Welcome to the fourth and final issue of Plastic Surgical Nursing (PSN) for 2019! I have so enjoyed my first year as Editor-in-Chief of PSN, the official journal of the International Society of Plastic and Aesthetic Nurses (ISPAN).
The PSN Editorial Board is pleased to announce the winners of the 2019 PSN journal awards. There were a number of excellent articles this year, and the task of selecting just three winners was a difficult one. Please join me in congratulating the following winners for their outstanding contributions to our journal and for their commitment to making PSN the preeminent resource for plastic and aesthetic nurses.
FIRST PLACE
Sharon Fritzsche, DNP, RN, FNP-BC, CPSN, ISPAN-F
Care of the Asian American Child With Cleft Lip or Palate
Plastic Surgical Nursing, 39(2), 35-40. (Fritzsche, 2019)
Orofacial clefts are one of the most common global birth defects, affecting approximately 1-1.5 per 1,000 live births worldwide, with noted inequalities across geographical areas and cultures. Orofacial clefts may be a part of a syndrome or an isolated birth defect. In the United States, Asian American populations have a substantially higher incidence of cleft lip with or without cleft palate (2/1,000 live births). Orofacial clefts are a key health issue with substantial health care costs and associated medical, psychological, and social ramifications. It has been estimated that over a child's lifetime, the U.S. health care costs associated with cleft lip or palate are approximately $697 million. Because of the complexity of orofacial clefts and the requisite subsequent medical interventions and the cultural intricacies of the Asian culture, significant knowledge and understanding about the condition and the culture is required by health care providers. To provide optimal and safe cleft care, reduce health care costs, and improve the outcomes for the Asian American population, a culturally sensitive, multidisciplinary, and coordinated approach is needed. Increased culturally specific education, early access to prenatal care, and ongoing infant and pediatric health care are essential.
SECOND PLACE
Erin Alouf, BBA, RN
Tina Murphy, BSN, RN
Gregory Alouf, MD
Botulinum Toxin Type A: Evaluation of Onset and Satisfaction
Plastic Surgical Nursing, 38(3), 105-113. (Alouf, Murphy, & Alouf, 2018)
With the increasing interest in nonsurgical cosmetic procedures, this research study sought to evaluate the onset of Botulinum toxin Type A between naive and non-naive consumers and its effect on satisfaction. This single-blinded research study consisted of 15 adults with scheduled appointments for neurotoxin treatment of undesired glabellar lines. Participants completed pretreatment FACE-Q scales. Both the participant and the researcher rated pretreated glabellar lines using the Merz 5-point scale. The participants took daily photographs of the treated areas and submitted them to the researcher over a secure electronic system. Photographs were taken on the treatment day and each day after treatment until both participant- and researcher-reported onset of treatment effect. The day of onset was determined to have occurred when there was at least 1-point improvement observed by both the participant and the researcher on the Merz 5-point scale. Once onset was determined, participants completed posttreatment FACE-Q scales. The average onset of treatment was 1.8 days in the naive group and 2.65 days in the non-naive group. Posttreatment, naive participants reported an average of 59.67% reduction in the appearance of glabellar lines. The non-naive participants reported a 35.65% reduction. On average, the participants perceived themselves 2.07 years younger than their actual age before treatment and 6.47 years younger after treatment.
THIRD PLACE
Alfredo Siller, BS
Scott C. Blaszak, BS
Michelle Lazar
Edit Olasz Harken, MD, PhD
Update About the Effects of the Sunscreen Ingredients Oxybenzone and Octinoxate on Humans and the Environment
Plastic Surgical Nursing, 38(4), 158-161. (Siller, Blaszak, Lazar, & Harken, 2018)
As the prevalence of skin cancer continues to rise, the importance of sun protection and sunscreen use has become accepted. Sunscreens are divided into two main categories based on the type of active ingredient and ultraviolet light filters that are used. Inorganic filters are more effective at blocking both ultraviolet A rays and ultraviolet B rays than organic filters because organic sunscreens absorb and convert radiation whereas inorganic sunscreens reflect radiation. Use of oxybenzone and octinoxate, the two most common organic sunscreen filters, has recently been restricted in Hawaii as a result of their harmful effects on the coral reefs. In this article, the authors discuss recent studies about these specific filters related to environmental repercussions and the adverse health risks posed for humans and other organisms.
For your convenience, reprints of these three award-winning articles have been included in this issue. If you have never considered writing for PSN, I would highly encourage you to do so. Developing a manuscript on a topic of your expertise and seeing the manuscript published is an extremely satisfying experience. It is a way of sharing your knowledge with other health care providers that is rewarding both intrinsically (e.g., feeling a sense of accomplishment and achievement) and extrinsically (e.g., listing the published article on a curriculum vitae).
This issue of PSN includes a number of interesting and informative articles. There is a continuing education article that establishes the importance of integrating the Assessment Cosmetic Injection Safety Tool, a standardized preinjection safety tool, into the cosmetic practice to decrease the incidence of adverse events associated with dermal fillers and to achieve optimal patient satisfaction and outcomes (Elmassian, Owens, Wood, & Gustman, 2019). Salazar and Findlay (2019) discuss their study involving development and distribution of an opioid risk questionnaire used preoperatively with adult patients undergoing outpatient plastic surgery. Rahpeyma and Khajehahmadi (2019) provide an interesting clinical report on the importance of using dental appliances for oral commissure reconstruction in trauma-induced microstomia. Also included is a comprehensive update on collagens and factors that should be considered when using collagens (Barnes, 2019), and an article describing methods for providing optimal rejuvenation to the periocular area using neuromodulators and dermal fillers (Varga, 2019).
Respectfully,
Sharon Ann Van Wicklin, PhD, RN, CNOR,
CRNFA(E), CPSN-R, PLNC, FAAN, ISPAN-F
Editor-in-Chief, Plastic Surgical Nursing
REFERENCES