Elizabeth S Longino, Nicole G Desisto, Alexandra S Ortiz, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang
{"title":"The Association of Mental Health Disorders with the Effectiveness of Treating Facial Synkinesis with Chemodenervation Using Botulinum Toxin A.","authors":"Elizabeth S Longino, Nicole G Desisto, Alexandra S Ortiz, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang","doi":"10.1089/fpsam.2024.0119","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0119","url":null,"abstract":"<p><p><b>Background:</b> Studies suggest that mood disorders may affect perception of facial synkinesis, though none have analyzed effects on perceived benefit from chemodenervation. <b>Objective:</b> To measure the effect of depression, appearance anxiety, and other variables on chemodenervation benefit among patients with post-paralytic facial synkinesis. <b>Design Type:</b> Prospective cohort. <b>Methods:</b> Patients volunteered and completed: Synkinesis Assessment Questionnaire (SAQ), Facial Clinimetric Evaluation Scale (FaCE), Center for Epidemiological Studies Depression Scale (CES-D), and Fear of Negative Appearance Evaluation Scale (FNAES). Multivariate regression was used to analyze the effect of CES-D, FNAES, and demographics on pre- and post-chemodenervation SAQ and FaCE. <b>Results:</b> In total, 100 patients participated, 90% were female. Mean age was 56.4 (SD 12.3) years. The most common paralysis etiology was idiopathic (47%). Average synkinesis duration was 7.6 (6.2) years and treatment duration 4.9 (4.8) years. Older age and prior treatment (<i>p</i> < 0.05) were associated with reduced SAQ improvement; worse CES-D approached significance (<i>p</i> = 0.09). Reported history of anxiety was associated with greater SAQ improvement (<i>p</i> = 0.05). Factors associated with reduced FaCE improvement included higher baseline CES-D and prior treatment (<i>p</i> < 0.05). <b>Conclusions:</b> Older age, worse depression scores, and prior treatments may be associated with reduced patient-graded improvement following chemodenervation. History of anxiety may be associated with greater improvement.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alyssa K Ovaitt, Jamie R Oliver, Logan McKinney, Tuleen Sawaf, John Flynn, Kevin Sykes, David J Kriet, Clinton D Humphrey
{"title":"The Impact of Using Intraoperative Computed Tomography on the Number of Surgical Approaches Used for Zygomaticomaxillary Complex Repair.","authors":"Alyssa K Ovaitt, Jamie R Oliver, Logan McKinney, Tuleen Sawaf, John Flynn, Kevin Sykes, David J Kriet, Clinton D Humphrey","doi":"10.1089/fpsam.2024.0168","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0168","url":null,"abstract":"<p><p><b>Background:</b> Zygomaticomaxillary complex (ZMC) fractures are repaired using a variety of surgical approaches. Utilization of intraoperative computed tomography (CT) may reduce the number of surgical approaches. <b>Study Objective:</b> To compare the use of intraoperative CT for the operative repair of ZMC fractures, as measured by the number of surgical approaches. <b>Method:</b> A retrospective review was completed on patients who underwent surgical repair of ZMC fractures by facial plastic and reconstructive surgeons at a tertiary hospital. <b>Results:</b> Eighty-four patients underwent open ZMC repair between 2009 and 2022. Patients had a median age of 42 years (range: 19-93, interquartile range 29-59), were 76.2% Male (<i>n</i> = 64) and 78.6% (<i>N</i> = 66) White. There were 38 and 46 patients in the pre- and post-intraoperative CT cohorts, respectively. The most common incision utilized was a gingivobuccal incision (98.8%), followed by a transconjunctival approach (47.6%). Cases in which CT was utilized had a significantly reduced number of incisions (mean incisions: 2.45 pre vs. 1.67 post, <i>p</i> < 0.001), with large reductions in the rate of transconjunctival incisions (pre-intraoperative CT: 73.7%; post-intraoperative CT: 26.1%, <i>p</i> < 0.001) and lateral canthotomy incisions (23.7% vs. 4.3%, <i>p</i> < 0.001). <b>Conclusion:</b> Intraoperative CT reduces the number of surgical approaches in patients with ZMC trauma.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin Hu,Jacqueline Ihnat,Neil Parikh,John Collar,Ali Aral,Michael Alperovich
{"title":"Risks of Facial Feminization Surgery in a Solid-Organ Transplant Patient.","authors":"Kevin Hu,Jacqueline Ihnat,Neil Parikh,John Collar,Ali Aral,Michael Alperovich","doi":"10.1089/fpsam.2024.0155","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0155","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathaniel Hunter,Gabriela Cruz,Shaina W Gong,David Z Allen,Ho T,W Katherine Kao
{"title":"What Do Patients Want to Know About Hair Transplants? A Google Search Analysis.","authors":"Nathaniel Hunter,Gabriela Cruz,Shaina W Gong,David Z Allen,Ho T,W Katherine Kao","doi":"10.1089/fpsam.2024.0146","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0146","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on \"Feasibility of Internal Pudendal Labia Myocutaneous Free Flap: Cadaveric and Angiographic Study of a Novel Mucosal Free Tissue Transfer\" by Gray et al.","authors":"Irene A Kim, Vishad Nabili","doi":"10.1089/fpsam.2024.0236","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0236","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alfonso Santamaría-Gadea, Carlota Sevil-Serrano, Javier Buendía Pérez, Franklin Mariño-Sánchez
{"title":"Nonsurgical Rhinoplasty after Rhinoplasty: A Systematic Review of the Technique, Results, and Complications.","authors":"Alfonso Santamaría-Gadea, Carlota Sevil-Serrano, Javier Buendía Pérez, Franklin Mariño-Sánchez","doi":"10.1089/fpsam.2024.0116","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0116","url":null,"abstract":"<p><p><b>Introduction:</b> Surgical rhinoplasty is a complex procedure with a high revision rate. Nonsurgical rhinoplasty (NSR) could avoid secondary rhinoplasty allowing the correction of postsurgical defects. A systematic review has been performed among adult patients who had previously undergone surgical rhinoplasty and now presenting for NSR with filler, demonstrated most common indications, fillers, and complications in this technique. <b>Materials and Methods:</b> A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) system guidelines. Primary outcomes included indications for NSR in patients with prior rhinoplasty and complication rate. Secondary outcomes included filler material and degree of patient satisfaction. <b>Results:</b> Twenty articles met the inclusion criteria, obtaining 2,048 patients analyzed in the review. Hyaluronic acid was the most used filler, found in 67% of patients. Indications were highly variable, considering deformities of the middle third of the nose the most remarkable. A high degree of satisfaction was found in the analyzed studies and the rate of major complications was low. <b>Discussion and Conclusions:</b> NSR in patients with prior rhinoplasty is a useful option for correcting a range from subtle aesthetic defects to severe nasal deformities. However, this technique is not exempt from complications, since an increased risk of skin necrosis has been observed.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Guirguis, Troy Karanfilian, Nadeem A Akbar, Christina H Fang, Patrick Colley, Marc Gibber, Nigar N Ahmedli
{"title":"Postoperative Antibiotics for Splints Following Septoplasty.","authors":"David Guirguis, Troy Karanfilian, Nadeem A Akbar, Christina H Fang, Patrick Colley, Marc Gibber, Nigar N Ahmedli","doi":"10.1089/fpsam.2024.0199","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0199","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Eggerstedt, Justine C Lee, Abie H Mendelsohn
{"title":"Transoral Feminizing Chondrolaryngoplasty: Development and Deployment of a Novel Approach in 77 Patients.","authors":"Michael Eggerstedt, Justine C Lee, Abie H Mendelsohn","doi":"10.1089/fpsam.2022.0016","DOIUrl":"10.1089/fpsam.2022.0016","url":null,"abstract":"<p><p><b>Importance:</b> Transgender patients who desire a gender-congruent neck contour may forego transcutaneous procedures due to the risk of neck scar stigmata related to such procedures. <b>Objective:</b> To describe the development and experience with the first 77 cases of a novel gasless transvestibular technique for gender-affirming surgery of the laryngeal prominence. <b>Design, Setting, Participants:</b> Video and narrative description of a novel surgical technique, and case series describing the consecutive first 77 patients to undergo transoral chondrolaryngoplasty (TCLP) at a quaternary transgender referral center. <b>Results:</b> Between November 2019 and April 2022, 77 patients underwent the novel surgery of TCLP. Median follow-up was 8.74 months (range: 1-30 months). Four patients suffered surgical complications (two laryngotomy, two skin necrosis), and three patients requested revision surgery. <b>Conclusions and Relevance:</b> TCLP is reported in the largest published series to date offering hidden incision for gender-affirming care. With further prospective outcome investigations, TCLP may prove to be a reliable approach of performing chondrolaryngoplasty while avoiding visible neck incisions.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44761314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob G Mabey, Mitchel Wride, Ariel Omiunu, Yan Ho Lee
{"title":"Diversity of Patient Education Materials in Facial Plastic and Reconstructive Surgery.","authors":"Jacob G Mabey, Mitchel Wride, Ariel Omiunu, Yan Ho Lee","doi":"10.1089/fpsam.2023.0154","DOIUrl":"10.1089/fpsam.2023.0154","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily R Disler, Peter Steinwald, Andrew R Scott, Alexander P Marston
{"title":"Assessment of Psychosocial Impairment among Patients with Cleft Lip and/or Cleft Palate Using the Pediatric Symptom Checklist.","authors":"Emily R Disler, Peter Steinwald, Andrew R Scott, Alexander P Marston","doi":"10.1089/fpsam.2023.0273","DOIUrl":"10.1089/fpsam.2023.0273","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}