Divergent Functional Outcome Measures for Perioral Surgery Across Clinical Indications: A Systematic Review.

IF 2.2 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-09-25 DOI:10.1097/DSS.0000000000004874

Arya Patel, Sherman Chu, Vivian McCallum, Cyrus Rabbani, Bryan T Carroll

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引用次数: 0

Abstract

Background: The perioral region is frequently targeted surgically, with its vulnerability to nonmelanoma skin cancers, congenital deformities, and its role in facial attractiveness. This highlights the need for comprehensive evaluation tools for the region. Functional outcome evaluation can ensure the preservation of vital abilities necessary for daily independence.

Objective: We reviewed and validated postsurgical assessment tools used in oncologic, reconstructive, and cosmetic procedures involving the perioral region, focusing on perioral functional outcomes covered.

Materials and methods: A systematic review across PubMed, Web of Science, Embase, and Scopus identified validated surgical assessment tools for perioral surgery and the perioral functional outcomes they cover.

Results: Fifty-five validated tools for cosmetic, 17 for oncologic, and 29 for reconstructive surgeries were identified. All surgery types showed a relatively narrow scope in assessing perioral functional outcomes, including speech, eating, and facial expressions. In total, 10/17 oncologic, 12/29 reconstructive, and 2/55 cosmetic tools assessed functional outcomes. A large proportion of cosmetic tools exclusively focused on aesthetic factors, while tools for other surgery types more frequently covered functional, aesthetic, and quality of life outcomes.

Conclusion: Functional outcome assessment seems less emphasized across all perioral surgery types, particularly within cosmetic procedures. Refining tools for comprehensive functional evaluation can enhance patient care.

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不同临床适应症的口周手术不同功能结果测量：系统回顾。

背景：由于易患非黑色素瘤皮肤癌、先天性畸形以及在面部吸引力方面的作用，口腔周围区域经常成为手术的目标。这突出表明需要为该区域提供全面的评价工具。功能结果评估可以确保维持日常独立所需的重要能力。目的：我们回顾并验证了在涉及口腔周围区域的肿瘤、重建和美容手术中使用的术后评估工具，重点关注所涵盖的口腔周围功能结果。材料和方法：通过PubMed、Web of Science、Embase和Scopus的系统综述，确定了用于口腔周围手术和它们所涵盖的口腔周围功能结果的有效手术评估工具。结果：鉴定了55个美容手术工具，17个肿瘤手术工具，29个重建手术工具。所有手术类型在评估口腔周围功能结果时，包括语言、饮食和面部表情，都显示出相对狭窄的范围。总共有10/17肿瘤工具、12/29重建工具和2/55美容工具评估了功能结果。很大一部分美容工具专门关注美学因素，而其他手术类型的工具更多地涉及功能，美学和生活质量结果。结论：功能结果评估似乎不太强调在所有的口腔周围手术类型，特别是在美容手术。完善综合功能评估工具可以提高患者护理水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.