{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:27:04Z","timestamp":1784176024805,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,1,8]],"date-time":"2013-01-08T00:00:00Z","timestamp":1357603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Malpractice litigation has increased in recent decades, contributing to higher health\u2010care costs. Characterization of complications leading to litigation is of special interest to practitioners of facial plastic surgery procedures because of the higher proportion of elective cases relative to other subspecialties. In this analysis, we comprehensively examine malpractice litigation in facial plastic surgery procedures and characterize factors important in determining legal responsibility, as this information may be of great interest and use to practitioners in several specialties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Westlaw legal database was examined for court records pertaining to facial plastic surgery procedures. The term \u201cmedical malpractice\u201d was searched in combination with numerous procedures obtained from the American Academy of Facial Plastic and Reconstructive Surgery website.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 88 cases included, 62.5% were decided in the physician's favor, 9.1% were resolved with an out\u2010of\u2010court settlement, and 28.4% ended in a jury awarding damages for malpractice. The mean settlement was $577,437 and mean jury award was $352,341. The most litigated procedures were blepharoplasties and rhinoplasties. Alleged lack of informed consent was noted in 38.6% of cases; other common complaints were excessive scarring\/disfigurement, functional considerations, and postoperative pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This analysis characterized factors in determining legal responsibility in facial plastic surgery cases. Several factors were identified as potential targets for minimizing liability. Informed consent was the most reported entity in these malpractice suits. This finding emphasizes the importance of open communication between physicians and their patients regarding expectations as well as documentation of specific risks, benefits, and alternatives. Laryngoscope, 123:1849\u20131853, 2013<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.23905","type":"journal-article","created":{"date-parts":[[2013,1,9]],"date-time":"2013-01-09T06:00:30Z","timestamp":1357711230000},"page":"1849-1853","source":"Crossref","is-referenced-by-count":107,"title":["From the operating room to the courtroom"],"prefix":"10.1002","volume":"123","author":[{"given":"Peter F.","family":"Svider","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Center for Skull Base and Pituitary Surgery University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark New Jersey U.S.A."},{"name":"University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School New Brunswick New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brieze R.","family":"Keeley","sequence":"additional","affiliation":[{"name":"Mount Sinai School of Medicine New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osvaldo","family":"Zumba","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School New Brunswick New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Mauro","sequence":"additional","affiliation":[{"name":"University of Michigan Law School Ann Arbor Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Setzen","sequence":"additional","affiliation":[{"name":"Rhinology Section North Shore University Hospital Manhasset New York U.S.A."},{"name":"Department of Otolaryngology New York University School of Medicine New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Anderson","family":"Eloy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Department of Neurological Surgery University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Center for Skull Base and Pituitary Surgery University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,8]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"U.S. Department of Health and Human Services Food and Drug Administration. Guidance for industry oversight of clinical investigations: a risk\u2010based approach to monitoring. August 24 2011. Available at:http:\/\/www.fda.gov\/downloads\/drugs\/guidancecomplianceregulatoryinformation\/guidances\/UCM269919.pdf. Accessed September 3 2012."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMNEJMhpr011493"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(91)90157-8"},{"key":"e_1_2_6_5_1","unstructured":"US Food and Drug Administration. How does FDA monitor safety after drugs are approved and marketed? May 23 2012. Available at:http:\/\/www.fda.gov\/AboutFDA\/Transparency\/Basics\/ucm305058.htm. Accessed September 3 2012."},{"key":"e_1_2_6_6_1","volume-title":"Doing What Counts for Patient Safety: Federal Actions to Reduce Medical Errors and Their Impact","author":"Quality Interagency Coordination Task Force","year":"2000"},{"key":"e_1_2_6_7_1","volume-title":"To Err Is Human: Building a Safer Health System","author":"National Research Council","year":"2000"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200003000-00003"},{"key":"e_1_2_6_9_1","volume-title":"Medical liability: impact on hospital and physician costs extends beyond insurance","year":"1995"},{"key":"e_1_2_6_10_1","first-page":"24","article-title":"Malpractice rates plateauing. The only thing to fear may be fear itself","volume":"88","author":"Hertz BT","year":"2011","journal-title":"Med Econ"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1012370"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S24257"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.03.007"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e298"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811430898"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.06.027"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200203000-00007"},{"key":"e_1_2_6_18_1","first-page":"479","article-title":"Medical litigation in cosmetic plastic surgery","volume":"23","author":"Mavroforou A","year":"2004","journal-title":"Med Law"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00009"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.23905","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.23905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T23:28:51Z","timestamp":1696375731000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.23905"}},"subtitle":["A comprehensive characterization of litigation related to facial plastic surgery procedures"],"short-title":[],"issued":{"date-parts":[[2013,1,8]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1002\/lary.23905"],"URL":"https:\/\/doi.org\/10.1002\/lary.23905","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,8]]}}}