Scholars@Duke
Jeffrey Robert Marcus

Jeffrey Robert Marcus

Professor of Surgery
Surgery, Plastic, Maxillofacial, and Oral Surgery
jeffrey.marcus@duke.edu
Box 3974 Med Ctr, Durham, NC 27710
142 Brown Zone, Duke South, Durham, NC 27710

Selected Publications

Nasal Airflow Dynamics Before and After Septorhinoplasty for Correction of Cleft Lip Nasal Deformity: A Single Patient Case Report

Journal Article Face · September 1, 2023 Background: Unilateral cleft lip nasal deformity (uCLND) creates multiple sites of nasal airway obstruction, impacting patients’ quality of life. Surgical restoration of function remains technically challenging and complex. Objectives: This is a single pat ... Full text Open Access Cite

Relevance of cleft palatal width in short-term otologic outcomes.

Journal Article Int J Pediatr Otorhinolaryngol · August 2023 OBJECTIVE: Children with cleft palate are at increased risk for Eustachian tube dysfunction (ETD) and conductive hearing loss from chronic otitis media. While it has been proposed that the severity of ETD is related to the severity of cleft palate, data ar ... Full text Link to item Cite

Defining Our Terms: Are Postoperative Complications Adequately Defined in the Rhinoplasty Literature?

Journal Article Aesthetic plastic surgery · June 2023 BackgroundRhinoplasty is one of the most common aesthetic surgical procedures, and yet its postoperative complication profile remains somewhat ill-defined and underreported. The purpose of this study was to examine the quality of complication repo ... Full text Cite

Early Simultaneous Cross Facial Nerve Graft and Masseteric Nerve Transfer for Facial Paralysis after Tumor Resection.

Journal Article Plast Reconstr Surg Glob Open · March 2023 UNLABELLED: We describe a new approach for facial reanimation after skull base tumor resection with known facial nerve sacrifice, involving simultaneous masseter nerve transfer with selective cross facial nerve grafting (CFNG) within days after tumor surge ... Full text Link to item Cite

Computational Analyses of Physiologic Effects After Midvault Repair Techniques in Rhinoplasty

Journal Article Face · March 1, 2023 Background: Midvault reconstruction is an essential element of functional rhinoplasty. An improved understanding of airflow patterns after spreader graft (SG) or spreader flap (SF) techniques can inform surgical techniques based on individual anatomy. Obje ... Full text Open Access Cite

Characterizing Olfactory Dysfunction in Patients with Unilateral Cleft Lip Nasal Deformities.

Journal Article Facial Plast Surg Aesthet Med · 2023 Background: Unilateral cleft lip nasal deformity (uCLND) is associated with olfactory dysfunction, but the underlying etiology remains poorly understood. Objective: To investigate the etiology of uCLND-associated olfactory dysfunction using clinical, compu ... Full text Open Access Link to item Cite

Functional Nasal Surgery.

Journal Article Plast Reconstr Surg · August 1, 2022 LEARNING OBJECTIVES: After studying this article, the participant should be able to: (1) understand the functional significance of nasal anatomy as it relates to rhinoplasty and perform a comprehensive functional nasal assessment. (2) Identify the anatomic ... Full text Link to item Cite

Predictors of Blood Transfusion for Endoscopic Assisted Craniosynostosis Surgery.

Journal Article J Craniofac Surg · July 2022 Blood loss is a main cause of morbidity after craniofacial procedures. The purpose of this study is to identify the incidence and predictors for transfusion of blood products in the endoscopic assisted strip craniectomy population. Data was prospectively c ... Full text Link to item Cite

A systematic analysis of surgical interventions for the airway in the mature unilateral cleft lip nasal deformity: a single case study.

Journal Article Int J Comput Assist Radiol Surg · January 2022 PURPOSE: Individuals with unilateral cleft lip nasal deformity (uCLND) often require rhinoplasty in adolescence to correct nasal obstruction. The intent of this study is to identify sites of greatest nasal obstruction and evaluate the effects of isolated a ... Full text Link to item Cite

Dorsal Hump Reduction and Midvault Reconstruction.

Journal Article Clin Plast Surg · January 2022 Dorsal hump reduction is one of the most common techniques used in modern rhinoplasty, yet it carries a high propensity for untoward aesthetic and functional sequelae, as evidenced by a nontrivial revision rate. Component dorsal hump reduction with stepwis ... Full text Link to item Cite

Computational Analysis of Olfactory Airspace in Patients With Unilateral Cleft Lip Nasal Deformity.

Journal Article Cleft Palate Craniofac J · October 2021 OBJECTIVES: To evaluate the magnitude of olfactory recess opacity in patients with unilateral cleft lip nasal deformity (uCLND). DESIGN: Subject-specific 3-dimensional reconstruction of the nasal airway anatomy was created from computed tomography images i ... Full text Link to item Cite

Analysis of nasal air conditioning in subjects with unilateral cleft lip nasal deformity.

Journal Article Respir Physiol Neurobiol · September 2021 This study evaluated the impact of unilateral cleft lip nasal deformity (uCLND) on the ability of the nasal passages to warm and humidify inspired environmental air using computational fluid dynamics (CFD) modeling. Nasal air conditioning was simulated at ... Full text Link to item Cite

The Association between Away Rotations and Rank Order in the Integrated Plastic Surgery Match.

Journal Article Plast Reconstr Surg · June 1, 2021 BACKGROUND: Given the competition in the integrated plastic surgery Match, away rotations are ubiquitous among plastic surgery applicants to differentiate their applications. This study aimed to characterize how performing an away rotation affects rank ord ... Full text Link to item Cite

Cutaneous Reconstruction of the Nasal Distal Third: Alternative Local Flaps for a Complex Region.

Journal Article Plast Reconstr Surg Glob Open · May 2021 Small-to-medium cutaneous defects of the distal nose pose a significant challenge to reconstructive surgeons, and commonly described reconstructive techniques have their limitations. As the skin of this region is characteristically rigid and sebaceous, car ... Full text Link to item Cite

Two or Three? Approaches to Staging of the Paramedian Forehead Flap for Nasal Reconstruction.

Journal Article Plast Reconstr Surg Glob Open · May 2021 The paramedian forehead flap is a historic cornerstone of plastic surgery and a mainstay of complex nasal reconstruction. Although initially described as a 2-stage procedure, several procedural advancements and modifications have been proposed, with the mo ... Full text Link to item Cite

Tip Ligament Preservation and Suspension: Why and How?

Journal Article Facial Plast Surg Clin North Am · February 2021 This issue of Clinics explores the concept of "preservation" rhinoplasty. At present, this topic is gaining considerable attention. As proponents of preservation suggest, a great number of problems we encounter in rhinoplasty are problems that were not pre ... Full text Link to item Cite

Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.

Journal Article Plast Reconstr Surg Glob Open · January 2021 BACKGROUND: Tissue expansion is a versatile reconstructive technique providing well-vascularized local tissue. The current literature focuses largely on tissue expansion for breast reconstruction and in the context of burn and pediatric skin/soft tissue re ... Full text Open Access Link to item Cite

Videoscope-Assisted Cleft Palate Surgery: Rationale, Experience, and Technical Implementation.

Journal Article Plast Reconstr Surg · November 2020 Limited visibility characteristic of cleft palate repair presents both ergonomic and educational challenges to cleft surgeons. Despite widespread recognition and reporting, posture-related spine disorders continue to represent a significant and potentially ... Full text Link to item Cite

Feasibility of Surgeon-Delivered Audit and Feedback Incorporating Peer Surgical Coaching to Reduce Fistula Incidence following Cleft Palate Repair: A Pilot Trial.

Journal Article Plast Reconstr Surg · July 2020 BACKGROUND: Improving surgeons' technical performance may reduce their frequency of postoperative complications. The authors conducted a pilot trial to evaluate the feasibility of a surgeon-delivered audit and feedback intervention incorporating peer surgi ... Full text Link to item Cite

Decision-Making in Middle Vault Reconstruction following Dorsal Hump Reduction in Primary Rhinoplasty.

Journal Article Plast Reconstr Surg · June 2020 BACKGROUND: Dorsal hump reduction during open rhinoplasty disrupts the continuity between the upper lateral cartilages and the dorsal septum. Options to reconstitute the midvault include primary closure of the upper lateral cartilages to the dorsal aspect ... Full text Link to item Cite

Aesthetic Orthognathic Surgery and Rhinoplasty

Journal Article Aesthetic Surgery Journal · May 16, 2020 Full text Cite

Incidence of Postoperative Adverse Events after Rhinoplasty: A Systematic Review.

Journal Article Plast Reconstr Surg · March 2020 BACKGROUND: Adverse events after rhinoplasty vary in etiology and severity, a fact that is reflected in the current American Society of Plastic Surgeons rhinoplasty consent form. However, there is currently no literature providing a comprehensive summation ... Full text Link to item Cite

A Genocentric Approach to Discovery of Mendelian Disorders.

Journal Article Am J Hum Genet · November 7, 2019 The advent of inexpensive, clinical exome sequencing (ES) has led to the accumulation of genetic data from thousands of samples from individuals affected with a wide range of diseases, but for whom the underlying genetic and molecular etiology of their cli ... Full text Open Access Link to item Cite

Computational Analysis of the Mature Unilateral Cleft Lip Nasal Deformity on Nasal Patency.

Journal Article Plast Reconstr Surg Glob Open · May 2019 BACKGROUND: Nasal airway obstruction (NAO) due to nasal anatomic deformities is known to be more common among cleft patients than the general population, yet information is lacking regarding severity and variability of cleft-associated nasal obstruction re ... Full text Open Access Link to item Cite

Multimodal Characterization of the Mature Septal Deformity and Airspace Associated with Unilateral Cleft Lip and Palate.

Journal Article Plast Reconstr Surg · March 2019 BACKGROUND: The nasal deformity that accompanies cleft conditions is often acknowledged as the most difficult obstacle to restoring facial balance in affected children. Despite considerable progress in the treatment of cleft lip and palate, the outcomes of ... Full text Link to item Cite

Special education use in elementary school by children with nonsyndromic orofacial clefts.

Journal Article Birth Defects Res · February 1, 2019 BACKGROUND: Children with nonsyndromic orofacial clefts (NS OFCs) may require exceptional children's (EC) services for academic delays. We examined EC service use of children with and without NS OFCs in NC in elementary school. METHODS: We included 559 chi ... Full text Link to item Cite

Mutations in NCAPG2 Cause a Severe Neurodevelopmental Syndrome that Expands the Phenotypic Spectrum of Condensinopathies.

Journal Article Am J Hum Genet · January 3, 2019 The use of whole-exome and whole-genome sequencing has been a catalyst for a genotype-first approach to diagnostics. Under this paradigm, we have implemented systematic sequencing of neonates and young children with a suspected genetic disorder. Here, we r ... Full text Open Access Link to item Cite

Implementation of a Standardized Data-Collection System for Comprehensive Appraisal of Cleft Care.

Journal Article Cleft Palate Craniofac J · November 2018 OBJECTIVE: Our objective is to describe the process of adapting a conceptual framework into a practical toolkit for one cleft team. DESIGN: This is a single-arm implementation study in a single institution. SETTING: Implementation took place at a mid-sized ... Full text Link to item Cite

Socioeconomic Factors, Perioperative Complications, and 30-Day Readmission Rates Associated With Delayed Cranial Vault Reconstruction for Craniosynostosis.

Journal Article J Craniofac Surg · October 2018 BACKGROUND: Premature fusion of the cranial sutures can lead to significant neurocognitive, developmental, and esthetic consequences, especially if not corrected within the first year of life. This study aimed to identify the drivers of delayed cranial vau ... Full text Link to item Cite

Reliability of Oronasal Fistula Classification.

Journal Article Cleft Palate Craniofac J · July 2018 OBJECTIVE: Oronasal fistula is an important complication of cleft palate repair that is frequently used to evaluate surgical quality, yet reliability of fistula classification has never been examined. The objective of this study was to determine the reliab ... Full text Link to item Cite

Power-Assisted Particulate Bone Grafting Effectively Prevents Osseous Defects After Cranial Vault Reconstruction.

Journal Article J Craniofac Surg · May 2018 BACKGROUND: Cranial vault reconstruction (CVR) is the gold standard in the operative treatment of craniosynostosis. Full thickness osseous defects (FTOD) of the calvaria have been observed in 5% to 15% patients after CVR, with higher rates cited in the fro ... Full text Link to item Cite

Academic Achievement Among Children With Nonsyndromic Orofacial Clefts : A Population-Based Study.

Journal Article Cleft Palate Craniofac J · January 2018 OBJECTIVE: Children with orofacial clefts (OFCs) may experience poor reading proficiency, learning disabilities, and academic underachievement. We examined the association between nonsyndromic (NS) OFCs and end-of-grade (EOG) performance in reading and mat ... Full text Link to item Cite

Multiple Recurrent Fibromatosis With Cranial Fasciitis Characteristics in a Pediatric Patient.

Journal Article J Craniofac Surg · October 2017 Cranial fasciitis is a rare, rapidly growing, but benign fibroblastic tumor of the skull that generally presents in childhood. Local resection or curettage of the affected bone is generally curative and the tumor is thought not to recur. Cranial fasciitis ... Full text Link to item Cite

Risk Factors for Delayed Referral to a Craniofacial Specialist for Treatment of Craniosynostosis.

Journal Article J Pediatr · July 2017 OBJECTIVE: To assess the impact of age at referral on treatment options in craniosynostosis and to identify risk factors for referral delays in this population. STUDY DESIGN: A retrospective cohort study was performed on patients with an abnormal head shap ... Full text Link to item Cite

Post-Surgical Relapse in Metopic Synostosis and Limitations of the Interfrontal Angle as an Outcome Measure.

Journal Article J Craniofac Surg · July 2017 BACKGROUND: The interfrontal angle (IFA) has been utilized as a surrogate for morphologic assessment of the anterior cranial region in metopic synostosis with success in characterizing presenting severity. Its utility as an outcome measure has not been ass ... Full text Link to item Cite

Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.

Journal Article Craniomaxillofac Trauma Reconstr · June 2017 The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on pl ... Full text Link to item Cite

A Population-Based Exploration of the Social Implications Associated with Cleft Lip and/or Palate.

Journal Article Plast Reconstr Surg Glob Open · June 2017 BACKGROUND: Clefts of the lip and/or palate (CL/P) carry a social stigma that often causes psychosocial stress. The purpose of this study was to consider the association of cleft phenotype and age with self-reported aspects of psychosocial stress. METHODS: ... Full text Link to item Cite

Classification of Cleft Lip/Palate: Then and Now.

Journal Article Cleft Palate Craniofac J · March 2017 Cleft lip and/or palate (CL/P) is phenotypically diverse, making classification difficult. This article explores the evolution of ideas regarding CL/P classification and includes the schemes described by Davis and Ritchie (1922) , Brophy (1923) , Veau (193 ... Full text Link to item Cite

Principles of Cleft Lip Repair: Conventions, Commonalities, and Controversies.

Journal Article Plast Reconstr Surg · March 2017 LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Understand the principles of contemporary methods for repair of unilateral and bilateral cleft lip. 2. Understand the design elements of a poor repair that predispose to ... Full text Link to item Cite

Clinician's Primer to ICD-10-CM Coding for Cleft Lip/Palate Care.

Journal Article Cleft Palate Craniofac J · January 2017 On October 1, 2015, the United States required use of the Clinical Modification of the International Classification of Diseases, 10th Revision (ICD-10-CM) for diagnostic coding. This primer was written to assist the cleft care community with understanding ... Full text Link to item Cite

Nasal Airway Dysfunction in Children with Cleft Lip and Cleft Palate: Results of a Cross-Sectional Population-Based Study, with Anatomical and Surgical Considerations.

Journal Article Plast Reconstr Surg · December 2016 BACKGROUND: The aesthetic aspects of the cleft lip nasal deformity have been appreciated for over a century, but the functional implications have remained largely underappreciated or misunderstood. This study describes the frequency and severity of nasal o ... Full text Link to item Cite

Upper Extremity Peripheral Intravenous Line Infiltration With Concomitant Loss of Pulses Treated With Lipoaspiration: A Case Report.

Journal Article A A Case Rep · November 1, 2016 Peripheral intravenous cannulation in children is associated with occasional morbidity. We present a case where a large volume of blood, administered through a small peripheral cannula in the antecubital fossa, was found to have extravasated into the soft ... Full text Link to item Cite

ICD-10-based expanded code set for use in cleft lip/palate research and surveillance.

Journal Article Birth Defects Res A Clin Mol Teratol · November 2016 BACKGROUND: On October 1, 2015, the United States required use of the Clinical Modification of the International Classification of Diseases, 10th Revision (ICD-10-CM) for diagnostic coding. The ICD-10-CM code set is limited to gross categories for cleft li ... Full text Link to item Cite

Objective Assessment of the Interfrontal Angle for Severity Grading and Operative Decision-Making in Metopic Synostosis.

Journal Article Plast Reconstr Surg · May 2016 BACKGROUND: The purpose of this study was to evaluate the utility of a previously validated interfrontal angle for classification of severity of metopic synostosis and as an aid to operative decision-making. METHODS: An expert panel was asked to study 30 c ... Full text Link to item Cite

Facial Fractures in the Aging Population.

Journal Article Plast Reconstr Surg · February 2016 BACKGROUND: As the U.S. population ages and life expectancy increases, the number of elderly patients seeking trauma care and treatment for facial fractures will increase. Understanding age-related differences in the pattern, cause, and management of these ... Full text Link to item Cite

Hardware Removal in Craniomaxillofacial Trauma: A Systematic Review of the Literature and Management Algorithm.

Journal Article Ann Plast Surg · November 2015 BACKGROUND: Craniomaxillofacial (CMF) fractures are typically treated with open reduction and internal fixation. Open reduction and internal fixation can be complicated by hardware exposure or infection. The literature often does not differentiate between ... Full text Open Access Link to item Cite

Issues involved in the phenotypic classification of orofacial clefts ascertained through a state birth defects registry for the North Carolina Cleft Outcomes Study.

Journal Article Birth Defects Res A Clin Mol Teratol · November 2015 BACKGROUND: Epidemiologic studies involving birth defects are extremely sensitive to phenotype accuracy and precision. We devised a case review and classification protocol for a project to study school achievement in children with idiopathic, nonsyndromic ... Full text Link to item Cite

Early Postoperative Complications following Gracilis Free Muscle Transfer for Facial Reanimation: A Systematic Review and Pooled Data Analysis.

Journal Article J Reconstr Microsurg · October 2015 BACKGROUND: Multiple studies have detailed promising smile restoration following gracilis free muscle transfer for facial reanimation but information detailing the potential complications is lacking. The aim of this study is to systematically review the li ... Full text Link to item Cite

SCHOOL PERFORMANCE OF CHILDREN WITH OROFACIAL CLEFTS

Conference AMERICAN JOURNAL OF MEDICAL GENETICS PART A · August 1, 2015 Link to item Cite

Contemporary solutions for the treatment of facial nerve paralysis.

Journal Article Plast Reconstr Surg · June 2015 LEARNING OBJECTIVES: After reviewing this article, the participant should be able to: 1. Understand the most modern indications and technique for neurotization, including masseter-to-facial nerve transfer (fifth-to-seventh cranial nerve transfer). 2. Contr ... Full text Link to item Cite

Unilateral Craniofacial Microsomia: Unrecognized Cause of Pediatric Obstructive Sleep Apnea.

Journal Article J Craniofac Surg · June 2015 Bilateral craniofacial microsomia causes obstructive sleep apnea (OSA). We hypothesize that unilateral craniofacial microsomia (UCFM) is an underappreciated cause of OSA. The records of all pediatric UCFM patients from 1990 to 2010 were reviewed; only comp ... Full text Link to item Cite

Video-assisted palatopharyngeal surgery: a model for improved education and training.

Journal Article Cleft Palate Craniofac J · September 2014 Objective : The learning process for intraoral procedures is arguably more difficult than for other surgical procedures because of the assistant's severely limited visibility. Consequently, trainees may not be able to adequately see and follow all steps of ... Full text Link to item Cite

Modern tenets for repair of bilateral cleft lip.

Journal Article Clin Plast Surg · April 2014 The understanding of the bilateral cleft lip and associated nasal deformity has evolved over the last 30 years to a point where there now exists general agreement regarding the goals, principles, and strategies for operative repair. This article presents m ... Full text Link to item Cite

Dissection of the masseter branch of the trigeminal nerve for facial reanimation.

Journal Article Plast Reconstr Surg · May 2013 Featured Publication Full text Link to item Cite

Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting.

Journal Article Plast Reconstr Surg · June 2011 Featured Publication BACKGROUND: The purpose of this study was to determine whether there is any difference in external rotation following reconstruction of the suprascapular nerve using nerve grafts from the proximal C5 root or nerve transfer using the spinal accessory nerve. ... Full text Link to item Cite

Healthy baboon with no upper jaw or nose: an extreme case of adaptability in the Kibale National Park, Uganda.

Journal Article Primates · January 2011 Featured Publication We describe and document with digital images an adult female baboon (Papio anubis) from the Kibale National Park, Uganda, who was missing all but the basal part of her upper jaw and nose, i.e., no premaxilla and very little of the maxilla and nasal bones. ... Full text Link to item Cite

Influence of metopic suture fusion associated with sagittal synostosis.

Journal Article J Craniofac Surg · January 2011 Featured Publication Some patients with sagittal synostosis present with a fused metopic suture. We hypothesize that premature metopic suture fusion consistently and identifiably alters form associated with sagittal synostosis. We previously validated three-dimensional vector ... Full text Link to item Cite

Pediatric Head Contours and Inertial Properties for ATD Design

Conference SAE Technical Papers · November 3, 2010 Child head trauma in the United States is responsible for 30% of all childhood injury deaths with costs estimated at $10 billion per year. The common tools for studying this problem are the child anthropomorphic test devices (ATDs). The headform sizes and ... Full text Cite

Pediatric head contours and inertial properties for ATD design.

Journal Article Stapp Car Crash J · November 2010 Featured Publication Child head trauma in the United States is responsible for 30% of all childhood injury deaths with costs estimated at $10 billion per year. The common tools for studying this problem are the child anthropomorphic test devices (ATDs). The headform sizes and ... Full text Link to item Cite

A technique to perfuse cadavers that extends the useful life of fresh tissues: the Duke experience.

Journal Article Anat Sci Educ · 2010 The demand for laboratory-based teaching and training is increasing worldwide as medical training and education confront the pressures of shorter training time and rising costs. This article presents a cost-effective perfusion technique that extends the us ... Full text Link to item Cite

Total scapholunate dislocation with complete scaphoid extrusion: case report.

Journal Article J Hand Surg Am · January 2010 A case of complete dislocation of the lunate and scaphoid resulting from a fall is reported. We are unaware of any previously reported case of simultaneous dislocation with the scaphoid completely extruded from the wrist at the time of injury. The patient ... Full text Link to item Cite

Validation of a cadaveric model for comprehensive physiologic and anatomic evaluation of rhinoplastic techniques.

Journal Article Plast Reconstr Surg · December 2009 Featured Publication BACKGROUND: The physiologic effects of specific rhinoplasty maneuvers are incompletely understood, largely because of a limited ability to objectively examine such interventions. The purpose of this study was to develop and validate a cadaveric model for r ... Full text Link to item Cite

Use of a three-dimensional, normative database of pediatric craniofacial morphology for modern anthropometric analysis.

Journal Article Plast Reconstr Surg · December 2009 Featured Publication BACKGROUND: Surgical correction of cranial abnormalities, including craniosynostosis, requires knowledge of normal skull shape to appreciate dysmorphic variations. However, the inability of current anthropometric techniques to adequately characterize three ... Full text Link to item Cite

Current surgical practices in cleft care: cleft palate repair techniques and postoperative care.

Journal Article Plast Reconstr Surg · September 2009 Featured Publication BACKGROUND: The purpose of this study was to objectively report practices commonly used in cleft palate repair in the United States. This study investigates current surgical techniques, postoperative care, and complication rates for cleft palate repair sur ... Full text Link to item Cite

Plastic surgery within the Veterans Affairs Medical System: proposed modified indications for operative procedures.

Journal Article Ann Plast Surg · July 2009 Many plastic surgery procedures span the divide between aesthetic ("cosmetic") and reconstructive surgery. However, definitions and guidelines may be inconsistent, which may decrease patients' access to legitimate procedures. The article aims to assist Vet ... Full text Link to item Cite

Increasing concern regarding computed tomography irradiation in craniofacial surgery.

Journal Article Plast Reconstr Surg · April 2009 Featured Publication The safety of medical radiation, particularly computed tomography, has recently received much attention in both the medical literature and the popular press. As knowledge regarding side effects of radiation exposure has increased, so have attempts to limit ... Full text Link to item Cite

Early experience with fluorescent angiography in free-tissue transfer reconstruction.

Journal Article Plast Reconstr Surg · April 2009 Featured Publication BACKGROUND: Soft-tissue and bony reconstruction with free-tissue transfer is one of the most versatile tools available to the reconstructive surgeon. Determination of flap perfusion and early detection of vascular compromise with prompt correction remain c ... Full text Link to item Cite

Clinical implications of orbital volume change in the management of isolated and zygomaticomaxillary complex-associated orbital floor injuries.

Journal Article Plast Reconstr Surg · March 2009 Featured Publication BACKGROUND: Orbital floor injuries can occur in isolation or in association with zygomaticomaxillary complex fractures. Volumetric computed tomographic measurements of affected orbits are investigated for utility in guiding management in these two groups. ... Full text Link to item Cite

Contemporary options for the management of scars

Journal Article Pharmacy Times · March 1, 2009 Featured Publication Cite

Spontaneous resolution of a 13-mm Chiari malformation Type I in relation to differential growth of the posterior fossa volume.

Journal Article J Neurosurg Pediatr · February 2009 The case of a 3-year-old patient with tuberous sclerosis and a 13-mm Chiari malformation Type I that spontaneously disappeared over the course of 4 years is presented. Using morphometric measurements of the posterior fossa and cerebellum in this patient, t ... Full text Link to item Cite

The helical arcade: anatomic basis for survival in near-total ear avulsion.

Journal Article J Craniofac Surg · January 2009 Survival of the ear based on a single vascular pedicle has been previously documented. The anatomic basis for this survival remains incompletely described. In the 3 clinical cases of inferior-to-superior near-total ear avulsion presented herein, the author ... Full text Link to item Cite

Management of postneurosurgical bone flap loss caused by infection.

Journal Article Plast Reconstr Surg · December 2008 Featured Publication LEARNING OBJECTIVES: After studying this article, the participant should: 1. Be able to define indications and timing for secondary cranioplasty. 2. Understand the surgical options for reconstructing the cranium and overlying soft-tissue defect including t ... Full text Link to item Cite

Objective measurements for grading the primary unilateral cleft lip nasal deformity.

Journal Article Plast Reconstr Surg · September 2008 Featured Publication BACKGROUND: The purpose of this prospective study was to develop and validate an objective means of grading the presurgical unilateral cleft lip nasal deformity. Our hypotheses are that expert cleft surgeons can reliably rank patients according to their su ... Full text Link to item Cite

Current surgical practices in cleft care: unilateral cleft lip repair.

Journal Article Plast Reconstr Surg · May 2008 Featured Publication BACKGROUND: The purpose of this study was to report objectively on practice trends in unilateral cleft lip repair in the United States and Canada. This study details current technique preferences, modifications, and adjunct procedure use. METHODS: All surg ... Full text Link to item Cite

Objective three-dimensional analysis of cranial morphology.

Journal Article Eplasty · April 9, 2008 Featured Publication OBJECTIVE: The lack of adequate means to objectively characterize cranial shape contributes to ongoing controversies in the surgical management of craniosynostosis. Cranial shape analysis must address relevant clinical questions objectively and thoroughly ... Link to item Cite

Craniosynostosis and rickets.

Journal Article Plast Reconstr Surg · April 2008 Featured Publication Full text Link to item Cite

A financial analysis of operative facial fracture management.

Journal Article Plast Reconstr Surg · April 2008 Featured Publication BACKGROUND: The financial impact of operative facial fracture management has not been systematically investigated. This study aims to provide a descriptive financial analysis of patients undergoing operative facial fracture management at a single academic ... Full text Link to item Cite

A retrospective analysis of facial fracture etiologies.

Journal Article Ann Plast Surg · April 2008 Featured Publication The medical records of 437 patients with 929 facial fractures were retrospectively analyzed. Fracture patterns were classified based on the presence or absence of fractures in each of 4 anatomic subunits (frontal, upper midface, lower midface, and mandible ... Full text Link to item Cite

Osteocutaneous face transplantation.

Journal Article J Plast Reconstr Aesthet Surg · 2008 Featured Publication BACKGROUND: Facial transplantation has the potential to become a viable option in the treatment of acquired and congenital facial deformities. Transplantation of the bony maxillofacial skeleton with the soft tissues (osteocutaneous face transplantation) ha ... Full text Link to item Cite

Concomitant injuries in patients with panfacial fractures.

Journal Article J Trauma · October 2007 Featured Publication BACKGROUND: Patients with panfacial fractures comprise a small portion of the overall facial fracture patient population. Because of the forces necessary to cause panfacial injury, these patients often have other concomitant injuries. The timing of operati ... Full text Link to item Cite

A clinically applicable reporting system for the diagnosis of facial fractures.

Journal Article Int J Oral Maxillofac Surg · July 2007 Featured Publication A clinically applicable, comprehensive reporting system for the diagnosis of facial fractures was developed with three guiding principles: (1) preservation of classical anatomical terminology and nomenclature, (2) facilitation of uniform interpretation of ... Full text Link to item Cite

MOSFET dosimetry for radiation dose assessment of bismuth shielding of the eye in children.

Journal Article AJR Am J Roentgenol · June 2007 OBJECTIVE: The purpose of our study was to measure radiation dose to the orbit during pediatric cranial CT with and without bismuth shielding using a novel dosimetry system. Cranial CT was performed on a pediatric anthropomorphic phantom, with and without ... Full text Link to item Cite

The novel use of computer-generated virtual imaging to assess the difficult pediatric airway.

Journal Article Anesth Analg · May 2007 Featured Publication In a patient with a known difficult airway, history and examination may be of limited use in formulating a management plan for subsequent tracheal intubation. Further detailed and descriptive review of the airway is necessary. Virtual imaging is a recent a ... Full text Link to item Cite

Craniosynostosis Secondary to Rickets: Manifestations on Computed Tomography

Journal Article Radiology Case Reports · January 1, 2007 We present the case of a preterm 6-month-old African American infant who developed craniosynostosis secondary to rickets. This child developed rickets and macrocephaly by the age of 6 months. His head continued to enlarge, and a 3D CT obtained when the chi ... Full text Cite

A pilot study in sub-SMAS face transplantation: defining donor compatibility and assessing outcomes in a cadaver model.

Journal Article Plast Reconstr Surg · January 2007 Featured Publication BACKGROUND: Face transplantation may become a viable alternative in the treatment of patients with severe acquired facial deformity. In this study, the authors investigate morphological compatibility between donor and recipient by assessing chimeric outcom ... Full text Link to item Cite

Fascio-subcutaneous extension of a free radial forearm flap for frontonasal duct obliteration.

Journal Article J Craniofac Surg · November 2006 Frontonasal duct injury is a critical factor in the treatment of frontal sinus fractures. We present the case of a 43-year-old man who sustained multiple comminuted fractures of the anterior table of the frontal sinus and of the orbital roof as the result ... Full text Link to item Cite

Technical and anatomical considerations of face harvest in face transplantation.

Journal Article Ann Plast Surg · November 2006 Featured Publication Total face transplantation may become a reconstructive option in the treatment of patients with acquired facial deformity. Here, 2 face-harvesting techniques are presented in a fresh human cadaver model. In technique 1, the skin and soft tissue of the face ... Full text Link to item Cite

No evidence for maternal-fetal microchimerism in infantile hemangioma: a molecular genetic investigation.

Journal Article J Invest Dermatol · November 2006 In this study, using the placental origin theory as a basis, we set out to explore whether hemangioma endothelial cells (HEC) were maternal in origin. We rigorously addressed this hypothesis using several molecular genetic techniques. Fluorescent in situ h ... Full text Link to item Cite

Quantitative and qualitative assessment of morphology in sagittal synostosis: mid-sagittal vector analysis.

Journal Article J Craniofac Surg · July 2006 Featured Publication Consensus remains lacking regarding the optimal surgical treatment modality for sagittal synostosis. There is, however, wide agreement that objective analytical methods are required to demonstrate the characteristic morphology of the condition and to subst ... Full text Link to item Cite

Intraosseous hemangioma of the infraorbital rim.

Journal Article J Craniofac Surg · July 2005 Featured Publication Full text Link to item Cite

Congenital epulis.

Journal Article J Craniofac Surg · January 2005 Featured Publication Congenital epulis is a rare benign hamartoma of the alveolar ridge found in the newborn. The clinical characteristics of this lesion show some variability, and opinion of its pathogenesis lacks consensus. Congenital epulis can cause feeding or respiratory ... Full text Link to item Cite

Inadequate gingivolabial sulcus remains an avoidable problem after bilateral cleft lip repair.

Journal Article Plast Reconstr Surg · January 2005 Featured Publication Link to item Cite

Management of obstetrical brachial plexus palsy evaluation, prognosis, and primary surgical treatment.

Journal Article Clin Plast Surg · April 2003 Featured Publication Primary surgery for obstetrical brachial plexus lesions is a young field of surgical expertise that offers the possibility of improved functional ability in carefully selected patients who would otherwise be faced with lifelong impairment and secondary ske ... Full text Link to item Cite

The prevention of emesis in plastic surgery: a randomized, prospective study.

Journal Article Plast Reconstr Surg · June 2002 Perhaps the most unpleasant experience following outpatient plastic surgery procedures is postoperative nausea and vomiting. Postoperative nausea and vomiting often results in delayed recovery time and unintended admission, and it can be a contributing fac ... Full text Link to item Cite

Scar formation in young and aged rabbits.

Other Plast Reconstr Surg · March 2001 Featured Publication Full text Link to item Cite

Transforming growth factor beta3 promotes fascial wound healing in a new animal model.

Journal Article Arch Surg · October 2000 HYPOTHESIS: Transforming growth factor beta(3) (TGF-beta(3)) promotes fascial wound healing in a new animal model, as measured by wound breaking strength, collagen deposition, and cellular proliferation. DESIGN/INTERVENTION: Bilateral, longitudinal incisio ... Full text Link to item Cite

Treatment of hostile midline back wounds: an extreme approach.

Journal Article Plast Reconstr Surg · June 2000 The basic principles of successful wound closure remain the same: careful preoperative evaluation, removal of underlying nonviable tissue, and well-vascularized soft-tissue coverage. Many complex or "hostile" back wound closures also require stabilization ... Full text Link to item Cite

Cellular mechanisms for diminished scarring with aging.

Journal Article Plast Reconstr Surg · April 2000 Featured Publication The study of an age-dependent spectrum of scar formation is driven by the desire to understand and recapitulate scarless healing. Although focus in the past has been directed toward scarring in the fetus, less exuberant scarring is a common clinical observ ... Full text Link to item Cite

Optimization of conscious sedation in plastic surgery.

Journal Article Plast Reconstr Surg · October 1999 Featured Publication The administration of conscious sedation by the plastic surgeon must be safe, efficient, and consistent. In the proper setting, with trained staff and appropriate backup, conscious sedation can allow optimal patient satisfaction with expedient recovery in ... Full text Link to item Cite

Long-term predictable nipple projection following reconstruction.

Journal Article Plast Reconstr Surg · October 1999 The creation of the nipple-areola complex is often the final step in the surgical treatment of breast cancer patients, and it consequently has important symbolic and aesthetic implications. Patient expectations and the need for symmetry make nipple project ... Full text Link to item Cite

Necrotizing fasciitis in infancy: an uncommon setting and a prognostic disadvantage.

Journal Article J Pediatr Surg · September 1999 Featured Publication Necrotizing fasciitis is a potentially fatal, progressive soft tissue infection that typically occurs in adults, and only rarely occurs in infants. Although adults in whom necrotizing fasciitis develops are commonly diabetic, malnourished, or otherwise imm ... Full text Link to item Cite

Effects of keratinocyte growth factor-2 (KGF-2) on wound healing in an ischaemia-impaired rabbit ear model and on scar formation.

Journal Article J Pathol · August 1999 Keratinocyte growth factor-2 (KGF-2), also described as fibroblast growth factor-10 (FGF-10), is a member of the fibroblast growth factor family. KGF-2 shares 57 per cent sequence homology to previously reported KGF-1 (FGF-7). In skin, both growth factors ... Full text Link to item Cite

Extent of surgical intervention in primary soft-tissue aspergillosis.

Journal Article Ann Plast Surg · June 1999 Primary invasive Aspergillus Infection of the soft tissue is rare and typically affects immunocompromised patients in several distinct patterns of clinical presentation. In general, the role of surgery in the treatment of this disease is the removal of inf ... Full text Link to item Cite

Dermatofibrosarcoma protuberans and the Bednar tumor: treatment in the pediatric population.

Journal Article J Pediatr Surg · December 1998 Featured Publication Dermatofibrosarcoma protuberans (DFSP) is a low-intermediate-grade cutaneous sarcoma that has a marked propensity for local recurrence after excision. The Bednar variant of this tumor is even less common and is distinguished histologically by the dispersal ... Full text Link to item Cite

Risk factors in necrotizing fasciitis: a case involving Cryptococcus neoformans.

Journal Article Ann Plast Surg · January 1998 Featured Publication Necrotizing fasciitis is a destructive soft tissue infection that is most typically caused by group A streptococci or a combination of facultative and anaerobic bacteria. Patients at risk for the development of necrotizing fasciitis often have compromised ... Full text Link to item Cite

Cryptococcal infection of a prosthetic dialysis fistula.

Other Am J Kidney Dis · November 1994 Fungal infections of prosthetic dialysis fistulae are rare. We report the first case of infection of a polytetrafluoroethylene dialysis access graft with the yeast Cryptococcus neoformans. Therapy with antifungal agents alone failed to cure the infection a ... Full text Link to item Cite