#JAMALive Q&A: Update With @CDC Director, Robert R. Redfield, MD: Dual Outbreaks of #influenza & #covid19 in the #Fall and #Winter
#JAMALive Q&A: Update With @CDC Director, Robert R. Redfield, MD: Dual Outbreaks of #influenza & #covid19 in the #Fall and #Winter
CDC Director Robert Redfield, MD, discusses recent developments in the #COVID19 pandemic and US response, including prospects for dual outbreaks of COVID-19 and influenza in the fall and winter.
• Earn Free CME credits by watching JAMA Livestreams and completing a brief questionnaire. Claim 0.5 credits for each video at https://ja.ma/covidqa
• Coronavirus Resource page from the JAMA Network: https://ja.ma/covidyt
Intraoperative Facial Nerve Branch Identification Prior to Masseteric Nerve Transfer for Synkinetic Smile Rehabilitation
Synkinesis, the unintentional motion of one area of the face accompanying volitional movement of another, is common in patients with facial (Bell) palsy. A surgical technique involving masseteric-to-facial nerve transfer with selective neurectomy has been shown to provide significant smile improvement, with a long-term decrease in synkinesis for patients with facial palsy who have either failed botulinum toxin (Botox) therapy or who want to avoid regular injections. The technique requires distinguishing facial nerve branches producing the most aesthetically pleasing smile and the least synkinesis from branches causing synkinetic midface, oral, and ocular effects. This video demonstrates identification of a buccal nerve branch of the facial nerve with good smile excursion, a candidate for masseteric nerve transfer. For a complete description of the technique, see https://ja.ma/2zG3nEq
Frontal Sinus Transillumination in Cranioplasty for Facial Feminization Surgery
Cranioplasty in facial feminization surgery (FFS) contours the frontal bone to achieve an improved feminine appearance of the forehead. A critical component of frontal cranioplasty is the ability to safely and effectively reduce bony prominence overlying the frontal sinus. Watch this procedure video to see how frontal sinus transillumination can be used for estimation of sinus configuration for cranioplasty during FFS, and learn more at https://ja.ma/31HJpFp.
Suspension Technique for Unstable Nasal Bones Following Fracture
Management of unstable or floating nasal bones after nasal fracture can be challenging. This procedure video demonstrates a technique that uses bilateral nonabsorbable suture through silicon sheeting to suspend and stabilize unstable nasal bones. Tensioning the sutures pulls on the silicone sheeting and distracts the nasal bones, restoring their position and projection. For a complete description of the technique, see https://ja.ma/2yq548x
Brassiere Suture Technique in Upper Eyelid Blepharoplasty
The brassiere suture technique, alternatively known as the brow fat pad suspension suture or browpexy variant, is an approach to blepharoplasty that focuses on optimizing volume and contour. Unlike a true browpexy that aims to reposition the brow, the suture acts to support the brow fat pad and suspend the infrabrow soft tissues. This procedure video illustrates the technique; get full details at https://ja.ma/2Gyyplw.
Dual Nerve Transfer for Facial Reanimation
Hypoglossal and masseteric nerve transfers can be efficiently combined into a single dual nerve transfer reanimation operation to provide both facial tone and smile reanimation in the same procedure. Watch this procedure video to see how, and learn more at https://ja.ma/2VHrYSj #video
Faces of Change: Passing of the Torch in JAMA Facial Plastic Surgery
Visit https://ja.ma/2F2GuAH to learn why John S. Rhee, MD, MPH believes "it is a distinct honor and privilege to be selected as the new editor in chief for JAMA Facial Plastic Surgery". #video
Superiorly Pediculated Superficial Musculoaponeurotic System Ligament Flap to Control the Supratip
Roxana Cobo, MD, discusses her use of the superiorly pediculated SMAS ligament flap to hide nasal tip irregularities at the end of rhinoplasty. Read more about the technique here https://ja.ma/2N6jI9N #video #rhinoplasty
Superiorly Pediculated Superficial Musculoaponeurotic System (SMAS) Ligament Flap
This procedure video illustrates a technique that makes use of a superiorly pediculated musculoaponeurotic system (SMAS) ligament flap to hide nasal tip irregularities at the end of #rhinoplasty. Learn more at https://ja.ma/2N6jI9N #video
Tongue-in-Groove Method: Nuances to Achieve Precise Control of the Tip
The tongue-in-groove (TIG) technique uses sutures to create a strong connection between the septum and medial crura to control tip rotation and projection during rhinoplasty. This procedure #video illustrates our approach to the technique that prevents stiffness of the nasal tip and columellar retraction, and the biomechanics and geometry of the tip/tripod complex in relation to the technique. Learn more at https://ja.ma/2PTdN9Y
Percutaneous Radiofrequency Lower Face and Neck Tightening Technique
The FDA has approved 2 devices, ThermiTight and FaceTite, to deliver radiofreqency percutaneously for rejuvenation of the neck and lower face Watch this author interview video to learn more and get the full details at
https://ja.ma/2p4kyu3. #video