Facial Plastic Surgery & Aesthetic Medicine最新文献_第8页

Effect of an Enhanced Recovery after Surgery Protocol in Postoperative Pain and Opioid Consumption after Rhinoplasty. 增强术后恢复方案对鼻整形术后疼痛和阿片类药物消耗的影响。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2026-05-02 DOI: 10.1177/26893614261443629

Benjamin Brownlee, Anna Johnson, Stephen Park, Samuel Oyer

{"title":"Effect of an Enhanced Recovery after Surgery Protocol in Postoperative Pain and Opioid Consumption after Rhinoplasty.","authors":"Benjamin Brownlee, Anna Johnson, Stephen Park, Samuel Oyer","doi":"10.1177/26893614261443629","DOIUrl":"10.1177/26893614261443629","url":null,"abstract":"Background: Enhanced recovery after surgery (ERAS) protocols reduce opioid exposure in many surgical fields, but their impact on rhinoplasty has not been studied.Objective: To compare postoperative pain control and opioid use during the first week after open septorhinoplasty among patients treated with a traditional hydrocodone/oxycodone and patients treated in an ERAS pathway, as measured by patient-reported pain score and opioid use.Methods: Retrospective cohort study of open septorhinoplasty patients before and after ERAS implementation. Cohort I received hydrocodone/oxycodone with nonstandardized perioperative management. Cohort II followed a standardized ERAS pathway with tramadol, Celebrex, prednisone, and acetaminophen. Pain scores and opioid consumption were compared.Results: Fifty-one patients were studied (n = 24 and n = 27, respectively). The average age was 37.6 (SD 14) and 35.4 (SD 10.7), respectively. In cohort I, 54% were female and 46% male, and in cohort II, 67% were female and 33% were male. Mean pain scores were lower in cohort II (3.8 vs. 5.9, p = 0.0007). Total morphine milligram equivalent use was lower in cohort II (37.8 vs. 46.3, p = 0.51).Conclusion: A multi-modality ERAS protocol after open septorhinoplasty reduced postoperative pain during the first week after surgery, without increasing opioid usage, compared to traditional pain management with opioids.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"445-450"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821552","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}

引用次数: 0

Invited Commentary on: "International and Multispecialty Expert Consensus on Standardization of Facial Reanimation Surgical Outcomes Reporting," by Miller et al. 特邀评论：“国际和多专业专家对面部再生手术结果报告标准化的共识”，作者：Miller等。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2026-06-12 DOI: 10.1177/26893614261461868

Myriam Loyo Li

引用次数: 0

Artificial Intelligence Series: Opportunities for Artificial Intelligence Applications in Care of Patients with Cleft and Craniofacial Differences. 人工智能系列：人工智能在腭裂和颅面差异患者护理中的应用机会。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2026-06-22 DOI: 10.1177/26893614261463191

Tsung-Yen Hsieh, Mary Roz Timbang

引用次数: 0

Artificial Intelligence (AI)-Enhanced Simulation of Facial Filler Sequencing. 人工智能(AI)-面部填充序列的增强模拟。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2025-07-18 DOI: 10.1177/26893614251360696

Aaron L Wiegmann, Rod J Rohrich

引用次数: 0

Protection of Facial Angiosomes; Technique Modification to Maintain Vascular Supply and Lower Complications in Face and Neck Lift. 面部血管小体的保护作用；技术改良维持血管供应及降低面部及颈部提升术并发症。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2025-11-10 DOI: 10.1177/26893614251395733

Phillip Langsdon, Mohammad Alsanea

引用次数: 0

Invited Commentary on: "Fresh-Frozen Costal Cartilage in Rhinoplasty: A Six-Year Experience of Consecutive Cases," by Lu et al. 特邀评论：Lu等人的《新鲜冷冻肋软骨在鼻成形术中的应用：连续6年的经验》。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-07-01 Epub Date: 2026-05-20 DOI: 10.1177/26893614261451696

Dean M Toriumi

引用次数: 0

Impact of Facial Paralysis on Oral Health: A Systematic Review. 面瘫对口腔健康的影响：系统综述。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-06-23 DOI: 10.1177/26893614261461863

Inaam Chattha, Christine B Novak, Ronald M Zuker, Heather L Baltzer, Kevin J Zuo

{"title":"Impact of Facial Paralysis on Oral Health: A Systematic Review.","authors":"Inaam Chattha, Christine B Novak, Ronald M Zuker, Heather L Baltzer, Kevin J Zuo","doi":"10.1177/26893614261461863","DOIUrl":"https://doi.org/10.1177/26893614261461863","url":null,"abstract":"Introduction: Facial paralysis affects perioral muscle function required for mastication, swallowing and salivary control. Oral health function and outcomes in individuals with facial paralysis is understudied.Objective: To evaluate oral health outcomes including dental caries, periodontal disease, drooling, mastication, and oral competence in facial paralysis patients.Methods: A systematic search of PubMed, MEDLINE, Cochrane CENTRAL, and CINAHL identified English-language studies published from inception to September 25, 2025.Results: Eighteen studies were included: congenital facial paralysis (n = 5), acquired etiologies (n = 6), and mixed cohorts (n = 7). Cohorts with congenital etiologies demonstrated early feeding difficulties, altered salivary composition, and a higher prevalence of early-stage carious lesions. Adults with flaccid facial paralysis showed reduced lip and cheek strength, reduced oral competence, decreased masticatory efficiency and oral-phase swallowing dysfunction compared to healthy controls. Adults with postparalytic synkinesis showed greater plaque accumulation, gingival inflammation and untreated caries on the affected side. Surgical reanimation procedures improved oral competence and drooling control. Oral health-related quality of life scores were consistently worse in affected individuals, with the greatest burden observed in functional and psychosocial domains.Conclusion: Facial paralysis is consistently linked to worse oral health and reduced quality of life, however, structured dental assessment and management remain limited.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261461863"},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303439","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}

引用次数: 0

A Zonal Denervation Approach to Surgical Management of Facial Synkinesis. 区域性去神经方法治疗面神经联动。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-06-23 DOI: 10.1177/26893614261460280

Roy Xiao, Elizabeth R McGonagle, Catherine F Roy, Tessa A Hadlock

{"title":"A Zonal Denervation Approach to Surgical Management of Facial Synkinesis.","authors":"Roy Xiao, Elizabeth R McGonagle, Catherine F Roy, Tessa A Hadlock","doi":"10.1177/26893614261460280","DOIUrl":"https://doi.org/10.1177/26893614261460280","url":null,"abstract":"Background: While selective neurectomy has emerged as a surgical adjunct for patients with facial synkinesis to eliminate aberrantly regenerated axons, postoperative outcomes have been mixed.Objective: To understand how a zonal denervation approach to selective neurectomy targeting a broader elimination of unwanted neural elements can affect periocular and perioral movements among patients with facial synkinesis.Methods: We retrospectively assessed patients who underwent zonal denervation from July 2023 through August 2024. Pre- and postoperative photographs were analyzed in a blinded fashion using Emotrics and eFACE; postoperative changes were compared within patients using Wilcoxon matched-pairs signed rank tests.Results: We included 20 zonal denervation patients who were primarily female (90%) with median age of 51 years (interquartile range 42-63) and most often developed initial facial paralysis due to viral etiology (45%). These patients experienced significant improvement in median oral commissure excursion from 2.50 mm to 5.88 mm (p < 0.001) at median 12-month follow-up (interquartile range 9-14 months). Median interlabial distance difference decreased from 5.23 mm to 2.64 mm (p = 0.002), while median palpebral fissure width difference decreased from 2.98 mm to 1.01 mm (p = 0.003). eFACE outcomes mirrored Emotrics improvements. Six patients (30%) developed transient oral incompetence resolving in less than 6 months in all cases.Conclusions: Zonal denervation is an effective technique to improve periocular and perioral synkinesis.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261460280"},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310047","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}

引用次数: 0

The Effect of Drainage Cannula Use on Postoperative Periorbital Edema and Ecchymosis After Primary Rhinoplasty. 引流管对初次鼻整形术后眶周水肿及瘀斑的影响。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-06-17 DOI: 10.1177/26893614261458118

Emre Demirel, Ozan Çolak, Özgür Kemal, Meryem Çoldur

{"title":"The Effect of Drainage Cannula Use on Postoperative Periorbital Edema and Ecchymosis After Primary Rhinoplasty.","authors":"Emre Demirel, Ozan Çolak, Özgür Kemal, Meryem Çoldur","doi":"10.1177/26893614261458118","DOIUrl":"https://doi.org/10.1177/26893614261458118","url":null,"abstract":"Background: Periorbital edema and ecchymosis are common early postoperative findings after rhinoplasty.Objective: The aim of this study was to evaluate and compare postoperative periorbital edema and ecchymosis between patients who underwent primary rhinoplasty with a transnasal drainage cannula placed through the osteotomy site and those without, using photographic analysis and patient-reported outcomes.Methods: Seventy-two patients undergoing primary rhinoplasty were randomized to drainage group (16G intravenous cannula inserted through the osteotomy site for 24 h [n = 36]) or no drainage [n = 36]. Blinded raters graded edema and ecchymosis on days 1, 7, and 28. Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) was completed preoperatively and on day 28.Results: The mean age was 29.2 ± 9.0 years in the cannula group and 26.3 ± 9.7 years in controls; 66.7% and 58.3% were female, respectively, and all patients completed 28-day follow-up. The cannula group demonstrated less edema and ecchymosis on days 1 and 7 compared with controls (p < 0.05). No significant differences were observed on day 28. Day-28 SCHNOS total scores were similar between groups (cannula: 11.00 [95% confidence interval (CI), 8.40-13.60] vs control: 13.86 [95% CI, 10.33-17.39]).Conclusion: Temporary transnasal cannula drainage after primary rhinoplasty with osteotomies was associated with less early periorbital edema and ecchymosis with no difference by postoperative day 28.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"26893614261458118"},"PeriodicalIF":1.8,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273534","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}

引用次数: 0

Book Review: "The Paralyzed Eyelid: Reanimation and Management" by Boahene, Gassner, and Harrison. 书评：《瘫痪的眼睑：复活与管理》，作者：博阿恩、加斯纳和哈里森。

IF 1.8 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2026-06-16 DOI: 10.1177/26893614261461852

John P Flynn

引用次数: 0