Facial Plastic Surgery & Aesthetic Medicine最新文献_第2页

Minimally Invasive Sternocleidomastoid Muscle Thinning for Cervical Feminization.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0161

Rohith M Bhethanabotla, Jacquelyn K Callander, Jacqueline A Wulu, Philip D Knott

{"title":"Minimally Invasive Sternocleidomastoid Muscle Thinning for Cervical Feminization.","authors":"Rohith M Bhethanabotla, Jacquelyn K Callander, Jacqueline A Wulu, Philip D Knott","doi":"10.1089/fpsam.2024.0161","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0161","url":null,"abstract":"Background: At present, there is no gender-affirming facial surgery that offers feminization of the lateral neck. Objective: To demonstrate reliable relationship between the great auricular nerve point (GAP) and spinal accessory nerve along the sternocleidomastoid muscle (SCM) in human anatomical specimens and demonstrate feasibility of muscle transection in one transgender female patient. Methods: A total of 14 human anatomical specimen dissections were performed to determine if a transection of the SCM perpendicular to the GAP could be performed without potential compromise of the spinal accessory nerve. The surgical course of a patient who underwent transection is discussed. Results: Mean distance from the GAP to the accessory nerve at the posterior border of the sternocleidomastoid was 1.01 ± 0.54 cm, consistent with results from prior studies. In both the human anatomical specimens and the patient, sternocleidomastoid muscles were divided without injury to accessory nerve. The patient's neck girth was reduced by an average of 7 cm at 2 years post-operatively. Conclusion: Transection with distal denervation of the SCM by identifying the relationship between the GAP and accessory nerve is a feasible method of feminizing the lateral neck to improve cosmetic satisfaction while minimizing the risks of cervical neurovascular injury.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786919","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

TikTok as a Medium for Health Information for Facial Paralysis: A Social Media Analysis.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0190

Grace Zhang, Hannah Kim, Valerie Stichert, Ayush Prasad, Tsung-Yen Hsieh

引用次数: 0

Timing of Treatment Initiation and Effect on Facial Synkinesis Outcomes-A Retrospective Study.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0244

Heather Merkouris, Aishwarya Shukla, Emily Wilson, G Nina Lu

{"title":"Timing of Treatment Initiation and Effect on Facial Synkinesis Outcomes-A Retrospective Study.","authors":"Heather Merkouris, Aishwarya Shukla, Emily Wilson, G Nina Lu","doi":"10.1089/fpsam.2024.0244","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0244","url":null,"abstract":"Background: While facial neuromuscular retraining and chemodenervation are effective treatments for facial synkinesis, it is unclear if clinical outcomes are affected by the timing or sequence of treatment initiation. Objective: To compare outcomes between patients with facial synkinesis based on timing of treatment initiation with facial neuromuscular retraining and/or chemodenervation as measured by the Sunnybrook Facial Grading System. Methods: Retrospective review of patients with facial synkinesis. Patient data recorded include demographics, clinical information, and Sunnybrook scores. t-Tests, analysis of variance, and logistic regression were used for analysis. Results: A total of 78 adult patients were included in our study (73% female; median age 50 years with a range of 18-78 years). Median patient follow-up was 16 months (range of 1-56 months). Patients were divided into three groups based on time between paralysis onset and treatment initiation: <12 months, 12-36 months, and >36 months. The use of facial neuromuscular retraining and chemodenervation improved Sunnybrook scores for all patients. The time between paralysis onset to treatment initiation was not associated with a difference in Sunnybrook scores. Conclusion: The duration of facial palsy prior to initiation of facial neuromuscular retraining and/or chemodenervation was not associated with a difference in synkinesis outcomes as determined by Sunnybrook scores.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787284","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

Training in Open Rhinoplasty: Interdisciplinary Development and Validation of an Original Low-Cost Simulation Model.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0181

Andrés Rosenbaum, Antonia Mella, Diego Albrich, Ivan Caro, Gabriel Faba, Tomás Andrade

引用次数: 0

Repositioning the Lower Eyelid after Facial Palsy with Facial Suspension Threads: A Retrospective Clinical Evaluation and Anatomical Study.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0228

Marlen Sulamanidze, George Sulamanidze, Konstantin Sulamanidze, Michael Alfertshofer, Sebastian Cotofana, Mariam Tsivtsivadze

引用次数: 0

Quality and Consistency of Rhinoplasty Photos on Social Media: Prevalence of Potentially Misleading Before-and-After Images.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0232

Shervin Eskandari, Mitesh Mehta, Anita Sethna, David W Chou

{"title":"Quality and Consistency of Rhinoplasty Photos on Social Media: Prevalence of Potentially Misleading Before-and-After Images.","authors":"Shervin Eskandari, Mitesh Mehta, Anita Sethna, David W Chou","doi":"10.1089/fpsam.2024.0232","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0232","url":null,"abstract":"Introduction: There is significant variability in how rhinoplasty results are presented on social media. This study aims to evaluate the quality and consistency of preoperative and postoperative rhinoplasty photos on the social media platform Instagram. Methods: Instagram was queried on April 4, 2024 using the search term #rhinoplastybeforeandafter. Posts meeting our inclusion criteria were analyzed for inconsistencies in background, makeup, use of personal photo, and variations in face size between preoperative and postoperative images. Account demographics and time since surgery were also noted. Results: A total of 888 sets of before-and-after rhinoplasty photos were included, with nearly all (n = 882) posted by surgeon accounts. Of the posts analyzed, 23.7% had a ≥10% face size discrepancy, and 5.1% had a ≥10% face rotation discrepancy. Only 35.7% of posts were considered \"high quality,\" with no significant photo discrepancies between postop and preop images and with postoperative time interval reported. Conclusion: Instagram before-and-after rhinoplasty photos evaluated in this study exhibited significant heterogeneity in quality and consistency regarding image background, image source, face size, face rotation, and brightness. Surgeons should prioritize consistency between preoperative and postoperative photos when sharing their results to minimize the potential for misleading the public.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787010","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 "TikTok as a Medium for Health Information for Facial Paralysis: A Social Media Analysis" by Zhang et al.

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-12-05 DOI: 10.1089/fpsam.2024.0311

Mingyang L Gray, Natalie Justicz

引用次数: 0

Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction. 用于下颌骨微血管重建的工业与自制三维打印模型的成本比较。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-22 DOI: 10.1089/fpsam.2024.0172

W Taylor DeBusk, Rohith M Bhethanabotla, Abel P David, Chase M Heaton, Andrea M Park, Rahul Seth, P Daniel Knott

{"title":"Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction.","authors":"W Taylor DeBusk, Rohith M Bhethanabotla, Abel P David, Chase M Heaton, Andrea M Park, Rahul Seth, P Daniel Knott","doi":"10.1089/fpsam.2024.0172","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0172","url":null,"abstract":"Background: Computer-aided design and manufacturing can enhance microvascular mandible reconstruction, particularly in cases with preexisting segmental defects or exophytic tumors where precise in situ plate bending is difficult. However, its high cost may limit its use in high-volume academic centers. Objective: To compare the costs of industry-performed patient-specific milled locking mandibular reconstruction plates (LMRPs) and surgeon-performed plate bending using 3D-printed (3DP) models as measured by billing data. Methods: A retrospective study of patients who underwent mandibular reconstruction with either industry-performed milled plates or with surgeon-bent plates based on a 3DP model. Costs of patient-specific and stock plates were obtained from the hospital's financial database, along with surgical outcomes associated with each protocol. Results: The study included 25 patients (14 males and11 females) undergoing fibula free flap reconstruction for mandibular defects, averaging 6.4 cm in size. Groups were comparable in age, sex, defect size, number of osteosyntheses, and incidence of osseous union. The average cost of milled plates was $7,709, while 3DP models and standard reconstruction plates cost $1,453, a difference of $6,256. The 3D printer's initial investment was $18,998, but readily with models produced for about $10 per model. Conclusion: Surgeon-performed 3D printing for plate bending is less expensive than computer-aided, patient-specific plates for mandibular reconstruction.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689295","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

Intradermal Injection of Tranexamic Acid for the Treatment of Adult Melasma: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 皮内注射氨甲环酸治疗成人黄褐斑：随机对照试验的系统综述和元分析》，《美国医学杂志》，2011 年第 3 期。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-22 DOI: 10.1089/fpsam.2024.0187

Ling-Ya Chen, Yi-No Kang, Khanh Dinh Hoang, Kee-Hsin Chen, Chiehfeng Chen

{"title":"Intradermal Injection of Tranexamic Acid for the Treatment of Adult Melasma: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Ling-Ya Chen, Yi-No Kang, Khanh Dinh Hoang, Kee-Hsin Chen, Chiehfeng Chen","doi":"10.1089/fpsam.2024.0187","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0187","url":null,"abstract":"Background: Melasma is a chronic skin pigmentation disorder, and intradermal injection of tranexamic acid (TXA) is an effective treatment option for melasma with limited comparative efficacy studies. Objectives: To compare the effectiveness of TXA injections with other treatment modalities for patients with melasma, as measured by Melasma Area and Severity Index (MASI). Methods: A total of 17 eligible randomized controlled trials were included in the meta-analysis. The MASI and the modified MASI served as the primary outcome measures of treatment effectiveness. Patient satisfaction was also evaluated. Results: Among the various administration routes for TXA, intradermal injection and microneedling demonstrated superior effectiveness, followed by oral administration and topical application. As for patient satisfaction, oral administration outperformed the injection method, whereas topical administration significantly underperformed injection. Furthermore, TXA injections were more effective than the majority of non-TXA standard treatments for melasma. Conclusions: This meta-analysis and systematic review suggested that intradermal TXA injection is an effective alternative for melasma treatment, with potential advantages over other administration routes.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689298","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

Tranexamic Acid in Rhytidectomy: A Split-Face Multi-Institutional Study. 氨甲环酸在风湿性关节炎切除术中的应用：一项多机构分面研究

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-22 DOI: 10.1089/fpsam.2024.0008

Jaclyn A Klimczak, Manoj Abraham, Shirley Hu, Daniel E Rousso, Stephen Perkins, Mark Hamilton

{"title":"Tranexamic Acid in Rhytidectomy: A Split-Face Multi-Institutional Study.","authors":"Jaclyn A Klimczak, Manoj Abraham, Shirley Hu, Daniel E Rousso, Stephen Perkins, Mark Hamilton","doi":"10.1089/fpsam.2024.0008","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0008","url":null,"abstract":"Background: Tranexamic acid (TXA) has the ability to reduce intraoperative bleeding and facilitate hemostasis in addition to its anti-inflammatory properties that can potentially aid in recovery among patients who underwent rhytidectomy. Objective: To compare postoperative ecchymosis in patients who underwent rhytidectomy with TXA added to the tumescent anesthetic. Methods: A multi-institutional, single-blind study was performed on patients who underwent rhytidectomy. The sidedness of the face was randomized to receive either local anesthetic with TXA or without, prior to incision for rhytidectomy. The primary outcome was postoperative ecchymosis that was graded by the surgeons at the 1 week postoperative time frame in standard photograph review. Results: A total of 70 patients, mean age 62.1, were enrolled in the study. The surface area of postoperative ecchymosis at 1 week was shown to be significantly less on the side of the face that received local anesthetic infiltration prior to incision with TXA than the side that had local anesthetic without TXA (p < 0.001). These results were consistent with subjective measurements of postoperative ecchymosis graded at 1 week with two blinded investigators to the sidedness of the face that received TXA (p < 0.001). Conclusions: TXA may potentially facilitate a reduction in postoperative ecchymosis in patients undergoing rhytidectomy.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689304","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