Facial Plastic Surgery最新文献

{"title":"Patient Selection, Outcome, and Unhappy Patients in Rhinoplasty.","authors":"Priscilla Parmar, Heide Mills, Hesham Saleh","doi":"10.1055/a-2382-8028","DOIUrl":"10.1055/a-2382-8028","url":null,"abstract":"<p><p>This article discusses the process of patient selection for rhinoplasties and the many different psychological aspects that come into play. It is important to identify the warning signs and apply a multidisciplinary approach to the surgeons practice, in collaboration with specialist rhinoplasty psychologists. Patients' motivations and surgeon factors are also discussed, as this can lead to unhappy and unsatisfactory postoperative outcomes. Potential reasons for adverse outcomes throughout the pre- and postoperative periods are also described. Finally, a brief guide is provided to reduce the risks of an unhappy patient.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906369","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}

{"title":"Split Dorsal Nasal Flap: A Modification to Expand Its Utilization.","authors":"Robert J Macielak, Daniel C Schmidtman, Chelsey A Recker, Grant S Hamilton","doi":"10.1055/a-2398-9903","DOIUrl":"10.1055/a-2398-9903","url":null,"abstract":"<p><p>Nasal reconstruction presents the facial plastic surgeon with a complex problem given its functional and aesthetic importance. The dorsal nasal flap is a composite rotational flap of the glabella and nasal dorsum that can be used for nasal dorsum and tip defects of medium to large sizes. Given its composite nature, this flap can be split into its constituent parts-the epidermis and dermis and the subcutaneous tissue and superficial musculoaponeurotic system-without flap loss. This case series describes this technique and various potential applications within nasal reconstruction.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016828","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}

{"title":"Comment On: Rethinking Oncologic Facial Nerve Reconstruction in the Acute Phase through Classification of the Level of Injury.","authors":"Abraham Zavala, Lucio Santos","doi":"10.1055/s-0044-1790605","DOIUrl":"https://doi.org/10.1055/s-0044-1790605","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282634","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}

{"title":"Patient Selection, Outcome, and Unhappy Patients in Rhinoplasty","authors":"","doi":"10.1055/s-0044-1789594","DOIUrl":"https://doi.org/10.1055/s-0044-1789594","url":null,"abstract":"This article discusses the process of patient selection for rhinoplasties and the many different psychological aspects that come into play. It is important to identify the warning signs and apply a multidisciplinary approach to the surgeons practice, in collaboration with specialist rhinoplasty psychologists. Patients' motivations and surgeon factors are also discussed, as this can lead to unhappy and unsatisfactory postoperative outcomes. Potential reasons for adverse outcomes throughout the pre- and postoperative periods are also described. Finally, a brief guide is provided to reduce the risks of an unhappy patient.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185328","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}

{"title":"Assessing the quality and readability of online patient information: ENT UK patient information e-leaflets vs responses by a Generative Artificial Intelligence.","authors":"Eamon Shamil,Tsz Ki Ko,Ka Siu Fan,James Schuster-Bruce,Mustafa Jaafar,Sadie Khwaja,Nicholas Eynon-Lewis,Alwyn Ray D'Souza,Peter Andrews","doi":"10.1055/a-2413-3675","DOIUrl":"https://doi.org/10.1055/a-2413-3675","url":null,"abstract":"BACKGROUNDThe evolution of artificial intelligence has introduced new ways to disseminate health information, including natural language processing models like ChatGPT. However, the quality and readability of such digitally-generated information remains understudied. This study is the first to compare the quality and readability of digitally-generated health information against leaflets produced by professionals.METHODOLOGYPatient information leaflets for five ENT UK leaflets and their corresponding ChatGPT responses were extracted from the Internet. Assessors with various degree of medical knowledge evaluated the content using the Ensuring Quality Information for Patients (EQIP) tool and readability tools including the Flesch-Kincaid Grade Level (FKGL). Statistical analysis was performed to identify differences between leaflets, assessors, and sources of information.RESULTSENT UK leaflets were of moderate quality, scoring a median EQIP of 23. Statistically significant differences in overall EQIP score were identified between ENT UK leaflets but ChatGPT responses were of uniform quality. Non-specialist doctors rated the highest EQIP scores while medical students scored the lowest. The mean readability of ENT UK leaflets was higher than ChatGPT responses. The information metrics of ENT UK leaflets were moderate and varied between topics. Equivalent ChatGPT information provided comparable content quality, but with reduced readability.CONCLUSIONSChatGPT patient information and professionally-produced leaflets had comparable content, but LLM content were required a higher reading age. With the increasing use of online health resources, this study highlights the need for a balanced approach that considers optimises both the quality and readability of patient education materials.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142224198","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}

{"title":"Nasal tip reshaping in orthognathic surgery: a novel intraoral minimally invasive approach.","authors":"Mario Santagata,Ciro Emiliano Boschetti,Otacilio Luiz Chagas-Junior,Alessandro Gualdi,Luigi Rugge,Gianpaolo Tartaro,Fabrizio Chirico","doi":"10.1055/a-2413-3783","DOIUrl":"https://doi.org/10.1055/a-2413-3783","url":null,"abstract":"Current concepts in orthognathic surgery focus on not just rectifying dentoskeletal irregularities but also improving facial aesthetic and function. In this respect, nasal reshaping holds extraordinary significance in determining surgery effectiveness and patient satisfaction. Facial preoperative evaluations emphasize the paramount functional and aesthetic impacts of caudal septum in tip reshaping. Deviations in this anatomical subunit could lead to significant nasal obstructions and aesthetic changes as twisted nasal tip, affecting projection, rotation and columellar-ala relationship. These considerations are essential in orthofacial surgery, as maxillary movements might exacerbate or worsen preexisting nasal tip deformity. In this paper, we aim to describe a novel and innovative minimally invasive approach presenting a detailed account of a rhinoseptoplasty in which the entire nasal tip reshaping procedure was performed intraorally during orthognathic surgery. The technique focused on achieving optimal nasal tip projection and rotation, centering and stabilization through strategic maneuvers such as incremental dissection of maxillary spine chondro-periosteal junction, supero-posterior strut preservation, vertical and caudal septum resection, anterior nasal spine tip support. Techniques including subnasal drilling and septal stabilization suture are detailed. Specific attention is given to addressing deficiencies in posterior septal angle and labio-columellar relationship. Postoperative care is described and subjective evaluations was performed to assess patient and surgeon satisfaction with facial symmetry and overall aesthetic improvements. In our experience, the described approach offers valuable surgical finesse to orthognathic surgery, effectively targeting caudal septum deviations and nasal tip droopy. Its unique perspective enhances both functional and aesthetic results, particularly in the context of profiloplasty. No external nasal incision was performed and the totality of nasal tip reshaping was scarless and performed thorough an intraoral approach. Surgical precision in execution of this novel and tailored surgical approach has been shown to have a profound impact for enhancing outcomes of orthofacial surgery procedure.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185329","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}

{"title":"The use of large language models like ChatGPT on delivering patient information relating to surgery.","authors":"Eamon Shamil,Mustafa Jaafar,Ka Siu Fan,Tsz Ki Ko,James Schuster-Bruce,Nicholas Eynon-Lewis,Peter Andrews","doi":"10.1055/a-2413-3529","DOIUrl":"https://doi.org/10.1055/a-2413-3529","url":null,"abstract":"not applicable.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185330","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}

{"title":"An Innovative Surgical Technique: Dorsal SMAS Periosteal Flap for Nasal Radix Augmentation.","authors":"Laurie R Springford, Mohamad Sami Alhasan","doi":"10.1055/s-0044-1788993","DOIUrl":"https://doi.org/10.1055/s-0044-1788993","url":null,"abstract":"<p><p>The nasal radix holds significant importance in facial aesthetics, sometimes requiring augmentation to create balanced facial profiles. A flat nasal radix can cause inadequate projection and the appearance of a pseudo-hump. In these cases, rhinoplasty surgeons should avoid working on the pseudo-hump and focus on elevating the radix to achieve the desired aesthetic outcome. Here, we introduce a novel approach and \"how we do\" the dorsal superficial musculoaponeurotic system (SMAS) periosteal flap for nasal radix augmentation. Using an external septorhinoplasty approach, the initial dissection is performed over the nasal bones in the supra-SMAS plane. Then, an SMAS flap is designed with two lateral and one caudal incision extending to the osseocartilaginous junction and dissected subperiosteally. Next, the flap is rotated to fill the space between the nasal bones and skin, augmenting the nasal radix. Compared to traditional methods, this approach always utilizes the patient's own tissue, minimizes rejection, and ensures seamless integration, providing lasting results. It ensures structural stability and avoids the use of cartilage, eliminating the risk of resorption. The dorsal SMAS periosteal flap presents a tailored, durable solution that consistently yields excellent outcomes while overcoming the risk of instability associated with cartilage grafts.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145484","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}

{"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":"<p><p>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, <i>p</i> < 0.05) and length (67.0 vs. 69.7 mm, <i>p</i> < 0.05) compared with the contralateral ear. Subsequent follow-up showed no significant differences in projection (18.5 vs. 18.5 mm, <i>p</i> = 0.98) or length (68.0 vs. 68.7 mm, <i>p</i> = 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.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-06","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}

{"title":"Overview of Unilateral and Bilateral Pediatric Facial Paralysis: Workup, Treatment, and Frontiers.","authors":"Jordan E Wiebe, Chilando Mulenga, Jordan R Crabtree, Arif Hussain, Gregory H Borschel","doi":"10.1055/s-0044-1788994","DOIUrl":"https://doi.org/10.1055/s-0044-1788994","url":null,"abstract":"<p><p>Pediatric facial nerve paralysis can present significant challenges based on its various etiologies, unique approach to treatment options, and overall outcomes. It can impact both the child and parent when regarding function, appearance, and psychosocial implications. The etiology of facial nerve palsy can include congenital, traumatic, iatrogenic, and idiopathic causes. In some, the paralysis is transient while others have permanent loss of function. A thorough evaluation and differential diagnosis are essential to guide treatment planning. The purpose of this paper is to review facial paralysis in children with a focus on surgical management.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105882","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}