Treating Scars of the Chin and Perioral Region

Lighthall, Jessyka G.; Fedok, Fred G.

doi:10.1016/j.fsc.2016.08.005

Cited by 8 publications

(18 citation statements)

References 52 publications

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“…Scars have many causes such as trauma, burns, acne, congenital (hemangioma involution), infections, and surgical excision. 3,4 Understanding the cause of a particular wound or scar is paramount to appropriately managing it and optimizing the cosmetic and functional outcomes. For example, surgical revision of a scar caused by an underlying inflammatory disorder should be delayed until the inflammation is quiescent or resolved, as revision in the setting of ongoing inflammation can lead to poor wound healing and excessive scarring.…”

Section: Etiology Of Scarsmentioning

confidence: 99%

“…Many techniques have been described within the framework of a reconstructive ladder to achieve wound closure, and ideal closure includes proper tissue alignment with careful tissue handling in a tension-free fashion. 4 Beyond simply closing a wound, however, the reconstructive surgeon should also be sensitive to cosmetic considerations at the time of initial reconstruction. Scars will be more obvious to an observer if they traverse relaxed skin tension lines (RSTLs), distort facial subunits, develop an irregular texture along the scar surface, or create a significant color mismatch with surrounding tissue.…”

Section: Closure Techniquesmentioning

confidence: 99%

“…Scars that disrupt the orbicularis oris can cause functional impairment, but, more commonly, poor approximation of wounds that cross the vermillion border leads to obvious and displeasing scars of the perioral region. 4 In this region, care should be taken for very precise realignment of the vermillion, when possible. If treating a scar that has had poor vermillion alignment, surgical revision is a necessary initial step.…”

Section: Perioral Scarsmentioning

confidence: 99%

“…Dermabrasion is useful in leveling hypertrophic scars or keloids, smoothing subtle contour irregularities in other scars, and promoting extracellular matrix deposition. 1,4 It commonly is performed with a diamond fraise, wire brush, or dermasanding sweeping perpendicular to the scar line in an effort to remove the epidermis and superficial dermis. 4,15 Grossly, pinpoint bleeding signifies reaching the appropriate depth of the papillary dermis.…”

Section: Dermabrasionmentioning

confidence: 99%

“…1,4 It commonly is performed with a diamond fraise, wire brush, or dermasanding sweeping perpendicular to the scar line in an effort to remove the epidermis and superficial dermis. 4,15 Grossly, pinpoint bleeding signifies reaching the appropriate depth of the papillary dermis. 4,15,16 Following intact adnexal structures of the reticular dermis allow smooth reepithelialization.…”

Section: Dermabrasionmentioning

confidence: 99%

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Management of Facial Scars

et al. 2019

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Scarring is a natural process of healing after damage to the skin that extends to the reticular dermis. While some scars may be socially acceptable, even admirable, scars of the face can be viewed as disfiguring or ugly. Minimizing the appearance of facial scars and optimizing their cosmetic outcome ideally begin before surgery or, in the cause of trauma, at the initial reconstruction. Even when there has been poor initial healing, a scar's appearance can be improved. Herein, we review conservative, medical, and surgical therapies to improve the appearance of facial scars.

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Section: Etiology Of Scarsmentioning

confidence: 99%

Section: Closure Techniquesmentioning

confidence: 99%

Section: Perioral Scarsmentioning

confidence: 99%

Section: Dermabrasionmentioning

confidence: 99%

Section: Dermabrasionmentioning

confidence: 99%

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Management of Facial Scars

et al. 2019

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Financial Transactions from Manufacturers to Otolaryngologists in 2018

et al. 2020

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Objective To characterize in depth non‐research and research payments from industry to otolaryngologists in 2018 with an emphasis on product types. Methods Centers for Medicare and Medicaid Services Open Payments program was used for data collection: payment amount, the nature of payments, products associated with the payments, date of the payments, and companies making the payments were studied. Products associated with the payments were classified by categorical type. Descriptive statistics were used to analyze the data. Results There were 70,172 payments for a total of $11,001,875 made to otolaryngologists in 2018 with a median payment of $19. Food and beverage had the highest number of payments made (89.96%). Consulting fees (33.46%) composed the highest total payment amount. The two companies that contributed the highest amount were Stryker Corporation and Intersect ENT Inc. Sinus conditions had the most products within the top 25 products associated with payments. The top five products with the highest payments received were for balloon sinus dilation, nasal spray, sinus implant, Botox, and cochlear implant. There was a bimodal payment distribution demonstrating a higher number of payments made in the spring and fall. Conclusion Our study is the first to review payments to otolaryngologists in 2018 and classify these payments into product types. The products and companies that contributed the highest payments were associated with sinus conditions. The products that dominated in each subspecialty of otolaryngology coincide with clinical practice trends and emerging technologies. Level of Evidence 4 Laryngoscope, 131:E388–E394, 2021

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