Facial Plastic Surgery & Aesthetic Medicine最新文献_第9页

Evaluation and Treatment of Acute Facial Palsy: Opportunities for Optimization at a Single Institution. 急性面瘫的评估和治疗：单个机构的优化机会。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-21 DOI: 10.1089/fpsam.2024.0088

Manuela von Sneidern, Arman Saeedi, Audrey M Abend, Ethan Wiener, Silas W Smith, Danielle F Eytan

{"title":"Evaluation and Treatment of Acute Facial Palsy: Opportunities for Optimization at a Single Institution.","authors":"Manuela von Sneidern, Arman Saeedi, Audrey M Abend, Ethan Wiener, Silas W Smith, Danielle F Eytan","doi":"10.1089/fpsam.2024.0088","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0088","url":null,"abstract":"Introduction: Most patients with acute facial palsy initially present to emergency departments (EDs), where clinical practice guidelines (CPGs) recommend steroids, eye care, and follow-up with facial nerve specialists. Objective: To evaluate adherence to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) Bell's palsy (BP) CPGs within EDs at a single academic institution. Method: We conducted a retrospective review of all patients diagnosed with acute facial palsy in the EDs of an academic tertiary care center between June 1, 2021, and June 1, 2022. Results: A total of 270 patients met inclusion criteria; most were male (n = 150, 55.9%), diagnosed with BP (n = 243, 90.0%), and presented to community-based emergency rooms (n = 170, 62.96). Although most patients received steroid treatment (n = 243, 90.0%), only 61.5% (n = 166) received the AAO-HNS-recommended course. Older patients and those who received steroids were more likely to receive imaging (p < 0.001, p = 0.03). Treatment with the AAO-HNS-recommended steroid regimen was associated with a higher likelihood of receiving laboratory evaluation (p = 0.02). Providers often advised follow-up; however, only 12.2% of patients were discharged with an electronic referral order. Conclusion: There are opportunities to standardize the treatment of patients in the ED presenting with acute facial palsy according to AAO-HNS CPGs.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689296","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

Commentary on Von Sneidern et al's "Evaluation and Treatment of Acute Facial Palsy: Opportunities for Optimization at a Single Institution."-Bridging the Gap Between Guidelines and Practice. 对 Von Sneidern 等人的 "急性面瘫的评估和治疗：缩小指南与实践之间的差距》。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-21 DOI: 10.1089/fpsam.2024.0263

Ciersten A Burks, Michael J Brenner

引用次数: 0

Three Parameters Impact the Perception of Smile Asymmetry in Patients with Facial Paralysis. 三个参数影响面瘫患者对微笑不对称的感知

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-11 DOI: 10.1089/fpsam.2024.0177

Rachel Skladman, David Chi, Gary B Skolnick, Alison K Snyder-Warwick

{"title":"Three Parameters Impact the Perception of Smile Asymmetry in Patients with Facial Paralysis.","authors":"Rachel Skladman, David Chi, Gary B Skolnick, Alison K Snyder-Warwick","doi":"10.1089/fpsam.2024.0177","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0177","url":null,"abstract":"Background: The ability to smile is impaired in patients with facial palsy, and objective parameters assessing smile symmetry to guide treatment are not well elucidated. Objective: This study seeks to identify objective facial measurements that relate smile recognition, perception of smile asymmetry, and perceived emotions from photographs of individuals with asymmetrical smiles compared with control photographs of individuals without smile asymmetry as measured by a photograph analysis application. Methods: Fifty-six photographs of smiles were categorized using objective perioral morphometric measurements (Emotrics). A photographic survey of these smiles was disseminated with queries regarding smile symmetry, smile recognition, and emotion perception. Generalized linear mixed modeling (GLMM) was performed to assess the effect of facial measurements on survey responses. Results: From 756 survey responses, smile symmetry predicted for smile recognition (F = 1084, p < 0.001) and emotion perception (F = 422, p < 0.001). Correlation analysis and GLMM identified three parameters (lower lip height, commissure position, and commissure height) that predicted smile recognition (F = 1040, p < 0.001), emotion perception (F = 976, p < 0.001), and symmetry (F = 1248, p < 0.001). Lower lip height (β = -57.84, p < 0.001) and commissure position (β = -29.41, p < 0.001) were the most significant drivers. Conclusions: Correcting lower lip height and commissure position represents efficacious clinical benchmarks for improving smile recognition by reducing smile asymmetry and conveying negative emotions.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630511","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

Orbicularis Oculi Myectomy as an Adjunctive Procedure to Modified Selective Neurectomy for Postparalysis Facial Synkinesis: Technical and Safety Considerations. 眼轮匝肌眼轮匝肌切除术作为改良选择性神经切除术的辅助手术治疗瘫痪后面部综合症：技术和安全考虑因素。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-11 DOI: 10.1089/fpsam.2024.0269

Tracy VandeWater, Kaitlynne Y Pak, Babak Azizzadeh

引用次数: 0

"Invited Commentary: Three Smile Parameters Impact Smile Asymmetry Perception" by Warwick et al. "特邀评论：Warwick 等人撰写的 "三种微笑参数影响微笑不对称感知"。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-11 DOI: 10.1089/fpsam.2024.0306

Shai M Rozen

引用次数: 0

Effects of Chemodenervation on Ocular Synkinesis. 化学镇痛对眼球同步运动的影响

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-06 DOI: 10.1089/fpsam.2024.0105

Corin M Kinkhabwala, Allie Ottinger, Tanner Diemer, Krishna G Patel, Michelle S Hwang

{"title":"Effects of Chemodenervation on Ocular Synkinesis.","authors":"Corin M Kinkhabwala, Allie Ottinger, Tanner Diemer, Krishna G Patel, Michelle S Hwang","doi":"10.1089/fpsam.2024.0105","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0105","url":null,"abstract":"Background: Chemodenervation is widely used for management of synkinesis in patients with facial palsy, but there is limited objective data assessing treatment effect. Objective: To measure the eyelid palpebral fissure height at rest and during movement after chemodenervation of the orbicularis oculi muscle among patients with ocular synkinesis, as measured on photographs with computerized facial analysis application. Methods: A retrospective review of patients who underwent initial chemodenervation to the orbicularis oculi for synkinesis was conducted from January 1, 2015, and July 26, 2023. Changes in palpebral height following injection \"at rest\" and during \"pucker\" (activation of ocular synkinesis) were calculated using the Emotrics+ program. Results: Nineteen patients were identified: 78.9% female, 73.7% White, and a mean age of 49.74 ± 13.62yrs. They received a mean of 11.45 ± 3.57 units to the orbicularis oculi. A mean 37.63 ± 11.21 days elapsed between injection and postinjection photograph. Palpebral fissure height increased by a mean of 1.16 ± 1.86 mm while \"at rest\" (p = 0.014) and 2.31 ± 1.35 mm during \"pucker\" (p < 0.01). Injected dose was not associated with changes in palpebral fissure height \"at rest\" (p = 0.141) or during \"pucker\" (p = 0.125). Conclusions: Our findings suggest that chemodenervation of the orbicularis oculi improves palpebral fissure height in ocular synkinesis, more so during dynamic motion.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592157","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

"Commentary: Gossett El's 'Lower Lip Fascia Lata Repositioning in Flaccid Facial Paralysis'." "评论：戈塞特-埃尔的'松弛性面瘫的下唇筋膜复位术'"。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-06 DOI: 10.1089/fpsam.2024.0256

G Nina Lu

引用次数: 0

Invited Commentary: "Dorsal Preservation Rhinoplasty-the Perspective of 'Preservers' Versus 'Structured' Surgeons". 特邀评论：鼻背保留整形术--"保留者 "与 "结构 "外科医生的观点"。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-06 DOI: 10.1089/fpsam.2024.0273

Lucas G Patrocinio

引用次数: 0

Lower Lip Fascia Lata Repositioning in Flaccid Facial Paralysis. 松弛性面瘫的下唇筋膜复位术

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-06 DOI: 10.1089/fpsam.2024.0186

Katherine A Gossett, Keerthi E Kurian, Samuel L Oyer

引用次数: 0

Dorsal Preservation Rhinoplasty-the Perspective of "Preservers" Versus "Structural" Surgeons. 鼻背保留整形术--"保留者 "与 "结构 "外科医生的观点。

IF 1.6 3区医学

Facial Plastic Surgery & Aesthetic Medicine Pub Date : 2024-11-06 DOI: 10.1089/fpsam.2024.0141

Mariline Santos, Sam P Most, Ivan Wayne, Sureyya Seneldir, Miguel Gonçalves Ferreira

{"title":"Dorsal Preservation Rhinoplasty-the Perspective of \"Preservers\" Versus \"Structural\" Surgeons.","authors":"Mariline Santos, Sam P Most, Ivan Wayne, Sureyya Seneldir, Miguel Gonçalves Ferreira","doi":"10.1089/fpsam.2024.0141","DOIUrl":"https://doi.org/10.1089/fpsam.2024.0141","url":null,"abstract":"The objective of this study was to describe the surgeons who have incorporated dorsal preservation (DP) into their practice and their techniques. An anonymous form reviewed by the Evidence-Based Rhinoplasty Research Group board was shared on its Telegram group. The study population was divided into three groups based on their answers: \"Preservers,\" \"Mainly Structural,\" and \"Structural exclusively.\" This study included the answers of 145 worldwide surgeons. DP was more common among plastic surgeons than otolaryngologists/facial plastic surgeons; DP techniques were mostly preferred by surgeons with 10-20 years of experience, while structural techniques were mostly preferred by surgeons with > 20 years of experience; 50.8% of the surgeons who prefer DP techniques use it in more than 90% of primaries; surface techniques (ST) have been more used, mainly by surgeons who prefer structural techniques (p < 0.001). ST were considered more stable (p < 0.001), more predictable (p < 0.001), and shorter learning curve (p < 0.001). Many surgeons using DP still perform structural rhinoplasty. The most cited concern was hump persistence/recurrence. DP rhinoplasty is gaining acceptance, and ST are favored for their perceived short learning curve, stability, and predictability. However, concerns about hump recurrence cause some to continue using structural methods alongside DP.","PeriodicalId":48487,"journal":{"name":"Facial Plastic Surgery & Aesthetic Medicine","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592155","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