{"title":"The Crural Cantilever Tip: Revisiting the Tripod Theory in the Contemporary Three-Dimensional Tip Concept.","authors":"Miguel Gonçalves Ferreira","doi":"10.1177/26893614261441227","DOIUrl":"https://doi.org/10.1177/26893614261441227","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261441227"},"PeriodicalIF":1.6,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619216","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}
Adam Karkoutli, Peter Kfoury, Brandon Hemeyer, Marcus Monroe, Sarah Akkina
{"title":"Facial Nerve Grafting after Malignant Nerve Sacrifice: Functional Outcomes With and Without Adjuvant Radiation.","authors":"Adam Karkoutli, Peter Kfoury, Brandon Hemeyer, Marcus Monroe, Sarah Akkina","doi":"10.1177/26893614261440778","DOIUrl":"https://doi.org/10.1177/26893614261440778","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261440778"},"PeriodicalIF":1.6,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616942","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}
Isa Kaya, Emre Berk Akyol, Efe Işler, Fazıl Apaydın
{"title":"The Best Reanimation Option for Early Stage Facial Paralysis: Triple Nerve Transfers Short-Term Outcomes.","authors":"Isa Kaya, Emre Berk Akyol, Efe Işler, Fazıl Apaydın","doi":"10.1177/26893614261435017","DOIUrl":"https://doi.org/10.1177/26893614261435017","url":null,"abstract":"<p><strong>Introduction: </strong>Facial paralysis is a challenging condition that affects both function and quality of life. Numerous surgical techniques have been described for facial reanimation, including nerve-based reconstruction methods. The choice of the most suitable approach depends on factors such as etiology, duration of paralysis, patient age, residual nerve status, and surgeon preference.</p><p><strong>Objective: </strong>To measure facial movement and symmetry among patients with flaccid facial paralysis who underwent triple nerve transfer surgery, hypothesizing that those receiving this approach will demonstrate improved facial movement and quality-of-life outcomes as measured by Emotrics and FaCE scores.</p><p><strong>Methods: </strong>Twelve patients underwent selective triple nerve transfer surgery in our center. Outcomes were assessed using artificial intelligence-based facial analysis tools and the Facial Clinimetric Evaluation (FaCE) Scale.</p><p><strong>Results: </strong>The mean oral commissure excursion improved from 20.31 ± 5.7 mm preoperatively to 29.79 ± 5.54 mm postoperatively (<i>p</i> < 0.05). Dental exposure improved from 0.13 ± 0.08 mm to 3.64 ± 1.12 mm (<i>p</i> < 0.05). The mean FaCE Scale score increased from 34 to 50.3 (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>These findings suggest triple nerve transfer improves voluntary smile symmetry and quality of life in patients with complete facial paralysis.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261435017"},"PeriodicalIF":1.6,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582900","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}
Syed Ameen Ahmad, Sarah Bessen, Alexandra J Berges, Isabelle Gengler, Alia Mowery, Shaun C Desai, Jason C Nellis, Kofi Boahene
{"title":"Sustainable Practices in the Operating Room for Septorhinoplasty: A 10-Case Prospective Waste Audit Regarding How Much Waste Is Generated.","authors":"Syed Ameen Ahmad, Sarah Bessen, Alexandra J Berges, Isabelle Gengler, Alia Mowery, Shaun C Desai, Jason C Nellis, Kofi Boahene","doi":"10.1177/26893614261429326","DOIUrl":"https://doi.org/10.1177/26893614261429326","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261429326"},"PeriodicalIF":1.6,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515899","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}
Amir A Hakimi, Priyanka Tripuraneni, Michael J Reilly
{"title":"Medical Management of Bell's Facial Palsy: Are We Underdosing Corticosteroids?","authors":"Amir A Hakimi, Priyanka Tripuraneni, Michael J Reilly","doi":"10.1089/fpsam.2024.0384","DOIUrl":"10.1089/fpsam.2024.0384","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"fpsam20240384"},"PeriodicalIF":1.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286890","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":"26893614251384974"},"PeriodicalIF":1.6,"publicationDate":"2026-03-16","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}
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":"fpsam20250120"},"PeriodicalIF":1.6,"publicationDate":"2026-03-16","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}
Sandhya Kalavacherla, Morgan Davis Mills, Jacqueline J Greene
{"title":"Learning from Machine Learning: Advancing from Static Images to Dynamic Video-Based Quantification of Facial Palsy.","authors":"Sandhya Kalavacherla, Morgan Davis Mills, Jacqueline J Greene","doi":"10.1089/fpsam.2024.0381","DOIUrl":"10.1089/fpsam.2024.0381","url":null,"abstract":"<p><strong>Background: </strong>An automated method to accurately quantify facial function from videos has been a long-standing challenge in facial palsy (FP) management.</p><p><strong>Objective: </strong>To compare the accuracy of a Python open-source machine learning algorithm (Python-OS) to a standard image-based analysis tool (Emotrics) to track facial movement among patients with FP, as measured by error rates.</p><p><strong>Methods: </strong>Landmarks were generated on patient with FP images using Python-OS and Emotrics and on patient videos using Python-OS. Weighted error rates were calculated and compared between algorithms using analysis of variance tests.</p><p><strong>Results: </strong>Overall major error rates were 50.3%, 54.3%, and 9.2% for the Emotrics image, Python-OS image, and Python-OS video analyses (<i>p</i> < 0.001). Compared to image analyses, Python-OS video analysis had higher accuracy across all facial features (<i>p</i> = 0.03) and FP severities (<i>p</i> < 0.001). Video analysis allowed us to distinguish FP-specific temporal patterns; the linear relationship between right and left oral commissure movements in normal function (<i>R</i> = 0.99) became nonlinear in flaccid (<i>R</i> = 0.75) and synkinetic (<i>R</i> = 0.72) FP.</p><p><strong>Conclusion: </strong>We report high relative accuracy of dynamic FP quantification through Python-OS, improving the clinical utility of AI-aided FP assessment.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"fpsam20240381"},"PeriodicalIF":1.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340494","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}
Cam Tu Nguyen, Branislav Kollar, Janick Weber, Steffen U Eisenhardt, Jakob B W Weiss
{"title":"Assessment of Facial Synkinesis Treatment with Botulinum Toxin Using Automated Analysis of Facial Expression: A Pilot Study.","authors":"Cam Tu Nguyen, Branislav Kollar, Janick Weber, Steffen U Eisenhardt, Jakob B W Weiss","doi":"10.1089/fpsam.2024.0389","DOIUrl":"10.1089/fpsam.2024.0389","url":null,"abstract":"<p><strong>Background: </strong>The lack of quantification of facial function makes outcome analysis in facial synkinesis challenging.Learning/Study Objective:To compare facial expressions in patients with synkinesis before and after botulinum toxin treatment as measured by the standard electronic clinician-graded facial function scale (eFACE) compared with an automated emotional expression software (FaceReader).Design Type:Retrospective cohort.</p><p><strong>Methods: </strong>Patients underwent botulinum toxin treatment for synkinesis with injections in the platysma, depressor labii inferioris (DLI), depressor anguli oris (DAO), mentalis, orbicularis, glabella, forehead, and zygomatic region. Standardized photographs were taken 30.9 ± 5.55 days after injection and graded with eFACE and FaceReader. Wilcoxon matched-pairs signed-rank test compared the pre- and post-therapeutic scores. Spearman's correlation compared eFACE and FaceReader scores.</p><p><strong>Results: </strong>Three men and 15 women (mean age 48.33 ± 3.17 years) with unilateral synkinetic facial paralysis (9 left, 9 right, most commonly oculo-oral and/or oro-ocular [94%], mean duration 9.72 ± 2.87 years, most commonly idiopathic [50%]) were included. The eFACE synkinesis scores significantly improved (<i>p</i> < 0.05. The FaceReader \"happy\" score increased at rest, the \"disgusted,\" and \"scared\" score while smiling with exposed teeth decreased (<i>p</i> < 0.05). We observed positive correlations between the platysmal, ocular, and total eFACE synkinesis scores and FaceReader \"happy\" score (<i>r</i> = 0.59, <i>p</i> = 0.019; <i>r</i> = 0.22, <i>p</i> = 0.404; <i>r</i> = 0.33, <i>p</i> = 0.211, respectively).</p><p><strong>Conclusions: </strong>AI-driven analysis of facial synkinesis and botulinum toxin treatment shows some correlation with the eFACE scores but is not yet reliable.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"fpsam20240389"},"PeriodicalIF":1.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334226","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}