Ila Youssefi, Isaac P Obermeyer, Sehwan Kim, Brian J F Wong
{"title":"3D Smartphone Photography During Rhinoplasty Surgery.","authors":"Ila Youssefi, Isaac P Obermeyer, Sehwan Kim, Brian J F Wong","doi":"10.1089/fpsam.2024.0210","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0210","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510605","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}
Alan Wellington Johnson, Sarah Rathnam Akkina, Scott Eric Bevans
{"title":"Maxillomandibular Fixation: Understanding the Risks and Benefits of Contemporary Techniques in Adults.","authors":"Alan Wellington Johnson, Sarah Rathnam Akkina, Scott Eric Bevans","doi":"10.1089/fpsam.2024.0113","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0113","url":null,"abstract":"<p><p>Numerous techniques achieve maxillomandibular fixation (MMF), each with benefits and risks. While using Erich arch bars to achieve MMF has remained the gold standard through the last century, the technique has multiple limitations, which have spurred innovative approaches, such as intermaxillary fixation (IMF) screws, hybrid arch bars, embrasure wires, and dental occlusion ties. The surge in new MMF technologies over the past decade prompted this analysis to compare these techniques. A PubMed search was conducted to identify all current FDA-approved modern MMF technologies from 2005 through 2023, evaluating their advantages and limitations. Studies with controlled scientific comparisons of techniques were limited, precluding a systematic review. Analysis showed no definitive data exist to endorse one technique as a universal option. As multiple MMF options offer appropriate stability, a surgeon may choose an approach based upon numerous factors: comminution/instability; need for physiotherapy, including guiding elastics; safety; time of application/removal; and patient comfort. This article guides the selection between techniques based on these factors and presents a decision algorithm to assist surgeons in selecting the ideal MMF technique for each patient.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510614","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, Allen Green, Sarah R Akkina, Jon-Paul Pepper
{"title":"Facial Nerve Disorders: Sociodemographic Predictors and Temporal Trends in Dynamic Facial Reanimation in a National Administrative Claims Database.","authors":"Eric X Wei, Allen Green, Sarah R Akkina, Jon-Paul Pepper","doi":"10.1089/fpsam.2024.0011","DOIUrl":"10.1089/fpsam.2024.0011","url":null,"abstract":"<p><p><b>Background</b>: Recent surgical innovations have increased treatment options for patients with facial nerve disorders (FNDs), leading to substantial improvements in functional and psychosocial outcomes. However, it is unclear whether sociodemographic factors are associated with the likelihood of undergoing dynamic facial reanimation procedures. <b>Objective</b>: In patients undergoing FND surgical treatment, what sociodemographic variables are associated with undergoing dynamic facial reanimation compared with static facial reanimation within a 16-year period? <b>Methods</b>: This was a retrospective study of adults undergoing surgical management for FND from 2007 to 2022 using the Merative<sup>™</sup> Marketscan<sup>®</sup> Research Databases. Chi-squared and logistic regression analyses were performed. <b>Results</b>: Among 4,730 adults who underwent FND surgical intervention, 1,390 (34.2%) underwent dynamic facial reanimation. In multivariable regression analyses, more recent treatment year, younger age, and living in the Northeast United States were significant predictors of undergoing dynamic reanimation. Secondary analysis demonstrated that FND patients who were younger, female, and living in the Northeast United States were more likely to undergo concurrent selective neurectomy. <b>Conclusions</b>: These analyses demonstrate significant sociodemographic and temporal associations in the surgical management of FND. Future work is needed to evaluate how sociodemographic factors might influence access and decisions to pursue different types of reanimation procedures.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510610","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":"Trifold Flap for Total/Subtotal Nasal Reconstruction.","authors":"Tatiana Correa, Ziad A Katrib, Scott R Owen","doi":"10.1089/fpsam.2024.0060","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0060","url":null,"abstract":"<p><p>Reconstructing the nose is one of facial plastic surgery's most common reconstructive challenges. While the forehead flap is widely utilized in nasal reconstruction, the effectiveness of a single forehead flap for subtotal/total nasal reconstruction is limited. Building on previously described fold-over flap techniques, we introduce a unique trifold forehead flap method for total nasal reconstruction utilizing a single forehead flap. The described technique holds promise for simplifying the surgical process while achieving desirable functional and cosmetic outcomes in total/subtotal nasal reconstruction.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740991","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":"Invited Commentary on: \"Trifold Flap for Total/Subtotal Nasal Reconstruction\" by Correa et al.","authors":"David A Shaye, Roy Xiao","doi":"10.1089/fpsam.2024.0287","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0287","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510613","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":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-16","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}
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":"https://doi.org/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":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","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}
Alyssa K Ovaitt, Jamie R Oliver, Logan McKinney, Tuleen Sawaf, John Flynn, Kevin Sykes, David J Kriet, Clinton D Humphrey
{"title":"The Impact of Using Intraoperative Computed Tomography on the Number of Surgical Approaches Used for Zygomaticomaxillary Complex Repair.","authors":"Alyssa K Ovaitt, Jamie R Oliver, Logan McKinney, Tuleen Sawaf, John Flynn, Kevin Sykes, David J Kriet, Clinton D Humphrey","doi":"10.1089/fpsam.2024.0168","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0168","url":null,"abstract":"<p><p><b>Background:</b> Zygomaticomaxillary complex (ZMC) fractures are repaired using a variety of surgical approaches. Utilization of intraoperative computed tomography (CT) may reduce the number of surgical approaches. <b>Study Objective:</b> To compare the use of intraoperative CT for the operative repair of ZMC fractures, as measured by the number of surgical approaches. <b>Method:</b> A retrospective review was completed on patients who underwent surgical repair of ZMC fractures by facial plastic and reconstructive surgeons at a tertiary hospital. <b>Results:</b> Eighty-four patients underwent open ZMC repair between 2009 and 2022. Patients had a median age of 42 years (range: 19-93, interquartile range 29-59), were 76.2% Male (<i>n</i> = 64) and 78.6% (<i>N</i> = 66) White. There were 38 and 46 patients in the pre- and post-intraoperative CT cohorts, respectively. The most common incision utilized was a gingivobuccal incision (98.8%), followed by a transconjunctival approach (47.6%). Cases in which CT was utilized had a significantly reduced number of incisions (mean incisions: 2.45 pre vs. 1.67 post, <i>p</i> < 0.001), with large reductions in the rate of transconjunctival incisions (pre-intraoperative CT: 73.7%; post-intraoperative CT: 26.1%, <i>p</i> < 0.001) and lateral canthotomy incisions (23.7% vs. 4.3%, <i>p</i> < 0.001). <b>Conclusion:</b> Intraoperative CT reduces the number of surgical approaches in patients with ZMC trauma.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337207","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}
Kevin Hu,Jacqueline Ihnat,Neil Parikh,John Collar,Ali Aral,Michael Alperovich
{"title":"Risks of Facial Feminization Surgery in a Solid-Organ Transplant Patient.","authors":"Kevin Hu,Jacqueline Ihnat,Neil Parikh,John Collar,Ali Aral,Michael Alperovich","doi":"10.1089/fpsam.2024.0155","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0155","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":"5 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257307","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}
Nathaniel Hunter,Gabriela Cruz,Shaina W Gong,David Z Allen,Ho T,W Katherine Kao
{"title":"What Do Patients Want to Know About Hair Transplants? A Google Search Analysis.","authors":"Nathaniel Hunter,Gabriela Cruz,Shaina W Gong,David Z Allen,Ho T,W Katherine Kao","doi":"10.1089/fpsam.2024.0146","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0146","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":"102 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142257308","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}