Oguzhan Topsakal, Mustafa Ilhan Akbas, Solomon Storts, Leyla Feyzullayeva, Mehmet Mazhar Celikoyar
{"title":"Textured Three Dimensional Facial Scan Data Set: Amassing a Large Data Set Through a Mobile iOS Application.","authors":"Oguzhan Topsakal, Mustafa Ilhan Akbas, Solomon Storts, Leyla Feyzullayeva, Mehmet Mazhar Celikoyar","doi":"10.1089/fpsam.2023.0232","DOIUrl":"10.1089/fpsam.2023.0232","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"674-676"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812637","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}
Krystyne Basa, Andrew Lee, Jennifer N Shehan, Taylor F Mahoney, Jessica LeClair, Jacob E Kuperstock, Nicolette Jabbour, Jeffrey H Spiegel
{"title":"Frontal Bone Cranioplasty for Facial Feminization: Long-Term Follow-Up of Postoperative Sinonasal Symptoms.","authors":"Krystyne Basa, Andrew Lee, Jennifer N Shehan, Taylor F Mahoney, Jessica LeClair, Jacob E Kuperstock, Nicolette Jabbour, Jeffrey H Spiegel","doi":"10.1089/fpsam.2021.0037","DOIUrl":"10.1089/fpsam.2021.0037","url":null,"abstract":"<p><p><b>Background:</b> Forehead feminization cranioplasty (FFC) risks entering the frontal sinus to achieve the desired contour. To date, no study has investigated long-term FFC complications. <b>Objective:</b> Determine if long-term sinus and headache symptoms worsen secondary to frontal sinus mucosal violation, measured by patient-reported outcomes. <b>Methods:</b> Single database retrospective chart review of patients who underwent forehead contouring between August 2012 and August 2019 was conducted. Two cohorts-frontal sinus mucosal violation versus mucosal preservation-were surveyed postprocedurely for postprocedure SNOT (Sinonasal Outcome Test)-22 scores and pre- and postprocedure sinus and headache symptoms. <b>Results:</b> Frontal sinus violation, mean time between surgery and response was 4.16 ± 1.88 years (range: 1-8). Without violation, mean time between surgery and response was 2.5 ± 1.10 years (range: 1-5). Postoperative SNOT-22 severity scores were not different (12.55 vs. 8.6, <i>p</i> = 0.20). Postoperative SNOT-22 scores were equivalent to a control nonrhinosinusitis population. No difference was found between violation of the frontal sinus with worse postoperative sinus (22 vs. 5, <i>p</i> = 0.60) or headache symptoms. <b>Conclusion:</b> Our data did not detect a difference in sinus or headache outcomes in patients who experienced violation of the anterior frontal table compared with a similar population with preservation of the frontal sinus, over an 8-year follow-up.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"e813-e817"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445079","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}
Michael Roskies, Dominic Bray, Neil A Gordon, Alessandro Gualdi, L Mike Nayak, Ben Talei
{"title":"Limited Delamination Modifications to the Extended Deep Plane Rhytidectomy: An Anatomical Basis for Improved Outcomes.","authors":"Michael Roskies, Dominic Bray, Neil A Gordon, Alessandro Gualdi, L Mike Nayak, Ben Talei","doi":"10.1089/fpsam.2024.0018","DOIUrl":"10.1089/fpsam.2024.0018","url":null,"abstract":"<p><p><b>Background:</b> This study introduces variations of a limited delamination approach to the deep plane face- and necklift. <b>Objectives:</b> To report surgeons' perceptions of limited delamination deep plane rhytidectomy, define the anatomical basis to support these modifications, and report complication rates. <b>Methods:</b> This retrospective multi-institutional chart review study of patients undergoing a modified classical deep plane face- and necklift. Surgeons' perception of outcomes and self-reported complications were collected. <b>Results:</b> In total, 3964 patients having undergone face- and necklift with six surgeons being included. Most patients were female (87.9%) with an age range of 31-83 years (mean 58 years). Most were primary procedures (2672/3964; 67.4%) with a median follow-up of 425 days (range 21-5470). Preliminary surgeon experience demonstrated increased ease of flap management, improved biomechanics, smaller perceived rates of skin discoloration, and telangiectasia of the skin and lower revisions rate (<i>n</i> = 11; 0.8%). Complication rates were low for hematoma (<i>n</i> = 24; 1.9%) and seroma requiring needle aspiration (<i>n</i> = 26; 2%) and minor infection (<i>n</i> = 18; 1.4%). <b>Conclusions:</b> A multicenter surgeon experience with the limited delamination extended deep plane rhytidectomy is based on anatomical evidence and demonstrates low complication rates and surgeon-perceived improved long-term outcomes. Prospective comparative outcomes of these evolving techniques are warranted.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"657-664"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789542","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}
Sina J Torabi, Travis T Tollefson, Mariline Santos, Miguel G Ferreira, Brian J F Wong
{"title":"Rhinoplasty Sutures and Skin Closure Preferences-An Evidence-Based Rhinoplasty Research Group Survey.","authors":"Sina J Torabi, Travis T Tollefson, Mariline Santos, Miguel G Ferreira, Brian J F Wong","doi":"10.1089/fpsam.2024.0063","DOIUrl":"10.1089/fpsam.2024.0063","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"756-758"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913269","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}
Anita Sulibhavi, Sai P Reddy, Sydney C Butts, Cecelia E Schmalbach
{"title":"Ear Molding in Children-Timing, Technique, and Follow-up: A Systematic Review.","authors":"Anita Sulibhavi, Sai P Reddy, Sydney C Butts, Cecelia E Schmalbach","doi":"10.1089/fpsam.2023.0321","DOIUrl":"10.1089/fpsam.2023.0321","url":null,"abstract":"<p><p><b>Background:</b> Nonsurgical management of congenital ear anomalies using molding devices shows efficacy but lacks standardization of treatment protocols and outcome measures. <b>Learning Objective:</b> To compare ear molding techniques and identify factors related to treatment outcomes. <b>Design Type:</b> Systematic review of the literature (1990-2021). <b>Methods:</b> Studies reporting molding for congenital ear anomalies were assessed. PRISMA guidelines were used. Data extracted included: age at treatment initiation, treatment duration, correction rates, and complications. Data analysis included descriptive statistics and outcomes were compared using the Student <i>t</i>-test. <b>Results:</b> In total, 37 studies with 3,341 patients (mean patients per study, 95; range, 5-488) were included. Infants in whom treatment was initiated at 4.8 weeks (median, 3.7; range, 0.9-8.8 weeks) were treated for 5.1 weeks (median 4.7, range 2.6-7.6 weeks) with 11.0 months follow-up (median 11.4, range 1.4-21.0 months). Individualized devices (physician-customized) were used more (62.2% of studies) than commercial devices. No difference in correction (<i>p</i> = 0.44) or complication rates (<i>p</i> = 0.19) was identified between devices. Totally, 70.3% of studies reported complications and 40.5% of studies included long-term follow-up data. <b>Conclusions:</b> The available evidence supports initiating ear molding in the first weeks of life to be most effective, yet outcome data should be standardized in future studies to improve evidence quality.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"730-739"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499336","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}
Piper A Wenzel, Michael P Rizk, Alexander Michael, Terry Yin, Brian T Andrews
{"title":"Assessment of Early and Late Management of Submental Gunshot Wounds.","authors":"Piper A Wenzel, Michael P Rizk, Alexander Michael, Terry Yin, Brian T Andrews","doi":"10.1089/fpsam.2023.0359","DOIUrl":"10.1089/fpsam.2023.0359","url":null,"abstract":"<p><p><b>Background:</b> Management of submental gunshot wounds is becoming more common and requires complex surgical decisions. <b>Objective:</b> Compare outcomes of early and definitive reconstructive techniques following submental gunshot wounds. <b>Methods:</b> Retrospective chart review evaluated subjects who sustained a self-inflicted submental gunshot. The incidence of complications requiring unplanned operations was compared for early management techniques of skin/soft tissue, bone, and mucosal lining and definitive reconstructive techniques using Fisher's or Pearson Chi-square exact test with <i>p</i> ≤ 0.05 considered statistically significant. <b>Results:</b> The total of 27 patients were included. Early techniques included skin = primary soft tissue closure (<i>n</i> = 19) versus wound vacuum-assisted closure (<i>n</i> = 8); mandible = open reduction internal fixation (ORIF) (<i>n</i> = 19) versus external fixation (<i>n</i> = 8); and oral mucosal lining = primary mucosal closure (<i>n</i> = 20) versus dermal substitute (<i>n</i> = 7). Definitive management included ORIF (<i>n</i> = 10, 37%), ORIF with bone grafting (<i>n</i> = 8, 30%), and microvascular free-flap (<i>n</i> = 9, 33%). The incidence of complications requiring unplanned operation when using dermal substitutes for mucosal lining management was statistically higher than primary closure (<i>p</i> < 0.001); otherwise the complication rates of surgical techniques were equivalent. <b>Conclusion:</b> Several surgical decisions and techniques can be utilized at the time of early and definitive management of submental gunshot wounds. Only the use of dermal substitutes for mucosal lining is associated with a significantly higher rate of unplanned operation.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"786-792"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923562","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":"Safety and Efficacy of Upper Eyelid Orbicularis Oculi Botulinum Toxin in Patients with Synkinesis.","authors":"Aishwarya Shukla, Matthew Zhang, G Nina Lu","doi":"10.1089/fpsam.2024.0026","DOIUrl":"10.1089/fpsam.2024.0026","url":null,"abstract":"<p><p><b>Background:</b> Chemodenervation is an important means of treating oral-ocular synkinesis, but upper eyelid treatment is avoided due to risk of blepharoptosis. <b>Objective:</b> To measure the change in eyelid position among patients with oral-ocular synkinesis who received botulinum toxin to the upper eyelid orbicularis oculi compared with those who received lateral and lower eyelid treatment alone. <b>Methods:</b> In this retrospective clinical study, patients were categorized as having received lateral and lower eyelid botulinum toxin alone or having received upper eyelid botulinum toxin (to the preseptal and orbital orbicularis oculi) along with lateral and lower eyelid treatment. Pre- and posttreatment margin to reflex distance 1 (MRD1), margin to reflex distance 2 (MRD2), and palpebral height were measured using Emotrics software and compared using t tests and regression analysis. <b>Results:</b> Twenty-five patients were included. Mean age was 48.7 years and 24% were male. Mean duration of paralysis was 29 months (range 9-360 months). Posttreatment resting MRD1 (3.36) was not significantly different than pretreatment resting MRD1 (3.43) for patients who received upper eyelid botulinum toxin (<i>p</i> value = 0.60). <b>Conclusion:</b> Botulinum toxin to the upper eyelid orbicularis oculi injected superficially in small, concentrated aliquots did not result in blepharoptosis and was effective in reducing oral-ocular synkinesis.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"713-719"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789543","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: Role of Artificial Intelligence and Machine Learning in Facial Aesthetic Surgery: A Systematic Review\" by Brooke Stephanian et al.","authors":"Nathan Farrokhian, John Flynn","doi":"10.1089/fpsam.2024.0278","DOIUrl":"10.1089/fpsam.2024.0278","url":null,"abstract":"","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"706-707"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630350","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":"Feasibility of Dorsal Preservation Rhinoplasty for Hump Nose Reduction in Asian Population.","authors":"Hong Ryul Jin, Yung Jin Jeon","doi":"10.1089/fpsam.2024.0055","DOIUrl":"10.1089/fpsam.2024.0055","url":null,"abstract":"<p><p><b>Background:</b> Dorsal preservation rhinoplasty (DPR) has shown promise in Western populations for nasal hump reduction, but its feasibility and long-term outcomes in Asian individuals remain unexplored. <b>Objective:</b> To measure the feasibility, as well as the functional and aesthetic outcomes, of DPR in Asian hump noses and to determine its effectiveness in adaptation to the unique characteristics of the Asian demographic. <b>Methods:</b> A retrospective review analyzed patients who underwent primary DPR between April 2019 and November 2022 with a follow-up period of over 12 months. The study included patients whose photographs met the criteria. Surgical techniques, aesthetic measurements using anthropometric factors, and subjective outcomes were evaluated. <b>Results:</b> Of the 17 patients (11/17, 64.7% female), the mean age was 22.53 years (standard deviation [SD] 5.22 years). The median follow-up period was 36.90 months (range 13-61 months). Measurements from pre- and postoperative photographs showed a significant reduction in both nasofacial angle (7.76°, SD 4.30°) and rhinion angle (0.85°, SD 0.69°) (<i>p</i> < 0.0001). Patient-reported outcome scores with the Nasal Obstruction Symptom Evaluation scale decreased from 61.00 (SD 26.96) to 15.50 (SD 11.65), and Standardized Cosmesis and Health Nasal Outcomes Survey scores postoperatively were 10.90 (SD 7.71) overall, with the functional component at 3.50 (SD 2.64) and the aesthetic component at 7.40 (SD 6.24). No residual hump, recurrence of the hump, or complications were observed. <b>Conclusion:</b> In this study, the use of DPR techniques was effective and may support further development of the inclusion and exclusion criteria for its use in correcting the dorsal hump in Asian patients. Careful patient selection will be imperative to determine the ultimate indications for this technique.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"748-755"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761713","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}
James R Xu, Derek J Vos, Noah M Yaffe, Khashayar X Arianpour, Patrick J Byrne, Peter J Ciolek
{"title":"Longitudinal Analysis of the Use of Facial Reanimation Procedures for Bell's Palsy.","authors":"James R Xu, Derek J Vos, Noah M Yaffe, Khashayar X Arianpour, Patrick J Byrne, Peter J Ciolek","doi":"10.1089/fpsam.2024.0039","DOIUrl":"10.1089/fpsam.2024.0039","url":null,"abstract":"<p><p><b>Background:</b> Treatment of Bell's palsy ranges from medical management with high-dose corticosteroids to complex facial reanimation procedures. <b>Objective:</b> To characterize the number of static, dynamic, and combined facial reanimation procedures for the management of Bell's palsy using a national database over time. <b>Methods:</b> This retrospective cohort study included patients in the 2013-2020 National Surgical Quality Improvement Project database with a postoperative diagnosis of Bell's palsy. Cases were categorized as involving only static, only dynamic, and a combination of static and dynamic procedures. Chi-square or Fisher's exact tests were performed for patient demographics, and linear regressions were created to evaluate utilization trends. <b>Results:</b> In total, 294 patients were identified. There was no significant difference in patient sex and comorbidities between these treatment groups. Of the 294 patients, 101 received both types of procedures, 107 received only dynamic procedures, and 86 received only static procedures. The trendlines for all treatment groups were significantly positive (<i>B</i> = 1.27 for both, <i>B</i> = 0.89 for dynamic only, and <i>B</i> = 1.01 for static only). <b>Conclusion:</b> In this study of a national surgical database, an increase in static, dynamic, and combined treatments for patients with Bell's palsy was found.</p>","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":"708-712"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477682","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}