Elizabeth Stephenson Longino

All Publications

• Recovery of Frontalis Muscle Function in Patient with Iatrogenic Injury of the Frontal Branch of the Facial Nerve after Delayed Grafting Using Human Processed Nerve Allograft. Facial plastic surgery & aesthetic medicine Soo, J., Longino, E. S., Pepper, J. P. 2025

  View details for DOI 10.1089/fpsam.2024.0379

  View details for PubMedID 39973296

• The Dorsal Flattening Suture (DFS) in Dorsal Preservation Rhinoplasty. Aesthetic plastic surgery Longino, E. S., Rossi-Meyer, M. K., Most, S. P. 2025

  Abstract

  In dorsal preservation rhinoplasty (DPR), approaching the septum with a subdorsal flap (or Cottle technique) classically requires two pillars. If either of these are compromised, despite release of all blocking points, the dorsal contour may not flatten adequately. The first is the caudal pillar, exemplified by the caudal fixation of the septal flap to a stable underlying structure. The subdorsal flap is sutured to the remnant caudal strut of septal cartilage, which remains attached to the maxillary spine, to secure the dorsum in its new extended and reduced position. However, in cases where the caudal septum must be replaced, tensioning the subdorsal flap on the anterior septal reconstruction (ASR) may introduce undesirable posterior and superior forces on the strut, and in turn lack the stability needed for adequate dorsal reduction. The second is the cephalic pillar, typically a stable PPE beneath the radix osteotomy. In some cases, the PPE may be unintentionally disrupted or the sub-radix PPE may be over-resected, resulting in loss of control at the radix. In this situation, the dorsum may not adequately flatten. The senior author (SPM) has successfully utilized a novel dorsal flattening suture (DFS) in situations where one of these pillars is compromised. The most common example would be the anterior septal reconstruction, a modified extracorporeal septoplasty technique.1 Using the DFS, a single suture technique tightens and flattens the dorsum independently, freeing an ASR graft from the posterior forces of the subdorsal flap. The senior author has used the DFS successfully to correct deviated noses and caudal septal deviations with DPR.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

  View details for DOI 10.1007/s00266-025-04720-3

  View details for PubMedID 39929983

• Reconstruction after Nasal Skin Cancer Resection: Nasal Obstruction and Associated Factors FACIAL PLASTIC SURGERY & AESTHETIC MEDICINE Longino, E. S., Sharma, R. K., Desisto, N. G., Adegboye, F., Stephan, S. J., Yang, S. F., Patel, P. N. 2025

  Abstract

  Background: Equal attention must be given to nasal aesthetics and function when reconstructing nasal defects after skin cancer resection. Little data exist on functional nasal outcomes following nasal reconstruction. Learning/Study Objective: Describe and analyze factors contributing to functional outcomes following nasal skin cancer defect reconstruction. Design Type: Retrospective review. Methods: Patients who underwent reconstruction of Mohs nasal defects were included. Reconstruction methods included primary closure, skin grafts, and local and interpolated flaps. Both subjective reports and physician-noted exam findings suggestive of nasal obstruction were noted. The obstructive domain of the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS-O) was administered preoperatively and at follow-up intervals. Results: In total, 193 patients met the inclusion criteria. Female sex, medial or lateral ala primary defect subunit, and auricular cartilage use were associated with increased risk of postoperative nasal obstruction within the first year on multivariate analysis, while reconstruction with a skin/composite graft was associated with lower risk of obstruction. Average time from reconstructive surgery to first report of obstruction was 116 days, and time to reported resolution was 235 days. Conclusion: The incidence of nasal obstruction following nasal defect reconstruction is low. Female sex, ala involvement, and auricular cartilage may increase the risk of nasal obstruction postoperatively.

  View details for DOI 10.1089/fpsam.2024.0197

  View details for Web of Science ID 001412615300001

  View details for PubMedID 39904508

• Comparing Perfusion of Single-Stage and Multi-Staged Paramedian Forehead Flaps Using Indocyanine Green Angiography. Facial plastic surgery & aesthetic medicine Longino, E. S., Kandathil, C. K., Most, S. P. 2025

  View details for DOI 10.1089/fpsam.2024.0313

  View details for PubMedID 39868584

• The excessively short nose: our systematic approach PLASTIC AND AESTHETIC RESEARCH Patel, P. N., Longino, E., Most, S. P. 2024; 11

  View details for DOI 10.20517/2347-9264.2024.17

  View details for Web of Science ID 001241059300001