excellent reconstruction option when pedicled septal flaps are not an option. It is accessed through the same incision as the forehead skin flap and adds little additional time and no additional surgical sites. This flap may also be a better fit for the nose than free tissue transfer options that reline the nasal cavity with skin, and does not require microvascular expertise to perform. Tara E. Brennan, MD, the senior and corresponding author, conceptualized the study. Also worked on data curation, formal analysis, investigation, methodology, project administration, supervision, validation, and writing of the original and subsequent drafts. Robert G. Nicholas, MD, worked on data curation, formal analysis, investigation, methodology, and writing review. Antoinette R. Esce, MD, worked on methodology, particularly with respect to editing and composition of the video, project administration, and critical editing of the video. No competing financial interests exist. No funding was received for this article. Runtime of video: 4 mins 53 secs","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134935343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1089/fpsamv.2023.0023
Joanna Jacobs, Bastien Valencia, Christopher Razavi, Sara Yang, Adam Howard, Ryan J. Li, M. Wax, Marc Hohman, Myriam Loyo
{"title":"Case Report: Smile Reanimation with Sterno-Omohyoid Free Flap","authors":"Joanna Jacobs, Bastien Valencia, Christopher Razavi, Sara Yang, Adam Howard, Ryan J. Li, M. Wax, Marc Hohman, Myriam Loyo","doi":"10.1089/fpsamv.2023.0023","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0023","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"254 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1089/fpsamv.2023.0004
A. Yenigun, Ferhat Ilen, R. Doğan, E. Senturk, O. Ozturan
{"title":"Septal Extension Graft Fixed in the Middle in Rhinoplasty","authors":"A. Yenigun, Ferhat Ilen, R. Doğan, E. Senturk, O. Ozturan","doi":"10.1089/fpsamv.2023.0004","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0004","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115389450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1089/fpsamv.2023.0015
Caitlin M. Coviello, Gianmarco A Calderara, David J. Hernandez, Sunthosh K. Sivam
{"title":"The Retromandibular Infraparotid Approach to Subcondylar Fractures","authors":"Caitlin M. Coviello, Gianmarco A Calderara, David J. Hernandez, Sunthosh K. Sivam","doi":"10.1089/fpsamv.2023.0015","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0015","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128751565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1089/fpsamv.2023.0017
Christina M. Yver, Roy Xiao, Lucy Xu, Linda N. Lee
Introduction: Techniques in rhinoplasty can be challenging for trainees and novice surgeons to fully understand, especially given numerous sensitive structures that are often not fully visualized intraoperatively. Herein, we seek to use cadaver models to perform numerous rhinoplasty techniques with associated deformities. In particular, we seek to demonstrate proper osteotomy technique, which can be especially nebulous for trainees, and clearly unveil the underlying bony changes created with medial and lateral osteotomies with the unique perspective of direct visualization of the nasal bones following skin removal. Materials and Methods: Two cadaver heads were used for the purposes of teaching dissection techniques shown in the video. Numerous surgical techniques and associated anatomical changes are shown both with skin-on and skin-off for complete understanding of the underlying structures. This study was deemed exempt from IRB approval; all images shown within the video are without identifiable patient information. Results: We visually demonstrate multiple vital concepts critical to rhinoplasty. Dorsal hump reduction is shown along with the relationship of spreader grafts in this setting given the narrowing of the internal nasal valve that results from removal of the wider dorsal cartilaginous septum. We also describe and show proper medial and lateral osteotomy technique. The high-low-high method for lateral osteotomy, as well as the use of percutaneous lateral osteotomies, is performed. Open roof deformity, inverted V deformity, greenstick fracture, and rocker deformity are discussed and visually demonstrated in a skin-off fashion. Conclusions: Surgical techniques in rhinoplasty and associated underlying anatomical changes can be challenging to fully understand. We have performed numerous core techniques, especially osteotomies, to help trainees and novice surgeons better understand the relationships between surgical techniques and their structural outcomes. IRB/Ethics Approval: The Mass General Brigham IRB confirmed that this work does not meet the criteria for human subject research and thus was exempt from IRB approval. The authors confirm that none have any commercial associations to disclose in connection with the submitted video. Runtime of video: 6 mins 14 secs
{"title":"Osteotomies and Dorsal Hump Reduction in Rhinoplasty: Review of Techniques and Complications","authors":"Christina M. Yver, Roy Xiao, Lucy Xu, Linda N. Lee","doi":"10.1089/fpsamv.2023.0017","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0017","url":null,"abstract":"Introduction: Techniques in rhinoplasty can be challenging for trainees and novice surgeons to fully understand, especially given numerous sensitive structures that are often not fully visualized intraoperatively. Herein, we seek to use cadaver models to perform numerous rhinoplasty techniques with associated deformities. In particular, we seek to demonstrate proper osteotomy technique, which can be especially nebulous for trainees, and clearly unveil the underlying bony changes created with medial and lateral osteotomies with the unique perspective of direct visualization of the nasal bones following skin removal. Materials and Methods: Two cadaver heads were used for the purposes of teaching dissection techniques shown in the video. Numerous surgical techniques and associated anatomical changes are shown both with skin-on and skin-off for complete understanding of the underlying structures. This study was deemed exempt from IRB approval; all images shown within the video are without identifiable patient information. Results: We visually demonstrate multiple vital concepts critical to rhinoplasty. Dorsal hump reduction is shown along with the relationship of spreader grafts in this setting given the narrowing of the internal nasal valve that results from removal of the wider dorsal cartilaginous septum. We also describe and show proper medial and lateral osteotomy technique. The high-low-high method for lateral osteotomy, as well as the use of percutaneous lateral osteotomies, is performed. Open roof deformity, inverted V deformity, greenstick fracture, and rocker deformity are discussed and visually demonstrated in a skin-off fashion. Conclusions: Surgical techniques in rhinoplasty and associated underlying anatomical changes can be challenging to fully understand. We have performed numerous core techniques, especially osteotomies, to help trainees and novice surgeons better understand the relationships between surgical techniques and their structural outcomes. IRB/Ethics Approval: The Mass General Brigham IRB confirmed that this work does not meet the criteria for human subject research and thus was exempt from IRB approval. The authors confirm that none have any commercial associations to disclose in connection with the submitted video. Runtime of video: 6 mins 14 secs","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1089/fpsamv.2023.0005
E. Soylu, A. Yenigun, O. Ozturan
{"title":"Refined Adjustment with Rotational Septal Extension Graft in Rhinoplasty for Tip Rotation and Projection","authors":"E. Soylu, A. Yenigun, O. Ozturan","doi":"10.1089/fpsamv.2023.0005","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0005","url":null,"abstract":"","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116178707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1089/fpsamv.2023.0020
Jeewanjot S. Grewal, Robert H. Deeb
Introduction: Endonasal or closed rhinoplasty is an alternative to the more commonly used open approach. It requires no skin incisions and yet many, if not all, of the maneuvers traditionally used in the open approach can be executed.1 We present a video clip of closed approach rhinoplasty in which the lower lateral cartilages are delivered, intradomal binding sutures are placed, followed by transdomal binding incorporating a columellar strut. Materials and Methods: Video documentation of a recent endonasal rhinoplasty is presented. A combination of intercartilaginous and marginal incisions were used. Maneuvers employed included tip delivery, demarcation of the tip defining point, intradomal binding sutures, placement of a columellar strut and transdomal (interdomal) binding with incorporation of the columellar strut. Immediate inspection of result is possible by replacement of the tip complex into the soft tissue skin envelope. Results: Dome-binding sutures with incorporation of a columellar strut is an effective method to achieve a variety of positive changes in the nasal tip. It acts to narrow and rotate the tip. It can also act to provide support to weak tip cartilages. This maneuver is often employed by the senior author to treat ptotic nasal tips and is often used in conjunction with other rhinoplasty maneuvers, including dorsal reduction, mid vault grafting, and osteotomies. Conclusions: The endonasal or closed approach represents a powerful approach in tip rhinoplasty. Tip delivery combined with dome-binding sutures incorporating a columellar strut has the ability to narrow, rotate, and stabilize the tip complex. It is an effective maneuver to treat a variety of nasal deformities, including the boxy tip, ptotic tip, and asymmetric tip.2 No competing financial interests exist. Authors' Contributions: Data curation, formal analysis, investigation, methodology, project administration, writing original draft, and writing—review and editing by J.S.G. Supervision, data curation, formal analysis, investigation, methodology, project administration, writing original draft, and writing—review and editing by R.H.D. No funding was received for this article. Runtime of video: 3 mins 10 secs
{"title":"Closed Rhinoplasty Tip Delivery with Dome-Binding Sutures Incorporating a Columellar Strut","authors":"Jeewanjot S. Grewal, Robert H. Deeb","doi":"10.1089/fpsamv.2023.0020","DOIUrl":"https://doi.org/10.1089/fpsamv.2023.0020","url":null,"abstract":"Introduction: Endonasal or closed rhinoplasty is an alternative to the more commonly used open approach. It requires no skin incisions and yet many, if not all, of the maneuvers traditionally used in the open approach can be executed.1 We present a video clip of closed approach rhinoplasty in which the lower lateral cartilages are delivered, intradomal binding sutures are placed, followed by transdomal binding incorporating a columellar strut. Materials and Methods: Video documentation of a recent endonasal rhinoplasty is presented. A combination of intercartilaginous and marginal incisions were used. Maneuvers employed included tip delivery, demarcation of the tip defining point, intradomal binding sutures, placement of a columellar strut and transdomal (interdomal) binding with incorporation of the columellar strut. Immediate inspection of result is possible by replacement of the tip complex into the soft tissue skin envelope. Results: Dome-binding sutures with incorporation of a columellar strut is an effective method to achieve a variety of positive changes in the nasal tip. It acts to narrow and rotate the tip. It can also act to provide support to weak tip cartilages. This maneuver is often employed by the senior author to treat ptotic nasal tips and is often used in conjunction with other rhinoplasty maneuvers, including dorsal reduction, mid vault grafting, and osteotomies. Conclusions: The endonasal or closed approach represents a powerful approach in tip rhinoplasty. Tip delivery combined with dome-binding sutures incorporating a columellar strut has the ability to narrow, rotate, and stabilize the tip complex. It is an effective maneuver to treat a variety of nasal deformities, including the boxy tip, ptotic tip, and asymmetric tip.2 No competing financial interests exist. Authors' Contributions: Data curation, formal analysis, investigation, methodology, project administration, writing original draft, and writing—review and editing by J.S.G. Supervision, data curation, formal analysis, investigation, methodology, project administration, writing original draft, and writing—review and editing by R.H.D. No funding was received for this article. Runtime of video: 3 mins 10 secs","PeriodicalId":114978,"journal":{"name":"FPSAM Video Journal","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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