Facial Plastic Surgery最新文献_第9页

The Role of Botulinum Toxin A Neuromodulator in the Management of Synkinesis in Facial Palsy. A 型肉毒毒素神经调节剂在面瘫同步运动治疗中的作用。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2370-2426

Asalet Yener, Vikas Acharya, Peter Andrews, Catherine Meller, Eamon Shamil

引用次数: 0

The Nasal Locator: An Innovative Instrument to Define the Exact Point of Osteotomy in Preservation or Structural Rhinoplasty. 鼻定位器：一种创新型仪器，用于确定保留或结构性鼻整形术中截骨的精确点。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-05-21 DOI: 10.1055/a-2330-3837

George Mireas

{"title":"The Nasal Locator: An Innovative Instrument to Define the Exact Point of Osteotomy in Preservation or Structural Rhinoplasty.","authors":"George Mireas","doi":"10.1055/a-2330-3837","DOIUrl":"10.1055/a-2330-3837","url":null,"abstract":"One of the most common components of most dorsal preservation (DP) techniques is subdorsal septal excision. Whatever the instrument used for this procedure (piezoelectric, Rongeur, or long scissors), it is paramount to be able to determine the exact subdorsal point (SDoP) at which the osteotomy/ostectomy (or cartilage cut) has been reached. First, to avoid any unnecessary extension of the osteotomy that increases the risk of fracture spreading into the cribriform plate and a consequent cerebrospinal fluid leak; second, to be sure that the subdorsal cut is high enough and can be combined/unified with the planned radix osteotomy.In addition, transverse osteotomies are usually necessary in both preservation and structural rhinoplasties. Even though many surgeons are satisfied with their osteotomy lines, it sometimes proves difficult to be sure of their position, especially during a DP rhinoplasty when both the transverse lines have to go in the direction of the planned radix osteotomy.We have developed the Nasal Locator (NL) to precisely define various nasal points of interest, such as a subdorsal cut (cartilaginous or bony), or a transverse or medial osteotomy line. It ends in two tips. The lower tip is placed at the point we wish to determine (e.g., SDoP or a transverse osteotomy), while the upper tip is fixed a certain distance from it (in all three dimensions), showing its exact location.Our in-depth research of the literature and the market has not revealed any device similar in form and function to the NL.We have been using the NL for almost 2 years and are confident of its usefulness. It is easy to use, and practically no time is needed to become familiar with it. During surgery, it is needed for less than 30 seconds and is risk-free. It is fully sterilizable and can be used repeatedly.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"342-346"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075900","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

Twelve Steps to Optimize Scar Outcomes in External Rhinoplasty. 优化外鼻整形术疤痕效果的十二个步骤。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-05-02 DOI: 10.1055/a-2318-0866

Germán A Soto-Galindo, Meshari Saghir, Fazil Apaydin

{"title":"Twelve Steps to Optimize Scar Outcomes in External Rhinoplasty.","authors":"Germán A Soto-Galindo, Meshari Saghir, Fazil Apaydin","doi":"10.1055/a-2318-0866","DOIUrl":"10.1055/a-2318-0866","url":null,"abstract":"A well-healed scar extends beyond a mere superficial concern, reflecting the precision and care underlying the surgery. This study addresses the lack of recent literature on the complete closure technique for external rhinoplasty scars, emphasizing its potential impact on patient satisfaction and overall aesthetic quality. The main purpose of this article was to introduce and assess the efficacy of a novel closing suture technique for external rhinoplasty and emphasize on 12 specific steps for wound closure. A cohort of 104 patients who underwent external rhinoplasty utilizing the proposed closing suture technique were evaluated. Standardized photographic documentation and scar assessment were performed using the Vancouver-Manchester scale, considering notching, skin level differences, pigmentation, and overall appearance. The surgical approach involved a combination of vertical mattress and interrupted simple sutures, creating an effective closure framework. Analysis revealed an absence of poor scars, with 83.6% classified as good. Note that 65.5% of the good scars achieved a perfect 6-point score. While one moderate scar scored 3 points, the majority demonstrated optimal outcomes. Clinical photographs further illustrated the technique's success, showcasing imperceptible scars and reinforcing the efficacy of the complete closure approach. Our study introduces and assesses the efficacy of the complete closure technique for external rhinoplasty scars. The approach consistently yields positive outcomes, with an emphasis on almost imperceptible scars. While not achieving a 100% imperceptible scar rate, this study underscores the need for ongoing research to refine techniques and enhance patient satisfaction in external rhinoplasty. The proposed technique contributes significantly to scar management practices and encourages further exploration within the evolving landscape of rhinoplasty.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"313-318"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852883","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

Open Neck Lift: Surgical Technique and A Clinical Classification for Cervical Rejuvenation. 开放式颈部提升术：颈部年轻化的手术技术和临床分类。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-22 DOI: 10.1055/s-0044-1788325

Muhammad Adil Abbas Khan, Yangmyung Ma, Dallan Dargan, Noemi Kelemen, Dujanah Bhatti, Armaan Riaz, Muhammad Riaz

{"title":"Open Neck Lift: Surgical Technique and A Clinical Classification for Cervical Rejuvenation.","authors":"Muhammad Adil Abbas Khan, Yangmyung Ma, Dallan Dargan, Noemi Kelemen, Dujanah Bhatti, Armaan Riaz, Muhammad Riaz","doi":"10.1055/s-0044-1788325","DOIUrl":"10.1055/s-0044-1788325","url":null,"abstract":"Careful evaluation of the neck and its relationship to the lower third of the face is fundamental to provide appropriate recommendations for procedures. The authors propose a modified Baker \"clinical\" classification as a more reliable and reproducible evaluative basis for the treatment of the aging neck. A total of 450 patients underwent procedures for cervical rejuvenation between December 2012 and December 2022 by the senior author. These included 9 cases of neck liposuction, 6 isolated neck lifts, 15 minimal access cranial suspension face lifts, 94 face lifts with open neck lifts, and 326 extended R-face and neck lifts. The male-to-female ratio was 1:20. The mean patient age was 59.1 years and the mean follow-up was 14 months (range 11.5-20 months). From the data, a modified Baker clinical classification for the aging neck was formulated along with recommendations for possible solutions. Ninety-four percent of the patients expressed high satisfaction on the Owsley Facelift Satisfaction Survey at 1-year follow-up. The complication rate was 1.78% (8 patients), including 1 hematoma, 1 skin edge necrosis (1 cm), 1 slow healing site (postauricular), 3 limited postauricular/earlobe scar revisions, and 2 mild contour irregularities. Cervical rejuvenation can be achieved by a spectrum of interventions and approaches. A comprehensive preoperative assessment and a clinical neck lift classification are the keys to selecting the correct surgical technique for achieving reliable and consistent results. The authors propose a pragmatic approach for both isolated and integrated neck lift procedures with excellent aesthetic outcomes and minimal complications.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"371-376"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747848","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

Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) Scale: Translation, Cross-Cultural Adaptation and Validation for Hebrew-Speaking Patients. 鼻整形健康量表和鼻腔结果量表（RHINO）：针对希伯来语患者的翻译、跨文化适应和验证。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-04-01 DOI: 10.1055/a-2297-4494

Netanel Eisenbach, Matti Mizrachi, Amiel A Dror, Rania Faris, Tali Jane Ohayon, Ohad Ronen, Eyal Sela

{"title":"Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) Scale: Translation, Cross-Cultural Adaptation and Validation for Hebrew-Speaking Patients.","authors":"Netanel Eisenbach, Matti Mizrachi, Amiel A Dror, Rania Faris, Tali Jane Ohayon, Ohad Ronen, Eyal Sela","doi":"10.1055/a-2297-4494","DOIUrl":"10.1055/a-2297-4494","url":null,"abstract":"Patient-reported outcomes questionnaires are accepted measurement tools to evaluate procedures results. The Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) scale is an English-language validated and reliable quality-of-life instrument that evaluates both functional and aesthetic outcomes after rhinoplasty, and is not available in Hebrew. We followed the forward-and-back-translation method, defined by the European Organization for Research and Treatment of Cancer. Translation of the RHINO scale and merging it into one version were performed, following back-translation and validation on native Hebrew-speaking patients who underwent rhinoplasty and control healthy group. Lastly, we review and analyzed the results. The translated questionnaire had high reliability measures, demonstrating homogeneity (α value 0.800 in the rhinoplasty group and 0.896 in the control group), test-retest reproducibility with no significant difference (p = 0.5), and high agreement scores represented by the Bland-Altman plot (95% limits of agreement ranged from 8.78 to 9.80). Validity demonstrated by significant differences between the two study groups' mean questionnaire scores (p < 0.001 for rhinoplasty vs. controls, p < 0.001 for preoperative vs. postoperative, and p = 0.002 for postoperative vs. control group) and also between the aesthetic scores and functional scores of the rhinoplasty group before and after the surgery (p < 0.001). There were no reported understanding problems. The Hebrew version of the RHINO scale is a reliable and valid tool for pre- and post-rhinoplasty surgery outcomes measuring among Hebrew-speaking patients, and can improve coordination of expectations, follow-up, and quantify subjective evaluation of the surgery. Level of evidence: IV.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"277-285"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335324","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

Corrigendum: Precision Rhinoplasty Cylindric Burrs-Sidewall Aesthetics. 更正：精密鼻成形术圆柱形毛刺--侧壁美学。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-06-26 DOI: 10.1055/s-0044-1787968

Emre Ilhan, Diego Arancibia-Tagle, Hüseyin Özay, Jose Carlos Neves

引用次数: 0

Current Treatments and Future Directions for Facial Paralysis. 面瘫的当前治疗方法和未来发展方向。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-02 DOI: 10.1055/a-2358-9401

Jonathan Leckenby, Keith Sweitzer, Timothy Olsen, Danielle Mayorga-Young, David Milek, Adriaan Grobbelaar

引用次数: 0

Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features. 面部女性化手术（FFS）对眼睑解剖特征的影响。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-04-27 DOI: 10.1055/a-2315-7612

Hanna N Luong, Alice S Liu, Basel A Sharaf, Uldis Bite, Lilly H Wagner

{"title":"Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features.","authors":"Hanna N Luong, Alice S Liu, Basel A Sharaf, Uldis Bite, Lilly H Wagner","doi":"10.1055/a-2315-7612","DOIUrl":"10.1055/a-2315-7612","url":null,"abstract":"Facial feminization surgery (FFS) improves gender dysphoria. The brows and eyes are crucial in perceived gender, yet brow and eyelid surgeries are relatively underutilized. This study aimed to determine rates of brow and eyelid surgeries as part of FFS and characterize pre- and postoperative periocular features. We conducted a retrospective review to identify all patients with the diagnosis of gender dysphoria who underwent FFS at a single academic institution from 2019 to 2022. Thirty-four patients comprising 38 surgical cases were included. Twelve (35%) eyelid surgeries and 27 (79%) brow lifts were performed. Baseline eyelid measurements did not differ between brow lift and nonbrow lift cases. Those undergoing brow lift and eyelid surgery were older in age (p = 0.022), had a higher rate of negative canthal tilt (p = 0.050), and smaller baseline margin-reflex distance 1 (p = 0.014) than patients who had brow lift alone. Brow lift increased tarsal platform show (p ≤ 0.001) and lash-to-brow distance (p ≤ 0.001), and upper blepharoplasty increased tarsal platform show (p = 0.01). Rates of brow lift are high at our institution, and patients are appropriately selected for eyelid surgery in FFS. Brow lift and upper blepharoplasty can feminize anatomical features when using standards described for cisgender cohorts. The impact of periocular features on gender perception in transgender patients warrants further study.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"307-312"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863828","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

Role of Membranous Septum in the Alar-Columellar Relationship: Strategies in Closed-Approach Rhinoplasty. 膜状鼻中隔在鼻翼与鼻小柱关系中的作用：闭合式鼻整形术的策略。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-06-04 DOI: 10.1055/a-2338-0701

Ayhan Işık Erdal, Bilge Kaan İsmail, Serhat Şibar

{"title":"Role of Membranous Septum in the Alar-Columellar Relationship: Strategies in Closed-Approach Rhinoplasty.","authors":"Ayhan Işık Erdal, Bilge Kaan İsmail, Serhat Şibar","doi":"10.1055/a-2338-0701","DOIUrl":"10.1055/a-2338-0701","url":null,"abstract":"A normal alar-columellar relationship is crucial for lower third finesse in rhinoplasty. Hanging columella is a common complaint in the alar-columellar relationship and membranous septum excision is frequently recommended for its correction. This paper focuses on the role of the membranous septum in achieving a normal alar-columellar relationship. It was aimed to present an algorithm that could be used for aberrancies in the alar-columellar relationship.Ninety-seven patients who underwent closed-approach rhinoplasty between January and December 2022 were included in this retrospective study. Routine tip plasty maneuvers were performed on all patients. Membrane septum excision was not performed in any of the cases. Standardized preoperative and postoperative 12-month lateral view photographs were scanned for hanging or retracted columella.Hanging columella was observed in seven patients preoperatively (n = 97). No hanging or retracted columella was observed postoperatively.Hanging columella can be successfully corrected with alternative surgical maneuvers without excision of the membranous septum in closed-approach rhinoplasty in appropriate cases. Complete preservation of the membranous septum does not cause hanging columella in the postoperative period.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"347-351"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247681","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

H-Index or Hype Index? Are High H-Index Surgeons the Real Influencers on Social Media? h指数还是Hype指数？高h指数外科医生是社交媒体的真正影响者吗？

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-05-30 DOI: 10.1055/a-2593-9968

Kiran Abraham-Aggarwal, Andrew B Yang, Daniel Spertus, John Frodel

引用次数: 0