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Effects of Chemodenervation on Ocular Synkinesis. 化学镇痛对眼球同步运动的影响
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2024-11-06 DOI: 10.1089/fpsam.2024.0105
Corin M Kinkhabwala, Allie Ottinger, Tanner Diemer, Krishna G Patel, Michelle S Hwang
{"title":"Effects of Chemodenervation on Ocular Synkinesis.","authors":"Corin M Kinkhabwala, Allie Ottinger, Tanner Diemer, Krishna G Patel, Michelle S Hwang","doi":"10.1089/fpsam.2024.0105","DOIUrl":"10.1089/fpsam.2024.0105","url":null,"abstract":"<p><strong>Background: </strong>Chemodenervation is widely used for management of synkinesis in patients with facial palsy, but there is limited objective data assessing treatment effect.</p><p><strong>Objective: </strong>To measure the eyelid palpebral fissure height at rest and during movement after chemodenervation of the orbicularis oculi muscle among patients with ocular synkinesis, as measured on photographs with computerized facial analysis application.</p><p><strong>Methods: </strong>A retrospective review of patients who underwent initial chemodenervation to the orbicularis oculi for synkinesis was conducted from January 1, 2015, and July 26, 2023. Changes in palpebral height following injection \"at rest\" and during \"pucker\" (activation of ocular synkinesis) were calculated using the <i>Emotrics+</i> program.</p><p><strong>Results: </strong>Nineteen patients were identified: 78.9% female, 73.7% White, and a mean age of 49.74  ±  13.62yrs. They received a mean of 11.45  ±  3.57 units to the orbicularis oculi. A mean 37.63  ±  11.21 days elapsed between injection and postinjection photograph. Palpebral fissure height increased by a mean of 1.16  ±  1.86 mm while \"at rest\" (<i>p</i> = 0.014) and 2.31  ±  1.35 mm during \"pucker\" (<i>p</i> < 0.01). Injected dose was not associated with changes in palpebral fissure height \"at rest\" (<i>p</i> = 0.141) or during \"pucker\" (<i>p</i> = 0.125).</p><p><strong>Conclusions: </strong>Our findings suggest that chemodenervation of the orbicularis oculi improves palpebral fissure height in ocular synkinesis, more so during dynamic motion.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"271-275"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592157","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}
引用次数: 0
Electric Stimulation Therapy for Bell's Palsy in the Acute Stage: A Systematic Review and Meta-Analysis. 电刺激治疗急性期贝尔氏麻痹：系统回顾和meta分析。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-10-09 DOI: 10.1177/26893614251385556
Yujin Choi, Pyung-Wha Kim, Eunkyoung Ahn, Suji Lee
{"title":"Electric Stimulation Therapy for Bell's Palsy in the Acute Stage: A Systematic Review and Meta-Analysis.","authors":"Yujin Choi, Pyung-Wha Kim, Eunkyoung Ahn, Suji Lee","doi":"10.1177/26893614251385556","DOIUrl":"10.1177/26893614251385556","url":null,"abstract":"<p><strong>Introduction: </strong>Bell's palsy, an idiopathic peripheral facial palsy, often resolves naturally but can benefit from electric stimulation therapy. However, efficacy and safety during the acute stage remain controversial and understudied.</p><p><strong>Objective: </strong>To measure the effectiveness of electrical stimulation therapy as an add-on treatment for patients in the acute stage of Bell's palsy, as measured by incomplete recovery rates.</p><p><strong>Methods: </strong>We searched nine databases for randomized controlled trials comparing add-on electric stimulation therapy with usual care or placebo in patients within 7 days of Bell's palsy onset. The primary outcome was incomplete recovery. Risk of bias was assessed using Cochrane RoB 2 tool, with results synthesized via random-effects meta-analysis and evidence certainty evaluated using GRADE.</p><p><strong>Results: </strong>Fourteen studies encompassing 1,311 participants were included. Electric stimulation therapy plus usual care reduced incomplete recovery rates compared with usual care alone (risk ratio 0.65, 95% CI: 0.48-0.88; 13 trials, <i>n</i> = 1,191; moderate certainty). The effect persisted after excluding six studies with a high risk of bias.</p><p><strong>Conclusion: </strong>Add-on electric stimulation therapy during acute Bell's palsy may reduce incomplete recovery risk. However, results had moderate certainty with limitations including risk of bias and short follow-up durations.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"284-292"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410454","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}
引用次数: 0
Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis. 动态、自动面部分析在定量口眼联动中的应用。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-12-22 DOI: 10.1177/26893614251395737
Angela Renne, Jeffrey Heaton, Adeeb Derakhshan, Jason C Nellis, Shaun C Desai, Kofi D O Boahene
{"title":"Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis.","authors":"Angela Renne, Jeffrey Heaton, Adeeb Derakhshan, Jason C Nellis, Shaun C Desai, Kofi D O Boahene","doi":"10.1177/26893614251395737","DOIUrl":"10.1177/26893614251395737","url":null,"abstract":"<p><strong>Background: </strong>Oral-ocular synkinesis is a frequent sequela of idiopathic facial paralysis (IFP), yet objective, dynamic methods to quantify associated palpebral fissure changes remain limited.</p><p><strong>Objective: </strong>To objectively measure palpebral changes in IFP using automated facial tracking.Design Type: Case-control.</p><p><strong>Methods: </strong>A novel, video-based facial tracking software assessed facial expressions in 12 controls and 30 IFP cases with synkinesis at least 12 months from onset of IFP. Palpebral fissure dimensions were measured at rest and during smile, laugh, and pucker. Bilateral differences across expressions were analyzed using Wilcoxon signed-rank, Kruskal-Wallis, and linear regression.</p><p><strong>Results: </strong>Puckering showed the greatest asymmetry (<i>p</i> < 0.001), with a 30.0% reduction in palpebral fissure size on the paralyzed side versus 21.6% on the non-paralyzed side, compared to a 1.7% reduction in controls. No significant differences were observed between paralyzed and non-paralyzed sides during rest-to-smile or rest-to-laugh expressions. Dynamic modeling found that puckering elicited the fastest and largest decline in palpebral fissure symmetry (slope = -0.196; standard error: 0.011; <i>p</i> < 0.001). Paralysis duration following 12 months had no significant effect on palpebral fissure changes.</p><p><strong>Conclusion: </strong>Dynamic facial tracking effectively quantifies expression-specific disruptions in oral-ocular coordination in IFP, particularly during puckering, offering objective data to support treatment planning and patient counseling.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"305-314"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858394","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}
引用次数: 0
Implantable and Prosthetic Devices for Dynamic Facial Reanimation: A Scoping Review. 用于动态面部恢复的植入式和假体装置：范围综述。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-11-18 DOI: 10.1177/26893614251389158
Matthew L Harris, Mitesh P Mehta, Zain G Siddiqi, David W Chou
{"title":"Implantable and Prosthetic Devices for Dynamic Facial Reanimation: A Scoping Review.","authors":"Matthew L Harris, Mitesh P Mehta, Zain G Siddiqi, David W Chou","doi":"10.1177/26893614251389158","DOIUrl":"10.1177/26893614251389158","url":null,"abstract":"<p><strong>Importance: </strong>This review aims to assess the current landscape of implantable and prosthetic devices for dynamic facial reanimation. Evaluation will include mechanisms, reported effectiveness, and clinical feasibility.</p><p><strong>Observations: </strong>This scoping review included 34 primary studies published since 2000, focusing on prosthetic and implantable devices for dynamic facial reanimation. Four major categories emerged: electromyography-functional electrical stimulation (EMG-FES) systems, artificial muscles, electromagnetic actuators, and wearable prosthetics. Most research addressed periocular reanimation, particularly blinking, and several studies discussed midface and smile restoration. EMG-FES systems were the most represented and robust across animal in vivo models. Artificial muscle, electromagnetic actuators, and wearable prosthetics mostly remain in theoretical stages.</p><p><strong>Conclusions and relevance: </strong>Although not yet fully viable, implantable and prosthetic devices show potential to complement or one day replace current surgical approaches to facial reanimation. EMG-FES systems offer the most viable near-term options. Clinically, these technologies may offer customizable, dynamic facial movement restoration, especially for patients with limited surgical options. Continued innovation and long-term safety studies will be essential.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"296-304"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551397","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}
引用次数: 0
Invited Commentary on: "Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis," by Renne et al. 特邀评论：“动态、自动面部分析在定量口眼联合中的应用”，作者：Renne等。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-12-22 DOI: 10.1177/26893614251404008
Nneoma S Wamkpah, Jon-Paul Pepper
{"title":"<i>Invited Commentary on:</i> \"Use of Dynamic, Automated Facial Analysis in Quantifying Oral-Ocular Synkinesis,\" by Renne et al.","authors":"Nneoma S Wamkpah, Jon-Paul Pepper","doi":"10.1177/26893614251404008","DOIUrl":"10.1177/26893614251404008","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"315-316"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858412","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}
引用次数: 0
Transcollumelar Incision and Closure. 经柱切开和闭合。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-06-27 DOI: 10.1089/fpsam.2025.0120
Tamara Fleihan, Russell W H Kridel, Edward S Kwak, Anand Patel, Jeffrey Watson
{"title":"Transcollumelar Incision and Closure.","authors":"Tamara Fleihan, Russell W H Kridel, Edward S Kwak, Anand Patel, Jeffrey Watson","doi":"10.1089/fpsam.2025.0120","DOIUrl":"10.1089/fpsam.2025.0120","url":null,"abstract":"<p><p>Achieving imperceptible scars is crucial in facial plastic surgery, particularly in rhinoplasty. The open rhinoplasty technique, which uses a transcolumellar incision with bilateral marginal incisions, provides enhanced visibility and control but can result in visible columellar scarring. In general, factors such as skin type, incision location, and closure technique are critical in reducing scar formation. The low inverted-V transcolumellar incision just superior to the labiocolumellar junction is favored for its excellent healing with precise aesthetic alignment and minimal visibility. This study presents an ideal method for columellar incision placement and closure using deep-buried absorbable sutures to reduce skin tension and to improve healing, enhancing the overall appearance of the incision.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"330-334"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512621","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}
引用次数: 0
Evaluating the Quality of Rhytidectomy-Related Content Posted on Social Media: Facelift Patient Information on TikTok. 评估社交媒体上发布的除皱相关内容的质量：TikTok上的整容患者信息。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-06-06 DOI: 10.1089/fpsam.2025.0054
Alexander Szymczak, Asher C Park, Abby Benjamin, Michael Eggerstedt, Joseph B Meleca, Douglas M Sidle, James C Wang
{"title":"Evaluating the Quality of Rhytidectomy-Related Content Posted on Social Media: Facelift Patient Information on TikTok.","authors":"Alexander Szymczak, Asher C Park, Abby Benjamin, Michael Eggerstedt, Joseph B Meleca, Douglas M Sidle, James C Wang","doi":"10.1089/fpsam.2025.0054","DOIUrl":"10.1089/fpsam.2025.0054","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"257-259"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235582","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}
引用次数: 0
Mobile Application for Perioperative Care for Patients with Cleft Lip and Palate: A Survey-Based Pilot Study. 唇腭裂患者围手术期护理的移动应用：一项基于调查的试点研究。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-06-27 DOI: 10.1089/fpsam.2025.0027
Ryan Puccia, Eric Barbarite, Rachana Gudipudi, Kimberly McClure, Linda Lee, Phayvanh P Pecha, Krishna Patel
{"title":"Mobile Application for Perioperative Care for Patients with Cleft Lip and Palate: A Survey-Based Pilot Study.","authors":"Ryan Puccia, Eric Barbarite, Rachana Gudipudi, Kimberly McClure, Linda Lee, Phayvanh P Pecha, Krishna Patel","doi":"10.1089/fpsam.2025.0027","DOIUrl":"10.1089/fpsam.2025.0027","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"317-319"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512620","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}
引用次数: 0
Social Media Platform Preference Predicts Positive Body Dysmorphic Disorder Screening and Interest in Cosmetic Surgery. 社交媒体平台偏好预测积极的身体畸形障碍筛查和对整容手术的兴趣。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-04-24 DOI: 10.1089/fpsam.2025.0040
Eric X Wei, Cherian K Kandathil, Mikhail Saltychev, Steven Losorelli, Monica Rossi-Meyer, Sam P Most
{"title":"Social Media Platform Preference Predicts Positive Body Dysmorphic Disorder Screening and Interest in Cosmetic Surgery.","authors":"Eric X Wei, Cherian K Kandathil, Mikhail Saltychev, Steven Losorelli, Monica Rossi-Meyer, Sam P Most","doi":"10.1089/fpsam.2025.0040","DOIUrl":"10.1089/fpsam.2025.0040","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"249-250"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054230","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}
引用次数: 0
Cartilage Shaping Ex-Vivo Using Low-Temperature Radiofrequency: An Accessible, Controlled Option for Cosmetic and Reconstructive Rhinoplasty. 利用低温射频在体外进行软骨塑形：用于鼻整形美容和鼻修复手术的便捷、可控方案。
IF 1.8 3区 医学
Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-05-01 Epub Date: 2025-02-28 DOI: 10.1089/fpsam.2024.0271
Jordan A Garcia, Christopher Park, Dominic Vernon, Jonathan Ting, Taha Z Shipchandler
{"title":"Cartilage Shaping Ex-Vivo Using Low-Temperature Radiofrequency: An Accessible, Controlled Option for Cosmetic and Reconstructive Rhinoplasty.","authors":"Jordan A Garcia, Christopher Park, Dominic Vernon, Jonathan Ting, Taha Z Shipchandler","doi":"10.1089/fpsam.2024.0271","DOIUrl":"10.1089/fpsam.2024.0271","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"327-329"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528133","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}
引用次数: 0
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