{"title":"<i>Invited Commentary on:</i> \"Ideal Facial Proportions in Generative Artificial Intelligence,\" by Sridhar et al.","authors":"Monica K Rossi Meyer","doi":"10.1089/fpsam.2025.0259","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0259","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498475","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}
Roger M Roe, Soroush Farsi, Mary Catherine Brown, Jeffrey Flowers, Larry D Hartzell
{"title":"Surgical Repair of Unilateral Cleft Alveolus Using Viable Bone Allograft in Pediatrics: A Case Report.","authors":"Roger M Roe, Soroush Farsi, Mary Catherine Brown, Jeffrey Flowers, Larry D Hartzell","doi":"10.1089/fpsam.2025.0039","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0039","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498478","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":"Comparison of Upper and Lower Eyelid Edema and Ecchymosis Following Rhinoplasty: A Study of Osteotome Versus Piezoelectric Techniques.","authors":"Omer Vural, Alper Koycu","doi":"10.1089/fpsam.2025.0031","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0031","url":null,"abstract":"<p><p><b>Background:</b> Edema and ecchymosis are common effects of rhinoplasty, but differences between the upper and lower eyelids have not been objectively well studied due to the challenges of measurement and comparison. <b>Objective:</b> To compare the eyelid edema and ecchymosis among patients undergoing rhinoplasty using osteotomes versus piezoelectric techniques, as measured by a standardized photograph grading scale. <b>Methods:</b> In this prospective study, postoperative upper and lower eyelid edema and ecchymosis were evaluated separately on days 1, 3, and 7 using a 0-4 scale. Mann-Whitney U, Friedman, Bonferroni-adjusted Wilcoxon signed-rank, and paired t-tests were used for statistical analysis. <b>Results:</b> A total of 113 patients were included. The two groups were similar in terms of age, sex distribution, and intraoperative blood pressure values. Upper eyelid edema was greater than lower eyelid edema at all time points (<i>p</i> < 0.001). Lower eyelid ecchymosis peaked on day 1, while upper eyelid ecchymosis was most pronounced on day 3. The piezoelectric group had significantly less ecchymosis in the lower eyelid across all days (<i>p</i> < 0.001). <b>Conclusion:</b> This study demonstrates that ecchymosis was consistently lower in the lower eyelid among patients who underwent piezoelectric osteotomy compared to those treated with osteotomes.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498476","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><p><b>Background:</b> An automated method to accurately quantify facial function from videos has been a long-standing challenge in facial palsy (FP) management. <b>Objective:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusion:</b> 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":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-20","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":"https://doi.org/10.1089/fpsam.2024.0389","url":null,"abstract":"<p><p><b>Background:</b> The lack of quantification of facial function makes outcome analysis in facial synkinesis challenging. <b>Learning/Study Objective:</b> 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). <b>Design Type:</b> Retrospective cohort. <b>Methods:</b> 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. <b>Results:</b> 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). <b>Conclusions:</b> 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":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-19","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}
Isabelle Magro, Rahul K Sharma, Steven Goudy, Travis T Tollefson, Ryan H Belcher
{"title":"The State of Otolaryngology-Head and Neck Surgery Efforts in Global Surgery Outreach: Initiatives to Address Cleft Lip-Palate and Craniofacial Care.","authors":"Isabelle Magro, Rahul K Sharma, Steven Goudy, Travis T Tollefson, Ryan H Belcher","doi":"10.1089/fpsam.2025.0159","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0159","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486641","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":"https://doi.org/10.1089/fpsam.2024.0384","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-12","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}
Alexander Szymczak, Asher C Park, Abby Benjamin, Michael Eggerstedt, Joseph B Meleca, Douglas M Sidle, James C Wang
{"title":"Evaluating the Quality of Rhytidectomy-Related Content Posted on Social Media: Facelift Patient Information on TikTok.","authors":"Alexander Szymczak, Asher C Park, Abby Benjamin, Michael Eggerstedt, Joseph B Meleca, Douglas M Sidle, James C Wang","doi":"10.1089/fpsam.2025.0054","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0054","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235582","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}
Daniel Z Farishta, Eric J Yavrouian, Russell W H Kridel
{"title":"Analysis of Medial Crural Overlay as a Technique for Deprojection over a 35-Year Period.","authors":"Daniel Z Farishta, Eric J Yavrouian, Russell W H Kridel","doi":"10.1089/fpsam.2025.0048","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0048","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182479","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":"Augmented Reality-Assisted Surgery for Craniofacial Fibrous Dysplasia.","authors":"David W Chou","doi":"10.1089/fpsam.2025.0119","DOIUrl":"https://doi.org/10.1089/fpsam.2025.0119","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183274","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}