Tissiana G M Vallecillo, Kelly L Staricha, Heather L Johns, Jacob K Dey, Grant S Hamilton
{"title":"Leveraging Eye-Tracking to Study Nasal Analysis Skills of Trainees and Experts.","authors":"Tissiana G M Vallecillo, Kelly L Staricha, Heather L Johns, Jacob K Dey, Grant S Hamilton","doi":"10.1177/26893614261416038","DOIUrl":"10.1177/26893614261416038","url":null,"abstract":"<p><strong>Introduction: </strong>Nasal analysis is a challenging skill that otolaryngology trainees must demonstrate competency in on-board examinations.</p><p><strong>Study objective: </strong>To compare where experts and trainees focus their gaze when completing nasal analysis of a patient, as measured by eye tracking software.</p><p><strong>Methods: </strong>Participants of various training levels (<i>n</i> = 27) were shown photographs of six faces from all standard angles for photographic nasal analysis. Eye-tracking data were collected. Heat and gaze maps, the time to first fixation on areas of interest, duration, and number of fixations were extracted. These metrics were compared between experts and trainees using <i>t</i>-tests and one-way ANOVA.</p><p><strong>Results: </strong>Qualitative comparisons of gaze patterns reveal a more comprehensive and organized approach among experts than trainees. However, quantitative measures of eye-tracking metrics, including the time to first fixations, duration, and number of fixations made by experts and trainees, were similar.</p><p><strong>Conclusions: </strong>Gaze tracking reveals more thorough and efficient eye movements among experts than trainees during nasal analysis. Further study may be useful in the development of learning tools to guide effective nasal analyses.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"554-559"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094523","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}
Nina Patel, Aarti Agarwal, Andrea Park, Rahul Seth, P Daniel Knott
{"title":"Safety of Intraoperative Intravenous Tranexamic Acid Use in Facial Feminization Surgery Among Patients on Estrogen Supplementation.","authors":"Nina Patel, Aarti Agarwal, Andrea Park, Rahul Seth, P Daniel Knott","doi":"10.1177/26893614261415859","DOIUrl":"https://doi.org/10.1177/26893614261415859","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":"28 5","pages":"544-546"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867184","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":"<i>Invited Commentary on:</i> Lu et al.'s \"Functional and Aesthetic Considerations for Selective Facial Neurectomy with Simultaneous Deep Plane Facelift and Structural Neck Contouring for Facial Paralysis with Synkinesis\".","authors":"Nneoma S Wamkpah, Jon-Paul Pepper","doi":"10.1177/26893614261465163","DOIUrl":"10.1177/26893614261465163","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"494-495"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406469","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}
Tania Hassanzadeh, Andrew H Lee, Nikita Gupta, Laura R Garcia-Rodriguez, Jacob I Tower, Michael Alperovich, Jeffrey H Spiegel
{"title":"Applying Artificial Intelligence to Facial Feminization Surgery: Understanding of Facial Anatomy, Surgical Techniques, and Patient Education.","authors":"Tania Hassanzadeh, Andrew H Lee, Nikita Gupta, Laura R Garcia-Rodriguez, Jacob I Tower, Michael Alperovich, Jeffrey H Spiegel","doi":"10.1177/26893614251405800","DOIUrl":"10.1177/26893614251405800","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) and machine-learning technology are on the rise, including ChatGPT and Google's Gemini, previously known as Bard. While recent studies have begun to explore the role of AI in medicine, there are no studies to date on the application of large language models to facial feminization surgery.</p><p><strong>Objective: </strong>Establish the reliability of ChatGPT and Google AI (Bard) in providing patient education and describing surgical techniques specific to facial feminization surgery.</p><p><strong>Methods: </strong>This was a prospective observational study. Both ChatGPT and Bard were queried with 9 questions. The same series of questions was asked 3 months later. Five expert reviewers were asked to rate responses in a blinded fashion using the modified AI-DISCERN criteria. One-way ANOVA and Tukey's HSD were used for analysis.</p><p><strong>Results: </strong>ChatGPT outperformed Google Bard in areas of harmlessness, truthfulness, relevance, bias, sources, and aims at baseline. However, Bard was often able to resolve this discrepancy in 3 months.</p><p><strong>Conclusions: </strong>While large language models show promise in disseminating patient education and general information on facial feminization, caution must be exercised reviewing outputs as inaccurate medical content may be encountered. However, repeated exposure seems to improve the quality of responses over time.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"529-534"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858419","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}
Luis Lassaletta, Teresa González-Otero, Jose Manuel Morales-Puebla, Julio Peñarrocha-Terés, Teresa Mato-Patino, Jorge Noguera-Tomás, Javier Gavilán, Isabel Sánchez-Cuadrado
{"title":"\"Take the Facial Nerve Out of the Picture\": A Novel Approach for Skull Base Recurrences and Facial Nerve Tumors.","authors":"Luis Lassaletta, Teresa González-Otero, Jose Manuel Morales-Puebla, Julio Peñarrocha-Terés, Teresa Mato-Patino, Jorge Noguera-Tomás, Javier Gavilán, Isabel Sánchez-Cuadrado","doi":"10.1177/26893614251384974","DOIUrl":"10.1177/26893614251384974","url":null,"abstract":"<p><strong>Introduction: </strong>Facial paralysis secondary to skull base recurrences or facial nerve tumors presents a significant challenge, as tumor resection usually worsens facial function.</p><p><strong>Objective: </strong>The aim of this study is to show an alternative approach, ensuring facial reanimation irrespective of the evolution of the tumor, the so-called \"take the facial nerve out of the picture.\"</p><p><strong>Methods: </strong>Retrospective study of patients with a skull base recurrence or a facial nerve tumor who underwent facial reanimation prior to tumor management. Facial function was assessed using the House-Brackmann and Sunnybrook Facial Grading Scale.</p><p><strong>Results: </strong>Four patients with skull base recurrences and eight with facial nerve tumors underwent facial reanimation with nerve transfers (<i>n</i> = 11) and a microvascular flap (<i>n</i> = 1) before tumor treatment. In all cases, facial function improved to House-Brackmann grades III or IV, with improvement of average Sunnybrook Facial Grading Scale scores from 25.25 (standard deviation [SD] 20.45) to 57.67 (SD 10.3) (<i>p</i> = 0.004). Three patients with skull base recurrence underwent tumor resection uneventfully, while the eight patients with facial nerve tumor remain observed.</p><p><strong>Conclusions: </strong>Early facial reanimation can preserve long-term facial function, facilitate tumor resection, and provide flexibility in managing complex skull base recurrences and facial nerve tumors.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"507-512"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214225","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":"Drawing It Out: Operative Diagrams as Cognitive and Communication Maps in Facial Reanimation Surgery.","authors":"Catherine F Roy, Jennifer Kim, Tessa A Hadlock","doi":"10.1177/26893614251387686","DOIUrl":"10.1177/26893614251387686","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"517-519"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410481","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":"<i>Invited Commentary on:</i> \"Selective Neurectomy Outcomes in Synkinesis Patients: The First 56 Consecutive Primary Cases with Minimum 1-Year Follow-Up,\" by Özücer and Yılmaz.","authors":"Lauren A Gardiner, Matthew Q Miller","doi":"10.1177/26893614251398868","DOIUrl":"10.1177/26893614251398868","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"505-506"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858360","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":"Thirty Years of Deep Plane Facelifts: Characterizing Outcomes and Longevity.","authors":"Marc Levin, Andrew Frankel","doi":"10.1177/26893614261422044","DOIUrl":"10.1177/26893614261422044","url":null,"abstract":"<p><strong>Background: </strong>Literature regarding the longevity of deep plane facelifts is limited.</p><p><strong>Objective: </strong>To measure the time duration between initial deep plane facelifts and revision facelifts among patients treated in a single-surgeons practice over a 30-year period.</p><p><strong>Methods: </strong>Chart review from a surgeon's 30-year experience performing revision facelifts. Patient demographics and motivation, timing for primary/revision facelifts, and adjunctive procedures were collected. Patients were stratified into groups ≤53 and >53 based on statistical assessment. <i>t</i>-Tests were used.</p><p><strong>Results: </strong>A total of 93 revision facelifts on patients who underwent deep plane lifts were included. Seventy-seven patients had a second facelift, 14 had a third, and 2 had a fourth. Sex (female 73/77, 94.8%; male 4/77, 5.2%), age at time of first facelift (mean = 53.5 ± 6.85), second facelift (mean = 64.5 ± 6.5). Adjunctive procedures: Upper/lower blepharoplasty (18.18%, 7.8%), brow lift (15.5%), and rhinoplasty (7.8%). The mean interval between the primary deep plane facelift and the secondary lift was 10.9 years ± 5.1 Patients who underwent primary facelift surgery at ≤53 years of age returned for revision facelift after 12.4 years ± 5.6; patients >53 returned 9.3 years later ± 3.9 (<i>p</i> = 0.004).</p><p><strong>Conclusion: </strong>Patients returning for revision surgery following deep plane facelifts do so after an average of 10.9 years. Patients who are younger at the time of their initial facelift may have greater longevity.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"482-487"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311302","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":"<i>Invited Commentary on:</i> Lu et al.'s \"Functional and Aesthetic Considerations for Selective Facial Neurectomy with Simultaneous Deep Plane Facelift and Structural Neck Contouring for Facial Paralysis with Synkinesis\".","authors":"Christina M Yver, Tessa A Hadlock","doi":"10.1177/26893614261465165","DOIUrl":"10.1177/26893614261465165","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"492-493"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406446","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}
Richard J Lu, Victor Hsue, Jenna Thuman, Babak Azizzadeh
{"title":"Functional and Aesthetic Considerations for Selective Facial Neurectomy with Simultaneous Deep Plane Facelift and Structural Neck Contouring for Facial Paralysis with Synkinesis.","authors":"Richard J Lu, Victor Hsue, Jenna Thuman, Babak Azizzadeh","doi":"10.1177/26893614261458127","DOIUrl":"10.1177/26893614261458127","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"489-491"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406544","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}