{"title":"Evaluating Neck Pain in Patients with Facial Synkinesis Using Patient Responses to the Synkinesis Assessment Questionnaire and Neck Disability Index.","authors":"Stuart Dillon Powell, Babak Azizzadeh","doi":"10.1089/fpsam.2023.0348","DOIUrl":"10.1089/fpsam.2023.0348","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"231-233"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872969","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}
Feyisayo O Adegboye, April A Peterson, Rahul K Sharma, Scott J Stephan, Priyesh N Patel, Shiayin F Yang
{"title":"Applications of Artificial Intelligence in Facial Plastic and Reconstructive Surgery: A Narrative Review.","authors":"Feyisayo O Adegboye, April A Peterson, Rahul K Sharma, Scott J Stephan, Priyesh N Patel, Shiayin F Yang","doi":"10.1089/fpsam.2024.0129","DOIUrl":"10.1089/fpsam.2024.0129","url":null,"abstract":"<p><p><b>Importance:</b> Artificial intelligence (AI) has made invaluable contributions to the technologic advancements across many fields. It is transforming health care and may have a role in improving patient outcomes in facial plastic and reconstructive surgery (FPRS). <b>Observations:</b> In recent years, new automated approaches to simulating and analyzing outcomes using AI have emerged. Advances in rhinoplasty, facelifts, orthognathic surgery, facial reanimation, and preoperative consultation are currently being developed in FPRS. <b>Conclusions and Relevance:</b> Applications of AI have been applied to assist facial plastic surgeons in the preoperative stage, intraoperative planning process, and objective assessment of postoperative outcomes. The application of AI provides avenues to improve postoperative outcomes, while also optimizing patient care.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"275-281"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478059","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}
Roy Xiao, Elizabeth R McGonagle, Tessa A Hadlock, James T Heaton
{"title":"Transcutaneous Facial Nerve Frontal Branch Stimulation to Restore Dynamic Elevation of the Paralyzed Eyebrow in Synkinetic Patients.","authors":"Roy Xiao, Elizabeth R McGonagle, Tessa A Hadlock, James T Heaton","doi":"10.1089/fpsam.2025.0015","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0015","url":null,"abstract":"<p><p><b>Background:</b> While patients commonly recover motion following facial nerve injury, aberrant neural regeneration can lead to synkinesis and chronic nonflaccid facial palsy (NFFP); many patients fail to recover volitional eyebrow elevation. <b>Objective:</b> To assess if transcutaneous electrical stimulation of injured frontal branches can achieve eyebrow elevation. <b>Methods:</b> We studied healthy volunteers (<i>N</i> = 10) and patients with unilateral NFFP (<i>N</i> = 36). We performed monopolar transcutaneous stimulation of healthy and paralyzed frontal branches with 4-10 mA pulse trains. We measured eyebrow elevation using Emotrics. Differences between stimulated and volitional elevation were assessed using Wilcoxon signed-rank tests. <b>Results:</b> Stimulable patients (<i>N</i> = 32) were capable of a median of 7.2 mm (interquartile range [IQR]: 5.9-10.5 mm) healthy eyebrow and 1.5 mm (IQR: 0.5-3.1 mm) paralyzed eyebrow volitional elevation. Transcutaneous stimulation of the healthy hemiface achieved a median of 8.5 mm (IQR: 6.3-10.5 mm) eyebrow elevation and 7.2 mm (IQR: 5.3-8.2 mm) on the paralyzed side. Maximum stimulated eyebrow elevation required a median current of 9 mA (IQR: 8-10 mA), which patients felt would be tolerable for daily use in a facial pacing prosthesis. <b>Conclusions:</b> Transcutaneous electrical stimulation can consistently elevate healthy and paralyzed eyebrows in most individuals with NFFP, suggesting they may benefit from dynamic reanimation of eyebrow elevation and possibly other facial regions in future facial pacing systems.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054849","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}
Miguel Gonçalves Ferreira, Tiago Moreira Lyrio, Paula Tamanqueira, Astrid Del Pilar Ardila Bernal, Nuno Dourado, Mariline Santos
{"title":"NOVA Spare Roof Technique and the Sail Maneuver-Vectorial Rhinoplasty Without Lateral Keystone Area Disarticulation.","authors":"Miguel Gonçalves Ferreira, Tiago Moreira Lyrio, Paula Tamanqueira, Astrid Del Pilar Ardila Bernal, Nuno Dourado, Mariline Santos","doi":"10.1089/fpsam.2024.0349","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0349","url":null,"abstract":"<p><p>The authors propose a novel variation of the Spare Roof Technique for Preservation Rhinoplasty-\"NOVA Spare Roof Technique.\" This modification involves a newly developed maneuver, the Sail Maneuver, which is a simple rhinoplasty technique for treating dorsal humps without lateral keystone area disarticulation. The authors find that this rhinoplasty strategy can be a precise surgery for a smooth and natural dorsum with a natural transition on the dorsal keystone area and, simultaneously, can improve the dorsal aesthetic lines (DALs). This approach is based on the new \"dorsal vectorial concept\" in rhinoplasty. A patient with a dorsal hump on a profile view can have a significant impact on the vector of the DALs. This rhinoplasty approach addresses that problem with a mathematical rationale.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006905","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> \"NOVA Spare Roof Technique and the Sail Maneuver-Vectorial Rhinoplasty Without Lateral Keystone Area Disarticulation,\" by Ferreira et al.","authors":"Dean M Toriumi","doi":"10.1089/fpsam.2025.0085","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0085","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991448","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}
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":"https://doi.org/10.1089/fpsam.2025.0040","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","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}
Feyisayo O Adegboye, Montana K Upton, Rahul K Sharma, Emily R Rebula, Alexander J Barna, Priyesh N Patel, Scott J Stephan, Shiayin F Yang
{"title":"Electromyography-Guided Chemodenervation for Treatment of Nonflaccid Facial Palsy: Analysis of Accuracy.","authors":"Feyisayo O Adegboye, Montana K Upton, Rahul K Sharma, Emily R Rebula, Alexander J Barna, Priyesh N Patel, Scott J Stephan, Shiayin F Yang","doi":"10.1089/fpsam.2024.0250","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0250","url":null,"abstract":"<p><p><b>Background:</b> Chemodenervation is a mainstay in the treatment of nonflaccid facial paralysis (NFFP). This study investigates how electromyography (EMG) guidance during chemodenervation may allow for more accurate needle placement. <b>Study Objective:</b> To compare the accuracy with needle EMG chemodenervation compared with standard non-EMG approaches in patients receiving treatment for NFFP with botulinum toxin (BT) as measured by physician and EMG verification. <b>Methods:</b> The use of needle EMG across three surgeons was recorded to determine if the use of EMG changed the location, angle, or depth of needle insertion into the targeted facial muscle. The determination of accurate needle placement was self-reported by the physician coupled with the physician assessment of muscle EMG activity. Accuracy was determined as the ratio of the number of successful EMG needle insertions (placed within muscle with adequate signal) over the total number of EMG needle insertions. <b>Results:</b> A total of 137 patients underwent treatment for NFFP, with an average age of 54 (interquartile range [IQR]: 44-65) and weight of 73 kg (IQR: 64-90). Of the 14 facial mimetic muscles, the posterior belly of digastric (accuracy = 19%, standard deviation [SD] 0.4), risorius (accuracy = 46%, SD 0.5), and zygomaticus (accuracy = 47%, SD 0.5) had the lowest accuracy in BT placement (Table 3). Of all the muscles included, only the buccinator (<i>p</i> = 0.015), platysma (<i>p</i> = 0.0093), and zygomaticus (<i>p</i> = 0.024) had statistically significant variation in the accuracy of BT placement between surgeons. <b>Conclusions:</b> EMG guidance for the treatment of NFFP may improve the precision of needle placement and BT delivery, particularly in the mid and lower facial muscles.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022832","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":"Strategies for Surgical Refinement of the Antihelical Complex Using Autologous Costal Cartilage in Auricular Reconstruction for Microtia.","authors":"Zhicheng Xu, Yiyuan Li, Datao Li, Ruhong Zhang, Qun Zhang, Feng Xu, Xia Chen","doi":"10.1089/fpsam.2024.0363","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0363","url":null,"abstract":"<p><p><b>Background:</b> In microtia reconstruction, surgeons must identify the various qualities of costal cartilage that can be used to create the nuances of the antihelical complex of the new auricular construct. <b>Objective:</b> To compare the techniques for antihelical complex fabrication among microtia patients undergoing two-stage ear reconstruction with autogenous cartilage based on different characteristics of autologous cartilage, as measured by photograph analysis and patient survey. <b>Methods:</b> This is a retrospective chart of patients undergoing microtia reconstruction using autogenous rib cartilage from 2017 to 2023. Reconstructed auricles were evaluated by three blinded expert graders using a satisfaction rating of 1-10. Patient surveys were collected (ear size, location, symmetry, and duplication of the reconstructed ear and possible complications). <b>Results:</b> Overall, 529 patients were included with a male preponderance (<i>n</i> = 357/529, 68%) with a mean age of 13.91 ± 6.34 (range: 6-39 years). Mean follow-up was 18.28 ± 7.53 months (range: 10-36 months). Complications (<i>n</i> = 36) were reported, which included flap congestion (<i>n</i> = 12), skin necrosis, and cartilage exposure (<i>n</i> = 9). Photograph review showed a mean score of 9.01 ± 0.42 (range: 8.51-9.53). Patient satisfaction scores were 9.47 ± 0.31 (range: 8.90-9.81). <b>Conclusion:</b> Surgeons can properly create the antihelical complex in autologous costal cartilage framework.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041503","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> \"Simultaneous Chondrolaryngoplasty and Platysmaplasty in Male-to-Female Facial Gender-Affirming Surgery: A Surgical Technique,\" by Gutierrez Santamaria et al.","authors":"P Daniel Knott, Rahul Seth","doi":"10.1089/fpsam.2025.0102","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0102","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017081","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}
Javier Gutiérrez Santamaría, Raúl Jiménez Bellinga, Jorge Masiá Gridilla, Carlos Bailón Berrio, Juan Molina Montes, Miguel Pérez de Perceval Tara, Luis Capitán Cañadas
{"title":"Simultaneous Chondrolaryngoplasty and Platysmaplasty in Male-to-Female Facial Gender-Affirming Surgery: A Surgical Technique.","authors":"Javier Gutiérrez Santamaría, Raúl Jiménez Bellinga, Jorge Masiá Gridilla, Carlos Bailón Berrio, Juan Molina Montes, Miguel Pérez de Perceval Tara, Luis Capitán Cañadas","doi":"10.1089/fpsam.2024.0333","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0333","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035223","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}