Mingyang L Gray, Joshua D Rosenberg, Amir Noor, Jeffrey T Laitman, Marita S Teng, Eric M Genden, Brett A Miles, Brittany Barber
{"title":"Feasibility of Labia Myocutaneous Free Flap: Study of a Novel Mucosal Free Tissue Transfer.","authors":"Mingyang L Gray, Joshua D Rosenberg, Amir Noor, Jeffrey T Laitman, Marita S Teng, Eric M Genden, Brett A Miles, Brittany Barber","doi":"10.1089/fpsam.2022.0361","DOIUrl":"10.1089/fpsam.2022.0361","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"251-253"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510611","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}
Elizabeth S Longino, Nicole G Desisto, Alexandra S Ortiz, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang
{"title":"The Association of Mental Health Disorders with the Effectiveness of Treating Facial Synkinesis with Chemodenervation Using Botulinum Toxin A.","authors":"Elizabeth S Longino, Nicole G Desisto, Alexandra S Ortiz, Naweed I Chowdhury, Priyesh N Patel, Scott J Stephan, Shiayin F Yang","doi":"10.1089/fpsam.2024.0119","DOIUrl":"10.1089/fpsam.2024.0119","url":null,"abstract":"<p><p><b>Background:</b> Studies suggest that mood disorders may affect perception of facial synkinesis, though none have analyzed effects on perceived benefit from chemodenervation. <b>Objective:</b> To measure the effect of depression, appearance anxiety, and other variables on chemodenervation benefit among patients with post-paralytic facial synkinesis. <b>Design Type:</b> Prospective cohort. <b>Methods:</b> Patients volunteered and completed: Synkinesis Assessment Questionnaire (SAQ), Facial Clinimetric Evaluation Scale (FaCE), Center for Epidemiological Studies Depression Scale (CES-D), and Fear of Negative Appearance Evaluation Scale (FNAES). Multivariate regression was used to analyze the effect of CES-D, FNAES, and demographics on pre- and post-chemodenervation SAQ and FaCE. <b>Results:</b> In total, 100 patients participated, 90% were female. Mean age was 56.4 (SD 12.3) years. The most common paralysis etiology was idiopathic (47%). Average synkinesis duration was 7.6 (6.2) years and treatment duration 4.9 (4.8) years. Older age and prior treatment (<i>p</i> < 0.05) were associated with reduced SAQ improvement; worse CES-D approached significance (<i>p</i> = 0.09). Reported history of anxiety was associated with greater SAQ improvement (<i>p</i> = 0.05). Factors associated with reduced FaCE improvement included higher baseline CES-D and prior treatment (<i>p</i> < 0.05). <b>Conclusions:</b> Older age, worse depression scores, and prior treatments may be associated with reduced patient-graded improvement following chemodenervation. History of anxiety may be associated with greater improvement.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"217-222"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337206","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":"Creation and Validation of the Facial Diplegia Scale for Assessment of Bilateral Facial Palsy.","authors":"Cloe Cabos, Loeiza Gourves, Diane Picard, Elodie Lannadere, Mathilde Calvo, Frederic Tankere, Remi Hervochon, Peggy Gatignol","doi":"10.1089/fpsam.2024.0162","DOIUrl":"10.1089/fpsam.2024.0162","url":null,"abstract":"<p><p><b>Objectives</b>: House-Brackmann (HB) classification and the Sunnybrook Facial Grading System (SFGS), both reference tools for the assessment of facial palsy, are not suitable for bilateral facial palsy. The aim of this study was to develop, standardize, and validate the Facial Diplegia Scale (FDS). <b>Methods</b>: The FDS was standardized in a healthy population (<i>n</i> = 111) and validated in 40 patients with diplegia. Correlations with the SFGS were sought to prove its criterion validity. The comparison between healthy subjects and patients with diplegia was used to test the construct validity. The diagnostic performance of the FDS was verified using an ROC curve based on the HB classification. Internal and external consistency were investigated. <b>Results</b>: The FDS and the SFGS were significantly correlated for the right hemiface [F(39) = 51.51, <i>p</i> < 0.0001, <i>R</i><sup>2</sup> = 0.575] as well as for the left one [F(39) = 95.10, <i>p</i> < 0.0001, <i>R</i><sup>2</sup> = 0.714]. A significant difference between control subjects and patients with diplegia was found [<i>t</i>(149) = -9.95, <i>p</i> < 0.0001]. Good specificity and sensitivity were confirmed. Finally, internal consistency, inter-rater reliability, and test-retest reliability were largely proven. <b>Conclusions</b>: The FDS has been standardized and validated for the subjective assessment of facial diplegia in adults to improve comprehensive assessment.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"223-230"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510608","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>Letter:</i> Roskies et al.'s \"Limited Delamination Modifications to the Extended Deep Plane Rhytidectomy: An Anatomical Basis for Improved Outcomes\": Anatomical Concerns and the Use of the Term Preservation in Referring to Procedures.","authors":"Richard Gentile","doi":"10.1089/fpsam.2025.0070","DOIUrl":"10.1089/fpsam.2025.0070","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"206-208"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006895","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":"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}