Facial Plastic Surgery最新文献_第2页

Natural-Looking Ears after Otoplasty with a Modified Anterior Scoring Technique. 采用改良的前部划线技术进行耳部整形后，耳朵看起来很自然。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-24 DOI: 10.1055/a-2448-0599

Eva Novoa, Christoph Schlegel

引用次数: 0

Tunneled Paranasal Augmentation Using Diced Autologous Costal Cartilage in Asian Rhinoplasty: A Comparative Study. 在亚洲人的鼻整形术中使用切块自体肋软骨通过同一切口联合隧道式副鼻孔隆鼻术：比较研究

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-03-28 DOI: 10.1055/a-2296-3105

Guangxian Lin, Xu Yihao, Xulong Zhang, Jianjun You, Huan Wang, Ruobing Zheng, Le Tian, Junsheng Guo, Zhen Song, Fei Fan

{"title":"Tunneled Paranasal Augmentation Using Diced Autologous Costal Cartilage in Asian Rhinoplasty: A Comparative Study.","authors":"Guangxian Lin, Xu Yihao, Xulong Zhang, Jianjun You, Huan Wang, Ruobing Zheng, Le Tian, Junsheng Guo, Zhen Song, Fei Fan","doi":"10.1055/a-2296-3105","DOIUrl":"10.1055/a-2296-3105","url":null,"abstract":"Due to the prevalence of anterior maxilla dysplasia in Asian population, paranasal concavity is a common accompaniment to low nose, but its impact on facial harmonization is often underestimated. A retrospective comparative study was conducted on patients diagnosed as low nose with paranasal concavity between June 2017 and June 2021, with a total of 56 patients followed up successfully. The control and observation groups were established according to whether the paranasal augmentation was performed. Demographic data were collected. Cosmetic enhancement was quantitatively evaluated by sagittal planimetry, establishing related anatomical landmarks and measuring columella base prominence (CBP) and alar base prominence (ABP). Subjective evaluation concluded the patient-reported satisfaction (FACE-Q-Rhinoplasty Module and Facial Appearance Module) and the third-party physician assessment (Global Aesthetic Improvement Scale, GAIS).Significant improvements in CBP and ABP were reported both in the control and the observation group (p < 0.01). In postoperative intergroup comparisons, the observation group was superior to the control group regarding ABP values (2.5 ± 0.75 degrees, p < 0.01), FACE-Q-Facial scores (7.49 ± 3.70, p < 0.05), and GAIS scores (p < 0.05). However, no statistical difference was found in CBP values and FACE-Q-Rhinoplasty scores. Paranasal augmentation-related complications included asymmetry of alar bases (6.9%) and facial or intraoral foreign body sensation (34.5%). This study affirmed that paranasal augmentation using diced costal cartilage in rhinoplasty is a safe procedure effective in remedying paranasal concavity and improving facial satisfaction. LEVEL OF EVIDENCE:: IV.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"250-259"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incisionless Otoplasty: Current State of the Art. 无切口耳成形术：目前的技术状况。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-12-04 DOI: 10.1055/a-2447-0134

Cibele Madsen Buba, Andres M Gantous

引用次数: 0

Aesthetic Auricle Reconstruction with the Dieffenbach Flap: A Retrospective Case Review. 用迪芬巴赫皮瓣重建耳廓美观：病例回顾

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-08-02 DOI: 10.1055/a-2378-8298

Anne L Bennett, Michael E Nissan, Amor Niksic, Berkay Basagaoglu, James Thornton

{"title":"Aesthetic Auricle Reconstruction with the Dieffenbach Flap: A Retrospective Case Review.","authors":"Anne L Bennett, Michael E Nissan, Amor Niksic, Berkay Basagaoglu, James Thornton","doi":"10.1055/a-2378-8298","DOIUrl":"10.1055/a-2378-8298","url":null,"abstract":"The Dieffenbach flap is often used for post-Mohs reconstruction of auricle defects, effectively restoring the auricle rim. However, its impact on auricle projection and length after division and inset is not well-documented. This study evaluates auricle projection and length following defect repair with the Dieffenbach flap, comparing results to the nonoperative ear. We conducted a retrospective review of patients who underwent a Dieffenbach flap repair surgery at a single institution from 2016 to 2023. Auricle projection and length of the reconstructed ear were measured within the first month following division and inset of the flap and compared with the contralateral ear. A subset of patients had additional measurements > 1 month following division and inset, and these measurements were compared with the contralateral ear. Our study included 23 patients with an average age 67.4 years and 78.3% male. Within 1 month following division and inset, the Dieffenbach flap resulted in a significant decrease in auricle projection (16.5 vs. 18.6 mm, p < 0.05) and length (67.0 vs. 69.7 mm, p < 0.05) compared with the contralateral ear. Subsequent follow-up showed no significant differences in projection (18.5 vs. 18.5 mm, p = 0.98) or length (68.0 vs. 68.7 mm, p = 0.54). Following division and inset of the Dieffenbach flap, auricle projection and length experience initial reduction but subsequently self-correct to match the contralateral ear.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"234-237"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Pillars Concept: An Approach for Managing Hypertrophic Concha in Otoplasty. 支柱概念：处理耳廓成形术中耳廓肥大的一种方法。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-12-23 DOI: 10.1055/a-2448-0812

José Carlos Neves, Diego Arancibia-Tagle

{"title":"The Pillars Concept: An Approach for Managing Hypertrophic Concha in Otoplasty.","authors":"José Carlos Neves, Diego Arancibia-Tagle","doi":"10.1055/a-2448-0812","DOIUrl":"10.1055/a-2448-0812","url":null,"abstract":"Prominent ear deformities often result from a combination of hypertrophic conchal cartilage and an underdeveloped antihelical fold. Traditional otoplasty techniques, such as antihelical folding sutures and conchal setback maneuvers, may introduce tension and risk of relapse, leading to suboptimal aesthetic outcomes. The PILLARS CONCEPT: represents an alternative surgical approach specifically designed to address hypertrophic concha, ensuring stable and natural results.This study aimed to present the Pillars Concept as an alternative method for correcting hypertrophic conchal cartilage, highlighting its advantages over traditional techniques, and evaluating its effectiveness in maintaining long-term stability of the ear's position without relapse.A retrospective analysis was conducted on 89 patients who underwent otoplasty utilizing the Pillars Concept. The technique involves selective transection of two supporting pillars located in the superior and inferior conchal regions after partial resection of the hypertrophic concha. This releases the conchal cartilage and enables tension-free repositioning of the auricular framework.Of the 89 cases, no hypertrophic concha recurrences were noted during follow-up periods. Complications were minimal, with only two patients (2.2%) experiencing a sensation of \"glued ears\" following complete conchal resection. Retroauricular fullness was observed in two cases (2.2%) after conchal setback, primarily due to inadequate management of the residual cartilage length. Patient satisfaction was high, and the natural aesthetic of the auricle was consistently preserved.The Pillars Concept provides a reliable, tension-free method for addressing hypertrophic conchal cartilage in otoplasty, preserving the natural ear anatomy and ensuring long-term stability without the risk of relapse. This technique should be considered a valuable addition to the armamentarium of otoplasty procedures.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"170-178"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Challenges and Considerations with Autologous Rib Microtia Reconstruction. 自体小肋骨重建的挑战与思考。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1055/a-2528-4243

Yi-Chun C Liu, Shraddha Mukerji, Mai Thy Truong

{"title":"The Challenges and Considerations with Autologous Rib Microtia Reconstruction.","authors":"Yi-Chun C Liu, Shraddha Mukerji, Mai Thy Truong","doi":"10.1055/a-2528-4243","DOIUrl":"10.1055/a-2528-4243","url":null,"abstract":"Microtia encompasses a spectrum of congenital pinna malformation. Autologous rib reconstruction is a widely utilized surgical reconstruction technique for microtia. The surgery presents various challenges that can impact surgical outcomes and patient satisfaction. Sculpting and shaping the cartilage into a detailed auricular framework poses is a technically difficult surgery due to the complexity of the ear's anatomy. Postoperative complications such as scar formation, infection, and framework resorption may lead to poor aesthetic outcomes like asymmetry of the reconstructed ear and inadequate projection. Patient-related factors, such as age, rib cartilage quality and quantity, and psychological expectations, also play critical roles in determining success. Additionally, the surgeon's experience and expertise heavily influence the reconstruction's quality.This paper explores the challenges microtia surgeons face during the reconstruction process, emphasizing technical, patient-specific, and postoperative challenges. It underscores the importance of comprehensive preoperative planning, advanced surgical training, and ongoing research to mitigate these challenges and optimize outcomes in autologous rib microtia reconstruction.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"198-203"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions and Understanding of Transgender Patient Care: A Survey of Practicing Facial Plastic Surgeons. 对变性患者护理的看法和理解：对执业面部整形外科医生的调查。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-03-27 DOI: 10.1055/a-2295-6582

Megan L Swonke, Anthony E Brissett, Najm S Khan, Joshua J Kain, Fred J Bressler, Amina I Malik, Tariq A Syed, Angela K Sturm

{"title":"Perceptions and Understanding of Transgender Patient Care: A Survey of Practicing Facial Plastic Surgeons.","authors":"Megan L Swonke, Anthony E Brissett, Najm S Khan, Joshua J Kain, Fred J Bressler, Amina I Malik, Tariq A Syed, Angela K Sturm","doi":"10.1055/a-2295-6582","DOIUrl":"10.1055/a-2295-6582","url":null,"abstract":"Transgender individuals face significant health disparities including deficiencies in physician education, knowledge, and comfort with care. The objective of this study was to determine the perceptions, practice patterns, and familiarity of facial plastic surgeons with transgender health care. An anonymous questionnaire was sent to facial plastic surgeons within the American Academy of Facial Plastic and Reconstructive Surgery list-serve. Primary datapoints included participant characteristics, transgender-related experience, and educational goals. Of the 66 facial plastic surgeons surveyed, 49% had treated 1 to 10 transgender patients during their career, and 70% were actively treating at least 1 transgender patient. The number of patients treated and surgeries performed was significantly associated with self-perceived competence, comfort counseling on gender-affirming surgeries, discussing gender identity, asking preferred pronouns, and a desire to learn more about transgender care. Most participants (61%) obtained transgender care training through real-world experience, with only 18% receiving formal training in residency or fellowship. In total, 50% of respondents believe transgender care training among facial plastic surgeons is inadequate and 60% support its incorporation into residency/fellowship curricula. Increased awareness is needed to address the disparities experienced by transgender patients. Many facial plastic surgeons desire to learn more and support incorporating transgender care into training. Understanding the current state of transgender care can assist the facial plastic community in promoting education that strengthens physicians' ability to deliver competent care that addresses the inequities faced by this diverse group.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"260-265"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis. 小儿先天性小耳症的整形技术：系统综述与元分析》。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-01-17 DOI: 10.1055/a-2247-5109

Hugh Andrew Jinwook Kim, Amirpouyan Namavarian, Urooj Khan, Ben B Levy, Hedyeh Ziai, Ben Talei, Andres M Gantous

{"title":"Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis.","authors":"Hugh Andrew Jinwook Kim, Amirpouyan Namavarian, Urooj Khan, Ben B Levy, Hedyeh Ziai, Ben Talei, Andres M Gantous","doi":"10.1055/a-2247-5109","DOIUrl":"10.1055/a-2247-5109","url":null,"abstract":"Autografts and allografts are commonly used in microtia reconstruction. We aimed to systematically review and compare these reconstructive materials in pediatric congenital microtia reconstruction. A systematic review of the literature was performed. MEDLINE, Embase, PubMed, Web of Science, and CINAHL databases were searched for original studies on congenital microtia reconstruction in pediatric patients since database inception to 2021. Microtia grade was stratified as high or low. Meta-analysis of pooled proportions and continuous variables was performed using inverse variance weighting with a random effects model to compare between the autograft and allograft groups. Sixty-eight studies with a total of 5,546 patients used autografts (n = 5,382) or alloplastic implants (n = 164). Four other studies used prosthesis, cadaveric homografts, or tissue engineering. The allograft group was on average younger than the autograft group (8.4 vs. 11.1 years). There were no syndromic patients in the allograft group, compared to 43% in the autograft group. Patients treated with allografts had higher microtia grade than those treated with autograft (98 vs. 72%). Autografts were more commonly utilized by plastic surgeons and allografts by otolaryngologists (95 vs. 38%). No autografts and 41% of allografts were done concurrently with atresiaplasty or bone conduction implant. Satisfaction rates were similarly high (>90%) with similar complication rates (<10%). Microtia reconstruction using autografts and allografts had similar satisfaction and complication rates. Allografts were preferred for younger patients and concurrent hearing restoration. Further large-scale studies are required to evaluate the long-term efficacy of these reconstructive techniques.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"204-211"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aesthetic & Reconstructive Otoplasty. 耳部美容与整形术

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-24 DOI: 10.1055/a-2434-6959

Andres M Gantous

引用次数: 0

Auricular Reconstruction. 耳廓重建

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-04-01 Epub Date: 2024-10-09 DOI: 10.1055/a-2437-1107

Keerthi E Kurian, Samuel L Oyer, Stephen S Park

引用次数: 0