Epidemiologic factors may play an important role in the presentation and progression as well as in surgical outcomes of patients diagnosed with allergic fungal sinusitis.

Hairline lowering or advancement, also known as forehead reduction, is a procedure that has been adapted and honed from scalp reduction and flap techniques. Although the high hairline can be found in both men and women of all races and ethnicities due to various diagnoses, hairline advancement is best suited for individuals, typically women, with a lifelong history of a high hairline and no familial or personal history of progressive hair loss. It is a procedure that is both effective and efficient in lowering the congenitally high hairline with very high patient satisfaction.

Background/Aim: To evaluate the role of epidemiologic factors in surgical outcomes for patients with nasal polyposis (NP) and asthma. Methods: Data was prospectively collected on patients who underwent endoscopic sinus surgery over a 7-year period. Among patients with chronic rhinosinusitis (CRS) with NP and asthma, surgical outcomes were analyzed according to gender and race. Results: Patients with NP and asthma had significantly higher Lund-Kennedy and SNOT-20 scores - pre- and postoperatively - compared to CRS patients without NP or asthma. Both Caucasians and African-Americans in the CRS with NP/asthma group showed a statistically significant improvement at 6 months. Caucasians continued to have a significant improvement at 12 months, whereas African-Americans did not. There were no differences according to gender. Conclusion: In our patient population, African-Americans with NP and asthma had poorer outcomes following functional endoscopic sinus surgery.

Injectable HA with a particle size of 350 μm was efficacious and resulted in high patient improvement scores in improving moderate to severe superficial, vertical perioral lines and superficial, horizontal, lateral canthal lines. Three of the 40 enrolled patients demonstrated granuloma formation.

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